The current situation in Type 1 diabetes care in England and Wales is that fewer that one in 10 patients achieve a modest HbA1c target of 48mmol/mol. The potential is that more than nine in ten patients can achieve that target on a keto diet. https://pubmed.ncbi.nlm.nih.gov/29735574/
I recently did a presentation to a secondary care diabetes team. Feedback after the event showed that three-quarters of this team did not feel confident at giving keto advice to their T1 patients, but that 100% were keen to learn more.
The questionnaire from this website has found that of those T1 who are on a keto lifestyle, over half of these respondents felt that their healthcare professional actively advised them against a keto lifestyle.
This lady is my hero! Gina has given permission to use these pictures and loves the fact that she is ‘still keeping her toes’. She became a Type 1 overnight because she had to have a pancreatectomy for necrotic pancreas likely as a result of immune-suppressant drugs for Lupus. www.resolute keto.com.
She talks about her journey to recovery on this short podcast:
These pictures are taken just 18 months apart after ten years of T1, which was complicated by regular doses of steroids for Lupus. The legs in the top picture we would typically manage with topical agents, dressings, diuretics, occasional antibiotics. We might be concerned about amputation at some point. But, in reality, we know this is a damage limitation exercise.
Her cardiologist recommended a keto diet, which enabled her to lose 11 stones in weight, reduce her insulin volumes by 80% and come off ALL of her six Lupus medications. The physical benefits are obvious in the lower picture; the psychological relief we can only begin to imagine. Gina is keeping her toes!
Images like that should drive us all to learn more. Think what might have happened if this lady was advised a keto diet at diagnosis of Lupus?
This website is devoted to providing information and practical tips to enable people with Type 1 diabetes to understand their options. It is hoped that NO clinicians will ever again stand in the way of patients who want to use a keto option.
So, I hope that you will join this short series of modules so that you are confident at managing your ever-increasing numbers of patients who choose keto as an option.
This course will be run by myself, Dr Ian Lake. I have 34 years of experience as a doctor, 25 years experience of having T1D, and 5 years experience of Keto management of T1D. I want to provide for you or your team, the tools you need to enable you to manage your patients with Type 1 diabetes who choose a keto lifestyle. It is far easier than you think!
After this, you will be rewarded by helping people like Gina. Reducing your T1 patients’ hypo frequency, reducing their insulin volumes, weight and HbA1c. And giving them control of their condition, often for the first time in their lives.
The course will cover all of the topics described below.
Week 1. What is the Evidence? The keto diet, metabolism and how the body manages energy. Ketosis and DKA. Why keto is a good idea, why the transition to keto is so easy.
Week 2. Revision of diabetes management. Insulins, ratios, insulin sensitivity, correction doses. Carb counting and calculations, non-insulin issues that complicate Type 1 management.
Week 3. Managing the transition of diet. Contraindications and cautions. Menu examples, diet sheets. Intermittent fasting.
Please register interest by filling in the form below. When the course is adequately subscribed, we can make arrangements to start. It is ideal to have the same team together for the whole course, as this facilitates discussion and learning.
I recognise that you are busy and have limited time for what in reality, takes up a small amount of your clinical workload. So the course will run weekly for just three weeks. It will cover everything you need to feel confident. A bespoke course can be arranged should you or your team feel the need to know more. Thank you