This is a GREAT presentation. Five years ago I went to my physician and told him something was severely wrong. I. was suddenly gaining 5-6 pounds every single week. His response was “Well, you work night shift and you’re probably eating too much.” My response was that if I was eating enough to gain that much weight I would be having a lot more fun! I went to a friend who was a nurse practitioner and she ordered a fasting insulin and an insulin resistance panel and it came back as severely insulin resistant ... even though my A1C and my blood glucose levels had yet to show ANY problems. If anything I had issues with reactive hypoglycemia. I took the results back to my doctor who refused to even look at them, threw them down on the counter and said “I don’t care about that. I’ll treat you once you’re a diabetic.” It still makes me mad to this day... I’ve had to figure this out on my own (as a nurse at least I’ve been able to ferret out reliable sources) and my reactive hypoglycemia made me nervous about fasting. But that pretty much took care of itself with a keto based diet. I’ve gone in to IF consistently with trying longer tastes to see how it affects me. And it’s the only thing that’s ever worked . I have to go back to the area where that doctor works for my daughter’s wedding next month. I kind of want to go punch the ass or hit him upside the head with a copy of The Obesity Code....
Been keto for 3 years and progressing to carnivore now. Dr. Bikman answered a long-standing question I've had about high protein consumption and glucogenesis. On a carnivore diet we don't turn protein into glucose because of the lack of carbohydrate. For me, this is epic! Remember: there is no human requirement for carbohydrate, unlike there is for protein (essential amino acids) and fat (essential fatty acids)...
I tell people all the time.. my diabetes may be what kills me.. but I refuse to allow the treatment for my diabetes to kill me.... thank you guys .. don't ever stop what you are doing..
Jasón Fung , MD is the name of the Doctor, and His approach is through IF and Healthy food, it is just a way to improve the sensitivity from the receptor and break the Insulina resistence
Dr. Bikman is one of my absolute favorites. Even though he’s beating the same drum he’s always so upbeat and enthusiastic about the subject matter. Just an awesome guy and a real gem to the public health domain.
Now I know why my blood pressure plummeted when fasting and eliminating carbs. I have had to cut my BP med in half and some days not take it because my BP is too low... All because my insulin resistance is improving... I learn why right here! Thanks...
Dr. Bikman is both highly technical but explains things on level most can understand. I highly recommend that you find any of his videos and absorb his knowledge, he is exceptional! I love his humility also.
To look at it another way: It's not so much that anxiety leads to diabetes or that cortisol causes insulin resistance. It's that our standard, low-fat/high-carb diet drives insulin resistance -- which underlies all of these disorders and diseases.
In my case, I'm pretty sure Complex Trauma is causing this. My body was incredibly healthy and strong until a few years ago. I had some pain and inflammation and back/neck pain, but the work output it gave me was so above and beyond most women my age, there was just no reason to suspect I had any problems like this. But what people were demanding of me was truly perversely wrong. And even tho I knew it was wrong, I was doing my best to provide because I had no options. You run any body on cortisol levels like that for very long and it will break.
Focus on Insulin, the root cause, not the glucose levels? Makes total sense. Why is this not spreading through the medical field, doctors and nutritionists?
Reefs Rock because there is money in selling insulin...some people can be so dumb....they don’t ask where the glucose has to go when you inject insulin into your body....insulin doesn’t make glucose disappear lol...it shoves it into fat cells
What a BRILLIANT technique! I’m going to do it-stop and think, and ask myself this before a single bite goes into my mouth. I’ve had great success with Keto and IF and this will help keep me faithful to this lifesaving WOE for this T2 diabetic.
Last year for the first time my fasting glucose levels were a little over 100; I have been terrified for a year. Almost everyone on my dads side of the family had type 2 diabetes that led to early death. Listening to you both actually has me in tears. Is it possible that I could actually do something aside from going on drugs that never worked for the rest of my family? I just ordered a keto monitor, I ordered a book from Dr. Fung about intermittent fasting and I’m going to listen to absolutely everything you both have to say. Thank you for possibly saving my life!
I order fasting insulin tests on my patients. I have made numerous videos explaining why you need it to get it done. Easy cheap test. Functional doctors understand and embrace this manner of thinking.
I learn more (and re-learn more) from Dr. Bikman in one video than I sometimes learn from 10 other experts in a month...Don't get me wrong, I'm extremely grateful to everyone working in this field who takes the time to share the most crucial information with us that we can't get from our own doctor's or government health associations. Thanks, Gary and Ben!
This is an amazing video! So glad Dr. Bikman provided warnings on refeeding syndrome after fasting. Later this evening, I will be finishing up a 5-day fast (my first after some 24, 48, and a 64 hr fast). But no way would I have just embarked on this fast willy-nilly without proper information and preparation on how to fast and how to come off of a fast. I started reading Dr. Jason Fung's and Jimmie Moore's book, "The Complete Guide to Fasting" before and throughout my fast, and it is an EXCEPTIONAL tool for anyone looking to fast in any type of way. Thanks for doing this video!!!!
Bikman is the first guy I ever heard speak on this subject maybe a couple of years ago - was much more technical but knew it was essential information. My ketone level is 0.3 to 1.5 - I hit the 1.5 post exercise and I exercise prior to my first meal. I keep a 16 to 18 hour break from last meal to first. I mention this only because of Bikman's definition of useful ketone levels. At an average of 0.7 ketone level in the last seven months I have lost 25 pounds and doubled my testosterone, based on standard T blood tests through my physician. He was bewildered, to say the least. I had this great improvement in my fitness and performance despite having been a Marathon runner my whole life - I have also been insulin resistant - that was the missing element in my training and health. I eat intermittent fasting with modified carnivore - this means 16 to 18 hours between last and first meal, then I only eat meat but I add cruciferous vegetables at one meal and only eat twice.
I like that Dr Benjamin Bikman said there are benefits to being in what I would call a mild state of ketosis (slightly below .5). I personally wake up to a mild state of ketosis most mornings from following a low carb and time restricted eating protocol. I’ve felt that you don’t necessarily have to be in deep ketosis to get all the benefits. For a number of people mild ketosis (at least for a portion of your day) works well…insulin is low and you are burning stored fat and carbs. Great interview!
You will never hear from a medical doctor that HIGH INSULIN is bad and is worse than high glucose. 6 of 6 of us in my family are diabetics. 4 T2, 2 T1. the high insulin gave 4 of us heart disease, retinopathy, and kidney disease. Very Low carb is the way to go! So much good research out there now.
“We can never embrace our hypothesis too firmly. We have to, at any moment, be prepared to step away from it”. This is how we must approach most things in life. Sure does make change for the better all the easier. 👍
Thank You from the bottom of my heart. I just found your channel as I am relatively new to the Keto lifestyle. It is working for me, but I am an insatiable learner who has a need to understand the "why". Dr. Bikman is a lovely human being. I believe he is genuine, and knowledgeable, and is doing his part to share and educate the world for the betterment of all mankind. Kudo's !
This is all very interesting stuff, but the fact still remains that many of the longest lived people in the world regularly eat corn, rice, potatoes, and drink copious amounts of wine. They also live simply, eat seasonally, and have close knit communities. I think we'd all agree that a diet that consists of highly refined junk food is signing a death warrant, but perhaps there's a large component of health and longevity that goes beyond blood panels and insulin levels.
18:15 Anyone who doesn't understand why a general practitioner would advise against testing for insulin is pretending not to see the predatory healthcare system for what it is.
Thanks to the information regarding measuring Ketones in your own home (I watched this very video yesterday morning), I purchased the dual glucose/keto blood testing device, and for this video alone I thank you so very much! I have been insulin resistant for about 30 years, and have never found out how to treat it without medication, until I heard about Dr Jason Fung and Intermittent Fasting, and now I see how all this IF and Keto can and are working for my health benefit.
Keto mojo Nutritional ketosis can be .3 or .5 Keep insulin at fasting conditions Let’s not fear protein Focus more on controlling carbs People eat in a weird way having loads of oil to get calories 1-2kg protein a day to preserve lean mass Rebound hypoglycaemia creates shaky carb cravings panic need to top up - get off the rollercoaster 🎢 low carb diet 🥘 🥩 🍖 Calorie restriction helps mimicking fasting Low carb diet puts hormones in right place IF can help incredibly well Just has to end Jason Fung is good example But multi day fasts aren’t great Time restricted eating Circadian rhythm Supplements Macros have to be in control protein and fat An egg a day 🥚 you’re covered Cinnamon if your deficient in something Magnesium
10 years since my type II diagnosis and today I learn that a) When I get the shakes in my hands and start feeling the blood rushing through, that's my body at *NORMAL* blood sugar - something that none of the myriad of doctors I've seen and asked about this during that time have told me about. That's how bad my glucose addiction is?!? b) Ketoacidosis is *not* something I should be worried about, despite being *told* to be concerned about it. c) Calorie restriction is not a long term answer to solving type II, low carb is the way to go. How does a low carb diet interact with hyperlipidemia associated with type II given increased levels of fat intake ?
Dr. Bikman has given me the understanding of why I became diabetic and how important it is for us to change the way we diagnose it by taking serum insulin as a general blood test. I am very grateful to him because, finally, there is no way I would ever eat anything but a carnivorous diet.
Same here. I had ketones 0.1 to 0.3 on regular Keto with plenty of leafy greens as is the prevailing idea to help insulin resistance. 2 weeks after carnivore, I had 1.50 to 3.00 ketones and my hunger had gone. A good sign my previously high fasted insulin has come down.
Great interview with Dr. Bikman. I could listen to him talk about this all day. If I were to go back and get my PhD, this is the guy I'd want to learn from!
What an absolutely fantastic interview. I have recently gone keto and several questions re protein vs fat macro ratios were answered here in a manner I intuitively felt best for my body. And the sleep thing. Huge.
Me being a type 2 diabetic I found this interview so informative and interesting, I sure wish my medical providers knew all this before putting me on insulin. I am 33 days in doing keto and 18:6 fasting but not seeing much movement on the scales or with my blood sugar reading and I have been wondering if that could have something to do with me injecting large amount of insulin that my doctor has put me on. I know it's going to take a while but I want to come off insulin all together.
Got to be active too! Type 1 for 40+ years here, keto diet for 10+ You have to PRO active on this for yourself. No doctor can micromanage for you, and you can know first hand that the med drs don't really tell you how to get better. Type 2 IS reversible! Research low carbs and diabetes. Some good names: Bernstein, Mary Vernon, Atkins, Michael Eades, dsolve.com, any of the doctors at thincs.org
I have watched this video multiple times. It is excellent! Thank you for keeping it simple and easy to understand and implement. There is so much new clarity here.
Mr.bikman you are truely A great person......giving all information very sincerely,I realised while listening you that you are a man has been loved by God Almighty ...very honest person,,,,,,,,love you 🙂 and host asking the questions is very intelligent and seemed very learned as well as if he also a scientist of insulin resistance.good job
I make it my business to stay informed, if that means reading research papers - on my own time - then I do. I think it's fair to expect physicians to stay on top of changing information, and to be well informed. Regarding Type 2 diabetes, new information is rapidly coming forward and to remain ignorant, or use the excuse, "I don't get paid to read papers.", says something about the prevailing attitude of many doctors. I'm thankful for the many physicians who challenge the dogma, are open-minded, and are willing to seek out the latest research to provide the best health care for their patients.
Mike Mentzer asserted it is the demand of high intensity exercise that stimulates the body to adapt by growing stronger and bigger muscles. Eating just facilitates that growth. In other words, eating protein does not guarantee preservation of muscle. Dr. Ron Rosedale warns of the threat to longevity from eating excess protein.
This is great information. I been put on insulin for about 16yrs since I was diagnose with diabetes. No one ever said anything about checking my insulin.
As a Type 2 Diabetic, I cannot tell you the relief of hearing that I might not be "doing it" wrong. I have a bit of relief now, having better information. I still wish I had a Dr. to go to that would tell me how to get off my insulin shots but still lower my BS levels. Right now I'm reducing my insulin from 40U 3xs a day to 30U 2 times. I'll see if that works. Thanks for your interviews with interesting, informative doctors and scientists.
I can reccommend information on diabetes from dr. Jason Fung MD. He has a clinic and works with many patients with diabetes, and runs a diabetes coaching program. See his site idmprogram.com/ He has written a book on obesity and a book on fasting, and is writing a new book on diabetes. He explains it all really well, just watch him on youtube. For example ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-dmLTgOZRUEs.html
Has no one told you about a low-carb lifestyle? Dr. Richard Berstein's Diabetic Solution... although the info is a bit outdated on the insulin side, it does not address the newer very rapid acting insulins humalog and novalg... but it's very good explaining the NON need for carbohydrates. Of the 6 nutrients, water, fat, protein, carbohydrates, vitamins, minerals, CARBOHYDRATES are NOT needed, not essential (for life). And you only need insulin to process the carbs. He recommends less than 20 g of carbs/day... and he's a Type 1 ! Dr Atkins Diabetes Revolution. The best and easiest to read: The Protein Power Plan by Dr. Michael Eades. (He's got videos on youtube too) dsolve.com Just start searching for low carb and diabetes... You also have to do some kind of physical activity in order to make the insulin more effective in your body. Type 1 BTW, on an insulin pump. Went on low-carb and I take much less insulin!
I am so glad you are talking about this. Some are talking like long fasting is the only way to go. And I just cant. So sometimes I feel like giving up. With some it is all or nothing.
Deborah I agree. I've made peace with the gact that I can only fast 12to15 hours a day. Maybe it helps maybe not. Who really know. But to me it's miles better than where I was before
I watched this video and others after suspecting that I might have insulin resistance due to hypoglycemia-like symptoms. I had been monitoring my own blood sugar and, while it was never "low", it had weird patterns. I was able to convince my doctor to give me a 2-hour glucose tolerance test but when I asked (begged really) several times to include insulin measurements I was told there was no indication for such at test. I think fasting insulin also has minimal utility because it might only catch people in later stages of insulin resistance. After further research I found a test called the "Kraft Prediabetes Profile" from Meridian Labs. The test costs about $250 but could help people detect this condition earlier.
I can't decide which of you is more outstanding. Thank you for probing questions and answers which are guiding my keto path of good health. Thumbs down must be big pharma's new logo.
I enjoyed this interview immensely. I will just point out, however, that Dr. Fung talks at great length regarding refeeding syndrome, and how to break a longer fast safely.
Biohackers Lab - I have my fingers crossed that you get him on! I love his pragmatic and insightful advice. It has helped me vastly improve my health over the past nine months.
There’s a lot of info on breaking a fast and actually prepping g your body nutritionally beforehand. I like Thomas DeLauer and Dr Berg. Awesome interview!
Keeping protein to around 1 gram per pound of body weight is sensible to protect the kidneys. I make up the energy with fat(don’t count calories or macros). Coffee and sleep deprivation are my main problems. Reading definitely helps(I like thrillers and sci-fi).
I recently upped my protein intake because I noticed a significant pain reduction in my knees. What I noticed, much to my surprise, is that my ketones went from a usual 0.5 /0.6 to over the 1.0 mark.
Impact of sleep on insulin: although everyone's sleep requirements are different, 59:00 "but sleep deficiency, within a day, causes insulin resistance the next day."
I have been eating mostly carnivore for 8 months. I feel wonderful. I believe that my "insulin Resistance" is no longer a factor even though I haven't dropped weight. I'm going to steady the course. I eat on a 18:6 IF. I am trying to be more OMAD, so I can lose weight. One thing I love about carnivore, is that I'm never hungry.
Dr. Benjamin Bikman's ideas about brown adipose tissue , and how glucagon behaves uniquely in low carb practioners, when consuming higher protein, has to be two of the most novel things to come out of the low carb community in years. While he seems to credibly refute the idea that eating higher protein will jeopardize ketosis, when a person is consistently eating low carb, I wonder what he feels about the other objection to higher protein consumption - that such higher protein consumption will activate mTOR, which contributes to cancer growth. A major proponent of this idea is Dr. Ron Rosedale, who is also a low carb advocate, but who says we should severely limit our protein intake because of this potential of higher protein to adversely effect mTOR. I wonder what Dr. Bikman's thoughts are on the subject.
1 study is done on low carbers, not zero carbers. any amount of carbs will short circuit the system to a degree, 2 protein is essential, but if u want autophagy, dry fasting, fasting, going into maintenance mode is essential. its not that relevant to think about the small tweaks but the big ones. eat once every 3 days , dry , then eat meat. = maximum autophagy
Drake Santiago he addresses your question pretty thoroughly in a podcast he was on this week with zack bitter and dr Shawn baker. I think it’s called human performance outliers on iTunes. Super interesting if you like this kind of stuff. Such a relief to hear him say this because I tend to think fat is a lot more palatable with protein. I think all of this has to be taken with as grain of salt it’s clear that the jury is still out but I’m glad to hear there is info to support it’s benefit.
Dr Bikman is doing great job of pointing out the futility of chasing higher ketone meter numbers while fearing protein and slurping down a whole bunch of oil. That is a fundamentally unnatural diet. I am feeling so much better since going carnivore from keto.
Doctors hold the well-being and sometimes the lives of their patients in their hands, so if a lay person can learn the importance of insulin on their own, why can't a medical professional? They treat the field as if it were static. I guess people tend to hang their hats and stake their careers on particular theories and or beliefs. This smacks of intellectual laziness and conformity to orthodoxy. Unfortunately, this is pervasive throughout society, but particularly troubling in this field.
This podcast is very interesting even for someone with my low intellect. Thank you for these valuable information. I am just 1/4 way in listening to your conversation, and from his statement of testing ketones in the bloodstream at home is a valuable tool to indicate the level of insulin of being low if ketones are high. My question is derived from past listening by Dr. Westmen and others, if a person is in ketosis they don’t really experience hunger as the person who is in a sugar burning state. So based on this, can we presume the insulin is stable and not in high amounts? I am thinking that in a insulin resistant person like myself consuming sugary substance would be more hungry frequently due to the resistance of insulin, thus insulin is already high in the bloodstream. I am not sure if I am able to convey my question probably. Basically, even without even conducting this procedure of testing for ketones, can we get a vague idea of our state of ketoses? I am very much confused in this subject. I know for a fact that bitter melon reduces the blood glucose drastically, thus I am able to consume rice without spiking the glucose level. I am wondering if this will reverse insulin sensitivity? Anyway I am not sure if you will be able provide me directions, but I am very grateful for the work you do. Thank you.
I asked my doc to do a fasting insulin as i wanted a full metabolic panel. He said no as they only see high insulin in fat people. I agree, its just too complicated for them.
Sooo many people need to listen from 40:00 onwards if nothing else. I keep telling people I'm close to that they should not feed their jitters but they just don't want to know :-( They think I'm mad for going hours without food.
Re exercise; I don't agree that intensity matters. I'm 52 and have ankle probs - I usually just go for walks as exercise, and if I overdo the intensity I get a pain/swelling and then I just won't do it for about a week! So intensity is counter productive, for me.
I wanted to thku for the information. I was very confused with the high fat mod protein n low carbs. Finally you explained it very simple hiw to eat the keto way. Focus on protein, TOP with good fats n low carbs. Gbu ❤
I worked as RN in cardiovascular unit and I also am interested in oxygen. I feel a small amount if worn at night could repair fibromyalgia. I mean a heart has been during a heart attack because of oxygen deprivation. So...please repair the pain with oxygen supplementation at 1.5 liter a minute at night hours during sleep rather than a narcotic or over counter pain rx. This would be an interesting study. Oxygen is food for your muscles!
Type one diabetics also build or get insulin resistance. Many diabetics also have never been overweight. In fact many have been thin their entire life.
Great content. Thank you! I am slowly creeping towards keto diet, doing OMAD for past nine months... I just can’t give up the carbs. In particular, I realize I am addicted to cereal: milk (lactose), grains (gluten), with sugars (not added table sugar, but just in the granola): have read that this tri-fecta is as potent an addictive substance as heroin. It stimulates all the opiate receptors in the brain that heroin does. If anyone knows otherwise, please correct me.
sidfor911truth ,the truth is once you give the sugar and carbs up just for a week or less, you stop craving them, but as long as you eat them you will never stop craving them.
@@jolucas1376 its hard ....but keep in mind its killing you ....you are eating yourself to death ...I used anger at myself and at the government for lying to me....
I had a horrible craving for carbs. I did a 2 1/2-day water fast to stop the craving. Day one: instead of eating supper, go to bed early so you can sleep through the worst of the craving. Day 2 and 3: water fast.
I went from Keto to carnivore and honestly felt even better...I was diagnosed type 2 diabetes that’s how I started Keto. My ketone is highest and my glucose is lowest when I’m on carnivore. It’s interesting how carnivore is fixing things that Keto can’t completely fixed which is chronic urticaria and eczema with dermatitis in my case. No longer needing to take Zyrtec daily for that. My macro is around 45% to 65% protein naturally. If I go down to 35% protein even I’m taking in enough calories, I somehow feel not as satiated as when I have more protein...so I think prioritizing protein is actually the key as Dr. Bikman says. I also only eat once a day, it just naturally went to that.
Gary, there is one question you forgot to ask dr.benjamin Birkan! What to do if like me, diabetic on metformin medication? should i stop taking it since i'm on a very low carb regime with mostly protein and fat intake, like steak, good oils, grass fed butter, taking apple cider vinagar, i've lost 20 pounds in 1 month, my blood pressure went down significally, but i'm still taking the metformin 500mg twice a day, and it is not going down so far! What should i do because my mission is to get rid of the metformin?
45:15 The doctor is the Toronto based Dr. Jason Fung - he basically cures Type 2 diabetes with intermittent fasting. Please refer to his program called IDM (Intensive Dietary Management)
42,17 Tells the story of my grandfather, myself and my 2 sons of spiking glucose and the shakes. But it is worse than the shakes when the glucose is low. You feel like your spaced out, weak and about to drop... hence you go for any quick fix to keep yourself upright and fainting. Certainly it is felt as a panic attack
Atkins pretty much had it right forty years ago. People make things way more complicated than necessary. From the first I heard about bullet proof coffee and fat bombs I thought it sounded unnecessary and frankly absurd. Fasting and eating a diet heavy in animal products, and avoiding junk carbs is all we need.
