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How to Achieve Near-Normal Blood Sugar with Type 1 Diabetes

Nov. 11, 2016

Dr. Keith Runyan, MD is a retired physician previously in private practice in St. Petersburg, Florida. Dr. Runyan specialised in internal medicine, nephrology, and obesity medicine. He practiced emergency medicine for ten years before starting his private practice in 2001.

In February 2012, he began the diet for the treatment of is diabetes and learned that this diet was also effective for the treatment of numerous other conditions, including obesity. He added obesity medicine to his practice and became board-certified in obesity medicine in December 2012. Dr. Runyan completed an Ironman-distance triathlon on October 20, 2012, in a state of nutritional ketosis and feeling great.
 
In 1998, he developed type 1 diabetes at the age of 38. Dr. Runyan controlled his diabetes was fairly well with intensive insulin therapy but was plagued with frequent hypoglycaemic episodes. In 2011, while training for an Ironman-distance triathlon, Dr. Runyan was looking for a better way to treat his diabetes and perform endurance exercise, and he decided to give the low-carb, high-fat, ketogenic diet a try.
 
I’d like to extend special thanks to RD Dikeman and Kory Seder of the TYPEONEGRIT Facebook group for providing me with many of the questions I ask Dr. Runyan during this interview.

Here’s the outline of this interview with Dr. Keith Runyan, MD:

[00:00:21] Keto Summit all access pass.

[00:02:50] Blood sugar 489 mg/dL.

[00:04:20] Latent autoimmune diabetes of adults (LADA).

[00:05:01] Beta-cell destruction.

[00:05:19] Epidemiological: viral infection, oral antibiotics, cow's milk (casein), cereals.

[00:07:28] NPH basal insulin (delayed).

[00:11:14] Glucagon.

[00:13:42] Hypoglycaemic episodes.

[00:14:19] Triathlon.

[00:16:07] IMTalk Episode 264 - Loren Cordain on the Paleo Diet.

[00:17:07] Jimmy Moore podcast.

[00:17:22] Robb Wolf.

[00:17:32] Dr. Bernstein’s Diabetes Solution.

[00:20:52] Continuous glucose monitor.

[00:22:34] Keith's blog: Ketogenic Diabetic Athlete.

[00:22:50] TYPEONEGRIT Facebook group.

[00:23:25] A day in the life of Dr. Runyan.

[00:24:37] Consistency is key.

[00:25:14] US Wellness Meats Liverwurst.

[00:26:28] Humalog insulin, finished in 2.5 hours.

[00:27:53] Exercise is key for insulin sensitivity.

[00:28:46] Swimming, weightlifting.

[00:29:05] Lantin insulin.

[00:30:16] Impact of different types of exercise on insulin sensitivity.

[00:31:31] Insulin sensitivity follows a circadian rhythm.

[00:34:54] Dr. Phil Maffetone.

[00:38:09] Powerlifting vs. Olympic lifting.

[00:38:31] Greg Everett at Catalyst Athletics.

[00:40:12] Carb cravings.

[00:41:43] Artificial pancreas.

[00:43:24] No more hypoglycaemia in ketosis.

[00:44:56] No correlation between blood BHB and symptoms.

[00:45:41] The value of lack thereof, of measuring blood BHB.

[00:47:30] Glycated proteins in the kidneys.

[00:47:50] High-sensitivity C-reactive protein.

[00:49:16] Ketosis for type 1 in children.

[00:50:09] 1.2g per kg protein.

[00:51:38] Vision for spreading the word.

[00:52:29] Medicine is an oil tanker.

[00:53:54] Dr. Runyan's books for type 1 and type 2.

[00:54:50] Ellen Davis of Ketogenic-Diet-Resource.com.

[00:55:45] "Normal" blood sugars.

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