This presentation talks about the complexities around obesity and chronic disease with a focus on diabetes.
Speaker 1: Dr. Michael Mindrum, MD, FRCP – Valley Health Metabolic Clinic, Nova Scotia
Speaker 2: Eliana Witchell, MSc, RD – Eat ;Different RD (virtual RD, Canada)
Speaker 3: Kelly Proulx, RD, CDE
0:00 – Introducing Dr. Michael Mindrum
2:30 – Low Carbohydrate Diets within the Context of Diabetes Care
3:32 – Case study 1 – Paul
11:00 Framework for using LCHF in obesity medicine
11:55 – Energy balance occurs in the sub-cortical brain
12:53 Obesogenic environment
13:27 T2D as a disease of adiposopathy (sick fat disease)
15:50 Paradigm shift in care of T2D
17:32 T2D Diabetes remission – Adam Brown
18:15 Direct Trial: diabetes remission and weight loss
19:08 Twin cycle hypothesis and remission of diabetes- Roy Taylor
22.25 Beta Cell Dysfunction reversible, irreversible; gluco-toxicity
22:48 meta analysis low carb vs other diets.
23:30 Best Weight and brain defence
24:19 Remission rates at 12 months
25:03 carbohydrate restriction for T2D; Role of protein
27:24 Complex cycle of insulin resistance
28:42 Case study 2 – sam
29:52 Physiologic effects of carbohydrate restriction; Medication adjustments with LCHF and ketogenic diets for diabetes type 2
35:20 Key points: carbohydrate restriction for diabetes type 2
36:29 Introducing Eliana Witchell
38:52 Evidence-based carbohydrate restriction: using this tool in a safe and effective manner
39:52 Learning outcomes
40:48 Though exercise around diabetes remission
41:58 Starting points for carbohydrate remission
43:42 Diabetes and hyperinsulinema in Canada
44:15 Impaired glucose metabolism follows hyperinsulinemia
45:33 Hyperinsulinemia and effects on the body
45:55 Why are Canadians suffering with hyperinsulinemia? pillars of health
46:45 How is food triggering hyperinsulinemia?
48:05 Start with whole foods; sustainability needs to be the patient’s choice.
49:35 diabetes remission defined, history of diabetes remission
57:26 Diabetes Canada position statement on low carbohydrate and ketogenic diets.
59:00 what are carbohydrate restricted diets? continuum
1:02:09 Well-formulated ketogenic diet
1:04:25 Ketosis vs Ketoacidosis; keto-adaptation
1:07:18 Gout and keto-adaptation
1:08:15 Kidney stones and keto-adaptation
1:08:30 Gallstones and keto-adaptation
1:09:00 Breastfeeding and keto-adaptation
1:09:57 Physical activity and keto-adaptation
1:10:29 What a well-formulated carbohydrate reduced diet looks like: whole foods
1:10:52 Why are you snacking?
1:11:26 Adequate fibre on a carbohydrate reduced diet.
1:12:13 Possible changes to metabolic markers on a carbohydrate reduced diet.
1:15:55 Potential non-scale benefits of a carbohydrate reduced diet
1:17:30 Potential side effects on a carbohydrate reduced diet or ketogenic diet. Keto-flu; keto-breath; keto-rash.
1:21:30 Contraindications for a ketogenic diet
1:22:23 transitioning from ketogenic to a low or moderate carbohydrate diet
1:23:59 – The need for an interdisciplinary team with a carbohydrate reduced diet or ketogenic diet.
1:24:46 – Need for a dietitian with a carbohydrate reduced diet and ketogenic diet
1:26:08 Take aways for carbohydrate restricted diets
1:29:36 Introducing Kelly Proulx, RD, CDE
1:30:08 Type 1 Diabetes and CHO reduced and ketogenic diets.
1:52:18 Diabetes Canada Position statement for Type 1 Diabetes
1:52:27 Resources on Type 1 Diabetes and carbohydrate reduced or ketogenic diet.
1:53:24 Professional resources for Type 1 Diabetes and carbohydrate reduced diets
1:55:29 – Net or total carbs; carb counting
1:59:09 Non-nutritive non-caloric sweeteners for kids with Type 1 diabetes
2:00:41 Case study on Diabetes reversal
2:10:49 Questions around carbohydrate reduced and ketogenic diets