Full Transcript Introduction and lifestyle caveat 0:01 If you have type 1 diabetes or love 0:01 If you have type 1 diabetes or love someone who does, I want you to 0:03 someone who does, I want you to 0:03 someone who does, I want you to hear this clearly. 0:06 hear this clearly. 0:06 hear this clearly. Lifestyle can profoundly change 0:08 Lifestyle can profoundly change 0:08 Lifestyle can profoundly change health, insulin sensitivity, 0:10 health, insulin sensitivity, 0:10 health, insulin sensitivity, medication needs, and 0:12 medication needs, and 0:12 medication needs, and quality of life, but it is not a 0:14 quality of life, but it is not a 0:14 quality of life, but it is not a home cure for type 1 diabetes. I recently
Case study disclaimer and patient background 0:16 home cure for type 1 diabetes. I recently 0:16 home cure for type 1 diabetes. I recently reviewed an unusual case that 0:18 reviewed an unusual case that 0:18 reviewed an unusual case that illustrates both the extraordinary power 0:20 illustrates both the extraordinary power 0:20 illustrates both the extraordinary power of changing what we can control 0:22 of changing what we can control 0:22 of changing what we can control and the danger of drawing 0:24 and the danger of drawing 0:24 and the danger of drawing universal conclusions from a single 0:26 universal conclusions from a single 0:26 universal conclusions from a single person's outcome. So what can 0:29 person's outcome. So what can 0:29 person's outcome. So what can this case really teach us without creating 0:30 this case really teach us without creating 0:30 this case really teach us without creating false hopes? I am Dr. Fred 0:32 false hopes? I am Dr. Fred 0:32 false hopes? I am Dr. Fred Bloom. I practice integrative and
Exercise, diet, and early improvement 0:35 Bloom. I practice integrative and 0:35 Bloom. I practice integrative and holistic medicine, which means I try 0:36 holistic medicine, which means I try 0:36 holistic medicine, which means I try to understand how the 0:38 to understand how the 0:38 to understand how the different parts of a 0:39 different parts of a 0:39 different parts of a person's health fit together rather than treating each 0:41 person's health fit together rather than treating each 0:41 person's health fit together rather than treating each symptom as if it came in its own little 0:42 symptom as if it came in its own little 0:43 symptom as if it came in its own little box. I make these videos for people 0:45 box. I make these videos for people 0:45 box. I make these videos for people who want a thoughtful and 0:47 who want a thoughtful and 0:47 who want a thoughtful and clinically sound understanding of their health. 0:49 clinically sound understanding of their health. 0:49 clinically sound understanding of their health. If you find this helpful, you can 0:50 If you find this helpful, you can like the video, subscribe to the 0:52 like the video, subscribe to the 0:52 like the video, subscribe to the channel, and hit the 0:53 channel, and hit the 0:53 channel, and hit the notification bell. You can also
Why the case is unusual 0:55 notification bell. You can also 0:55 notification bell. You can also subscribe to my newsletter 0:56 subscribe to my newsletter 0:56 subscribe to my newsletter for deeper conversations 0:58 for deeper conversations 0:58 for deeper conversations between videos. And please share your 0:59 between videos. And please share your 1:00 between videos. And please share your experience in the comments. Their 1:01 experience in the comments. Their 1:02 experience in the comments. Their questions often show me where 1:03 questions often show me where 1:03 questions often show me where another explanation is needed, or 1:05 another explanation is needed, or 1:05 another explanation is needed, or sometimes a little 1:07 sometimes a little 1:07 sometimes a little medical unlearning. Before proceeding, I must 1:09 medical unlearning. Before proceeding, I must 1:09 medical unlearning. Before proceeding, I must make an important distinction. The 1:11 make an important distinction. The 1:11 make an important distinction. The person in this case was not my patient 1:14 person in this case was not my patient . I did not diagnose him, I did not supervise his 1:16 . I did not diagnose him, I did not supervise his 1:16 . I did not diagnose him, I did not supervise his treatment, nor did I 1:17 treatment, nor did I 1:17 treatment, nor did I independently verify every detail of his
Type 1 diabetes, insulin, and spectrum of disease 1:19 independently verify every detail of his 1:19 independently verify every detail of his medical history. I am discussing his 1:22 medical history. I am discussing his 1:22 medical history. I am discussing his story as a case study because it 1:24 story as a case study because it 1:24 story as a case study because it raises valuable questions. This should not be 1:26 raises valuable questions. This should not be 1:26 raises valuable questions. This should not be interpreted as medical advice or 1:28 interpreted as medical advice or 1:28 interpreted as medical advice or as evidence that someone with 1:30 as evidence that someone with 1:30 as evidence that someone with type 1 diabetes can safely stop taking insulin 1:32 type 1 diabetes can safely stop taking insulin 1:32 type 1 diabetes can safely stop taking insulin . This individual was 1:34 . This individual was 1:34 . This individual was diagnosed with type 1 diabetes 1:36 diagnosed with type 1 diabetes 1:36 diagnosed with type 1 diabetes as an adult after experiencing 1:37 as an adult after experiencing 1:38 as an adult after experiencing severe symptoms. He had a dry mouth, 1:40 severe symptoms. He had a dry mouth, 1:40 severe symptoms. He had a dry mouth, profound fatigue, impaired vision, 1:42 profound fatigue, impaired vision, 1:42 profound fatigue, impaired vision, extremely high blood sugar, 1:44 extremely high blood sugar, 1:44 extremely high blood sugar, and ketones in his urine. He 1:46 and ketones in his urine. He 1:47 and ketones in his urine. He was already developing 1:48 was already developing
Lifestyle changes and broader health gains 1:49 was already developing diabetic ketoacidosis, a 1:51 diabetic ketoacidosis, a 1:51 diabetic ketoacidosis, a life-threatening emergency, and required 1:53 life-threatening emergency, and required 1:53 life-threatening emergency, and required immediate treatment with insulin. 1:55 immediate treatment with insulin. 1:55 immediate treatment with insulin. This was not a situation where 1:56 This was not a situation where 1:56 This was not a situation where his lab results were 1:58 his lab results were 1:58 his lab results were technically normal while he was 2:00 technically normal while he was 2:00 technically normal while he was feeling unwell. Their results were 2:02 feeling unwell. Their results were 2:02 feeling unwell. Their results were profoundly abnormal and the danger 2:04 profoundly abnormal and the danger 2:04 profoundly abnormal and the danger was real. Without urgent treatment, he 2:07 was real. Without urgent treatment, he 2:07 was real. Without urgent treatment, he could have progressed into a coma 2:08 could have progressed into a coma 2:09 could have progressed into a coma or died. After leaving the 2:10 or died. After leaving the 2:11 or died. After leaving the hospital, she began to change her life. He 2:12 hospital, she began to change her life. He 2:13 hospital, she began to change her life. He quit smoking, started 2:14 quit smoking, started 2:14 quit smoking, started exercising with a trainer, 2:16 exercising with a trainer, 2:16 exercising with a trainer, joined a gym, 2:18 joined a gym, 2:18 joined a gym, gradually increased the frequency and intensity 2:20 gradually increased the frequency and intensity 2:20 gradually increased the frequency and intensity of his workouts, and began 2:22 of his workouts, and began 2:22 of his workouts, and began paying more attention to his 2:23 paying more attention to his 2:23 paying more attention to his diet. The changes were not
Why the story is not a cure claim 2:25 diet. The changes were not 2:25 diet. The changes were not drastic at first. His first 2:27 drastic at first. His first 2:27 drastic at first. His first training session left him with difficulty 2:29 training session left him with difficulty 2:29 training session left him with difficulty climbing stairs. That detail can 2:31 climbing stairs. That detail can 2:31 climbing stairs. That detail can be one of the most useful parts of 2:33 be one of the most useful parts of 2:33 be one of the most useful parts of the story, because the transformation 2:34 the story, because the transformation 2:34 the story, because the transformation often seems unimpressive at 2:36 often seems unimpressive at 2:36 often seems unimpressive at first. It often begins with being 2:38 first. It often begins with being 2:38 first. It often begins with being tired, sore, and slightly 2:40 tired, sore, and slightly 2:40 tired, sore, and slightly offended by the existence of 2:42 offended by the existence of 2:42 offended by the existence of stairs. Over time, he became 2:44 stairs. Over time, he became 2:44 stairs. Over time, he became more athletic and slender. Her 2:46 more athletic and slender. Her 2:46 more athletic and slender. Her body fat percentage decreased 2:48 body fat percentage decreased 2:48 body fat percentage decreased considerably and, reportedly 2:50 considerably and, reportedly , her insulin requirement was reduced. 2:51 , her insulin requirement was reduced. 2:52 , her insulin requirement was reduced. I had been using 2:53 I had been using 2:53 I had been using rapid-acting and long-acting insulin 2:55 rapid-acting and long-acting insulin . Over time, her long-acting dose 2:57 . Over time, her long-acting dose 2:57 . Over time, her long-acting dose became very small and she
Medicine, lifestyle, and sustainable change 2:59 became very small and she 2:59 became very small and she stopped taking it. Later, he ate 3:01 stopped taking it. Later, he ate 3:01 stopped taking it. Later, he ate a high-carbohydrate meal without 3:03 a high-carbohydrate meal without 3:03 a high-carbohydrate meal without injecting insulin, checked his 3:05 injecting insulin, checked his 3:05 injecting insulin, checked his blood sugar 2 hours later, and found it 3:07 blood sugar 2 hours later, and found it 3:07 blood sugar 2 hours later, and found it remained normal. Then, he stopped taking 3:09 remained normal. Then, he stopped taking 3:09 remained normal. Then, he stopped taking insulin completely. Years 3:11 insulin completely. Years 3:11 insulin completely. Years later, he reported that he still wasn't 3:13 later, he reported that he still wasn't 3:13 later, he reported that he still wasn't using insulin. That's remarkable, but 3:16 using insulin. That's remarkable, but 3:16 using insulin. That's remarkable, but remarkable doesn't automatically mean 3:18 remarkable doesn't automatically mean 3:19 remarkable doesn't automatically mean generalizable. Classic type 1 diabetes 3:21 generalizable. Classic type 1 diabetes 3:21 generalizable. Classic type 1 diabetes is generally considered an 3:23 is generally considered an 3:23 is generally considered an autoimmune condition. It is believed that the 3:25 autoimmune condition. It is believed that the 3:25 autoimmune condition. It is believed that the immune system attacks the 3:27 immune system attacks the 3:27 immune system attacks the cells of the pancreas that produce 3:28 cells of the pancreas that produce 3:28 cells of the pancreas that produce insulin. When a person can no longer 3:31 insulin. When a person can no longer 3:31 insulin. When a person can no longer produce enough insulin, 3:33 produce enough insulin, 3:33 produce enough insulin, insulin is not optional. Exercise 3:35 insulin is not optional. Exercise 3:35 insulin is not optional. Exercise cannot counteract 3:37 cannot counteract 3:37 cannot counteract diabetic ketoacidosis, and determination cannot 3:40 diabetic ketoacidosis, and determination cannot 3:40 diabetic ketoacidosis, and determination cannot replace a hormone that the body 3:42 replace a hormone that the body 3:42 replace a hormone that the body requires to survive. The case 3:44 requires to survive. The case 3:44 requires to survive. The case itself introduces a more
Limits of conventional care and deeper evaluation 3:47 itself introduces a more 3:47 itself introduces a more nuanced possibility. Diabetes does not always fit 3:50 nuanced possibility. Diabetes does not always fit 3:50 nuanced possibility. Diabetes does not always fit neatly into two clear categories 3:52 neatly into two clear categories . Some adults may exhibit 3:55 . Some adults may exhibit 3:55 . Some adults may exhibit characteristics of both type 3:57 characteristics of both type 3:57 characteristics of both type 1 and type 2 diabetes. A person may 4:00 1 and type 2 diabetes. A person may 4:00 1 and type 2 diabetes. A person may have impaired insulin production 4:02 have impaired insulin production 4:02 have impaired insulin production along with 4:04 along with 4:04 along with insulin resistance, and it can take time to understand 4:06 insulin resistance, and it can take time to understand 4:06 insulin resistance, and it can take time to understand where that individual falls on the 4:08 where that individual falls on the 4:08 where that individual falls on the spectrum. That uncertainty may 4:10 spectrum. That uncertainty may 4:10 spectrum. That uncertainty may help explain 4:12 help explain 4:12 help explain this man's unusual outcome. Perhaps he retained more 4:15 this man's unusual outcome. Perhaps he retained more 4:15 this man's unusual outcome. Perhaps he retained more insulin production capacity 4:17 insulin production capacity 4:17 insulin production capacity than someone with established classic type 1 diabetes 4:19 than someone with established classic type 1 diabetes 4:19 than someone with established classic type 1 diabetes . Perhaps reducing 4:21 . Perhaps reducing 4:21 . Perhaps reducing body fat and improving 4:23 body fat and improving 4:23 body fat and improving physical fitness greatly decreased 4:25 physical fitness greatly decreased 4:25 physical fitness greatly decreased his insulin resistance, 4:26 his insulin resistance, 4:26 his insulin resistance, allowing the insulin he was still 4:28 allowing the insulin he was still 4:28 allowing the insulin he was still producing to work more
Monitoring, safety, and who this may apply to 4:30 producing to work more 4:30 producing to work more effectively. Perhaps its 4:33 effectively. Perhaps its 4:33 effectively. Perhaps its original classification did not capture the 4:35 original classification did not capture the 4:35 original classification did not capture the full picture. And perhaps more than one of those 4:38 full picture. And perhaps more than one of those 4:38 full picture. And perhaps more than one of those explanations is true. What 4:40 explanations is true. What 4:40 explanations is true. What we cannot responsibly conclude is 4:42 we cannot responsibly conclude is 4:42 we cannot responsibly conclude is that exercise and diet regenerate 4:44 that exercise and diet regenerate 4:44 that exercise and diet regenerate insulin production in all 4:46 insulin production in all 4:47 insulin production in all people with type 1 diabetes, or that 4:48 people with type 1 diabetes, or that 4:49 people with type 1 diabetes, or that other people can reproduce this 4:51 other people can reproduce this 4:51 other people can reproduce this result if they simply try hard 4:53 result if they simply try hard 4:53 result if they simply try hard enough. That conclusion would not only 4:55 enough. That conclusion would not only 4:55 enough. That conclusion would not only be medically unsafe, it 4:58 be medically unsafe, it 4:58 be medically unsafe, it would also be unfair. People living 5:01 would also be unfair. People living 5:01 would also be unfair. People living with type 1 diabetes do not use insulin 5:03 with type 1 diabetes do not use insulin 5:03 with type 1 diabetes do not use insulin because they lack discipline. They use it 5:06 because they lack discipline. They use it 5:06 because they lack discipline. They use it because their bodies need it. If one 5:10 because their bodies need it. If one 5:10 because their bodies need it. If one person achieves 5:12 person achieves 5:12 person achieves insulin independence under unusual circumstances, 5:14 insulin independence under unusual circumstances, 5:14 insulin independence under unusual circumstances, that does not mean that another person has 5:16 that does not mean that another person has 5:16 that does not mean that another person has failed because they did not achieve it. The 5:19 failed because they did not achieve it. The 5:19 failed because they did not achieve it. The most profound lesson is not that 5:20 most profound lesson is not that 5:21 most profound lesson is not that anyone can cure type 5:23 anyone can cure type 5:23 anyone can cure type 1 diabetes. The lesson is that a diagnosis 5:26 1 diabetes. The lesson is that a diagnosis 5:26 1 diabetes. The lesson is that a diagnosis does not negate the value of improving the rest 5:29 does not negate the value of improving the rest 5:29 does not negate the value of improving the rest of the body. This man did not 5:31 of the body. This man did not 5:31 of the body. This man did not initially set out to prove that he could quit
Individual biology and the role of diagnosis 5:33 initially set out to prove that he could quit 5:33 initially set out to prove that he could quit insulin. He wanted to be 5:35 insulin. He wanted to be 5:35 insulin. He wanted to be fitter, thinner, and healthier. 5:37 fitter, thinner, and healthier. 5:38 fitter, thinner, and healthier. In the process, he reported improvements that 5:40 In the process, he reported improvements that 5:40 In the process, he reported improvements that went far beyond 5:42 went far beyond 5:42 went far beyond blood sugar. She no longer needed medication 5:44 blood sugar. She no longer needed medication 5:44 blood sugar. She no longer needed medication for high blood pressure. Her 5:46 for high blood pressure. Her 5:46 for high blood pressure. Her back pain improved, her migraines 5:48 back pain improved, her migraines 5:48 back pain improved, her migraines resolved, and she felt stronger 5:50 resolved, and she felt stronger 5:50 resolved, and she felt stronger and healthier than she had before 5:52 and healthier than she had before 5:52 and healthier than she had before her diagnosis. Even if he had 5:54 her diagnosis. Even if he had 5:54 her diagnosis. Even if he had continued taking insulin, those 5:56 continued taking insulin, those 5:56 continued taking insulin, those results would still have been 5:58 results would still have been 5:58 results would still have been important. This is where I think 5:59 important. This is where I think 5:59 important. This is where I think conventional conversations 6:01 conventional conversations 6:01 conventional conversations can become too limited. 6:02 can become too limited. 6:03 can become too limited. A person receives a diagnosis, is 6:05 A person receives a diagnosis, is 6:05 A person receives a diagnosis, is prescribed the correct medication, and the 6:07 prescribed the correct medication, and the 6:08 prescribed the correct medication, and the discussion can end there. The 6:10 discussion can end there. The 6:10 discussion can end there. The medication can be essential, and in 6:13 medication can be essential, and in 6:13 medication can be essential, and in type 1 diabetes, insulin saves 6:15 type 1 diabetes, insulin saves 6:15 type 1 diabetes, insulin saves lives. But treating the disease does not 6:18 lives. But treating the disease does not 6:18 lives. But treating the disease does not mean we have finished 6:19 mean we have finished 6:19 mean we have finished caring for the person. Physical condition 6:21 caring for the person. Physical condition 6:21 caring for the person. Physical condition affects how muscles use 6:23 affects how muscles use 6:23 affects how muscles use glucose. Body composition can 6:25 glucose. Body composition can 6:25 glucose. Body composition can affect insulin sensitivity. 6:27 affect insulin sensitivity. 6:27 affect insulin sensitivity. Dietary choices influence how 6:29 Dietary choices influence how 6:29 Dietary choices influence how quickly blood sugar changes
What the case really teaches 6:30 quickly blood sugar changes 6:30 quickly blood sugar changes . Smoking affects 6:33 . Smoking affects 6:33 . Smoking affects cardiovascular risk; Stress, 6:35 cardiovascular risk; Stress, 6:35 cardiovascular risk; Stress, recovery, physical strength, and 6:37 recovery, physical strength, and 6:37 recovery, physical strength, and daily habits also interact 6:39 daily habits also interact 6:39 daily habits also interact with the overall clinical picture. None 6:42 with the overall clinical picture. None 6:42 with the overall clinical picture. None of that makes insulin 6:43 of that makes insulin 6:43 of that makes insulin unnecessary for someone who 6:45 unnecessary for someone who 6:45 unnecessary for someone who needs it. This means that medicine 6:47 needs it. This means that medicine 6:47 needs it. This means that medicine and lifestyle are not 6:49 and lifestyle are not 6:49 and lifestyle are not opposing philosophies. They are different tools 6:52 opposing philosophies. They are different tools 6:52 opposing philosophies. They are different tools that serve different purposes. 6:54 that serve different purposes. 6:55 that serve different purposes. There was a time when medicine 6:56 There was a time when medicine 6:56 There was a time when medicine often presented 6:58 often presented 6:58 often presented lifestyle advice as a 6:59 lifestyle advice as a 6:59 lifestyle advice as a brief instruction. Eat better, exercise more, 7:02 brief instruction. Eat better, exercise more, 7:02 brief instruction. Eat better, exercise more, and come back in a few months. What 7:05 and come back in a few months. What 7:05 and come back in a few months. What experience makes clear is that 7:07 experience makes clear is that 7:07 experience makes clear is that meaningful change rarely arises from 7:09 meaningful change rarely arises from 7:09 meaningful change rarely arises from vague instruction. It is developed 7:12 vague instruction. It is developed 7:12 vague instruction. It is developed through gradual and 7:14 through gradual and 7:14 through gradual and sustainable adjustments, adequate support, 7:16 sustainable adjustments, adequate support, 7:16 sustainable adjustments, adequate support, careful measurement, and honest feedback. 7:19 careful measurement, and honest feedback. 7:19 careful measurement, and honest feedback. In this case, the coach didn't try to 7:22 In this case, the coach didn't try to 7:22 In this case, the coach didn't try to change everything in just one week. She 7:24 change everything in just one week. She 7:24 change everything in just one week. She used a food diary, 7:27 used a food diary, 7:27 used a food diary, checked it regularly, changed one 7:29 checked it regularly, changed one 7:29 checked it regularly, changed one item at a time, and 7:31 item at a time, and 7:31 item at a time, and gradually increased the physical challenge. That 7:33 gradually increased the physical challenge. That
Holistic care and the final takeaway 7:34 gradually increased the physical challenge. That sequence matters. Sustainable improvement 7:36 sequence matters. Sustainable improvement 7:36 sequence matters. Sustainable improvement is generally built through 7:38 is generally built through 7:38 is generally built through adaptation. Why can 7:40 adaptation. Why can 7:40 adaptation. Why can the broader pattern be overlooked? 7:42 the broader pattern be overlooked? 7:42 the broader pattern be overlooked? Medical appointments are short. Different 7:44 Medical appointments are short. Different 7:44 Medical appointments are short. Different specialists focus on different 7:46 specialists focus on different 7:46 specialists focus on different organs, and medication changes 7:47 organs, and medication changes 7:47 organs, and medication changes are easier to document than the 7:49 are easier to document than the 7:49 are easier to document than the slow rebuilding of 7:51 slow rebuilding of 7:51 slow rebuilding of a person's physical capacity. This system is usually 7:54 a person's physical capacity. This system is usually 7:54 a person's physical capacity. This system is usually very good at identifying 7:56 very good at identifying 7:56 very good at identifying an emergency, but less consistent 7:58 an emergency, but less consistent 7:58 an emergency, but less consistent at helping someone build a 8:00 at helping someone build a 8:00 at helping someone build a healthier life after the 8:02 healthier life after the 8:02 healthier life after the emergency has passed. The fire goes out 8:05 emergency has passed. The fire goes out . Everyone is relieved, and 8:07 . Everyone is relieved, and 8:07 . Everyone is relieved, and comparatively little attention is paid 8:09 comparatively little attention is paid 8:10 comparatively little attention is paid to why the building is still full of 8:12 to why the building is still full of 8:12 to why the building is still full of smoke. See the complete pattern before 8:15 smoke. See the complete pattern before 8:15 smoke. See the complete pattern before changing the questions we ask. 8:18 changing the questions we ask. 8:18 changing the questions we ask. Instead of just asking which 8:19 Instead of just asking which 8:19 Instead of just asking which medication controls this number, I 8:21 medication controls this number, I 8:21 medication controls this number, I also want to know what type of 8:23 also want to know what type of 8:23 also want to know what type of diabetes it appears to be, how much insulin 8:25 diabetes it appears to be, how much insulin 8:25 diabetes it appears to be, how much insulin the person may still be producing 8:28 the person may still be producing , whether there is also 8:29 , whether there is also 8:29 , whether there is also insulin resistance, how the blood sugar responds 8:32 insulin resistance, how the blood sugar responds 8:32 insulin resistance, how the blood sugar responds to food and movement, 8:34 to food and movement, 8:34 to food and movement, how treatment needs change, 8:35 how treatment needs change, 8:35 how treatment needs change, and whether the 8:37 and whether the 8:37 and whether the original classification still fits the 8:39 original classification still fits the 8:39 original classification still fits the evolving clinical landscape. Those 8:42 evolving clinical landscape. Those 8:42 evolving clinical landscape. Those questions belong in a 8:44 questions belong in a 8:44 questions belong in a careful medical evaluation. They are not a license 8:46 careful medical evaluation. They are not a license 8:46 careful medical evaluation. They are not a license to experiment by omitting insulin 8:48 to experiment by omitting insulin . If you use insulin, never reduce or 8:50 . If you use insulin, never reduce or 8:50 . If you use insulin, never reduce or stop taking it based on this video or someone 8:52 stop taking it based on this video or someone 8:52 stop taking it based on this video or someone else's story. 8:54 else's story. 8:54 else's story. Changes in 8:56 Changes in 8:56 Changes in insulin requirements should be evaluated by a 8:57 insulin requirements should be evaluated by a 8:57 insulin requirements should be evaluated by a qualified physician and with 8:59 qualified physician and with 8:59 qualified physician and with appropriate monitoring. Symptoms such as excessive thirst, 9:02 appropriate monitoring. Symptoms such as excessive thirst, 9:02 appropriate monitoring. Symptoms such as excessive thirst, frequent urination, nausea, 9:04 frequent urination, nausea, 9:04 frequent urination, nausea, abdominal pain, rapid breathing, 9:06 abdominal pain, rapid breathing, 9:06 abdominal pain, rapid breathing, confusion, severe fatigue, 9:09 confusion, severe fatigue, 9:09 confusion, severe fatigue, very high blood sugar, or ketones require 9:11 very high blood sugar, or ketones require 9:11 very high blood sugar, or ketones require immediate medical attention. 9:14 immediate medical attention. 9:14 immediate medical attention. Diabetic ketoacidosis can progress 9:16 Diabetic ketoacidosis can progress 9:16 Diabetic ketoacidosis can progress rapidly. This discussion may be 9:19 rapidly. This discussion may be 9:19 rapidly. This discussion may be especially relevant if you were 9:21 especially relevant if you were 9:21 especially relevant if you were diagnosed with diabetes in 9:23 diagnosed with diabetes in 9:23 diagnosed with diabetes in adulthood, if your clinical course does not 9:25 adulthood, if your clinical course does not 9:25 adulthood, if your clinical course does not clearly fit into the category you were 9:27 clearly fit into the category you were 9:27 clearly fit into the category you were given, or if your 9:29 given, or if your 9:29 given, or if your insulin needs have changed substantially 9:31 insulin needs have changed substantially 9:31 insulin needs have changed substantially as your weight and fitness have changed. It 9:33 as your weight and fitness have changed. It 9:33 as your weight and fitness have changed. It may also be relevant if your 9:35 may also be relevant if your 9:35 may also be relevant if your diabetes treatment controls 9:37 diabetes treatment controls 9:37 diabetes treatment controls your glucose, but the rest of your health 9:39 your glucose, but the rest of your health 9:40 your glucose, but the rest of your health seems neglected. He may not 9:41 seems neglected. He may not 9:41 seems neglected. He may not explain his situation. Many people 9:44 explain his situation. Many people 9:44 explain his situation. Many people have clear and established type 1 diabetes 9:46 have clear and established type 1 diabetes 9:46 have clear and established type 1 diabetes , and will continue to need 9:48 , and will continue to need 9:48 , and will continue to need insulin no matter how 9:49 insulin no matter how 9:49 insulin no matter how carefully they eat or how 9:51 carefully they eat or how 9:51 carefully they eat or how physically fit they are. 9:54 physically fit they are. 9:54 physically fit they are. Individual biology matters. Also, the 9:57 Individual biology matters. Also, the 9:57 Individual biology matters. Also, the duration of the disease, 9:59 duration of the disease, 9:59 duration of the disease, remaining pancreatic function, 10:01 remaining pancreatic function, 10:01 remaining pancreatic function, insulin sensitivity, other 10:03 insulin sensitivity, other 10:03 insulin sensitivity, other medical conditions, and the treatments 10:05 medical conditions, and the treatments 10:06 medical conditions, and the treatments the person receives. My conclusion is simple. 10:08 the person receives. My conclusion is simple. 10:11 Respect the diagnosis, respect the 10:11 Respect the diagnosis, respect the medication, and do not underestimate the health that 10:13 medication, and do not underestimate the health that 10:13 medication, and do not underestimate the health that may still be within your reach. The 10:16 may still be within your reach. The 10:16 may still be within your reach. The most significant revelation from this 10:18 most significant revelation from this 10:18 most significant revelation from this man was not simply that he stopped taking 10:20 man was not simply that he stopped taking 10:20 man was not simply that he stopped taking insulin. It was the diagnosis that he 10:23 insulin. It was the diagnosis that he 10:23 insulin. It was the diagnosis that he initially experienced as a threat that 10:25 initially experienced as a threat that 10:25 initially experienced as a threat that became the event that motivated him 10:27 became the event that motivated him 10:27 became the event that motivated him to quit smoking, be physically 10:29 to quit smoking, be physically 10:29 to quit smoking, be physically active, improve his nutrition, and take 10:32 active, improve his nutrition, and take 10:32 active, improve his nutrition, and take responsibility for the parts of his 10:34 responsibility for the parts of his 10:34 responsibility for the parts of his health that he could influence. In other 10:37 health that he could influence. In other 10:37 health that he could influence. In other words, diabetes saved his life 10:40 words, diabetes saved his life . That's the possibility I want to 10:42 . That's the possibility I want to 10:42 . That's the possibility I want to leave you with. Not the promise of a cure, 10:46 leave you with. Not the promise of a cure, 10:46 leave you with. Not the promise of a cure, but the recognition that 10:48 but the recognition that 10:48 but the recognition that necessary medical treatment and a 10:50 necessary medical treatment and a 10:50 necessary medical treatment and a holistic approach can coexist. 10:53 holistic approach can coexist. 10:53 holistic approach can coexist. Sometimes, the wisest approach is not to 10:55 Sometimes, the wisest approach is not to 10:55 Sometimes, the wisest approach is not to choose between conventional medicine and 10:58 choose between conventional medicine and 10:58 choose between conventional medicine and lifestyle. It's about ceasing to ask them to 11:01 lifestyle. It's about ceasing to ask them to 11:01 lifestyle. It's about ceasing to ask them to compete against each other. Has 11:03 compete against each other. Has 11:03 compete against each other. Has your diagnosis ever motivated you to 11:05 your diagnosis ever motivated you to 11:05 your diagnosis ever motivated you to make changes that improved other 11:07 make changes that improved other 11:07 make changes that improved other areas of your health? Has anyone 11:10 areas of your health? Has anyone 11:10 areas of your health? Has anyone explained to you the difference between reducing 11:12 explained to you the difference between reducing 11:12 explained to you the difference between reducing insulin resistance and 11:13 insulin resistance and 11:13 insulin resistance and restoring insulin production? 11:17 restoring insulin production? And would you like me to explore the 11:19 And would you like me to explore the 11:19 And would you like me to explore the differences between type 1, 11:21 differences between type 1, 11:21 differences between type 1, type 2, and mixed diabetes in an 11:23 type 2, and mixed diabetes in an 11:23 type 2, and mixed diabetes in an upcoming video? I look forward to hearing about your 11:26 upcoming video? I look forward to hearing about your 11:27 upcoming video? I look forward to hearing about your experience.
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