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Hello, ladies and gents Robert 
Sykes keto, Savage.com to never 

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get special. 
Guest dr. 

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Kuzma Kion the lion. 
He is a cardiologist and he's 

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also a type 1 diabetic. 
So we dive deep into the Weeds 

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on proper heart health. 
We talk about lipids, we talk 

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about CAC scans, we talk about 
all kinds of things as it 

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pertains to improving the health
of your heart and cardiovascular

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system, but we also talked about
nutrition quite a bit in how his

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type one diagnosis, which didn't
come to him to his 44 years old,

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kind of has shaped his 
nutrition. 

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He's also a A runner, he's run a
few marathons. 

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He ran the New York City 
marathon. 

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So I wanted to kind of pick his 
brain as to how being a type one

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diabetic. 
Has impacted his nutrition for 

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the Run specifically, but just 
every day to day life, so 

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thoroughly into the 
conversation, I've got no doubt 

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that you will take something 
from it. 

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So without further Ado, sit back
relax and do the podcast with 

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doctor because Mickey And we are
live doctor, Cosmic, how are 

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you? 
Sir, good. 

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How are you? 
I'm doing. 

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Wonderful. 
Well. 

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So before we started recording, 
and we had to kind of figure out

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how we know each other through 
a, the different connections 

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people have had on the podcast 
that lived close to people that 

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work for me and then we finally 
figured it out but you have an 

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interesting story. 
Nonetheless, your dad was type 1

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diabetic and then you were 
diagnosed later in life and now 

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your cardiologist did that. 
Did that knowledge that how did 

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the whole cardiologist Park 
under beta did having Add had 

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that diagnosis and kind of 
seeing that unfold motivates you

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to go the route of getting this 
knowledge. 

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Yeah, you know, I, you know, I 
was I did well in school and 

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then went to college and I was 
kind of, I was studying physics 

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and ends biology. 
And then ultimately decided I 

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wanted to go to med school and 
some of it was I mean I had 

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growing up like my dad was was 
very sick and was around a lot 

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of doctors. 
And so, you know, I saw that how

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how that field could be very 
rewarding. 

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Being and and mean a lot to 
families and stuff and to the 

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patients. 
And and so ultimately, I decided

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that that's the route I wanted 
to go and kind of led to 

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Cardiology just. 
I always liked the physiology of

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the heart and the cardiovascular
system and then, but I also like

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doing procedures, I like doing 
things with my hands. 

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I like figuring things out and 
so I do Interventional 

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Cardiology, so that allows me to
do procedures, I put in 

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transcatheter aortic. 
Valves, I do pf0 closures, so 

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those are more structural Hearts
things and then take care of 

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people that come in with heart 
attacks. 

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I Rush In And and put in stents 
to open up the arteries that are

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are blocked. 
So but then I also get a see 

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patients in clinic and treat 
them. 

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You know medically and establish
relationships with them that 

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way. 
So don't you got. 

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You actually just had an 
echocardiogram about a month 

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ago. 
Now few members of my family 

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have a bicuspid so they wanted 
to see from a genetic 

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standpoint. 
If that had passed down to me so

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I had to go in for 
echocardiogram and I do not have

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a bicuspid. 
Well good? 

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Yeah that's yeah, that is one of
the one of the most common 

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congenital heart abnormalities. 
So yeah, what is that? 

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I mean, just shoot that. 
I got you, I'm ask yourself this

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question for the family. 
A have a do have that? 

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Is that like a big risk? 
Is it something they need to, 

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you know, mitigate later in life
have that and fixed or what is 

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typical there? 
Yeah, you know, it's so there 

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someone with a bicuspid aortic 
valve. 

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So they ordered valve is 
normally three leaflets but some

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people are born with two and 
it's more likely to become 

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stenotic or narrowing, but it 
also can develop. 

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It also can become incompetent 
and leak. 

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And so one of those two Ooh 
things. 

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So knowing that allows a person 
to you know, to follow with 

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regular Echoes. 
If they do have that bicuspid 

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aortic valve and you know, get 
it treated before it would lead 

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to heart failure or other 
problems. 

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And so so it is recommended 
because it does run in families.

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It is recommended all first 
degree relatives, get screened, 

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kind of chat with Echo. 
That makes a lot of sense when 

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you work in the clinic. 
What are, what are the general? 

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No demographic that you're 
working with. 

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Like what are the most common 
denominator problems that you're

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seeing face on a day-to-day 
basis? 

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Yeah, you know, I mean we see 
most commonly, I mean, we see 

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coronary artery disease so 
that's someone that's, you know,

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has someone that's had either a 
heart attack or has had a stent 

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or open heart bypass surgery. 
We see those very commonly we 

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see atrial fibrillation, which 
is an irregular heart rhythm. 

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So those patients are at 
increased risk of stroke and can

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have symptoms from from the 
atrial fibrillation and Then, 

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you know, we see a lot of high 
blood pressure, high 

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cholesterol, you know, I don't 
know what percentage, but I 

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mean, a high percentage of 
Americans, let alone you get a 

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Cardiology clinic have metabolic
syndrome or Frank diabetes. 

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You know, most commonly type 2. 
Are you seeing this? 

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I would imagine you're getting a
variety of patients coming in, 

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is there? 
They don't want to generalize 

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obviously, but I would assume 
that a lot of these people are, 

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you know, with metabolic 
syndrome, specifically are 

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likely overweight and not paying
much money into their nutrition.

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That's a, you know, I mean, it's
kind of a generalization, but 

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yes, I mean General lot of them,
you know, maybe are trying to do

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the right thing, but maybe don't
have the best advice or 

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knowledge and and so a lot of 
them do have metabolic syndrome 

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with, you know, lipids that show
high triglycerides, low HDL. 

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Obesity or overweight. 
Yes. 

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From a heart health standpoint 
like, is there like some like 

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certain tests that you recommend
getting done proactively just to

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kind of keep people in the loop 
as to what they need to be 

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looking out for as opposed to 
waiting until it's you know 

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after they've had the stroke or 
after they've had the heart 

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attack. 
Yeah, so we do commonly, you 

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know, there are several other 
than just you know knowing your 

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cholesterol knowing your blood 
pressure regular exercise. 

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Getting good sleep. 
But as far as like preventive 

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things we do, you know, do 
coronary artery calcium scores. 

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And so that's a CAT scan that 
can be done through the heart. 

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And then it adds up the calcium 
which calcium is a marker of 

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cholesterol buildup and the 
higher the score, the more 

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atherosclerosis or more coronary
artery disease that is present. 

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And so that can that can provide
I'd you know, several things 

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that can help with medications 
that can help patient awareness 

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as far as that they do have 
coronary artery disease and help

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somewhat with motivation of 
making those Lifestyle Changes. 

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This, this is a, this is way 
outside my wheelhouse. 

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So, I'm glad I've got you on 
here, but when it comes to 

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people in the nutritional space,
especially the keto carnivore 

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space, you know, they are 
oftentimes consuming more lipids

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and one of the common things 
that that they get, you know, 

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asked frequently is you know 
what? 

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That doing your last four 
numbers aren't in that. 

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Just going to clog your arteries
and result in a heart attack and

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a lot of people will see it as 
an initial increase in the lipid

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profile, then oftentimes, that 
levels out. 

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But some people they don't see 
that leveling out. 

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They'll notice elevated LDL for 
quite some time if those 

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individuals have that elevated 
LDL but they go and get a CAT 

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scan and there is zero 
calcification. 

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Should that put them at ease or 
where should they go next? 

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Yeah, that's a, you know, that's
a the lean mass. 

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Hyper responders are a very 
interesting group. 

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And, you know, I think that 
having a, you know, if you get 

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the calcium score done in, 
you're too young. 

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I mean, you can have salt, 
what's called Soft plaque, which

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means that cholesterol, that 
hasn't calcified. 

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And so, it's not 100%. 
And then which I guess in 

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medicine, no test is 100%. 
And so, but It's reassuring. 

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But I would say it's very 
unchartered territory and you 

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know, day Feldman is doing 
further studies there on these 

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lean that lean mass hyper 
responders. 

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And so I think that's a that's 
an area that will be explored 

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more I think as a general rule 
it's really I mean you do think.

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I mean, people just have the 
perception that, you know, you 

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start eating some more fat and 
and everybody's cholesterol. 

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I was high, but it's really the 
most people we see, we see 

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really significant improvements 
in their lipids, and so so that 

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is the the minority of patients 
that, that that happens to, or 

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people that go on a ketogenic 
type of diet. 

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Yeah, when people go and get a 
general wellness check, they're 

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typically just getting the basic
lipid profile, total cholesterol

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HDL, LDL and Triggs like it for 
their Seeing, you know, 

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relatively low triglycerides 
and, you know, a reasonable HDL 

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like they're probably don't have
too much, you know, cause for 

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concern, like if they start to 
see highly elevated numbers and 

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then go get a particle size 
test. 

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But if generally speaking, if 
they have really low Triggs, 

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they're probably fine in that 
regard, right? 

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Yeah, I mean, that's, it's 
interesting. 

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I mean, I, you know, I probably 
see more of a biased result. 

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I would, Say generally, people 
with high HDL and low 

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triglycerides, have a lower 
prevalence of coronary artery 

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disease. 
However, I do see patients like 

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that come in with heart attack. 
So, I mean nothing. 

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Nothing is 100%, as we know in 
medicine, but, but generally, 

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those patient that is a 
healthier profile and healthier 

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person. 
And so overall they probably are

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at lower risk but Again it's all
individualized to that person. 

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Yeah. 
Is there like a specific LDL 

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perimeter in which you kind of 
start to raise your eyebrows? 

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Because a lot of like the one of
the range is the healthy range. 

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Is that are cited and provided 
in these lab panels. 

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You know like the like elevated 
LDL, I don't even want to know 

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what it starts at, but like 
anything over like 150 is 

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considered elevated LDL, right? 
Yeah, I mean really above 130 

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and, you know, they've really 
lowered it to above 100 and if 

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you have, you know, someone 
that's had a heart attack or or 

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has had bypass or has had 
stints, you know, you would like

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it 70 or even lower. 
The problem is, is that, you 

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know, that's a very, I guess. 
It's a very myopic View and that

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there's more, you know, we see 
people with very low ldls come 

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With with heart attacks. 
But the thing that you, you 

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know, I would say most commonly 
would be the, you know, the 

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person that has a low LDL but 
their triglycerides are 200 in 

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their HDL is low and they have 
those other signs of metabolic 

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syndrome. 
So, so it's very individualized,

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I think, you know, I've learned 
a tremendous amount. 

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I mean, we, I think traditional 
medicine. 

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We it's easiest. 
And, and, and, you know, we're 

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Overwhelmed with patients and 
so. 

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So a lot of times doctors just 
focus on one number. 

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However, you you quickly as you 
as you know about this, you 

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realize that it's not just this 
just that one number. 

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You've got to look at look at 
everything together and take 

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that that individual person and 
and decide, you know, how high a

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risk are they and what benefit 
would they have, what what 

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should their lipids look like? 
So yeah, for sure, what about 

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statins. 
You know, a lot of people, I 

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know, have been pushed towards 
Stanton's by their primary care,

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doctors by the cardiologist, and
I don't know, like, all the 

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time, like, I'm not a 
cardiologist obviously, so I 

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don't know what they're looking 
at in order to have the 

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preliminary data to recommend 
these statins. 

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00:13:01,900 --> 00:13:05,200
But is there a gamut of tests 
that are being done prior to 

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that recommendation? 
Or is it just simply a lipid, a 

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simple lipid profile and they're
kind of pushing towards Tetons 

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and if so, what are the pros and
cons of Statins and hash people 

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kind of way that out. 
Yeah. 

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You're getting into 
controversial areas - that's not

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nice. 
I'm just truly, you know, 

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curious and don't know. 
Yeah, no. 

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I mean, I you so, so I know a 
lot of a lot of people in the 

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low carb and ketogenic realm 
are, you know, very anti Statin 

225
00:13:34,100 --> 00:13:36,800
and, you know, overall anti 
medicine which a lot of them 

226
00:13:36,800 --> 00:13:40,600
don't need medicine because 
they're extremely metabolically 

227
00:13:40,600 --> 00:13:43,300
healthy and overall, Overall 
healthy. 

228
00:13:44,700 --> 00:13:48,000
You know as far as people 
getting started on statins, I 

229
00:13:48,000 --> 00:13:52,500
think the way I approach it is 
if someone has had a heart 

230
00:13:52,500 --> 00:13:58,500
attack or has had a has had a 
stent has these things. 

231
00:13:58,500 --> 00:14:02,500
I mean we there's very good 
evidence on secondary prevention

232
00:14:02,500 --> 00:14:08,100
and taking statins, you do most 
people, we can use, you know, 

233
00:14:08,100 --> 00:14:12,200
started a low dose and then get 
them to make. 

234
00:14:12,300 --> 00:14:14,600
Style changes improve those 
other things. 

235
00:14:14,600 --> 00:14:18,000
And with just, you know, a small
dose of Statin, they'll their, 

236
00:14:18,300 --> 00:14:22,300
their cholesterol and everything
will look look within normal 

237
00:14:22,300 --> 00:14:25,600
limits, or what we would like it
to, to be okay. 

238
00:14:25,600 --> 00:14:29,100
You do have patients that have 
side effects from, from the 

239
00:14:29,100 --> 00:14:33,000
statins. 
And so, you know, we do have 

240
00:14:33,200 --> 00:14:36,300
alternative medicines to help 
them Reach, reach goal. 

241
00:14:36,300 --> 00:14:41,700
And we know that that improves 
reduces the risk of recurrent, M

242
00:14:41,700 --> 00:14:45,100
eyes and And for secondary 
prevention, there is mortality 

243
00:14:45,100 --> 00:14:48,100
benefit where you get 
controversial as in primary 

244
00:14:48,100 --> 00:14:50,900
prevention. 
I mean, there is, there is a 

245
00:14:50,908 --> 00:14:55,600
reduction in events as far as 
heart attacks and strokes. 

246
00:14:55,600 --> 00:14:58,600
But the mortality, it's been 
much more difficult to show a 

247
00:14:58,600 --> 00:15:04,800
mortality benefit with with 
statins and so I kind of I mean,

248
00:15:05,700 --> 00:15:07,800
I don't know, I kind of stay out
of that. 

249
00:15:07,800 --> 00:15:13,000
I try to give I mean if I have a
patient come in, You know we can

250
00:15:13,000 --> 00:15:16,000
you can put their numbers into a
calculator, you can say you know

251
00:15:16,000 --> 00:15:21,700
here's your 10 year risk and you
know here's what it would be as 

252
00:15:21,700 --> 00:15:26,800
if you took a medicine. 
If you took a Statin medication 

253
00:15:26,800 --> 00:15:30,000
or if you didn't these are you 
know if we can change these 

254
00:15:30,000 --> 00:15:34,600
other numbers if we can improve 
your your HDL triglycerides. 

255
00:15:34,600 --> 00:15:36,900
I mean we can lower your risk 
that way too. 

256
00:15:36,900 --> 00:15:41,400
So I would imagine is probably 
similar to like, you know, 

257
00:15:41,400 --> 00:15:43,400
taking on exotic just hormones 
for some. 

258
00:15:43,400 --> 00:15:46,900
Like you, you wouldn't want to 
go that route until you've done 

259
00:15:46,900 --> 00:15:50,100
the the underlying, you know, 
basic groundwork from a 

260
00:15:50,100 --> 00:15:53,000
lifestyle standpoint regards to 
improving Sleep Quality, 

261
00:15:53,000 --> 00:15:57,300
reducing stress, you know, 
exercising proven nutrition, you

262
00:15:57,300 --> 00:15:59,600
know, because that's going to 
have a pretty tremendous impact 

263
00:15:59,600 --> 00:16:02,700
on hormonal levels prior to 
going the round of Exile, just 

264
00:16:02,700 --> 00:16:04,600
hormones. 
Probably the same would hold 

265
00:16:04,600 --> 00:16:05,900
true with sentence. 
I would imagine. 

266
00:16:06,400 --> 00:16:08,500
Yeah, yeah. 
I mean they're, you know, I 

267
00:16:08,500 --> 00:16:11,500
think that, you know, there's 
lots of issues with the American

268
00:16:11,500 --> 00:16:14,700
Health System and you know, 
doctors are overwhelmed, MIT 

269
00:16:15,600 --> 00:16:18,900
primary physicians, everybody's 
overwhelmed. 

270
00:16:18,900 --> 00:16:25,000
So but the first step is always 
lifestyle factors to to improve 

271
00:16:25,000 --> 00:16:27,800
someone's risk. 
Yeah, totally. 

272
00:16:28,000 --> 00:16:32,200
What are some of the are there? 
Very many documented, known 

273
00:16:32,200 --> 00:16:35,400
negative side effects to Statin 
use because it seems like I've 

274
00:16:35,400 --> 00:16:38,200
seen varying points of 
discussion on that I've seen. 

275
00:16:38,300 --> 00:16:41,800
Some that suggests there are no 
documented negative effects. 

276
00:16:42,100 --> 00:16:44,000
I've seen some that say that 
it's going to lead to 

277
00:16:44,400 --> 00:16:46,300
Alzheimer's or dementia. 
Like I don't know where the 

278
00:16:46,300 --> 00:16:50,800
actual data sits on then. 
Yeah you know the data would say

279
00:16:50,800 --> 00:16:56,000
it's probably not you know 
there's not those those side 

280
00:16:56,000 --> 00:17:02,300
effects as far as mental or 
dementia, there's you know, 

281
00:17:02,600 --> 00:17:06,599
liver liver abnormalities are 
very uncommon. 

282
00:17:08,400 --> 00:17:12,300
And so there's not a lot of 
document. 

283
00:17:12,300 --> 00:17:15,900
I mean, the biggest thing that 
people worry about are the 

284
00:17:15,900 --> 00:17:20,700
muscle aches or exercise 
tolerance, and, you know, 

285
00:17:20,700 --> 00:17:23,900
there's been studies that have 
shown that, you know, it really.

286
00:17:24,599 --> 00:17:27,400
It's really just the matter of 
taking a pill. 

287
00:17:27,400 --> 00:17:31,700
So when they gave people 
Placebo, so they were randomized

288
00:17:31,900 --> 00:17:36,800
to either taking a Statin taking
Placebo, or taking, no, pill, 

289
00:17:37,200 --> 00:17:41,000
and the people that That had the
least amount of side effects 

290
00:17:41,000 --> 00:17:44,700
were the ones, taking no pill. 
As far as them taking Statin or 

291
00:17:44,700 --> 00:17:47,400
Placebo. 
The side effects were very aware

292
00:17:47,400 --> 00:17:50,900
that essentially the same. 
And so it's just that fact of 

293
00:17:51,000 --> 00:17:55,300
having to take a pill, probably 
a lot of it that that can lead 

294
00:17:55,300 --> 00:17:57,000
to some of that, that side 
effects. 

295
00:17:57,000 --> 00:18:01,600
But in, you know, Anna even 
though that says in a randomized

296
00:18:01,600 --> 00:18:06,500
study, there's not not those 
significant effects and a 

297
00:18:06,508 --> 00:18:09,800
totally, I mean, you see 
patients, That very much, you 

298
00:18:09,800 --> 00:18:17,000
know, have real symptoms on the 
medication, so you have to, you 

299
00:18:17,000 --> 00:18:22,800
know, just be extra extra 
cognizant of that and be able 

300
00:18:22,800 --> 00:18:26,700
to, you know, best be able to 
take them and lower their 

301
00:18:26,700 --> 00:18:29,500
long-term risk. 
And those real symptoms are 

302
00:18:29,500 --> 00:18:32,300
typically manifested in that 
muscle taking phenomena. 

303
00:18:32,800 --> 00:18:34,700
A lot of it. 
Yeah, decrease exercise 

304
00:18:34,700 --> 00:18:38,400
tolerance and muscle aches are 
the most common that, that Die 

305
00:18:38,400 --> 00:18:39,400
here. 
Yes. 

306
00:18:39,800 --> 00:18:43,700
So in your personal life like 
you would probably not go the 

307
00:18:43,700 --> 00:18:47,000
route of a low dose that will 
stand from a prophylactic 

308
00:18:47,000 --> 00:18:52,500
standpoint. 
Yeah, I mean, not not currently,

309
00:18:52,500 --> 00:18:58,600
I guess, you know, I think that 
if you, if you have a calcium 

310
00:18:58,600 --> 00:19:06,900
score of 0and coronary artery 
calcium score of 0and your, you 

311
00:19:06,900 --> 00:19:08,900
know, your metabolically 
Healthy. 

312
00:19:09,600 --> 00:19:14,300
I think it's going to be my 
opinion is that it would be hard

313
00:19:14,300 --> 00:19:18,700
to show a benefit of of a Statin
in that group. 

314
00:19:19,300 --> 00:19:21,300
Can't you what about blood 
pressure? 

315
00:19:21,300 --> 00:19:24,900
Like a lot of people, you know, 
they have a history of heart 

316
00:19:24,900 --> 00:19:27,100
failure. 
They'll go to checking blood 

317
00:19:27,100 --> 00:19:30,700
pressure on a daily basis, to 
kind of mitigate to just simply 

318
00:19:30,800 --> 00:19:34,200
have awareness that there. 
What would you recommend in that

319
00:19:34,200 --> 00:19:35,900
regard? 
I guess that's like a good daily

320
00:19:35,900 --> 00:19:39,200
Hammer that people that have a 
history of high blood pressure 

321
00:19:39,200 --> 00:19:40,800
should get into. 
And then what would you 

322
00:19:40,800 --> 00:19:42,600
recommend as ways to improve 
upon that? 

323
00:19:43,600 --> 00:19:47,000
Yeah, you know, the the trick is
always getting accurate blood 

324
00:19:47,000 --> 00:19:52,400
pressure assessment and so you 
know, really doing doing home. 

325
00:19:52,400 --> 00:19:56,600
Blood pressure monitoring as is 
important and make sure that the

326
00:19:56,700 --> 00:20:00,600
patient does it correctly, you 
know they should rest for 5 

327
00:20:00,600 --> 00:20:03,600
minutes. 
Take be in a calm seated 

328
00:20:03,600 --> 00:20:07,100
position, take their blood 
pressure you know rest a few 

329
00:20:07,100 --> 00:20:09,600
more minutes and repeat it 
because lots of times that 

330
00:20:09,600 --> 00:20:13,000
second or even third one will be
a little bit lower. 

331
00:20:14,500 --> 00:20:17,500
You know probably some of the 
worst blood pressures are where 

332
00:20:17,500 --> 00:20:21,300
we rush them into Clinic, the 
patient's running behind and 

333
00:20:21,300 --> 00:20:24,900
then we grab them and put them 
in a room and ask them a bunch 

334
00:20:24,900 --> 00:20:27,700
of questions as we're trying to 
take their blood pressure. 

335
00:20:27,700 --> 00:20:32,500
And so that's not always the 
most accurate accurate way of 

336
00:20:32,500 --> 00:20:35,500
getting it. 
But we, you know, we do know 

337
00:20:35,500 --> 00:20:37,800
that. 
I mean blood pressure is a very 

338
00:20:37,900 --> 00:20:41,200
important one of the very 
important cardiovascular risk 

339
00:20:41,200 --> 00:20:45,000
factors. 
And so people aren't going to 

340
00:20:45,008 --> 00:20:48,300
feel better with normal blood 
pressure. 

341
00:20:48,600 --> 00:20:51,700
You can have side effects or 
complications when your blood 

342
00:20:51,700 --> 00:20:54,500
pressure is very high. 
But I mean, you can have have 

343
00:20:54,500 --> 00:20:58,300
mild to moderate hypertension 
for years and years and not have

344
00:20:58,300 --> 00:21:01,900
any real symptoms. 
That's why I guess it's called 

345
00:21:01,900 --> 00:21:05,800
the silent killer is that it? 
It won't make people feel 

346
00:21:05,800 --> 00:21:08,200
better. 
So, but being aware and 

347
00:21:08,200 --> 00:21:10,900
cognizant of what, the blood 
pressure is getting those 

348
00:21:10,900 --> 00:21:15,200
accurate readings and then You 
know making lifestyle changes 

349
00:21:15,200 --> 00:21:19,800
and if it's still high, you 
know, taking some some low dose 

350
00:21:19,800 --> 00:21:23,800
medications can can help is 
there a particular blood 

351
00:21:23,800 --> 00:21:27,300
pressure cuff that you recommend
just for the average day-to-day 

352
00:21:27,300 --> 00:21:31,400
person use? 
You know, I don't I should 

353
00:21:31,600 --> 00:21:34,200
probably research that but I 
just, you know, usually the 

354
00:21:34,200 --> 00:21:36,300
pharmacies will have some 
different ones. 

355
00:21:36,300 --> 00:21:39,600
They recommend. 
I know that you can go on and I 

356
00:21:39,600 --> 00:21:41,100
haven't taken the time to do 
this. 

357
00:21:41,100 --> 00:21:43,200
There is a, I believe there's a 
website. 

358
00:21:43,300 --> 00:21:47,300
Site that you can look at the 
accuracy of different ones that 

359
00:21:47,500 --> 00:21:52,000
that are available on in the 
market, but I haven't researched

360
00:21:52,000 --> 00:21:54,600
that extensively. 
And what kind of range are? 

361
00:21:54,600 --> 00:21:56,900
You typically want people to 
strive for when it comes to 

362
00:21:56,900 --> 00:22:00,800
their blood pressure readings? 
Yeah, I mean you know, we like 

363
00:22:00,800 --> 00:22:07,000
it less than 130 over 80 120 
over 80 is considered normal or 

364
00:22:07,000 --> 00:22:12,200
lower, you know, but having it 
on average less than 130 over 80

365
00:22:12,200 --> 00:22:16,600
is certainly a reasonable blood 
pressure goal because that kind 

366
00:22:16,600 --> 00:22:20,500
of shaped your opinion on 
individuals caffeine intake, 

367
00:22:20,500 --> 00:22:23,500
sodium intake throughout the day
as far as like what you've seen 

368
00:22:23,700 --> 00:22:25,900
how that's impacted their their 
blood pressure readings. 

369
00:22:27,600 --> 00:22:31,100
Yeah, I think, you know yeah, 
the blood pressure. 

370
00:22:31,100 --> 00:22:35,500
I mean it will fluctuate 
throughout the day and and I 

371
00:22:35,508 --> 00:22:39,700
think this is always a topic, 
you know, someone doesn't didn't

372
00:22:39,700 --> 00:22:43,500
sleep well, the night before 
they were, you know, having a 

373
00:22:43,500 --> 00:22:50,500
lot of stress those things. 
So I think that it's a, you 

374
00:22:50,500 --> 00:22:56,600
know, getting those those 
accurate readings and then Yeah.

375
00:22:56,600 --> 00:23:01,500
May you know, just getting more 
readings as probably a better 

376
00:23:01,500 --> 00:23:04,100
than having less readings of the
blood pressure. 

377
00:23:04,200 --> 00:23:07,400
Yeah, totally. 
Totally, what about nutrition is

378
00:23:07,400 --> 00:23:10,400
talking about nutrition. 
So you said your father had type

379
00:23:10,400 --> 00:23:12,700
1 diabetes. 
He was born with it, right? 

380
00:23:13,400 --> 00:23:15,700
Yeah. 
So he was he was about 10 when 

381
00:23:15,700 --> 00:23:20,300
he was diagnosed, okay? 
And I believe it was around age 

382
00:23:20,300 --> 00:23:22,500
of 10. 
And so, I mean he lost a bunch 

383
00:23:22,500 --> 00:23:24,500
of weight. 
I mean, that's a stage where 

384
00:23:24,500 --> 00:23:31,600
you're growing a lot and And he 
became became ill and lost a 

385
00:23:31,608 --> 00:23:34,500
bunch of weight and then 
eventually was or, you know, 

386
00:23:34,500 --> 00:23:37,900
shortly after that was diagnosed
with type 1, diabetes and 

387
00:23:37,900 --> 00:23:42,000
started on insulin at that 
point, you know, they didn't 

388
00:23:42,000 --> 00:23:44,200
have, we didn't even have 
glucometers. 

389
00:23:44,500 --> 00:23:48,300
He tested his blood sugar with 
urine strips. 

390
00:23:48,500 --> 00:23:52,800
And you know, as long as you 
didn't detect glucose in the 

391
00:23:52,800 --> 00:24:00,300
urine, they thought your blood 
sugar was was Okay, and so, so 

392
00:24:00,300 --> 00:24:05,700
that's how he started. 
And then ultimately, he, he had 

393
00:24:05,700 --> 00:24:12,300
many complications from it. 
And so, he, after undergoing to 

394
00:24:12,300 --> 00:24:20,500
kidney transplants, he went 
blind had a leg amputated, he 

395
00:24:20,500 --> 00:24:25,100
passed away at age. 32 mean, it 
cannot even imagine. 

396
00:24:25,100 --> 00:24:29,000
You think event could have 
likely been avoided? 

397
00:24:29,000 --> 00:24:31,300
Had we known what we know now 
about attrition. 

398
00:24:31,300 --> 00:24:35,200
And, and Dosing insulin and just
mitigating that risk. 

399
00:24:36,500 --> 00:24:42,500
Yeah, I mean, I think that I, 
you know, it was, you know, he 

400
00:24:42,500 --> 00:24:45,700
probably, I mean, you know, I 
don't know how much could have 

401
00:24:45,700 --> 00:24:49,300
been mitigated. 
I think that a lot of it, if if,

402
00:24:49,400 --> 00:24:54,100
if the knowledge had been there,
you know, he probably could have

403
00:24:54,100 --> 00:25:01,600
lived a very, very long life and
done well and so but I think he,

404
00:25:01,700 --> 00:25:06,800
you know, followed what they 
knew at the time And, you know, 

405
00:25:06,800 --> 00:25:12,100
just like just like now, I mean,
I see people come in that that 

406
00:25:12,100 --> 00:25:15,500
have poorly controlled diabetes.
That, you know, they're one of 

407
00:25:15,500 --> 00:25:17,900
the lucky ones that they don't 
seem to develop the 

408
00:25:17,900 --> 00:25:23,400
complications, but he was one 
that was, you know, at the time 

409
00:25:23,700 --> 00:25:28,600
was okay control. 
But despite doing that, you 

410
00:25:28,600 --> 00:25:31,800
know, had had a every 
complication. 

411
00:25:31,900 --> 00:25:34,300
Mmm. 
And then you get that nose to 

412
00:25:34,700 --> 00:25:38,400
what age Yes, I was diagnosed at
age 44. 

413
00:25:38,400 --> 00:25:43,000
So, you know, I really thought, 
you know, the at that time, you 

414
00:25:43,000 --> 00:25:47,000
know, they had told us that, you
know, there wasn't really a lot 

415
00:25:47,000 --> 00:25:53,000
of increased risk for, for my 
brother and I to develop it. 

416
00:25:53,000 --> 00:25:57,600
And after I got past like age to
age, 20, I was really, I was 

417
00:25:57,600 --> 00:26:01,000
kind of, like, well I made it, I
thought there's very low 

418
00:26:01,000 --> 00:26:06,800
likelihood that I would get 
diagnosed with type 1 and so So 

419
00:26:06,800 --> 00:26:11,000
I you know, I never really 
thought about it again until 

420
00:26:11,400 --> 00:26:17,200
until that spring of 2018 and I 
was trying to run more and I 

421
00:26:17,200 --> 00:26:24,000
just was feeling horrible, my 
muscles were hurting, I just 

422
00:26:24,000 --> 00:26:28,900
felt my energy was terrible and 
then over a matter of like two 

423
00:26:28,900 --> 00:26:32,400
or three weeks I just, I was 
getting up to use a restroom at 

424
00:26:32,400 --> 00:26:37,300
night which I never did. 
And I No new some. 

425
00:26:37,400 --> 00:26:41,000
Oh, I knew something was wrong, 
but I, you know, in denial 

426
00:26:41,000 --> 00:26:46,100
obviously. 
Until one day after Clinic, I'd 

427
00:26:46,100 --> 00:26:49,700
had a really rough week and I 
just, I was at my son's baseball

428
00:26:49,700 --> 00:26:54,500
game and it was 100 degrees and 
I was dehydrated, I couldn't 

429
00:26:54,500 --> 00:26:57,800
drink enough water, which were 
all signs that. 

430
00:26:57,800 --> 00:26:59,900
My blood sugar was just really 
high. 

431
00:27:00,400 --> 00:27:05,500
And so, I did a finger stick 
after everybody left clinic and 

432
00:27:05,800 --> 00:27:12,600
My blood sugar is like 284, I 
think was the number and so I 

433
00:27:12,600 --> 00:27:17,100
knew things were not good. 
Then was it like when you went 

434
00:27:17,100 --> 00:27:21,800
and you get an official 
diagnosis, was that scary having

435
00:27:21,800 --> 00:27:25,000
seen your dad, go through all 
that and then being diagnosed, 

436
00:27:25,000 --> 00:27:29,000
you know, at 44 or did you feel 
like you had those tools at your

437
00:27:29,000 --> 00:27:32,500
disposal to kind of mitigate 
that rest risk and not let it 

438
00:27:32,500 --> 00:27:33,800
cost you too much sleep at 
night? 

439
00:27:34,800 --> 00:27:38,300
Oh yeah, I know. 
I mean I was, you know, I was 

440
00:27:38,300 --> 00:27:40,100
devastated. 
I didn't. 

441
00:27:40,500 --> 00:27:42,400
I was like, how am I going to 
work? 

442
00:27:43,500 --> 00:27:52,700
How am I going to, you know, do 
go about normal life, you know, 

443
00:27:52,700 --> 00:27:57,100
even you know, I was like I 
can't be having highs and lows 

444
00:27:57,100 --> 00:28:00,600
and trying to rush to the 
hospital to take care of someone

445
00:28:00,600 --> 00:28:03,600
with a heart attack and those 
things. 

446
00:28:03,600 --> 00:28:09,300
So, Um yeah, I mean I really I 
would say, you know, going 

447
00:28:09,300 --> 00:28:15,200
through med school and step I, 
you know, you don't get a lot of

448
00:28:15,200 --> 00:28:18,900
nutrition training at all very 
little. 

449
00:28:18,900 --> 00:28:23,200
You learn about the diseases 
that you never see these rare 

450
00:28:23,200 --> 00:28:28,000
deficiencies and and whatever 
else but as far as like basic 

451
00:28:28,000 --> 00:28:32,000
nutrition so I would say I 
didn't really really no. 

452
00:28:32,000 --> 00:28:38,800
I mean I was very uncertain. 
And what what did like, how did 

453
00:28:38,800 --> 00:28:42,300
you learn about nutrition? 
Or how did that become, like a 

454
00:28:42,300 --> 00:28:44,000
stepping stone for you? 
What is your nutrition look like

455
00:28:44,000 --> 00:28:46,200
now with you? 
Having the type one diagnosis. 

456
00:28:47,000 --> 00:28:51,900
Yeah. 
So I so it's really, really 

457
00:28:51,900 --> 00:28:55,000
interesting. 
So, Father's day was right after

458
00:28:55,300 --> 00:29:00,200
I got diagnosed in June, and my 
mom wrote In My Father's Day 

459
00:29:00,200 --> 00:29:03,000
card. 
She said, I've heard of this 

460
00:29:03,000 --> 00:29:07,100
guy, dr. 
Bernstein, In maybe you should 

461
00:29:07,200 --> 00:29:12,100
look into this and I'm kind of 
thinking, you know, well I've 

462
00:29:12,100 --> 00:29:14,700
gone to med school, I've done 
all this. 

463
00:29:14,800 --> 00:29:17,300
I mean, who's this? 
You know who's this guy? 

464
00:29:17,300 --> 00:29:23,800
Dr. Bernstein and, and so kind 
of looked a little bit and then 

465
00:29:23,800 --> 00:29:26,300
I also heard the name Keith 
Runyan. 

466
00:29:26,900 --> 00:29:30,900
I'd seen his book came up when 
you Google stop and so I 

467
00:29:30,900 --> 00:29:33,600
actually got hit Keith runyon's 
book first. 

468
00:29:34,800 --> 00:29:36,900
Can't remember the name of the 
book he had out at that time, 

469
00:29:36,900 --> 00:29:41,300
but he's has another one 
subsequently, but but I started 

470
00:29:41,300 --> 00:29:45,100
reading that and it was very 
eye-opening just how he he was a

471
00:29:45,100 --> 00:29:47,500
nephrologist. 
And, you know, spent I don't 

472
00:29:47,500 --> 00:29:52,000
know. 10 plus years of, you 
know, having highs and lows and 

473
00:29:52,000 --> 00:29:56,300
just not being able to control 
his diabetes, following the Ada 

474
00:29:56,300 --> 00:30:01,500
recommendations and, and how he 
went on a low carb or ketogenic 

475
00:30:01,500 --> 00:30:06,900
type diet and how he how he did.
Has done so so much better with 

476
00:30:06,900 --> 00:30:10,400
that and he was didn't hire man 
and and all these things. 

477
00:30:10,400 --> 00:30:12,800
So then I get dr. 
Bernstein's book next? 

478
00:30:12,800 --> 00:30:18,500
And I read that from front to 
back and just find it very 

479
00:30:18,500 --> 00:30:23,800
amazing. 
And during this time so my wife 

480
00:30:24,100 --> 00:30:29,900
who is very, very supportive and
she orders a cookbook and Ada 

481
00:30:29,900 --> 00:30:38,000
cookbook off Amazon, or I 
suppose, and so we start. 

482
00:30:38,000 --> 00:30:42,300
She's, she's trying to, you 
know, follow recommendations and

483
00:30:42,300 --> 00:30:45,300
give me all the exact 
carbohydrates and everything in 

484
00:30:45,300 --> 00:30:48,100
these foods. 
And these recipes are coming 

485
00:30:48,100 --> 00:30:52,700
from the Ada cookbook. 
And, and like, it's really hard.

486
00:30:52,700 --> 00:30:56,900
Like, I figure out within, you 
know, weeks, I'm like my blood 

487
00:30:56,900 --> 00:31:00,500
sugar just shoots up, despite 
the, you know, doing what they 

488
00:31:00,500 --> 00:31:07,500
tell me to do and what these 
recipes say are Nam and and this

489
00:31:07,500 --> 00:31:10,400
is really hard and I mean, I 
guess I would say that even made

490
00:31:10,400 --> 00:31:15,600
me question more like how am I 
going to continue to work when 

491
00:31:15,600 --> 00:31:19,400
you know blood sugar all the 
sudden is high and then it's low

492
00:31:19,400 --> 00:31:25,600
and and you're trying to inject 
more insulin to cover it and so 

493
00:31:25,600 --> 00:31:28,300
quickly probably within. 
So I was diagnosed the beginning

494
00:31:28,300 --> 00:31:33,700
of June And I think I don't 
remember the exact day but I 

495
00:31:33,700 --> 00:31:38,000
came home after reading dr. 
Runyon's book ever reading 

496
00:31:38,000 --> 00:31:41,100
Bernstein's book? 
I basically came home and said, 

497
00:31:41,700 --> 00:31:46,600
I'm just going to eat 30 carbs a
day or less and see what 

498
00:31:46,600 --> 00:31:51,300
happens. 
And my wife was very supportive 

499
00:31:51,300 --> 00:31:59,100
and and so since then we've kind
of adjusted, you know, I do my 

500
00:31:59,700 --> 00:32:04,800
and right now is just a lot of 
protein and some vegetables, a 

501
00:32:04,800 --> 00:32:12,100
lot of eggs and just a little 
bit of, I'll have some berries 

502
00:32:12,100 --> 00:32:14,800
for fruit just for something 
sweet. 

503
00:32:14,800 --> 00:32:18,000
Usually, at the end of a meal or
something, I'll grab a few 

504
00:32:18,400 --> 00:32:20,900
raspberries. 
If I want something sweet. 

505
00:32:22,300 --> 00:32:26,400
And then I've been able to, you 
know, essentially normalize my 

506
00:32:26,400 --> 00:32:34,600
blood sugar's and So, I found 
that it's, it's amazing. 

507
00:32:34,600 --> 00:32:36,700
I don't have to worry about with
that. 

508
00:32:36,700 --> 00:32:38,500
I don't have to worry about 
going low. 

509
00:32:38,500 --> 00:32:44,200
I mean, I can be called for an 
emergency and I'm very confident

510
00:32:44,700 --> 00:32:46,700
long with I guess. 
My Dexcom that. 

511
00:32:46,700 --> 00:32:51,200
I wear all the time. 
I'm very confident I can take 

512
00:32:51,200 --> 00:32:56,000
care of patients and there's no 
no issues with with my blood 

513
00:32:56,000 --> 00:33:01,500
sugar's. 
And so, since I was diagnosed, 

514
00:33:01,500 --> 00:33:08,100
I've and two marathons continue 
to exercise, you know, most days

515
00:33:08,100 --> 00:33:15,600
of the week and Do you do you do
very much a dietary fat or is it

516
00:33:15,600 --> 00:33:17,200
pretty much just the protein, 
the vegetables, and the 

517
00:33:17,200 --> 00:33:20,000
occasional Bears? 
Yeah, I do. 

518
00:33:20,700 --> 00:33:24,700
I add a little bit of fat. 
I just, I think I eat the fat 

519
00:33:24,700 --> 00:33:27,600
that comes along with the 
protein in the, you know, meat 

520
00:33:27,600 --> 00:33:32,400
or fish or chicken. 
I don't do a lot of added fat, 

521
00:33:33,500 --> 00:33:40,100
but a little bit, I'll put I in 
put a little bit of geeky. 

522
00:33:40,100 --> 00:33:44,400
Sometimes in my coffee in the 
morning, or Two times just like 

523
00:33:44,400 --> 00:33:47,800
half a tablespoon or something 
and blend that in there, just to

524
00:33:47,800 --> 00:33:52,700
provide a little, a few extra 
calories and and stuff. 

525
00:33:52,700 --> 00:33:57,000
So I you I was monitoring my 
ketones and other things. 

526
00:33:57,000 --> 00:33:58,600
And I've really gotten away from
that. 

527
00:33:58,600 --> 00:34:02,100
I just kind of go with how I how
I feel. 

528
00:34:02,100 --> 00:34:07,800
I don't know if I don't notice 
as big a difference. 

529
00:34:07,800 --> 00:34:13,500
I guess if I'm technically like 
ketogenic or if I'm Just low 

530
00:34:13,500 --> 00:34:17,199
carb. 
I'm probably just because I'm I 

531
00:34:17,199 --> 00:34:22,199
eat such a small amount of carbs
that I probably am mostly mostly

532
00:34:22,199 --> 00:34:28,199
ketogenic but I really have not 
been monitoring that at all. 

533
00:34:28,600 --> 00:34:31,600
Do you thin Jack much insulin do
I do? 

534
00:34:31,600 --> 00:34:38,400
Yeah I mean I take her seba and 
then take short acting or medium

535
00:34:38,400 --> 00:34:43,600
acting regular or novalog and 
One before meals. 

536
00:34:43,600 --> 00:34:47,800
So, yeah, I do. 
I do have to take insulin. 

537
00:34:47,800 --> 00:34:53,400
Yes, I don't you know, I 
essentially have very minimal 

538
00:34:53,400 --> 00:34:57,200
insulin production myself so 
probably significantly less 

539
00:34:57,200 --> 00:35:00,500
insulin than you were having to 
take when you were doing the Ada

540
00:35:00,500 --> 00:35:03,700
recipe book recommendations. 
Yeah, definitely I mean, it's 

541
00:35:03,700 --> 00:35:10,800
about, you know, about half of 
what I was taking initially and 

542
00:35:10,800 --> 00:35:14,300
so so it's Much less. 
Yes, it's interesting. 

543
00:35:14,300 --> 00:35:16,600
I've got a few clients that are 
type 1 diabetics. 

544
00:35:16,600 --> 00:35:20,300
One of, which is also a runner 
and he'll inject, you know, kind

545
00:35:20,300 --> 00:35:22,700
of around his workouts depending
on what his blood sugar's doing 

546
00:35:22,700 --> 00:35:26,500
around some of his meals. 
But it's like, if I was a 

547
00:35:26,500 --> 00:35:30,800
diabetic, I can't imagine not at
least trying a low-carb. 

548
00:35:30,800 --> 00:35:32,300
Can you drink that? 
I mean, I would think from a, 

549
00:35:32,300 --> 00:35:37,300
you know, a risk mitigation just
simplification of Lifestyle 

550
00:35:37,300 --> 00:35:41,600
standpoint, like that would be 
100% the way to go, I think, but

551
00:35:41,600 --> 00:35:44,900
you don't really see a whole lot
of Of recommendations towards a 

552
00:35:44,908 --> 00:35:49,000
ketogenic a low-carb diet, in 
these, you know, diabetes 

553
00:35:49,000 --> 00:35:52,800
organization and Association 
websites or content because 

554
00:35:52,800 --> 00:35:54,800
there's not really much push 
towards that at all. 

555
00:35:56,100 --> 00:35:58,400
Yeah, there's not. 
I mean, you know, so most of the

556
00:35:58,800 --> 00:36:02,200
most people we see are type 2. 
And, you know, though the 

557
00:36:02,200 --> 00:36:06,500
guidelines have said that the 
most evidence is for a low-carb 

558
00:36:06,500 --> 00:36:11,900
diet. 
And and so there there is some 

559
00:36:11,900 --> 00:36:15,300
shift and I do see a lot more 
patients. 

560
00:36:15,300 --> 00:36:22,500
Now coming in that, that, you 
know, are aware of that and and 

561
00:36:23,800 --> 00:36:31,200
in are Added a, as far as type 
1, I think the sis, they're 

562
00:36:31,200 --> 00:36:38,200
still very, very hesitant to 
recommend a low-carb diet and 

563
00:36:38,200 --> 00:36:42,800
so, that's where I mean, I think
that I just, you know, I like to

564
00:36:43,400 --> 00:36:48,000
tell people, you know, I can, 
you know, if, if anybody, you 

565
00:36:48,000 --> 00:36:51,400
know, I can do it other people, 
giving them the information. 

566
00:36:51,400 --> 00:36:55,500
I mean, just so that they know 
that this is possible that You 

567
00:36:55,508 --> 00:36:58,900
don't have to, you know, be 
battling these highs and lows 

568
00:36:58,900 --> 00:37:04,700
and so you get into and I try to
stay, you know, out of a lot of 

569
00:37:04,700 --> 00:37:07,900
this controversy. 
But you know, a lot of the type 

570
00:37:07,900 --> 00:37:11,100
one and, you know, I've only, 
I've only been dealing with this

571
00:37:11,100 --> 00:37:16,000
for, you know, five years now. 
So I, you know, I don't know. 

572
00:37:16,000 --> 00:37:21,500
Maybe I'd feel differently if I 
had had it from the age of 4 10.

573
00:37:21,500 --> 00:37:26,900
And now I was, you know, in my 
upper TS and had dealt with it 

574
00:37:26,900 --> 00:37:29,800
the whole time. 
But I mean people they kick 

575
00:37:29,800 --> 00:37:32,900
people out of some of these 
dipole. 

576
00:37:32,900 --> 00:37:38,100
Diabetes groups if they if they 
say anything about low-carb and 

577
00:37:38,500 --> 00:37:44,200
and and so I think the I'm not 
really sure like where that 

578
00:37:44,800 --> 00:37:50,100
where that bitterness comes from
I guess I just I like to you 

579
00:37:50,100 --> 00:37:52,400
know, give people the 
information and let them know 

580
00:37:52,400 --> 00:37:55,100
that it's it's possible, you 
know. 

581
00:37:55,100 --> 00:38:00,900
I just Out a patient that came 
in she was came in and she was 

582
00:38:00,900 --> 00:38:06,700
44 years, old was diabetic and 
just not doing well. 

583
00:38:07,000 --> 00:38:12,300
Had a heart attack in November 
and, you know, she was trying, 

584
00:38:12,400 --> 00:38:16,500
you know, she probably wasn't as
good as she as she could have 

585
00:38:16,500 --> 00:38:19,600
been, but she was trying to, but
she was eating, you know, a lot 

586
00:38:19,600 --> 00:38:23,900
of grains in a lot of sugars and
and stuff in her, A1C was 10 and

587
00:38:23,900 --> 00:38:26,100
a half. 
So that's like an average blood 

588
00:38:26,100 --> 00:38:29,500
sugar, you know, of close to 
hate 280 to 300. 

589
00:38:29,800 --> 00:38:34,100
And and she just, I just saw her
back the other day and she's 

590
00:38:34,100 --> 00:38:39,000
just, she is down 25 pounds per 
A1C. 

591
00:38:39,000 --> 00:38:44,700
Now is down below 6, she feels 
great, she's exercising. 

592
00:38:45,200 --> 00:38:51,600
And, and you know, that is where
it's really like if I had walked

593
00:38:51,600 --> 00:38:54,500
in and told her, you need to eat
a low-fat diet. 

594
00:38:55,700 --> 00:39:00,200
You know, I could see her still 
struggling now, you know, for 

595
00:39:00,200 --> 00:39:06,000
five months later and and still 
be at very high risk of 

596
00:39:06,900 --> 00:39:10,100
recurrent heart attacks and 
strokes. 

597
00:39:10,100 --> 00:39:14,900
So she's not a ketogenic diet, 
she's doing a essentially a 

598
00:39:14,900 --> 00:39:17,200
ketogenic diet. 
I don't know if she's monitoring

599
00:39:17,200 --> 00:39:20,200
but she's like, she's doing 
basically 30 grams of carbs a 

600
00:39:20,207 --> 00:39:21,200
day. 
Yeah. 

601
00:39:22,600 --> 00:39:25,200
And she's been able to cut her 
insulin. 

602
00:39:25,300 --> 00:39:31,100
And I think, by over 2/3 or 3/4,
she's cut her insulin down. 

603
00:39:31,700 --> 00:39:36,900
So What? 
So that's what I try to do, just

604
00:39:36,900 --> 00:39:40,600
individually with my patients is
you know the ones most of them 

605
00:39:40,600 --> 00:39:43,700
are type 2 but the ones I have 
that are type 1, I just try to 

606
00:39:44,200 --> 00:39:48,400
point them towards, you know, 
the some information on low carb

607
00:39:48,400 --> 00:39:53,300
and and what's available yeah. 
What do you feel like via like 

608
00:39:53,300 --> 00:39:56,000
amongst your peer group 
especially them like the realm 

609
00:39:56,000 --> 00:39:59,800
of traditional Western medicine.
Do you feel like that the notion

610
00:39:59,800 --> 00:40:02,200
of a ketogenic diet is starting 
to gain more acceptance? 

611
00:40:02,200 --> 00:40:03,800
Or do you feel like there's 
still quite a bit of pushback 

612
00:40:03,800 --> 00:40:08,500
there? 
Yeah, I think locally I've went 

613
00:40:08,500 --> 00:40:14,100
and spoken to all the primary 
doctors and so I think they 

614
00:40:14,100 --> 00:40:20,300
understand where I'm coming 
from, you know, I'm sure some of

615
00:40:20,308 --> 00:40:26,400
them still, you know, think I'm 
kind of nuts for the way I do 

616
00:40:26,400 --> 00:40:30,600
things and and stuff and you 
always, you have to be careful 

617
00:40:30,600 --> 00:40:34,600
because patient, you know, 
people people only hear certain 

618
00:40:34,600 --> 00:40:40,400
things you say. 
Say and and so, you know, you 

619
00:40:40,400 --> 00:40:43,200
always have to be take it with a
grain of salt. 

620
00:40:43,200 --> 00:40:47,700
When you hear, you know what, 
what someone is saying about 

621
00:40:47,900 --> 00:40:50,800
about you and the community or 
or whatever. 

622
00:40:50,800 --> 00:40:55,800
But I think all the locally 
here, we've, we've had very good

623
00:40:55,800 --> 00:40:58,100
luck. 
We have some diabetes Educators 

624
00:40:58,100 --> 00:41:02,400
that are on board with low carb 
and they're, they're doing 

625
00:41:02,400 --> 00:41:06,900
awesome. 
And and so It's still just, you 

626
00:41:06,900 --> 00:41:11,000
know, it's a battle just because
of the food supply, let alone 

627
00:41:11,000 --> 00:41:12,900
the food supply when people go 
home. 

628
00:41:12,900 --> 00:41:16,400
But I mean, we feed them 
terrible food in the hospital 

629
00:41:16,900 --> 00:41:21,300
and and then they, you know, 
they go home and, you know, 

630
00:41:21,300 --> 00:41:28,000
their family, maybe not is not 
supportive and so, it's a, it's 

631
00:41:28,000 --> 00:41:32,800
a real battle. 
Yeah, the the availability of 

632
00:41:32,800 --> 00:41:36,900
foods that are just not great. 
Food has got to be like the 

633
00:41:36,900 --> 00:41:39,600
people that are struggling with 
this and they're trying to learn

634
00:41:39,600 --> 00:41:43,100
all this information in, like 
they would be much more likely 

635
00:41:43,100 --> 00:41:45,900
to adhere to it if they just 
simply had good quality foods 

636
00:41:45,900 --> 00:41:48,700
their fingertips, but you just, 
you must have to seek out these 

637
00:41:48,700 --> 00:41:49,800
foods. 
Like, they don't just come 

638
00:41:49,800 --> 00:41:51,200
natural. 
Like, it's in the school, it's 

639
00:41:51,200 --> 00:41:53,600
in the hospital. 
It's in every day to day life. 

640
00:41:53,600 --> 00:41:56,200
Like, it's much more of a 
challenge to actually find a 

641
00:41:56,200 --> 00:41:58,000
good for than it is to not find 
good food. 

642
00:41:58,700 --> 00:42:03,200
Yeah, and I mean we see I mean 
the nursing homes are really bad

643
00:42:03,200 --> 00:42:08,200
to and meals-on-wheels where 
they deliver, you know, the food

644
00:42:08,200 --> 00:42:12,700
to which is a great program. 
I don't need to discourage, but 

645
00:42:12,700 --> 00:42:15,800
they're regulated by, you know, 
the government, and the 

646
00:42:15,800 --> 00:42:18,800
nutritional guidelines and, and 
those things. 

647
00:42:18,800 --> 00:42:24,800
And it's, it's a, it's not 
always the best for that, that 

648
00:42:24,800 --> 00:42:29,900
individual person. 
So, Yeah, it's a challenge for 

649
00:42:29,900 --> 00:42:32,700
sure, it's an uphill challenge, 
but I think, I don't know. 

650
00:42:32,700 --> 00:42:37,800
I feel like I've been I've been 
seeing a lot more talk of just 

651
00:42:37,800 --> 00:42:42,200
this holistic approach to health
and I don't think the 

652
00:42:42,800 --> 00:42:45,900
conversation around quoting 
nutrition is likely going to 

653
00:42:45,900 --> 00:42:48,900
come from the top down per se. 
But I think, if more people 

654
00:42:48,900 --> 00:42:51,300
start showcasing, what's worked 
well for them? 

655
00:42:51,300 --> 00:42:54,300
Or they know somebody in their 
family that been able to reverse

656
00:42:54,600 --> 00:42:57,400
their type 2 diabetes, or 
improve their type 1, diabetes. 

657
00:42:57,600 --> 00:43:00,400
These are lose a bunch of weight
or improve their their lipid 

658
00:43:00,400 --> 00:43:03,000
markers like that that spreads 
like wildfire. 

659
00:43:04,000 --> 00:43:06,000
Yes it does. 
I mean that's what I mean. 

660
00:43:06,000 --> 00:43:13,200
So many people is becoming much 
more more acceptable and and you

661
00:43:13,207 --> 00:43:16,300
do have to always, I tell 
patients now, even that, you 

662
00:43:16,308 --> 00:43:21,300
know, you as it's become more. 
As you, as you said, more aware 

663
00:43:21,300 --> 00:43:25,600
more mainstream, maybe not 
mainstream, but more more 

664
00:43:25,700 --> 00:43:28,900
awareness of it. 
Have to be careful because I 

665
00:43:28,900 --> 00:43:33,100
tell people if you go into the 
grocery store and buy every food

666
00:43:33,100 --> 00:43:39,100
that says keto friendly on it, 
you're probably not eating real 

667
00:43:39,100 --> 00:43:43,100
food that that point in that, 
you know, it's so the the food 

668
00:43:43,100 --> 00:43:47,800
companies are also marketing to 
it, but hopefully, they can 

669
00:43:47,800 --> 00:43:53,600
continue to improve the quality 
of products of food and and 

670
00:43:53,600 --> 00:43:56,400
things. 
But hopefully would you expect 

671
00:43:56,400 --> 00:44:02,500
us on Sorry, I missed that. 
When's your next marathon. 

672
00:44:02,500 --> 00:44:05,000
You have one in the pipeline? 
No, I don't have one in the 

673
00:44:05,000 --> 00:44:07,700
pipeline right now. 
I had kind of thought about 

674
00:44:07,700 --> 00:44:12,100
doing one this year but I've 
kind of been battling a heel 

675
00:44:12,100 --> 00:44:16,500
injury and so my mileage has 
been pretty low and so I may 

676
00:44:16,500 --> 00:44:20,200
wait till I don't know, I may 
wait till next year or I may do 

677
00:44:20,200 --> 00:44:26,700
like an endurance bicycle ride, 
which I thought, I like to bike 

678
00:44:26,700 --> 00:44:28,000
also. 
So I've been doing some more 

679
00:44:28,000 --> 00:44:32,000
cycling. 
We Running quite a bit prior to 

680
00:44:32,000 --> 00:44:35,500
your type, one diagnosis. 
Or is that mostly 

681
00:44:35,500 --> 00:44:37,400
post-diagnosis? 
Yeah. 

682
00:44:37,400 --> 00:44:40,800
You know, I was always a, I 
would run. 

683
00:44:40,800 --> 00:44:46,800
I ran several half marathons, I 
never really thought I could run

684
00:44:46,800 --> 00:44:53,000
a marathon and just because 
usually, after halves I was, I 

685
00:44:53,000 --> 00:44:59,900
was really hurting and and, and 
probably not just didn't think I

686
00:44:59,908 --> 00:45:05,700
think that was really in my 
bucket to be able to do however,

687
00:45:05,700 --> 00:45:10,900
then after I kind of it, it 
provided running was was 

688
00:45:10,900 --> 00:45:13,900
something I would do 
intermittently, but not 

689
00:45:13,900 --> 00:45:18,500
religiously and then it really, 
after being diagnosed, it was 

690
00:45:18,500 --> 00:45:24,700
just really an an outlet to, to 
be able to run and be able to 

691
00:45:24,700 --> 00:45:28,800
think and And figure out what I 
would do. 

692
00:45:28,800 --> 00:45:34,000
And so, I felt great running. 
So the marathons were awesome. 

693
00:45:34,000 --> 00:45:38,300
The first one was New York City.
And, and so, it was the most 

694
00:45:38,300 --> 00:45:40,400
incredible experience. 
Yeah. 

695
00:45:40,400 --> 00:45:44,400
Running like, I've got a deep 
respect for people that do long 

696
00:45:44,400 --> 00:45:46,800
distances because it really 
become a certainly love 

697
00:45:46,800 --> 00:45:48,600
technique involved with it. 
It's certainly a lot of 

698
00:45:48,600 --> 00:45:52,300
conditioning involved, but so 
much of it just simply the 

699
00:45:52,300 --> 00:45:55,700
mindset component of running 
long distances, being in paying,

700
00:45:55,700 --> 00:45:57,300
as a, when you were. 
In a marathon like you're in 

701
00:45:57,300 --> 00:45:59,300
pain. 
There's not really any ways to 

702
00:45:59,300 --> 00:46:01,200
sidestep that. 
Like, it hurts, like it's, 

703
00:46:01,200 --> 00:46:04,300
you're thirsty, you're tired. 
You're hungry. 

704
00:46:04,300 --> 00:46:07,400
Your feet are killing you yet. 
You still put one foot in front 

705
00:46:07,400 --> 00:46:09,600
of the other. 
So, there's a definite exercise 

706
00:46:09,600 --> 00:46:12,400
and just the overall mentality 
towards it, which I appreciate. 

707
00:46:14,200 --> 00:46:18,600
Yes, it was. 
It's been an amazing experience 

708
00:46:18,600 --> 00:46:24,200
and I really, really have 
enjoyed doing that the training 

709
00:46:25,400 --> 00:46:29,400
was fun, it, you know, it's a 
lot of time which, you know, 

710
00:46:29,400 --> 00:46:34,500
when you, when you work full 
time plus, and, and have family.

711
00:46:36,200 --> 00:46:41,800
It's really know. 
It's hard to harder to do, but 

712
00:46:41,900 --> 00:46:46,500
but but my family was very 
supportive. part of, and And 

713
00:46:46,500 --> 00:46:48,700
allowed me to do that. 
What do you do? 

714
00:46:48,700 --> 00:46:52,600
Nutritionally speaking? 
Like you know in preparation for

715
00:46:52,600 --> 00:46:55,600
a marathon and then throughout 
the Run itself I could you doing

716
00:46:56,900 --> 00:46:59,200
like are you eating throughout 
the Run? 

717
00:46:59,200 --> 00:47:02,800
Are you doing like a big load of
food the night prior? 

718
00:47:02,800 --> 00:47:05,300
Like how do you structure that 
with your diabetes? 

719
00:47:06,600 --> 00:47:13,900
Yeah, so so mostly I the 
marathon while they were 

720
00:47:13,900 --> 00:47:16,300
different. 
So for New York City it, I 

721
00:47:16,300 --> 00:47:18,800
didn't start till like late 
morning. 

722
00:47:18,800 --> 00:47:24,900
I think it was 11 or so, but you
have to get over across onto to 

723
00:47:24,900 --> 00:47:28,000
the starting line. 
Like we left around 5:00 a.m. so

724
00:47:28,500 --> 00:47:35,400
I I had a big breakfast of eggs 
and bacon and sausage before 

725
00:47:35,400 --> 00:47:41,000
leaving I took my regular 
long-acting insulin and then 

726
00:47:41,000 --> 00:47:43,400
carried short-acting insulin 
with me. 

727
00:47:45,000 --> 00:47:52,200
And and then essentially, I did 
not eat anything until about 

728
00:47:52,200 --> 00:47:56,900
mile 20 and I had one nut 
butter. 

729
00:47:58,000 --> 00:48:01,800
And, and that was about it till 
I was done. 

730
00:48:02,300 --> 00:48:05,800
Nice. 
So I did take in and I had salt 

731
00:48:05,800 --> 00:48:09,700
tablets, I can't remember what 
kind I use then, but some type 

732
00:48:09,700 --> 00:48:13,900
of salt tablet I could drop in 
because, every course every aid 

733
00:48:13,900 --> 00:48:19,900
station has Gatorade and all 
this sugar-laden drink. 

734
00:48:19,900 --> 00:48:22,700
So I would just grab water and 
then put some salt in it. 

735
00:48:22,700 --> 00:48:27,600
So was your it was your blood 
sugar going pretty low. 

736
00:48:27,700 --> 00:48:32,000
Oh, throughout that run. 
Vo, it actually stayed. 

737
00:48:32,100 --> 00:48:34,900
You know, I think because of the
you know there's there's a 

738
00:48:34,900 --> 00:48:37,600
million things that increase 
blood sugar and only one thing 

739
00:48:37,600 --> 00:48:39,900
that decreases it which is the 
insulin. 

740
00:48:39,900 --> 00:48:46,400
But you know, I probably if I 
remember, right, my blood sugar 

741
00:48:46,700 --> 00:48:50,600
which so mostly my goal is to 
keep my blood sugar between 70 

742
00:48:50,600 --> 00:48:53,400
and 120. 
And most of the times I try to 

743
00:48:53,400 --> 00:48:57,600
keep it in double digits. 
So I want to be, you know, 

744
00:48:58,000 --> 00:49:03,000
Somewhere below 100 when I'm 
exercising it goes up. 

745
00:49:03,000 --> 00:49:06,300
I mean that's you know it'll 
it'll go up a little bit usually

746
00:49:07,100 --> 00:49:11,700
if I really am doing something 
very high intensity it'll go up 

747
00:49:11,700 --> 00:49:16,300
more but I would say before the 
marathon I started if I remember

748
00:49:16,300 --> 00:49:21,500
right? 
I was probably like 120 130 and 

749
00:49:21,500 --> 00:49:26,300
then really my blood sugar 
stayed very stable and I think 

750
00:49:26,300 --> 00:49:32,800
when I finished I was probably 
like 90-something, never really 

751
00:49:32,800 --> 00:49:36,300
had problems with it going low, 
which I think was just a matter 

752
00:49:36,300 --> 00:49:43,200
of being very, I did all my most
of my runs all all fasting or 

753
00:49:43,200 --> 00:49:49,200
fasted and so in the morning 
typically and so I think I was 

754
00:49:49,200 --> 00:49:54,400
just very fat adapted so I Do 
not have problems with my blood 

755
00:49:54,400 --> 00:49:58,300
sugar dropping from running. 
It's interesting. 

756
00:49:58,300 --> 00:50:01,200
Yeah, I've been one marathon and
I didn't, I didn't eat anything 

757
00:50:01,200 --> 00:50:04,200
either. 
I didn't they didn't have a big 

758
00:50:04,200 --> 00:50:07,200
meal the night prior and I 
fasted throughout the day and I 

759
00:50:07,207 --> 00:50:11,000
never really noticed any, you 
know, - shift in energy. 

760
00:50:11,000 --> 00:50:13,500
Like I never felt like I was 
going to Bonk or anything like 

761
00:50:13,500 --> 00:50:16,100
that but it all these, these 
endurance Runners. 

762
00:50:16,100 --> 00:50:18,700
So typically had like a big carb
up with spaghetti or something 

763
00:50:18,700 --> 00:50:21,700
the night before they'll have 
their Goose throughout the race.

764
00:50:22,400 --> 00:50:25,300
But but it's interesting to talk
to people that don't do any of 

765
00:50:25,300 --> 00:50:27,900
that stuff and seem to have it 
pretty, even kill energy level 

766
00:50:27,900 --> 00:50:30,700
throughout the entirety of it. 
Yeah, yeah. 

767
00:50:30,700 --> 00:50:33,200
No, I think that. 
I mean, I think obviously with 

768
00:50:33,400 --> 00:50:39,900
with having diabetes, I think 
having better blood sugar's if 

769
00:50:39,900 --> 00:50:43,200
probably more advantageous. 
I mean, could I have done 

770
00:50:43,200 --> 00:50:47,100
something better? 
Maybe I don't know if you know, 

771
00:50:47,100 --> 00:50:51,100
there is some this product 
called you can, that's like a 

772
00:50:51,107 --> 00:50:54,500
super starch. 
Ouch, I've used that a little 

773
00:50:54,500 --> 00:51:01,200
bit and since the marathon and 
it it doesn't seem to affect my 

774
00:51:01,200 --> 00:51:03,600
blood sugar. 
I'm not sure that it really like

775
00:51:03,600 --> 00:51:07,600
provides me any more energy 
though, I'm not convinced that, 

776
00:51:08,300 --> 00:51:10,800
that it necessarily help me 
either. 

777
00:51:10,800 --> 00:51:14,300
So I don't know. 
There could be there could be 

778
00:51:14,300 --> 00:51:20,100
other things to do to optimize, 
like, I guess time and an 

779
00:51:20,100 --> 00:51:22,300
energy. 
But I mean, I really felt It 

780
00:51:22,300 --> 00:51:25,500
very good. 
And I did not feel that I was, 

781
00:51:26,000 --> 00:51:33,400
you know, I think I ran it in 
351 and I felt that was 

782
00:51:33,400 --> 00:51:39,000
excellent for for, for my age 
and experience level and 

783
00:51:39,000 --> 00:51:41,500
everything. 
So what kind of this Mason 

784
00:51:41,500 --> 00:51:43,700
little random but what kind of 
shoes do you typically run in? 

785
00:51:44,600 --> 00:51:50,400
Yeah, Brooks mostly but I ran 
like a Nike. 

786
00:51:52,600 --> 00:51:59,000
I ran the marathon in Nikes at 
the time, so but I train a lot 

787
00:51:59,000 --> 00:52:03,200
in Brooks, I've run in Brooks as
well, and I've switched off 

788
00:52:03,200 --> 00:52:06,500
since which that all my 
Footwear, to this zero, drop 

789
00:52:07,400 --> 00:52:10,200
kind of like the ultra Footwear.
But like, zero, drop wide toe 

790
00:52:10,200 --> 00:52:13,600
box, shoot like let my foot be 
more natural, I guess. 

791
00:52:14,500 --> 00:52:17,500
And I haven't run any 
significant distance since that 

792
00:52:17,500 --> 00:52:20,600
switch but I feel like my feet 
have just significantly. 

793
00:52:20,600 --> 00:52:24,600
Strengthened And because like, 
for me when I'm there, I'm 

794
00:52:24,600 --> 00:52:27,700
running distances, my my feet 
are what, give out on me first. 

795
00:52:27,700 --> 00:52:30,600
I might my energy levels seem 
totally fine, but my feet are 

796
00:52:30,600 --> 00:52:34,000
just not ready for that constant
beating, but I feel like a lot. 

797
00:52:34,000 --> 00:52:38,900
It's because I've used to 
heavily cushioned shoes or too 

798
00:52:38,900 --> 00:52:41,000
much arch support. 
That's just not let my foot. 

799
00:52:41,000 --> 00:52:42,500
Do what? 
It naturally wants to do. 

800
00:52:43,200 --> 00:52:45,000
Yeah. 
So I kind of I've tried do. 

801
00:52:45,000 --> 00:52:48,500
Yeah. 
So I try to do workouts and do 

802
00:52:49,100 --> 00:52:55,300
core work and and do walking all
And xero shoes. 

803
00:52:56,100 --> 00:53:00,200
And so they're basically as 
close to Barefoot, I guess as 

804
00:53:00,200 --> 00:53:04,300
you can get. 
And so I think that does help 

805
00:53:04,300 --> 00:53:08,500
strengthen the feet. 
I just I haven't been able to 

806
00:53:08,500 --> 00:53:12,700
change my or I guess haven't 
taken the time or willingness to

807
00:53:12,700 --> 00:53:19,100
change to actually run in a 
Barefoot shoe, but I know Ultra 

808
00:53:19,500 --> 00:53:28,400
has has Or of a zero drop shoe, 
but with some cushion to, but, 

809
00:53:29,500 --> 00:53:33,000
but the Nike, I don't know, they
were very, they're very springy.

810
00:53:33,500 --> 00:53:39,000
And, and my feet felt very good 
throughout the the race. 

811
00:53:39,800 --> 00:53:41,700
And you mentioned that you're 
playing with the idea of doing 

812
00:53:41,700 --> 00:53:43,900
like an ultra at some point in 
the future. 

813
00:53:45,000 --> 00:53:47,000
Possibly. 
Yeah yeah. 

814
00:53:47,000 --> 00:53:49,600
That would be exciting. 
I think the it's interesting to 

815
00:53:49,600 --> 00:53:53,200
see how how popular the ultra 
runs have become as of late. 

816
00:53:53,200 --> 00:53:56,200
So it's like the ultra Trail 
runs and some of these races are

817
00:53:56,200 --> 00:53:59,900
just like Bonkers. 
Like the the Moab 242 like 240 

818
00:53:59,900 --> 00:54:01,300
miles. 
I can't even fathom then. 

819
00:54:01,900 --> 00:54:03,700
Yeah, no. 
Yeah, I don't think I'm gonna do

820
00:54:03,700 --> 00:54:06,100
that. 
Okay, never say never that, 

821
00:54:06,100 --> 00:54:09,600
maybe the next thing, but but 
like there's one my brother 

822
00:54:09,800 --> 00:54:13,100
lives in Idaho and they have 
some races around there that 

823
00:54:13,100 --> 00:54:18,100
are, you know, 50 case, or 
something like that. 

824
00:54:18,100 --> 00:54:22,800
Or Nice, very cool, very cool. 
I'll definitely have to be 

825
00:54:22,800 --> 00:54:25,200
following along to see how that 
that unfolds. 

826
00:54:25,900 --> 00:54:28,200
What else is in the pipeline for
what are you excited about going

827
00:54:28,200 --> 00:54:31,000
forward? 
Yeah. 

828
00:54:31,000 --> 00:54:37,600
You know, I yeah, I'm just busy 
with work and busy with family 

829
00:54:37,600 --> 00:54:41,800
and stuff and I'm just I try and
do you know, since the last 

830
00:54:41,800 --> 00:54:47,100
couple years, I've been focusing
more on on lifting and just kind

831
00:54:47,100 --> 00:54:50,400
of maintaining healthy lifestyle
that way. 

832
00:54:50,400 --> 00:54:54,300
I feel stronger. 
So I don't, like I said, I don't

833
00:54:54,300 --> 00:54:57,500
have a definite, you know, 
whether and do a marathon next 

834
00:54:57,500 --> 00:55:02,600
or do an ultra race. 
Or do a long distance cycling 

835
00:55:02,600 --> 00:55:06,100
event. 
I'd like to do something like 

836
00:55:06,100 --> 00:55:13,400
that but nothing really really 
big planned at this point. 

837
00:55:13,700 --> 00:55:15,300
What's exciting? 
I always like talking with 

838
00:55:15,300 --> 00:55:18,500
people that are doing things. 
I don't know Against the Grain 

839
00:55:18,500 --> 00:55:20,800
so to speak. 
So I think it's awesome that 

840
00:55:20,800 --> 00:55:24,600
you're doing these endurance 
events as a type 1 diabetic with

841
00:55:24,600 --> 00:55:28,000
the low carb, ketogenic diet. 
Because so many people you know,

842
00:55:28,000 --> 00:55:30,200
throw shade that direction say 
it can't be done. 

843
00:55:30,400 --> 00:55:33,300
I love toggle people that are 
obviously proven, otherwise, 

844
00:55:34,500 --> 00:55:39,300
Yeah, I think it's you know I 
feel I honestly I don't know if 

845
00:55:39,300 --> 00:55:47,100
I if I could have done this if I
hadn't you know, been able, if I

846
00:55:47,100 --> 00:55:50,100
hadn't gone low-carb, if I 
hadn't been diagnosed with type 

847
00:55:50,100 --> 00:55:51,500
1 diabetes. 
I'm not sure. 

848
00:55:51,500 --> 00:55:55,600
I would have investigated all 
this and made these changes but 

849
00:55:55,600 --> 00:55:59,600
I probably should have even if I
hadn't been diagnosed because I 

850
00:55:59,600 --> 00:56:04,400
feel like I've been able to do 
things athletically that, I That

851
00:56:04,400 --> 00:56:06,600
I wouldn't have been able to do 
before. 

852
00:56:06,600 --> 00:56:10,800
So yeah, it's never really liked
a like, you wouldn't go out of 

853
00:56:10,808 --> 00:56:13,500
your way to get a type one 
diagnosis, but I feel like any 

854
00:56:13,500 --> 00:56:17,000
type of any type of diagnosis 
like this, that, that forces one

855
00:56:17,000 --> 00:56:20,000
to look a little deeper into 
what they're doing nutritionally

856
00:56:20,000 --> 00:56:22,600
speaking with their with their 
lifestyle and often times, just 

857
00:56:22,800 --> 00:56:25,400
provides a catalyst for them to 
get healthy in a way that they 

858
00:56:25,400 --> 00:56:28,100
wouldn't normally feel in cinema
as to do, which I think is a 

859
00:56:28,600 --> 00:56:31,000
great way to go badly. 
That's it's only going to 

860
00:56:31,000 --> 00:56:32,600
benefit you in the long run in 
that regard. 

861
00:56:33,200 --> 00:56:35,500
Yeah, yeah. 
I'm Now, you know, you obviously

862
00:56:35,500 --> 00:56:40,800
wouldn't wouldn't wish it on 
anybody but you know, it has its

863
00:56:40,800 --> 00:56:44,200
made a dramatic change and 
that's where I mean, people, you

864
00:56:44,200 --> 00:56:47,200
know, people are very like you 
said, Throwing Shade at people, 

865
00:56:47,200 --> 00:56:51,000
you know, they, you know, you 
get asked questions about, you 

866
00:56:51,000 --> 00:56:55,500
know, how can you be so strict, 
how can you, you know, eat that 

867
00:56:55,500 --> 00:56:58,000
way. 
And, and honestly, it's so I 

868
00:56:58,008 --> 00:57:00,400
don't know. 
It for me, it's so easy. 

869
00:57:00,400 --> 00:57:05,300
I just find that You know, my 
mindset is is that, you know, 

870
00:57:05,300 --> 00:57:09,700
life is short. 
Why would I want to spend any 

871
00:57:09,700 --> 00:57:12,800
more time than I had to 
controlling my diabetes? 

872
00:57:13,000 --> 00:57:18,900
Yeah, by, you know, by doing 
this I can I can do whatever I 

873
00:57:18,900 --> 00:57:23,400
can go exercise, I can go play 
with the kids, I can be called 

874
00:57:23,400 --> 00:57:27,500
for a heart attack and I don't 
have to worry about you know 

875
00:57:27,800 --> 00:57:30,600
that my blood sugar is running 
high or then it's going to shoot

876
00:57:30,600 --> 00:57:36,900
low and And and that allows me 
to, to enjoy each day and 

877
00:57:36,900 --> 00:57:41,300
maximize maximize what I can do 
on a daily basis. 

878
00:57:41,800 --> 00:57:44,200
Yeah. 
For like a lot of people they 

879
00:57:44,200 --> 00:57:48,600
have a hard time you know, 
believing that it's sustainable.

880
00:57:48,900 --> 00:57:52,100
They just assume that, you know,
sacrificing the taste of 

881
00:57:52,600 --> 00:57:55,400
cheesecake in a restaurant. 
Let me nothing could possibly be

882
00:57:55,400 --> 00:57:58,300
worse than that, right? 
But once you do it and you just 

883
00:57:58,300 --> 00:58:01,100
recognize how your life benefits
in so many other ways. 

884
00:58:01,400 --> 00:58:03,600
Like you don't, Like you're 
missing out by not having that 

885
00:58:03,600 --> 00:58:06,500
cheesecake because all that you 
have to gain far, far, far 

886
00:58:06,500 --> 00:58:11,800
outweighs that temporary high. 
Yes, I totally agree. 

887
00:58:12,400 --> 00:58:14,500
I love it, I love it. 
Well, dr. 

888
00:58:14,500 --> 00:58:16,500
Cosmic he, where do people go to
find out more about? 

889
00:58:16,500 --> 00:58:19,700
You don't know if you document 
any of this online or on social 

890
00:58:19,700 --> 00:58:22,800
or can I put yourself out there?
But I feel like they got a very 

891
00:58:22,800 --> 00:58:24,900
interesting story. 
So anybody that wants to dive 

892
00:58:24,900 --> 00:58:26,300
deeper into your, what were they
go? 

893
00:58:27,600 --> 00:58:30,500
Yeah, I mean, I guess if you 
Google my name, I did write 

894
00:58:30,500 --> 00:58:34,900
about some of it. 
With my first marathon, it would

895
00:58:34,900 --> 00:58:39,900
be the Beyond type one. 
Probably in their website from 

896
00:58:39,900 --> 00:58:45,900
their marathon in 2008 or 2019 
New York City marathon. 

897
00:58:46,500 --> 00:58:50,300
Otherwise I'm on Twitter. 
I don't, you know, I kind of, I 

898
00:58:50,300 --> 00:58:54,100
don't know, I don't do a lot of 
online stuff. 

899
00:58:54,100 --> 00:59:05,100
I try to just More locally, help
my patients and be able to you 

900
00:59:05,100 --> 00:59:09,800
know give people inspiration to 
be able to improve their lives 

901
00:59:09,800 --> 00:59:15,000
and in their health. 
But people can find me on 

902
00:59:15,000 --> 00:59:19,600
Twitter I would probably I don't
I'm not real active with posting

903
00:59:19,600 --> 00:59:24,300
information about myself just 
because I don't know. 

904
00:59:24,300 --> 00:59:27,200
I find online. 
There's a lot of shade. 

905
00:59:27,400 --> 00:59:35,200
Our own online and you know for 
me kind of staying out of that 

906
00:59:35,200 --> 00:59:38,100
and just focusing on what I can 
control. 

907
00:59:39,200 --> 00:59:41,800
I think there's some serious 
wisdom there, feel like your 

908
00:59:42,200 --> 00:59:45,100
stress levels are probably much 
lower by not spending more time 

909
00:59:45,100 --> 00:59:47,800
on social and I think honestly 
like plugging more into your 

910
00:59:47,800 --> 00:59:51,800
local community and focusing on 
that demographic first is, I'm 

911
00:59:51,800 --> 00:59:54,200
honestly priority. 
So hats off to you there. 

912
00:59:55,800 --> 00:59:57,700
Thank you. 
Well, I will certainly linking 

913
00:59:57,700 --> 01:00:01,000
out to that blog post that 
you've written and again, I 

914
01:00:01,000 --> 01:00:02,900
really appreciate you taking the
time to chat with me today. 

915
01:00:03,200 --> 01:00:05,300
If there's ever anything I can 
do for you sir, in any way, just

916
01:00:05,300 --> 01:00:07,500
let me know. 
Alright, thank you. 

917
01:00:07,500 --> 01:00:09,300
It was great talking with you, 
take care. 

918
00:59:55,800 --> 00:59:57,700
Thank you. 
Well, I will certainly linking 

919
00:59:57,700 --> 01:00:01,000
out to that blog post that 
you've written and again, I 

920
01:00:01,000 --> 01:00:02,900
really appreciate you taking the
time to chat with me today. 

921
01:00:03,200 --> 01:00:05,300
If there's ever anything I can 
do for you sir, in any way, just

922
01:00:05,300 --> 01:00:07,500
let me know. 
Alright, thank you. 

923
01:00:07,500 --> 01:00:09,300
It was great talking with you, 
take care.