Type 1 Diabetic Quits Carbs And Here’s What He Finds Out | Dr. Shawn Baker & Paul

I became horribly ill and nobody could figure 
out why my wife had been on my case about going   in and seeing the doctor and I developed 
a really bad thresh infection in the back   of my throat she just put her foot down and 
let me know that I was going to the doctor   made the appointment and took me in lab 
capability there it was a small clinic in   a rural agricultural area gave me some metformin 
and sent me home I called back the next day and   I said I wouldn't got my blood glucose meter 
and it's broken because all it says is high   and I didn't realize that like glucose meters 
won't read anything over 600 she screamed for   me to come right in put me on insulin and 
I was the beginning of my journey foreign everybody hopefully everyone's gonna have a nice 
day happy Tuesday Morning we've got a guest today   Hall who I just see has just popped in here good 
morning how are you I'm doing well how are you   this is so strange it's like I knew you I see you 
every day and and it just kind of struck me as a   little bit odd there for a second yeah it is kind 
of yeah I was it's kind of funny because in Costco   yesterday and ran into two people that recognized 
me it's just you know same old thing and it's just   I'm pretty much the same in person as I am here 
on on this type of thing but anyway where are   you located Paul uh we just moved a couple years 
ago to Oklahoma lived just outside in the country   outside of Shawnee very nice okay where did you 
move where did you move from ah California the   greatest place to move a lot of people are having 
an exodus from there it seems like for for various   reasons in fact we left we left there he gets 
locked up yeah if you don't mind just kind of   sharing your background with us a little bit at 
age 62 I'm I'm now 66 but at age 62.

I became   horribly ill and nobody could figure out why 
my background is is a pretty sedentary computer   oriented work I do uh parametrics 3D modeling I 
design equipment but basically do it on a computer   so that computers can cut the parts out and put 
them together I love the work not really strenuous   and I just started developing really really 
strange problem what I call the insatiable   thirst urinating constantly getting up seven 
eight nine times a night craving sweets   so and losing weight sounds 
like sounds like diabetes one yeah yeah diabetes is kind of a horrible term 
because it it has two different diseases within   it I mean diabetes is the name of a symptom it's 
not the name of a disease or that's my opinion   well there's definitely yeah there's definitely 
a a pretty significant difference between type   one which used to be called juvenile onset and 
type 2 adult onset and there's actually even   some subcategories of that now that there's so 
there's actually some people claim there's even   four or five types of different diabetes out 
there out there but anyway so you you 62 you   you discover your type 1 diabetic how did how did 
how did you know you made you talk about some of   the symptoms you have but when do they say Hey or 
how do they discover you roll into the emergency   room with a blood glucose of 500 or something or 
what what happened oh no I'm I'm way too stubborn   for that my wife had been on my case about going 
in and seeing the doctor and I developed a really   bad uh thrush infection in the back of my throat 
and when it just about closed off my Airway she   just put her foot down and let me know that I was 
going to the doctor made the appointment and took   me in luckily the nurse practitioner that I saw 
is familiar with diabetes and the symptoms of high   blood glucose and she knows that fungal infections 
are very very common it's just glucose is fuel for   them and first thing she did was finger stick me 
it was like uh five something uh and this was in   the morning before I'd eaten so that's pretty hard 
so not having any lab capability there was a small   clinic in a rural agricultural area gave me some 
metformin and sent me home I called back the next   day and I said I went and got my blood glucose 
meter and it's broken because all it says is high   and I didn't realize that uh blood glucose 
meters won't read anything over 600   so she screamed for me to come right in put 
me on insulin and that was the beginning of   my journey yeah that's got to be a shock but you 
know like I said this is how you know and it's   interesting because in their 60s presenting with 
type 1 diabetes this is this is for some reason   this is becoming more and more common uh than it 
used to be that you know type 2 is very common   but even type ones are happening later and later 
in life and at different stages so it's kind of a   unique thing I would question that conclusion I 
I work in a couple of groups that support type 1   diabetics and help them and Coach them and we 
just recently did a survey in our adult Lada   group and over 60 for 60 percent of the people in 
that group were originally misdiagnosed as type   twos yeah some of them for many years so when you 
look at you say wow it's happening in adults more   no they're finding out that it's happening in 
adults more or what you really need to ask is   what happened to those poor type ones diagnosed as 
type 2 10 15 years ago yeah I'm sure there's there   is a percentage of mischaracterized diabetics 
and discovering you know you mentioned a lot   of the you know the late late on set you know 
autoimmune diabetes adulthood but there is uh   um you know and there's there's a certain 
percentage of type 2 but diabetics that burn   out their pancreas to the degree where they they 
stop making insulin and they effectively also   become type type 1 so it's kind of an interesting 
thing so you get this diagnosis they put you on   insulin they send you to a diabetes educator 
or something like that and tell you to eat   50 grams of carbon meal or how did that 
work how did that how did that no I was   I was sent to the Ada's website to download 
their diabetic self-care handbook for type   ones okay real personalized care and 
did you did you pursue that for a while   yeah failed miserably well incredibly horrible 
what was he what was the advice they gave you and   what do you mean by you failed oh 50 grams 
of carbs per day make sure you get so many   uh uh healthy whole grain servings per day uh 
what's a good food what's a bad food you know   um obviously they don't want you drinking soda 
pop if they don't have a problem at all with   you drinking orange juice so you said 50 grams per 
meal or per day I think it was per meter per meal   uh minimum yeah minimum uh many want you to eat 
more than that and uh it posts this particular   you've you've got this website this wonderful 
uh intervention for people called carnivore   type one's kit to what you say our dosage is 
based upon the amount of carbohydrates they make   us eat if we tried to go carb carnivore without 
being crazy like me or crazy like Ryan art that   are and figuring out our own dosage we couldn't 
possibly do it because we won't be instructed   in how to tighter our doses for the difference in 
carbohydrate and protein yeah I mean maybe perhaps   not through the Ada I mean there's other there are 
other sites that there are other ways to figure   out protein dosing and fat dosing and things like 
that which is interesting but let me ask you you   know so you're Dr Bernstein's a good one right 
right Dr Bernstein's Diabetes Solution is an   excellent resource for people that are suffering 
from either type one or type 2 quite honestly   um so I mean they put you on insulin was it what 
was the original was it basal bolus I mean how   did they how do they you know uh no it was uh 
basically I can't remember what they call it but   you you check your blood sugar and if your blood 
sugar is at this level you use as much insulin   before a meal and if it's this level you use as 
much insul on a meal and then you start out as   so much basal insulin and increase or decrease it 
according whatever your fasting insulin is not a   very good way of of managing it even if you were 
on a high carb diet you really need to tailor the   insulin that you eat uh take to the uh the food 
that you ate yeah I mean it's there's a lot of   nuance to that and it's you know without going 
into the details and like there's there's a lot   more to it than just you know titrate this based 
on your fasting insulin and I think there's a lot   a lot more a lot more things going on there but 
you know with the high carb diet you know eating   at least 50 grams per meal and potentially much 
more than that is what you know often the Ada   is recommending what kind of control did you have 
did you see your numbers going up and down pretty   high and what kind of a1cs were you were you were 
you ending up with we call that the roller coaster   where you have very high glucose so you take a 
correction dose of insulin and you go down too low   and then you take a correction of the 15 grams of 
carb that they suggest which is ridiculous by the   way I don't take any more than two to four grams 
of carbs now to modify my blood sugar so you're   constantly screaming down hypoglycemic screaming 
up hyperglycemic uh many times during the day and   how does it feel just for those horrible what do 
you mean by horror what are you feeling when it's   happening I couldn't work well I'm now I call it 
retired I'm actually disabled what I do is it's   intellectually challenging and highly Technical 
and the brain fog inability to think straight   uh short-term memory loss uh emotional outbursts 
they don't they don't and underlying it all   was a very fatalistic attitude that I had not 
realizing that it was the food I was eating that   was causing I wasn't suicidal but I didn't care I 
literally didn't care it just surprised me so much   when I did get straightened out and then lifted I 
had no idea how badly I was being affected until   it was gone yeah I mean it's that's something I'm 
glad you mentioned that because a lot of people   don't realize that you know diabetes has a lot of 
effects on people and there is a huge significant   mental issue and you know the fact that you're 
you know you're you're you're you're your blood   glucose is going up and down so dramatically 
and you're hypoglycemic and you're sweating   and you're starving and you're you can't think 
straight you feel like you're drunk and then   then it goes up and then you start falling 
asleep and it's just this constant sort of   Battle of of just never feeling kind of normal 
there's a brief period where you might feel   normal your blood glucose is in a relatively 
normal range how did you get out of this where   did you decide to do this low carb carnivore 
where did that come in how did you discover   that I was irritated with my wife when she made 
me go to the doctor so when they came in to check   my blood sugar I told them they couldn't check 
mine until they checked hers and hers was 325.   she was a serious type 2 diabetic wow I started 
studying but basically I thought I had my side   all figured out you know I started trying to 
figure out how can we get her better because   everything I heard about through the official 
channels was type 2 diabetes it's Progressive   and chronic all they can do is slow at death I 
can't stop it and that just wasn't good enough for   me it's never a good enough for a loved one you 
don't listen to anybody who says stuff like that   and then I started getting into Ben bickman you 
all Mason David Diamond and boy just you talk   about an eye-opener this different Viewpoint 
this different take on nutrition and health   that nobody even knows it's out there it's 
it's uh the best kept secret on Earth isn't   it well we're trying believe me no I know you 
are I'm trying to get it out there but there's   a lot of censorship and a lot of people that 
don't want that information out there it seems   like so you started reading researching because 
you your wife has now discovered to be type 2   diabetic now I mean one might say well maybe it's 
contagious you know it's a virus maybe you both   had the same food environment what was your diet 
like this is backup what was your dialogue prior   to all this discovery were you just eating the 
standard American garbage or what were you doing   oh yeah I was standard American diet I I believe 
that everything in Balance which means whatever   crap I wanted to eat during the day that was my 
excuse right I've been involved in statistics   enough to know that coincidences do happen you get 
so many incidents uh instances of different things   happening and two of them are going to happen at 
the same time it's called the birthday Paradox   and it it's not as rare as you would think it 
is we're type ones are 1 and 300 type twos or   gosh probably the majority in the country right 
now and the chances of having two in a household   are are pretty darn good so so you start reading 
about and learning about you know big men some of   my stuff Paul Mason you know David Diamond and 
some of these other folks that are out there   for professing age maybe a different nutritional 
strategy away from maybe the high carb kids and   consistent carbohydrate diet that the diabetic 
Ada often recommends so when did you decide to   I'm gonna I'm gonna try this stuff and then how 
did it go oh what got me was I found Rd Dyckman   the sun is a type 1 diabetic diagnosed at age 
nine and he talked about what he went through   and having a similar technical background uh 
what he said just made sense it doesn't matter   how smart you are it doesn't matter how what 
kind of grip you have on mathematics this is   chaotic behavior and if you can't treat the root 
cause of the chaos you're never going to fix this   and then he followed him to Dr Bernstein 
a lot of small numbers uh the idea that   you need to get your body into a much calmer 
much more predictable much more reliable state   to be able to use the tools that we have the the 
insulin and the blood glucose monitors yeah so   that's all the difference so the small numbers you 
know the the I guess the idea is you know if you   keep your insulin fairly stable rather than these 
huge you know perturbations where you're having to   chase it with very large doses of of insulin which 
physiologically don't necessarily match with it   with it with the absorption characteristic as an 
insulin particularly the rapid acts say acting and   and you end up with these over Corrections and 
under Corrections and constant battling and so   when you're just making a small nudge uh there's 
a guy uh I think Steve Posner he talks about sugar   surfing and he's written a book on yeah something 
similar where he just got a real fond of that he   has you know he's still more of the uh Ada you 
know type of diet but at the same time it's it's   making these General corrections but you know 
Bernstein has helped and a huge number of type   ones and for you guys don't know Richard Burns 
he's I think he's 86 or something like that maybe   87 years old he's been living with type 1 diabetes 
since he was a kid and so yeah still doing well   so okay so you you get into this start reading 
Dykeman stuff and Bernstein stuff How does it go   once you start implementing and when and I guess 
Card War comes in here at some point I guess well   it convinced me intellectually so at that point 
I said okay I'm going to do an experiment I'm   going to do a test and if it's going to be a good 
experiment I'm going to follow it precisely and I   did that and I was probably at A1C up around 14 
15 diagnosis my first post-diagnosis A1C was 4.9   see that's the thing that people don't understand 
about type 1 right away is it isn't just being   able to cover the food anybody can cover the 
food on any given day it's going to be the   same tomorrow no it's going to be the same an 
hour from now no because what we're doing is   we're predicting the future we're trying to dose 
for what our body will be an hour and a half for   now and the insulin kicks in what this does is 
this you get down past down below this threshold   where I think it has a lot to do with uh being 
metabolically uh flexible it has a lot to do with   being in ketosis or or in a stable metabolic state 
where your body is not switching back and forth   from burning Rocket Fuel to burning crude oil 
constantly back and forth back and forth back and   forth you get out of that routine and everything 
settles down to where the tools work very well   you said your first post-diagnosis A1C was 4.9 
so it was was that was that on carbohydrates or   was that on already on a low carb diet no I only 
tried the carbohydrates for about three weeks okay   okay so you quickly decided that wasn't for 
that wasn't going to work for you yeah so I   searched for another two or three weeks okay so 
I actually got on the proper train very fairly   quickly okay good for you and so so what how does 
that look like for you now now I mean as far as   uh how much are you dosing how what does your day 
look like typically for for your diabetic routine   that's pretty easy actually I get up and I take 
my long-acting insulin it's split two times a day   pick in the morning and in the evening it's not 
equal because your needs for insulin aren't the   same when you're sleepiness when you're awake and 
uh about oh can 11.

Uh I I have my morning meal   I ate twice the day um and that's more because 
of another comorbidity that I have or no other   disease that I have that's probably related which 
is Epi hex again exocrine pancreatic insufficiency   I I don't make digestive enzymes anymore uh so I 
have to take a whole handful of uh basically it's   not a supplement it's something lipase is amylases 
and whatnot yeah yeah but it's industrial dose   where what you would find is a supplement would be 
about fifteen hundred to four thousand units and   what I'm taking is 125 000 units per male so it's 
a handful of bills yeah so you've got a pancreas   it doesn't do much I mean maybe it puts out some 
glucagon perhaps I don't know but so you know   your basil how we just had it for number wise how 
much basil are you utilizing just out of curiosity   morning it's only five and a half units uh my 
meal coverage in the morning you're normally more   carbohydrate sensitive in the watering or more 
insulin um excuse me you're usually you usually   need more insulin in the morning I don't know 
whether it's because you're waking up the cortisol   response or whatever but I take about four and 
a half units of Basil insulin excuse me boneless   insulin for the meals that I have I make sure the 
meals are the same amount the same size I don't   really vary the dose and um and is that a regular 
insulin or is that a Humalog or what do you I know   Bernstein's a fan of a regular oh I'm uh major fan 
of regular I don't I don't think you could follow   a meat-only diet or a substantially meat only diet 
without having regular because Humalog and no Vlog   have both been modified to act on the same time 
frame as carbohydrate digestion right right which   is much much faster than protein um not only that 
when you're dosing for protein you're not really   covering any carbohydrate any glucose rise from 
the food you're eating you're seeing what's called   the uh glycogen release uh glycogenolysis because 
your body knows that it's going to need insulin to   mobilize protein into your cells so your body 
releases glucagon which makes your body release   blood sugar I'm getting too complicated but 
basically it's not because your steaks turn into   cake okay that doesn't have no it's you you need 
protein you need insulin for protein simple answer   yeah that's you know I mean exactly what you see 
is you know the the protein you're absorbing has   an impact on glucagon secretion which is causing 
glycogenolysis exactly which then causes Horizon   low glucose and has to be countered by insulin 
so you're covering that right and that that's   interesting and you know the interesting thing 
about you know if you look at the the onset of   duration and onset of action of regular insulin 
you know the onset you know maybe in an hour and   it lasts you know maybe Peaks at about three hours 
and lasts for about six hours that pretty much   covers the protein digestion absorption Spectrum 
pretty nicely so so that's an interesting thing   for that how much yeah I try and cover that with 
Humalog you'd have to inject twice right yeah yeah   because at the beginning of the meal yep yep what 
um do you find Alexa how big are your meals just   out of curiosity how much are you eating really 
big but a lot of it has to do with poor absorption   um I I don't digest food real well or excuse yeah 
um uh and don't even get into the symptomology of   Epi it's hideous but with the enzyme pills 
I'm doing pretty good but I don't think I'm   absorbing anywhere near what I should be eating I 
I tracked it for a while and I was eating about 5   000 calories a day and I'm six foot two and at 
diagnosis I went all the way down to 118 pounds I   managed to gain back I'm back up to 160.

But still 
for somebody six two that's pretty thin 118 yeah   that is very thin that is that is concentration 
camp right that's that's what type 2 1 diabetes   did you know and it people would waste away and 
because her body would just kind of Auto digest   herself you know there's kind of Marty Kendall who 
thinks you know there's a certain amount of Basil   we have to we have to dose to keep ourselves from 
turning into a pool of glucose as we break down   our own proteins and so I lost a lot of skin yeah 
does that recovery have you and how long have you   been on so this is you said it was four years 
ago that saw occurred so you've been Carnival have you been a fully carnivorous diet for that 
long or mostly carnivorous no I'm an accidental   carnivore okay um I I I didn't start doing 
this because I saw any type of nutritional   superiority but I've never believed that there 
was a reason why you have to eat plants as far   as I'm concerned a plant is just variety and after 
a while it became such a pain in the butt I just   stopped eating the darn things and how is that I 
assume the the negative effects on it hasn't had   any negative effects on your diabetes has it none 
whatsoever uh compared to other well-controlled   diabetics I'm probably right up at the top of 
the list I'm I'm lucky I'm I'm very consistent   and your hemoglobin a once you you mentioned the 
first one was 4.9 what does it typically run over   the years that you've been doing this now well 
4.9 to 5.1 which is basically in the variation   of the test Yeah so basically I could completely 
normally one see well I can hit any number you   want me to right you know I don't really see a 
lot of value in hitting 4.5 but I could do that   um and I could do it without risk yeah because 
it isn't the low glucose that gets you it's the   excursions well and that's what that's what 
Bernstein talks because you know the classic   endocrinologist will warn you against hypoglycemia 
because there's relations to dementia down the   road and Bernstein will argue it's because of the 
Rapids fluctuations and most people have hypos are   type ones that are over correcting for or type 
ones and type 2 is over correcting for carbs and   and that's that's sort of the issue there that 
uh and it's a moot point because I don't have   hypoglycemia at a frequency any worse than any 
other type 1 diabetic it is a non-issue it's an   argument that they bring up because they don't 
want to change their guidance yeah I can see I   mean I know there's some people say well we've 
had people that have had hypoglycemia Comas and   we don't want to get sued about that so I know 
there's there's kind of a cya part of that but   at the end at the end of the day if you're if 
you look at the Ada's current guidelines you   know they're they're target range is between 
70 and 100 and 80 70 percent of the time so   you know somebody would argue sitting around 
at 180 all day long is not a good thing and   that uh you know and only doing that 70 
percent of time you could be even higher   potentially is um 120 right probably 
95 of the day right right do you   um so I mean with diabetes comes the concerns 
about retinopathy nephropathy cardiovascular   disease is that something you're monitoring 
or maintaining usually diabetics are you know   checking these things you know periodically 
have you noticed any change with that stuff   that's an emotional issue for me because I 
coach type ones who have had horrible things   happen to them uh you forgot gastroparesis no I 
didn't mean it but I guess reason uh talk about   horrible right but I had my eyes checked and they 
did check and find that there was damage I don't   know the medical name for it and I do know that 
I went back in one year later and I said yeah I'm   interested to see if any of this is resolved and 
the doctor said uh no this doesn't resolve right   and then he did the the pictures and he had them 
up on the screen and he's flipping back and forth   between the two saying all kinds of strange noises 
and then he turns and tells me oh yeah it looks   fine yes um yeah it's funny you know that and that 
this is I think this is a really important point   I wanted I want to just talk about this because 
you're not the first diabetic and certainly not   the first type 1 diabetic that I've run into that 
has done a low carb or even a carnivore diet and   they have had their diabetic retinopathy go away 
and to me or improve or go away or whatever or you   know and to me that is very very powerful because 
not because the people will say that well low carb   diets are just masking the disease the disease 
is still there you know to me then if that were   the case the retinopny would not improve the you 
know these things would would continue to progress   it would get worse but what I'm seeing is actual 
recovery of end organ damage which is the whole   reason we don't want diabetes in the first place 
it's not because blood sugar is high it's because   our kidneys fail we're getting heart attacks 
we go blind you know we cut our feet off you   know so that is really what we're trying to 
avoid there and well supporting your point   it's not just retinopathy I I had peripheral 
neuropathy it's gone yeah completely resolved   yeah uh in this arm in my right arm and we'll 
see uh gone and uh did you have no fun when the   nerves start coming back by the way when 
you when you had the retinopathy was that   how long was that did you have that prior to the 
diagnosis of the official diagnosis of diabetes   yes it's part of what made me end up going into 
the doctor's office my son I worked with my son   at the time and we went outside the parking lot to 
talk and I was talking this was in Central Valley   of California and it's the fires are really really 
bad I can barely see down to the end of the street   and he just had this shocked look on his face 
he says dad there's no smoke in there yeah uh   you don't it's much easier to see something in 
another person than to see it in yourself right   because you compensate you constantly compensate 
if somebody tells you look dude you need help   you're in trouble please listen to them don't 
argue with don't try and explain to them while   they're wrong just go get it checked out yeah 
I think good advice there and and you mentioned   but you're talking about neuropathy like you 
couldn't feel your hands how long did that   precede your official diagnosis of diabetes or 
do you think or did you have for a few years or   was it something new yeah it creeps up on you 
it started on the sides of my big toes okay   um and then it started creeping up to the top of 
my four feet and then both feet and then you know   and then you get the tingly numbs instead of just 
the lack of sensation and then when the the patch   of my arm was the last one that developed uh 
which was actually the I think the probably the   gravest nerve damage because I completely lost all 
feeling in that patch of skin between my elbow and   my my hand it just sneaks up on you uh it's it's 
hard to tell how long it pre-saged it but it did   I was probably in trouble for a good two or 
three years before diagnosis and then yeah you   know like I said probably during this whole time 
you're you're pancreas is slowly shutting down   all this is going on um any thoughts as to why 
you you know because it's interesting the type   1 diabetics there's a lot of theories as to why 
that occurs some people think it's an infectious   etiology some kind of environmental damage you 
know some people's genetics but of course it's   60 you know you're probably seems a little 
late for that do you any idea why you think   you contracted type one is there any thoughts on 
that where you have an infection at some point or   what was a thought on that I honestly don't know 
I do know that uh Teenage prior years I had uh   viral hepatitis not hep C the other one I 
can't remember what it is a perhaps yeah   and other than that really not a lot 
of prop smooth infection diseases I   didn't really have the history of a lot 
of immune issues uh asthma none of that   I hear people online all the time and say oh yeah 
kovic gave me type 1 or this gave me type one and   they don't realize that whatever happened to 
you happened to you years before you ever see   the symptoms so that that trying to make these 
cause and effect connections is really hard to   do when you have a year to two years between 
observable effect and onset of difficulty um so the honest answer is I I really don't know 
I really don't know I was never a type 2 diabetic   uh always then always yeah you know whatever 
the stereotypical non-type 2 was that was me   uh I could sit down and polish off an extra large 
pizza and then turn around go get another one and   never gain a pound for a long the longest portion 
of my life well certainly um well let me ask you I   mean are you still being followed by some sort 
is an endocrinologist following you or there's   a primary care physician or who who's sort of 
managing prescribing insulin that type of stuff   person who I liked retired and I just don't 
feel like breaking in a new one these people   know nothing about managing my disease right they 
may be able to interpret blood markers or tests or   these things or that things but when it comes to 
what's important for a person's quality of life   they know nothing regardless I mean you still 
have to have a physician that prescribes you   insulin I assume right I mean you I mean no no 
I buy my insulin over the counter at Walmart oh   okay so I mean what are you using for long acting 
then in PH oh nth okay okay got it I figured out   how to make it work well okay it's not as bad as 
people make it sound yeah it got a really bad rap   back before the old low carb days but you know if 
you're eating a low carb it's not hard to manage   it's not that difficult yeah uh well that's and 
that's something that people don't know this that   you know I maybe don't know that you can buy well 
you can buy insulin over the counter at Walmart   fairly inexpensively you know it's I think it's 
like 25 for a vial of regular and I don't know   what they charge for NPH but uh same so that's 
you know as opposed to you know if you don't have   insurance you may be paying 500 bucks a month for 
or more for some of this other stuff and so more   is more common yeah yeah yeah so it's uh it's it's 
kind of an interesting situation there that you're   managing up so uh I mean do you check your own do 
you ever ever if you ever want a CGM or anything   like that no I don't have a CGM uh I use uh just 
a glucometer I do have I do spring for the best   one I've got the the bear bear the Contour Next 
which has got the new tech strip the test stripped   technology it's got very good accuracy and then 
how often are you checking those glucoses then   I can usually tell uh how well I'm doing I'll 
cruise through a day sometimes only testing six   or eight times but if I get any questions 
pop up uh I'll test 12 to 18 times a day there's a lot of finger sticks yeah that's 
for sure I mean 18 times a day is a lot I   mean it's for people that are having a 
little bit diabetes you know that's a   that's a you know it's a lot of thinking 
about that all the time Diane's asking   about if the syringe is over the counter yes 
Walmart will sell you syringes as well so   um yeah you know it's and it's really that not 
that many finger sticks because you cannot manage   type 1 diabetes with a CGM and I'll defend 
that statement um the inherent accuracy and   the repeatability yeah and the trustworthiness of 
a CGM just isn't there when you're injecting uh a   little too much of something that might be fatal 
yeah some people will will use utilize it as a   tool to to tell them when to check when to do 
an actual finger stick to make a decision so   they actually kind of get a sense it's useful 
for the alarm see if I could if somebody gave   me one free I'd use it yeah uh I don't see a 
value in it um well other than training and   information and spotting patterns and improving 
my my coverage yeah I take it if it was free but   I'm not going to spend money on one it's really 
good okay here's a sexist statement you ready   they're much better for women CGS guys have 
got it easy cgms are better for women you say   yes us guys have it easy in what regard everything 
affects your blood glucose hormones emotions   right uh exercise everything you can think I I 
know a lady who's because she was diagnosed at   three had horrible complications she's now 30 and 
recovering from a lot of the complications she's   really really tight with her glucose and she's got 
three different visual regimes depending on what   type of the month it is uh to three distinctly 
different basal regimes so that's what I mean by   us guys I've got it easy we're just you know 
eat steak and watch TV pretty much it yeah yeah well some of us like to exercise as well 
I mean it's you know it's one of those things   that uh it's interesting I do too but exercise for 
me is making it end to end at Walmart I've lost a   lot of muscle mass I've lost a lot of stamina 
I'm building back I've got my weights out in   the garage but at 62 it's really hard putting back 
what you lost let me back up a little bit because   you mentioned your wife type 2 diabetic how she 
also adopted this low-carb carnivore approach   or how is she doing yes now she's um she has a lot 
more it's harder for type twos than type ones type   ones they put a gun to your head you know behave 
or die type two they think they can put it off   they think they could cheat that and they don't 
recognize the the siren Call of a carb addiction   they never have to challenge it directly and get 
rid of it because it's gonna jump It's really   harder being a type 2 than being a type one so 
she had her wake-up call just recently she had   to go and uh see someone like you for shoulder 
reconstruction for uh rotator cuff uh on the job   injury and they canceled for surgery on her 
because their blood sugar was too high okay   so that got her attention and she's doing 
much much better now so Yeah well yeah I   mean you mentioned that it's harder for type 
twos but you know type twos if they if they go   on a right diet they can get off they don't need 
to be on medication the type one's going to be   stuck taking insulin regardless for the most part 
there is no remission for type one yeah you could   make it very manageable and you can have a really 
really good life and I wish I could tell convince   all of the type ones out there that that just 
think that it's such unmitigating hell that it   really doesn't have to be that way but type two 
yeah you can get over it yeah I don't think you   could every lots of carbs get in the rest of 
your life but you can get back to normal yeah   and and I guess you said you're you you do some 
you interact with some groups Some Type 1 groups   um are you getting some people that are that are 
that are adopting what you're doing I mean I know   there's some I know there's tap one time oh yes 
out there that are on board but you're having   a lot of resistance from other ones there are 
thousands of us out there doing this I mean you   talk about Best Kept Secrets gosh it's like hey 
guess what there's thousands of people maintaining   blood glucose time what type ones maintaining 
blood glucose at under 5.5 thousands of us   um yes uh the the adult group The Lana group 
is more difficult I work with the children   group they're wonderful they're Saints they're my 
heroes these these mothers and fathers are just   wonderful people because a parent is always going 
to take much better care of their child's health   than some than an adult's going to take of their 
own health the adults they're a little difficult   from time to time to deal with um sometimes you 
have to apply the clue stick it's it's it's hard   um I haven't heard that term the clue stick what 
is that you get a clue what is that yeah basically   yeah you you tap them on the head 
with it to try and be still a clue   um so I I it's a southernism yeah do you uh 
outside of you know controlling your blood   glucose and having basically normal a1cs uh and 
you know I guess arguably a better quality of life   with that have you noticed any other benefits from 
going carnivore or low carb as far as other health   things oh yeah oh yeah it's astounding like like 
I said I did not understand that I had emotional   issues before this happened I didn't even know 
I had it it's gone I'm a happy person I'm a   well-adjusted person okay honestly I get really 
really angry when I hear misinformation about   diabetes I'm sorry personal failing I'll admit to 
it I like you you really really get irritated with   it but other than that uh I'm healthier than I've 
been in the last 20 years so in that respect I'm   not sure that if I didn't have type 1 diabetes I 
think it's probably 50 50 that I'd be alive today   when I look at the family history of my family 
yeah um uh my my younger brother died at 49.   Widowmaker uh my mom same way grandfather same way 
come to find out everybody talks about cholesterol   and that by far the hugest biggest risk factors 
hyperglycemia and hyperinsulinity yeah why don't   they tell people that some people you know there's 
some you know some people are some people are   telling them that but you you know you see that 
and there was a you know I just pulled a paper   you are there was just a paper that just came out 
looking at it was this thing it was it came out on   Statin usage the the outcomes for major adverse 
cardiovascular and that's heart attack stroke   death or revascularization and they found that if 
you have a diabetic who has low tax score statins   provided no benefit whatsoever if you had a normal 
person with a low-cax score statins actually made   the situation worse the only situation where it 
was potentially beneficial was a high debt was   a diabetic with high amounts of plaque already 
already in there and so when you you say you   get mad about misinformation misinformation 
about diabetes in your interpretation what is   it what is a misinformation what do you what 
do you what do you think is wrong being told   okay I'm a practical engineer I learned science 
as it applies to being able to predict what's   going to happen when you do X or when you do y 
as far as I'm concerned everything else is good   so when people go online and they talk about this 
causes that and science cause has a very specific   meaning these people are completely using these 
terms wrong and they're talking to laymen about   it who don't understand that they know absolutely 
nothing about what's going on when they say things   like X causes y okay that's what I mean about 
misinformation when I hear people talk about   saturated fat causes insulin resistance that's 
why you have to be a vegan if you're type one   I come unglowed there are some advantages 
to plant-based diets for type ones who   refuse to eat animal based products it's 
better than the standard American diet   you know the Randall cycle what you have going on 
with cross-inhibition of fats and carbohydrates   in nutrition if you go very low carb or very low 
fat both of them are going to make managing type 1   diabetes easier once nutritionally deficient but 
we won't talk about that well there's a there's   a you know there's a vegan group that type 1 
diabetics there's a book called mastering diabetes   and the whole point is to oh yeah dramatically 
lower your fat to such a low level we're even   counting the amount of fats than in a banana 
you know it's just like so they have this 10   grams or less a day and the thought is that they 
can dose less insulin per gram of carbohydrate   but I don't think it results in the level of 
overall control or the lower A1C that you do   with with you know a little oh and it doesn't 
you talk about Cyrus and Bobby yeah yep sure I'm sorry if you looked at the uh a1cs they 
have they they boasted out that's probably   six six something maybe I don't know what 
it is maybe 6.1 yeah yeah right yeah yeah   that's an awful lot of work for a 6.1 I'm sorry 
I'm unimpressed um yes if I have somebody who's   committed vegan or if I have somebody who's uh 
uh religious convictions won't allow them to eat   meat or something I'll have them see if they can 
apply some of these things to try and make their   life a little bit easier I I really don't think 
that's the way to go but you know opinions vary   um I'm not gonna not help somebody just 
because they're doing something I don't   believe in I'll try my hardest to figure 
out how to help them anyway it's just   sometimes you know toolbox is empty 
guys I I don't know what to do for you   so yeah and the big problem I have with Cyrus 
and Bobby is that they are in Paul said you know   they are these these people who constantly talk 
about what's in literature and what's known in   science and this has been proven and that's been 
proven and they're they're just blowing smoke   um if it's or something they're blowing something 
let's put it that way yeah there's there is   a lot of oh yes I agree that that sometimes the 
literature does not match the clinical experience   and it's it's you know you kind of sometimes the 
patients are ignored in the process and I I can   I'll just relate that you know in my own specialty 
Orthopedics you know we would have outcomes that   you know were valuable to us hey look out look at 
the look at the you know we'd look at the uh you   know we put in a knee replacement we you know we 
calculate the Angles and make sure it was within   a certain tolerance and we would assume that 
was a good outcome but the patients may still   be miserable and and that was sort of minimized 
you know I was kind of like well they're just   they're just cantankerous they're just kind of 
difficult patients and stuff like that whereas   you know because you don't look at look at look 
at this is a perfect knee replacement there's   nothing wrong with it that's in the literature 
in a ways and then when you when you go outside   the orthopedic literature and you go to say the 
pain literature and you ask people about how they   did after knee replacement the results are much 
worse you know there's like you know there's like   40 percent of them still have significant pain 
whereas Orthopedic literature says it's like   five percent so where is the disconnect there 
and it's because they tend to disregard the   actual users the actual people that are being 
affected by this it's too easy it's too easy   um I blame the patient to what we were talking 
about before where I get angry about the the   misinformation have you ever heard the word 
estrogenic yeah of course sure yeah we caused it   right yeah you being a doctor yeah it's basically 
caused by a doctor's treatment or or advice right   all of the complications and type 1 diabetes are 
high estrogenic in origin well I could see some of   them for sure yeah for sure I can see no because 
they are symptom they are all caused by high blood   glucose why do you have to have high blood glucose 
if you're a type 1 diabetic in this DNH no one   has to have high blood glucose if you're a type 1 
diabetic that's true that's true for sure you know   and if you okay there is one symptom we are much 
more prone to hypoglycemia because we don't have   the natural glucagon rescue response that normal 
people have so yeah we're much more susceptible   to hypoglycemia but that's it if you want to 
talk about what are the complications of type 1   diabetes that's it everything else is complication 
of high blood glucose yeah I mean I can see where   you where you can make some of that argument I 
mean I think some of the somebody would argue   that that hypoglycemia is basically an insulin 
overdose you know that's basically yes that's   right I agree yeah that's nice I agree and so 
that's also it's usually inadvertent yeah so that   would that would also be more or less iatrogenic 
I suppose well this is I'm not here to argue with   you Sean but when you have something that has 
got a 20 error rate built into it cooked into it   and you're eating foods that make you take 
two three four times the amount of insulin   you really have to take that relative error of 
20 right yeah applied to the much larger base   value right means that what I eat yeah there's 
not much chance of me ever going hypoglycemia   because I just don't take that much insulin right 
that's uh that's that's the old Bernstein lost   small numbers type of situation when you're 
when you're only giving small Corrections   um do you ever have to give a correcting 
dose is there ever any time you have to   give corrective Doses and how do you do it 
if you do you are corrective doses of insulin   two or three times a month and it's usually 
because I've done something stupid yeah I forgot   something or rather than sit down and really think 
about a Bose for a meal I just kind of wing it   you know that usually happens when you're at a 
restaurant or something like that or you get a   mystery ingredient as far as glucose goes probably 
only I only have to adjust up three or four   times a week but but remember we're talking 
about adjusting up a low low is your control   point that doesn't mean you're hypoglycemic that 
just means that's as far as you want to go yeah   and so and when you adjust for a low and you 
give yourself a couple grams of carbohydrates   um are you are you symptomatic in your testing or 
is it just you test and you notice the low number   no I'm not I'm not some symptomatic um uh I 
test I have a tell uh different diabetics of   different ways of telling whether you're going 
low with me the size of my tongue start itching   it's the weirdest sensation and my lips get numb 
but that doesn't happen until I'm down around   60 55 um wait way down I I correct up at 70. 
and uh if I go down to 60 65 it's no big deal   yeah that's in the physiological range for 
normal people anyway I have some cushion   okay well I'll tell you what this has been a very 
interesting discussion and I'm glad you found what   works for you uh we are unfortunately close in on 
the hour here and it's going to give you a chance   if there's people that are interested in learning 
more about you know what you're doing because you   mentioned you do some kind of coaching type stuff 
where can people go to find you are you doing   any Social Media stuff or how does that work uh 
unfortunately I'm going to have to set something   up if I'm going to talk to people like you on the 
on the radio I or radio why I'm dating myself ah   um I I'm a hermit I got involved with this because 
I'd be impassionate I don't want to talk to people   but I will spend my every waking day helping 
people do this because it's so important to me and   by the way thank you for being so patient with me 
I I know I kind of ambushed you with a couple of   things and you've just been a wonderful host and 
I really appreciate it oh I don't feel ambushed   at all I think it's an interesting interesting 
discussion and I I agree with the vast majority of   what you're what you're experience I mean you know 
it's hard to discount on other human beings actual   experience and I mean it matches what I what I 
think is normally happening anyway so anyway well   thank you and for the rest of you guys thanks 
for being here and attending uh we'll be back   again tomorrow Paul best of luck to you and keep 
up the good work and uh wish you and your wife   many years of happiness and health so 
anyway thank you so much thank you all   right bye-bye everybody we'll see you guys see 
you guys tomorrow take care everybody bye-bye

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