Published on Jun 13, 2018 Ketogenic Diet & Heart Health–New Research Updates by Sarah Hallberg, MD
Key Timestamps:
03:50 When Dr. Hallberg opened a low carbohydrate clinic, they quickly saw weight loss and reversal of diabetes.
05:51 Dr. Hallberg is part of the largest and longest trial of nutritional ketosis as a treatment to reverse type 2 diabetes.
07:40 Exercise, low carb and keto are now considered as treatment options for obesity.
08:42 Medications for diabetes treated symptoms, but not the progression of the disease… Each step up in medication speeds the cycle.
13:29 Continuous glucose monitors allow you and your doctor to see what blood sugars are doing between finger sticks…
16:28 Remote Care/Telemedicine gives better care remotely by personalizing an individual’s care. It brings care to the patient.
19:35 Virtahealth is available in all 50 states.
20:35 Most Americans have some sort of metabolic issue. Over 50% of adults in the US have diabetes or pre-diabetes.
24:12 With nutritional ketosis, you can reverse diabetes AND improve cardiovascular risk factors, such as significant decreases in blood pressure, significant increases in good cholesterol/HDL, and a significant decrease in triglycerides.
26:41 A better cardiovascular risk marker than LDL is LDL-P for type 2 diabetics or those with insulin resistance.
27:18 Inflammation markers, especially C-reactive protein (CRP), decreased by 40% over the study year.
33:38 It is best to consume 3 to 5 grams of sodium a day
34:25 Patients in the study with high blood pressure had reduced blood pressure while reducing blood pressure medications and at the same time, consuming more salt.
35:48 Biomarkers most commonly used at Virtahealth are blood pressure, weight, blood sugar and serum ketones.
36:10 Serum ketone goals are above 0.5 mml of beta hydroxybutyrate. There may be a role in ketosis even at lower levels.
36:34 Diabetes medications lower blood sugar acutely, but cardiovascular outcomes were not improved. With SGLT-2 inhibitors, there was improvement with cardiovascular mortality.
38:44 SGLT-2 inhibitors block the SGLT-2 path in the kidney, not allowing reabsorption of glucose, releasing glucose in the urine.
39:55 Metformin affects gut hormones and the microbiome, and has few side effects.
41:09 The American Diabetes Association guidelines are not evidence based.
42:00 DASH diet, recommended by the American Diabetes Association can make diabetes worse.
47:58 We need to change the dietary guidelines to ensure that they are evidence based upon a rigorous systematic scientific process.
50:51 For proper meta-analysis, you need to pay attention of the inclusion criteria. Sometimes studies that do not meet criteria are included and others that do meet criteria are omitted.
55:56 Dr. Hallberg’s optimal morning routine includes black coffee and an early email check. She feeds her kids fat and protein and packs their lunches.
59:55 Dr. Hallberg’s favorite low carb/high fat food is pizza with cheese/almond flour crust.
60:45 Dr. Hallberg’s elevator pitch is that our dietary guidelines need to be reformed, as they impact all of us.