After 35 years as a primary care physician and now 5 years as a full time hospitalist, I have come to realize that at least 90% of physicians do not know how to properly prescribe insulin for diabetes. To properly dose insulin, you have to know the physiology of normal insulin release in glucose homeostasis and how that then relates to insulin dosing and then what happens in diabetes.
Quick start Low Carb Ketogenic Diet guide:
Why carbohydrate restriction rather than total calories or fats?
In a nutshell: It’s about insulin. Insulin has two main functions. 1. It enables glucose to enter cells so they can utilize it for energy. 2. It promotes the deposition of fat into the bodies fat stores. The higher the insulin level, the more fat is deposited into and locked into fat stores. Carbohydrates are the primary food type that stimulates insulin release. Eating foods very high in sugar and refined carbohydrates causes significant spikes in insulin levels which not only cause more storage of the food you just ate into fat, but also adversely affects your liver and muscle tissues over time causing these organs to become resistant to insulin.
Low Carbohydrate, ketogenic, Atkins type diet should be the first step in treatment of all diabetics, both type one and two. Numerous studies and practice experience testimonies have confirmed this. See Eric Westman’s second video below. The most comprehensive review of the data supporting using LCHF to treat diabetes was cited in the tremendous article by R D Feinman PhD per this link: