Transcription
Hi folks, this is Dr. Rob Cyvis. I'm the carb addiction doc. Today we are going to discuss very simplified. There's a lot to discuss, but I'm going to keep this very simple. Type 1 diabetes management. Type 1 diabetes management.
If you have been diagnosed with diabetes of any kind, type two, type one, whatever it may be, make sure that you have had your type of diabetes confirmed. How do we do that? You need to be able to measure your C peptide, your insulin, your hemoglobin A1C, and your glucagon plus your blood sugar. Those are standards including your lipids, particularly your triglycerides and uh uh um HDL.
In addition, whether you're a one or a two, and so often we find patients who are misdiagnosed, you need to get five autoimmune markers for LA, latent autoimmune diabetes of adulthood. You need to get those five markers tested for. I so often see people who are frustrated cuz they're eating a carnivore diet, they've got type 2 diabetes, and their numbers are not getting better, and then we find out they've got LADA. So test yourself for those.
If those are all okay, and we still don't know what's going on, you may have something called Modi, maturity onset diabetes of the young, and there are particular markers that we can test there. A smaller fraction have lipodystrophy, but make sure that you are tested and know exactly why and confirm that you have type 1 diabetes.
Now, once you have type 1 diabetes, type 1 diabetes means you do not produce adequate insulin to manage your biology. Okay? You do not produce adequate insulin, and therefore you need injectable insulin to make up the deficit. And this has res, the management of this over the last 100 years has become very conflicted, and I will tell you that the number one enemy of a type 1 diabetic right now is their endocrinologist and the American Diabetes Association. Why? Because, well, let's let's think about it. Any physician who treats someone differently and assumes different numbers for somebody because they are administering insulin is severely misguided in the modern era where we have CGMs and very accurate blood glucose monitoring, as well as ultra rapid acting and ultra-long acting and intermediate acting synthetic human insulins.
I go so far as to call out any doctor who intentionally prescribes insulin resistance as a way of treatment, basically causing type 2 diabetes in someone with type 1 diabetes. Anybody who intentionally describes a diet that causes insulin resistance as a treatment plan by advocating for carbohydrate consumption and by advocating for snacking, resulting in a blood glucose typically above 100 and an A1C of above 5.2 to 5.3 because they're petrified of hypoglycemia. I call that criminal medical malpractice because the commonest cause of metabolic disease is chronic excessive carbohydrate consumption. And these doctors are intentionally advocating for metabolic disease and early death that we know to be true as part of type 2 diabetes for absolutely no reason anymore. 30 years ago, 40 years ago, the fear of unknown hypoglycemia was real. But no longer.
So any doctor, any dietician who tells you you must eat carbohydrates, you must eat so much, and to cover your carbohydrates with insulin, in my opinion, is intentionally creating disease, and that is criminal med, uh, medical malpractice in the modern era. And yet, every endocrinologist standard of care guidelines, you must have so many carbohydrates per meal. You must have so many carbohydrates per snack. No different than telling a recovering alcoholic they must drink whiskey and then go for a run to sober up. It is lunacy.
In our system, in our system, we want your mitochondria to determine your need for insulin. In their system, insulin is defending the human body. Injectable insulin is defending the human body of a tsunami of sugar and starch that you're throwing at the body. So insulin is trying to defend the mitochondria from what you are being forced to do to yourself, which is ridiculous. Absolute lunacy.
If you are on an ultra low carbohydrate or carnival, carnival-based diet, and you are going to the gym or you're exercising regularly, and you are fueling yourself without sugar, here's the problem. Carbs can spike during an adrenaline surge, then crash. And if you do not have an alternative fuel source, you bunk. You hit that wall, and it's miserable. Ketone IQ gives you instant absorbable ketones, a clean, stable fuel for your muscles in your brain, primarily your brain, which actually know how to use ketones to support themselves. There's no bloating, there's no insulin roller coaster, just smooth, repeatable energy provision. Fuel the brain, fuel the body, stay in ketosis on purpose so that athletes who use Ketone IQ pre-training, mid-session, or during long endurance episodes can stay locked in mentally, central governor theory, as well as physically. If you train low carb and want metabolic flexibility, this may provide the edge. Train harder, recover smarter. Try it and let me know.
The ideal optimal medical therapy is for your mitochondria to demand energy, and for your body to produce energy at the liver, in the liver from released fat from your fat cells, non-sterified fatty acids, ketones, and gluconeogenesis, the new production of sugar. Glucagon should be the hormone that controls your energy if you have type 1 diabetes. Most doctors never measure glucagon, glucagon levels, but a type 1 diabetic wants to be fat dominant and sugar occasionally at the mitochondrial level.
The role of insulin is not primarily to regulate blood sugar to bring blood sugar down. The role of insulin is three-fold. Number one, number one to regulate glucagon conversion and production and release of of of energy to the mitochondria. Number two, to facilitate at a very basil, very low level the entry of sugar into cells that have insulin receptors. Not all cells have insulin receptors. And it's the cells that do not have insulin receptors that cause the majority of disease of disease states in people with hypoglycemia, mostly cardiovascular disease, some liver disease, and neuropathies, nerve disease, ligament and tendon disease because those diseases do not require insulin. Those cells, those those uh uh structures do not require insulin to regulate sugar. And if your blood sugar is running perpetually high because you're eating all the sugar, those are the structures that get damaged. So you get neuropathy, you get ligament and tendon and joint capsule injury, you get your heart disease, you die of a heart attack or stroke, you go blind, you lose your kidneys, and you get liver disease, fatty liver. Because those cells cannot defend themselves against hypoglycemia.
Now the role of insulin is to get small amounts of basil, basil amounts of sugar to the mitochondria, but for the mitochondria to select of every cell to selectively use a little bit of sugar and a lot of fat and a lot of ketones. And then when you ramp that up, when you have an adrenal effect, when you get a fright, when you're exercising, that's when the mitochondria may use a slightly higher fraction of sugar as an energy surge. And then when that's done, the sugar utilization goes down to a baseline, and fat and fatty acid and ketone utilization drives the mitochondria. That's the optimal way that the body works.
But the endocrinologists screw up the Randall cycle that regulates that. They remove fat as a fuel source, and the mitochondria have to deal with chronic excessive carbohydrate influx, and they cannot handle it. They get damaged because they're overworking. They've got all these futile cycles going on. Your mitochondria get damaged, and every cell in the body suffers unless they can block the insulin receptor. What do we call that? Type 2 diabetes. So now the diabetic needs more and more insulin to get the sugar into the cells, and then they get fatter, or their blood sugars fluctuate all over the place. It is a ludicrous current system of diabetes management.
And if you can see yourself not eating sugar and starch, we can optimize your management so that a type 1 diabetic using insulin should live longer and be healthier than any other person in the world. Period. And yet, type 1 diabetics die sicker, slower, uh, or or or of their diseases continuously, misery, and die at a younger age, not because of their disease, but because of the way endocrinologists treat them. And if that isn't clinical malpractice, I don't know what is.
If you want, if you're a type 1 diabetic or you're a diabetic of any kind and want to figure out what type of diabetes you have and how to measure manage it ideally, give us a shout 561-517-0642. I am the carb addiction doc, but we manage a ton of type 1 diabetes with the objective of getting your A1C, your average blood sugar down to 5.2 to 5.3. At which state, your average blood sugar no longer causes harm to your cardiovascular system, your ligaments, your tendons, your nerves, and you optimize your health. And we do that with lifestyle changes and treating using insulin not to treat your blood sugar, but to manage glucagon. Think that one through. And if we can do that, you are going to be in excellent, excellent, excellent health. Give us a shout.