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Dr. Jake Kushner - 'Low Carbohydrate Nutrition For Type 1 Diabetes: A Practical Guide' 

Low Carb Down Under
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A nationally renowned expert in type 1 diabetes research, Dr. Jake Kushner’s primary focus is to leverage existing and future medical-related investments and resources for McNair Interests to help individuals with chronic illnesses. A McNair Scholar and Associate Professor at the Baylor College of Medicine from 2011 to 2017, Dr. Kushner’s research has been widely supported including by the National Institutes of Health and the Juvenile Diabetes Research Foundation.
Prior to joining McNair Interests as Medical Director, Dr. Kushner served as Chief of Pediatric Diabetes and Endocrinology at the Baylor College of Medicine and Texas Children’s Hospital in Houston, TX. A graduate of the University of California at Berkeley, Dr. Kushner earned his medical doctorate from Albany Medical College followed by: a pediatrics residency at Brown, pediatric endocrinology fellowship at Children’s Hospital Boston, a five-year research fellowship at the Joslin Diabetes Center (both at Harvard Medical School), and seven years of Assistant Professorship at the University of Pennsylvania School of Medicine and the Children’s Hospital of Philadelphia.
Dr. Kushner has received numerous national honours including: a Basil O’Connor Award from the March of Dimes, elected membership to the American Society of Clinical Investigation, and having served as President of the Society for Pediatric Research.

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8 июл 2024

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Комментарии : 66   
@stopendlesswar
@stopendlesswar 4 года назад
Very rare that a non-diabetic doctor actually understands the trials & tribulations of type 1 diabetic's life... and much more understands how to treat/control it effectively.
@brookgraves368
@brookgraves368 4 года назад
Hi, I notice a similar sir name. Hope, you are not also living with Type 1 diabetes?
@amjedabdeljelil9038
@amjedabdeljelil9038 4 года назад
The more i watch these beautiful intelligent lecture, the more I'm convinced that the existence medical field is build wrong, by putting certain guide lines without taking on consideration all the variables .. There's no one shoes fits all, the medical field has to treat each case differently. In other word Type 1 is not a type 1 It's type1 , type 1.1, type 1.2, type 1.3..etc Each case has it's own Variables and has to be treated differently..
@tavil5442
@tavil5442 4 года назад
Thanks for the video. I have type one and have been following keto diet for 18 months now. I no longer need rapid insulin and take 8 units of Lantis per day. Freedom from highs and lows. I just don’t have them. A1C of 5.3. Thanks for the information on ketoacidosis while low carb. I will get more ketostix. 😁
@brookgraves368
@brookgraves368 4 года назад
I wish I could ask you more questions how you have managed this? I usually have to skip meals to get my blood sugar to lower numbers, and eat a tiny portion of plain meat like a burger patty, and some low starch veggies like zucchini. If I am still hungry, I may eat an egg. I can't do any Keto breads made out of almond flour, or anything like that.
@Xenumiscagive
@Xenumiscagive 3 года назад
@@brookgraves368 you need to go full carnivore only
@cireldagagobenitez8618
@cireldagagobenitez8618 2 месяца назад
Cómo estas al cabo de estos años ??
@lenorepaletta9267
@lenorepaletta9267 3 года назад
This was by far the best presentation.
@AnimaLibera
@AnimaLibera 4 года назад
Great presentation! Thank you for uploading and thank you, Dr. Kushner, for the work you do! This is important information, not only for T1Ds.
@jamesb9448
@jamesb9448 2 года назад
Thanks for sharing this video,it’s really rare for clinicians to truly understand the psychological aspects of DM1 so it’s great that you’ve spoken about this.
@rubyreed9877
@rubyreed9877 2 года назад
So much compassion you are amazing.
@donbrown7694
@donbrown7694 Год назад
I can confirm that LCHP works great without the massive rollercoasters! My HbA1c went down from 6.8 % to 5.1 % after 3 months of low carb and even to 4.9 % after 6 months and there is still room for optimization. Also I have a lot more power and don't have to constantly be looking at the CGM if the sugar goes up or down.
@cireldagagobenitez8618
@cireldagagobenitez8618 7 месяцев назад
❤❤❤Por favor que comes , como te llevan las hipoglucemias
@PeopleHealthTec
@PeopleHealthTec 10 месяцев назад
10:00 16:22 Insulin dose graphs with low carbs
@KETODiamond
@KETODiamond 4 года назад
Thank you for sharing!
@quang-trandao4084
@quang-trandao4084 4 года назад
thank you for this lecture!
@TL-he7vu
@TL-he7vu 4 года назад
Great information.
@prettyE31
@prettyE31 4 года назад
Please god help us.
@mr_holden
@mr_holden 4 года назад
Thank you for sharing this. Encouraging to hear from one T1
@mansourshamary6797
@mansourshamary6797 4 года назад
God bless you.
@gallettiguitartones
@gallettiguitartones 4 года назад
I'm also a type one diabetes I have been following this for the past 17months and it's been the best thing I have done. My a1c was 5.1% last time!
@sigalsmadar4547
@sigalsmadar4547 2 года назад
That's awesome! Congratulations!
@imstevemcqueen
@imstevemcqueen 4 года назад
Excellent
@moezgrami2378
@moezgrami2378 2 года назад
Thank you for this lecture! I'm T1D and in my country I can't find help for doing LCHF. Please, where can I find help for starting LCHF? Is there a website which could help a type 1 diabetes to follow LCHF diet? Thanks for your helps
@sgarchetier
@sgarchetier 4 года назад
Thanks for this! It is just mind boggling why the mainstream medical world has continued to peddle this insulin nonsense. The only reason is greed...very sad...
@rbalschun9624
@rbalschun9624 3 года назад
Thank you for this video! I was diagnosed with LADA over one year ago. Before diagnosis I was following a keto diet, since diagnosis I have been mostly carnivore with occasional avacado and handful of nuts. I am still hyperglycemic; blood sugars are in 200s. Taking Toujeo (18 units daily) and 3 units Lantis short acting daily with meal.
@someonelovesyou00
@someonelovesyou00 3 года назад
Sounds like you need more insulin if bs is in 200s and you are already low carb.
@sigalsmadar4547
@sigalsmadar4547 2 года назад
? Lantus is the long acting, steady insulin. You should be taking humalog or novalog for rapid acting to compensate for any carbs or for corrective boluses.
@cireldagagobenitez8618
@cireldagagobenitez8618 7 месяцев назад
​@@sigalsmadar4547la insulina por exelencia recomendada para las proteínas es la insulina R atracpip o Novolin en algunos países
@brookgraves368
@brookgraves368 4 года назад
Dr. Bernstein, lately is not recommending the Insulin pump either.
@sigalsmadar4547
@sigalsmadar4547 2 года назад
He never studied the pump and rapid acting insulins. It's disappointing as he has been our champion for self monitoring and low carb.
@leonfuerst4790
@leonfuerst4790 4 года назад
Great video, how can someone give a negative like and not leave a message.
@Jefferdaughter
@Jefferdaughter 4 года назад
Isn't that a dislike?
@akanecortich8197
@akanecortich8197 4 года назад
LoL I see a slice of bread there. I cannot remember the last time I had bread of any type. Being in nutritional ketosis is quite easy. Yeh - you can't switch between SAD and LCHF all the time. I've tested my glucose/insulin response to a large bolus of sugar a few times now. BS actually never goes too high for too long, and never too low. Which makes me wonder if being in continuous Keto diet actually rescued some accumulated damaged parts of the pancreas and improved insulin sensitivity. Would be an interesting experiment to try on long term Ketogenic diet people. PS I am not diabetic.
@Jefferdaughter
@Jefferdaughter 4 года назад
Interesting. BTW, damage to the pancreas is not generally seen in people without diabetes, or even in those with Type 2 diabetics. Yes, many people who consume a reasonably well-formulated ketogenic diet for a few months or longer find that their insulin sensitivity improves. That said, as you mention, switching back and forth between a very low carb/ketogenic diet and co numing foods high in carbs (and seed oils deceptively marketed as 'vegetable') is not beneficial. Children and some young and active people can get away with this for awhile, but it most always catches up with them, sooner or later.
@ketohack
@ketohack 4 года назад
When ketone is high and glucose is low, since ketone is providing the crucial energy to brain and organs, will the "low glucose" situation be less risky?
@Jefferdaughter
@Jefferdaughter 4 года назад
The likely answer is, yes. On a well-formulated ketogenic diet, ketones are used for fuel. The tiny amount of glucose the body needs can be produced in the body via gluconeogenesis. However, Type 1 diabetics have to be careful, since they produce no insulin, that ketone levels do not rise to the level of ketoacidosis, which can be life threatening. Note that the level of ketones in ketoacidosis is 10 X that found in nutritional ketosis- and blood glucose levels are exceptionally low at the same time. Dr. Stephen Phinney MD, PhD is featured in videos on YT that explain the difference. Dr. Bernstein have presentations and books that explain the difference, and how to safely eat a low carb diet with T1D. He is himself a T1 diabetic and has been thriving into his 80s.
@stefansarin858
@stefansarin858 4 года назад
Mark, I don't think anyone knows for sure. I think you generally detect the low later, I think you are more 'protected' due to the ketones. So I'm not sure if that really matters. I do know that since I inject much less insulin, the error, i.e. the amount of of much insulin is much less, i.e. the blood sugar drop gradient is much less, i.e. it takes longer time to drop from say 4/75 to 3/54, therefore I have more time to adjust, I would say that that is the biggest advantage. I do think that I can also survive longer, i.e. survive a bigger drop in blood sugar in ketosis compared to not, even considering the point when I would detect being a bit lower in ketosis. But I have obviously not tested, nor do I intend to test this hypothesis. So to me, it is much better to be in ketosis when you get low than not. I get a less gradient, i.e. more time to fix, I feel much better at 3.5 in ketosis, then 3.5 on high carbs, since I'm less stressed I can eat 4 grams of sugar instead of eating 15, 30 or even more.
@brookgraves368
@brookgraves368 4 года назад
But, a long term Keto Plant Based diet, can easily lead a Type 1 to become nutritionally deficient and may induce gastroparesis, plus dangerous IBD/IBS that depletes all the nutritrition. Talking from experience here.
@Rocketscientist66
@Rocketscientist66 4 года назад
Amazing talk, thank you Dr. Kushner! Question: Is there a study with stats of how many people per year are newly diagnosed with T1/2 Diabetes and they didn‘t even know they had it? Also is there a quick and easy home test to check if you are getting close to having Diabetes?? Would just like to check at home first, before surrendering my fate to the local doctors. Been Keto for 2 years now, never felt better 😋 Love your enthusiasm, knowledge and empathy!
@Jefferdaughter
@Jefferdaughter 4 года назад
Contact Dr. Kushner directly, since the presenters rarely read the comments on RU-vid. If you have been in nutritional ketosis, you are extremely unlikely to ever develop Type 2 diabetes, which is a disease of over-secretion of insulin, aka insulin resistance. This happen when people consume a lot of carbs over the years. Type 1 diabetes is caused by the immune system attacking the cells in the pancreas that produce insulin. Auto-immune diseases where the body attacks parts of itself, can have a variety of causes. Lectins in plants can trigger auto-immune disease. Lectins are found in many commonly consumed plants. Dr. Paul Mason 'How Lectins Impact Your Health...' ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-mjQZCCiV6iA.html Apparently, anything that stimulates, or overstimulates, the immune system can trigger an auto-immune response, including certain medical interventions that we are no longer allowed to refuse. Other than that, we should never surrender our fate to physicians. They are consultants, not our owners or masters. Skyrocketing costs have reduced choices for many people, but if we find ourselves with a physician that does not respond to or respect our concerns, or is not willing to continue learning, if we have the option, we should fire that physician and find another. 'Doctor' mean teacher, not healer, or surgeon.
@petercyr3508
@petercyr3508 3 года назад
I am guessing the liver starts making way too much glucose as the T1D patient becomes insulin resitant just like with T2D. Remove the glycemic load from the diet and you just have to deal with the load from the liver!
@akanecortich8197
@akanecortich8197 4 года назад
My Late sister went in to comas on a regular basis. Basically no controlled diet or advice, just insulin injections. She died many years ago blind, from renal failure at the age of 33.
@rahbruhn-howard8129
@rahbruhn-howard8129 4 года назад
That's so awful, I'm sorry you lost her to T1DM
@alisoncoughlin3097
@alisoncoughlin3097 5 месяцев назад
Does anyone have a way I can contact Jake Kushner, MD?
@akanecortich8197
@akanecortich8197 4 года назад
What is the effect on BS of taking Xgrams of protein with Xgrams of fat ? Does consuming fat with the protein lower the BS response?
@JasonBuckman
@JasonBuckman 2 года назад
No, it just delays it.
@DarkoFitCoach
@DarkoFitCoach 4 года назад
recommended carbs intake for diabetes patients; ZERO!
@Jefferdaughter
@Jefferdaughter 4 года назад
@@TerminallyUnique95 - Nutritional ketosis allows the body to burn fat for fuel. The small amount of glucose the body needs is produced in the body via a process known as gluconeogenesis. What we are not taught is the the levels of ketones in the dangerous condition of ketoacidosis are 10 X higher than nutritional ketosis. Dr. Stephen Phinney, MD PhD and Jeff Volek, PhD and others have been researching this topic for decades. Presentations by Phinney and Volek and RU-vid cover this, as do their books, if you are interested.
@mirjammaver8670
@mirjammaver8670 4 года назад
​@@TerminallyUnique95 Jesus. After all this time and so many evidence people still don't know. Yes, your body needs glucose. But your body MAKES glucose, your body makes as much glucose as you need. Ever heard of essential nutrients? Essential nutrients are nutrients that your body can NOT make by itself - fatty acids and amino acids (proteins) thus you have to consume those. Ever heard of essential carbohydrates? You didn't. Body makes its own glucose. You only have essential amino and fatty acids - body can not make by itself. So just forget about "your body needs glucose" thing, it's based on false science i.e. your body can make just enough glucose by itself and you don't need dietary glucose to have glucose.
@diablominero
@diablominero 4 года назад
@@TerminallyUnique95 As far as I know, no one's body needs *dietary* glucose. Glycerol and protein can be converted into enough glucose to run red blood cells and the part of the brain's needs that has to be met in glucose. All your other energy needs can be met by fat and ketones.
@sigalsmadar4547
@sigalsmadar4547 4 года назад
@@TerminallyUnique95 Nutritional ketosis is highly desirable! Diabetes ketoacidosis IS dangerous. They are very different! Your body is much more efficient as using fat for fuel (glucose). You seriously need some education on diabetes!
@loriscott9091
@loriscott9091 4 года назад
Yes! You are correct. As a T1D I have been zero carb for one year. I take much less insulin and my A1C is down to 5.3!
@serasane
@serasane 4 года назад
This is like inventing wheel again.
@emanueladavis1885
@emanueladavis1885 4 года назад
The carbs the kids are eating are made of rubbish...you let your kids eat chips and all that rubbish, too much bread, pasta, rice, cookies, SUGAR IS IN EVERYTHING etc etc what do you expect is going to happen to them. Parents need a big wake up call.
@Jefferdaughter
@Jefferdaughter 4 года назад
And yet many parents of Type 1 diabetic children are told by medical professionals to 'let them eat whatever they want', and as much as they want, just give them the insulin to 'treat' the carbs. Yes, sugar, under one name or another, is in virtually every processed food, and added to most foods sold at restaurants. Real, whole foods prepared at home where you KNOW what is in them is the logical answer. So many of us are pressed for time, yet healthful meals need not take long to prepare. Many can be prepared in advance, on the weekends or the evening before. Tools like slow cookers and pressure cookers can help. Preparing healthful food can become and enjoyable family activity. What people need is knowledge. They will not get it from the American Diabetic Assn, or mainstream medical professionals.
@zambrocca
@zambrocca 4 года назад
consuming more fat is ok, but not from avocado or peanut butter.... the healthy fat sources are animal ones !
@VictorYepello
@VictorYepello 4 года назад
Who in the world ever told you that? Avocado is the best, along with nuts and seeds. Then comes some dairy and then comes meat.
@upyours1256
@upyours1256 4 года назад
@@VictorYepello Who in the world ever told you that? meat fats are the healthiest !
@Jefferdaughter
@Jefferdaughter 4 года назад
@@VictorYepello - Avocados are high in oxalates. Most commonly associated with kidney stones, oxalates can accumulate in other body tissues causing pain and damage: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-i7ArmIYGH0s.html Avocado oil, however, should be oxalate free. Yet few plant sources contain the important Omega 3 fatty acids, and none contain them in the form the human body requires. According to Dr. Paul Mason, grassfed meat and milk products can provide sufficient Omega 3 that consuming fish or fish oil supplements is unnecessary. However, if high levels of Omega 6 oils are consumed, they will outcompete the Omega 3s as they use the same receptors. As you know, plant oils are typically high in Omega 6. Since my ancestors did not have access to avocados or avocado oil, so I choose to eat them sparingly, and use other fats for cooking, etc. Peanuts and most tree nuts are high in lectins. Some are also high in oxalates, especially almonds. See 2:30 for a list of some of the commonly consumed plants that contain lectins in Dr. Paul Mason 'How Lectin Impact Your Health...' ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-mjQZCCiV6iA.html Yes, unprocessed milk and milk products can be very healthful. Of course, 100% 'grassfed' milk from cows or other animals is best, ideally bottled in glass (virtually all plastics transfer chemicals to the food and beverages they contain). Certified organic milk is about 3X higher in Omega 3s, and 100% grassfed milk can be 7X or more higher in these beneficial fatty acids, including EPA and DHA. Processed milk and milk products can be a problem, especially those that have emulsifiers added to them, like polysorbate 80, carageenen, etc. These are being added to more and more dairy products. Much of the nutrient content of milk and milk products is reduced or destroyed by the processing. Unprocessed milk contains all the known vitamins, digestive enzymes, a wider range of beneficial bacteria known as pobiotics than any manufactured yogurt or kefir, immune factors and other nutrients. RealMilk.com The A1 casein mutation found in most all milk and dairy products sold in supermarkets can also be a problem for many people. There is very little protein in heavy whipping cream, and almost none in butter, however. A2 milk is also available. The fat of healthy animals is a beneficial food for humans. While not all the fat from animal sources is saturated, there is no evidence that saturated fat consumption increases death rates. None. 16:48 Kushner goes on to point out that ruminant animal fats (beef, lamb, etc) are protective for Type 2 diabetes 1:18. Dr. Zoe Harcome 'Should Dietary Fat Guidelines Have Been Introduced' ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SqkAJmXt9RE.html Nina Tiecholtz , investigative journalist, former vegetatian, and author of 'Big Fat Surprise' ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-XQUnedwWHqk.html Animal production can be done in a sutainable, even regenerative manner. Industrial crop production cannot. Peter Ballerstedt, PhD and biologist Allan Savory are among those with more info on this topic.
@JasonBuckman
@JasonBuckman 2 года назад
Avocado fat is a healthy fat.
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