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092: What Is Diabetic Ketoacidosis?
Manage episode 435032660 series 3559830
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In this episode, Dr. Steve dives into the critical role of insulin in managing diabetes and explains the differences between type 1 and type 2 diabetes. He discusses the impact of different types of carbohydrates on insulin levels, the dangers of insulin resistance, and the severe condition known as diabetic ketoacidosis (DKA). This episode provides practical advice for managing diabetes through diet and careful insulin management to prevent serious complications.
[00:01 - 03:47] Understanding Insulin and Its Impact on Health
Insulin is an energy-storage hormone released by the pancreas.
Fat does not increase insulin levels, but carbohydrates do.
High insulin levels are linked to diabetes and various organ failures.
Type 2 diabetes is caused by insulin resistance, not just high blood glucose.
[03:48 - 10:31] The Role of Carbohydrates in Insulin Response
Carbohydrates break down into glucose, raising insulin levels significantly.
God-made carbs (fruits, vegetables) have a different insulin impact than man-made carbs.
Processed carbs lead to sustained high insulin levels, causing insulin resistance.
The liver manages glucose by storing it as glycogen or converting it to fat.
[10:31 - 20:54] Type 1 vs. Type 2 Diabetes
Type 1 diabetics don’t produce insulin, leading to high glucose and fat burning.
Type 2 diabetes is caused by excessive carbohydrate intake and insulin resistance.
Historical terms like "juvenile diabetes" and "adult-onset diabetes" are now obsolete.
Mismanagement of insulin in type 2 diabetics leads to “double diabetes.
Proper nutrition is crucial for managing both types of diabetes, with a focus on reducing carbs.
[20:55 - 31:53] Diabetic Ketoacidosis (DKA) and Its Dangers
DKA occurs when insulin is absent, leading to high glucose and ketone levels.
Symptoms include sweet-smelling breath and dangerously high blood glucose.
Rapid reduction of blood glucose in DKA can cause cerebral edema.
Slow glucose reduction and proper insulin management are vital in DKA treatment.
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Tweetable Quotes:
“Too high blood glucose and type 2 diabetes is a symptom of insulin resistance.” - Dr. Steve Hughlett
“We have a new condition called double diabetes. That's when you have both type one diabetes because your pancreas doesn't produce any insulin and type two diabetes because you're eating so many carbohydrates, giving yourself so much insulin, you actually make yourself insulin resistant.” - Dr. Steve Hughlett
“What's bad with diabetic ketoacidosis is if we bring the glucose down too fast.” - Dr. Steve Hughlett
“Insulin is an energy storage hormone.” - Dr. Steve Hughlett
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