Episode Transcript
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Speaker 1 (00:01):
Welcome to the Health
Pulse, your go-to source for
quick, actionable insights onhealth, wellness and diagnostics
.
Whether you're looking tooptimize your well-being or stay
informed about the latest inmedical testing, we've got you
covered.
Join us as we break down keyhealth topics in just minutes.
Let's dive in.
Speaker 2 (00:26):
Welcome to the Deep
Dive.
We're here to cut through thenoise and really get to the
heart of things, and today we'refocusing on a really big health
topic type 2 diabetes.
I mean, did you know it affectsover 38 million Americans.
That's just staggering.
Speaker 3 (00:43):
It is, and the common
story, you know, is that it's
this lifelong thing.
Speaker 2 (00:46):
Right Something you
just manage.
Right Right Pills, insulin,maybe some lifestyle tweaks.
Speaker 1 (00:50):
Yeah.
Speaker 2 (00:51):
But always just
symptom control.
Speaker 3 (00:53):
Exactly.
But what if that whole standardapproach is kind of Backward?
What if we're missing somethingfundamental?
Speaker 2 (01:00):
And that leads us to
this maybe radical dietary idea.
We're going to explore A prettyradical one.
Speaker 3 (01:05):
yeah, we're hinting
at not just cutting carbs, but
maybe getting rid of them almostentirely.
Speaker 2 (01:11):
So that's the core of
today's deep dive, this let's
call it controversial all meatprotocol, the carnivore diet and
looking at its potential maybefor actual remission in type 2
diabetes.
Now I know, first glance soundspretty extreme.
Speaker 3 (01:26):
It definitely does
sound extreme, but when you
think about insulin resistance,which is really the key issue in
type 2 diabetes, the hallmarkyeah.
Yeah, the hallmark this kind ofapproach.
Well, it goes straight for thatunderlying metabolic mess.
Speaker 2 (01:39):
Okay, so our mission
today, then we're going to
unpack how type 2 diabetesactually develops, right.
Speaker 3 (01:44):
Right.
And what makes this carnivorediet so different?
Speaker 2 (01:47):
With the early
research and maybe some case
studies are showing.
Speaker 3 (01:51):
And, crucially, how
you can use strategic lab
testing to actually track yourown progress, if this is a path
you're even considering, Becauseit really comes down to
understanding those metabolicroots, starting with insulin
resistance.
That's the key.
Got to understand that first.
Speaker 2 (02:08):
So let's start right
there.
We always hear type 2 diabetestalked about as just high blood
sugar, but is that the wholestory or is something deeper
going on?
Speaker 3 (02:17):
Yeah, that's a great
question.
High blood sugar is definitelywhat gets diagnosed.
It's the symptom, but the realproblem, the underlying issue,
is insulin resistance.
Speaker 2 (02:26):
Okay, explain that a
bit more.
Speaker 3 (02:29):
So basically your
body's cells.
They stop responding properlyto insulin.
Insulin's the hormone thatunlocks the cells to let glucose
in for energy.
Right.
When the cells get resistant,your pancreas has to work.
Overtime it pumps out more andmore insulin to try and force
the glucose in.
Ah okay, and that leads to thestate called hyperinsulinemia,
just chronically high insulinlevels.
Speaker 2 (02:50):
And this can happen
silently, before the blood sugar
even goes up.
Speaker 3 (02:53):
Exactly For years,
sometimes even decades, before
your blood glucose hits thosediabetic levels.
So by the time you get thediagnosis, well, a lot of the
metabolic damage is already done.
So by the time you get, thediagnosis.
Speaker 2 (03:05):
Well, a lot of the
metabolic damage is already done
.
Wow, okay.
So what's actually driving that?
Why do the cells stopresponding?
Speaker 3 (03:11):
The main driver
typically is just too many
carbohydrates, especially, youknow, the refined stuff, grains,
sugary drinks, all those ultraprocessed foods.
Speaker 2 (03:19):
The standard modern
diet base.
Speaker 3 (03:20):
Pretty much.
These foods spike your bloodglucose again and again, forcing
the pancreas to just flood thesystem with insulin.
Speaker 2 (03:27):
And over time the
cells just get numb to it.
Speaker 3 (03:30):
They get desensitized
, they stop listening.
Think about this.
There's research showing yourbody might be whispering
warnings insulin resistance formaybe like 13 years 13 years.
Yeah, Before it shouts diabeteswith high blood sugar.
That just completely reframesthe timeline, doesn't it?
Speaker 2 (03:47):
It absolutely does so
if the usual treatments are
just lowering blood sugar withmeds but not fixing that core
insulin resistance.
Speaker 3 (03:55):
And disease just
keeps progressing underneath.
Yeah, no-transcript.
Speaker 2 (04:10):
Okay, so that brings
us squarely to the carnivore
diet.
Lay it out for us.
What exactly is it?
Speaker 3 (04:15):
Okay.
So at its core it's super lowcarb, like ultra low carb, high
fat, moderate protein.
Speaker 2 (04:21):
And it's only animal
foods.
Speaker 3 (04:22):
High fat moderate
protein, and it's only animal
foods, exclusively animal-basedfoods.
So think meat, organ meats,fish, seafood, animal fats like
butter or tallow.
Speaker 2 (04:32):
What about eggs Dairy
?
Speaker 3 (04:34):
Some versions allow
eggs, maybe some dairy, yeah,
but the key difference even fromketo or paleo.
Speaker 2 (04:40):
Right, because they
might allow some low-carb
veggies or nuts.
Speaker 3 (04:42):
Exactly the carnivore
diet aims to eliminate all
carbohydrates no fruit, novegetables, no grains, no
legumes, zero sugar.
Speaker 2 (04:50):
Wow, okay, that
sounds incredibly restrictive.
I mean really restrictive.
Speaker 3 (04:54):
It definitely sounds
that way to most people, but the
reason it's so radical andpotentially therapeutic for
metabolic issues is thatcomplete removal of anything
that raises glucose.
Speaker 2 (05:06):
So by taking out all
the carbs.
Speaker 3 (05:07):
Your body is forced
into a deep state of nutritional
ketosis.
It starts burning fat andketones for fuel, not sugar.
Speaker 2 (05:14):
And we know ketosis
can improve insulin sensitivity
and lower inflammation.
Speaker 3 (05:18):
We've more, and
unlike even a standard keto diet
which might allow, say, 20,maybe 50 grams of carbs a day.
Speaker 2 (05:24):
Carnivore aims for
zero.
Speaker 3 (05:25):
Aims for zero.
So you're minimizing thatglycemic load as much as humanly
possible.
You're basically removing alldietary glucose sources.
Speaker 2 (05:32):
Okay, now you
mentioned.
Specific trials on thecarnivore diet itself might be
well still emerging, but can welearn from the studies on very
low-carb or keto diets?
Is the mechanism similar enough?
Speaker 3 (05:44):
That's a really good
point.
Yeah, the formal large-scalerandomized controlled trials
specifically on carnivore arestill limited, but structurally
it's very similar to those verylow-carb ketogenic diets or
VLCKDs.
Speaker 2 (05:59):
Those have shown
pretty significant results for
blood sugar control and insulinlevels.
Speaker 3 (06:02):
They absolutely have.
Now some carnivore proponentsalso talk about things like
plant anti-nutrients potentiallycausing gut issues or
inflammation.
That's still a bitcontroversial scientifically,
but the undeniable part bygetting rid of all the carbs,
you remove the main fuel thatdrives insulin resistance in the
first place.
For someone really strugglingwith blood sugar, that
(06:24):
simplicity can be incrediblypowerful.
Speaker 2 (06:26):
Okay, that makes
sense.
So let's get to the mechanism.
How does this seemingly extremeapproach actually work to
potentially reverse type 2diabetes?
What's happening metabolically?
Speaker 3 (06:36):
The absolute key is
removing that root trigger
dietary carbs Every time you eatcarbs, especially the refined
ones.
Speaker 2 (06:42):
Blood sugar goes up,
insulin comes out.
Speaker 3 (06:45):
Right and over time,
doing that constantly makes your
cells less responsive.
So by cutting out all dietarycarbs, you basically stop
needing those big insulin spikes.
Speaker 2 (06:54):
You take the pressure
off the pancreas.
Speaker 3 (06:56):
Exactly.
Insulin demand plummets,fasting, insulin levels can
start to come down and cellularinsulin sensitivity has a chance
to actually improve.
Speaker 2 (07:05):
So it's like hitting
a metabolic reset button.
What are the specific benefitswe're looking for here for
someone with type 2 diabetes?
Speaker 3 (07:12):
OK, first, zero
glycemic load.
No carbs means no blood sugarspikes from food.
That keeps insulin low andstable.
Speaker 2 (07:20):
Makes sense.
Speaker 3 (07:21):
Second, improved
insulin sensitivity.
We see this in the very lowcarb diet studies.
Lab markers for insulinresistance, like HOPO-MA IR,
often improve pretty quickly,sometimes within weeks or months
.
Okay, what else?
Third, reduced inflammation.
Type 2 diabetes is, at itsheart, an inflammatory condition
.
A meat-based diet cuts out alot of common inflammatory
(07:42):
triggers seed oils, processedjunk, sugar, Right.
Studies on low-carb diets doshow reductions in C-reactive
protein, which is a key markerof inflammation.
Speaker 2 (07:50):
Okay, glycemic load,
insulin sensitivity,
inflammation.
Is there another big one, mayberelated to body fat?
Speaker 3 (07:57):
Oh, absolutely
Visceral fat loss, that deep
belly fat Losing that is crucialfor reversing insulin
resistance.
Speaker 2 (08:05):
Why is that fat so
bad?
Speaker 3 (08:06):
It's metabolically
active in a bad way.
It drives inflammation anddysfunction.
Diets high in protein and fatwith minimal insulin spikes seem
to really help accelerate fatloss from the liver and the
abdomen, those key areas drivingthe problem.
Speaker 2 (08:20):
So basically, you're
shutting down that insulin
glucose roller coaster.
Speaker 3 (08:23):
Precisely Allowing
the body to re-stabilize blood
sugar, calm inflammation andhopefully regain insulin
sensitivity, potentially gettingoff medications entirely.
Speaker 2 (08:32):
That is a very strong
claim, which naturally leads us
to ask what does the actualresearch say?
You mentioned large carnivoretrials are new, but what about
those very low-carb studies?
Speaker 3 (08:42):
Yeah, the evidence
from very low-carb and keto
diets is quite compelling.
There was a 2021 study I thinkit was in Frontiers in
Endocrinology followed over 260adults with type 2 diabetes on a
low-carb, high-fat plan.
Speaker 2 (08:54):
Okay, what did they
find?
Speaker 3 (08:55):
Get this.
After just one year, nearlyeveryone, like 94%, dramatically
reduced or completely stoppedtheir insulin use.
Speaker 2 (09:04):
Wow, 94%.
Speaker 3 (09:05):
Yeah, and over half
achieved full diabetes remission
based on standard criteria.
That's not just managing,that's, like you said, potential
reversal.
Speaker 2 (09:14):
That's significant.
Any other examples?
Speaker 3 (09:16):
Well, there's the
Virta Health trial.
They used a well-formulatedketogenic diet.
Participants saw, on average, aone point three percent drop in
their HbA1c.
That's a big deal, plussignificant weight loss
sustained over two years.
Speaker 2 (09:30):
And, while not
strictly carnivore, they share
that core principle of minimalcarbs.
Speaker 3 (09:35):
Exactly Minimal
carbohydrate intake, driving
those results.
Speaker 2 (09:38):
Also saw a survey, I
think from 2021, in current
developments in nutrition.
They looked at over 2000 peopleactually following a carnivore
diet.
Yeah, what did that real worlddata show for diabetes?
Speaker 3 (09:49):
Yeah, that one was
interesting because it was
self-reported, but still, 84% ofthe participants who had type 2
diabetes reported it was fullyresolved on the diet 84%
reported resolution.
That's what they reported andmost said they'd eliminated
their glucose-lowering meds.
They noted improvements inHbA1c fasting glucose weight
inflammation markers.
It points towards a trend.
(10:10):
You know people feeling likethey're actually reversing it.
Speaker 2 (10:12):
And we're seeing
physicians like Dr Truro-Kalaji
and Dr Sean Baker reportingsimilar successes in their
practices.
Speaker 3 (10:19):
Right, they talk
about using these meat-heavy,
very low-carb approaches to helppatients normalize A1c, lose
that dangerous visceral fat andget off medications.
Speaker 2 (10:31):
And they often
emphasize lab monitoring, which
we'll get back to.
But OK, let's talk safety,because this is radical.
People worry, right.
What about kidneys?
What about gout from all thatmeat?
Speaker 3 (10:41):
Those are definitely
common concerns and
understandable ones, butthankfully a lot of it seems
based on maybe outdated ormisinterpreted science.
Speaker 2 (10:50):
Okay, like the kidney
issue.
Speaker 3 (10:51):
Yeah, the high
protein damaging kidneys idea.
Multiple clinical reviews havelooked at this and they haven't
found evidence that high proteinintake hurts kidneys in people
with normal kidney function.
Speaker 2 (11:01):
So if your kidneys
are healthy to start with, High
protein doesn't seem to be aproblem.
Speaker 3 (11:05):
Now, if someone
already has advanced chronic
kidney disease, that's different.
Protein needs carefulmanagement there, but for most
people not an issue.
Speaker 2 (11:14):
And the gout
connection Meat causing gout.
Speaker 3 (11:17):
That's another one.
Gout seems more strongly linkedto high fructose intake and
insulin resistance itself,rather than just red meat.
Speaker 2 (11:24):
Really Sugar and
alcohol are bigger culprits.
Speaker 3 (11:27):
Recent studies point
that way.
Yeah, sugar, sweetened drinks,alcohol those seem to be the
primary dietary triggers.
In fact, some studies show lowcarb and keto diets can actually
reduce inflammation and improvehow your body handles uric acid
.
Speaker 2 (11:41):
Huh, so some old
beliefs might need updating.
Ok, so if someone is thinkingabout this, what are the
realistic things they need toconsider?
Any downsides or challenges?
Speaker 3 (11:51):
Well, there are
definitely realistic
considerations.
Electrolyte imbalances canhappen, especially when you
first adapt the keto flu.
Speaker 2 (11:58):
some people talk
about Right Feeling, tired
headaches, yeah.
Speaker 3 (12:01):
But that's usually
manageable with enough fluids
and minerals, especially salt,sodium, potassium, magnesium.
Speaker 2 (12:07):
OK, what else?
Speaker 3 (12:08):
Some people might see
their LDL cholesterol go up, at
least temporarily, that famousbad cholesterol.
Speaker 2 (12:14):
Oh, it would worry
people.
Speaker 3 (12:15):
It does, but it's
really important to look at the
whole picture.
Speaker 2 (12:25):
Often, while LDL
might go up, other, arguably
stronger predictors of hearthealth get much better, like
triglycerides, hdl inflammationmarkers get much better.
Speaker 3 (12:28):
Like triglycerides,
hdl inflammation markers Exactly
.
Triglycerides often plummet HDL, the good cholesterol goes up,
insulin drops, inflammation goesdown, so the overall
cardiovascular risk profileoften improves, even if LDL
bumps up.
Context is key.
So, while we need morelong-term trials, specifically
on carnivore, the short tomidterm metabolic benefits seem
(12:48):
pretty measurable and oftenquite significant for many
people.
Speaker 2 (12:52):
Okay, and who
absolutely needs medical
guidance before even thinkingabout this.
Oh, definitely.
Speaker 3 (12:56):
Medical supervision
is crucial if you're currently
taking insulin or anyglucose-lowering medications
Very important to avoiddangerously low blood sugar
hypoglycemia, as your needschange.
Speaker 2 (13:07):
Makes sense?
Who else?
Speaker 3 (13:09):
Also anyone with
advanced kidney disease, serious
heart conditions, if you'repregnant or breastfeeding or
have a history eating disorders.
For pretty much anyone, though,starting this kind of major
shift, lab testing is essential.
Speaker 2 (13:25):
Right for safety and
just tracking, if it's working.
Speaker 3 (13:27):
Absolutely.
You want to track things likeHbA1c, fasting glucose and
insulin so you can calculatehome AIR for insulin resistance.
A full lipid panel, c-reactiveprotein for inflammation.
Speaker 2 (13:38):
And basic kidney
function markers too.
Speaker 3 (13:40):
Yeah, electrolytes,
bun, creatinine, just to keep an
eye on kidney function andhydration.
Speaker 2 (13:46):
And that's where you
know services making testing
easier, like at-home collection,really help.
Quicklab Mobile, for instance.
Speaker 3 (13:51):
Definitely makes it
more convenient to get that data
.
Speaker 2 (13:54):
So, okay, someone's
listened to all this.
They're intrigued, they'reworking with their doctor.
What's sort of functional,medicine-informed way to
actually start this transition?
Speaker 3 (14:02):
Right, it's about
doing it safely, personalizing
it and measuring.
Functional medicine alwayslooks upstream, right?
The insulin resistance, theinflammation, maybe
mitochondrial issues driving theblood sugar problems.
So step one is testing.
Before you start Step onebaseline labs.
Absolutely, you need thatcomprehensive snapshot of where
you are before changing anything.
(14:22):
All those markers we justtalked about A1C, insulin,
glucose, hmar, crp, lipids,electrolytes, kidney markers,
maybe even liver enzymes.
That's your benchmark.
Speaker 2 (14:33):
Okay, got the
baseline Again, maybe using
at-home testing for convenience.
Then what?
Step two is the actualtransition.
Speaker 3 (14:40):
Step two is managing
that adaptation phase.
Most people feel a bit off forthe first week or two.
The keto flu again adaptationphase.
Most people feel a bit off forthe first week or two.
The keto flu again, yeah, soreally push hydration, add sea
salt or specific electrolytesupplements.
Make sure you're eating enoughfat.
That's your new energy source,critical for ketosis.
And don't skimp on protein.
Eat until you're satisfied.
Speaker 2 (15:00):
Track how you feel.
Speaker 3 (15:01):
Track symptoms, yeah,
energy levels, mental clarity,
even bowel habits.
Now, interestingly, ifsomeone's insulin resistance is
really severe, sometimes goingkind of cold turkey into
carnivore might actuallystabilize their blood sugar
faster.
Speaker 2 (15:14):
But carefully, if on
meds.
Speaker 3 (15:15):
Crucially important
to work with your doctor.
If you're on diabetes, meds,dosages will likely need to come
down, maybe quickly, as yourglucose levels improve.
Safety first.
Speaker 2 (15:24):
Okay, so you get
through the adaptation phase,
maybe a few weeks.
What's next?
Speaker 3 (15:28):
Yeah, after maybe
four to eight weeks on the diet,
retest your labs.
Speaker 2 (15:32):
Step three See what's
changed from the baseline.
Speaker 3 (15:35):
Exactly.
Look at the changes in HbA1c.
Fasting insulin.
Are triglycerides down, HDL up?
Is inflammation lower?
How's the body compositionchanging?
Energy Focus.
Speaker 2 (15:46):
Use the data to guide
the next steps.
Speaker 3 (15:48):
Precisely From there.
Maybe you stay full carnivore,if it's working wonders, or
maybe you strategicallyreintroduce some low-glycemic
veggies or fermented foods,seeing how your body responds.
It's not about dogma.
Speaker 2 (15:59):
It's about
data-driven personalization.
Speaker 3 (16:01):
Exactly.
Using those lab markers takesthe guesswork out.
Measure what matters.
Speaker 2 (16:06):
This has been really
eye-opening.
We started by saying type 2diabetes is so often treated as
this lifelong sentence, right?
Speaker 1 (16:12):
Yeah.
Speaker 2 (16:13):
Managed but not cured
.
Speaker 3 (16:14):
Just managed with
pills, shots, maybe dietary
advice.
That, frankly, often doesn'tget to the root cause.
Speaker 2 (16:21):
But the evidence,
especially from these low-carb
approaches, it really doessuggest that when you remove the
underlying cause, the body hasan amazing capacity to heal.
Speaker 3 (16:32):
It really does seem
that way.
And the carnivore diet?
Well, it challenges almosteverything.
Speaker 2 (16:35):
Mainstream nutrition
tells us doesn't it, cutting out
sugar, starch, fiber, evenplants.
Speaker 3 (16:41):
Yet for many people
stuck in that cycle of insulin
resistance, that extremesimplicity might be exactly why
it works.
You remove the foods drivingthe blood sugar spikes and
inflammation.
Speaker 2 (16:51):
And you give the body
space, space to reset, maybe
regenerate, restore somemetabolic function.
Speaker 3 (16:57):
That seems to be the
potential mechanism.
Yeah.
Speaker 2 (16:59):
But it's so crucial
to remember, like you said, it's
not just the diet in a vacuum.
Speaker 3 (17:04):
No diet works in
isolation.
You absolutely have to testtrack personalize.
Speaker 2 (17:08):
Understand your
insulin, not just your glucose.
Look at inflammation, lipids,organ function.
Speaker 3 (17:12):
Yeah.
Speaker 2 (17:13):
Not just the number
on the scale.
Speaker 3 (17:14):
Right, and that's
where accessible testing like
QuickLab Mobile's at-home labsbecomes so powerful.
It gives you the actual datayou need to measure what's truly
changing metabolically.
Speaker 2 (17:25):
Because that reversal
potential seems real.
Speaker 3 (17:27):
It seems possible.
Yes, but only if you stop justmanaging the symptom, the high
blood sugar, and start trulyaddressing the root cause.
Speaker 2 (17:36):
Which leaves us with
a final thought for you, the
listener, to chew on Ifreversing type 2 diabetes is
possible by tackling the rootcause insulin resistance instead
of just managing symptoms, whatother chronic health conditions
that we currently just managemight also be fundamentally
improved, or maybe even reversed, if we took a similar approach
(17:59):
a radical dietary shift plus amuch deeper understanding,
through testing, of our ownunique metabolic responses?
Speaker 3 (18:05):
Makes you think.
Doesn't it about applying thatroot cause, thinking much more
broadly in health?
Speaker 2 (18:09):
Really makes you
think about the power of getting
to the bottom of things.
Thanks for diving deep with ustoday.
Speaker 3 (18:14):
My pleasure.
Speaker 1 (18:19):
Thanks for tuning
into the Health Pulse.
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No-transcript.