Dr. Mariela Glandt - 'Reawakening the pancreas in Type 2 Diabetes'
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- Опубліковано 31 тра 2019
- Dr. Mariela Glandt was born in Argentina, received her BA from the University of Pennsylvania and attended the University of Texas-Houston Medical School. She continued on to a residency in internal medicine at Harvard’s Beth Israel Deaconess Hospital in Boston. During residency Dr. Glandt did research on beta cell failure at the Joslin Diabetes Center. She then held an endocrinology fellowship at Columbia Presbyterian Hospital in New York, where her research focused on the reversal of Type I diabetes.
Dr. Glandt spent the following years in Israel, as director of the Diabetes Clinical Trials Center at Hadassah Hospital in Jerusalem with Prof. Itamar Raz. Dr. Glandt and published articles in international journals and was involved in clinical trials.
Dr. Glandt now works as an attending endocrinologist, as well as the associate program director of the internal medicine program at Bronx-Lebanon Hospital. Her current focus is on improving patient and community health education, particularly in the areas of obesity and diabetes. - Наука та технологія
I started Keto 4 months ago. Took me less than a week to get off glimiperide, metformin was reduced from 2,000 a day to 500-1,000 a day for a month then stopped. After just over a month I was pulled off of my heart and high blood pressure meds. My diabetes isn't totaly gone but my average glucose is 50-60 points lower off meds than before with meds. I've had glucose readings in the 80's and 90's since starting keto with no meds. I've had readings of 300 before with meds.
Exactly
I love it. Good job!
What sort of foods do you eat? Do you keep saturated fats low?
Congratulation my friend
Probably the most lucid and comprehensive explanation of the cause and treatment strategies for Type 2 Diabetes I’ve ever seen. This woman is quite brilliant and many family Doctors should watch this and apply the learnings.
This is a terrific explanation and wonderful to see her enthusiasm when she talks about various patients recoveries, including her father. She follows up on what Dr. Hallberg said in a recent presentation about how having diabetes for 3 years and for 8 years is like a different disease, and how 3 patients, after being compliant with the low carb program for 3 years, finally, had their diabetes go into remission and she was able to take them off insulin. The three had been diabetic 15-20 years!
I bump into people who have been diabetic for 10 years and so I can tell them to stick with the low carb and just stick with it as there is a good chance the beta cells will recharge and get going, eventually.
Dr. Berry has been talking about the fatty pancreas for awhile in his youtube videos so these functional medicine doctors are way ahead of the curve.
If u have been diabetic for 30 years and u got him off insulin is amazing. So he’s still producing insulin after all this time. Amazing !!
Thank you very much for uploading
and all the best to you!!
Thank you Dr. Berry for your knowledge and expertise!
Bravissima! Simple and to the point! Thank you.
You forgot the intermittent fasting. Many more will succeed if you combine low carbs, high far, and intermittent fasting.. Even for people with long-term diabetes,
Excelente... !!!
Muchas gracias por publicar esta sesión 🙏
Very interesting talk. Thank you!
Dr. Mariela you are the best. Such a comprehensive and clear presentation. Thank you. I remember you from your days at the Joslin with Gordon and Tony Monaco. Your enthusiasm has only gotten greater. Speak often, you will give primary care folks the confidence to cross the bridge to rational diabetes care.
Excellent video.
Thanks for the very good explanation of how a very low carb diet can reverse type 2 diabetes.
Thank you for explaining the difference between Type 1 Diabetes and Type 2 Diabetes
If you eat a ketogenic diet then your body naturally normalizes hormones, blood sugar, blood pressure and internal inflammation. Bariatric surgery reduces the absorption of nutrients. It may seem like a good idea, but if you just started a Ketogenic diet and intermittent fasting then you could bypass the bariatric surgery to begin with.
Bariatric surgeons wont like hearing this
Ketogenic diet would promote lipotoxicity which would de-differentiate the beta cells making diabetes worse in the long term. Keto may be only good for the short term but certainly not long term so be careful.
@@purepositivity7404 Please provide resources for your statement here so that we can confirm what has been said here. I am suffering from pancreatitis 2.5 years now and am on keto diet, have never heard this before and would like to explore your information sources. Thankyou.
@@purepositivity7404 That is true in my case. Was fasting a lot for about a year and only having one meal a day whilst doing weight training and martial arts, and then boom got diagnosed with hyperglycemia and ketonuria (high keytones in urine). My pancreas stopped producing enough insulin as well.
@@purepositivity7404 Ketogenic diets have been proven to heal the pancrease and reduce related cancers. lipotoxicity is caused by carbs, not fat. I'm guessing your a vegan.
so encouraging - especially the summary
Brilliant and thank you.
Visceral fat goes away with lchf n intermittent fasting.
Thank you Dr. Glandt for this presentation. Hopefully, lectures like this one circulate widely enough to where patients implore their doctors to abandon conventional approaches to the treatment of diabetes. It is my hope that, as there is more and more of a grassroots movement to use low carb as the first line of defense and treatment for type 2 diabetes, that eventually it will become codified into our standard of care. While we are far off from this happening, it would be nice to see a time where physicians who do not dispense low carb advice for the treatment of diabetes could be considered as being guilty of malpractice.
😅
Believe I got Type 2 from my Covid spell (bad) a year ago. Was not obese (6'1" 190#) and not inactive nor have a family history. I lost upwards of 20# in 8.5 weeks as a result of cutting carbs way down.
Well explained by a professional! Most of the doctors should learn lessons and stop putting people on medication for life and make life miserable!!!
that’s called government business making money
An objective and scientific analysis covering various aspects of diabetes type II remission process and beta cells rejuvenation.
It has enlightened me.
Thank you so much for sharing this insightful update.
OMGoodness it's like I was back at University again
Thank you!
Great explanation. A truly committed professional who is passionate about her craft. Now if we can get a realistic timeline on a cure bc my personal timeline is running out.
Wow!!! That’s powerful! Fasting, diet and exercise is a must for all diabetic patients. No other options. Meds are administered based on the sugar/glucose levels especially when the patient is slim and there no room for weight loss. Such patients carry A1c >10!!!
Brilliant God will continue to bless you and your team. You guys are giving people hope. People are tired of medications.
If there was a god, diabetes would not exist, or he would make sure a cure was already in place.
@J Down Maybe it's s good time to read about theodicy and a big if, read the book of Job (that's if you believe in a God - which, buy your response, it doesn't seem so.) Nonetheless, just read about theodicy from a philosophical point of view - there are many academic papers that deal with the topic.
But she doesn't tell us which fat they used . Whether it was PUFA oils and omega 6 or omega 3s or saturated. That makes a big difference.
Fasting is very important
I.F
love this type of science for the specificity and application to real life problems even though I am nothing more than a participant in the keto experiment with all the confusion surrounding it.
gotta be honest, I love all the science behind metabolism and diabetes - so much so that I am studying Clinical Exercise Physiology as undergraduate before moving into Medicine. But, my point today is, Dr. Mariela Glandt is a hot ! wow... :-)
@@ellanola6284 let him have his fun for it is his to have. You basically attacked him for being attracted to someone… get help
Fantastico 👍
I don’t quite get her time duration of diabetes argument. She brings up her case study who had an A1C of 10.8, you don’t suddenly develop a 10.8 A1C, you go through 5,6,7,8,9, and 10 over multiple years to get to that point. So how long has her case study actually had it and how long did the people in the studies actually have it?
Shower thought: if every cell in the body has insulin receptors then beta cells have them too. Since they are excreting insulin they are likely to be more stimulated by insulin than any other cell in the body. They then die from this, and not from being "worked to death". The alpha cells of Eskimos never get "worked to death" making glucagon for their zero carb diet. This "worked to death" explanation seems to only apply to beta cells and not to any other, including the alpha cells right next to them in the islets of langerhorn. Insulin kills and it kills the cells stimulated the most by it first.
But you keep getting doctor's telling you you will "crash" all the time if you maintain an hbA1c of 5 or less. It's pathetic.
My HbA1c has gone from 49 to 37. In UK this is normal.
Franklin Taylor it’s awful I had a friend who was getting some minor amputations and they told him to eat 200 carbs per day ! Thankfully he’s on Keto now.
They're just trying to keep your chronic, progressive disease on schedule.
Doctors ARE pathetic.
My a1c last nov.is 6.6 and after 1 month without meds is 5.9
Thanks
I would say not just PCP’s, but Ped’s need to know about this. Our CHILDREN are grossly malnourished but severely over-carbed.
I recently put my whole family on a ketogenic diet, and I’m pregnant with my fourth. This has been my healthiest and fittest pregnancy so far, and I’m 37. My new baby will eventually be weaned to LCHF. #isupportnoakes
Thanks to ALL the REAL scientists in this field, doing the real legwork and uncovering the TRUTH about our metabolic needs as humans.
❤️❤️
I have in-laws and family members with T2D but there is no way in the world would they change their diet....until things get bad.
They don't consider type-2 diabetes bad?
@@RustyNickels they consider heart attack, stroke, PN etc bad
And even then, they won’t change, it’s too much for some people and it’s a shame
We were in the same medical school class! Small world.
“the best tool to bring down sugar is insulin. We know that for a fact”. How about this fact: The best tool to bring down sugar is to not eat it in the first place. The rest of the issues should take care of themselves.
That is flase. Check out the case for low fat diets by Denise Minger on UA-cam. Eating sugar and rice cured diabetes in 60% of the group. No fat, very low protein. But I am not recommending this. But it deserves we recognize the merits.
Insulin DEFINITELY lowers blood sugar, but has many side effects, so not a good answer to diabetes. But as blood sugar level will be OK, mainstream doctors like it. Elevated blood sugar is not the illness, is a symptom only, and the goal is to cure the illness and not the symptom.
"the best tool to bring down sugar is insulin. We know that for a fact"
well yes but actually no. insulin will cause the blood sugar to go down fast, sure, but the sugar is still in the body. This is normal as your body uses glucose as fuel. However, it's not good if you are diabetic as it means you have too much sugar in your body.
@@kori228 You are both missing the point. Original guy was saying, the only thing more effective than a LCHF diet at lowering insulin levels is fasting, which is indisputably true.
You're thinking is very simple minded if you're implying that as long as you cut out all carbs and sugar, you can reverse type 2. Many type 2's are not only insulin resistant, but low producing in terms of insulin secretion. Cutting out sugar and carbs is not enough for those who are low producing in insulin.
I never had " diabetes " until I became vitamin D deficient !
24:21 how is 825 KC and 120*9 = 1080 match up and lead to extra carbs?
What do you do if you have had a splenectomy about eating fat?
What about lowering ferritin as much of it is stored in the liver?
Give blood and you can reduce ferritin levels.
Wow, well it's hope out there
Everybody says, that everybody claims you can't reverse diabetes type 2. However, even though everyone says that, I have never heard any one(youtube doctors) say it is NOT reversible, lol. That being said great talk, thanks!
She just needs to fall a little bit deeper down the rabbit hole to catch up with the research on fasting and the regeneration of beta cells. Then maybe she can finally get Hector off of the metformin.
Don't be a dick.
I wonder if giving choline (and perhaps inositol too) would help. The choline will push fat out of the liver but then it may be necessary to add a baby aspirin to fight the effect of this fat being thrown into the bloodstream.
Interesting take.
NISAIDs will thin the intestinal mucosal layers and make you prone to bacterial infections. The lipid levels will stabilize as the cells use up the fats. SIBO is not fun
I’ve had diabetes 6 years- is there hope for me? She keeps talking about 6 years and under respond
Hi, fasting and LC diet are very efficient.
U said 120grams of FAT per day but the caption reads 120 g carbs per day..then u said 120 grams of carbs per day..please specify correctly..thank u
24:25 120g of fat a day, should be 120g of carbs(as per slide earlier). 120g fat a day can't be 850kcal anyway ;)
wow, lchf diet reversal of dm2. awesome.. TY dr glandt!
Please use whole words. Your remarks could be more helpful; not everyone easily reads your mind based on clues like "lchf, dm2 or TY." Thanks.
Yeah she messed up.
Are you saying high fat and low carb diet is bad for beta cells? 9:45 How do you mean by de-differentiation? Is this talk meant for medical pros or everybody else?
How long does it take to lower blood glucose since someone on a low carb diet?
individual results will vary. needs to be a life long diet change
hi, typically 72-96 hours to transition to fat burning. The glucose levels will drop quickly after that. The liver will make glucose from fat as needed (usually in the morning which wakes you up). Hope you consider it. Try Dr Eric Berg DC for diet guidance
It took me a few months to recover from 350. But, I was mislead by my PCP to eat a low fat, high fiber diet out the gate. I'm now keto and hovering around 100 w/out insulin. I think it would have taken me only a month with the right advice. Granted, I took insulin the first two months as well.
how does a Person with type 2 diabetes feel? what are the sensations that amount to what is referred to in this video as "feeling horrible"? if Anybody can describe this for Me, I will very much appreciate. best regards.
Tired, fatigued, drained, muscles become achy and feel depleted.
@@jdtown6585 thank You for your response. I've not got a notification, I've just checked this comment now, as I'm watching the video again. best regards.
I’d add dizzy and irritable, low mood/high anxiety
If type 2 diabetes is uncontrolled, you can get intermittent blurry vision as well as unquenchable thirst.
Who is the sponsor of this. Information?
Could it be just as easy as parasites that love sugar and just do a detox and eat bitter & sour foods.
Bingo!! But you will never see that here or anywhere...as it also cures all the other big money makers, such as C... depression...MS...you name it, 90 percent of it is parasites. Fasting works because it also kills parasites IF you do it long enough, since parasites not only require our glucose but also our water, thus dry fasting is most effective and by day 7 all worms will be dead at zero cost to the patient. And zero profit to dr, pharma, educational and research institions, talking heads, writers, etc etc.
parasites stun the beta cells with their secretions, they WANT less insulin so that you blood glucose goes up and they get fed, it is that simple. Why is ivermectin practically outlawed and driving the pharmacreatures nuts...?? Guess what it kills.
Personally I like to mix it with Praziquantel.
I went low carb and my weight came down and my blood sugar came down and I COULDN’T SLEEP. Why don’t low carb advocates ever address this?
Maybe high cortisol?
Yeah. I tried increasing fat content in my diet and ended up wide awake for hours in the middle of the night. Not an option.
So what should we eat?
Sid Michael Fajardo nothing. Is we just eat nothing, we'll probably be fine.
See Dr. Berg channel on healthy keto. Lots of videos, it will help you get started. Low carb, high fat, moderate protein.
Meats, fish, butter, lard , ghee and BACON !😃
@@sandrabentley1420 The Bergs are high profile Scientologists. To each, his own.
Eggs work for me.
So you are saying that diabetes should eat fat instead so isnt those fat will cause weigh gain
It’s the carbs that cause weight gain. Insulin is anabolic
In spanish please, please!!!
How does eating steak lowers ectopic fat in the liver and pancreas? Pardon me, I am still learning and I understand that there are 2 schools of thought here. One on low carb and another on plant based but good carb diet.
It's not the steak. It's the lack of glucose and insulin that allows the ectopic fat to be reduced. The idea is to reduce carbs to less than 20g / day, for example. 120g of carbs is a really heavy load of glucose to stuff away every day.
2:48 or get childhood vaccines - but that's probably not something we want to talk about, right?
www.nvic.org/vaccines-and-diseases/Diabetes/juvenilediabetes.aspx
Thrilled you mentioned this! Just thrilled. I looked at your reference which is outstanding. I was already convinced anyway that childhood vaccines are mainly culpable for T1D. Additionally, it's remarkably difficult to get good honest information about T1D. Whoever you are thank you for posting this. Moon
Can type 2 diabetes be cured?
Yes, it is reversed every single day.
At first it seemed like she does not fully get it, but I guess she does. Type 2 diabetes is a disease of too much insulin not too little. The high glucose levels come from the insulin resistant liver making way too much glucose and the person piles on with bad high carb diet.
So there are 2 components of glucose load. If you correct the diet, you just have the gluconeogenic load to deal with. This is my situation. I have a high glucose in the morning but great response to proper meals. My A1C runs 5.2 to 5.6. If I didnt the big spike, my A1C would be in the 4"s!
I have type 2 diabetes and I can describe how I felt before changing my eating habits...................constantly tired,eyesight not so good, skin breaking out in sore pimples and hot........my arthritis in my feet and hands was cruel,,had to take strong pain killers which caused chronic constipation........burning feeling in my feet at night....bloated because of the medication........ I was taking 3different meds to try to control my blood sugar........my GP...kept suggesting that I use insulin but I somehow knew that would be worse................... I’ve been on a low carb keto diet for about 3 months now........... I still have to use metformin just now but not the other two........arthritis in my feet and hands is gone.......skin clearing up...starting to feel better.... I used to have very dry itchy skin....this has improved greatly.... I was so sick I thought that this was the end........my diabetes was brought on by taking prednisone for about 8 years.......I’ve done untold damage to my kidneys and other organs with this stuff...... I don’t think I will ever be terrific but life is so much better.....
Wrong. There are many low insulin producing type 2's.
בבקשה תיתישבו בי.
רק עם תרגום או תדברי בעברית
בבקשה!!!!תודה קשה לי להזמין את האנגלית החלקה המחוברת שלך.
רופאה מהממת!!!
I wanna marry this Doctor
I wonder if my 77 year old mother can be helped by the bariatrc surgery?
She needs to watch dr Jason fung’s legendary lectures. Caloric restriction does not work long term.
I think that's why she prefer the low-carb diet for treatment
Actually, if one converts to fat burning by way of a near keto and keto high fat diet, episodic calorie restricted days aka fast days become very doable and a useful tool as recommended by Jason Fung among others.
7:30 and above, something is above her head. Like a ghost or something
I want to marry her!
She is cute and has Lovely accent.
Her husband says no, not at the moment. But he will let you know if anything changes
Creepo alert.
Type 2 diabetes plese nowlage type 2 diabetes cure
Please giwe me answer
-Ok, here is the part of the joke included in the presentation:
"Look, there is superman, sleepy and being awaken... And now he is waking up and being SUPER🅱Cell"
[noone laughs]
-[OFF] Well, that was embarrasing
(Spells no one as one word).
Well that was embarrassing.
Arguably, you are already diabetic with metabolic syndrome. Just not treatable by doctors yet.
I think pretty much everything she's saying about type 2 diabetes has been proven false. People with T2D aren't creating too little insulin. They're creating so much of it their bodies have become resistant. I mean, I appreciate the Superman references because they're nerdy, but I don't think she's correct about her assertions.
In the late stage they do, pancreas sort of "dies".
@@mirjammaver8670 The beta cells in the pancreas are reduced. And she is absolutely correct. I had twenty years of high insulin levels and low blood sugar episodes before my blood sugar remained too high all the time. A low carb diet then helped me control drop my HBA1C for many more years, but now that I am getting older, my beta cells are disappearing and I have to take metformin. I can't get my blood sugar totally normal even with metformin and low carb combined. It is much better but not like before. On diet alone my HBA1C used to be 5.3. Now on medication and diet the lowest I have gotten it to is 6.9. The problem is everyone tries to extrapolate their own body and own experiences, thinking this is what happens with me, so it must be true for everyone else. but they don't yet know the changes that come the older one gets.
@@Jan96106 have you tried regular 2-3 day fasts?
@@Jan96106 - I second what Defeqel said. Search youtube for videos from Dr. Jason Fung and Dr. Valter Longo. Fasting induces autophagy which is the process by which your body breaks down old unhealthy cells and builds new ones. This is shown in both Type 2 and Type 1 Diabetes.
For some that is true that early on, the pancreas over produces insulin to counteract the high glucose. But the pancreas has a shelf life and will eventually burn out and underproduce insulin when you need it most. Also, when you graduate medical school and become an expert in your field, people might listen to you more.
Jeopardy alec trebec reversed his panc cancer
RIP Alex Trebec.
He passed..rip
why this person is on this channel ????? just for the diversity of opinions ???
Maybe bc she's an expert in her field, genius. Go back to your mother's basement.
She does not understand the whole pictures why ketogenic diet works. Still for intellectual purpose it is an interesting talk.
Can you explain more?
What to eat on this diet?
What not to eat on this diet?
Library Files if you’re new to the trend. Join a bunch of intermittent/extended term fasting and ketogenic support groups on Facebook!!
Insulin producing foods with low glycemic indexes is a good place to start “fat”. Paired with higher than average amounts of salt (low carb keeps your electrolyte stores constantly depleted if you’re fit at all or drink coffee [diuretics]) along with some sort of intermittent fasting to help with any hormone rebalance, as well as raising IGF1->HGH to aid in lean tissue production to boost resting metabolic rate.
Most of all just stop eating sugar and processed foods. And find jesus. Because we could all use some 40 day fasting motivation 🔥🥩
See Dr. Berg channel. Lots of videos to get started
@@calvincastenello951 .
Meats , eggs , fish , butter, lard, ghee and BACON!
She lost me at 23:28 ~ Most (if not all) studies show that high-fat (low-carb) diets, especially saturated-fatty-acids cause insulin-resistance and beta-cell destruction, whereas low-fat diets based on whole-grains and beans are protective.
What are your sources?
People post just to screw with these videos. They don’t care.
Typical medical perspective
Too many contradictions !!