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2018-05-14 08:45 by Karl Denninger
in Personal Health , 403 references Ignore this thread
See, I Told You So (Again)
[Comments enabled]

Time to break this one out again....


CONCLUSIONS: Exceptional glycemic control of T1DM with low rates of adverse events was reported by a community of children and adults who consume a VLCD. The generalizability of these findings requires further studies, including high-quality randomized controlled trials.

It doesn't take rocket science to figure this out folks.

If you consume very few carbs you need very little insulin.

If you use very little insulin then the errors are very small.

It is the errors that cause hypoglycemia and ketoacidosis -- that is, life-threatening events.

The smaller the dose the smaller the error can be because you're starting with a smaller baseline.  If you use 20 units of insulin instead of 100 then if your potential error is 10% your error band is two units instead of ten.

But your body doesn't get smaller or larger depending on the dose so the error amount as a percentage of body mass (which is what consumes the insulin and, if in error, is where the life-threatening and morbidity risks come from) is materially smaller.

Further, lowering carb intake to the "near zero" mark at the same time makes under-dosing less prevalent too in that once again the errors are smaller.

Therefore the standard-deviation band also contracts which means your A1c, which measures average glucose, comes into a tighter -- and more-normal -- band.

So why wouldn't this obvious set of statistical facts, which are a basic function of mathematics, been the "standard" recommendation for the last few decades?  It's not like mathematics and statistics were just invented last year, you know!

I'll tell you why: If you need far less insulin and your A1c is under better control then (1) you spend far less on insulin, which makes the drug companies unhappy and (2) you spend far less on the complications of Type I diabetes since your glucose control is far better which makes hospitals, doctors and the rest of the medical system unhappy.

In other words this wasn't studied because it not only didn't make more money it in fact was an obvious way to massively reduce both cost and complication which is diametrically-opposed to expanding the scam of the medical system in this country and whether it killed you or not only didn't matter if you experienced greater morbidity and mortality at the same time you you were bankrupted they liked that.

And oh, by the way, take a look at this:

In this survey of children and adults who follow a VLCD for the long-term treatment of T1DM, we observed measures of glycemic control in the near-normal range, low rates of hypoglycemia and other adverse events, and generally high levels of satisfaction with health and diabetes control. These findings are without precedent among people with T1DM, revealing a novel approach to the prevention of long-term diabetes complications.

Many parents refuse to discuss this with their kid's doc.  Why?

Participants reported high levels of overall health and satisfaction with diabetes management but not with their professional diabetes care (Table 3), and 27% did not discuss their adherence to a VLCD with their diabetes care providers. Of those who did discuss their diet, only 49% agreed or strongly agreed that their diabetes care providers were supportive. Narrative explanations by participants for not discussing their diet included disagreement on treatment goals and approach, perceived provider disinterest or unfamiliarity with a VLCD, a desire to avoid conflicts with the provider, and (for parents) fear of being accused of child abuse.

You know what forced this into the open and thus publication?  Online forums where people are talking about doing exactly this and the results.  Intentional suppression and outright threats from medical providers have prevented this from being formally studied for decades, and it is only now that it is being forced out into the medical journals.

Oh Mr. Trump!  Oh Mr. Sessions!  Where are the damned handcuffs and why aren't these so-called "health-care" providers rotting in prison right here and now considering the objective results and the obvious and outrageous conflicts of interest displayed by the medical community, never mind the butt-raping the taxpayer takes as a consequence?

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Posts: 120
Incept: 2017-05-03

The South
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My mother reversed her diabetes, lowered cholesterol, lost 30 or so lbs, and lowered her blood pressure, all using a low-carb plan. Her doctor has given her nothing but **** for it as a result. The doc threatens and belittles her for not being on meds and tries to intimidate her about the consequences. As if going on meds, getting the side effects, and reversing all that progress, is the preferred course of action.

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That is because most doctors are told that going on a low carb plan will kill you.

Doctors are people, and people often believe what they are told.

Case in point, we delayed giving my youngest a Hep vaccine. I had a reaction to it as an adult, and I really did not want my preemie to have one till she was a lot bigger. The doctor at the hospital lost her mind. Said that we where putting our child at risk, bad parents, threatened to call DFS, etc.

My youngest was still IN THE NICU at the time. I told the Doc that if one of you stupid white coats gets my daughter sick because they didn't use toilet paper and then starting handling an at risk kid... Well they had better hope I find them before my wife did.

The doc spit and sputtered, and stormed out. The head doc of the unit came in, sat down, and said "What schedule would you feel comfortable with given your family history?" She was an older doc, from when they were trained different.

Same with low carb. Starch is still viewed as good, and pills as best.
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I'd love to see Trump go LoCarb and drop 30 lbs and see everyone's head explode.

I think its time we ask ourselves if we still know the freedoms that our founding fathers intended for us. Ronald Reagan 1964
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Fighting this battle daily with two people that I love.

My son will get blood sugar below 130 or so, start to feel hungry and get the shakes and then binge eat and poof 400 blood sugar and try to control that with 17 units of insulin as was prescribed.

He HAS to learn to control himself. I can't be there to moderate his intake.
He is also Autistic/ Aspy relatively functional but obviously socially behind.

My wife is a stress eater as well..... Her Freaking JOB. That or cigarettes.

All of the medical intervention in the World cannot help someone that cannot control themselves.

Being told that you don't have to change your habits and that a pill will fix things doesn't help.

I am overweight but my blood sugar doesn't get too crazy.
After eating it will get up to the upper 150-190 range and then be back down to around 100 within a couple of hours or less.
I often go without eating for over 14 hours without feeling hungry.
Eating low carb High Fat moderate protein a couple of times a day is plenty for me as long as I keep up my water intake.

Preparing to go Hunting.
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Davenport, Fl
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Karl, have you done any correlation to low carb / keto and testosterone levels?

I know your not a fan of insulin (same here) but would love to hear your input on testosterone therapy and ideal levels / trends with the blood work you've done.
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West side of the rockies
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Two books I'm currently reading, of which I highly recommend, as they support Karl's position on this and food in general.

Grain Brain by David Perlmutter and Kristin Loberg. From nearly the very start, they advocate a 70% fat, 20% protein, 10% carb ratio for food intake. Sounds an awful lot like what Karl has been pounding on for some time now.

Wheat Belly by William MD Davis.

For good and bad, I'm glad a lot of this stuff is making its way slowly out into the open. I just don't know what its going to take to get people to realize their diet is literally killing them.

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As a T1 for 30 years I can attest to this. My A1C is currently about 5.1. My vision has improved both near and far. I stopped taking blood pressure medicine. My excima on my hand is disappearing. I have lost 25 plus pounds. Hypoglycemia and Hyperglycemia have all but disappeared. Insulin use is way down. As Dr Bernstein's book says the carbs just are not worth it. There is no such thing as an essential carbohydrate.
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Thelazer: testosterone tends to normalize over time on a HFLC diet according to Dr. Adam Nally (multiple podcast interviews) who stated that testosterone binds to fat and gets stuck there with a high carb diet.
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Thelazer - here is some info of LCHF and impacts on testosterone (all great in my own N=1 experience as well) from Dr. Adam Nally -

"When insulin is high and being over produced, it suppresses Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH), lowering testosterone production. The high insulin and high fructose of the bagel and orange juice stimulate increased uptake of fat into the fat cells and decreases adiponectin production. This causes increase in Sex Hormone Binding Globulin (SHBG) which further decreases available testosterone. High insulin and low adiponectin puts your man card through the wash."

Here is a video which touches on the subject by Dr. Adam Nally as well:

Reason: Fixed broken link
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Yeah well my "man card" works really well since I gave up the carbs..... too well, in fact, since I'm currently single smiley

Winding it down.
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My wife was not a big a fan of my natural testosterone boost at first - until I got her eating the same way and we got her hormones and estrogen levels back in check. Now we both feel like we did in our late 20's (instead of mid-40's). I can see why those testosterone clinics are so popular - and why guys have to keep going back to them over and over again as it artificially lowers their own production over time.
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I noticed one interesting aspect of LCHF. I eat about 30 grams of carbs per day, mostly from a bowl of wheat bran in the morning. I seem to need a lot of fiber to stay regular. One day I flipped out and ate 3 slices of pizza, probably 75 to 100 grams of carb. Two hours later I feel lousy and blood sugar is 175. I staggered out the door and walked a couple miles, and immediately felt better.

Stupidity can kill you. Fast or slow, but, it will kill you.
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LCHFMP does NOT mean not consuming any roughage! In fact the best forms of it are green vegetables, which also take care of the (very real) vitamin C component.

Winding it down.
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As a child I swore I would never let a brussles sprout down my gullet.

Now I eat them for lunch most days. TNKS Karl!
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personal anecdotal evidence with blood testing shows that my testosterone levels are exceptional with LCHFMP.

was part of a club that had older men and some doctor snake oil salesman started doing presentations and offering testosterone replacement therapy to members. the men that needed it all had improper waist to hip ratios which is an excellent indicator of good health. the men who were lean and lived LCHFMP did not need his therapy.

three brittle diabetics that i know went to completely normal lives without fear of incidents on LCHFMP. this was in one case after over fifty years of life that only got worse and another, a former Miss America contestant, after forty years of worry and being careful even requiring an implanted insulin pump. the pump is gone as are the problems and worry. they are for the layman using the other one of the two energy intake and processing system which is undamaged and minimizing the use of the other less efficient one. both were afraid to be alone or do something that could be dangerous lest they pass out from hypoglycemia. that risk is now gone and they just check sugar and very sparingly take the lowest insulin dose possible.

on another note, this diet when fats are increased massively is very therapeutic for many conditions especially neurological as it enhances absorption of B vitamins being given in high doses and consequently shows massive improvement in my own neurodegenerative supposedly irreversible condition without any pharmaceutical intervention.

There are two ways to be rich: One is by acquiring much, and the other is by desiring little.
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As a child I swore I would never let a brussles sprout down my gullet.

Now I eat them for lunch most days. TNKS Karl!

You and me both. Most days for lunch I have a piece of meat with a large helping of broccoli and Brussels sprouts covered with shredded extra sharp cheddar cheese and a dash of horse radish to spice it up. My blood glucose immediately after lunch measures only a few points higher when I eat like this.
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Supertrucker your post is kind of ...heart breaking.
I think the first step in anything is make sure you understand what you are up against vs what will help you. In that I found that Dr. Jason Fung (MD and nephrologist)'s book "The obesity code" is priceless for those fighting diabetes or the threat of it - and don't we all considering what is on the supermarkets' shelves. The book may appear a bit technical to some, but it does refer to solid studies (and not experiments involving 20 rats and financed by the food or pharma industry). So IMO it is worth going thru it. Of course Jason Fung MD has also a presence on the internet (including Youtube). I am nowhere close to diabetes but I would like my A1c to be below 5.0 and it seems I have some "adjustments" do make according to my first test. I quite appreciated the info in the book and enjoyed his presentations. Of course I had never had, or seen proposed any class with the relevant material at a University in my days there.

RE autism, some kids have seen some remarkable turnarounds with diet changes and alterations in gut microbiome (including fecal transplants). The connections between gut and brain is a lot more crucial -for all of us- than the fixation on hygiene would lead to think.

Stress is clearly a factor promoting obesity (cortisol) fasting may not be the best approach for your wife as it has been shown to elevate cortisol I think. A more psy appoach may be more productive.
Without knowing your wife's specific circumstances it is hard to tell. But generally I have found that a feeling of "loss of control" is very stressful, as opposed to being able to "call the shots" or at least plan your own work every day. You will still have stress (deadlines!!) but it will be "good stress" ie short term.

I am not sure how any of this would apply. I have had times (graduate school) where -apparently - my boss was not used to someone wanting to be in control of their work (as well as ready to accept responsibility for any failures). And there were stressful days between a boss who is used to being in control...and me, who assumed that part of my training was precisely be in control, as in: what do I learn if I am told what to do?? I found that taking a long walk did help a lot. I am sure exercise helps too but I never tried that at the time...

And then of course there were those "money jobs" where the tasks were not so ambitious. But I would say that to make them not stressful, for me, was to try and find a way to make them"personal", ie find my own way to do the best job (even if sometimes breaking a few rules). Basically having a target aim every day. Planing my work -schedule of tasks- at home in the morning also helped

So yes I was never going for a popularity prize, but everybody appreciates it if you find better ways to do things, including coworkers as it makes many people s job easier. As a note, no I never did get fired, I guess it is obvious if your "heart is in the right place"-although it did worry me at times. But I guess that was a lesser stress for me.

In any event pills are not going to be helpful, but perhaps a knowlegeable physical therapist would. In fact Dr Berg (kind of "popular" but I found a lot of helpful tips in his videos) has quite a few tips on "stress relief, and reducing cortisol.

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