Latest / Hardiness with Dr Paul Taylor / How To Prevent And Manage Diabetes Using Practical Dietary Changes with Dr. Avi Charlton

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How To Prevent And Manage Diabetes Using Practical Dietary Changes with Dr. Avi Charlton · Hardiness with Dr Paul Taylor

0:00
Speaker 1: Incident also feeds into cancer. If this activity or the
0:06
Speaker 1: cell's not working properly, we can increase cancer growth with
0:09
Speaker 1: high incident and then you have high instillent and high glucose.
0:13
Speaker 1: It really increases your chance of cancer and lots of
0:17
Speaker 1: other conditions Alzheimer's disease, even mental health conditions depression, anxiety, schizophrenia, bipolar,
0:25
Speaker 1: all those conditions as well.
0:37
Speaker 2: Doctor Abi Chalton, Welcome to the podcast.
0:40
Speaker 1: Hi Paul, thanks for having me.
0:42
Speaker 2: It's an absolute pleasure. Thank you for returning the Fever
0:45
Speaker 2: and coming onto my podcast after I was on yours.
0:49
Speaker 2: What conference was it that we met at? Can you remember? So?
0:52
Speaker 1: It was actually no, it was just LinkedIn. I was
0:57
Speaker 1: sending messages to many, many people to to try and
1:00
Speaker 1: connect to many people, and you messaged me back and
1:04
Speaker 1: saying let's have a podcast exchange. And I was so
1:07
Speaker 1: delighted that we did that. And you came on my
1:09
Speaker 1: podcast maybe six weeks or seven weeks ago.
1:13
Speaker 2: Yeah. Cool. Now, so you're a background, you've been at
1:16
Speaker 2: GP for twenty years. We are going to talk about diabetes,
1:21
Speaker 2: metabolic syndrome, diet, maybe a little bit of breath work.
1:25
Speaker 2: But I think first to introduce to people your own journey,
1:30
Speaker 2: because I think this is pretty critical in the approach
1:33
Speaker 2: that you take. Right.
1:34
Speaker 1: Yeah, sure absolutely. I have had my kids. My kids
1:39
Speaker 1: are now twelve and fifteen. So when they were growing
1:42
Speaker 1: up and stopped becoming toddlers, I wanted to lose some
1:46
Speaker 1: weight and gain health. I was a bit chubby, busy doctor,
1:49
Speaker 1: I work almost full time and looking after kids. So
1:55
Speaker 1: I looked at the local gym and joined the gym,
1:58
Speaker 1: and I wanted to get fit. After a few weeks
2:01
Speaker 1: nothing worked, a patient came in to see me in
2:05
Speaker 1: a normal consultation and looked at me and noticed I
2:08
Speaker 1: was bit chubby and asked me if I was having
2:11
Speaker 1: another baby. Actually I wasn't.
2:14
Speaker 2: Wow, So, as.
2:17
Speaker 1: To my devastation, I worked harder at the gimm and
2:20
Speaker 1: then I joined an eight week body transformation challenge at
2:24
Speaker 1: the local gym just to have fun and see what
2:27
Speaker 1: it's like. And the personal trainer actually prescribed me a
2:31
Speaker 1: diet on a spreadsheet measuring the amount of protein, amount
2:36
Speaker 1: of carps, and fat, and that was actually a lower
2:39
Speaker 1: carb diet. I lost four percent body fat and four
2:43
Speaker 1: kilo in weight and I'm a small pet Chinese, which.
2:47
Speaker 2: Yes, that's significant, right, Yeah, particularly at weeks.
2:52
Speaker 1: Absolutely. Yes, my mother is actually a type two diabetics,
2:56
Speaker 1: so I've got a family history of type two diabetes,
2:59
Speaker 1: even though where it's small and partic and she's not
3:01
Speaker 1: overweight either. So I was very pleased at the low
3:06
Speaker 1: carb diet and getting into gytosis that I helped me
3:11
Speaker 1: lose weight, and I gained some source on the body
3:14
Speaker 1: scan as well. I learned to be more from many
3:18
Speaker 1: places to low carp down under a nutrition network, and
3:23
Speaker 1: I learned how to prescribe low carb nutrition, the signs
3:27
Speaker 1: behind it, and therapeutic carbohydrate restriction as a therapy to
3:32
Speaker 1: patients to help people lose weight gain health and actually
3:37
Speaker 1: works on lots of medical conditions as well. So I
3:41
Speaker 1: keep learning and there was COVID and clinic was quiet,
3:45
Speaker 1: lots of online courses, connected with many like minded low
3:50
Speaker 1: carp colleagues, and it opened me up to an amazing
3:55
Speaker 1: journey on how to prescribe low carp, how to do
3:59
Speaker 1: it effectively and the science behind it. And two years
4:03
Speaker 1: ago I branded myself to start up this locub can
4:09
Speaker 1: he called Melbourne Low cup can it and again it
4:12
Speaker 1: opened me up even more to more people connected to
4:16
Speaker 1: the space and people stick me out to learn how
4:21
Speaker 1: to do low carb and some people look at me
4:23
Speaker 1: to look at blood tests differently than the normal doctor. Yeah,
4:28
Speaker 1: so's been amazing. Is over and I'm going to keep
4:31
Speaker 1: going with this journey.
4:32
Speaker 2: Were you concerned at any stage because of what happened
4:37
Speaker 2: to Gary Frakker? Doctor Gary Fraker, So just for the
4:41
Speaker 2: listeners who will probably not be aware of this, he
4:45
Speaker 2: was a Tasmanian doctor and now I'm this is I'm
4:49
Speaker 2: going from memory, so you can jump in at any stage.
4:51
Speaker 2: But he was prescribing a low carb diet. I'm not
4:55
Speaker 2: sure if it was low carb just low carb, high fat,
4:59
Speaker 2: but it was certain a low carb diet and to
5:02
Speaker 2: his patients with diabetes and getting success. But then he
5:06
Speaker 2: got reported by somebody, and I'm pretty sure he got
5:10
Speaker 2: struck off or suspended by the Australian Opera, which is.
5:15
Speaker 1: The medical it was an equivalent to the Medical.
5:18
Speaker 2: Board, and basically said that that he was working outside
5:24
Speaker 2: of his professional practice. You know, they diabetes people jumped
5:28
Speaker 2: all over this because they had typically prescribed a high
5:32
Speaker 2: carbohydrate but low GI diet right and this was the
5:35
Speaker 2: time when all the controversy was going on, and actually
5:40
Speaker 2: when you look under the weeds of that one, there
5:44
Speaker 2: were kind of dark forces, including big food, who were
5:48
Speaker 2: going after him, right, and he ended up I'm pretty
5:51
Speaker 2: sure he got suspended for a while, but then he
5:54
Speaker 2: quite recently got an apology from the Australian Medicals or
6:00
Speaker 2: whatever the body was. So were you concerned where did
6:04
Speaker 2: the timeline, Does it crossover whenever you started or was
6:08
Speaker 2: that had that kind of all blown over at that stage?
6:11
Speaker 1: Yeah, yeah, I know the story. I think he did
6:14
Speaker 1: this quite a few years ago, and it was the
6:17
Speaker 1: dieticians in the hospital who reported him because it was
6:21
Speaker 1: advising the patients in the hospital, which because it was
6:26
Speaker 1: chopping feet and legs of diabetic patients. He doesn't want
6:30
Speaker 1: to chop feet and toes off anymore. So the dieticians
6:33
Speaker 1: in the hospital reported him and he did get suspended.
6:38
Speaker 1: But now he's reprimanded it, he's fine, he's going okay.
6:42
Speaker 1: And that was way before I started. So I actually
6:45
Speaker 1: listened to his talk in twenty nineteen before I started
6:49
Speaker 1: prescribing low cup, and he was apologized and justified, and
6:54
Speaker 1: he kept advocating low cup even before I started in
6:58
Speaker 1: twenty nineteen.
7:00
Speaker 2: Cool, So that had blown over, so there wasn't any
7:03
Speaker 2: issues massive issues. So let's talk about diabetes in general,
7:09
Speaker 2: and I do want to talk about metabolic syndrome because
7:11
Speaker 2: they're obviously pretty closely linked. So just I think we
7:16
Speaker 2: need to be careful here and make sure we make
7:18
Speaker 2: a very clear distinction between type one and type two diabetes,
7:22
Speaker 2: and then there's gestational diabetes. So talk to us about
7:26
Speaker 2: the difference between those two conditions.
7:30
Speaker 1: Yeah. Sure. Type one diabetics are people that the pancreas
7:35
Speaker 1: doesn't work, so they're lacking the insulin. The pancreas doesn't
7:39
Speaker 1: make enough insulin quite often in kids, sometimes in adults.
7:43
Speaker 1: It's an autoimmune condition. So these people really need the insulin,
7:47
Speaker 1: and we will give them scribing insilin. The gestational diabetics
7:52
Speaker 1: are the women who become incident resistant during their pregnancy.
7:58
Speaker 1: Quite often the good tendency to be insulin resistant already,
8:03
Speaker 1: and quite often after the pregnancy they would reverse and
8:07
Speaker 1: become not diabetics anymore. But they've got fifty percent chance
8:12
Speaker 1: in the rest of the lifetime to become type two diabetics,
8:15
Speaker 1: so they've got much higher chance of becoming a diabetic,
8:20
Speaker 1: whereas some type two diabetes is basically insulin resistance, so
8:26
Speaker 1: your body is making more and more insulin to put
8:30
Speaker 1: the glucos away, and you can actually test the insulin
8:35
Speaker 1: in your bloodstream and find the high insulin because your
8:39
Speaker 1: body's making so much insulin and not coping and the
8:44
Speaker 1: blood glucose is high. And the step before type two
8:49
Speaker 1: diabetes is metabodic syndrome. So before we recorded there was
8:54
Speaker 1: we were talked about the statistics of metabotic syndrome. It's
8:56
Speaker 1: actually really high to diagnose malabotic syndrome. The main thing
9:01
Speaker 1: is belly fat, so if the patient has high belly fat,
9:07
Speaker 1: but often is this metabodic syndrome, which.
9:10
Speaker 2: Means and I'm sorry, I would just jump in because
9:14
Speaker 2: different organizations describe it differently that which gets confusing. But
9:21
Speaker 2: in Australia and I can't remember, and I know there's
9:23
Speaker 2: different organizations in the States and then there's a World
9:25
Speaker 2: Health Organization, But in Australia we use the three three
9:30
Speaker 2: or more of five. So one you talked about central obesity,
9:34
Speaker 2: then high high blood pressure, high track glycerides, low HDL
9:39
Speaker 2: cholesterol that in brackets good cholesterol, and high fasting glucose.
9:44
Speaker 2: So three but I think the point of it is
9:47
Speaker 2: it's a cluster, isn't it. It's metabolism going wrong generally.
9:52
Speaker 1: Absolutely, that's right. It will only need three out of
9:55
Speaker 1: those five things to diagnose metapodic syndrome. When you have metabodoics,
10:00
Speaker 1: your body isn't functioning properly. Your body is not burning
10:04
Speaker 1: fuel properly, which also means the mitochondria it's not functioning properly.
10:09
Speaker 2: And hence why we see huge complications for people with
10:14
Speaker 2: metabolic syndrome, like not only do most of them either
10:18
Speaker 2: have or go on to develop diabetes, but the increased
10:24
Speaker 2: risk of cardiovascular disease, neurodegenerative diseases, some forms of cancer,
10:29
Speaker 2: I mean, the chronic kidney disease. That the list is
10:32
Speaker 2: pretty endless, isn't it that your.
10:34
Speaker 1: Risks Absolutely yes, it's terrible with metaproduct syndrome.
10:40
Speaker 2: And it's basically I think, like you said, the mitochondria
10:44
Speaker 2: are really not functioning well. So they're the parts of
10:48
Speaker 2: the cell that drive it's not only energy production, but
10:51
Speaker 2: they actually do so many functions in the cell. I
10:54
Speaker 2: think we've underplayed traditionally the mitochondria and what they do.
10:58
Speaker 2: But the stats I mean Union. When you when you
11:00
Speaker 2: quoted to me the American once, I nearly fell off
11:02
Speaker 2: the chair. Right. So in Australia, the official number of
11:07
Speaker 2: Australians with metabolic syndromes is thirty five percent, and it's
11:11
Speaker 2: probably underreported, just like with diabetes. You know, they reckon.
11:15
Speaker 2: There's what one point, I won a quarter a million
11:18
Speaker 2: with type two diabetes, but about half a million who
11:22
Speaker 2: I have it but don't know it right, And I
11:24
Speaker 2: think there's probably something with metabolic syndrome. But tell me
11:28
Speaker 2: the data from the States.
11:30
Speaker 1: Yes, I always, yeah, I always look it up. And
11:33
Speaker 1: in the hind Study, which is a national health and
11:37
Speaker 1: nutrition study in twenty sixteen in America, eighty three percent
11:44
Speaker 1: of Americans have metabolic syndrome, which means only seventeen percent
11:49
Speaker 1: of Americans are healthy.
11:51
Speaker 2: Jesus Christ, that is that Like that is just bonkers.
11:58
Speaker 2: And I was looking at the actually and there's a
12:01
Speaker 2: brilliant website and for our listeners for this as well.
12:05
Speaker 2: It's called Our World in Data, and it just shows
12:09
Speaker 2: is fantastic because they do visualizations of all sorts of
12:15
Speaker 2: data and all sorts of health data from around the
12:17
Speaker 2: world and they pull in World Health organization data, And
12:20
Speaker 2: I was just looking at diabetes right, so in Australia
12:24
Speaker 2: and they lump it together. I think in Australia, I
12:26
Speaker 2: think there's five point six percent of type two diabetes
12:29
Speaker 2: are one and a quarter million, and as we said,
12:31
Speaker 2: a lot undiagnosed, but all diabetes inclean type one OZ
12:36
Speaker 2: is six point four percent. UK and U seeing they're
12:38
Speaker 2: very similar USA ten point seven percent with diabetes, Mexico
12:44
Speaker 2: pretty much seventeen percent. Spain is the almost as bad
12:49
Speaker 2: as the state's ten point three percent. And I suspect
12:53
Speaker 2: I suspect that their eighteen patterns have got something to
12:57
Speaker 2: do with that, the fact that they eat dinner le
13:00
Speaker 2: tonight and might have something. But I was I was
13:03
Speaker 2: actually quite surprised by Spain, Like, yeah, of all the
13:07
Speaker 2: European countries, Spain is just out there. But wow, when
13:10
Speaker 2: you look at Egypt twenty percent of the population it's
13:15
Speaker 2: got diabetes, and then Pakistan thirty percent.
13:18
Speaker 1: Yes, like that that's amast.
13:22
Speaker 2: Unbelievable, isn't it. So talk to us about issues and
13:28
Speaker 2: complications that both you will see in private practice, and
13:34
Speaker 2: you know, what does the research tell us, what are
13:37
Speaker 2: some of the issues and what are some of the
13:38
Speaker 2: complications with both diabetes and metabolic syndrome, and you can
13:42
Speaker 2: take those in any order.
13:44
Speaker 1: Yeah, yeah, sure, Let's talk about metabolic syndrome first. So
13:47
Speaker 1: these people, they are not quite diabetic yet according to
13:52
Speaker 1: the black test diners as the HbA one is not
13:55
Speaker 1: over six point five, but we can dignose it according
13:59
Speaker 1: to the criteria, and quite often I would find a
14:03
Speaker 1: high insulin and quite often they are not well. So
14:09
Speaker 1: the blood test says they're okay, but they overweight, they're tired,
14:14
Speaker 1: they're hungry. They have signs and metabotic syndrome, like they
14:18
Speaker 1: have belly fat, they have frequent infections. They have skin
14:24
Speaker 1: tags underneath their underarms and in certain areas of the body,
14:29
Speaker 1: and they have dark patches underneath their arms. So there's
14:33
Speaker 1: signs that we can tell that they have metabotic syndrome.
14:36
Speaker 1: And quite often they just don't function properly in their
14:41
Speaker 1: energy level. They're tired and hungry.
14:44
Speaker 2: And are they sorry with just one thing on that
14:46
Speaker 2: because you said that they're not yet often diabetic. I
14:49
Speaker 2: remember talking to a medical researcher and she told me
14:54
Speaker 2: that blood glucose is often the last thing to go
15:00
Speaker 2: you'll see blood crasher issues, you'll see track glysterids, you'll
15:02
Speaker 2: see belly fat, you'll see mitochondrial issues. And the very
15:06
Speaker 2: last thing is blood sugar. And this gives people, I
15:11
Speaker 2: think a bit of a safety blanket that is not
15:15
Speaker 2: warranted because they kind of go, they get their blood tests,
15:17
Speaker 2: go and they go, hey, well my blood sugar. I'm
15:20
Speaker 2: not diabetic it, so I'm kind of okay. Whereast they're metabolically,
15:25
Speaker 2: they're already falling apart, aren't they.
15:27
Speaker 1: Absolutely. What happens is your insulin is making your body's
15:32
Speaker 1: making more and more insulin to regulate the glue coose,
15:35
Speaker 1: so the glucose is regulated and your body is managing. Okay.
15:40
Speaker 1: Most doctors don't organize the blood tests called fasting insulin
15:44
Speaker 1: and don't know what the insulin is doing. So the
15:47
Speaker 1: blood glucose is managing fine under six. If it's five
15:50
Speaker 1: point seven five point eight, it's borderline. But the doctor
15:54
Speaker 1: says it's it's fine under six. And the HBO one
15:58
Speaker 1: see is the average glucose over a three month period,
16:02
Speaker 1: It's still fine because your average glucose is five point
16:06
Speaker 1: seven five point eight during the day. So your normal
16:09
Speaker 1: doctor will say you're not diabetes, you're managing fine. Your
16:14
Speaker 1: fasting glucose is fine. Whereas I test the fasting insulin,
16:19
Speaker 1: usually we want it ideally under seven or even under five.
16:25
Speaker 1: Some people are testing it's ten or fifteen or even
16:30
Speaker 1: up to thirty or sixty. So these people have made
16:35
Speaker 1: their insulin so much to keep the glucose down and
16:40
Speaker 1: they're just tipping on diabetes.
16:42
Speaker 2: Okay, and they don't know it, and there's not really
16:46
Speaker 2: the warning sign. So why is it that a lot
16:49
Speaker 2: of jpps don't do the insulent test? Is it because
16:53
Speaker 2: it's kind of non standard or are they just not
16:56
Speaker 2: looking in the right place?
16:58
Speaker 1: That's right. Yeah, when we were never taughty medical school
17:00
Speaker 1: to organize these texts. And there's also a trouble that
17:05
Speaker 1: in Australia if you organize too many blood tests and
17:09
Speaker 1: the Medicare we get told off and because of the
17:12
Speaker 1: funding issues. Yes, so we're very careful on organizing only
17:17
Speaker 1: the blood tests that we have been taught to organize
17:21
Speaker 1: and not do too many and get into trouble with Medicare.
17:25
Speaker 2: That's an issue, isn't it. Because if somebody is on
17:30
Speaker 2: the face of it not diabetic, but you test their
17:33
Speaker 2: insulin and you can see their insulance going crazy, and
17:37
Speaker 2: you know that diabetes is around the corner. It is
17:41
Speaker 2: so much more effective to intervene right there and then
17:46
Speaker 2: rather than waiting until that number text over to diabetes.
17:50
Speaker 1: Absolutely, yes, so the diabetes. The number that ticking over
17:54
Speaker 1: diabetes is HBO ones is six point five. We actually
17:58
Speaker 1: should start wanting people when HbA one sees over five
18:02
Speaker 1: point seven, that is actually a diagnosis of pre diabetes. Right,
18:07
Speaker 1: And there's some low car big name professionals like Tim
18:12
Speaker 1: Notes actually suggests we should really aim HbA one s
18:15
Speaker 1: much lower than that, to less than five point five
18:18
Speaker 1: or five point four, which I think it's it's quite difficult,
18:22
Speaker 1: but just to warn people that HbA one cee going
18:26
Speaker 1: over to six point five, it's quite advanced and there's
18:32
Speaker 1: damage just done already to small vesse complications.
18:36
Speaker 2: I think this is the thing avi that people don't
18:39
Speaker 2: realize is the damage that is happening underneath the hood
18:44
Speaker 2: to thebolism. Like with that constant high end chillin. It
18:49
Speaker 2: drives inflammation at a cellular level. As you say, it
18:53
Speaker 2: impacts on your mitochondria in your clles. You know what
18:58
Speaker 2: if I was the czarre of the universe. I WI
19:01
Speaker 2: make everybody sit down and really understand their mitochondria, understand
19:06
Speaker 2: what they do, the implications in health and how to
19:09
Speaker 2: have healthy mitochondriac because once your mitochondria go, you're starting
19:14
Speaker 2: to fall apart at a cllular level, right.
19:16
Speaker 1: Absolutely. The other thing with high incident is, as you said,
19:20
Speaker 1: it's highly inflammatory. It gives inflammation your body inflammation, so
19:25
Speaker 1: there's aggs and pains and frequent infections. An insulin also
19:30
Speaker 1: feeds into cancer, so if there's activity or the cell's
19:36
Speaker 1: not working properly, we can increase cancer growth with high insulin.
19:41
Speaker 1: And then you have high instillent and high glucose that
19:44
Speaker 1: really increases your chance of cancer. And lots of other
19:48
Speaker 1: conditions Alzheimer's disease, even mental health conditions depression, anxiety, schizophrenia, bipolar,
19:56
Speaker 1: all those conditions as well.
19:59
Speaker 2: And why do we I said, I want to come back,
20:01
Speaker 2: there's a couple of things I want to double click
20:04
Speaker 2: on actually, and before we do it, I just want
20:07
Speaker 2: to mention Tim Nooks because I nearly did a Pah
20:09
Speaker 2: Steve with Tim Nooks. So he's a legendary professor from
20:14
Speaker 2: South Africa, like huge in the sports science world. Absolutely massive,
20:19
Speaker 2: wrote the best selling book ever on exercise or running
20:24
Speaker 2: called The Lower of Running, and done bucket loads of
20:27
Speaker 2: research on high carbohydrate improving sports performance. Right, So he's
20:33
Speaker 2: a legend in that field. And I saw him talk
20:36
Speaker 2: at the first Low carb Conference and he held up
20:40
Speaker 2: his book The Lower of Running and he said, anybody's
20:43
Speaker 2: ever read this book, which is the best selling book
20:45
Speaker 2: around exercise ever. I apologize, I've got it wrong. I
20:50
Speaker 2: gave many of my athletes diabetes and I give myself diabetes.
20:54
Speaker 2: And you cannot outrun a bad diet. And I was like, what, Wow.
21:00
Speaker 2: And it's just a little aside for people who do
21:04
Speaker 2: lots of exercise and are taking lots of sports strengths
21:07
Speaker 2: and stuff like that, just to be have Tim Noaks's
21:12
Speaker 2: words in your head. You cannot out run a bad diet. Right.
21:16
Speaker 2: So I just wanted to throw that one in there.
21:18
Speaker 2: But let's know, I want to double click on two things,
21:21
Speaker 2: the mental health that you talked about and Alzheimer's disease.
21:26
Speaker 2: So do we know what is causing the mental health
21:32
Speaker 2: issue that we see with people with metabolic syndrome and
21:35
Speaker 2: type two diabetes? Is it mitochondrial It is there just
21:40
Speaker 2: some pathway that we're not quite sure of yet.
21:43
Speaker 1: Yeah. The theory we worked on with mental health previously
21:47
Speaker 1: is neurochemicals imbalance, which which there's a lot of science
21:53
Speaker 1: saying that it might not be the case.
21:56
Speaker 2: It's pooch, it's poocha.
22:00
Speaker 1: That is mental health conditions is actually a combination of
22:04
Speaker 1: inflammation and your brain not getting enough fuel. There's a
22:10
Speaker 1: psychiatrist called Chris Palmer wrote the book Brain Energy saying
22:14
Speaker 1: most of the mental health conditions like schizophrenia, depression, bipolar anxiety,
22:20
Speaker 1: is because of lack of fuel the brain, probably causing
22:25
Speaker 1: lack of mitochondria function. So the mitochondry is not functioning properly.
22:30
Speaker 1: Combined with inflammation and high blood coast levels, maybe not
22:35
Speaker 1: eating enough good foods, maybe not enough exercise, sanentary lifestyle,
22:41
Speaker 1: all those things combined can really increase the risk of
22:44
Speaker 1: mental health conditions.
22:46
Speaker 2: Yeah. I've read that book by Christian Palmer and it
22:49
Speaker 2: is absolutely brilliantly so Harvard psychiatrist, isn't it And it's
22:53
Speaker 2: basically your mitochondria are not functioning.
22:55
Speaker 1: Well, that's right.
22:57
Speaker 2: Yeah, Yeah, And then let's then to talk about Alzheimer's
23:01
Speaker 2: disease and dimension general. I mean, I remember fifteen years
23:06
Speaker 2: ago reading a research paper calling Alzheimer's disease type three diabetes. Right,
23:11
Speaker 2: So talk us through the links there with neurotrageneric diseases
23:17
Speaker 2: in particularly yesh. Yeah.
23:19
Speaker 1: What happens is if you have diabetes, you've got much
23:21
Speaker 1: higher chance of having Alzheimer's disease. And as you said,
23:25
Speaker 1: we're now linking Alzheimer's disease as we're calling it type
23:30
Speaker 1: three diabetes because the blood isn't getting enough glucose into
23:35
Speaker 1: the brain. What happens is the glucose is difficult to
23:39
Speaker 1: cross the blood brain barrier, especially in high and thin environments.
23:45
Speaker 1: So your brain is actually not getting enough fuel in
23:49
Speaker 1: terms of the glucose, and that's why your brain is
23:52
Speaker 1: starving and not functioning properly. When we switch these Alzheimer's
23:59
Speaker 1: people into a phuogenic diet or even just giving them
24:02
Speaker 1: exogynous key tones, then we can actually feel them feel
24:08
Speaker 1: the brain in a different way and they get alternative fiel.
24:11
Speaker 1: They actually feel much better even if they don't go
24:14
Speaker 1: on the low carb ketogenic diet. Giving them exogrenous extra
24:18
Speaker 1: key tones can help the brain function better.
24:21
Speaker 2: Yeah, And most people don't realize this that the brain
24:23
Speaker 2: runs brilliantly on keytones, right. That actually is really effective.
24:28
Speaker 2: And I have read papers of people getting dramatic improvement
24:33
Speaker 2: in their symptoms when they go on a ketogenic diet
24:36
Speaker 2: or as you say, just giving them exogenous keytones, so
24:40
Speaker 2: that the brain on the mitochondria. Let's be clear on this,
24:44
Speaker 2: the mino boundary are going, Ah, at last, we've got
24:47
Speaker 2: some energy. Now we can start to work again. Right,
24:50
Speaker 2: let's just if this isn't depressing enough for people, let's
24:54
Speaker 2: go through just some of the complications that people have
24:59
Speaker 2: with diabetes, because I find a lot of people who
25:02
Speaker 2: have diabetes the kind of attitude was, oh, well, I'll
25:05
Speaker 2: just go on the medication and that will manage it.
25:08
Speaker 2: Talk about some of the complications as you get down
25:12
Speaker 2: the track. I mean, you talked about Gary Fecker doing
25:15
Speaker 2: lots of amputations. Talk about what happens to people's visions,
25:19
Speaker 2: why the amputation, all the things that happen.
25:23
Speaker 1: Yeah. So in medical school, we're taught to think of
25:26
Speaker 1: big vessels and small vessels, macrovascular versus microvascular. So in
25:31
Speaker 1: terms of big vessels, you can get heart attacks, you
25:33
Speaker 1: can get strokes, you can get blockages in the arteries
25:37
Speaker 1: going down to the legs, and then that causes diabetic feet.
25:42
Speaker 1: So lots of big vessels problems, complications with blocked arteries,
25:47
Speaker 1: and then there's small vessels problems such as blocking the
25:51
Speaker 1: small vessels in wall feet and of course gangreine and
25:53
Speaker 1: the feet losing toes, losing feet on our legs as well,
25:59
Speaker 1: and then there's the small possels in the eyes. Going blind.
26:03
Speaker 1: There's small vessels in the kidney, so people are going
26:07
Speaker 1: losing their kidney function and needing kidney dialysis analysis. Yes,
26:13
Speaker 1: so with regards to the eyes, going blind isn't very fun.
26:18
Speaker 1: There's a doctor called James Muki. He's the Australian of
26:21
Speaker 1: the Year in twenty twenty. He is an ophthalmologist and
26:24
Speaker 1: he learned about low carb and telling his patients that
26:27
Speaker 1: diabetes can be improved but just by going low carb
26:31
Speaker 1: quito and he's helped people with gaining their eyesight and
26:35
Speaker 1: doing most less.
26:37
Speaker 2: I ran about him. He was restoring vasion in people
26:40
Speaker 2: who are going blind with diabetes, wasn't he.
26:45
Speaker 1: He's doing a lot of work in the low car
26:47
Speaker 1: space and trying to approach the Parliament on implementing increasing
26:51
Speaker 1: the awareness of low carb diets, especially in diabetics. So, yeah,
26:56
Speaker 1: he was Australian of the Year twenty twenty, which was
26:58
Speaker 1: unfortunate in that, yeah, because that was locked down and
27:02
Speaker 1: he organized a lot of talks around Australia, but he
27:06
Speaker 1: couldn't do it because we've blocked ourselves.
27:09
Speaker 2: Down right, Okay, And that's pretty amazing, right that you
27:13
Speaker 2: can reverse people going blind just by changing their diet.
27:18
Speaker 2: When you look at the data, right, when you put
27:22
Speaker 2: up low carb versus low fat diets in the management
27:28
Speaker 2: of diabetes, low carb consistently comes out on top, and
27:32
Speaker 2: a chidogenic diet can be very very effective. Why is
27:36
Speaker 2: there still such resistance amongst medical people, both doctors and dietitians,
27:44
Speaker 2: and such resistance like it is? I don't think there's
27:48
Speaker 2: anything in medicine that is so emotional as well. What's
27:53
Speaker 2: going on do you think here? Yeah?
27:55
Speaker 1: I think there's lots of things going on. There's a
27:59
Speaker 1: big combination of different forces. Some people think low cup
28:04
Speaker 1: means high fat, you're eating lots of saturated fat. And
28:06
Speaker 1: then there's doctors worried that the high fat can increase
28:10
Speaker 1: your cholesterol and clog your arteries, and that's not healthy.
28:15
Speaker 1: It's in flammatory, which is actually low cup klogenic die
28:19
Speaker 1: is actually highly inflamatory. So I think there's a worry
28:24
Speaker 1: about the high fat, and then some people worry about
28:27
Speaker 1: the high protein increasing uni risk of kidney disease, which
28:30
Speaker 1: again it's not true. And then there's people really can't
28:36
Speaker 1: get let go of their carbohydrates because it's so youngy
28:39
Speaker 1: and addictive, So the doctors can't let go their diet
28:43
Speaker 1: dietary preferences. They have to eat their cups, and then
28:46
Speaker 1: they don't want to implement this to the patients, and
28:49
Speaker 1: they say it's not sustainable because they can't sustain it themselves,
28:54
Speaker 1: and then haven't looked into the science into it.
28:58
Speaker 2: Yeah, I was just to throw in the political stuff
29:01
Speaker 2: and the people who have their entire careers on it.
29:05
Speaker 2: But I think we do need to recognize AVI here,
29:09
Speaker 2: and you brought it up that there's a difference between
29:12
Speaker 2: a low carbohydrate diet where lots of the nutrients are
29:16
Speaker 2: replaced with protein, and stuff with the low carb high fat,
29:20
Speaker 2: and particularly when that is saturated fat. So I think
29:25
Speaker 2: some of the concerns are high amounts of saturated fat
29:29
Speaker 2: can cause fatty liver disease, which can then drive into
29:32
Speaker 2: in resistance. And it seems to be when you dig
29:35
Speaker 2: into the research that there are genetics involved. Like any
29:39
Speaker 2: nutritional study, this is the thing when people draw conclusions
29:44
Speaker 2: on nutritional studies or any study, when they're talking about
29:48
Speaker 2: the results, that's the average spread across everybody in the study.
29:54
Speaker 2: It's really interesting when you look at research papers that
29:57
Speaker 2: publish not only averages but the individual data, because you
30:02
Speaker 2: will often see people doing extremely well and then others
30:07
Speaker 2: not doing well on the same dieta or the CM intervention.
30:10
Speaker 2: But when you average it out, there's a statistically significant improvement.
30:14
Speaker 2: And that's really important for people to understand, isn't it
30:18
Speaker 2: is that there are individual differences that are largely based
30:23
Speaker 2: on your genetic makeup and your epigenum in all of this, right, So,
30:27
Speaker 2: I think there's always nuance with the conversation, particularly when
30:32
Speaker 2: we're talking about research.
30:34
Speaker 1: Yeah. Absolutely. And there's a very latest study that came
30:38
Speaker 1: out about diabetes increry. Low carbon interstring increases the risk
30:42
Speaker 1: of diabetes. It's only in the last week or so
30:45
Speaker 1: that's come out. I don't know if you've heard about study.
30:49
Speaker 1: It's all over the low car world and the low
30:51
Speaker 1: card world isn't really very happy about this study increasing
30:56
Speaker 1: the risk of diabetes. What happens is they categorize these
31:02
Speaker 1: in this study. They it was a big number. It
31:04
Speaker 1: was in Melbourne, seventeen thousand participants over ten years. They
31:10
Speaker 1: had five groups, and the low carb group wasn't actually
31:15
Speaker 1: low carp. The dimitary cover hydreds constituted thirty seven thirty
31:22
Speaker 1: eight percent of their calorie intake, which to the low
31:26
Speaker 1: cup people it's actually not really low cups.
31:28
Speaker 2: So most of us that's not low car.
31:31
Speaker 1: Yeah, no, most of us would eat way less than
31:33
Speaker 1: thirty eight percent of our calories. And to top that,
31:37
Speaker 1: this group which they said is low carb group actually
31:41
Speaker 1: started off with higher b and my higher waist accumpery
31:45
Speaker 1: and they also had more ex smokers, more X alcohol drinkers,
31:52
Speaker 1: and they based it on food frequency questionnaires, which is
31:57
Speaker 1: highly unreliable. People don't really remember what they ate. So
32:03
Speaker 1: there's a few doctors in the local world, including doctor
32:05
Speaker 1: Paul Mason, that actually recorded in the low cup down
32:10
Speaker 1: on the YouTube channel. People can go into that a
32:13
Speaker 1: rebuttal on this study and we're actually signing a request
32:17
Speaker 1: to withdraw this study from being published because it's it's
32:22
Speaker 1: not reliable study and it's scaring people from low carb
32:25
Speaker 1: diets for a treatment of diabetes.
32:28
Speaker 2: Yeah. I know Paul Mis and I presented at him
32:31
Speaker 2: with him at a conference. He's brilliant, brilliant doctor. As
32:35
Speaker 2: you were saying that, if people could see me, I'm
32:37
Speaker 2: just shaking my hand and just discuss because there's so
32:41
Speaker 2: many studies that are getting published, particularly in the nutritional realm,
32:45
Speaker 2: that when you look at the methodology, it is terrible.
32:50
Speaker 2: And I if I was to try and put a
32:54
Speaker 2: study like that under the noses of my PhD supervisors,
32:58
Speaker 2: they would kick me out, like some of the stuff
33:03
Speaker 2: high this is peer reviewed. I got no idea. And
33:07
Speaker 2: but that's the important thing, isn't it is that this
33:11
Speaker 2: These studies get published and then they get grabbed on.
33:15
Speaker 2: There's headlines that are put on. Sometimes those headlines are
33:19
Speaker 2: actually put out by the people who do the study,
33:21
Speaker 2: who have a vested interest, right, and then the press
33:24
Speaker 2: grabs on it and then it's all over the press,
33:27
Speaker 2: and then it creates this panic. And then when somebody
33:31
Speaker 2: like Paulmus another low card guys go oh, actually, there's
33:34
Speaker 2: this flawed this flawed flow, this flaw, and then the
33:37
Speaker 2: journal either corrects it or retracts it. You don't see
33:41
Speaker 2: the headlines again going right, Oh, by the way, we
33:44
Speaker 2: were wrong, so you're you're okay.
33:46
Speaker 1: Or the other thing that Paul pointed out in this
33:48
Speaker 1: study is they haven't taken into account the use of
33:51
Speaker 1: seed oil vegetable oils. Right, so there's a high percentage
33:55
Speaker 1: of poy unsaturated inflammatory transfer in those people. They they
34:00
Speaker 1: don't regulate it in that study.
34:01
Speaker 2: That's interesting. Okay, So let's talk about the diet that
34:07
Speaker 2: you recommend for your patients.
34:10
Speaker 1: Yeah, So I usually meet them where they're at. If
34:14
Speaker 1: they have no idea about low carb at all, I
34:16
Speaker 1: usually do just warn them about the dangers of sugar
34:19
Speaker 1: and process foods. So to start them off, if they're
34:24
Speaker 1: not ready to go low calp, I just get them
34:26
Speaker 1: to get rid of sugar, get rid of process foods,
34:29
Speaker 1: and even eliminating snacks in between meals, eating less frequent
34:34
Speaker 1: intamin fasting That can quite often improve the insult level.
34:39
Speaker 1: And if they're ready to learn more and dig into
34:42
Speaker 1: a bit more, then I warn them that carbohydrates all
34:46
Speaker 1: become sugar. They are all sugar, and your body can
34:50
Speaker 1: only hold four gram of glucose at a time. Four
34:54
Speaker 1: gram of glucose is one teaspoon, so if your bloodstream
34:59
Speaker 1: has more than one tea spoon of bluecoase, then your
35:02
Speaker 1: body will make more insulin to transport this glucose into
35:06
Speaker 1: the fat cell and stoidess fat. So every time you
35:11
Speaker 1: eat more than one teaspoon, then your body makes more insulin.
35:15
Speaker 1: Then you become infilm resistant. So usually I tell them
35:19
Speaker 1: about the science and warn them about the glucose, the sugar,
35:24
Speaker 1: the jump food process foods, and the carbohydrates, and ask
35:30
Speaker 1: them to reduce eating all of that and eat more
35:33
Speaker 1: nutrient dense food like routine above ground veggies, especially if
35:39
Speaker 1: they have signs of metabolic syndrome diabetes. The root veges
35:43
Speaker 1: also increase gluecose level, so concentrate on above ground vigies
35:49
Speaker 1: eating much less starchy veggies and even less fruit. One
35:55
Speaker 1: of them that can improve their gluecose level their body
35:59
Speaker 1: heels is a higher nutrient dense, protein rich, healthy fat
36:05
Speaker 1: food and quite often they gain health, They get more energy,
36:09
Speaker 1: they lose weight, and the men do it much better.
36:13
Speaker 1: The ladies have lots more hormones and worries going on.
36:18
Speaker 1: Usually the women come in and want to lose weight.
36:21
Speaker 1: They put their husband into a low car dial without
36:24
Speaker 1: really telling them. Their husband lose more weights and the
36:28
Speaker 1: ladies lose a bit and they feel better, but the
36:31
Speaker 1: husband doing much much better.
36:33
Speaker 2: And men tend to do better on fasting as well.
36:36
Speaker 2: Into mint and fasting as well. You know, it's just
36:39
Speaker 2: it's just bloting easier for me. And a couple of
36:41
Speaker 2: things I wanted to double click on. I want to
36:43
Speaker 2: talk about the healthy fats in a second. But I
36:46
Speaker 2: remember Grant school Field, Professor Grant school Field, and you
36:49
Speaker 2: you will be aware of Grant. He's a big wheel
36:51
Speaker 2: in the low card world. And I know Grunt very well.
36:53
Speaker 2: He's been on this podcast quite a few times. But
36:56
Speaker 2: remember him showing me a paper of a insulin responses
37:01
Speaker 2: in glucose responses to patients eating lentils right, which are
37:08
Speaker 2: wrecked things that are low GI carbohydrates and have been
37:12
Speaker 2: recommended for years by diabetes educators. And what he showed
37:17
Speaker 2: me in the study was there were people who had
37:20
Speaker 2: normal blood sugar levels and normal insulin levels, and then
37:24
Speaker 2: another group who were insulin resistant. They had diabetes, and
37:30
Speaker 2: the blood sugar responses in those two groups was radically different.
37:36
Speaker 2: That people who had normal metabolism, they had a very
37:41
Speaker 2: slow increase in their blood sugar and it lasted for
37:44
Speaker 2: a while and they and dropped. And that's what GI
37:46
Speaker 2: carbohydrates do if you're metabolically healthy. But the people who
37:50
Speaker 2: were insulin resistant, they had a massive spike in their
37:55
Speaker 2: blood sugar and it persisted for rs. Right, And so
38:02
Speaker 2: your response to carbohydrates is hugely different. Even low GI
38:07
Speaker 2: carbohydrates can be hugely different, all depending on your insulin sensitivity.
38:14
Speaker 2: And this is the thing. But he showed me how
38:17
Speaker 2: many times said this should be the most cited research
38:20
Speaker 2: paper in the world of diabetes, and it was hardly
38:24
Speaker 2: ever cited. So people just ignore it because they have
38:28
Speaker 2: their own their their own confirmation bias, and off they go.
38:32
Speaker 2: But I mean, that's the thing, right, is a lot
38:36
Speaker 2: of these diets are tested in healthy people and it's
38:40
Speaker 2: very different when you put them on unhealthy people. And
38:43
Speaker 2: that's where you've got to look at interventions with people
38:47
Speaker 2: who have diabetes and insulin resistance. Right, Yeah, that's what's right,
38:51
Speaker 2: That's where the low corp comes up. Now you seem
38:53
Speaker 2: to be less of a proponent of a ketogenic diem,
38:57
Speaker 2: particularly around the saturate in fact, So talk us through
39:00
Speaker 2: what you're talking about with healthy fats.
39:03
Speaker 1: Yeah, So I try to encourage patients to prioritize their
39:07
Speaker 1: approachein fists and then add healthy fat. So when I
39:11
Speaker 1: say healthy fat, our main things like avocado, nuts and seeds,
39:16
Speaker 1: olive oil, even dairy in some people that can tolerate dairy,
39:22
Speaker 1: they're good. And even the fat around the meat, it's
39:26
Speaker 1: not just that saturated fat. There's a combination of all
39:30
Speaker 1: fats in the fat around the meat as well.
39:32
Speaker 2: Yeah, people don't realize this, do they. That meat has
39:36
Speaker 2: got just the label that all the fat is saturated fat,
39:40
Speaker 2: and particularly if it's grass fed meat. You look at
39:42
Speaker 2: the fatty acid composition. There's a bit of saturated fat,
39:46
Speaker 2: but there's monoon saturated fats in there, and there's even
39:49
Speaker 2: a Mega three fatty acids in grass fed meat as well.
39:52
Speaker 2: So it's it's not that all the fat and meat
39:55
Speaker 2: is saturated. People think that, and yes, nothing could be
39:59
Speaker 2: further from right. That's right.
40:01
Speaker 1: Yeah, So the meat has been wrongly demonized for lots
40:04
Speaker 1: of other reasons. But I think we really should think
40:08
Speaker 1: about eating healthy meat. And when I say meat, it
40:13
Speaker 1: includes chicken and fish and pork, lamb and eggs as well.
40:16
Speaker 1: Animal food really should be prioritized for the reason of
40:21
Speaker 1: good protein, healthy fat, and lots of other nutrients as well,
40:25
Speaker 1: like be twelve and seen environment d which is included
40:29
Speaker 1: in animal food as well.
40:31
Speaker 2: Yeah, and Abby, you just basically described my diet for
40:35
Speaker 2: the last probably decade and the reason that I don't
40:40
Speaker 2: have a ketogenic diet and I don't react particularly well
40:43
Speaker 2: to it, but I do much better on a high protein,
40:48
Speaker 2: low carb diet with moderate amounts of fat and a
40:52
Speaker 2: plenty of meat. I ate plenty of fish, a dirty
40:54
Speaker 2: because I'm fine with it. I'm fine with yogurt and
40:57
Speaker 2: those sorts of things. But I think protein is really
41:01
Speaker 2: really important, and particularly as we eat. I mean, my
41:05
Speaker 2: listeners will have heard me banging on about the importance
41:08
Speaker 2: of protein, especially as we eat. But yeah, those mono
41:12
Speaker 2: and saturated fats avocado are extraverrgin, olive oil, nuts and
41:17
Speaker 2: seeds like, I have oodles of that stuff because I
41:20
Speaker 2: don't think anybody would quibble about the health benefits of
41:25
Speaker 2: both mono and saturated fats and Amiga three fats. The
41:29
Speaker 2: fat wars are the Amiga six and the saturated fats.
41:34
Speaker 2: That's where we get into the fat wars, isn't it.
41:36
Speaker 1: Yeah, So the Omiga six is in the vegetable oil,
41:39
Speaker 1: canola oil, some flower oil. The highly high in the
41:45
Speaker 1: six are highly inflammatory and there's some studies showing that
41:49
Speaker 1: they are the culprit of increasing risk of heart diseases
41:53
Speaker 1: and inflammation in your body. So really should stay away
41:57
Speaker 1: from that.
41:57
Speaker 2: Yeah, and again lots of controvert seeing it. I definitely
42:01
Speaker 2: side in your camp on that one. And I think
42:05
Speaker 2: what a lot of people don't realize. I mean, let's
42:08
Speaker 2: take a couple of steps back. The reason why these
42:12
Speaker 2: oils were promoted goes way back to nineteen seventy seven
42:18
Speaker 2: and the heart health hypothesis, right that saturated fat was
42:21
Speaker 2: bad because it causes heart disease. And we know that
42:24
Speaker 2: those studies were pretty flawed at the time, so they
42:28
Speaker 2: started creating these alternatives that were by products from industries
42:33
Speaker 2: that already existed, like all of those seeds that were created,
42:38
Speaker 2: and then they created those seed oils. Again, if I
42:41
Speaker 2: was Czar of the universe, I would have people go
42:44
Speaker 2: in and see how they're actually produced. Yeah, because there's
42:49
Speaker 2: high amounts of heat and chemicals that are used in
42:52
Speaker 2: the production of these oils. And they're promoted because they
42:57
Speaker 2: have a high smoke point. And I think this is
42:59
Speaker 2: really important for our listeners to understand. That means they
43:03
Speaker 2: don't or it has to be very high temperature food.
43:05
Speaker 2: They turn into a trans fat, and everybody knows trans
43:08
Speaker 2: fats are not good, and that's why they're promoted. But
43:12
Speaker 2: and the Amiga six fat is unstable, and so as
43:15
Speaker 2: soon as it's heated, it gives off toxic aldehydes, which
43:20
Speaker 2: are highly inflammatory and carcinogenic. Right, And so by the
43:24
Speaker 2: time you just get it in the bottle, it has
43:27
Speaker 2: already been heat treated and had all sorts of chemical
43:30
Speaker 2: shit storm in there already. Right.
43:33
Speaker 1: Absolutely, Yeah, they actually propocess food. So I've just saying.
43:39
Speaker 2: Low human influence, low human interference, and that's right. You know,
43:45
Speaker 2: if you were able to see avocado oil, extra virgin
43:48
Speaker 2: avocado oil, an extra virgin olive oil made versus how
43:52
Speaker 2: these oils are made, I think people would just stop
43:55
Speaker 2: buying them straight away.
43:57
Speaker 1: That's right.
43:58
Speaker 2: So talk to me about the results that you have
44:02
Speaker 2: seen in your patients.
44:04
Speaker 1: Yeah. Yeah, So since I've branded myself in my low
44:08
Speaker 1: Carp cinque, the patients come in and they're ready to
44:11
Speaker 1: do low carp already because they're paying me three hundred
44:14
Speaker 1: dollars for a consultation. They're paying me money, they invested it,
44:18
Speaker 1: they've invested the time. We'll spend forty five minutes talking
44:21
Speaker 1: about how to do low carp and results are fantastic.
44:26
Speaker 1: There's people that reverse their diabetes. Quite often. They come
44:31
Speaker 1: in and they're newly ditknosed diabetes. The HbA one ce
44:34
Speaker 1: could be seven and three months later I tested again
44:38
Speaker 1: and quite often goes right down to five point seven
44:43
Speaker 1: five point nine.
44:44
Speaker 2: Wow.
44:45
Speaker 1: And they lose weight. Not quickly, but they do lose weight.
44:48
Speaker 1: Men might lose tanky low over three months and the
44:54
Speaker 1: women maybe a few kilos over a few months. I've
44:58
Speaker 1: had ladies who lose ten twenty heros over six to
45:03
Speaker 1: twelve months, and they feel much better, They less bloated,
45:08
Speaker 1: they feel more energy, that mental health is much better,
45:13
Speaker 1: and it's so rewarding that they actually improve in their health.
45:18
Speaker 1: They function better in themselves. It's just that it's difficult
45:22
Speaker 1: in a high car world to keep going and sometimes
45:25
Speaker 1: there's stress, sometimes there's going out and holidays. So it's
45:31
Speaker 1: just they need some more support and they need to
45:34
Speaker 1: if they go off track, they need to get back
45:36
Speaker 1: on track. It can be difficult at some times.
45:39
Speaker 2: Yeah, it is, and particularly if you're used to a
45:42
Speaker 2: lifetime of eating carbohydrates, it's a tough diet. So adherence
45:48
Speaker 2: is really key. So I want to tell you a
45:50
Speaker 2: little personal story here, and we've got a we've got
45:54
Speaker 2: a shocking family history of diabetes and the genetics. My
45:59
Speaker 2: genetic and my two brothers genetics around obesity and diabetes
46:03
Speaker 2: are shitters, really shitters, right, And my mom has had
46:07
Speaker 2: diabetes for decades, and you know, I've tried several times
46:13
Speaker 2: over the years to sort of help her. But a
46:15
Speaker 2: bout a decade ago, my mom and dad came over
46:19
Speaker 2: and I had been conspiring with my dad. They were
46:22
Speaker 2: coming over for three three months, and I went and
46:25
Speaker 2: got them from the airport and I said to my mom,
46:28
Speaker 2: welcome to Camp Taylor. And we sat down and had
46:32
Speaker 2: a long conversation about diabetes, the long term implications, particularly
46:38
Speaker 2: your degenerative diseases, which scars the shit out of my mother.
46:41
Speaker 2: And I said, will you do three months, and she said, okay, yes,
46:45
Speaker 2: I'll do three months, and so we put her on
46:48
Speaker 2: a high protein, moderate fat, but healthy fat, just like
46:53
Speaker 2: you were talking about, very low carbohydrate diet. And she
46:57
Speaker 2: left three months later twenty kilos lighter, wowz and off
47:04
Speaker 2: her diabetes medication, right off her blood pressure medication.
47:08
Speaker 1: Fantastic.
47:09
Speaker 2: And that was in three months twenty kilos wow wow.
47:14
Speaker 2: And the way it just dropped off her because she
47:17
Speaker 2: was so into and resistant, right, But that's with one
47:21
Speaker 2: hundred percent adherence, and there was exercise added in and
47:25
Speaker 2: in increased over time. And that's the thing. If you
47:29
Speaker 2: can control somebody in a metabolic ward like that for
47:33
Speaker 2: three months, the results would be even better than free living, because,
47:38
Speaker 2: as you say, it's hard, it's hard. Yes, I mean
47:41
Speaker 2: I know it's hard. I tend to eat, but you know,
47:44
Speaker 2: I'll every now and then have those other things, and
47:46
Speaker 2: it's it's it's really hard to be really really strict,
47:49
Speaker 2: isn't it. Yeah?
47:50
Speaker 1: Yeah, yeah. You touched on something that about getting off medication,
47:54
Speaker 1: which is a passion of mine, and since doing this,
47:57
Speaker 1: I've been taking passions off medication, diabetes diabetic patients, taking
48:02
Speaker 1: them off some self malurias, and that is a very
48:07
Speaker 1: rewarding practice of mine. That it's much more rewarding than
48:11
Speaker 1: seeing all patients coughs and codes and patients feels fantastic
48:16
Speaker 1: about I'm telling them, you don't need to take this anymore.
48:19
Speaker 1: We're going to reduce your blood pressure tablet, We're going
48:21
Speaker 1: to reduce your diabetes drugs, and that is one of
48:26
Speaker 1: the best things as a doctor.
48:28
Speaker 2: Yeah, but really rewarding. Now, I want to get your thoughts. Sorry,
48:32
Speaker 2: I know where we're coming close to time. I want
48:34
Speaker 2: to get your thoughts in this new class of drugs,
48:37
Speaker 2: the zimbic and then the variations of it, which and
48:42
Speaker 2: there's particularly one that's targeted towards diabetes. Your thoughts on them,
48:48
Speaker 2: both short term and long term. Yeah.
48:53
Speaker 1: Yeah, So these drugs have been quite controversial, and I
48:57
Speaker 1: think there is a place in them in those people
49:01
Speaker 1: who are diabetic and if they want to lose weight,
49:05
Speaker 1: there is a place that they these drugs do help
49:09
Speaker 1: them lose their weight, control their diabetes, control their blood glucose,
49:13
Speaker 1: control their diet and appetite. However, I think patients needs
49:19
Speaker 1: to be worn there's lots of potential side effects with
49:22
Speaker 1: these drugs that they do help you lose weight. They
49:25
Speaker 1: help you lose fat, but they also help not help,
49:28
Speaker 1: but they also causes a loose in leaning body mass,
49:33
Speaker 1: including their muscle and bones. And that's right. And then
49:37
Speaker 1: when you put your weight back on, you'll be putting
49:39
Speaker 1: on fat, so you'll be replacing your bones and muscles
49:44
Speaker 1: with fat when you put weight on. So these people
49:48
Speaker 1: can get more frail, they can more chances of cyclopenia,
49:53
Speaker 1: which is losing muscles. They're more frail, they can break bones.
49:57
Speaker 1: And then there's mental health complications that can come with
50:00
Speaker 1: these drugs as well, and there's lots of potential side
50:05
Speaker 1: effects that we don't know of. So I think there
50:08
Speaker 1: is the place, but patients have to be worn that
50:12
Speaker 1: we don't know what we don't know. So yes, so
50:15
Speaker 1: I'm not a big fan of them.
50:16
Speaker 2: I think you summed it up beautifully. My real concern
50:21
Speaker 2: is that the sycopenia. I did a podcast quite recently
50:25
Speaker 2: on sycopinia. You know that n one in ten youths
50:29
Speaker 2: are being diagnosed with cyclopedia and we wow, And because
50:33
Speaker 2: they're not testing widespread, it's probably much higher than that
50:37
Speaker 2: with all their sedentary behavior. Now, let's take the case
50:40
Speaker 2: of this youth who then has developed arcopenia, and because
50:45
Speaker 2: they're not exercising, they're sitting indoors all day, they're in
50:48
Speaker 2: a shit diet. And then they put on with it
50:51
Speaker 2: and then they go on these drugs, and then what's
50:54
Speaker 2: going to happen is exactly as you said, they're going
50:56
Speaker 2: to lose more muscle, they're going to lose more bone,
50:58
Speaker 2: which is osteopenia, and then they can't be on those
51:02
Speaker 2: drugs from twenty to eighty. They can't be on drugs
51:05
Speaker 2: for sixty years, so they have to come off those drugs.
51:08
Speaker 2: And then as you say, they're going to put on
51:10
Speaker 2: more fat, they're not going to put on the muscle again.
51:13
Speaker 2: And then they're going to be proposed and then it's
51:15
Speaker 2: a metabolic disaster and then what they're back on the
51:18
Speaker 2: drugs again. Yes, and as you say, we do not
51:21
Speaker 2: know the long term issues. I mean, further short, pharmaceutical industry.
51:26
Speaker 2: These drugs are amazing because a they have an impact
51:31
Speaker 2: on people who can or won't do the work, and
51:36
Speaker 2: there's instant impact. But b when they get off everything
51:41
Speaker 2: goes back, so they need to really stay on the
51:45
Speaker 2: drugs long term. So great for the pharmaceutical industry. But
51:50
Speaker 2: I sure you're concerned. We do not know what we
51:53
Speaker 2: do not know yet, and I think ten years from
51:56
Speaker 2: now there's going to be a very different conversation about
51:59
Speaker 2: these drugs. Yes, last thing I want to talk about
52:04
Speaker 2: you like me, I've recently got into breath work. Talk
52:09
Speaker 2: to me about that. Why have you got into it?
52:13
Speaker 2: And talk to me about your experience with it.
52:15
Speaker 1: Yeah. Yeah, I've gone into it for the last year
52:18
Speaker 1: or so and that's helping me and my patients with
52:23
Speaker 1: mental health and increasing reducing anxiety, of reducing stress. And
52:29
Speaker 1: I've stuck into it more and more, and I've actually
52:31
Speaker 1: certified myself as a breathwork facilitator. So I branded a
52:35
Speaker 1: new business called Breathe in Health to help patients with
52:40
Speaker 1: improving their breathing, talking about the nose breathing as opposed
52:44
Speaker 1: to mouth breathing and suggesting them to nose breathe at
52:49
Speaker 1: night and even exercise as well, and talking to them
52:52
Speaker 1: about slowing down their breathing, improving their oxygen in their
52:59
Speaker 1: body because of increasing the tolerance of carbon dioxide. So
53:05
Speaker 1: I know we haven't got much time, but there's a
53:07
Speaker 1: whole lot more science to breathing by retraining your body
53:11
Speaker 1: to tolerate carbon dioxide and that in turns improves oxygen
53:16
Speaker 1: delivery and quite often calms you down and increase improved
53:22
Speaker 1: brain and health and improve exercise tolerance as well. So
53:25
Speaker 1: I've totally delved myself into this breath work journey and
53:32
Speaker 1: I'm myself be more calmer. I'll be religious doing breath
53:36
Speaker 1: work at least once a day, usually fifteen minutes. Yesterday
53:40
Speaker 1: I went to a breathwork class and for an hour,
53:43
Speaker 1: and I feel much better. My life is super busy,
53:48
Speaker 1: just on thego, and two teenage boys drive around and
53:53
Speaker 1: I feel like I'm managing much better in my busy world.
53:58
Speaker 2: Ie. You a'm a massive fun of breath work and
54:01
Speaker 2: I think we've done the same oxygen advantage. Yes, yeah, yeah, brilliant,
54:07
Speaker 2: brilliant stuff, Absolutely brilliant stuff. I'll put a link in
54:10
Speaker 2: for people, talk about links. Where can people go ave
54:14
Speaker 2: if they want to find more about you? The Low
54:17
Speaker 2: Cloud Clinic or the Breathing Health and Love and by
54:21
Speaker 2: the way, breath and Health. So just just give us
54:23
Speaker 2: all the places that people can go to. Sure.
54:26
Speaker 1: My website is Melbourne lowcarp Clinic. It's www dot MLC.
54:31
Speaker 1: Clinic dot com dot Au and the Breathing Health website
54:35
Speaker 1: is ww dot breathe in Health dot com dot Au.
54:40
Speaker 1: And I'm very active on social media. My handles are
54:43
Speaker 1: doctor child and Lifestyle GAP on Facebook and Instagram. My
54:49
Speaker 1: YouTube is doctor Childs and Life Style GP as well,
54:53
Speaker 1: and LinkedIn is just my name, Ady Chilton. And yeah,
54:56
Speaker 1: i advocate prescribing lifestyle and I've got a podcast called
55:00
Speaker 1: Prescribing Lifestyle which you've come on, and that I talk
55:04
Speaker 1: to many people who have improved the health with lifestyle
55:09
Speaker 1: and other lifestyle practitioners, and I'm really big on not
55:14
Speaker 1: prescribing medications and deprescribing medications to my patients.
55:19
Speaker 2: Amen, we need more gps like you. Av Keep doing
55:24
Speaker 2: your awesome work and thank you for returning the fever
55:27
Speaker 2: and coming on my podcast. I think it'll be awesome
55:30
Speaker 2: for the listeners. And if you do, if you have
55:34
Speaker 2: metabolic syndrome or you're there, you know you've got you
55:37
Speaker 2: fought around the middle of your high blood pressures, how
55:39
Speaker 2: you try. Glyceides are high, your HITDL is low, your
55:42
Speaker 2: glucose is high, or any three of those. Get on
55:46
Speaker 2: the Avhart and bandwagon because it's not a slippery slope.
55:51
Speaker 2: It's a vortex and once you have metabolic syndrome, so
55:55
Speaker 2: early intervention is critical, isn't it.
55:58
Speaker 1: Yes, absolutely, that's right. We can reverse all of that. Yeah,
56:02
Speaker 1: I heard the diet.
56:03
Speaker 2: But the earlier you start, the easier it is to
56:06
Speaker 2: reverse it. Thanks Heavy, Thank you Paul, thanks.
56:10
Speaker 1: For having me.
56:11
Speaker 2: Cheers,