The Diabuddies -Holistic Diabetes Management and Functional Medicine

In this Holiday Special, Dr. Grady and Dr. Garrett the chaos that the holidays bring into your health and how to combat it. We tell disastrous stories from past holiday celebrations and strategies that we use to avoid ending up in those situations again. We try to give you various tools that will hopefully allow you to successfully navigate the holiday season without derailing your health.

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 Time Stamps

1:10 - Start/Our Holiday Plans

4:55 - Chaotic Holiday Blood Sugar Stories

9:40 - Being Dialed In With Your Diabetes VS Being Dialed In With Your Health

18:35 - Mindset and Healthy Strategies Going Into The Holiday Season (Making Healthy Decisions)

28:20 - Grady’s Past Guilty Pleasures

32:25 - Grady’s Strategies To Avoid Those Guilty Pleasures

37:20 - Training Your Family To Allow You To Stay Healthy During Celebrations (Peer Pressure)

41:40 - Garrett’s Guilty Pleasure And Strategy/Mindset

45:05 - Strategies To Mitigate The Blood Sugar and Health Consequences If You ARE Going Off The Deep End With Your Diet

55:20 - Closing Tips To Get Through the Holidays As Healthy As Possible

59:15 - What We Are Looking Forward To For The Holidays And Next Year

In this episode, we have the pleasure of interviewing John Roth who was a commercial airline pilot for 20 years when his life was turned upside down by a diagnosis of type 1 diabetes. Since then he has been fighting for the ability of type 1 diabetics to earn a Class 1 and 2 medical certifications so that he and others can resume or pursue a career in aviation. We get into his struggles with the government, his diagnosis, and how he maintains such tight blood sugar control. 

If you would like to contact John to show support or get guidance, you can contact him via email or social media. 

Facebook (https://www.facebook.com/john.roth.1217) and instagram (@t1flyer)

[email protected]

Resources/Links Discussed in the episode:

Suggested Facebook Groups:

• Pilots for the Advancement of Medical Standards https://www.facebook.com/PAMSApilots

AOPA (Aircraft Owners and Pilots Association) https://www.aopa.org/ 

GetInsulin.org

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 Time Stamps

1:02 - Start

2:05 - John’s Diagnosis Story (Late in Life)

12:30 - Positive Mindsets Moving Forward

18:10 - Teaming Up With Other T1Ds  to Get Class 1 Medical Certification

29:15 - Proving T1Ds CAN Have Stable Blood Sugar and Setting “Tight” The Standards

36:15 - The Process of Figuring Out To Achieve “Tight” Control

45:15 - John’s Current Diet and Exercise Routine

56:35 - Carb Intake and Using Resistant Starches for Long Endurance Workouts

1:02:00 - Invest In Learning About Health (Most Of It Is Free)

1:04:05 - John’s Insulin Management (MDI)

1:08:00 - Coaching Other Diabetics (Type 1 and 2) To Achieve Better Blood Sugars

1:16:55 - Current Progress and Process To Get Class 1 Medical Certification Required To Fly Commercial Airplanes

1:28:40 - Current Process To Get Class 3 Medical Cert. (To Fly Private Planes)

1:31:25 - Future Goals for The T1D Airline Pilot Community

1:48:30 - Burst My Beta Cells

 1:54:45 - Diabetic Win

1:59:10 - John’s Closing Thoughts and Advice

In this episode, Dr. Donohoe and Dr. Panno talk about planning and executing a successful camping trip as a type 1 diabetic. We go into figuring out how much supplies to bring, packing and storing insulin, strategies to manage BG throughout the trip, and the various factors that impact BG. We then talk about Thanksgiving and how we approach the holiday so as to not wreck ourselves.

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 Time Stamps

1:02 - Start

4:35 - Preparing For A Camping Trip

17:55 - Food While Camping

29:30 - Dosing Basal and Long-acting Insulin According to Activity

36:25 - How to Pack and Store Insulin When Camping

47:05 - Managing Blood Sugar When Swimming

58:20 - The Sum of All the Positive and Negative Effects That Occur during Camping

1:00:15 - Alcohol Consumption When Camping

1:04:55 - Thanksgiving: Grady’s Thoughts 

In this episode, Dr. Donohoe and Dr. Panno walk through different scenarios in regards to blood sugar management before and during a leg day workout. We both utilize very different strategies. Garrrett likes to change pump settings whereas Grady uses more of an MDI approach by using bolus doses and juice to manage blood sugar.

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Time Stamps

1:02 - Start/Diabetes Awareness Month

5:55 - Types of Leg Day and Their Effect on Blood Sugar

21:15 - Leg Day Scenario 1 - Stable Blood Sugar at 120mg/dl for an Hour Before Workout

37:20 - Leg Day Scenario 2 - Stable Blood Sugar at 70-80mg/dl for an Hour Before Workout

45:55 - Leg Day Scenario 3 - Fasted Workout with a Stable Blood Sugar Going Into The Workout

56:40 - Leg Day Scenario 4 - Stable Blood Sugar at 60mg/dl or Below for an Hour Before Workout

1:08:25 - Leg Day Scenario 5 - Stable Blood Sugar at 200-220mg/dl for an Hour Before Workout

1:17:35 - Leg Day Scenario 6 - Yo-Yo Going High and Yo-Yo Going Low

1:28:30 - Wrap Up/Burst My Beta Cells 

In this episode, Dr. Donohoe and Dr. Panno discuss the obstacles of health. Primarily, we focus on the costs of mainstream healthcare, but also the expense of making healthier decisions like food, exercise, and individualized/preventative healthcare. And even though it's tough and it may not be our fault that we are in the condition of health that we are in, it is ultimately our responsibility to turn things around and strive for the best possible level of health.

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In this episode, Dr. Grady and Dr. Garrett talk with Jay Horley who was raised in the UK and now resides in Hong Kong, China and has been in the health and fitness industry for nearly a decade and a Type 1 diabetic since he was 14 years old. Jay shares his diabetic journey from struggles as a youth to digestive problems and nutrient deficiencies to where he is now which is successfully pursuing optimal health using a carnivore diet.  We dive deep into the carnivore diet, how it has changed his health, and how he manages his diabetes. This conversation was very interesting and eye-opening, to say the least.

You can follow Jay on Instagram @diabetic.carnivore

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Time Stamps

2:08 - Early Diabetic Years

9:01 - Some Differences In Diabetes Supplies In The United Kingdom and Asia

14:02 - HRV (Heart Rate Variability) & Gut Dysfunction Led Jay On His Quest For Optimal Health

20:39 - Taking The First Bite: Starting Carnivore

30:00 - Protein Volume and Calorie Volume

31:16 - Matching Different Insulin Types To Different Diets

44:40 - Meat:Organ Ratios

53:10 - Hypoglycemia On A Carnivore Diet

58:55 - HRV, Recovery, Overtraining

1:06:20 - Longevity And Sustainability Of Carnivore

1:11:45 - Intermittent Fasting With T1D

1:16:55 - Many Forms of Training And Diabetes Balance

1:30:50 - Burst My Beta Cells

Dr. Stephen Hussey is a Chiropractor, has a Masters in Human Nutrition and Functional Medicine, a very strong advocate of a low carb/animal based diet, has two books, 

- The Health Evolution: Why Understanding Evolution is the Key to Vibrant Health and 

- The Heart: Our Most Medically Misunderstood Organ

Dr. Hussey has been on a number of podcasts and sees patients ranging from a variety of chronic different disorders such as heart disease, autonomic imbalances, diabetes and more. 

And the coolest thing about Dr. Hussey, is he too is a type one diabetic!

In this episode, we discuss many health topics ranging from diets, diabetes, insulin resistance/sensitivity, heart disease, immune function, allergies, among other things. It was a pleasure picking Dr. Hussey's brilliant mind.

You can find Dr. Hussey on instagram @DrStephenHussey and on his website https://www.resourceyourhealth.com/

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Time Stamps

0:00 - Intro

1:56 - Dr. Hussey's T1D Story

6:33 - Good Pediatric Endocrinologist and Teenage Years

11:51 - 20+ Years of using an insulin pump and switching to MDI

13:20 - Animal/Carnivore based diet with Type 1 Diabetes Management

15:10 - How to "Lick a Cat" using diet to manage inflammatory conditions and pathways

21:29 - Constant Insulin Monitor? Insulin utilization in T1D vs non-Diabetic

29:13 - One Day or Day One - Dr. Hussey's passion for health

35:00 - The Greater impact of diet and health on the world around us

40:45 - Causes of Chronic Disease: More then just poor diet and exercise

42:00 - Toxins, Autonomic Nervous System (ANS) Imbalances, EMFs

45:40 - How lifestyle impacts our autonomic balance

53:30 Creating balance in the ANS

1:01:16 - Diabetes and ANS imbalances

1:03:30 - Heart Disease as a Chronic Disease

1:06:41 - What is metabolic flexibility

1:13:20 - Insulin Metabolism and Misconceptions

1:20:29 - Vegetable oils - Insulin Sensitivity in Adipose isn't all its cracked up to be

1:29:47 - The understandable but unnecessary fear of "injecting too much insulin" as a T1D

1:32:40 - Why diabetics should focus more on inflammation

1:38:00 - Burst My Beta Cells

1:48:09 - More info on Dr. Hussey

In this episode, Dr. Grady and Dr. Garrett continue their conversation from last episode on the article "Modeling insulin resistance in rodents by alterations in diet: what have high-fat and high-calorie diets revealed?" This time we dive into how diets effect glucose metabolism, but how to also keep in mind your health goals when implementing a dietary lifestyle.

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Time Stamps:

0:00 - Appreciating Nutritional Research Critically

4:40 - Range of Fat % in High Fat Diets (HFD) and Keto

11:30 - How Different Fatty Acids Create Different Metabolic Changes

14:50 - HFD + Omega 3 Supps Improve Insulin Sensitivity

19:30 - Saturated Fat Lengths and Fatty Sources

22:35 - Dr. Donohoe's MANY uses for coconut oil

27:35 - High Fat/High Sucrose (HSHS) diets AKA Standard American Diet (SAD)

29:55 - Epigenetics and HFHS

34:33 - Epigenetics and T1D Patterns

37:43 - Expansion on the SAD

43:00 - "Cafeteria" and "Choice" diets

46:48 - High Carb Diets (HCD): Picking a side is better then the combo

55:10 - HCD effect on Insulin Resistance (IR)

56:10 - Fructose's role on Hepatic IR

1:06:49 - Controls in HCD vs HFD

1:10:25 - Playing Devils Advocate Against One's Own Bias

1:14:10 - Altering Protein Content in Diets

1:18:23 - Dr. Panno's attempt at Amino Acid case study

1:20:50 - Protein Powder vs Food Sources

1:23:52 - Diabetic Win: Bone Broth Protein and night time blood sugars

1:27:00 - Diabetic Win: Mr. Incredible at Medtronic

Resources/Links Discussed in the episode:

Small, Lewin, et al. “Modeling Insulin Resistance in Rodents by Alterations in Diet: What Have High-Fat and High-Calorie Diets Revealed?” American Journal of Physiology-Endocrinology and Metabolism, vol. 314, no. 3, 2018, doi:10.1152/ajpendo.00337.2017.

In this episode, Dr. Grady and Dr. Garrett discuss the mechanisms of insulin resistance in various tissues in the body (muscle, liver, fat). This leads to several digressions about lifestyle habits that will that will affect these tissues directly to improve insulin resistance, such as exercise and muscle glucose metabolism. We also talk about what "Bursts Our Beta Cells" and a diabetic win that we recently had.

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Time Stamps:

0:36 - Grady's "Burst My Beta Cells": Insurance and Pharmacies

9:53 - Garrett's "Bursts My Beta Cells": Margaritas, Celebration and T1D

15:03 - Diet Induced Obesity for Insulin Resistance (IR) Models and Studies

22:04 - Importance of Muscle Physiology

25:50 - Moving Your Body for Metabolism and Insulin Sensitivity

35:10 - 4 Major IR Models within Myocytes (Muscle Cells)

37:19 - Intracellular Lipids within Myocytes (Muscle Cells)

41:53 - Explanation on Glucose Sparing

45:07 - Athlete Paradox with Intracellular Lipids

50:06 - TAGs and Lipid Panels in Context of Muscle Physiology

55:10 - Mitochondria Dysfunction within Myocytes

1:02:38 - IR within Hepatocytes (Liver Cells) Definition

1:12:58 - IR in the Liver and NAFLD

1:15:43 - IR Liver Leads to Increased Lipogenesis and Transportation

1:19:33 - Brief Discussion on IR and Adipose Tissue

1:23:58 - Personal Diabetes Win

Resources/Links Discussed in the episode:

Small, Lewin, et al. “Modeling Insulin Resistance in Rodents by Alterations in Diet: What Have High-Fat and High-Calorie Diets Revealed?” American Journal of Physiology-Endocrinology and Metabolism, vol. 314, no. 3, 2018, doi:10.1152/ajpendo.00337.2017.

In this episode, Dr. Grady and Dr. Garrett discuss all things fat. We get into the differences in dietary fat, body fat, and visceral fat. We also go over saturated fatty acids, mono- and polyunsaturated fatty acids, omega fatty acids, what they all are and what they do for/to the human body. We then touch on the ketogenic diet and how all of this affects insulin sensitivity.

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Time Stamps:

2:33 - What is basic insulin resistance?

6:00 - How T1D and T2D use insulin differently

9:00 - Efficiency of insulin sensitivity (IS)

12:05 - Markers of IS

13:05 - Lipid Panel and it's relationship to IS

21:15 - C-peptide and other biomarkers of IS

24:07 - Adipose Tissue Threshold Theory

31:12 - Dietary Carbs and Fats

36:30 - Different types of Fats

39:05 - Saturated fats in food vs Saturated fats in the blood

44:47 - Omega 3's and Omega 6's

56:00 - Is ketosis magical?

1:01:50 - Timing of Carbs

1:03:15 - Epilepsy and the brain with keto

1:10:35 - Individualized Nutrition and Medicine

1:17:13 - What really bursts your beta cells?

Resources/Links Discussed in the episode:

• Adeva-Adany, M., Martinez-Rodriguez, J., Gonzalez-Lucan, M., Fernadez-Fernadez, C., Castro-Quintela, E., (2019). Insulin Resistance is a cardiovascular risk factor in humans.  Diabetes and Metabolic Syndrome: Clinical Research & Reviews; 13(2): 1449-1455. Retrieved at: https://www.sciencedirect.com/science/article/abs/pii/S1871402119300785

Strandberg, Timo E., et al. “Increased Mortality Despite Successful Multifactorial Cardiovascular Risk Reduction in Healthy Men: 40-Year Follow-Up of the Helsinki Businessmen Study Intervention Trial.” The Journal of Nutrition, Health & Aging, vol. 22, no. 8, 2018, pp. 885–891., doi:10.1007/s12603-018-1099-0 https://pubmed.ncbi.nlm.nih.gov/30272088/