Low Carb Diets: Mortality and Diabetes Long Term Data

(This video was recorded on April 27th, 2023)

He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine.

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#lowcarb #diabetes #mortality

[Medcram]

Please don't miss this point. Many have commented about the lack of quality in observational studies. However, the presence of a dose response effect does significantly increase the quality of the study which is why we presented this data (which is also newly published but no surprise from what was published 10 years ago). Please review this Cochrane Review on observational studies and the dose response curve: "Factors that increase the quality level of a body of evidence"

"The presence of a dose-response gradient may also increase our confidence in the findings of observational studies and thereby enhance the assigned quality of evidence. For example, our confidence in the result of observational studies that show an increased risk of bleeding in patients who have supratherapeutic anticoagulation levels is increased by the observation that there is a dose-response gradient between higher levels of the international normalized ratio (INR) and the increased risk of bleeding (Levine 2004)."


Join us at MedCram.com for more continuing medical education!

[CaptainSteve]

This is a topic near and dear to my heart. Very low-carb clean keto allowed me to reverse several "irreversible" conditions. While being on a "healthful" FDA food pyramid diet for many years, 5 years ago, I was diagnosed with heart failure (diastolic dysfunction, inverted T wave, 35%EF, and mitral regurgitation), drug-resistant high blood pressure, tachycardia, and stage 3 kidney failure (estimated 3 years from dialysis). Knowing all those are connected via diet (high glucose, insulin, and inflammation similar to diabetes and obesity (I was neither)), I started studying on Medcram and self-treating with an anti-diabetic diet that became a full clean keto diet (not hotdogs). For the last 3 years, I've been in ketosis on a very low carb clean keto, moderate protein, high-fat diet, and intermittent fasting. I eat whole foods and avoid processed foods and inflammatory seed oils. Doing that my heart is 100% normal without medications, EF55%, T-wave normal, BP normal with no meds, tachycardia resolved, my GERD problem disappeared, and now eGFR 84. Yes, I'm one case N=1, but no one will ever convince me that the FDA food pyramid diet isn't poisoning people. Cheers

[mavr]

10 years ago I was diagnosed with pre-diabetes, high blood pressure, fatty liver disease - all while following a low fat diet as advised by a dietician. I realised that my doctor, dietician and the food industry were not helping so I have followed a low carb/ Keto diet since that time and all these diseases have disappeared, I feel like I did when I was in my 20’s, all my blood results have consistently stayed within the normal parameters, that’s all the proof I need!

[KenDBerryMD]

Thank you for covering some of the growing body of evidence supporting low-carb diets for many different chronic diseases!

[FJBandtherest]

No one size fits all. My brother has never been fat and eats 2x what I do. I have been morbid obese 30 years. I stopped all sugar and carbs, processed foods for for 35 days now and lost 31.8 lbs. I feel better than I have in 20 years. I am living great compared to the last 3 years in a hospital bed with elevated feet about 22/24 per day. Now I cut the lawn and do yard work. I could not for years. It saved my life. I never was hungry, as soon as I felt hunger I cooked real food. I ate as much as I could.

[JaegerDives]

On a "healthy" plant-based diet, I suffered from rheumatoid arthritis, peripheral nerve hyper-excitability, pre-diabetes, IBS, high cholesterol, high blood pressure, GERD and other life-limiting conditions. On a meat-based "zero carb" diet, all of these conditions are gone or greatly improved. All my numbers are that of a very healthy person. Just yesterday, my doctor said "whatever you are doing, keep it up". Low-carb has allowed me to return to the workforce and be a happy productive person.

[nicolamcostello]

Low carb or keto doesn't necessarily mean high saturated fat and cholesterol and low fiber. I get my fiber from berries and avocados, and healthy fat from avocados, salmon, and EVOO salad dressing. I don't eat high cholesterol and saturated fat foods but I'm still on a low carb diet.

[samorr]

See Paul Mason, MD for an alternate view. Cholesterol theory as THE cause of heart disease is extremely weak. Suggest TG/HDL is a much better indicator of risk of having a cardiac event than high cholesterol. This presentation is insulting and not worthy of Dr. Seheult's usual presentations. The ketogenic diet has gotten me out of a pre-diabetic state and lowered my Hgb A1C and reduced my fasting insulin level dramatically. furthermore, I can't eat fruit and stay in ketosis. But biochemistry may very from patient to patient. Thus, affordable CGMs (continuous glucose monitors) would allow people to customize their diets to keep their blood individual glucose levels ratther level throughout the day. Additionally, hyperinsulinemia from whatever cause is the major villain in a whole variety of metabolic diseases. It may exist for 10 to 20 years before fasting blood sugars rise or Hgb A1 C's increase. The undetected hyperinsulinemia is wreaking damage to multiple organs over time while the pancreas is working oin overdrive to control blood sugars levels. Metabolic Disease which most often has hyperinsulinemia as a major if not the only cause of the problem is the villain that is the largest factor ins precipitating diabetes and cardiovascular disease and nonalcoholic fatty liver disease and possibly Alzheimer's disease in my humble opinion.

[petercyr]

I have been on ketogenic diets for 25 years since diagnosed with type 2 diabetes at age 40 (I was a huge mess). I strive to eat no glucose (carbs) at all. Glucose is not a required nutrient, your liver makes all you need. It saved my future. At 65 5'4" male 135 lbs. 32 inch waist. Last A1C 5.1.
I am a fat adapted fat burner producing ketones, essentially at all times.

[bouffon]

At age 71 I was put on blood pressure meds and after a year they gave me statins which I never touched. Now four years later my blood pressure and glucose levels are back to 'normal' and my acid reflux, joint pains and migraines, disappeared. Thanks to going Keto and low carb. Ran my first marathon last year, no 'carb ups' as advised by most people involved in training. So maybe I will die of a heart attack but that seems preferable to slowly ebbing away with diabetes.

[StanislavMudrets]

I'm on Atkins. I eat cherries, blueberries, black currents, plus lots and lots of vegetables low starch vegetables - like tomatoes, garlick, onions, cabbage, kale, and many many other kinds of vegetables. It would be interesting to know what they actually mean by low carb diet.

[roncaldwell]

I am a 77 year old male started a low carb diet 4 months ago. I have diabetes for 30 years and a heart bypass 16 years ago along with an increasing calcium score for one of my heart valves. 4 months ago I had a A1C of 7.3 today 6.4. I reduced my diabetes drugs: 15 units of long acting insulin to 10 units. eliminated Glucontrol, reduced metromin from two 1000MG per day to one. My BMI was 25.5 now its 23.5 lost about 12-15 lbs. Most interesting and unexpected results are no large up or down spikes in my sugar readings. I use to carry sugar pills as my blood sugar could drop at any time night or day. My angina has disappeared. I was always very active and continue to work out 3 days a week and do extensive garden chores.

[mikedbarkerhotmail]

This is interesting. I use to eat a diet filled with grains and fruits until I became diabetic.
I found that as much as I loved that food, it drove my blood sugar crazy. Over time, with years of experimentation, I found that a high fat diet was the only way to keep things under control. Maybe it is unhealthy but an A1C under 5 and good labs suggest that I need to stay this course.

[robertstanton]

One problem with studies of 'low carbohydrate' diets is that they often aren't actually low carb. Forty percent of calories from carbohydrate is not low carb. People who pursue a low carb diet typically aim for 10% or less of total calories from carbohydrate.

[brimstonebull]

7 weeks into a “keto” diet and I’ve discovered that I can exist happily on very little food. When I do eat, I choose healthy fats and veggies. I’ve noticed quite a bit of weight loss, extra energy and focus throughout my day, zero hunger cravings, and overall my mood has lifted significantly! I’m not gorging myself on animal proteins either. I feel my diet has evolved quite a bit from the first week to the seventh week. I can’t imagine this diet could lead to diabetes lol.. that’s insane . I keep my daily carb intake below 20 grams and it’s not hard to do. I do plan on continuing this lifestyle for as long as I see results and continue to feel really good.

[KellieAndersonfoodtoglow]

Very interesting look at and explanation of the relevant studies. My takeaway: quality matters. A lot. A good reminder that unprocessed food is best, no matter the diet followed. Thank you.

[BorisMiljkovic]

Very interesting but it just doesn't translate into my version of subjective reality, because red, fatty meats (zero carbs/plants) helped me heal many autoimmune issues, completely. I'm 46 and got a new lease on life. I am more agile than most of my colleagues in IT that are way younger. My libido is through the roof. If this means that my life will end sooner, at least it will be a life well lived.

[faithandgrace]

Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs

[dmytronovosad]

My diet changes practically every month, these people being able to stay on the same diet for decades is just unbelievable

[saltrock]

I’m 56 and four years into keto, never have I felt better. Reversed diabetes and as a side effect lost 85 pounds. Blood labs are beautiful.