Type 1 Diabetes Panel Discussion - Exploring the Frontiers of Diabetes Management: A Panel Discussion with Dr. Ian Lake, BSc, BM, MRCGP, Dr. Robert Cywes, MD, PhD, and Suzanne Schneider PhD-r, MSc, BComm
In this enlightening panel discussion, Dr. Ian Lake, Dr. Robert Cywes, and Suzanne Schneider delve deep into the complexities of managing diabetes, shedding light on innovative approaches and redefining conventional perspectives.
The discussion begins with a profound exploration of eating disorders in the context of diabetes management. The panel discusses and challenges the traditional view of eating disorders, highlighting that eating is a multifaceted behavior influenced by physical, mental, and social factors. He suggests that an eating disorder in diabetes occurs when these aspects are significantly impacted, affecting an individual's overall health and functioning.
A new dimension to the discussion by introducing the concept of "decision fatigue" in diabetes management. He explains how the constant decision-making involved in monitoring food intake and insulin dosing can lead to burnout, emphasizing the need to consider the psychological and social impact of eating behaviors in diabetes management.
Building on this, the panel advocates for a holistic approach to defining eating disorders in diabetes, emphasizing their impact on an individual's ability to function healthily. She stresses the importance of recognizing the psychological and social aspects of eating behavior alongside physical health.
Transitioning to therapeutic strategies, the panel explores the benefits of the ketogenic diet in diabetes management. The panel share insights from their experiences, highlighting how the ketogenic diet can offer better control over diabetes by reducing the need for constant monitoring and insulin adjustments associated with high-carb diets. They emphasize that this dietary approach provides a sense of control and freedom for many patients.
The discussion also touches on the use of continuous glucose monitoring (CGM) as a valuable tool in diabetes management. The panel highlights how CGM provides real-time feedback on blood sugar levels, reducing decision fatigue and improving overall control. The panel emphasizes the importance of CGM in his practice, stating that it is as essential as insulin in managing diabetes effectively.
As the discussion draws to a close, the panel emphasizes the need for personalized care and ongoing monitoring in diabetes management. They stress the importance of healthcare professionals considering the individual needs and circumstances of each patient, advocating for a more holistic and personalized approach to diabetes care.
This panel discussion offers valuable insights into the evolving landscape of diabetes management, challenging existing paradigms and paving the way for more effective and compassionate care for individuals living with diabetes.
CHAPTERS
0:00 Introduction & Discuss of a Insulin Needs Following Carnivore/Ketogenic Diet
3:42 Balance between Blood Glucose Control & Insulin Dosage to Avoid Cardiovascular Disease
9:24 Psychological Component to GLP-1 for Type 1 diabetes and Carb Addiction
11:58 Lifespan of Red Blood Cells for those following Carnivore diet
14:15 Gut Microbiome and Carnivore
15:55 State of Medical Education
20:47 Food & Appetite Suppression Medication for Type 1 diabetes
23:55 Diabetic Retinopathy Progression
28:25 Zero Calories, Five Days, 100 Miles Challenge & Insulin Requirements
30:23 Eating Disorders - What are Normal Eating Patterns?
36:38 Is it Diabetes Burnout or Diabetes Fatigue?
41:44 Insulin Requirements and Cold Water/Ice Baths
43:05 Range of Tests Performed on Intake for Type 1 diabetes
45:47 ICD 10 Guidelines and HbA1C below 6.0%
50:43 Importance of Continuous Glucose Monitoring (CGM)
52:40 Does Administered Insulin Show up on Blood Insulin Tests?
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