INTERVIEW: The Evolution of Diabetes Treatment with Gary Taubes
Mark Hyman
Jun 5, 2024
Mindsip insights from this episode:
Question carbohydrates as toxins to manage insulin levels
A patient insightfully questioned his doctor, "If carbohydrates are the toxin and insulin is the antidote, why don't I just not eat the toxin?".
Minimize insulin to enhance fat mobilization for energy
Fat cells are so sensitive to insulin that even the tiniest amount in your circulation will shut down the mobilization of fat for energy.
Beware of oral hypoglycemic drugs' heart attack and stroke risks
Common oral hypoglycemic drugs for diabetes carry an FDA black box warning because they may increase the risk of fatal heart attacks and strokes.
Evaluate risks of new drugs like Ozempic for patient safety
New drugs like Ozempic pose a major risk: what if they help 80% of patients but cause intractable harm to the other 20%, which we won't discover for a decade?.
Recognize absence of essential carbohydrates in diet
While our bodies require essential fatty acids and amino acids to function, there are no essential carbohydrates that we must get from our diet.
Reassess low-fat diets for diabetes weight loss effectiveness
The $200 million "Look AHEAD" trial was ended for futility because getting diabetics to lose weight on a low-fat diet made no difference in their long-term health complications.
Adopt high-fat animal diet for effective diabetes management
Before insulin, the standard and effective treatment for diabetes was a high-fat "animal diet" of fatty meats and green leafy vegetables, which is essentially a ketogenic diet.
Feed patients carbohydrates to prevent insulin overdose
After insulin's discovery, doctors had to start feeding patients carbohydrates specifically to protect them from potentially fatal insulin overdoses.
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