November 4, 2024 • 24 mins
Former skeptic Doug Reynolds, President of the Society of Metabolic Health, shares a transformative perspective on Type 1 diabetes management that's changing lives.
Through real patient stories and clinical insights, Reynolds exposes why traditional insulin-dosing protocols fall short and presents a safer, more effective approach that's helping T1D patients thrive - including competitive athletes.
Learn why doctors are calling this information "revolutionary" and how it's giving hope to families impacted by Type 1 diabetes.
(Features breaking news about a landmark medical consensus paper that could reshape T1D treatment protocols.)
Learn More:
LowCarb USA Website
Doug Reynolds Bio
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:01):
The modern healthcaresystem won't help you heal.
It's designed to keep yousick and dependent on drugs.
If you want to get well, you'vegot to get out of the system.
You've found PredictiveHealth Clinic.
Join us as we getwell and stay healthy.
(00:28):
All right welcome folks.
Thanks for joining us on thepredictive health clinic.
I am joined today byDoug Reynolds, who is the
founder of Low Carb USA.
If you don't know aboutit, You should know about
it, but Doug, I don't thinkwe're actually going to talk
about low carb USA today.
Are we what's the one topicwhat's the one health topic you
(00:51):
want to address in this episode?
I think to expand on whatyou just said I'm also the
president of the SMHP, theSociety of Metabolic Health.
Oh, that's right.
You are.
I forgot.
And that kind of spawned itfrom low carb USA and has just
taken on a life of its own.
So it's a combination ofsomething that happened in
(01:12):
our focus day in the BocaRaton event in January,
and a lot of what's beengoing on in the SMHP, all
around type 1 diabetes.
Because when you saidto me, you want like one
topic, it was like, we talkabout everything, right?
So yeah how pick one, but thenI suddenly occurred to me how
(01:33):
important this was right now.
And that's kind of whyI've chosen to focus
on that for this talk.
Okay.
Question two is what,why'd you get interested
in that particular issue?
So it started with we've beenhaving these focus days in
our conferences, like thefirst day focuses on one
particular condition and wedid cancer and food addiction.
(01:55):
And in January this year, wedid one on type one diabetes.
And it was suggestedto me as the let's do
that like last year.
And I kind of flippantlyjust said, Oh, why not?
You know, let's do it.
But we ended up with asubcommittee of folks that
helped us plan that day.
(02:16):
And through that planningand through that weekend of
the conference, I actuallydid a podcast the other day.
I'd literally, itchanged my life.
And I think what.
Most of us don't appreciateis what these type one
(02:37):
diabetics go through on an,on a minute by minute basis.
Not even on a daily basis.
One of the guys describedit to me as like having this
parallel pathway going on inyour life, 24 seven, where
you're making these your normallife and all the decisions
and stuff that goes on there.
But in parallel, you've got thisthing where your condition, your
(02:59):
status Can change at any second.
And so you're making all thesedecisions on an ongoing basis.
all the time and even havealarms going off to try and
warn you when stuff's goingon when you're sleeping.
Yeah.
And I, it just had such animpact on me that whole weekend
and how much it meant to thetype one diabetes community.
(03:24):
Because they have beenostracized and ignored and
a lot of the people thatare the leaders in the, in
their community are not evendoctors, they are rocket
scientists and Other peoplewith other jobs whose kids have
developed type one diabetes,and they've had to learn how
(03:47):
to manage this on their ownbecause the doctors won't
and can't help them becausethey are they're not taught
about this and they're, anda lot, many are afraid of it.
Yeah.
And so we had this day,and we had a workshop the
day before, which was morea lot of practical stuff.
And one of our long termattendees that's kind of
(04:09):
comes to most of our events,he's actually retired now.
And he got up to the micduring the Q and a, and he
said, you know, I learnedmore this afternoon than
I have in my training andthroughout my entire career
on type one diabetes.
And it was.
Incredible.
And I had doctors come up to meall through the week and saying,
(04:32):
this is the most amazing thing.
I actually feel now if, becausewhat happens is that they,
if someone comes in and theypresent with type one, they
actually just, chip them offto somebody else because they
didn't have the confidence tobe able to manage them and help
treat them and learning how todo that through this therapeutic
(04:55):
carbohydrate reduction andhow Much easier and safer.
It makes makes it forpeople to be able to to
manage this themselves orto manage their Children.
Was just such an eye openingexperience for all of us.
But it's, you know, especiallyfor all the doctors and the
physicians that were there.
So Who should we betalking to right now?
(05:16):
Are we talking to thetype one diabetics, their
families, or the physicianswho are treating them?
I think, I think both becauseyou know, there's the patient
who Who needs help and is notable to find good help and the
prevailing treatment protocolis to eat a bunch of carbs
(05:38):
and just calculate what yourdosage on your insulin must be.
And it's all about just,you know, take a bonus for
whatever it is that you'reeating and you'll be fine.
And that's completely not true.
One of the things.
All right.
All right.
Hold on.
So this leads us to questionsthree and four, which is about
misconceptions and truth.
(05:59):
What's the biggest commonmisconception that both
doctors and patients deal with?
Yes, I think that that'sprobably it, you know, it's
the fact that most doctors havebeen taught and that's what they
prescribe to their patients isjust calculate what insulin dose
you need to take for whateverit is that you're eating
(06:21):
during meals and, et cetera.
But what the guy explained to methe other day was that insulin
is, every single time you get abatch, every batch of insulin,
and even probably vials withinthat batch, are different.
And depending on how, thetemperature they've been
(06:42):
exposed to, how long they'vebeen there, the manufacturing
process, all sorts of things,the same type of insulin that's
supposed to be exactly the samehas vastly different responses.
For a particular person, Iheard the other day of someone
where she literally almostdied because she was taking
insulin and it was like water.
(07:04):
It literally hadzero effect on her.
And then she'd been usingthat same insulin for years.
But this one batch thatshe got was ineffective
And so she almost died.
And I think what what we areteaching people is that if
you take carbohydrates andsugar out of the diet, then
(07:27):
your roller coaster becomesthis like little bumpy road.
And these huge swipes,and now you've got to dose
insulin to bring that down,and then you take too much,
and you go hypo, and that'swhen it's really dangerous,
is when you go very low.
And and doctors are actuallytalking about having a target
(07:48):
A1c for a type 1 diabetic of 7.
1 or 7.
5 or something.
Even I know that.
It's insane.
But they do that becausethey want to err on the
side of caution so that theydon't go low because the
low is where they can die.
But now you find thesefolks in this community
that are now usingcarbohydrate reduction as a.
(08:12):
As a backbone to theirentire philosophy, they
find that suddenly theyare not they're not having
this rollercoaster anymore.
And that they can go on toslower acting, much smaller
doses of slower acting insulin.
And so they are not at risk ofgoing low while they're sleeping
(08:34):
and having to have alarms totry and wake them up to say,
Hey, you're going to die.
They.
They don't need todo that anymore.
And they, but theyare being ignored by
the medical community.
And so they actually get quiteaggressive and combative.
And I almost was a bitturned off by them in
the past because of that.
(08:55):
But having gone throughthat weekend, I, and the
planning beforehand as wellI finally understood Why it
is that they are like that.
Yeah.
I had people staying, one ofthe doctors that we brought
out from the UK to be one ofthe speakers there, Ian Lake.
And he, as I walked into theinto the foyer, and he had
(09:15):
just arrived, and I got amessage that he had arrived,
went down to meet him.
And he put his arms out likethis, and he said, Doug,
is this really happening?
But we're going to have awhole day focused on type 1
diabetes and how to safelytreat it and or manage it.
You don't treat, but manage it.
(09:36):
They, it was Yeah I have rarelyfelt as good, I suppose, like
for lack of a better word, Ican about anything that I've
done before then because of theright in front of me, I could
see the the impact that it wasgoing to have on this community
(09:56):
and we normally have our videos.
behind a paywall.
And I put all the videos fromthat day and the workshop
before on YouTube for freefor them to be able to.
And they, I spoke to someonelike on the podcast two days ago
and he was saying that they sendthat stuff out like all the time
to people in the as people arecoming into the community and
(10:18):
asking for help because they'vegot kids newly diagnosed with
this and like they, they are.
Besides themselves, becauseeverybody's just telling them
that this, you know, the kidslife is going to be shorter and
chances are they're going to dieand that's a very real thing.
Let's do this.
And I'm glad we got,I'm glad we were here.
(10:41):
You and I are immersedin the world of
therapeutic ketogenesis.
Low carb you for a lotlonger than me, but I've
been in it for three years.
And so I've kind of heardmost of this, but there are
going to be people, bothphysicians and people with
(11:02):
type one diabetes in theirlife to whom this is brand new.
So let's get very specificand I want to try to
keep it tight and short.
But the conventionaltreatment is.
You're eating your food.
You got to calculate what yourcarb load is, that's going to
help you calculate how muchinsulin you need to take and
(11:23):
when you need to take it.
And Oh, there's also thisvariable where sleep and
exercise and stress canaffect the calculation.
And there's also the variablethat I'd never heard about
where the insulin itself is not.
Identical vial tovial, batch to batch.
(11:45):
We'd like to thinkit is, but it's not.
And so that makes itall more calculated.
That's how it all.
That's the conventionaltreatment the, I want to
call it revolutionary,but it's really not.
It's just the better way isnow break it down for me.
What's, what does it mean to,to do carbohydrate restriction?
(12:06):
What's that practically looklike for a type one diabetic?
So basically you know, if you'relooking at a typical keto, they
talk about maybe 50 grams orsomething is what you should
be targeting and that worksfor a lot of people, but for
them, for therapeutic things,you're looking to keep
it below 25 grams, totalgrams of carbohydrates.
(12:30):
And they're looking at totalgrams not there's a lot of
people that they say, okay,we'll take the fiber out and
that But especially when youdon't, when you're talking
about therapeutic uses, thenthe physicians that do this
like to use a total carb countto, to keep track of that.
And yeah, I mean, it just,it's really just that you
(12:51):
need to work out for yourlifestyle and whatever
your body type and whateverwhat the ultimate goal is.
Amount of protein is thatyou should be targeting
and you try and make sureyou get in that much and
I've heard it I've heard itdescribed as used fat as the
lever or the lever, right?
where that makes upthe difference in your
(13:14):
In your calorie requirements,and we're not done.
We're not talking aboutrestricting calories at all.
In fact, we try to encouragepeople not to do that because
that can lead to other problems.
And so you make up yourthe balance of your
calorie requirement with.
(13:35):
fatty, you know, the fat inthe meat and the fish oils
and the other things, healthyfats that you can that you can
introduce into your into yourdiet to, to induce satiety.
And and because you're doingthat, you don't get hungry.
You're not scarfing down a wholelot of don't have these Crazy
(13:58):
roller coaster type blood sugarswings you know, the person
I was talking to a couple ofdays ago, he's, their son is
now 18, he's six foot four.
He's on a Nash I think aprovincial like swimming team.
One of the other guysthat's involved in that
community, he's also 80,but the same height as well.
He's playing Not professional,but he's playing like high
(14:20):
level football and stuff.
These people are functioningathletes in society.
And they are doing thatin spite of the fact that
they are dealing with typeone diabetes on an ongoing
basis, just because ofthey are adopting this.
Lifestyle and this wayof managing their issue.
(14:41):
All right.
I'm gonna dig a little deeperthan we would normally do often
The next question typicallyis what's the likely outcome
of if folks don't take action,but type 1 diabetics know that
so Let's go a little deeper.
There's an awful lot ofresistance to the type of
diet that you're describing,where you're severely
(15:04):
limiting carbohydrate intakefor you're saying 25 grams
of total carbs every day.
And that means that you'regetting all the rest of your
calories from fats and proteins.
The typical person whoisn't aware of this is
saying, that's crazy.
(15:26):
Address the person who'snot really aware of this.
Up to date on thelatest thinking.
On these severelycarbohydrate restricted diets.
So what the real bottom line isthat of all of the three macros,
you've got fat and protein andglucose, basically there is zero
(15:49):
requirement for carbohydratesor sugar in your diet at all.
Your liver throughgluconeogenesis is
able to produce.
glucose in yourbloodstream and it produces
everything that it needs.
(16:09):
And nothing more in a properlyfunctioning system, right?
And that the only twomacros that you have to
have is fat and protein.
And so many peopleare unaware of that.
And they don't realizethat there's, there is zero
requirement for sugar orcarbohydrates in your diet.
(16:30):
Zero.
And a lot of people, Rob Syversis a big one and he, he doesn't
prescribe under 25 grams.
He prescribes zero, buthe acknowledges that there
will be some some creep.
And so if you're eatingvegetables, you're eating
all the low star, you know,spinach and broccoli and
cauliflower and stuff like that.
(16:52):
And those all have littlebits of carbohydrates in,
and those kind of tally up.
And he knows that ifyou're going to eat right.
you are going tobe under 25 grams.
And so he doesn't even gethis people to his patients
to even calculate it.
Okay.
Just make sure that theytarget the right types of
(17:12):
foods that have very lowcarbohydrates in them.
And he said, and he's, youknow, he's got a lot of
full carnivore Patients aswell, where they choose not
to eat vegetables at all.
Yeah, that's what I'm,that's what I'm hearing.
So if I was told, Hey, you needto not have any carbohydrates.
So I'm thinking what's left?
And to me, thatsounds that's meat.
(17:33):
That's eggs.
That's dairy.
So a very common I mean,yeah, I mean, we say
meat, I suppose fish andchicken kind of qualifies.
I think it is, you know, themuscle, the muscles of an
animal a very common pushbackis aren't you going to
suffer serious constipation?
Doesn't your bodyneed the fiber?
(17:57):
Okay, so now you now you'regoing down a rabbit hole,
but the fact is that whenyou really look at it, it
actually does not need fiberand quite, quite the opposite,
that fiber actually causesmore problems than it solves.
It doesn't it doesn'treally have a role.
(18:17):
I mean, we don't, becausefiber needs to be fermented
in your stomach and we don'thave the mechanisms like
other animals that eat plantsthat where they've got this
mechanisms within theirdigestive system that, that
I can ferment this fiber.
Fiber down to something andproduce and what it actually
(18:38):
does is produce fat at theend of the day a lot of
the time and so for themto to then utilize in their
bodies for what they need.
We don't have that and thebody tries to do that's why
you get a lot of gas andstuff like that but eat a
lot of vegetables and thatit's it can be pretty hectic.
And you know, the carnivoreshave zero fiber and function.
(19:02):
I mean, there's guys that,guys and girls that, that
function at very high level.
I mean, you know,Sean Baker, Dr.
Sean Baker is oneexample that he's huge,
massive guy and he eats.
eats just meat.
And he eats eggs and otherstuff as well, but he tells
(19:23):
me when he's training for anevent, he eats just steak.
That's it.
Because he finds thatis the most effective.
For him to get to hisbest for he does, he's
like growing competitionsand stuff like that.
That's just, it's insane.
And yeah he, and youknow, there's no fiber.
There's norequirement for fiber.
(19:44):
Your body doesn't need fiber.
The same as it doesn'tneed carbohydrates.
We've just been told this overthe years and it's become de
facto medical knowledge thatyou have to have fiber and you
have to have carbohydrates inyour diet and it's just rubbish.
All right we're going toprovide lots of resources
for folks in the show noteshere, but I want to keep it,
(20:07):
we made a promise that we'regoing to go 20 minutes and I
think we're already over that.
So let's go to the lastcouple of questions.
Common complaints, commoncompliments in your work.
What's one of the mostcommon complaints that
you hear with your work?
With what I do orwith what we teach
(20:28):
what you're teaching.
I can't do without my breador Yeah We he has some of the
most lame excuses out there,but I have come to appreciate
the fact that most peopleare on the spectrum somewhere
of food and carbohydrateaddiction, and that I have
(20:49):
become more tolerant of thefact that people need to yeah,
um.
Let's look at the positive side.
What's one of the morecommon complements?
That you getmany sons kitsch, but
like you saved my life oryou changed my life over
(21:11):
and over and over again.
No, the downside isno, I need my bread.
And the upside isyou saved my life.
Yeah.
I think there's a.
I think there's a decidedquestions in that, that you try
and get through, but there'ssomething very important
that we must get to here.
(21:33):
And that is when I wastalking about the Society of
Metabolic Health practitioners.
One of our board of, on ourboard of directors is a guy, Dr.
Troian.
A lot of people know himfrom his podcast, but he
has worked like a Trojan to.
produce a consensus paper,a position statement on type
(21:56):
1 diabetes, basically asa guideline to physicians
and practitioners who aretrying to help treat their
patients using this protocol.
And we've had so many peopleinvolved in it from throughout
the type 1 diabetes community,doctors, and scientists
(22:17):
and amazing people andliterally got submitted the
other day for publication.
So it's in review at the moment.
And when that comes out,that's going to be a crowning
achievement of the SMHP.
We plan to have a whole lot moregoing forward, but this is the
first and it's an incrediblebit of work and I have to give
(22:40):
kudos to Trocalegion for theamount of work that he put in
that to actually make it happen.
Yeah.
I think we're going tohave him on the show
later in the year as well.
All cool.
All right.
This is my favorite question.
If you could deliver justone message about health
and you could, you hadno more than eight words.
What would that message be?
(23:04):
Follow the science andmake your own decision.
Follow the science andmake your own decisions.
That's a good one.
That's a good one.
Alright, Doug Reynolds,founder of Low Carb USA and
the Society of MetabolicHealth Practitioners.
Thanks for being with us todayon the Predictive Health Clinic.
(23:24):
We're going to have lots andlots of links to the things Doug
either specifically referencedor implied in the show notes.
Check those out.
Share this this episodewith your friends.
Thanks for being with us.
We'll talk to you next time.
(23:44):
Are you a healthcarepractitioner?
Eager to escape the grindof corporate medicine?
Are you ready to make a massivedifference in your world?
Listen up.
We are the Wizard of Ads.
For 40 years, we'vecreated dominant brands in
a variety of industries.
Now, we're bringing ourmagic to healthcare.
We're seeking one extraordinaryhealth care practitioner to
help us build the first nationalbrand in direct primary care.
(24:06):
If you think you could bethat person, let's talk.
Email us at health atwizard of ads dot com.
Tell us why youthink you're the one.
That's health atwizard of ads dot com.
The modern healthcaresystem won't help you heal.
It's designed to keep yousick and dependent on drugs.
If you want to get well, you'vegot to get out of the system.
You've found PredictiveHealth Clinic.
Join us as we getwell and stay healthy.
(00:28):
All right welcome folks.
Thanks for joining us on thepredictive health clinic.
I am joined today byDoug Reynolds, who is the
founder of Low Carb USA.
If you don't know aboutit, You should know about
it, but Doug, I don't thinkwe're actually going to talk
about low carb USA today.
Are we what's the one topicwhat's the one health topic you
(00:51):
want to address in this episode?
I think to expand on whatyou just said I'm also the
president of the SMHP, theSociety of Metabolic Health.
Oh, that's right.
You are.
I forgot.
And that kind of spawned itfrom low carb USA and has just
taken on a life of its own.
So it's a combination ofsomething that happened in
(01:12):
our focus day in the BocaRaton event in January,
and a lot of what's beengoing on in the SMHP, all
around type 1 diabetes.
Because when you saidto me, you want like one
topic, it was like, we talkabout everything, right?
So yeah how pick one, but thenI suddenly occurred to me how
(01:33):
important this was right now.
And that's kind of whyI've chosen to focus
on that for this talk.
Okay.
Question two is what,why'd you get interested
in that particular issue?
So it started with we've beenhaving these focus days in
our conferences, like thefirst day focuses on one
particular condition and wedid cancer and food addiction.
(01:55):
And in January this year, wedid one on type one diabetes.
And it was suggestedto me as the let's do
that like last year.
And I kind of flippantlyjust said, Oh, why not?
You know, let's do it.
But we ended up with asubcommittee of folks that
helped us plan that day.
(02:16):
And through that planningand through that weekend of
the conference, I actuallydid a podcast the other day.
I'd literally, itchanged my life.
And I think what.
Most of us don't appreciateis what these type one
(02:37):
diabetics go through on an,on a minute by minute basis.
Not even on a daily basis.
One of the guys describedit to me as like having this
parallel pathway going on inyour life, 24 seven, where
you're making these your normallife and all the decisions
and stuff that goes on there.
But in parallel, you've got thisthing where your condition, your
(02:59):
status Can change at any second.
And so you're making all thesedecisions on an ongoing basis.
all the time and even havealarms going off to try and
warn you when stuff's goingon when you're sleeping.
Yeah.
And I, it just had such animpact on me that whole weekend
and how much it meant to thetype one diabetes community.
(03:24):
Because they have beenostracized and ignored and
a lot of the people thatare the leaders in the, in
their community are not evendoctors, they are rocket
scientists and Other peoplewith other jobs whose kids have
developed type one diabetes,and they've had to learn how
(03:47):
to manage this on their ownbecause the doctors won't
and can't help them becausethey are they're not taught
about this and they're, anda lot, many are afraid of it.
Yeah.
And so we had this day,and we had a workshop the
day before, which was morea lot of practical stuff.
And one of our long termattendees that's kind of
(04:09):
comes to most of our events,he's actually retired now.
And he got up to the micduring the Q and a, and he
said, you know, I learnedmore this afternoon than
I have in my training andthroughout my entire career
on type one diabetes.
And it was.
Incredible.
And I had doctors come up to meall through the week and saying,
(04:32):
this is the most amazing thing.
I actually feel now if, becausewhat happens is that they,
if someone comes in and theypresent with type one, they
actually just, chip them offto somebody else because they
didn't have the confidence tobe able to manage them and help
treat them and learning how todo that through this therapeutic
(04:55):
carbohydrate reduction andhow Much easier and safer.
It makes makes it forpeople to be able to to
manage this themselves orto manage their Children.
Was just such an eye openingexperience for all of us.
But it's, you know, especiallyfor all the doctors and the
physicians that were there.
So Who should we betalking to right now?
(05:16):
Are we talking to thetype one diabetics, their
families, or the physicianswho are treating them?
I think, I think both becauseyou know, there's the patient
who Who needs help and is notable to find good help and the
prevailing treatment protocolis to eat a bunch of carbs
(05:38):
and just calculate what yourdosage on your insulin must be.
And it's all about just,you know, take a bonus for
whatever it is that you'reeating and you'll be fine.
And that's completely not true.
One of the things.
All right.
All right.
Hold on.
So this leads us to questionsthree and four, which is about
misconceptions and truth.
(05:59):
What's the biggest commonmisconception that both
doctors and patients deal with?
Yes, I think that that'sprobably it, you know, it's
the fact that most doctors havebeen taught and that's what they
prescribe to their patients isjust calculate what insulin dose
you need to take for whateverit is that you're eating
(06:21):
during meals and, et cetera.
But what the guy explained to methe other day was that insulin
is, every single time you get abatch, every batch of insulin,
and even probably vials withinthat batch, are different.
And depending on how, thetemperature they've been
(06:42):
exposed to, how long they'vebeen there, the manufacturing
process, all sorts of things,the same type of insulin that's
supposed to be exactly the samehas vastly different responses.
For a particular person, Iheard the other day of someone
where she literally almostdied because she was taking
insulin and it was like water.
(07:04):
It literally hadzero effect on her.
And then she'd been usingthat same insulin for years.
But this one batch thatshe got was ineffective
And so she almost died.
And I think what what we areteaching people is that if
you take carbohydrates andsugar out of the diet, then
(07:27):
your roller coaster becomesthis like little bumpy road.
And these huge swipes,and now you've got to dose
insulin to bring that down,and then you take too much,
and you go hypo, and that'swhen it's really dangerous,
is when you go very low.
And and doctors are actuallytalking about having a target
(07:48):
A1c for a type 1 diabetic of 7.
1 or 7.
5 or something.
Even I know that.
It's insane.
But they do that becausethey want to err on the
side of caution so that theydon't go low because the
low is where they can die.
But now you find thesefolks in this community
that are now usingcarbohydrate reduction as a.
(08:12):
As a backbone to theirentire philosophy, they
find that suddenly theyare not they're not having
this rollercoaster anymore.
And that they can go on toslower acting, much smaller
doses of slower acting insulin.
And so they are not at risk ofgoing low while they're sleeping
(08:34):
and having to have alarms totry and wake them up to say,
Hey, you're going to die.
They.
They don't need todo that anymore.
And they, but theyare being ignored by
the medical community.
And so they actually get quiteaggressive and combative.
And I almost was a bitturned off by them in
the past because of that.
(08:55):
But having gone throughthat weekend, I, and the
planning beforehand as wellI finally understood Why it
is that they are like that.
Yeah.
I had people staying, one ofthe doctors that we brought
out from the UK to be one ofthe speakers there, Ian Lake.
And he, as I walked into theinto the foyer, and he had
(09:15):
just arrived, and I got amessage that he had arrived,
went down to meet him.
And he put his arms out likethis, and he said, Doug,
is this really happening?
But we're going to have awhole day focused on type 1
diabetes and how to safelytreat it and or manage it.
You don't treat, but manage it.
(09:36):
They, it was Yeah I have rarelyfelt as good, I suppose, like
for lack of a better word, Ican about anything that I've
done before then because of theright in front of me, I could
see the the impact that it wasgoing to have on this community
(09:56):
and we normally have our videos.
behind a paywall.
And I put all the videos fromthat day and the workshop
before on YouTube for freefor them to be able to.
And they, I spoke to someonelike on the podcast two days ago
and he was saying that they sendthat stuff out like all the time
to people in the as people arecoming into the community and
(10:18):
asking for help because they'vegot kids newly diagnosed with
this and like they, they are.
Besides themselves, becauseeverybody's just telling them
that this, you know, the kidslife is going to be shorter and
chances are they're going to dieand that's a very real thing.
Let's do this.
And I'm glad we got,I'm glad we were here.
(10:41):
You and I are immersedin the world of
therapeutic ketogenesis.
Low carb you for a lotlonger than me, but I've
been in it for three years.
And so I've kind of heardmost of this, but there are
going to be people, bothphysicians and people with
(11:02):
type one diabetes in theirlife to whom this is brand new.
So let's get very specificand I want to try to
keep it tight and short.
But the conventionaltreatment is.
You're eating your food.
You got to calculate what yourcarb load is, that's going to
help you calculate how muchinsulin you need to take and
(11:23):
when you need to take it.
And Oh, there's also thisvariable where sleep and
exercise and stress canaffect the calculation.
And there's also the variablethat I'd never heard about
where the insulin itself is not.
Identical vial tovial, batch to batch.
(11:45):
We'd like to thinkit is, but it's not.
And so that makes itall more calculated.
That's how it all.
That's the conventionaltreatment the, I want to
call it revolutionary,but it's really not.
It's just the better way isnow break it down for me.
What's, what does it mean to,to do carbohydrate restriction?
(12:06):
What's that practically looklike for a type one diabetic?
So basically you know, if you'relooking at a typical keto, they
talk about maybe 50 grams orsomething is what you should
be targeting and that worksfor a lot of people, but for
them, for therapeutic things,you're looking to keep
it below 25 grams, totalgrams of carbohydrates.
(12:30):
And they're looking at totalgrams not there's a lot of
people that they say, okay,we'll take the fiber out and
that But especially when youdon't, when you're talking
about therapeutic uses, thenthe physicians that do this
like to use a total carb countto, to keep track of that.
And yeah, I mean, it just,it's really just that you
(12:51):
need to work out for yourlifestyle and whatever
your body type and whateverwhat the ultimate goal is.
Amount of protein is thatyou should be targeting
and you try and make sureyou get in that much and
I've heard it I've heard itdescribed as used fat as the
lever or the lever, right?
where that makes upthe difference in your
(13:14):
In your calorie requirements,and we're not done.
We're not talking aboutrestricting calories at all.
In fact, we try to encouragepeople not to do that because
that can lead to other problems.
And so you make up yourthe balance of your
calorie requirement with.
(13:35):
fatty, you know, the fat inthe meat and the fish oils
and the other things, healthyfats that you can that you can
introduce into your into yourdiet to, to induce satiety.
And and because you're doingthat, you don't get hungry.
You're not scarfing down a wholelot of don't have these Crazy
(13:58):
roller coaster type blood sugarswings you know, the person
I was talking to a couple ofdays ago, he's, their son is
now 18, he's six foot four.
He's on a Nash I think aprovincial like swimming team.
One of the other guysthat's involved in that
community, he's also 80,but the same height as well.
He's playing Not professional,but he's playing like high
(14:20):
level football and stuff.
These people are functioningathletes in society.
And they are doing thatin spite of the fact that
they are dealing with typeone diabetes on an ongoing
basis, just because ofthey are adopting this.
Lifestyle and this wayof managing their issue.
(14:41):
All right.
I'm gonna dig a little deeperthan we would normally do often
The next question typicallyis what's the likely outcome
of if folks don't take action,but type 1 diabetics know that
so Let's go a little deeper.
There's an awful lot ofresistance to the type of
diet that you're describing,where you're severely
(15:04):
limiting carbohydrate intakefor you're saying 25 grams
of total carbs every day.
And that means that you'regetting all the rest of your
calories from fats and proteins.
The typical person whoisn't aware of this is
saying, that's crazy.
(15:26):
Address the person who'snot really aware of this.
Up to date on thelatest thinking.
On these severelycarbohydrate restricted diets.
So what the real bottom line isthat of all of the three macros,
you've got fat and protein andglucose, basically there is zero
(15:49):
requirement for carbohydratesor sugar in your diet at all.
Your liver throughgluconeogenesis is
able to produce.
glucose in yourbloodstream and it produces
everything that it needs.
(16:09):
And nothing more in a properlyfunctioning system, right?
And that the only twomacros that you have to
have is fat and protein.
And so many peopleare unaware of that.
And they don't realizethat there's, there is zero
requirement for sugar orcarbohydrates in your diet.
(16:30):
Zero.
And a lot of people, Rob Syversis a big one and he, he doesn't
prescribe under 25 grams.
He prescribes zero, buthe acknowledges that there
will be some some creep.
And so if you're eatingvegetables, you're eating
all the low star, you know,spinach and broccoli and
cauliflower and stuff like that.
(16:52):
And those all have littlebits of carbohydrates in,
and those kind of tally up.
And he knows that ifyou're going to eat right.
you are going tobe under 25 grams.
And so he doesn't even gethis people to his patients
to even calculate it.
Okay.
Just make sure that theytarget the right types of
(17:12):
foods that have very lowcarbohydrates in them.
And he said, and he's, youknow, he's got a lot of
full carnivore Patients aswell, where they choose not
to eat vegetables at all.
Yeah, that's what I'm,that's what I'm hearing.
So if I was told, Hey, you needto not have any carbohydrates.
So I'm thinking what's left?
And to me, thatsounds that's meat.
(17:33):
That's eggs.
That's dairy.
So a very common I mean,yeah, I mean, we say
meat, I suppose fish andchicken kind of qualifies.
I think it is, you know, themuscle, the muscles of an
animal a very common pushbackis aren't you going to
suffer serious constipation?
Doesn't your bodyneed the fiber?
(17:57):
Okay, so now you now you'regoing down a rabbit hole,
but the fact is that whenyou really look at it, it
actually does not need fiberand quite, quite the opposite,
that fiber actually causesmore problems than it solves.
It doesn't it doesn'treally have a role.
(18:17):
I mean, we don't, becausefiber needs to be fermented
in your stomach and we don'thave the mechanisms like
other animals that eat plantsthat where they've got this
mechanisms within theirdigestive system that, that
I can ferment this fiber.
Fiber down to something andproduce and what it actually
(18:38):
does is produce fat at theend of the day a lot of
the time and so for themto to then utilize in their
bodies for what they need.
We don't have that and thebody tries to do that's why
you get a lot of gas andstuff like that but eat a
lot of vegetables and thatit's it can be pretty hectic.
And you know, the carnivoreshave zero fiber and function.
(19:02):
I mean, there's guys that,guys and girls that, that
function at very high level.
I mean, you know,Sean Baker, Dr.
Sean Baker is oneexample that he's huge,
massive guy and he eats.
eats just meat.
And he eats eggs and otherstuff as well, but he tells
(19:23):
me when he's training for anevent, he eats just steak.
That's it.
Because he finds thatis the most effective.
For him to get to hisbest for he does, he's
like growing competitionsand stuff like that.
That's just, it's insane.
And yeah he, and youknow, there's no fiber.
There's norequirement for fiber.
(19:44):
Your body doesn't need fiber.
The same as it doesn'tneed carbohydrates.
We've just been told this overthe years and it's become de
facto medical knowledge thatyou have to have fiber and you
have to have carbohydrates inyour diet and it's just rubbish.
All right we're going toprovide lots of resources
for folks in the show noteshere, but I want to keep it,
(20:07):
we made a promise that we'regoing to go 20 minutes and I
think we're already over that.
So let's go to the lastcouple of questions.
Common complaints, commoncompliments in your work.
What's one of the mostcommon complaints that
you hear with your work?
With what I do orwith what we teach
(20:28):
what you're teaching.
I can't do without my breador Yeah We he has some of the
most lame excuses out there,but I have come to appreciate
the fact that most peopleare on the spectrum somewhere
of food and carbohydrateaddiction, and that I have
(20:49):
become more tolerant of thefact that people need to yeah,
um.
Let's look at the positive side.
What's one of the morecommon complements?
That you getmany sons kitsch, but
like you saved my life oryou changed my life over
(21:11):
and over and over again.
No, the downside isno, I need my bread.
And the upside isyou saved my life.
Yeah.
I think there's a.
I think there's a decidedquestions in that, that you try
and get through, but there'ssomething very important
that we must get to here.
(21:33):
And that is when I wastalking about the Society of
Metabolic Health practitioners.
One of our board of, on ourboard of directors is a guy, Dr.
Troian.
A lot of people know himfrom his podcast, but he
has worked like a Trojan to.
produce a consensus paper,a position statement on type
(21:56):
1 diabetes, basically asa guideline to physicians
and practitioners who aretrying to help treat their
patients using this protocol.
And we've had so many peopleinvolved in it from throughout
the type 1 diabetes community,doctors, and scientists
(22:17):
and amazing people andliterally got submitted the
other day for publication.
So it's in review at the moment.
And when that comes out,that's going to be a crowning
achievement of the SMHP.
We plan to have a whole lot moregoing forward, but this is the
first and it's an incrediblebit of work and I have to give
(22:40):
kudos to Trocalegion for theamount of work that he put in
that to actually make it happen.
Yeah.
I think we're going tohave him on the show
later in the year as well.
All cool.
All right.
This is my favorite question.
If you could deliver justone message about health
and you could, you hadno more than eight words.
What would that message be?
(23:04):
Follow the science andmake your own decision.
Follow the science andmake your own decisions.
That's a good one.
That's a good one.
Alright, Doug Reynolds,founder of Low Carb USA and
the Society of MetabolicHealth Practitioners.
Thanks for being with us todayon the Predictive Health Clinic.
(23:24):
We're going to have lots andlots of links to the things Doug
either specifically referencedor implied in the show notes.
Check those out.
Share this this episodewith your friends.
Thanks for being with us.
We'll talk to you next time.
(23:44):
Are you a healthcarepractitioner?
Eager to escape the grindof corporate medicine?
Are you ready to make a massivedifference in your world?
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