In this episode of Diabetes Insights with Dr. Brian Mowll, we discuss the connection between adipocytes, inflammation, and insulin resistance by examining several papers. Dr. Mowll explains the main findings of three studies including an understanding of how adipokines can drive inflammation leading to insulin resistance and some possible solutions.

Diabetes Insights is a solo format podcast with Dr. Brian Mowll exploring the latest and most interesting research in the field of diabetes, blood sugar, and metabolic health, and distilling the most relevant data for clinical use. 

This special podcast episode is geared toward healthcare professionals and those with an interest in learning more about diabetes and the latest advancements in understanding and treatment. Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

Lago, Francisca et al. “Adipokines as novel modulators of lipid metabolism.” Trends in biochemical sciences vol. 34,10 (2009): 500-10. doi:10.1016/j.tibs.2009.06.008

Kalupahana, Nishan S et al. “Immunity as a link between obesity and insulin resistance.” Molecular aspects of medicine vol. 33,1 (2012): 26-34. doi:10.1016/j.mam.2011.10.011

Vázquez-Vela, Maria Eugenia Frigolet et al. “White adipose tissue as endocrine organ and its role in obesity.” Archives of medical research vol. 39,8 (2008): 715-28. doi:10.1016/j.arcmed.2008.09.005

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Lisa Lewtan published the award-winning and best-selling book  Busy, Stressed, and Food Obsessed! and went on to host a live radio show called Healthy View Radio (now a podcast called The Healthy View). Recently, she studied in one of the first classes to receive certification as a Designing Your Life coach, based on the NY Times bestselling book and class by Stanford University professors Bill Burnett and Dave Evans. Lisa also received a certification in teaching Mindfulness. Her work has been featured in numerous publications including The Boston Globe, The Huffington Post, MindbodyGreen, and Reader’s Digest, and has been a speaker at companies such as Kripalu, Canyon Ranch, Rancho la Puerta, WGBH, and Google.

In this episode, Lisa opens up about her sugar addiction. After cutting sugar, Lisa thought she would lose a ton of weight; however, that did not happen. Instead, Lisa found positive changes after cutting sugar - she finally felt calm and relaxed. So, Lisa ended up developing a program to help other people get off of sugar. There are loads of people out there who struggle with it! Lisa isn’t sure why sugar will profoundly impact one person and not the other.

Many people won’t know that they have a sugar problem. Lisa can look at what somebody eats throughout the day and immediately know if they have a sugar problem or not. When people start realizing the reason they crash is because of their diet, Lisa steps in. Lisa helps people tweak their eating habits, and she can assist with cutting out sugar completely. Sugar is often an emotional connection, that’s why it is so difficult for people to kick the habit.

RXBARs are popular in the paleo community because there are only a few ingredients. However, some of their bars have well over twenty grams of sugar in it. You need to be careful with anything that is going to keep the cravings going. Lisa ended up cutting bars out altogether from her diet – it’s just not worth the cravings she gets later on.

Then, Lisa speaks about how to break the emotional connection to sugar. We aren’t addressing the emotions that people have when they are addicted to sugar. Lisa says that when we stop tasting sugar, we can recalibrate our taste buds. Plus, Lisa wants to say that sugar addiction has nothing to do with will power. Once you take the break from sugar, you will realize that you don’t even need it anymore.

Lisa explains the strategies for cutting sugar. Instead of cutting all of the sugar, Lisa says to stay with the dark chocolate and cut everything else. It will be impossible to reduce the sugar if you don’t want to give it up. There has to be a reason why you want to cut the sugar. Usually, people will endure a health scare, or people realize that they just feel crappy. Then, they decide it is time to ditch the sugar train.

If you are going to have sugar, then sit there, love it, and enjoy it. We want to get to the point where we aren’t beating ourselves up about it. When we have a break from sugar, we choose what we are going to eat. When we feel good, we don’t need to beat ourselves up anymore. This is really hard to do when you’re still eating sugar. Stay tuned as Lisa reveals tips for giving up sugar quickly.

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In this episode of The Coach’s Corner with the Diabetes Coach, Dr. Brian Mowll discusses the different forms of hunger and why many types of hunger are not driven by energy balance or home static needs, but by emotional and psychological desires and imbalances.  He shares his thoughts on how to overcome these faulty hunger signals and find peace with hunger.

The Coach’s Corner is a solo format podcast with Dr. Brian Mowll sharing insider tips and information about how to address high blood sugar and prevent or reverse pre-diabetes and type 2 diabetes using a personalized, natural diet and lifestyle approach.

In these revealing and impactful episodes, Dr. Mowll answers listeners questions and tackles common problems related to diabetes and blood sugar management.  Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

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For more Dr. Mowll, check out his  website drmowll.com

For more information on this week’s episode, visit:

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In this episode of Diabetes Insights with Dr. Brian Mowll, we discuss a 2011 paper from Dr. Osama Hamdy of Harvard University Endocrinology department and the Joslin Clinic evaluating the optimal protein content for the diabetic diet.  Dr. Mowll explains the main findings of this study including a detailed description of Dr. Hamdy’s recommendations and justification.  He also gives his commentary about the most useful clinical insights from the research report.

Diabetes Insights is a solo format podcast with Dr. Brian Mowll exploring the latest and most interesting research in the field of diabetes, blood sugar, and metabolic health, and distilling the most relevant data for clinical use. 

This special podcast episode is geared toward healthcare professionals and those with an interest in learning more about diabetes and the latest advancements in understanding and treatment.  Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

Hamdy, Osama, and Edward S Horton. “Protein content in diabetes nutrition plan.” Current diabetes reports vol. 11,2 (2011): 111-9. doi:10.1007/s11892-010-0171-x

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Mastering Blood Sugar Podcast

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Dr. Ethan J. Weiss has been passionate about health since a young child, growing up around a cardiologist father. He eventually went on to attend Vassar College before moving on to medical school and residency at John Hopkins. He came to UCSF in 1998 to complete his clinical and research fellowships in cardiology and has remained on the faculty since then. Dr. Weiss has maintained an active clinical practice with expertise in the emerging intersection between endocrine and metabolic disease and cardiovascular diseases. He is a leading authority on novel tools to predict and prevent cardiovascular disease and has special interest in using technology as a tool to enable lifestyle changes.

When you look at the role of nutrition in cardiovascular health, you’ll find that there is imperfect information. So, we need to review the information that we have and take the best approach going forward. Dr. Ethan believes that cholesterol is causative in cardiovascular disease. In the past ten years, there has been an abundant amount of information that LDL is a massive risk factor.

Dr. Ethan explains the effects of cholesterol. If you look at plaque in human arteries, there is definitely LDL cholesterol. How LDL contributes to the growth of plaque is still something we are learning about. We are hindered in this field because it is difficult to get ahold of the tissue. We don’t have the best or most refined understanding of how this happens. However, the latest theory is that cholesterol will cause problems by inducing an inflammatory response.

Diet relates closely to lipid health. In the seventies, we told people to eat low fat; therefore, people started eating high carbs. However, Dr. Ethan doesn’t want to say that he has the answers prematurely. No one has the answers; there is still a lot to learn about nutrition. If you take a low carb and high-fat diet, the impact is an increase in LDL cholesterol. After digging deeper, Dr. Ethan felt more comfortable with the rise in LDL because it didn’t increase the risk of cardiovascular disease. Some individuals will have a much more significant change to their LDL when they start eating low carb. Dr. Ethan says people have five choices:

-      Ignore it.

-      Keep an eye on things by measuring calcium.

-      Try a different diet by adding more carbs.

-      Start taking a statin.

-      Replace saturated fats with plant-based fats.

Dr. Ethan is most excited about the last choice, replacing saturated fats with plant-based fats. When people have heart attacks, it’s important to treat things differently. So, Dr. Ethan does not recommend using diet to treat heart attacks alone. However, food should be part of the recovery.

Then, Dr. Ethan explains the relationship between keto and diabetes. You don’t often see people coming into the doctor’s office with fewer and fewer drugs. However, people with diabetes are coming off of their diabetes medications and blood pressure medications once trying the ketogenic diet. Dr. Ethan has found publications on low carb diets and diabetes in 1795. So, the relationship between keto and diabetes is not a new phenomenon.

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In this episode of The Coach’s Corner with the Diabetes Coach, Dr. Brian Mowll talks all about snacking and why it’s one of the worst habits for people with insulin resistance, overweight, and type 2 diabetes or blood sugar problems.  Conventional doctors and dietitians often recommend eating 5-6 meals per day, or 3 meals with small snacks in between to stabilize blood sugar.  This advice almost always makes the problem worse and leads to chronically high insulin levels.  Learn to break the snacking habit now and improve your metabolic health.

The Coach’s Corner is a solo format podcast with Dr. Brian Mowll sharing insider tips and information about how to address high blood sugar and prevent or reverse pre-diabetes and type 2 diabetes using a personalized, natural diet and lifestyle approach.

In these revealing and impactful episodes, Dr. Mowll answers listeners questions and tackles common problems related to diabetes and blood sugar managment.  Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

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In this episode of Diabetes Insights with Dr. Brian Mowll, we discuss a 2018 paper from the Lancet Journal about five novel subgroups types of diabetes.  Dr. Mowll explains the main findings of this study including a detailed description of each of the subgroups and how it relates to people with diabetes.  He also gives his commentary about the most useful clinical insights from the research report.

Diabetes Insights is a solo format podcast with Dr. Brian Mowll exploring the latest and most interesting research in the field of diabetes, blood sugar, and metabolic health, and distilling the most relevant data for clinical use. 

This special podcast episode is geared toward healthcare professionals and those with an interest in learning more about diabetes and the latest advancements in understanding and treatment.  Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

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Dr. Sarah Hallberg, medical director for Virta Health, discusses research that suggests a reversal of type 2 diabetes in some patients is possible. Virta Health offers a new model for diabetes care that combines real-time remote medical attention and personalized nutritional therapy to create a sustainable lifestyle change in patients. This model of care goes beyond diabetes management care and can sustainably reverse diabetic conditions. For more conversations about reversing diabetes visit drmowll.com.

In this episode you will learn about:

• A reversal of diabetes is possible.
• Metabolic conditions need a continuity of care that our current healthcare system cannot provide. Virta Health offers sustainable diabetes reversal through its remote care model.
• Diabetes reversal must include a low carbohydrate approach or a calorie-restricted diet.

Virta Health provides patients with personalized and real-time coaching to implement a more sustainable lifestyle change in patients.

Key Takeaways:

[00:54] Our healthcare system is ill-equipped to handle chronic health conditions. Virta Health is transforming that system to provide a continuity of care for patients.

[11:11] What are the practices of a diabetes reversal program?

[16:45] Are plant-based diets effective for disease reversal?

[20:03] Explain the benefits of nutritional ketosis.

[26:55] How do you help people figure out their optimum food intake to burn their body fat?

[28:32] How do your coaches help people be more successful in disease reversal?

[32:09] Is it possible to shift the global crisis of metabolic health?

[34:29] Is there a thought or an idea that best summarizes your work? What book changed your life? What advice would you give to someone who was just diagnosed with type 2 diabetes?

Mentioned in this Episode:

Virta Health website

Reversing Type 2 diabetes starts with ignoring the guidelines (Dr. Sarah Hallberg’s TED Talk)

Man’s Search for Meaning by Viktor E. Frankl

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In this episode of The Coach’s Corner with the Diabetes Coach, Dr. Brian Mowll discusses the various type of diets for people with diabetes and explores the idea of whether or not there’s an ideal diabetes diet. 

The Coach’s Corner is a solo format podcast with Dr. Brian Mowll sharing insider tips and information about how to address high blood sugar and prevent or reverse pre-diabetes and type 2 diabetes using a personalized, natural diet and lifestyle approach.

In these revealing and impactful episodes, Dr. Mowll answers listeners questions and tackles common problems related to diabetes and blood sugar management. Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released.

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Today Dr. Brian is joined by Dr. Alan Christianson, a NY Times best-selling author, Naturopathic physician who specializes in natural endocrinology with a focus on thyroid disorders. Dr. Alan offers a refreshing perspective on metabolic flexibility and provides a simplified way to understand and measure food consumption. He walks us through his new “The Metabolic Reset” and the interesting notions discussed in the book.

He covers topics like metabolism, weight loss, healing damage to the liver to name a few.

In this episode you will learn:

• Comprehensive guide to Metabolism
• The key to lasting weight loss
• How to regain a flexible metabolism
• Medical facts about Thyroid hormone
• Best pieces of advice for type-2 diabetes

Guidance on which food to eat

TimeStamps:

[1:20] What is metabolism

[2:00] Busting myths about metabolism

[2:52] What is a reset metabolism

[5:25] Fatty liver; What it is and how to get rid of it

[9:46] Practical ways to measure our fuel consumption

[13:00] How to optimize muscle ability to take up fuels

[14:47] Doing the right type of exercise at the right time along with a balance in your diet

[16:40] Medical facts about Thyroid-stimulating hormone Suppression  

[19:25] Liver, type 2 diabetes, Getting the liver healthy

[22:35] About the book “The Metabolism reset diet”

[25:55] Effects and symptoms of Thyroid hormone

[29:40] Where to learn more from Alan

[30:52] Closing Remarks

Mentioned in this episode:

Alan’s Instagram: https://www.instagram.com/dralanchristianson/

Alan’s Website: https://www.drchristianson.com/

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