Dr. Bikman your knowledge and your ability to convey that knowledge to us in the way you do is definitely one of your greatest gifts. Enjoy this so much!
Professor Bikman, how much of a glucose spike is defined as hyperglycemia? More than 100? More than 110? More than 120? Where does it start to damage our blood vessels?
I’ve been binging Bikman videos and podcasts while trying to decide whether or not to stay on GLP medication. Searched podcasts for what he says about uric acid and found the best interview so far on STEM TAlK podcast episode 143. Tells more about his life. So cool. He’s one of 13 kids! I’ve never been a science person but Prof. Bikman makes it so easy to understand that I want to learn more
Simply outstanding. Several cardiologists and other physicians have TH-cam channels or are guests on podcasts. Some offer good advice but none are as broadly knowledgeable (including original research), unbiased and helpful as Dr Bikman. Thank you sir.
34:04 "Mitigate hypoglycemic excursions in response to glucose consumption: apple cider vinegar, water extracted cinnamon, ... and then one of the most effective of all is just going on a walk . if you can go on a walk after you've eaten that glucose spiking food or carbs or drinking them then that really blunts that curve as well. So a handful of interventions some very convenient, some a little less convenient but all generally effective at mitigating the glucose spikes ."
YES!!! ME TOO!!! How is it that I can make a homemade allulouse CHEESECAKE and I eat it and my blood sugars GO DOWN?!?! 🤯🤯🤯🥰 I took a screen shot of my CGM and showed my family, and my sister jokes "Well I think you need more cheesecake then' and I'm LOL and agreeing YEAH!!
Also just wanted to share that I almost died last Friday early am due to complications related to a diabetic med while doing keto. Please if you know anyone dealing with what I was (I commented about that experience here) please give them my very strong & concerned warning ⚠️ thanks & stay safe!
@@actuallywhatimeant2583 why OF COURSE!! This website "The Big Man's World" and search for his keto cheesecake. Now I use Allulose because Dr Bikman did a video on it and it "acts like a mild GLP-1 and can lower blood sugar and inhibit appetite" and I have experienced that it does BOTH for me!. Also, you can do ANY FLAVOR you want, I do so with baking extracts, like maple, orange, coconut, banana... you can do that without having to actually add any fruit. And regarding coconut, if you like coconut then use full fat canned coconut milk to provide some "liquid" to the mix (maybe eliminate the sour cream?" I don't know cause I still need to try this! LOVE coconut!!). I have done a pumpkin cheesecake cause I had some unsweetened canned pumpkin I wanted to use up, it was AWESOME! And I have made the peanut butter cookie "crust" but I also sometimes don't even bother and just use little cupcake papers and cook in the cupcake pans (less time to cook too, keep your eye on it) because then it's already portioned out for me! I love my CHEESECAKE!!! You won't even know it's keto!
@@woltra1 I haven't read your longer post yet, but wanted to mention that CGM's are not as accurate as a blood meter. I have checked mine and it has been as much as 16-30 points off! And that is consistent for both high and low reports. I use mine just to check for spikes/ stability, but then use my meter to check for accuracy.
You mention glucose spikes cause damage in the blood vessels. However, you don't indicate how high or low the spike needs to be to activate the damage. Does damage start at a glucose level of 100, 115, 125 or not until above 150? More specifics would be helpful. Thanks.
By far the best explanation of glucose metabolism and dysregulation that I have heard. Your students are very fortunate to have you as a professor, Aloha.
Brilliant as always Ben. Please, please keep these lectures coming. Not only the content, but your inspiring delivery style makes them the best content on TH-cam. Big high five.
Thank you Dr. Bikman! This lecture (my first once signing up) was literally life changing. I've ordered my CGM. ANd looking forward to cracking the code on 5 decades worth of inflamation issues that I been thinking for 4 months was histamine intolerance. I'll be buying those books on the bookshelf over your shoulder in a few minutes. TY!!!
Thank you, Dr. Bikman, for your whole work, I would love to see your lecture in the UK 🇬🇧 one day. I learned from your lessons more than I did during university....🥳
Some YT'ers will break down a talk like this into areas that can be linked to on the bottom to go back to the relevant sections. I wish you would incorporate some of these aids when you do these comprehensive in depth lectures. I have listened to this 3 times and would like to go back over some of those "sections" - if I could find them.
I almost died!!! On 10/11/24 at about 4am I went via ambulance to Intermountain Health Medical Emergency Services in Salt Lake City (actually in Murray UT), was immediately admitted to ICU. I am a type 2 diabetic who had diabetic keto acidosis! (And this is important because we are NOT SUPPOSED to get that!!) But it was atypical, my sugars had been relatively low (I had finally woken up with a 108 BS according to my CGM! Yay! No dawn phenomenon!!!). I was ON the keto/ketovour diet and was doing pretty good, but I was ALSO ON JARDIANCE (SGLT2)!!! That combination almost killed me!! I was feeling sick for a few days, and had thrown up a few nights ago. I thought I just had the “keto flu” you hear about, and so I just tried to push through it and ugh, boy did I feel yucky! Things finally came to a head when at about 3:30am in the morning as I was “trying” to sleep I started hyperventilating! It was as if I had tried to run a marathon at a sprinting speed, my lungs wanted to explode. My whole body was hurting and spasming. I was dizzy, too wobbly to walk or get out of bed. I also threw up then and it was BLACK... I remember thinking “Hmmm.. I don't recall eating anything BLACK! What the heck is THAT!?” I finally admitted I needed to go to the hospital because I needed PAIN KILLERS to help me with excruciating pain, I also figured that black vomit was not good, so ya, please take me to the hospital! I can have my husband (a doctor) help me decipher the medical records, but my “health” markers were WAYYYYYYYY OFF! One important “buffer” needed for life was unreadable, meaning I had NO more “buffer”. My blood acidity level was also up off the charts. So anyway first thing they did was try to ask me questions, kinda hard as I was going in and out of consciousness. I remember vaguely the ride to the hospital, being rolled out of the ambulance into a metal room (or maybe just metal doors, I don't know?”) being lifted/transferred to the hospital stretcher, then rolled into another room, then a team of about 8-10 ER staff all surrounding me. The questions were “what was that from” (from me groaning in pain) “where does it hurt” (everywhere) “can you be more specific” (ok I'll try... my back, my stomach, my legs, my feet...) I guess they were trying to figure out if I was having a heart attack before they did anything else. After a few more groans in pain they said “Lets get her some morphine” and I immediately got some relief. But I was still breathing REALLY HARD, that didn't slow down until much later on, I'll have to go view my medical records to figure out when that was. The rest of my time that next 24 hrs is kinda a blur. I was trying to sleep, but they were waking me up trying to prick my finger to see what my blood sugars were doing every hour, and they were drawing blood for labs often, and they were waking me up to see if I could do any physical therapy, and I was asking them to please UNTIE ME from the IV's from both elbow pits & from the compression leg thingies tying both legs down to help me get to the toilet so I could pee. I wasn't allowed to eat or drink for 24 hrs. They didn't even want me sipping on water (only allowed to chew/swallow ice chips), because THEY were giving me water via IV and they needed to know exactly how much water went into me, and then as I was peeing into this container they were measuring how much fluid was coming out of me as well. Ugh. I'm just tired again just writing/reading this all. Ok, next phase. Next day I am transferred to the regular hospital floor. They are now giving me insulin shots. But I am dismayed, because I did not WANT insulin shots! I was trying every which way but loose to AVOID insulin shots! The diabetic educator was trying to convince me I needed insulin shot prescription. I was being a pain-in-the-butt because I kept insisting I did NOT want insulin shots! We were at an impasse. They were looking at me like I'm crazy. And I was just having SUCH a hard time. I do over react to stress and that can make my BS go UP. Shots/pokes/jabs drive me crazy! I have a complete meltdown internally, meanwhile outside I'm trying to hide that. My poor sons inherited this from me. When they get labs drawn or get a shot they faint! They are fully grown men and they are fainting! One time I was trying to show my younger son how my glucose monitor worked so I pricked one of his fingers.... AND HE FAINTS! So ya, they inherited that from somewhere, and that somewhere was ME! Now I'm getting “poked” more than a hundred times a day it seems! And they have me on insulin, for the first time in my 15 years with diabetes I'm on insulin. But to tell the truth the insulin DID SAVE MY LIFE!!! AND THE GLUCOSE ALSO SAVED MY LIFE!!! How confusing is that?!? It's confusing! Anyway, I'm having a hard time because what I WANTED TO DO (do Keto, no insulin!) was not what THEY wanted me to do. I am battling the medical establishment.... AND MY HUSBAND THE DOCTOR TOO. Ok, so 24 hours in ICU. As I was saying the next day I am transferred to the regular hospital floor (oh ya! REALLY FUNNY STORY associated with that!!! I didn't sleep a wink after that “visitation”!!) And now it's the next day and I will be discharged from the hospital. We have a meeting with my ER doc. And he has consulted with some hospitalists & endocrinologists. They very clearly decided that my problem was NOT the keto diet! My problem was the JARDIANCE ON the Keto diet! They released me saying “No insulin, NO JARDIANCE, you can do Keto” End of story!! YAY!! So now instead of spending more than $800 a month on diabetes prescriptions (no more Jardiance, Invocana, no more Metformin, no more ANYTHING!!) I'll instead be spending that money on LOBSTER and eating that with BUTTER & LEMON, and I'll have a side of RIB EYE to go with that!!! Cartman of South Park was correct!!! “Tell the President to have a little steak with his butter!” I hope I survive this new diet! We will see!! Wish me luck! So anyway I'm writing all of this with the hopes to GET THE WORD OUT!! I was looking out the window of my hospital room as we were talking with my doc (and wondering how many others like me were out there. Struggling. Hurting), & we were sharing that the ER staff had said “we see this all the time” and I'm thinking “Well, that is WAY TOO MUCH then!”. And the ER doc was saying “well, its not all the time, maybe once a month...” and I'm still thinking “THIS IS STILL WAY TOO MANY!!” People with type 2 diabetes are out there, and some of them are on an SGLT2, and they are getting SICK AND TIRED of this disease PROGRESSION!!! Do we keep going with this PROGRESSION? Do we lose our sight and go blind? Do we lose our Feet? (I've got horrible neuropathy in my feet! I'm scared!) Our legs? My thumb? (because that is constantly hurting me and is numb. Is my thumb dying and am I going to lose my thumb?) How far and how long are we going to let this disease PROGRESS?!? Can we get off the merry-go-round of... gain more weight->become insulin resistant->have higher blood sugars->take insulin shots->gain more weight-> etc and on and on. No people! NO!!! We are TRYING TO GET HEALTHY! We go to the store, we buy the GOOD stuff, we learn to cook it the right way and say “oh DANG, that is YUMMY!!!” We might even (if you are like me) lick the plate clean leaving our poor puppy with nothing (lol, don't actually feel bad for him, he gets LOTS of yummies!). So ya, back to my point, how many type 2 diabetics out there ON JARDIANCE (or other SGLT2's) who want to give this Keto/Carnevour thing a try? Because I tried it 3 times, 2 times I failed MISERABLY.... because I was “SICK” sick & likely about to go into DKA back then too, and I stopped it by giving up & eating CARBS (and thereby continuing on with my disease progression) not by GETTING OFF JARDIANCE!!!!! I have a HUGE question..... HOW MANY PEOPLE WHO HAVE SUFFERED WITH KETO FLU WERE ON JARDIANCE or other SGLT2's? I would seriously LOVE to see a survey done to ask that question! I'm writing here because this IS THE TARGET AUDIENCE!! Please help me get the word out!!! GET OFF JARDIANCE or other SGLT2's if you want to STAY ON KETO/CARNEVOUR!! Thank you for reading this! Stay safe! God Bless!
Your horrible experience will be eye opening for those who are on Keto and Jardiance combo. This is contraindicated as it may cause Euglycemic Diabetic Ketoacidosis a life threatening condition.(not Keto Flu as you think).An urgent treatment in ICU may save a life. It is unfortunate that you were unaware of this danger. Blessed be.
@@dianelakata1308 When in the ICU I think they did actually, they were taking SO MANY TESTS, they said I didn't have "any" insulin at the most dangerous part, but the TREATMENT in such a circumstance IS H2o + GLUCOSE.... & INSULIN, in VERY CONTROLLED & MEASURED amounts. That combo saved my life! I know... confusing right?!? I don't have any problem with them saving my life and treatments IN the ICU (cause that was from IV's already in place from when I arrived), its what was going on after I was released from ICU taken off IV's and sent down (well... I WALKED down to be honest, the nurses were pretty impressed with that LOL) to regular floor.... they were still testing my glucose OFTEN (way more than I could handle emotionally, especially when I was WEARING a CGM that could have been used! IMO - and my fingers are STILL HURTING from the plethora of pokes) and I was getting 1-2 unit insulin shots like before, during and after every meal (freaking me out, stress raises my BS a lot unfortunately), and also being woken up in the middle of the night to give me a SHOT of 1 unit of insulin when my BS was like 141!! Like LET ME SLEEP, sheesh! (oh, and to ALL my nurses who were treating me, I KNOW YOU ARE ALL SAINTS & ANGELS!! I do not blame you for you giving me shots, you were just doing your job! I was being the PITA! I am grateful for you!) I was just verbally "battling" with ER docs on the whole insulin issue at that point. I was afraid I was going to lose my battle. They thought I was crazy. But I was still stubborn, insisting please please NO insulin. They finally relented. They gave me their blessings to keto on. BUT NO MORE JARDIANCE!! We all agreed on that!
Thanks for sharing. That is the reason it is recommended to start keto as a person on medications and/or diseases under medical supervision. Medications often need to be adjudted or removed.
My doctor instructed me to eat low carb and then gave me a prescription for a sglt2. No warnings at all. Luckily I read up about it after seeing the DKA warning on the Duforzig pamphlet. Also did not know that DT2 could have DKA. My son is an EMT in South Africa and we discussed it, trying to make others aware that DKA in DT2 is possible. Share the information whenever possible. Thank you for sharing your experience.
Ben I wish you could incorporate some charts and pictures of things like the glycocalyx (sp) in your classroom talks. It would really add to the presentation. But of course I also realize that would take a LOT of extra time on your part or someone editing the presentation so I see why you may not be able to do that. Perhaps your time is better spent on making more videos than time spent on editing and adding on fewer videos. At any rate, a very big thanks for your presentations. I can credit a lot of TH-cam doctors helping me on my diabetic health journey, but you are absolutely the single most important source for me learning about and helping me manage my disease. Thank You. Hope you decide to do another Low Carb Cruise some day. John Burns
I have found that understanding metabolism is one thing that has helped me to stick to low carb. I'm celebrating my 3 year anniversary in a couple of days' time!!!
Amazing. I have listened to (too many?) lectures over the last couple of years. It all goes together. This one wraps it all up. Great to hear about glycocalix and it´s important role. We have a health disaster coming considering all "sugar" being consumed. Big Industry is slowly cutting the branch they are sitting on. Making money now, yes, but greed has long term consequences.
Regarding the glycation effect on vasculature over time, it's a good thing that only half of the BYU football games are at home to minimize cougar tail potential exposure. Seriously, I love the information. This video is probably one of your most clinically relevant. Thank you!!!
I would be interested in knowing if there is a certain glucose number at which permanent damage is inflicted on the red blood cells. I’m recently wearing a CGM to learn how foods affect my glucose levels. Thank you for educating the Community.
Again, a brilliant InsulinIQ lecture. I have learned so many interesting things. I was especially interested by the explanations regarding the endothelium and the glycocalyx. I am sure some family practitioners never heard about glycocalyx…The gigantic complexity of the endothelium (a genuine organ on it’s own) and the glycocalyx must have been a mystery too for the so called “experts” who came up with the cholesterol hypothesis and designated LDL-C as the vilain for CVD’s.
Great podcast, I’ve been following you professor Bikman for about four years now. I have learned a lot!! My only complaint, if I may, too much advertising going on, interrupting your lecture. You are a blessing though.
Thank you - as you say, these are great things to keep in mind over and above just a high glucose reading. It really helps my incentive to be able to sort of visualize the negative effects of spikes. And thanks for that aside about how a sauna affects CGM measurements - now I know why I get a little bump in the CGM curve during my 10 minute shower.
2:25 "Now the word diabetes is interesting because it actually is a term that describes the most famous manifestation of chronically elevated blood glucose which is a lot of urine production. Something called polyurea diabetes essentially means too much urine is being produced ."
Such a great lesson! Thank you, Prof. Bikman. Allulose: Could you please discuss the addictive potential for some people to the sweet taste of Allulose and the possible cephalic phase insulin response to it and consequences?
I listened to an Australian physician yesterday on this subject and he brought up a new component to insulin that I never heard about. PLEASE ADDRESS the function of...insulin degrading enzyme. How does this actually function in the life of an insulin molecule, the circulation of insulin as it is used by the cells and how it affects glucagon production. I want to better understand the function of this enzyme, where its produced and hiw to stimulate it to reduce insulin. How does it interact with fat cells? Thank you
Appreciate Dr. Bikman’s lectures, videos, and studies very much. Is it possible to say how high a blood sugar spike would be to cause damage? Does it matter how long it stays high? I eat low carb but I run, bike, and weight train 6 days a week and find it extremely difficult to sustain on Keto, so I consume ~100 carbs each day. My fasting insulin serum is 2.5. If I consume most of those carbs in one meal, my blood sugar can spike to ~160. It doesn’t stay there for long (I do not use a CGM because I don’t want to get paranoid with every up/down). I think some reference numbers would be helpful but perhaps there are too many variables to give concrete numbers? But man, it’s hard to find a balance between eating to be healthy and preventing all the horrible ills Ben speaks about and living a life where you can enjoy meals with family and friends and not be the weirdo with what looks like an eating disorder.
After a pasta meal, I like to boil the kettle, add in about 1/2 lemon cut up, and let it steep a few minutes. Add in a tsp or so of allulose for a nice satisfying drink.
Thank you so much for all your videos. Being in moderate ketosis my blood sugar is till staying high. I hope it starts coming down. I did lower the amount of insulin too so that might be why.
Dr Bikman you often bring up a water retention mechanism caused by hyperglycemia via the aldosterone mechanism and salt retention. Is it a compensatory mechanism for fluid loss due to the very hyperglycemia? Just curious how those two reconcile. Also, can the glycocalyx in one’s vessels be eventually restored on proper diet?
How do you measure insulin resistance? I'm trying to get my sensitivity back. I had an A1C of 10.4. In 3 months with Metformin I was at 5.4. Over the past year I have stopped taking the Metformin (under Dr. supervision) and it's still 5.4/5.5, but I can't seem to get any farther than that. I'm stuck at 5.5. My fasting insulin is consistently 11-ish. What can I look at to see if I'm improving my insulin sensitivity?
Thank you for explaining the consequences of advanced glycation endproducts (AGEs). It surprised me to hear that allulose forms very few of these when its close relative fructose is seven-fold more likely than glucose to form them. How is this explained? Body clearance time? Access to the compartments where the AGE measurements are made?
Hello I have a question? I’m a cyclist and when I was eating carbs when I was cycling the carbs didn’t respond any more I didn’t get any energy from it not I was bunking but my legs it’s like the carbs wasn’t used as energy. I felt like crap so I tested then my blood sugar and it was 160. I’m male 44 years no overweight. My fasting bloodsugar was 120. Is this also insulin resistance? Or starting type 2 diabetic? Or do you know what the problem is? My physician says everything ok, but I feel there is something wrong. So I started a few months ago, the ketogenic lifestyle feeling much better bloodsugar fasted dropped to 90.
I’m wondering the science behind how the GLP medications work. I see from google that they stimulate the pancreas to produce more insulin. And with what Bikman teaches, we want less insulin. So how is the medication working to help people lose weight? All I’ve been able to find Bikman saying about GLP’s is their bad side effects. Does anyone have a link to him answering more on this exact science.
What do you do when on keto for a couple of years. I used to be in the 70's 80's now I'm in the90's,, what the heck? My A1C has also creeped up from 5.2 to 5.6.?? I'm so confused.
Dr. Bickman, I’m wondering why my fasting blood glucose is still high, about 110, when I’ve been doing keto and one meal a day for about 3 months. Is this gluconeogenesis? I’ve dropped from 230 pounds to 193 and feel great but am still clinically obese? Will my blood sugar stay high even while eating no sugar until I’m an ideal weight?
@@actuallywhatimeant2583 I have meat, like bacon wrapped steak with a salad with low carb dressing. I’m definitely not eating many carbs. I have been in ketosis for 3 months.
There is a small muscle in the calf called the Soleus. It is connected to the Achilles tendon. Unlike 90% of the muscles in the body it cannot store glucose and must get glucose directly from the blood stream. It is activated by walking, running , jumping etc.and I believe this is why walking after a meal is so good for you.
What about Allucation? Just because the test for glycation cannot detect allulose mallard reaction products ( or fructose) it doesn’t necessarily mean there is none. One paper said it was 11 times more reactive than glucose, fructose was 7.7 times more reactive than glucose. Hopefully someone can design a test to detect this potential issue. I don’t like these unknowns, especially since it seems reasonable that it would react similarly as fructose does. Referencing a glycation test for allulose is probably not correct. But I’m just speculating.
It’s for all these reasons that I am concerned about my HbA1c of 5.7% despite 8yrs low carb, paleo with dairy, IF 18/6. I bought a keto mojo which confirms glucose is too high. On waking it’s 6(mmol/L), goes up to 7 just pottering about, stays at 7 after an hour long dog walk in hilly woods. It can get to 8.1 after an extreme exertion weight lifting session. It’s usually nearer 5.5-6 prior to lunch ( first meal of day), goes up to 7 then back down after 2 hrs to 5-5.5 until supper when goes to 7 and takes a bit longer to come down to 5.5. 5 yrs ago fasting glucose was 4 and insulin was 2 taken at midday! Why is my glucose so high? Is it 1) too much progesterone on HRT - but I can’t lower the dose so what do I do? 2) too much protein - 80-140g/day 3) because I’m overweight- BMI crept up to 26-27 due to depression of lockdowns and overeating ( yes I can easily gain weight even eating ketogenic) My carbs are 20g total a day. Every day I walk the dog, and each week do circuits with weights, X3Bar weightlifting x4, Pilates x 3, Zumba. I’ve ordered a weighted vest for my dog walks, I’ve started a 4 x 30 seconds HIIT in the morning 4 x a week, I’ve started doing longer fasts of 24-48 ( &72 once) hrs each week. I have a cold shower every morning ( for 4 yrs), a hot sauna style bath every night for 30yrs, I use a red light/NIR therapy panel daily. I’m not particularly stressed about anything ( one off blood test and Dutch test showed lower boundary cortisol levels). I’m a LMHR although just failed to meet the criteria recently. I follow Dr Dale Bredesen’s advice on how not get dementia for a 3/4. I take omega 3, vit D + K2, magnesium, multivitamin etc. Why is my glucose so high and what on earth can I do to get it down, that I’m not doing already?!
its so frustrating, when youre following all the advice, and youre not getting the results!! i hope everything works out for you, and you get the answers!
gaining weight easily still looks like insulin resistance, stop all dairy and limit protein a bit more- blood sugar after intense exercise increasing is pretty normal. make sure meals aren't too big. for me, lower protein (75g per day) and higher fat helped me tons. and I ate 3 meals a day and no snacks.
oh gosh ya, but make it CHOC ZERO chocolate... or RXSugar. Chocolate will cover a multitude of "sins" lol. Hey! Stay Safe, and please see MY comment in this area, I almost died last Friday am but want to warn others to please be careful!
I am a male in early 70s taking zero meds. Just got CGM three days ago just for my own interest. Now three nights in a row the low blood glucose alarm went off two or three times each night. It was recording from 48 to 55 mg/dl except once when it was off the chart low my estimation was about 40. Does anyone have the same problem and should I worry. I expect it has not just started to happen and I never feel ill or dizzy when I wake. Its so annoying being woken up I feel like throwing it. My daytime counts seem to start about 120 then gradually work down to between 85 to 110.
You should be able to turn the alarm off. And, did you check your blood glucose with a finger stick and compare to the CGM when you experienced the lows? The lows may be happening because you are lying on the sensor. That is a common occurrence.
Hmmm... not sure what you are looking at. There is 1 gram per serving: www.walmart.com/ip/UNICITY-Unimate-Natural-Lemon-Ultra-Concentrated-Yerba-Mate-Drink-Mix-30-Packets-Alternative-to-Coffee-and-Energy-Drinks-30-Day-Supply/7032772391
@26:35 It is not even that LDL is benign, but there is evidence that LDL is associated with reduced all-cause mortality, certainly in older cohort, as discussed by Dr. Paul Mason, during which he reviews the actual studies and their results on this very matter.
do the reactive oxygen species get created when insulin is low, i ask because of people who get high glucose on carnivore? I ask because i saw a video of yours (Randall cycle) where it was said that insulin is needed to use glucose as a fuel. If not, does this mean that this eventual rise in blood sugar in some carnivores would bring no ROS since fats are used as a fuel. AGEs are on the other hand a potential problem in this case? Or is this avoided somehow because of the kept structured water effect (there is no stealing of electrons involved which would compromise this, since there are no ROS created)?
If in hyperglycemia with insulin resistance meaning the glucose is in the blood n has not been able to ENTER the cell, how could it cause oxidative stress n use all antioxidants INSIDE the cell? So how could MORE free radicals be produced?!
Sarebbe un piacere se lei creasse anche i video in lingua italiana..guadagnerebbe anche una gran visibilità italiana..con AI non è difficile..noi saremo felici e tu maturerai visualizzazioni..grazie dottore..
What about all vegan people? They consume lots of carbs from fruit, beans, legumes, grains etc. and low fat. There are many type 1 that follow that approach and they use less insulin per gr of carbs when they limit their fat intake. Any explanation for that? Just wondering.
I had reactive hypoglycemia, so I got the best of both worlds. Every time I ate I would have a very high blood sugar spike, then a high insulin response, then a crash. At the end I would in fact pass out. My only choice is total abstinence from carbs.
Me too! Bikman, Fung, all the other low carb social influences, I owe a HUGE thank you too! I almost died last Friday morning, weird BAD interaction on a diabetic med while trying to do keto. Arrived to hospital via ambulance admitted to ICU the whole shabang. Thank God I'm still alive!
also, I humbly request if anyone is in the SLC/Provo UT areas that has a recommendation for a primary care or specialist dr who will support me in my low carb efforts I would SUPER APPRECIATE a referral! Me and my husband live in St George, but our kids and grandkids live in SLC area so we are going back and forth OFTEN! The ER docs sent me home with a GLP-1 prescription (Trulicity) that I'm supposed to pick up. OF COURSE the pharmacy is OUT of it so waiting for it to fill, but honestly I don't even think I even WANT to take that again, it makes me feel like YUK! I'd rather just keto ON!
![BOWKYLION - วิงวอน (ex-change) [Official MV]](http://i.ytimg.com/vi/cLdnZWDaO-w/mqdefault.jpg)
Ben Bikman drop days are quickly becoming my favourite
Dr. Bikman your knowledge and your ability to convey that knowledge to us in the way you do is definitely one of your greatest gifts. Enjoy this so much!
Professor Bikman, how much of a glucose spike is defined as hyperglycemia? More than 100? More than 110? More than 120? Where does it start to damage our blood vessels?
This is what I wanna know. Great info but no mention of numbers. Or which tests to get.
My question as well!
I’ve been binging Bikman videos and podcasts while trying to decide whether or not to stay on GLP medication. Searched podcasts for what he says about uric acid and found the best interview so far on STEM TAlK podcast episode 143. Tells more about his life. So cool. He’s one of 13 kids! I’ve never been a science person but Prof. Bikman makes it so easy to understand that I want to learn more
"Prof. Bikman makes it so easy to understand that I want to learn more" He's a great teacher. I'm not "sciencey" either and love learning from him.
Love these 30min classroom lectures 🤓
I am learning so much from you, Professor Bikman. Thank you from South Africa
Simply outstanding. Several cardiologists and other physicians have TH-cam channels or are guests on podcasts. Some offer good advice but none are as broadly knowledgeable (including original research), unbiased and helpful as Dr Bikman. Thank you sir.
You should try to define the ranges of hyperglycemia....and what happens if it comes down within the hour
34:04 "Mitigate hypoglycemic excursions in response to glucose consumption: apple cider vinegar, water extracted cinnamon, ... and then one of the most effective of all is just going on a walk . if you can go on a walk after you've eaten that glucose spiking food or carbs or drinking them then that really blunts that curve as well. So a handful of interventions some very convenient, some a little less convenient but all generally effective at mitigating the glucose spikes ."
Your videos about Allulose has been a game changer for me. Thank you so much! I'm type 2 and It has helped my blood sugar numbers immensely!
YES!!! ME TOO!!! How is it that I can make a homemade allulouse CHEESECAKE and I eat it and my blood sugars GO DOWN?!?! 🤯🤯🤯🥰 I took a screen shot of my CGM and showed my family, and my sister jokes "Well I think you need more cheesecake then' and I'm LOL and agreeing YEAH!!
Also just wanted to share that I almost died last Friday early am due to complications related to a diabetic med while doing keto. Please if you know anyone dealing with what I was (I commented about that experience here) please give them my very strong & concerned warning ⚠️ thanks & stay safe!
That’s so awesome! May we have your cheesecake recipe?
@@actuallywhatimeant2583 why OF COURSE!! This website "The Big Man's World" and search for his keto cheesecake. Now I use Allulose because Dr Bikman did a video on it and it "acts like a mild GLP-1 and can lower blood sugar and inhibit appetite" and I have experienced that it does BOTH for me!. Also, you can do ANY FLAVOR you want, I do so with baking extracts, like maple, orange, coconut, banana... you can do that without having to actually add any fruit. And regarding coconut, if you like coconut then use full fat canned coconut milk to provide some "liquid" to the mix (maybe eliminate the sour cream?" I don't know cause I still need to try this! LOVE coconut!!). I have done a pumpkin cheesecake cause I had some unsweetened canned pumpkin I wanted to use up, it was AWESOME! And I have made the peanut butter cookie "crust" but I also sometimes don't even bother and just use little cupcake papers and cook in the cupcake pans (less time to cook too, keep your eye on it) because then it's already portioned out for me! I love my CHEESECAKE!!! You won't even know it's keto!
@@woltra1 I haven't read your longer post yet, but wanted to mention that CGM's are not as accurate as a blood meter. I have checked mine and it has been as much as 16-30 points off! And that is consistent for both high and low reports. I use mine just to check for spikes/ stability, but then use my meter to check for accuracy.
You mention glucose spikes cause damage in the blood vessels. However, you don't indicate how high or low the spike needs to be to activate the damage. Does damage start at a glucose level of 100, 115, 125 or not until above 150? More specifics would be helpful. Thanks.
By far the best explanation of glucose metabolism and dysregulation that I have heard. Your students are very fortunate to have you as a professor, Aloha.
Brilliant as always Ben. Please, please keep these lectures coming. Not only the content, but your inspiring delivery style makes them the best content on TH-cam. Big high five.
Excellent podcast on the general and specific consequences of glucose metabolism.
Thank you Dr. Bikman! This lecture (my first once signing up) was literally life changing. I've ordered my CGM. ANd looking forward to cracking the code on 5 decades worth of inflamation issues that I been thinking for 4 months was histamine intolerance.
I'll be buying those books on the bookshelf over your shoulder in a few minutes. TY!!!
This is the lecture I have been waiting for!! Wonderful. Everyone should listen to this.
Thank you, Dr. Bikman, for your whole work, I would love to see your lecture in the UK 🇬🇧 one day. I learned from your lessons more than I did during university....🥳
The best amusement for my brain n spirit, besides a few others, is your lectures ❤
When these lectures appear in my notifications I think "what am I going to learn today?"
This is fantastic work! Thank you!
Some YT'ers will break down a talk like this into areas that can be linked to on the bottom to go back to the relevant sections. I wish you would incorporate some of these aids when you do these comprehensive in depth lectures. I have listened to this 3 times and would like to go back over some of those "sections" - if I could find them.
Crushed it again Bikman!! Keep at it!! 🇨🇦
I almost died!!! On 10/11/24 at about 4am I went via ambulance to Intermountain Health Medical Emergency Services in Salt Lake City (actually in Murray UT), was immediately admitted to ICU. I am a type 2 diabetic who had diabetic keto acidosis! (And this is important because we are NOT SUPPOSED to get that!!) But it was atypical, my sugars had been relatively low (I had finally woken up with a 108 BS according to my CGM! Yay! No dawn phenomenon!!!). I was ON the keto/ketovour diet and was doing pretty good, but I was ALSO ON JARDIANCE (SGLT2)!!! That combination almost killed me!! I was feeling sick for a few days, and had thrown up a few nights ago. I thought I just had the “keto flu” you hear about, and so I just tried to push through it and ugh, boy did I feel yucky! Things finally came to a head when at about 3:30am in the morning as I was “trying” to sleep I started hyperventilating! It was as if I had tried to run a marathon at a sprinting speed, my lungs wanted to explode. My whole body was hurting and spasming. I was dizzy, too wobbly to walk or get out of bed. I also threw up then and it was BLACK... I remember thinking “Hmmm.. I don't recall eating anything BLACK! What the heck is THAT!?” I finally admitted I needed to go to the hospital because I needed PAIN KILLERS to help me with excruciating pain, I also figured that black vomit was not good, so ya, please take me to the hospital! I can have my husband (a doctor) help me decipher the medical records, but my “health” markers were WAYYYYYYYY OFF! One important “buffer” needed for life was unreadable, meaning I had NO more “buffer”. My blood acidity level was also up off the charts. So anyway first thing they did was try to ask me questions, kinda hard as I was going in and out of consciousness. I remember vaguely the ride to the hospital, being rolled out of the ambulance into a metal room (or maybe just metal doors, I don't know?”) being lifted/transferred to the hospital stretcher, then rolled into another room, then a team of about 8-10 ER staff all surrounding me. The questions were “what was that from” (from me groaning in pain) “where does it hurt” (everywhere) “can you be more specific” (ok I'll try... my back, my stomach, my legs, my feet...) I guess they were trying to figure out if I was having a heart attack before they did anything else. After a few more groans in pain they said “Lets get her some morphine” and I immediately got some relief. But I was still breathing REALLY HARD, that didn't slow down until much later on, I'll have to go view my medical records to figure out when that was. The rest of my time that next 24 hrs is kinda a blur. I was trying to sleep, but they were waking me up trying to prick my finger to see what my blood sugars were doing every hour, and they were drawing blood for labs often, and they were waking me up to see if I could do any physical therapy, and I was asking them to please UNTIE ME from the IV's from both elbow pits & from the compression leg thingies tying both legs down to help me get to the toilet so I could pee. I wasn't allowed to eat or drink for 24 hrs. They didn't even want me sipping on water (only allowed to chew/swallow ice chips), because THEY were giving me water via IV and they needed to know exactly how much water went into me, and then as I was peeing into this container they were measuring how much fluid was coming out of me as well. Ugh. I'm just tired again just writing/reading this all.
Ok, next phase. Next day I am transferred to the regular hospital floor. They are now giving me insulin shots. But I am dismayed, because I did not WANT insulin shots! I was trying every which way but loose to AVOID insulin shots! The diabetic educator was trying to convince me I needed insulin shot prescription. I was being a pain-in-the-butt because I kept insisting I did NOT want insulin shots! We were at an impasse. They were looking at me like I'm crazy. And I was just having SUCH a hard time. I do over react to stress and that can make my BS go UP. Shots/pokes/jabs drive me crazy! I have a complete meltdown internally, meanwhile outside I'm trying to hide that. My poor sons inherited this from me. When they get labs drawn or get a shot they faint! They are fully grown men and they are fainting! One time I was trying to show my younger son how my glucose monitor worked so I pricked one of his fingers.... AND HE FAINTS! So ya, they inherited that from somewhere, and that somewhere was ME! Now I'm getting “poked” more than a hundred times a day it seems! And they have me on insulin, for the first time in my 15 years with diabetes I'm on insulin. But to tell the truth the insulin DID SAVE MY LIFE!!! AND THE GLUCOSE ALSO SAVED MY LIFE!!! How confusing is that?!? It's confusing!
Anyway, I'm having a hard time because what I WANTED TO DO (do Keto, no insulin!) was not what THEY wanted me to do. I am battling the medical establishment.... AND MY HUSBAND THE DOCTOR TOO.
Ok, so 24 hours in ICU. As I was saying the next day I am transferred to the regular hospital floor (oh ya! REALLY FUNNY STORY associated with that!!! I didn't sleep a wink after that “visitation”!!) And now it's the next day and I will be discharged from the hospital. We have a meeting with my ER doc. And he has consulted with some hospitalists & endocrinologists. They very clearly decided that my problem was NOT the keto diet! My problem was the JARDIANCE ON the Keto diet! They released me saying “No insulin, NO JARDIANCE, you can do Keto” End of story!! YAY!! So now instead of spending more than $800 a month on diabetes prescriptions (no more Jardiance, Invocana, no more Metformin, no more ANYTHING!!) I'll instead be spending that money on LOBSTER and eating that with BUTTER & LEMON, and I'll have a side of RIB EYE to go with that!!! Cartman of South Park was correct!!! “Tell the President to have a little steak with his butter!” I hope I survive this new diet! We will see!! Wish me luck!
So anyway I'm writing all of this with the hopes to GET THE WORD OUT!! I was looking out the window of my hospital room as we were talking with my doc (and wondering how many others like me were out there. Struggling. Hurting), & we were sharing that the ER staff had said “we see this all the time” and I'm thinking “Well, that is WAY TOO MUCH then!”. And the ER doc was saying “well, its not all the time, maybe once a month...” and I'm still thinking “THIS IS STILL WAY TOO MANY!!”
People with type 2 diabetes are out there, and some of them are on an SGLT2, and they are getting SICK AND TIRED of this disease PROGRESSION!!! Do we keep going with this PROGRESSION? Do we lose our sight and go blind? Do we lose our Feet? (I've got horrible neuropathy in my feet! I'm scared!) Our legs? My thumb? (because that is constantly hurting me and is numb. Is my thumb dying and am I going to lose my thumb?) How far and how long are we going to let this disease PROGRESS?!? Can we get off the merry-go-round of... gain more weight->become insulin resistant->have higher blood sugars->take insulin shots->gain more weight-> etc and on and on. No people! NO!!! We are TRYING TO GET HEALTHY! We go to the store, we buy the GOOD stuff, we learn to cook it the right way and say “oh DANG, that is YUMMY!!!” We might even (if you are like me) lick the plate clean leaving our poor puppy with nothing (lol, don't actually feel bad for him, he gets LOTS of yummies!). So ya, back to my point, how many type 2 diabetics out there ON JARDIANCE (or other SGLT2's) who want to give this Keto/Carnevour thing a try? Because I tried it 3 times, 2 times I failed MISERABLY.... because I was “SICK” sick & likely about to go into DKA back then too, and I stopped it by giving up & eating CARBS (and thereby continuing on with my disease progression) not by GETTING OFF JARDIANCE!!!!!
I have a HUGE question..... HOW MANY PEOPLE WHO HAVE SUFFERED WITH KETO FLU WERE ON JARDIANCE or other SGLT2's? I would seriously LOVE to see a survey done to ask that question!
I'm writing here because this IS THE TARGET AUDIENCE!! Please help me get the word out!!! GET OFF JARDIANCE or other SGLT2's if you want to STAY ON KETO/CARNEVOUR!! Thank you for reading this! Stay safe! God Bless!
Your horrible experience will be eye opening for those who are on Keto and Jardiance combo. This is contraindicated as it may cause Euglycemic Diabetic Ketoacidosis a life threatening condition.(not Keto Flu as you think).An urgent treatment in ICU may save a life. It is unfortunate that you were unaware of this danger. Blessed be.
I wonder if the ER did an insulin level, treatment would have been different
@@dianelakata1308 When in the ICU I think they did actually, they were taking SO MANY TESTS, they said I didn't have "any" insulin at the most dangerous part, but the TREATMENT in such a circumstance IS H2o + GLUCOSE.... & INSULIN, in VERY CONTROLLED & MEASURED amounts. That combo saved my life! I know... confusing right?!? I don't have any problem with them saving my life and treatments IN the ICU (cause that was from IV's already in place from when I arrived), its what was going on after I was released from ICU taken off IV's and sent down (well... I WALKED down to be honest, the nurses were pretty impressed with that LOL) to regular floor.... they were still testing my glucose OFTEN (way more than I could handle emotionally, especially when I was WEARING a CGM that could have been used! IMO - and my fingers are STILL HURTING from the plethora of pokes) and I was getting 1-2 unit insulin shots like before, during and after every meal (freaking me out, stress raises my BS a lot unfortunately), and also being woken up in the middle of the night to give me a SHOT of 1 unit of insulin when my BS was like 141!! Like LET ME SLEEP, sheesh! (oh, and to ALL my nurses who were treating me, I KNOW YOU ARE ALL SAINTS & ANGELS!! I do not blame you for you giving me shots, you were just doing your job! I was being the PITA! I am grateful for you!) I was just verbally "battling" with ER docs on the whole insulin issue at that point. I was afraid I was going to lose my battle. They thought I was crazy. But I was still stubborn, insisting please please NO insulin. They finally relented. They gave me their blessings to keto on. BUT NO MORE JARDIANCE!! We all agreed on that!
Thanks for sharing. That is the reason it is recommended to start keto as a person on medications and/or diseases under medical supervision. Medications often need to be adjudted or removed.
My doctor instructed me to eat low carb and then gave me a prescription for a sglt2. No warnings at all. Luckily I read up about it after seeing the DKA warning on the Duforzig pamphlet. Also did not know that DT2 could have DKA. My son is an EMT in South Africa and we discussed it, trying to make others aware that DKA in DT2 is possible. Share the information whenever possible. Thank you for sharing your experience.
Ben I wish you could incorporate some charts and pictures of things like the glycocalyx (sp) in your classroom talks. It would really add to the presentation. But of course I also realize that would take a LOT of extra time on your part or someone editing the presentation so I see why you may not be able to do that. Perhaps your time is better spent on making more videos than time spent on editing and adding on fewer videos. At any rate, a very big thanks for your presentations. I can credit a lot of TH-cam doctors helping me on my diabetic health journey, but you are absolutely the single most important source for me learning about and helping me manage my disease. Thank You. Hope you decide to do another Low Carb Cruise some day. John Burns
I have found that understanding metabolism is one thing that has helped me to stick to low carb. I'm celebrating my 3 year anniversary in a couple of days' time!!!
Audiovisual lectures will be much appreciated. Thank you sir
Amazing. I have listened to (too many?) lectures over the last couple of years. It all goes together. This one wraps it all up.
Great to hear about glycocalix and it´s important role. We have a health disaster coming considering all "sugar" being consumed. Big Industry is slowly cutting the branch they are sitting on. Making money now, yes, but greed has long term consequences.
Thank you
Regarding the glycation effect on vasculature over time, it's a good thing that only half of the BYU football games are at home to minimize cougar tail potential exposure. Seriously, I love the information. This video is probably one of your most clinically relevant. Thank you!!!
Appreciate this lecture. Please have a lecture on how chronic inflammatory conditions like RA affect this process.
I would be interested in knowing if there is a certain glucose number at which permanent damage is inflicted on the red blood cells. I’m recently wearing a CGM to learn how foods affect my glucose levels. Thank you for educating the Community.
Again, a brilliant InsulinIQ lecture. I have learned so many interesting things. I was especially interested by the explanations regarding the endothelium and the glycocalyx. I am sure some family practitioners never heard about glycocalyx…The gigantic complexity of the endothelium (a genuine organ on it’s own) and the glycocalyx must have been a mystery too for the so called “experts” who came up with the cholesterol hypothesis and designated LDL-C as the vilain for CVD’s.
Thanks for the lecture! Are you going to upload as a podcast? I usually prefer to download it and simply listen, especially in the gym.
Just did.
Great podcast, I’ve been following you professor
Bikman for about four years now. I have learned a lot!! My only complaint, if I may, too much advertising going on, interrupting your lecture. You are a blessing though.
well done as usual
Thank you so much Professor ❤
Great presentation!
Great lesson.
Great information. So important!
Dr. Bikman, what about metformin, which inhibits complex 1 from the TEC? It should be good for us then.
Thank you sir!
Thank you - as you say, these are great things to keep in mind over and above just a high glucose reading. It really helps my incentive to be able to sort of visualize the negative effects of spikes. And thanks for that aside about how a sauna affects CGM measurements - now I know why I get a little bump in the CGM curve during my 10 minute shower.
2:25 "Now the word diabetes is interesting because it actually is a term that describes the most famous manifestation of chronically elevated blood glucose which is a lot of urine production. Something called polyurea diabetes essentially means too much urine is being produced ."
Absolutely brilliant 💕💕💕it!
Thank you Ben
Such a great lesson! Thank you, Prof. Bikman.
Allulose: Could you please discuss the addictive potential for some people to the sweet taste of Allulose and the possible cephalic phase insulin response to it and consequences?
Can you post the references here?
Learned s lot, ty!
I love all yoir videos. You've taught me so much. I'm going to get a notebook and write it all down.
Great info! Thank you
I listened to an Australian physician yesterday on this subject and he brought up a new component to insulin that I never heard about. PLEASE ADDRESS the function of...insulin degrading enzyme. How does this actually function in the life of an insulin molecule, the circulation of insulin as it is used by the cells and how it affects glucagon production. I want to better understand the function of this enzyme, where its produced and hiw to stimulate it to reduce insulin. How does it interact with fat cells? Thank you
Dr. Bikman, thank you for your excellent videos. They have been a great help understanding my own biology. Stuart from Melbourne AU 🇦🇺
Thank you ,always awaiting the next episode 🎉
Appreciate Dr. Bikman’s lectures, videos, and studies very much. Is it possible to say how high a blood sugar spike would be to cause damage? Does it matter how long it stays high? I eat low carb but I run, bike, and weight train 6 days a week and find it extremely difficult to sustain on Keto, so I consume ~100 carbs each day. My fasting insulin serum is 2.5. If I consume most of those carbs in one meal, my blood sugar can spike to ~160. It doesn’t stay there for long (I do not use a CGM because I don’t want to get paranoid with every up/down). I think some reference numbers would be helpful but perhaps there are too many variables to give concrete numbers? But man, it’s hard to find a balance between eating to be healthy and preventing all the horrible ills Ben speaks about and living a life where you can enjoy meals with family and friends and not be the weirdo with what looks like an eating disorder.
superb content
After a pasta meal, I like to boil the kettle, add in about 1/2 lemon cut up, and let it steep a few minutes. Add in a tsp or so of allulose for a nice satisfying drink.
What is considered a glucose spike? 20 points? 30 points? Is that something that lasts hours or minutes?
Best lectures ever!!❤
Another great lecture .... thank you Ben!
I was pre diabetes. Im on keto diet, my A1C is 5.4 right now. I urinate so much at night. Am I still having too much glucose in my body? Yikes
Thank you so much for all your videos. Being in moderate ketosis my blood sugar is till staying high. I hope it starts coming down. I did lower the amount of insulin too so that might be why.
❤❤❤ Professor Ben !!!!
Thanks especially for the great explanation but also the linked studies!
Thanks for your kind gift. Not expected, but certainly appreciated.
Thank you so much🙏🍀
Dr Bikman you often bring up a water retention mechanism caused by hyperglycemia via the aldosterone mechanism and salt retention. Is it a compensatory mechanism for fluid loss due to the very hyperglycemia? Just curious how those two reconcile.
Also, can the glycocalyx in one’s vessels be eventually restored on proper diet?
So is chronic hyperglycemia worse than roller coaster spikes and lows leading to hypoglycemia or are they equally problematic?
Great point about fibre around 33.00
LOVE IT, thanks teach!!❤
How do you measure insulin resistance? I'm trying to get my sensitivity back. I had an A1C of 10.4. In 3 months with Metformin I was at 5.4. Over the past year I have stopped taking the Metformin (under Dr. supervision) and it's still 5.4/5.5, but I can't seem to get any farther than that. I'm stuck at 5.5. My fasting insulin is consistently 11-ish. What can I look at to see if I'm improving my insulin sensitivity?
Thank you for explaining the consequences of advanced glycation endproducts (AGEs). It surprised me to hear that allulose forms very few of these when its close relative fructose is seven-fold more likely than glucose to form them. How is this explained? Body clearance time? Access to the compartments where the AGE measurements are made?
What if you have normal levels of insulin (3) but running higher fasted blood sugar of like 100-120?
Great stuff Ben
Hello I have a question? I’m a cyclist and when I was eating carbs when I was cycling the carbs didn’t respond any more I didn’t get any energy from it not I was bunking but my legs it’s like the carbs wasn’t used as energy. I felt like crap so I tested then my blood sugar and it was 160. I’m male 44 years no overweight. My fasting bloodsugar was 120. Is this also insulin resistance? Or starting type 2 diabetic? Or do you know what the problem is? My physician says everything ok, but I feel there is something wrong. So I started a few months ago, the ketogenic lifestyle feeling much better bloodsugar fasted dropped to 90.
I’m wondering the science behind how the GLP medications work. I see from google that they stimulate the pancreas to produce more insulin. And with what Bikman teaches, we want less insulin. So how is the medication working to help people lose weight? All I’ve been able to find Bikman saying about GLP’s is their bad side effects. Does anyone have a link to him answering more on this exact science.
What do you do when on keto for a couple of years. I used to be in the 70's 80's now I'm in the90's,, what the heck? My A1C has also creeped up from 5.2 to 5.6.?? I'm so confused.
Stop keto and get back to whole foods diet+resistance training.
@@sunnyBLR hard to break the . I've introduced more carbs by way of sweet potatoes. Seems its the only thing that doesn't spike my glucose.
At 65 years(+) I'm sorting out my energy cycles: kayaking and Mountain Biking, through recovery.
Glycogen loading doesn't work for me anymore. . . ?
Dr. Bickman, I’m wondering why my fasting blood glucose is still high, about 110, when I’ve been doing keto and one meal a day for about 3 months. Is this gluconeogenesis? I’ve dropped from 230 pounds to 193 and feel great but am still clinically obese? Will my blood sugar stay high even while eating no sugar until I’m an ideal weight?
same situation here
How many carbs at your one meal?
Ate you eating enough fat and protein at that meal?
Eating too much too fast was my problem. How we break the fast.
@@actuallywhatimeant2583 I have meat, like bacon wrapped steak with a salad with low carb dressing. I’m definitely not eating many carbs. I have been in ketosis for 3 months.
@@edangae I’m glad to know I’m not alone. Hopefully our blood glucose levels will drop eventually.
@@singamajigy lose the dressing and use olive oil and vinegar
How does this work for keto friendly foods but eating more than 100g most days? My last BG was 90 and TG was 58 eating like that
There is a small muscle in the calf called the Soleus. It is connected to the Achilles tendon. Unlike 90%
of the muscles in the body it cannot store glucose and must get glucose directly from the blood
stream. It is activated by walking, running , jumping etc.and I believe this is why walking after a
meal is so good for you.
What is "high"?
What about Allucation? Just because the test for glycation cannot detect allulose mallard reaction products ( or fructose) it doesn’t necessarily mean there is none. One paper said it was 11 times more reactive than glucose, fructose was 7.7 times more reactive than glucose. Hopefully someone can design a test to detect this potential issue. I don’t like these unknowns, especially since it seems reasonable that it would react similarly as fructose does. Referencing a glycation test for allulose is probably not correct. But I’m just speculating.
Interesting thought... commenting to follow replies.
It’s for all these reasons that I am concerned about my HbA1c of 5.7% despite 8yrs low carb, paleo with dairy, IF 18/6. I bought a keto mojo which confirms glucose is too high. On waking it’s 6(mmol/L), goes up to 7 just pottering about, stays at 7 after an hour long dog walk in hilly woods. It can get to 8.1 after an extreme exertion weight lifting session. It’s usually nearer 5.5-6 prior to lunch ( first meal of day), goes up to 7 then back down after 2 hrs to 5-5.5 until supper when goes to 7 and takes a bit longer to come down to 5.5.
5 yrs ago fasting glucose was 4 and insulin was 2 taken at midday!
Why is my glucose so high? Is it
1) too much progesterone on HRT - but I can’t lower the dose so what do I do?
2) too much protein - 80-140g/day
3) because I’m overweight- BMI crept up to 26-27 due to depression of lockdowns and overeating ( yes I can easily gain weight even eating ketogenic)
My carbs are 20g total a day. Every day I walk the dog, and each week do circuits with weights, X3Bar weightlifting x4, Pilates x 3, Zumba.
I’ve ordered a weighted vest for my dog walks, I’ve started a 4 x 30 seconds HIIT in the morning 4 x a week, I’ve started doing longer fasts of 24-48 ( &72 once) hrs each week. I have a cold shower every morning ( for 4 yrs), a hot sauna style bath every night for 30yrs, I use a red light/NIR therapy panel daily. I’m not particularly stressed about anything ( one off blood test and Dutch test showed lower boundary cortisol levels). I’m a LMHR although just failed to meet the criteria recently. I follow Dr Dale Bredesen’s advice on how not get dementia for a 3/4. I take omega 3, vit D + K2, magnesium, multivitamin etc.
Why is my glucose so high and what on earth can I do to get it down, that I’m not doing already?!
its so frustrating, when youre following all the advice, and youre not getting the results!!
i hope everything works out for you, and you get the answers!
gaining weight easily still looks like insulin resistance, stop all dairy and limit protein a bit more- blood sugar after intense exercise increasing is pretty normal. make sure meals aren't too big. for me, lower protein (75g per day) and higher fat helped me tons. and I ate 3 meals a day and no snacks.
time to do some fasting
Switch to whole foods Mediterranean style diet+resistance training. Longer fasts once in a while. Clearly keto is not helping your case.
“When RAGE is activated”- you need to bring home chocolate and flowers…😂
oh gosh ya, but make it CHOC ZERO chocolate... or RXSugar. Chocolate will cover a multitude of "sins" lol. Hey! Stay Safe, and please see MY comment in this area, I almost died last Friday am but want to warn others to please be careful!
I am a male in early 70s taking zero meds. Just got CGM three days ago just for my own interest. Now three nights in a row the low blood glucose alarm went off two or three times each night. It was recording from 48 to 55 mg/dl except once when it was off the chart low my estimation was about 40. Does anyone have the same problem and should I worry. I expect it has not just started to happen and I never feel ill or dizzy when I wake. Its so annoying being woken up I feel like throwing it. My daytime counts seem to start about 120 then gradually work down to between 85 to 110.
You should be able to turn the alarm off. And, did you check your blood glucose with a finger stick and compare to the CGM when you experienced the lows? The lows may be happening because you are lying on the sensor. That is a common occurrence.
what if their carbs are zero for 4+ months, their insulin is low (2.1) and their CGM stays above 100 plus insane Trigs (over 500)?
Dr Ben, I stopped drinking yerba mate tea because the package itself shows a high number of cabs on it.
Hmmm... not sure what you are looking at. There is 1 gram per serving: www.walmart.com/ip/UNICITY-Unimate-Natural-Lemon-Ultra-Concentrated-Yerba-Mate-Drink-Mix-30-Packets-Alternative-to-Coffee-and-Energy-Drinks-30-Day-Supply/7032772391
@26:35 It is not even that LDL is benign, but there is evidence that LDL is associated with reduced all-cause mortality, certainly in older cohort, as discussed by Dr. Paul Mason, during which he reviews the actual studies and their results on this very matter.
do the reactive oxygen species get created when insulin is low, i ask because of people who get high glucose on carnivore? I ask because i saw a video of yours (Randall cycle) where it was said that insulin is needed to use glucose as a fuel.
If not, does this mean that this eventual rise in blood sugar in some carnivores would bring no ROS since fats are used as a fuel.
AGEs are on the other hand a potential problem in this case? Or is this avoided somehow because of the kept structured water effect (there is no stealing of electrons involved which would compromise this, since there are no ROS created)?
You pinned the issue of atherosclerosis progression better than an “expert cardiophysiologist”.
What do you think about them cougars, 6-0
If in hyperglycemia with insulin resistance meaning the glucose is in the blood n has not been able to ENTER the cell, how could it cause oxidative stress n use all antioxidants INSIDE the cell? So how could MORE free radicals be produced?!
For that matter how does hyperglycemia overload the cell with energy when it has not entreated it?!?
What about HYPOGLYCEMIA?
Sarebbe un piacere se lei creasse anche i video in lingua italiana..guadagnerebbe anche una gran visibilità italiana..con AI non è difficile..noi saremo felici e tu maturerai visualizzazioni..grazie dottore..
What about all vegan people? They consume lots of carbs from fruit, beans, legumes, grains etc. and low fat. There are many type 1 that follow that approach and they use less insulin per gr of carbs when they limit their fat intake. Any explanation for that? Just wondering.
I had reactive hypoglycemia, so I got the best of both worlds. Every time I ate I would have a very high blood sugar spike, then a high insulin response, then a crash. At the end I would in fact pass out. My only choice is total abstinence from carbs.
The Finnish word for diabetes is sokeritauti, meaning sugar disease.
The Dutch word 'suikerziekte' means exactly the same!
I used to be acute but that was months ago
Me too! Bikman, Fung, all the other low carb social influences, I owe a HUGE thank you too! I almost died last Friday morning, weird BAD interaction on a diabetic med while trying to do keto. Arrived to hospital via ambulance admitted to ICU the whole shabang. Thank God I'm still alive!
Can AGE be reversed with diet or fasting?
You’ve just explained the mechanism behind most human diseases lol
Hi dr, are you using telegram app to connect with patients? I have someone who identified as you and trying to connect with me.
He is NOT a medical doctor and does not see patients. He is a PhD and teaches at Brigham Young University.
@@rpl1421 this is what happens when you multi tasking you write stupid things but thank you for the clarification.
also, I humbly request if anyone is in the SLC/Provo UT areas that has a recommendation for a primary care or specialist dr who will support me in my low carb efforts I would SUPER APPRECIATE a referral! Me and my husband live in St George, but our kids and grandkids live in SLC area so we are going back and forth OFTEN! The ER docs sent me home with a GLP-1 prescription (Trulicity) that I'm supposed to pick up. OF COURSE the pharmacy is OUT of it so waiting for it to fill, but honestly I don't even think I even WANT to take that again, it makes me feel like YUK! I'd rather just keto ON!
Maybe go to my website and ask my team: www.insuliniq.com
@insuliniq YES! Will do!
Have you seen Dr Bikman's video on Allulose? Perhaps you can avoid taking the GLP-1 meds...
Upshot, the human body wasn't designed to be belted daily with high amounts of carbs.