Keto diets, type 1 diabetes, and kidney health – Diet Doctor Podcast

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Published 2022-08-09
Dr. Keith Runyan has used a keto diet to treat his own type 1 diabetes. He wants to share his experience to help others better manage this lifelong condition.

But he doesn’t stop there. Dr. Runyan is a kidney specialist and provides specialized information to help you better understand the role of keto diets and dietary protein levels in kidney disease and kidney stone formation.

Table of content
0:00 Introduction
1:45 Being diagnosed with T1D as an adult
7:20 Controlling Hba1c to prevent a hypoglycemic episode
16:55 Responding to people with T1D about a specific treatment
19:59 Corollary between T1D and T2D
25:23 Ketogenic diets and the concern with kidney health
34:04 Are kidney stones more common for people eating the keto diet?
38:26 Advice for people with history of kidney stones

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All Comments (21)
  • @DrTonyHampton
    As a doctor trained in metabolic health and with a wife whose a pharmacist with Type 1 diabetes, we totally agree that it’s very difficult and at times frustrating to manage Type 1 diabetes. Looking forward to continuing the conversation with your guest on my Protecting Your NEST podcast in the very near future. Just happy that the Type 1 diabetes patients got a little LOVE with this episode.
  • @NancyEvansUSA
    What 'science' is holding up the standard American Diet as the standard of care? The American Diabetes Association is directly responsible for the massive problems type 1 and type 2 diabetics have experienced over these last 40 years. I have seen the diets they have been promoting and these diets are the DIRECT cause of diabetic complications and progression
  • Why isnt using low carb diets for type 1 diabetes the standard is what baffles me. If you eat mostly meat supplemented with vegs you can maintain very optimal blood glucose levels without requiring excessive insulin. I would think maintaining a normal range of 70-140 with meat and vegs.
  • @truehealth992
    My husband suffered from terrible gout and had a history of kidney stones. Went on a meat based keto diet (under 30 carbs) and no longer has gout! He eats red meat, bacon, liver, scallops. It’s doesn’t bother him. He doesn’t eat any fruit due to fructose. Amazing watching the uric acid levels go down over time. Now it’s around 6.
  • @jsweezey6487
    I'm beyond grateful to Diet Doctor for educating & guiding me to a healthy lifestyle. I'm in shock that an adult can get Type 1 Diabetes... Not one nutritionist told me about this...
  • I developed a large kidney stone that the urologist told me would be with me for life. And that it wouldn't cause any issues as it was In a pocket in my kidney far from the urethra (way too big to pass anyway). It did cause discomfort, but he denied it and said it was spinal pain. I think he didn't want to deal with our Tricare insurance. Anyway, I had been on a mostly vegetarian diet with a huge green smoothie every day. Plus, at the suggestion of others, I started calcium supplements in my mid 50's. Fast forward to starting keto/low carb at 63. Three years in, upon retirement, I added an exercise regime as I no longer performed my somewhat active job and gained. I think due to the diet and exercise, I ended up in ER passing a very painful fragment. Scan showed that the stone had broken in two and causing an infection and blood in my urine. 🤦‍♀️ I am also dealing with a possible parathyroid tumor because I've had high blood calcium. I am totally unsure of what caused what... I am going to be seeing an endocrinologist soon. I have my doubts that this doctor will have an opinion, but I will try to get to the bottom of it. My prior Dr never said anything about high blood calcium. I think I may track some of my bloodwork down from previous years.
  • Wow! Great information and a great interview. Thank you so much
  • I'm really glad that Dr Bernstein's book came up. Interestingly, Dr Bernstein says that a ketogenic diet doesn't give people enough protein. This makes sense, as glucose can be generated from protein through gluconeogenesis in the liver. So to use ketones instead of glucose, ketogenesis needs to be induced by high fat, low carb and low protein.
  • @nackyeads2508
    Thank you both! There is so little out there on type 1 diabetes and diet!!
  • This is an epic interview and offers astounding information... I hope it can be used by at least the younger doctors... & give ppl choices and best information... thank you so much! Yes, we can be consistent enough to make true changes to our health.
  • @Philly1958
    Would like to hear your view of being in ketosis chronically. Dr Saladino just did a video on why it’s not good? I take with he says with a large grain of salt however
  • Could there be an example of meals regular. Are those times and macros or do you eat the same foods.
  • I make my own electrolyte drink using bulk minerals from amazon and drink around 2 quarts daily. Redmonds salt, potassium chloride, magnesium citrate, 1/2 package of real lime limeaide, 1/4 of a actual lime.