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Blood Sugar Disorders

I would like to ask your approach for a diabetic client who is having trouble with his kidney. How much protein do you suggest in his daily intake? More background information: This person is a 70-year-old male who has never dieted before and he’s very willing in trying a Paleo-type diet to see if it can improve his health issues. He already removed all the grains, processed foods, coffee, sugary products, and dairy from his diet about a week ago. What else you suggest? He can’t afford any supplements.

Laura Schoenfeld: Okay, so if this man is 70 years old and he’s never dieted before, you have to kind...

In the hyperglycemia section, Chris briefly discussed the True Health Diagnostics Diabetes Prevention and Management Panel but presented very little information on when to order the panel and nothing on how to interpret the results. Where do you suggest we find this information?

Dr. Amy Nett: So the True Health Diagnostics panel I generally order either when I want additional markers on the...

Chris discussed berberine in the hyperglycemia section. Berberine is poorly absorbed, causes an overall reduction in the microbiome, and may reduce the overall diversity of the microbiome. For a patient with prediabetes or diabetes, do you think the benefit justifies the risk?

Dr. Amy Nett: I think the question and what you need to put into context is you have a patient...

Full-blown type 2 I described is distinguished from type 1 because it is not autoimmune mediated or is that type 1.5?

Dr. Amy Nett: Yeah, so diabetes type 1 is autoimmune mediated and it almost always begins in childhood or teenage...

The hyperglycemia content has referred a few times to ‘full-blown type 2 diabetes with beta cell destruction,’ and this seems slightly contrary to my understanding of the pathogenesis of most type 2 diabetics. My understanding is that insulin resistance inflammation and other functional mechanisms are much more common than hyperinsulinemia and beta cell destruction. We’ve seen some patients with beta cell destruction, but it is typically autoimmune with very low C-peptide and high Gad65 and or insulin antibodies. So similar to type 1 or LADA, the latent adult-onset diabetes, latent autoimmune diabetes of adulthood.

Dr. Amy Nett: So, I think, okay. Interpreting this I think how I would piece this together is that I...

Follow-up to the diabetes question; can we tell the degree of beta cell destruction through the THD metabolic test?

Dr. Amy Nett: Yeah, I think you can and Chris recommended the specific markers that come on that THD panel,...

Why beans?

Kelsey Marksteiner: Especially for someone with blood sugar issues, I like to use beans because a) if someone is going...

Any tips, handouts, and/or resources for improving blood sugar control for patients with metabolic syndrome and/or diabetes who are lacto-vegetarian and won’t eat eggs due to disgust or smell? How to obtain the morning protein to stabilize blood sugar? How how many grams of protein powder like p-hemp, whey, etc.? What would a sample day look like with three meals and one snack for this type of patient?

Kelsey Marksteiner: Okay. So a sample day is going to be different depending on the amount of calories that someone’s...

A question about mild to moderate ketosis.

Chris Kresser: Generally if you’re using the keto strips, there’s a scale and most blood ketone meters will come with...

In patients with type 2 diabetes that do intermittent fasting or exercise and a fast, some get an increase in blood glucose. In this case is it advisable to not do intermittent fasting?

Chris Kresser: That’s a topic of debate and I’m not sure that I can answer that exclusively. Typically you want...

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