#41 - Jake Kushner, M.D.: How to thrive with type 1 diabetes and how everyone can benefit from the valuable insights
The Peter Attia Drive18 Helmi 2019

#41 - Jake Kushner, M.D.: How to thrive with type 1 diabetes and how everyone can benefit from the valuable insights

In this episode, Jake Kushner, pediatric endocrinologist specializing in helping people with type 1 diabetes, discusses the best strategies to live and thrive with T1D, especially as it relates to diet and exercise. We also discuss why many patients who control their blood sugar with high amounts of exogenous insulin are at a substantially higher risk than people who can control their blood sugar at lower levels of insulin. This concept has great implications for non-diabetics as well considering the increasing prevalence of diseases related to insulin resistance. We also cover some of the basics, the history, the increasing prevalence of type 1 diabetes, and more importantly, what we can do to help kids with this disease, and their families. We discuss:
  • How Jake became interested in type 1 diabetes [5:30];
  • The pathophysiology of type 1 diabetes, the increase in prevalence, and the role of beta cells [17:00];
  • The role of body weight and BMI in the risk of developing T1D [27:00];
  • Genetics of T1D and the risk of inheritance [32:00];
  • Hemoglobin A1c [36:15];
  • Insulin: the amazing story of its discovery, its effect on cellular metabolism and IGF-1, and why the hell it's so expensive [39:15];
  • Diabetes Control and Complication Trial: blood glucose and the complications associated with diabetes [54:45];
  • Cognitive impairment, epigenetic changes, and other dangers associated with high, peak blood glucose, and big swings in blood glucose levels [1:09:15];
  • Depression, anxiety, and other challenges of living with T1D [1:15:30];
  • Jake's realization that the current standard of care of T1D is inadequate [1:26:15];
  • Managing diabetes with exercise [1:30:15];
  • The Bernstein method, and protein's impact on glucose and insulin [1:36:15];
  • Jake radically changes his approach to treating patients [1:45:00];
  • What other tools are there for controlling T1D? [1:49:45];
  • Is the ketogenic diet appropriate for those with T1D? [1:52:45];
  • The most important lessons that can be applied by the non-diabetic population [1:59:00];
  • The two dream measurements Peter wishes were available [2:04:00]; and
  • More.

Learn more at www.PeterAttiaMD.com

Connect with Peter on Facebook | Twitter | Instagram.

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#40 - Tom Catena, M.D.: The world's most important doctor – to nearly a million patients – saving countless lives in the war-torn and remote villages of Sudan

#40 - Tom Catena, M.D.: The world's most important doctor – to nearly a million patients – saving countless lives in the war-torn and remote villages of Sudan

In this episode, Tom Catena, a missionary physician who runs Mother of Mercy Hospital in the Nuba Mountains in Sudan, describes some of his extraordinary work as the only doctor in a remote, war-torn ...

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#39 - Ted Schaeffer, M.D., Ph.D.: How to catch, treat, and survive prostate cancer

#39 - Ted Schaeffer, M.D., Ph.D.: How to catch, treat, and survive prostate cancer

In this episode, Ted Schaeffer, Professor and Chair of the Department of Urology at Northwestern (youngest chairman in the country), presents the roadmap for the best way to screen for, and treat, pro...

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#38 - Francisco Gonzalez-Lima, Ph.D.: Advancing Alzheimer's disease treatment and prevention – is AD actually a vascular and metabolic disease?

#38 - Francisco Gonzalez-Lima, Ph.D.: Advancing Alzheimer's disease treatment and prevention – is AD actually a vascular and metabolic disease?

In this episode, Francisco Gonzalez-Lima, a Professor of Neuroscience and Pharmacology & Toxicology, explains the vascular hypothesis of Alzheimer's disease which says the central problem is a progres...

28 Tammi 20192h 31min

#37 - Zubin Damania, M.D.: Revolutionizing healthcare one hilariously inspiring video at a time

#37 - Zubin Damania, M.D.: Revolutionizing healthcare one hilariously inspiring video at a time

In this episode, Zubin Damania, a.k.a. Zdogg MD, a Stanford trained physician and founder of Turntable Health, discusses his evolution from disillusioned doctor suffering burnout to leading the charge...

21 Tammi 20192h 51min

#36 - Eric Chehab, M.D.: Extending healthspan and preserving quality of life

#36 - Eric Chehab, M.D.: Extending healthspan and preserving quality of life

In this episode, Dr. Eric Chehab, orthopedic surgeon and sports medicine specialist, explains the measures we can take to live better and maintain our physical health through exercise and the avoidanc...

14 Tammi 20192h 38min

#35 - Nir Barzilai, M.D.: How to tame aging

#35 - Nir Barzilai, M.D.: How to tame aging

In this episode, Nir Barzilai, director of the Institute for Aging Research and expert in the genetics of longevity, discusses the evidence that metformin and rapamycin have anti-aging properties and ...

7 Tammi 20192h 47min

#34 - Sam Harris, Ph.D.: The transformative power of mindfulness

#34 - Sam Harris, Ph.D.: The transformative power of mindfulness

In this episode, Sam Harris, neuroscientist, author, and host of the Waking Up Podcast, walks us through the profound, yet practical, ways that meditation can transform our lives. Additionally, he hel...

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