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Blood Sugar Disorders

Why was Galactomune added for the patient from the Week 20 Nutrition Diabetes and Other Blood Sugar Disorders case study?

Chris Kresser: Galactomune is a prebiotic, and numerous studies have shown that prebiotics and certain fibers can reduce blood sugar....

Working with diabetics, is finding increasing BUN, or blood urea nitrogen, on serial blood tests, when they were normal before interventions. Many times creatinine and eGFR will not change significantly in other kidney markers. Urine, for instance, stays normal as well. Concerned that perhaps driving some patients into sarcopenia, and curious how to address this.

Dr. Amy Nett: Yeah, that’s a good question, and you know, I actually don’t have that many diabetic patients. And...

What do you think of using glutamine for strong sugar cravings? This person tends towards low blood sugar at times but does not seem to be satisfied with a piece of fruit or a small amount of sugary food like honey or dark chocolate. They’re doing the Paleo diet but really struggling with sugar cravings.

Dr. Amy Nett: There are so many different options for sugar cravings, and really difficult food cravings are hard to...

A multipart question/case study: A 72-year-old male with diabetes, on insulin, no oral diabetic meds. C-peptide 2.8. After four to six weeks on a Paleo-type reset, able to keep blood sugars in the normal range without insulin. Five months later, still off insulin. Latest A1c 5.7, down from 7.7. I thought Chris had mentioned type 2 diabetes as not often reversible in contrast to prediabetes, but we have seen many insulin patients like this with similar improvements as long as C-peptide is normal. On a separate note, the patient is still losing weight and still pretty low carbohydrate. He would like to increase muscle mass and strength, but tends towards blood sugar spikes if carb loading with exercise or going to moderate carb in general. I’m kind of between a rock and a hard place with the carb situation with him and other thin diabetics.

Dr. Amy Nett: Yeah, I think we do see type 2 diabetes being reversible. I’m not certain which context that...

Robb Wolf’s new book Wired to Eat talks a lot about testing your blood sugar to determine individual response of food or carbs on blood sugar. Do you see 14Four adopting this concept or using his approach especially when treating people with diabetes, metabolic syndrome, insulin?

Chris Kresser: Good question. Not for 14Four typically because I look at that as just a starting point. But certainly...

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