Dr. Ian Lake is a Primary Care Physician in the UK. After 20 years of living with Type 1 diabetes, he accidentally discovered the ketogenic lifestyle which had a profound transformation in his diabetes control from the first day; he halved his insulin doses, reduced his hypos, and had much-improved blood glucose. Previously, he was in the same situation as two-thirds of people with Type 1 diabetes who are losing 100 days of life every year because of their HbA1c being above 7.5%. (EASD 2020) He feels so healthy and alert that he has had the confidence to resume sports in the great outdoors solo, which he had to stop because of safety concerns around diabetes.

In 2020, he organised the Zerofive100 project, a 100-mile run over five days with zero calories, water only. One other person with Type 1 was in the team of eight. It was designed to address clinical concerns about the keto diet in type 1 diabetes and was a success. There were no issues at all. He has written professional courses on keto diets, which are intended for clinical teams and will also appeal to people living with Type 1. He also runs residential courses on insulin optimisation for people living with type 1 diabetes, and has a website dedicated to providing information for fellow T1s.

‘There is a lot of misinformation out there and people are getting confused. People should know their options so that they can make informed choices supported by their clinical teams. This is a chance for a new start for some people, and I hope they, too, discover the benefits of this lifestyle very soon.’

Twitter: @idlake

Website: www.type1keto.com

https://combegrove.com/type1-diabetes-retreat/

Timestamps: 00:00 Trailer. 00:43 Introduction. 04:46 Type 1 diabetes management: lower carbs, monitor insulin. 07:46 Higher insulin levels in type 1 diabetes. 10:47 Encouraging glucose-only fuel, denying metabolic flexibility. 14:43 Interest in protein, its impact on body. 17:00 Optimal blood glucose control achieved through lifestyle. 19:05 Understand and adapt insulin for health pillars. 24:45 Type 1 diabetes and keto diet risk. 25:33 Effect of treating type 1 diabetes, blood glucose, ketogenic diet, cholesterol. 29:01 Managing weight through energy balance is optimal. 34:47 Doctors concerned about sudden metabolic changes. 35:59 Ketosis can be risky for some people. 39:27 Challenge conventional diabetes treatment with lifestyle changes. 42:46 Powerful drugs can suppress immune response temporarily. 47:52 Difficulty of lowering blood glucose in infections. 49:45 Where to find Ian.

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