Reversing T2D with a keto diet - Diet Doctor Podcast with Dr. Sarah Hallberg
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- čas přidán 11. 09. 2024
- For decades, the medical world has seen type 2 diabetes as a chronic condition that we can only hope to manage with medications to delay inevitable complications. Dr. Hallberg and her colleagues at Virta Health completely changed that paradigm by showing us that we can reverse type 2 diabetes and we can allow patients to safely stop most if not all of their medications. How have they done this? With a ketogenic diet combined with high touch and high tech. Could this approach work for the millions of people suffering with type 2 diabetes? Dr. Hallberg certainly thought so, and in this interview explained why.
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Dr Sarah Halserg saved my life literally. Her Ted talk that I heard in 2017 were she presented her study results gave me hope as I had just been diagnosed with breast cancer. As I had been type 2 diabetic for 10 years and was on full dose of meds and insulin I was in a very dark place. Her advice of no grains, potatoes or sugar in your diet helped me totally reverse diabetes while undergoing chemo and radiation. I believe this way of eating also helped me survive chemo with very little side effects. Now I am still off all meds and insulin with an hb1ac of - 6.0. I believe nutrition is also critical when being treated for cancer. Would love to see Sarah take her research into this area as well. Thank you for taking your message to the world and reaching me here in Australia. I owe you so much.
I changed to a Keto lifestyle 7 months ago, uncontrolled diabetic. Not that I wasn’t trying, frustrated on nothing working. I’ve lost 55 lbs so far and rarely have to take any insulin. Goal is to be off insulin completely in the next few months. Changing my way of eating has been the best thing for me.
Congratulations Eunice!
Judy Rowland congrats!!! Inspiring!
Im in the same boat and now my cholesterol levels are very high....but im not in insulin (currently just put on Janumet which has been effective along with food control for the past 6 mos)) How are ur cholesterol levels on this diet ..my only question left be4 i decide to do this too! :)
What did u do different I'm learning now I haven't started yet. I need to get my life together because my mom lost her vision to Diabetes and I really need to get it together for myself and my family
What a wonderful physician, scientist and human being! She was incredibly talented and passionate. What an inspiration. Her husband and children must be super proud of her. She’ll be remembered by her colleagues and patients, forever ❤️
❤
My husband saw his cardiologist 3 weeks ago.In five years cardiologists have said my husband has a "high normal" bp. Well at the visit 3 weeks ago his bp was 128/76 and the Dr. looked at my husband and said "What are you doing"? Husband says "Keto and IF" Dr. says "That is why your bp is way down. The research is there for IF and is almost there on Keto and I am on board. Keep it up" We tell my husbands mother who is 83 because her cardiologist has always told her she runs a "high normal" so all she started to do is eat lower carb and eat all her days calories in a 6 hour period. Well her bp only after 6 days (she takes bp everyday) was reading 123/68. Needless to say she is totally sold. That is evidence
Shelie Martin keep that doctor for sure
He’s a gem
In 2105 I was diagnosed with T2D after the passing of my grandmother. She had type 2 as well, she had lost her eyesight, had multiple TIAs (mini strokes) dementia & eventually had a stroke that ultimately led to her death. I didn't want to go down that same path. My Dr put me on metformin & I immediately started keto, walking 5 miles 5 days a week plus working out twice a day. In about 7 months I lost 65 lbs & brought my A1C down from 8.4 to 5.2. Then I tore my calf muscle during a workout. I was seeing success, but I was overdoing it. Over the next few years, I fell back into old habits re-gained about 30lbs & continued to feel like crap. I had seen Dr Hallberg's TED talk a year or two ago & then recently came across Dr Jason Fung & Dr Pradip Jamnadas. So 2 weeks ago I ordered a good glucose monitor & started testing (average of 10x daily) & started Intermittent Fasting (18:6), cut out sugar & started reducing carbs. After about 4 days of 18:6 I moved to 20:4, then to OMAD. In less than 14 days I've gone from 229 to 215 & brought my average daily glucose down from 200 to 113 & the estimated A1C provided by the app with my glucose monitor shows that I was at 8% when I started & 7% now. I'm seeing better results than I did with the "eat less, move more" method that I had used previously because I was still eating too often, even though it was keto & reduced calories. I wasn't giving my body a chance to reduce INSULIN! I now, for the first time in my life actually have HOPE that I can avoid the same fate that befell my grandmother. I am still doing some exercise (I work from home, so I have a seated elliptical that I use while I work, pedaling 20-50 miles, 5 days a week) but I'm not killing myself. My sleep patterns have improved as well, so I can't wait to see how I feel as I get closer to my goals!
Wonderful and caring physician! She changed my life and I will be forever indebted to her! The world is a little darker because of her passing! Thank you Dr. Hallburg , you will be missed!
Medical doctors are getting it. My family practitioner is a cardiologist. I saw him when I was considerably overweight and pre-diabetic. He said he's seen 300 diabetic patients. He gives everyone Ketogenic diet. I went on the diet and still on it. In short, blood glucose is stable. I've achieved two weight goals. Lost 8 inches off my waistline. My blood work is great. I believe in this lifestyle for better health.
I have to say, the doctors my husband and I have seen in South Australia, are not on board with this way of treating any diet / diabetes / weight issues. We keep getting the rants about cholesterol, and portion sizes, and calorie restrictions. Only one old doctor I've seen here locally says "yes, I've heard there has been some success with this", and hes on the verge of retirement. THERE ARE NO DOCTORS here I've found who support this life style change, I have looked and begged for support from them. We just have to go it alone, and these videos are a huge help. ty x
On day of diagnosis I went lchf then keto. Never took meds, within weeks my T2 was controlled by diet alone. I have lost 60lbs and still losing. Keto works and the Diet Doctor and their associates saved my life. Every deranged reading on my bloods were normalised and my A1c is 5.0
Well done. I wish you further success.
Hero
5.0 you are a rock star!! 👍👍👍👍
These Drs like Dr Fung really saves lives!
But she doesn't support fasting, or think fungs results are evidence based which I think is a poor choice on her part after saying she believes the patient should have the knowledge and choice option
@@Yellowjacket45Wall I agree with your statement. She is no different than the dietary guidelines that she opposes. She advises approaching fasting with caution, something she does not support. Sounds very much like the ADA's modified dietary guideline to suggest that LC can be an option although they do not agree with LC. I feel that she completely missed the mark by siding with the dogma around fasting.
I agree. I dropped my triglycerides half, lost 30 lbs and normalized my blood levels (A1C from 8.7 to 5.7) in three months after adopting a ketogenic lifestyle and intermittent fasting.
Dr Emmet Brown for me.
Thank you for having this interview with Dr. Sarah Hallberg. She, along with Dr. Jason Fung, are such valuable representatives of the low carb lifestyle, because they show the real world efficacy of this lifestyle in reversing chronic illness.
I hope Dr Fung is amassing evidence & can work together with Dr Hallberg on this.
My A1C was 6.8 but after 2 months of Keto I lost 30 lbs of weight and after 3 months of Keto my A1C had dropped to 4.9. I attribute my success to the use of intermittent daily fasting in which I only ate one low-carb meal per day. I've been able to drop my use of antacids, BP meds, as well as gout medications.
😳👌 WoW !!
She needs to look at the research in intermittent fasting too. I reversed my T2D with a whole-foods ketogenic diet but it definitely was the intermittent fasting that reduced my inflammation insulin resistance and weight that helped reduce my A1C from an 11.5 to a 5.4. Although, the MOST powerful healing of fasting was the massive reduction of my Albumin-to-creatinine ratio. Almost, in normal range as it has dropped with every urinalysis, further supporting the benefits of fasting as it healed my kidneys too!
Thomas Keets , there is a free ebook on Amazon, ‘The No breakfast plan and the fasting cure’ by a Dr. Dewey published in 1900. This book arose out of his Army Experience in the American Civil War and he finds fasting a powerful cure. It is not easy to read because of his archaic style. I believe in the power of intermittent fasting.
Hello.thomas in how long from 11.5 to 5.4 ? Plss thanks
@@samimoha2027 took me 4 months. 10.1 to 5.4
you are right. it makes no sense that she says that I.F. has data to support it but she does not recommend it...
I wish I had known this 15 years ago. My life would have been so much better, I’m 64 now and I feel better then I’ve ever felt.
"No one is going to choose to do it...that doesnt know its an option." OMG!!! Thats the BEST spot on statement ive ever heard!!
I watched after you recommended, From your tribute to Dr Sarah Hallburg. May there be a special place in heaven for Dr Sarah.
Dr. Sarah Hallberg, you are missed. Thank you for sharing your knowledge, passion and life with us all.
I understand why they want more evidence for fasting, but I do not lose weight or lower insulin only on a ketogenic diet. I'm one of those people who is obese, but not diabetic. I am hyperinsulinemic -- 16.6 fasting insulin after 2 years of strict keto. And ONLY fasting at least 36 hours seems to be effective at lowering that insulin. I can even gain weight on less than 20 carbs and time-restricted eating. But, I still appreciate everything Dr. Hallberg is doing for Type 2 diabetics.
Dr. Sarah Hallberg such a caring and sweet person. I will have to say I am very excited about starting the treatment plan from Virta. With such intelligent Physicians like her I want to follow this plan and see the results of better health.
I have a lot of respect for Dr Hallberg. However, I was surprised when she made a point of saying that she absolutely uses statins and believes they are necessary for some patients. I would love to know if she has truly researched the studies that led to this widespread belief. I have seen too many docs that show where the data is NOT clear for their use, particularly for women. Also, that would assume that elevated LDL is concerning and that is now being disproved.
Well she does say.. some patients... usually in Internal Medicine/CVS statins are reserved for those who have a history of heart attack/atherosclerosis. Dr Hallberg at interviews/speeches does say that statins are not effective & elevated LDL research. Just saw her 2016 'Low Carb Down Under' presentation.. @YT, I think that's where she states it.
kathyspears there certainly still are patients that benefits from Statins, by no means as much as we thought, but there are still benefits from statin therapy.
She is a medical doctor after all. She must still prescribe certain drugs to be able to keep her medical license. If she no longer prescribes drugs then there is no need for having a medical license
I wish I had known this info 10 years ago when first Dx. with type 2. I have been doing keto or LC/HF diet for the last 6 months.
any sucess ?
I recommend that you interview Dr. Jason Fung. I believe some of these studies that she mentions he has done. Just a FYI.
He has interviewed Dr. Jason Fung's IDM director Megan Ramos. Watch this CZcams video czcams.com/video/UQhkk3Ch8BY/video.html
Dr Sarah is just Amazing.... God bless her..
So sad that she just passed away such an inspiration and role model
I am so floored by her death it seems like she'd be the person that could live into her 90s. she was so full of life and inspiration she will continue to be an inspiration with all of her videos and podcasts😢
This bright, caring woman is such a joy to listen to! 💕🥰
Great interview BUT she completely missed the mark by disagreeing with fasting as an option. That way of thinking is no different than the medical establishments' dogmatic views of lowcarb ways of eating
She’s absolutely wrong about prolonged fasting and statins. She should meet up with Jason Fung so he can explain why she’s wrong.
She is amazing. How does she head a university department? You know what I mean. The university leadership must be outstanding.
9:15 watching in 2022, we have the answer of this profound question... Unfortunately, we are not as serious about diabetes as we were with covid. We also lost a great doctor. Rest in peace, Sarah! You inspired and gave hope to millions of us with your knowledge and dedication, and you will be missed!
Like she said...it's not a pill! There's no money to be made. She was wrong in saying it wouldn't be partisan, somehow covid became political and they all became richer from it. She and others like her were/are genuinely concerned for their patients over profit and I respect that!
I wish more physicians were like this. Clear communication, evidence based advice. One of the best. She will be sorely missed but what a legacy.
I hope her family appreciated the magnitude of her impact on people’s food.
Very good information but there was one item that Dr Hallberg was incorrect about. Re-feeding syndrome is a thing but it does not occur in people that have been fasting for less than 7 days. A fasting period of 48 hours is completely safe and I have done is many times with over 50 pounds lost so far. I am in ketosis with blood ketones over 2 but my weight loss has stalled. It is only with fasting that I am able to get past it to lose additional weight.
Thank you, Dr. Hallberg.
I wish I could find a doctor that supports this. I have started a keto diet and have implemented fasting as well (as per Dr. Jason Fung). It looks like I’m having to do this on my own. My doctor seems to not having problems with the Keto diet but has not given me the green light on reducing my metoformin/glybride medication when my blood sugars get lower. If I can’t find a doctor that supports this I will lower this myself. Help!
Look in to Virta Health, HealCare, Dr Ken Berry, Dr Peter Attia, etc. Conventional local GP's are stuck in the woods that is the Standard of Care which their state medical licenses are dependent on.
go to Virta Health.com
Hi Glenn, are you based in the US?
As a patient you have the right to take drugs or not. Doctors only provide advice and deal drugs, but cannot force patients to take them. They tell us to take them as standard of care. They cannot be sued under any circumstance as long as our conditions meet the criterias to have the drugs prescribed regardless of the outcome. If he does agree to stop certain drugs and something bad happens then that can be malpractice. In other words they have their best interest before their patients
It's hearbreaking to know we've lost you Sarah. Regrets to your friends and family.
if there IS data to support intermittent fasting (as she says), why she doesn't recommend it? it makes no sense. IF's effects are stronger than keto diet, and if you combine both, the benefits on your health are great.
Thank God for Dr. Sarah Hallberg.
I don't eat every week end. Friday supper to Monday breakfast. 64 hours. Also low carb, long time keto.
Super interview with wonderful insight into types of research that are applicable to nutrition studies. She is determined....and slowly the “ powers that be” are listening.
Doc is the boss. Keep on fighting Doc.
A BIG THANK YOU SARAH HALLBERG,YOU HELP ME A LOT FOR MY BLOOD SUGAR....REST IN PEACE.....SALUTE....
I thank God for Doctors like Dr Halburg. Low carb save my life. I feel incredible on years of low carb
make it a standard of care! If doctors are telling their patients to do this they trust their doc and they will do it!
Dr Hallberg is a saint! Thank you!
Awesome work, thank you!
Stunned to hear she has lung cancer stage 4...terrible news... wishing good thoughts from across the pond.
was she a smoker ?
Death by Keto
RIP. You impacted my life telling me about Virta.
Love your work. 😇🙏 Can you tell me what your cam/mic setup is? What programs do you use to record video & audio? Do you use an app or film live via CZcams? Thank you!!
RIP Dr Hallberg and thank you
I love you Sarah! You have given me hope. Thank you
so smart tragedy her passing😒
She made a move in the right direction alright 6 feet under
Dr Hallberg makes some good Keto sense, but I question her use of statins. Also, I really appreciate your talks with Dr Fung and Meagan, and am surprised that this smart and knowledgeable lady is so out of touch with fasting.
Sarah, DR Jason Fung has a lot of evidence and lots of success
Great interview hopefully views will increase. This needs to Get out.
According to Tom Brimeyer from Forefront Health, a lo-carb diet will make your thyroid worse. Tom has studied the thyroid for over 20 years. Tom says if your brain doesn't get the sugar and carbs it needs, your body will save your life by using the adrenals hormone, and in turn using cortisol, a stress hormone, which makes fat, especially belly fat. We need a complete, balanced diet with 50% carbs, 25% protein, and 25% fats. Diabetes has nothing to do with overeating carbs. My Dad lived to be 93 and ate candy, cookies, and loved ice cream daily. He was never diabetic.
If you have Hashimoto's, or are hypothyroid, please don't go lo-carb. It will reverse diabetes in the short term. (I got my fasting BG down to 98. Now my glucose is in the high 200's.) But long term, your diabetes will get worse. I've been following Tom's advice for 3 months and am starting to see results.
I know they have to be conservative but the reversal rate would go way up if they incorporated fasting.
Lol, 9:20..."what if 50% of people had an infectious disease...it would be this totally non-partisan thing".
2020: Check this out...
When you use a starvation study to try and disprove fasting, your credibility takes a huge hit Sarah. The cahill study was a low calorie study that deliberately under fed subjects throughout the day which is fundamentally different from fasting which is not necessarily low calorie, but restricts the number of meals throughout a given period without necessarily restricting calories per meal.
With that said, Fasting to a certain degree does create lean body mass loss among those without adequate fat stores (leaner people like the ones in the Cahill study). But for those people who have a tremendous amount of energy already stored (people with a lot of fat), Fasting as Jason Fung does with many of his patients works because it isn't a low calorie feeding program since the bulk of the calories consumed is coming from the persons own body fat. It's such an easy pathway to understand but when you refuse to understand, you start fights instead just like what Steve Phinney and his team have chosen to do. NO reason to argue but they chose to do so which to me is just a fantastic sign of deep insecurity.
Yeah, I get your point, Phinney and even Westman are not strong supporters of IF and seem to be influencing Virta Health, Heal Care and Dr Hallberg. Keep in mind that Virta Health & Heal Care are care based clinics trying to treat the T2D (who don't know or care about all this stuff) with a revised standard of care. So just getting a carb addicted T2D to change to low carb high fat diet is the first step to their own long term progress which will eventually get them to achieve what the rest of us have already regained - metabolic health! Slow & steady wins the race.
ANOTHER VID that made me so glad i subbed here :)
We need more doctor late this
May she Rest In Peace.
Dr Hallberg, do you it would be possible to create a low carb DASH diet?
Thank you.
9'30" where she talks about "what if the world was faced with infections disease." Boy, were we wrong...
Not really working for me. Lost 46 lbs. Current weight 102 lbs. Still taking maximum metformin. A1c is 6.5. I am not a happy camper. I am sure I am doing something wrong.
How can I fast when I have very good appetite
RIP Sarah!
Dr in your previous podcast you interviewed to Dave Feldman, and He explained you about the LDL colesterol, are you looking a different opinion or what?
I took some time to review the 2 year results and these are what stood out to me. Could the very slight worsening of a few things, from 1 year to 2 year, be compliance problems? The main thing I checked right away is the c-peptide, as that is giving us solid information on hyperinsulinemia, and that looks to be the downstream juncture after mitochondrial dysfunction.
NAFLD score base-3.29 1 year-1.34 2 year-.71 ( 59% drop and then 47% drop )
Triglyceride base 197.2 1 year 148.9 2 year- 153.3 ( 2.9% increase 1- 2 year )
HDL base- 41.8 1 year-49.5 2 year 49.5
HOMA-IR ( peptide based ) base 11.25 1 year-8.07 2 year- 7.88 (28.3% &2.4% drop)
HOMA-IR ( insulin based ) base- 9.08 1 year 4.56 2 year- 5.25
C-Peptide base - 4.33 1 year 3.27 2 year-3.16 ( 24% drop and then 3.4% drop )
Fasting insulin - base- 27.73 1 year-16.47 2 year 16.02 ( 41% drop and then 2.7% drop)
A1c base- 7.7 1 year-6.3 2 year-6.7 ( 18.2% drop then 6.3% up )
(www.biorxiv.org/content/10.1101/476275v3)
She is minimizing side effects. The greatest one is constipation, but it can be easily addressed with additional fiber intake.
Constipation due to what exactly? Are you taking any magnesium citrate? Fiber has been proven to CAUSE more IG distress than it actually solves.
another side effect is death
R.I.P. ♥️
At 6 minutes in had to bail out… so much talking but …. Not much being said. Doc seems so nice hope it gets better later.
Evidence-based medicine is not always good... for example when something does not need to be done but you do it anyway.
I would like to know of a ketogenic doctor in New York City
Check out our doctor locator! www.dietdoctor.com/low-carb/doctors --Kerry
👍🇧🇷from BRASIL
Lost all credibility when she said, "We are only evidence-based", how much money is put into solid nutritional studies? So you choose to miss the bus.
Mohamad Osman explain. A huge swath of her patients (60%+) get much better and get off meds. So you are saying actual results don’t count? Wtf?
Stephan Guyenet also suggests that diabetes is the only chronic metabolic disease for which there is a proven cure and prevention.. but his #3 is not low-carb :
1) Low-calorie diet (Lancet 10.1016/S0140-6736(17)33102-1)
2) Bariatric surgery (NCBI PMC4566335)
3) Early insulin administration (NCBI PMC2811460)
So wouldn't it be necessary for it to be said that a low-carb or keto diet *reverses* or cures type-2 diabetes, the patients would have to go back to a more typical diet (50g carbohydrate/meal) and/or do a Glucose Tolerance Test to see if they no longer have high levels of blood sugar? Otherwise the Virta study only suggests that maintaining a low-carb/keto diet, is effective in *managing* diabetes?
Shallow thinking just to go back to carbs which caused it to begin with just to see if it can cause it again, if you burn your hand on fire why would you want to try it again, to see if you dont get burnt each time
Everyone body is different, some eat a ton of carb and have no diabetes, some do need zero carb to reverse diabetes. A typical diet give many people diabetes, yeah, one can manage diabetes with insulin and high carb diet. We are talking about different options and tools here.
@@Yellowjacket45Wall Totally agree. Our body don't need carbs.
Just as drinking or driving can be done separately, but not together - the same thing could be applied to being predisposed to insulin resistance or consuming a carb/sugar rich diet, they could be done separately, but not together. I wouldn't attempt to solve the problem of drinking and driving by having people just "manage" their alcohol consumption while driving or teaching them to drive drunk - it would be best practice to eliminate the practice all together. Perhaps the best practice for those who suffer from metabolic issues, is to just eliminate the carbohydrate content from the diet all together.
Ben Nguyen according your análisis, it will be the same if I want to be a bodybuilder and work hard to get it, what will happen if I stop doing exercise? DM it is a disease related to lifestyle, what do you have to do to reverse that? Happy 2019
If there is a fork in the road, you take it. From Yogi Berra
Loved the interview but shooketh that she still prescribes statins
Hello
Most animals only eat once a day if they're carnivores. If they're vegans they're going to graize all day. Which is your choice?
4TH choice whole foods plant based diet she left this choice out.
SO im thinking i will need to stay on Janumet until i do this diet for while and take cholesterol pills (dr recommended strongly today) "LDL lvls are dangerously high" apparently) am i correct? FEELING CAUGHT between this decision and the diabetic clinic advice here. I AM really liking how this doc is talkin!!! giving me hope now.......... from CANADA
(ps i got here cuz my practioner from the clinic scared me a bit TODAY cuz of my resistance to wanting to take more pills ..says i am at HIGH risk for atherosclerosis if i dont go on statins soon...yet my heart and bp is perfect)
LULZjunkie2018 go and study the research that Ivor Cummins and Gary Feldman have been doing on cholesterol
@@reachrenhere YES THIS COMMENT I MADE WAS A YR AGO / STILL on janumet and maintaining my weight loss of 40lbs and i refuse to go on any other drugs ;) and drs etc still pressuring me to take dam statins.
Is there something about keto that gives them both the raspy voice? Serious question, not sniping.
Good interview, but Dr. Hallberg is incorrectly identified as an MD. She is a DO, doctor of osteopathy. Disappointed that she prescribes statins! EWWW.
But a high carb low fat diet does not produce diabetes! Explain that.
Chinese when they ate 90% rice were slim and didn’t get diabetes. That’s high carb. Why?
Here is an article on that very topic.
www.dietdoctor.com/why-are-asian-rice-eaters-thin
--Kristin
Or in Africa. Africans eat nothing but rice. This is a Western problem diabetes
Bc they aren't eating high sugar. See what Dr Robert Lustig has to say about "Sugar the Bitter Truth ". But once you have T2D. Even rice rises insulin/glucose levels.
Maybe it's cos they are a lot more active and have a lower calorie intake
The FREQUENCY of eating contributes a huge amount. We started eating processed carbs AND eating 7 times a day at the same time. Not to mention thr amount of added sugars...
We had never eaten ALL day in history before. The insulin resistance becomes more or less inevitable
This man's voice. Like chalk scratching on a blackboard.
Ske looked so sickly on Keto yuck