Ian Lake

GP. Type 1 Diabetes. Author; Shifting Gears: The 1000-mile Ride that Changed my Mindset on Type 1 Diabetes. Optimised insulin for all foundations of health.

[Chris S. Cornell @BiggestComeback]

How often do you set aside a few minutes to evaluate your priorities, challenges, & progress?

[Gregory Mays, MD | Insulin Resistance Physician @GregoryMaysMD]

John Rollo, a Scottish physician in the British Army in the late 1700s, wrote “An Account of Two Cases of the Diabetes Mellitus”, which provided a detailed clinical report and was among the first to propose a low-carb, high protein dietary management approach.

[Ian Lake @idlake]

Thanks to @BiggestComeback for your interview about very low carb in type 1 diabetes and why it is important to manage insulin as tightly as we try to manage glucose. Swilling it around as if it is harmless is not going to end well.

[Chris S. Cornell @BiggestComeback]

@GregoryMaysMD I had the opportunity to interview @idlake for this article for @lowcarbusa

https://t.co/eb18U06bmh

[Chris S. Cornell @BiggestComeback]

@GregoryMaysMD I had the opportunity to interview @idlake for this article for @lowcarbusa

https://t.co/eb18U06bmh

[Prof Susan Fairlie RN 💙 @FairlieSusan]

After the brilliant conference at the weekend where we celebrated our 10th anniversary I now have even more reading to do!! @PHCukorg @SteveBennettMhP @drlouisenewson @idlake @RichardJJohns11

[Ian Lake @idlake]

Type 1 diabetes as a lifestyle!
Who would have thought in this club that no one wants to join and can never leave (yet).
While more than 99% can't access it, you can get a glimpse into to this exclusive lifestyle here.

[Ian Lake @idlake]

Thank you #NHS. Just had my annual Type 1 review. It was quick but the wonderful nurse was super efficient and covered everything including bloodwork follow up and retinal screening. And the room temperature didn't drop when I mentioned the keto word either. All good here.

[Ian Lake @idlake]

@_eleanorina Must be the yellow wellies. Just someone jet washing the patio with excess water.

[Ian Lake @idlake]

Something's not right.

In many fields of medicine, the importance of insulin is recognised as a contributor to the disease.

Yet in the very speciality invented to study it, diabetology, insulin is overlooked in the pursuit of 'control the sugar at all costs'.

Confusing

[Ian Lake @idlake]

@_eleanorina ?

[Ian Lake @idlake]

If the doctors who first used insulin visited a diabetes clinic today they would have no trouble updating. The measure of control is still glucose, insulin is still injected into the skin. ‘We’ve always done it like that’
What would shock them though would be the diet. Regressive

[Ian Lake @idlake]

Depends what you mean by nutrition training. 40 hours of old style macro and metabolic teaching would be a disaster if it is the same stuff I was taught all those years ago. Thank goodness it was only a few hours. But if it is OUR type of nutrition training it will be great.

[Diet & Nutrition @Diet0Nutrition]

The average medical student currently receives less than 20 hours of nutrition training in four years, even though diet-related metabolic dysfunction now accounts for nearly 70% of all global deaths.

We are essentially asking doctors to fight a wildfire with a water pistol while the industrial food system pours gasoline on the flames.

our modern food supply was engineered to keep us sick, check the deep-dive exposé on my pinned post.

[Ian Lake @idlake]

We are not amused. In type 1 diabetes, glucose is the symptom. Insulin is the treatment. But if we chase glucose with ever more insulin and stop asking why so much is needed, we risk making the patient SICKER with the very hormone keeping them alive.

Insulin is not a free ride.

[Ian Lake @idlake]

@furniss_jon Yes, so many functions of insulin. It seems a shame to limit it to controlling glucose only when we understand how many foundations of health affect it. You are a great example of that.

[Ian Lake @idlake]

Ultimate AI for glucose control? Chat GPT not hybrid closed loop. But even if it was it is only part of the story. Insulin is as important as glucose in type 1 management. Control insulin AND glucose together. Insulin is not a free ride. Ask the retina.

[Dr David Unwin @lowcarbGP]

This FREE LOW CARB APP is the one we recommend to all our patients Try it!!

[Ian Lake @idlake]

The Pick ‘n’ Mix science of type 1 diabetes guidance. We’re all in this …..alone.

[Ian Lake @idlake]

Here is a short podcast of someone diagnosed later in life, ending with a poem that will resonate with many. It highlights the challenge of diagnosis and adjustment to living with this condition. https://t.co/OS8RaMVT42

[Nina Teicholz, PhD @bigfatsurprise]

Here is the actual document of the new Dietary Guidelines:
https://t.co/ENFAjdGGrR

[Ian Lake @idlake]

@DoctorTro @drericwestman Same for T1 if you AI it. Tells you that a keto diet is a risk for DKA. Problem is, if you were new to this, what would you think? Rubbish in -rubbish out.