Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU

Translator: Anders BjrkReviewer: Ivan Stamenkovi I have the best job in the world. I’m a medical doctor. No! Believe me that’s not why. I’m an obesity physician. I have the honor of workingwith the group of beings subject to the last widelyaccepted discrimination: being overweight. These beings have suffered a lotby the time they experience me: pity, shame, blameand outright discrimination.The attitude that numerous take, including those in healthcare, is that these peopleare to blame for their place. If they could just control themselves, they wouldn’t be overweight, and they are not motivated to change. Please let me tell youthis is not the case. The blame, if we’ve gotto extend some now, has been with our opinion. And it’s time we vary that. Obesity is a disease, it’s not somethingcreated by lack of reputation. It’s a hormonal malady, and there are many hormones involved. And one of the main onesis a hormone called insulin.Most obese individualsare resistant to this hormone, insulin. So, what does that aim precisely, to be resistant to insulin? Well, insulin defiance is essentiallya state of pre-pre-type 2 diabetes. Insulin’s position is to drive glucose, or blood sugar, into the cells where it can be used. In a nutshell, when someoneis insulin resistant, they are having troublegetting blood sugar where it needs to go, into those cells. And it exactly can’t hang outin the blood after we eat or we would all have a diabetic crisisafter every meal! So, when someone is resistant to insulin, the body’s response to thisis to exactly establish more of it. And insulin degrees will be increased and rise, and for a while, years even, this is going to keep up, and blood sugar grades can remain normal. However, often it can’t keep up forever, and even those elevated levels of insulin are not enough to keep blood sugarin the normal range. So it starts to rise. That’s diabetes. It probably won’t surprise you to hear that most of my patientshave insulin resistance or diabetes.And if you are sitting there thinking, “Phew, that’s not me, ” you actually might want to think again, because virtually 50% of adult Americansnow have diabetes or prediabetes. That is almost 120 million of us. But that’s hardly everyonewho has issues with insulin. Because as I was saying, parties have promoted insulin levelsdue to insulin resistance for years, even decades, before the diagnosisof even prediabetes is done. Plus it’s been shown that 16 -2 5% of normal-weight adults are also insulin resistant. So, in case you’re keeping track, this is a heck of a good deal of us. So, the troublewith insulin opposition is: If it goes up, we are at great riskfor developing type 2 diabetes. But likewise, insulin procreates us hungry, and the food we eatmuch more likely to be stored as fatty. Insulin is our fat storage hormone. So we can start to seehow it’s going to be a problem for cancers like obesityand metabolic issues like diabetes. But what if we discovered this problemback at the very beginning, and we are only didn’t haveso much glucose around that insulin needed to deal with? Let’s take a look at how that could be.Everything you feed is either a carbohydrate, a protein or a overweight, and they all have very different effecton glucose and therefore insulin status, as you can see on the diagram. So when we eat carbohydrates, our insulin and glucoseare going to spike up fast. And with proteins it glances a little better. But take a look at what happenswhen we eat fatty. Basically good-for-nothing, a flat indication. And, this is going to wind upbeing very important. So , now I just wanted to translatethat graph for you into a real-world situation. I want you to go back and think about the last time you atean American edition of Chinese meat. We all know there’s rulesassociated with this, right? And the first regulate is: You’re going to overeat. Because the stop signal doesn’t get transport until you are literallybusting at the seams. Rule number two is: In an hour you’re starving. Why? Well, because the rice in that mealcaused glucose and insulin to skyrocket, which triggered hunger, overweight storage and cravings.So, if you are insulinresistant to begin with, and your insulin levelsare already higher, you really are hungrier all the time. And we have this setup: Eat carbs, your glucose goes up, your insulin goes up, and you have hunger and overweight storage. So, how do we recommendto these beings to eat, because it seems like that would bereally important, and it is. Let’s focus simply on type 2 diabetes, because the general recommendationsare to tell cases with type 2 diabetes to eat 40 to 65 gramsof carbohydrates per meal, plus more at snacks. Trust me on this, that’s a good deal of carbs. And remember what’s going to happento glucose and insulin, blood sugar and insulin, when we eat them? Yes, we are essentially recommending that they gobble exactlywhat’s causing their problem.Sound crazy? It really, really is. Because, at its root, diabetesis a state of carbohydrate toxicity. We can’t get the blood sugarinto the cells, and that crusades a problemin the short term. But the long-term consequencesare even greater. And insulin fighting is essentiallya state of carbohydrate antipathy. So why, oh why, do we want to continueto recommend to beings to eat them? The American DiabetesAssociation guidelines specifically state that there isinconclusive evidence to recommenda specific carbohydrate limit. But those guidelines go right onto say what we all know: Our carbohydrate intake is the single, biggest factor in blood sugar levels, and therefore need for medication. These guidelines then go on to say: Hey look, if you are takingcertain diabetic medications, you actually have to eat carbs, otherwise your blood sugar can go too low.Okay, so let’s take a look at the vicious cyclethat that advice simply set up. So it’s: Eat carbs so you haveto take medicine, then you have to eat more carbs so you avoid the side-effectof those drugs, and around and around we go. Even worse is that nowherein the ADA guidelines is the objective of overruling category 2 diabetes. This needs to be changed, because category 2 diabetes is gonna be overruled, in numerous, if not most, situations, specially if we start early. Not merely do we needto let people know this, but we have to start giving themthe practical opinion so they can do this.Consider carbs. First, here’s a shocker for you: We don’t need them. Severely! Our minimum daily requirementfor carbohydrates is zero. We have critical amino battery-acids, those are proteins, indispensable fatty acids, but , nope , no essential carb. A nutrient is essential if we have to have it to gathering, and we can’t make it from something else. We start glucose, plenty of it, all the time, it’s called gluconeogenesis. So, we don’t need them, the overconsumption of themis realise us very sick, more we are continuingto recommend to patients to destroy close to, if not more than, half of their total force intakeevery day from them. It doesn’t make sense. Let’s talk about what does. Cutting carbs, a lot.Yes, in my clinic we teach patients to eat with carbsas the minority of their uptake , not the majority. So, how does “whos working”? Well, when our patientsdecrease their carbs their glucose goes down, and they don’t need as much insulin. So those insulin grades plunge, and fast. And this is very important, because a study looking at our National Healthand Nutrition Examination Survey data, better known as NHANES, goes to show that the single, biggest determining factor for coronary artery infection is insulin resistance. It is responsiblefor a whopping 42% of heart attacks. Low-carb intervention directs so fast that we are able to literally pull beings offof hundreds of cells of insulin in dates to weeks.One of my favorite storiesis a very recent one. A young damsel, but who had an almost2 0-year autobiography of form 2 diabetes, came in when a physician from anotherclinic told her she was just sick, and she’d probably get used to it. Her diabetes was way out of control. This despite the fact that shewas on multiple medications, including virtually 300 units of insulin, that was being injected into hercontinuously every day via a shoot. All of this, remember, blood sugar still out of control. So we settled her on a low-carb diet, and now let’s fast-forward four months.She lost value, yes, but, better than good, sick no more. Her blood sugar levelswere now normal all of the time. This on, get this , no diabetes drug. Gone was the 300 cells of insulin , no more insulin gush , no more pricking her fingermultiple times each day, move, all of it , no more diabetes. One of the greatest pleasures of my jobis to be able to tell a patient like this that they no longer have diabetes, and we ceremoniously take it offtheir problem list together. So, are they medication, is this a miracle? We’ll leave that grandstandingto Doctor Oz. Cured would imply that it can’t come back. And if they start eatingexcessive carbs again, it will. So no not medicine, but they don’t havediabetes any longer. It’s resolved, and it can stay that wayas long as we stop away the start. So, what does this look like then? How does somebody eat this mode? Well, first, let me tell youwhat it’s not. Low-carb is not zero carb, and it is not high protein.These are common criticismthat are so frustrating because they are not true. Next, if we make the carbs out, what are we going to put in? Because, remember, there’s only three macronutrients: if one goes down, one has to go up. My patients feed solid, and a lot of it. “What !? ” you say. What’s goingto happen when you devour fatty? Well, let me tell you, you’regoing to be happy, because fatty appreciations huge, and it is incredibly satisfying.( Applause)( Laughter) But, recollect, fatis the only macronutrient that’s going to keep our glucose -blood sugar – and insulin degrees low-pitched, and that is so important. So, I want you to now hearmy simple rules for eating. These rulers, you have to remember, are even going to be more important if you are one of the tensof millions of Americans who have trouble with insulin ranks. Rule number 1: If it says light-footed, low fator fat-free, stays in grocery store.Because they made the fatty out, they employed carbs and compounds in. Rule number two: Eat food. The most important rulein low-carb nutrition: Real food does not come in a carton, and no-one should have to tell youreal food is natural. You should be aware that when you look at it. Don’t eat anything you don’t like. And ingest when you’re hungry ;d on’t snack when you’re not , no matter what the clock says. And amount five is a simple wayto remember what we want to avoid. No GPS: no grains, no potatoes and no sugar.That last one is a biggie, right , no grains? Na , no specks. But we have to have them. Nope, they’re a carb. But whole cereals are so good for us. Well, first of all, there are actuallyvery few menus out there that are truly whole graineven when they say they are. Most meat that claim themselvesto be wholegrain are highly processedand the fiber benefit broke. Or they’re comingwith highly refined flour, frequently both sets of things. So if you are one of the trulyinsulin-sensitive beings, you can eat real, entire particle. But if you’re in the enormous sliceof our population with insulin issues, it’s preparing things worse. So what if you are oneof the real insulin-sensitive beings? Can you still eat this action? Yes! I am a great example. Over a year ago I decidedI would chip my carbs as low-pitched as I recommendto my diabetic patients.Now, it’s not mandatory for my healthlike it is for theirs; I’m not insulin resistant, so would this be a problem? No! That’s just the thing. Unless you havean excessively rare disorder, then cutting carbsis going to be good for you, even if it’s not necessary. I want to show you got a couple of picturesof my revolutionary nutrient. So, this is a common breakfastin my house. So does it look likeI precisely broke my own convention? I didn’t because this muffinis drawn with coconut flour. I bake all the time still.I merely use non-grain-based flours: coconut, almond, hazelnut, flax. They obligate luscious things. And this is a conventional dinner in my housewith a normal starch. That would be the sauted sprouts. No, my patients and I ingest entertaining foodall of the time and enjoy it. But what about the research on this? I intend is this just anecdotalevidence now from my clinic? No! There are dozens ofrandomized insured tests looking at low-carb intervention for things like diabetes, cardiovascular risk factors, obesity. They’re consistent. It cultivates! There are even a large numberof studies demonstrating that low-carb nutritiondecreases inflammatory markers, which is moving it really excitingfor diseases like cancer. We just finished research studies in our clinic. And what we did is, we took 50 nature 2 diabetic cases that were treated withour low-carb-high-fat-based program, and we equated them to 50 patients who were treated with the ADA guidelines. And after six months , not only did we finda significant metabolic advantage for the low-carb group, but, and let’s face it, “its important”, a huge cost savings.Our analysis showed that our patientscould save over $2,000 a year really on the diabetes medsthey were no longer taking. Really recall how quickly that lends up. We are in a diabetes epidemic now that we are spending $250 billion a year on in its own country. So, I want to show you a slip now that supports wherethose savings are coming from. So this is lookingjust at the insulin change in the two groups after six months. And what we can see is that the low-carb groupwas able to decrease their insulin by almost 500 groups a date. Whereas in the ADA gave group, they had to increase their insulinby approximately 350 contingents a day.Two important things. Number one: Insulin is expensive. And number two: Not all the peoplein this study were even on insulin, which spawns these resultseven more impressive. But what I would say isthat this graph truly represents two different approachesto treating this canker. The first, our group, with the goals and targets of overturning canker, necessitate they need little medication. And the second group, which very clearlyaligns with the ADA guidelines, which state that diabetesis a progressive cancer, involving more prescription over term. Progressive unless we take away the start. So, what’s the problem then? Why is this not everywhere? Why isn’t low-toned carb the norm? There’s two large-scale reasonableness. Number one: status quo.It is hard to break. There are many agendas involved.We get this notion that low fatwas the way to go decades ago. But a recent study just came out showing that there waszero randomized control ground to recommend to Americansto remove the overweight from our diet. And that’s how the carbs got added in. It was virtually a huge experimenton millions of people, and it miscarried miserably. The second reason we don’tsee it everywhere is money. Don’t be clowned, there’s a lot of moneyto be made from keeping you sick. And what we see is, with these specialty guideline bodies, they are stackedwith conflict of interest. So, the solution to the diabetes epidemicin my clinic is exceedingly clear: Stop using medicine to treat food. And for a diseasewhose root cause is carbohydrates, take away the carbohydrates, or at least chipped them, so we can rememberwhat we used to know. We knew it a long time ago, this was said thousands of years ago, and the work requires, in this day and senility, to get back to that notion.Thank you.( Applause ).

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