Prepare to be amazed and intrigued in turn if you have Type 1 diabetes or know someone who does. Type 2 diabetes is a lifestyle disease we’re learning can be managed into remission by going low-carb - hat tip to Virta Health, UK Dr David Unwin and other primary care doctors across the world. Type 1 is for life. It always involves dosing insulin. But Dr Ian Lake, who has Type 1, says switching to a very low-carb [ketogenic] regime has helped him better manage his diabetes. He stresses that it's not for everyone, but wants it added to the standard care options offered by all physicians. Consider, he says, that 95% of Type 1s fail to reach targets for good blood sugar control. But on low-carb, 97% do. You may have heard of the remarkable Zero Five 100 challenge he organised in September, 2020. He, another Type 1 diabetic, and six others without diabetes, safely finished a fasted, five-day run-walk from Henley-on-Thames to Bristol - 100 miles on zero calories. There were no injuries and no problems with blood sugar control. Dr Lake has summed up his initial findings in a medical paper but, a year on, has his proof-of-concept research convinced others to rethink their Type 1 treatment protocols? We find out. >Links Dr Ian's website Type1Keto.comHis paper on the Zero Five 100 project in the journal Endocrinology, Diabetes and Obesity: Nutritional ketosis is well-tolerated, even in type 1 diabetes: the ZeroFive100 Project; a proof-of-concept studyEssential watch: Ian's presentation to the Public Health Collaboration 2021 conferenceTrailer for Zero Five 100 documentary in the makingHis tweet about Gina, a T1D who fared badly when following guidelines but reduced her insulin sixfold on ketoGina's experience in detailDr Ian's blogs on Diabetes ManagementDr Bernstein's Diabetes Solution Ian on TwitterSupport The Big MiddleSponsorDonateFollow The Big MiddleWebsite I Twitter I  Instagram I YouTubeHosted + produced by Susan FloryMusic: “Beautiful Day” by Sahin Koc    

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