Low-Carb Diet vs. Low-Fat Diet — Jessica’s Experience (T1D)

Jessica: I went to eating tons of fruit and vegetables — all raw — and within two weeks I was already seeing good results I feel like I have conquered my health

Cyrus: All right So today we're here with Jessica Stiddum Jessica is a 23-year-old female and she's been living with type 1 diabetes since 1996 She decided to join our coaching program in September of 2016 so that's about six months ago And she's got an incredible story to tell you, so I'll let her tell you exactly what changes she's seen in her insulin sensitivity over the course of time

Thanks for being here today, Jessica Jessica: I'm excited to share my story with everyone I, like he said, have been diabetic since I was three years old and have never really had a full ability to know how to control it well I have been told by doctors my whole life to stay on a low carb diet and that that was really the best way to control insulin and to use less of it And I went so low carb about six months ago that I actually ended up on type 2 medication

I was using Metformin, I was using way more insulin than I've ever used in my life because I was trying to be healthier and lose weight and it seemed like the very opposite of that was happening So I was to the point where due to insurance I couldn't get my type 2 medication so I was extremely high blood sugar I was between 300 and 400 all day long My numbers right away went back to normal where they should have been — around 90 – 120 Cyrus: What I love to track is your change in insulin sensitivity

So your insulin sensitivity in this situation is defined as your 24 hour carbohydrate to insulin ratio, meaning the total number of grams of carbohydrate you can eat for the total number of units of insulin you need on a 24 hour basis And at the beginning of this program, you were eating about 20 grams of carbohydrate per day because like you said you were on a very low carbohydrate diet, right? Jessica: Yes, correct Cyrus: Okay, so you were at 20 grams of carbohydrate per day but despite that, your total insulin use was 37 1/2 units of insulin What that means is that your carbohydrate:insulin ratio over the course of 24 hours was about 05

Then what were the actual changes you made to your diet following our recommendations? Jessica: I went from eating chicken and all the proteins, and I went to eating tons of fruit and vegetables — all raw — and within two weeks I was already seeing good results Cyrus: That's great So basically, you decided that you wanted to do an uncooked low-fat plant based whole foods approach Jessica: Correct Cyrus: Okay

So at the 3-month marker, what we noticed with your insulin sensitivity is that your total carbohydrate intake had gone up from 20 grams per day to 325 grams per day So you went from 20 – 325 grams per day, so you would think that you're increasing your carbohydrate intake by that much, then surely your insulin use is going to go up too right? Jessica: Nope Cyrus: I was thinking the same thing, right? So it looks like your total insulin use went significantly down So you started at 37 units per day and you ended up at 29 units per day Jessica: Correct

Cyrus: So basically, your insulin sensitivity over the course of 24 hours went from 05 (which it was at the beginning) all the way up to 112, which is a 2000% change Jessica Yes

Cyrus: That's a world record I mean we've never seen somebody with those numbers before We've seen people with up to 1500% increase, but you just established the world record which is cool Now, the best part is that by the 6 month marker your insulin sensitivity was still improving So you were still eating 325 grams of carbohydrate, but your insulin use continued to fall

So eventually you got to 325 grams of carbohydrate for 23 units of total insulin, which gives you an insulin sensitivity of 14:1 Jessica: Yes Cyrus: So now your insulin sensitivity has increased by 2500% which is just mind boggling, right? It's like 25-fold increase in insulin sensitivity and you know, all you had to do was basically minimize your fat intake and start eating more fruits and vegetables Jessica: Yep Exactly

Cyrus: Great So what happened to your A1C value? Jessica: My A1C at the very beginning was probably the worst it's ever been Uh, I was close to an 8 And now I'm at a 6 Cyrus: And what happened to your bodyweight as well? Jessica: I lost quite a bit of weight without really trying

It's just come off I've lost about 15 pounds Cyrus: And how about your energy levels? How have those changed over time, if at all? Jessica: They're through the roof I just feel like a completely different person, honestly I feel like I have conquered my health

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