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Who are the best patients??Who are the best patients??Who are the best patients??">
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Is there scientific evidence for low carb?- UnwinIs there scientific evidence for low carb?- UnwinIs there scientific evidence for low carb?- Unwin">
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Diabetes medicationsDiabetes medicationsDiabetes medications">
Side effectsSide effectsSide effects">
What about cholesterol??What about cholesterol??What about cholesterol??">
Convincing colleaguesConvincing colleaguesConvincing colleagues">
Common problems and trouble shootingCommon problems and trouble shootingCommon problems and trouble shooting">
Summary and conclusionSummary and conclusionSummary and conclusion">

Part 1


">10,475 views
Here's the first part of our new course with Dr.David Unwin,a physician in England,who is involved in educating young doctors and using a low-carb approach since 2012.

The course will cover very practical tips for doctors,like how to effectively discuss the low-carb lifestyle with patients,how to handle medications,safety,patient motivation and much more.

We hope this will encourage even more doctors to learn how to use low carb in a simple,safe and effective way to empower their patients.For Dr.Unwin it not only helped his patients and saved money for his clinic,it made being a doctor feel rewarding and meaningful again.

Table of contents

0:28  Started using low carb in 2012
1:52  The purpose of these short videos

Transcript

Full low carb for doctors guide

Part 2


">5,043 views
Who would be the best candidates to try the low-carb approach with?Dr.David Unwin talks about the golden opportunities and how to offer patients an alternative to lifelong medication.

Table of contents

0:12  Who would be the best candidates??
1:10"You've got type 2 diabetes""
1:30  The golden opportunity – offering an alternative

Transcript

Full low carb for doctors guide

Part 3


">3,819 views
What other problems can a low-carb approach help with?Can knee and hip pain,breathing,皮肤问题,infertility all be improved on a low-carb diet??

Table of contents

0:11  Resolving other problems beyond weight loss
1:24  Skin problems

Transcript

Part 4


">5,151 views
Is there any evidence for the manbet体育 approach?Before we had drugs for type 2 diabetes,low carb was the accepted way to treat diabetes and a growing number of doctors are recommending a low-carb diet.

Table of contents

0:15  Evidence for the low-carb approach
0:23  Low-carb was the accepted way to treat diabetes
1:09  A growing number of doctors advising low carb for diabetics

Transcript

Full low carb for doctors guide

  • British Journal of Nutrition:Effects of low-carbohydrate diets v.low-fat diets on body weight and cardiovascular risk factors: a meta-analysis of randomised controlled trials
  • Diabetes Research and Clinical Practice:Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base
  • Diabetes Research and Clinical Practice:Efficacy of low carbohydrate diet for type 2 diabetes mellitus management: A systematic review and meta-analysis of randomized controlled trials
  • Part 5


    ">2,607 views
    How can you discuss obesity with your patients in a respectful manner?Many doctors feel uncomfortable bringing up the topic of weight since they are afraid of being rude.So how should you do it??

    Table of contents

    0:30  How to bring up obesity with a patients
    2:00"Yes,this is something I want to discuss""

    Transcript

    Part 6


    ">3,692 views
    How do you make low carb simple for patients?Dr.Unwin explains that carbs break down into surprising amounts of sugar in the body.

    Table of contents

    0:22"Is there much sugar in your diet?""
    1:26"Oh,I have two bananas for breakfast.""
    2:08  Carbohydrates turn to sugar
    3:51  Replace white with green
    5:03  Who is doing the shopping and cooking??
    5:38  Clarification about sugar

    Transcript

    Diet sheet of what to eat with Dr.Unwin

    Full low carb for doctors guide

    Part 7


    ">3,224 views
    How many teaspoons of sugar are in your food??

    The glycemic index predicts how much glucose you are going to absorb into your blood,compared to pure glucose.Brown bread has a lower glycemic index than table sugar.The teaspoon equivalent makes it easier to see how much a food raises blood sugar.For example,150 g boiled rice will raise blood sugar as much as 10 teaspoons of sugar will do.

    Table of contents

    0:19  The glycemic index predicts how much glucose you are going to absorb
    1:00  Brown bread has a lower glycemic index than table sugar
    1:43  The teaspoon equivalent system
    3:00  Using the teaspoon equivalent to explain to patients
    3:30  150 g boiled rice raises blood sugar as much as 10 teaspoons of sugar

    Transcript

    Glycemic response to carbs

    Part 8


    ">1,770 views
    Explaining the benefits of eating a manbet体育 to patients is very important.But it is equally important to make sure that they are motivated to make the switch and stick to the plan.

    In the eight part of our low carb for doctors series,Dr.Unwin explains how doctors can help motivate patients.

    Table of contents

    0:30  Behavior changes and the importance of motivation
    1:38  What is the patient hoping for??
    3:28  Reflecting on results
    4:17  Giving feedback
    5:52  Patient Andrew

    Transcript

    Part 9


    ">1,907 views
    In the ninth part of our manbet体育 for doctors series,Dr.Unwin discusses good measurements for feedback to patients.

    This can include getting a baseline weight,waist circumference,blood pressure and various metabolic measurements,like lipids,HbA1c and more.You usually see great results in many areas,including liver function.

    Table of contents

    0:16  Get baseline measurements
    1:26  Home monitoring
    3:41  Lipids and TSH improving
    5:33  Record keeping

    Transcript

    Part 10


    ">2,602 views
    In the tenth part of our manbet体育 for doctors series,Dr.Unwin discusses things doctors should have in mind when it comes to low carb and blood-pressure medications.

    Table of contents

    0:06  Baseline measurements and patients' hopes
    1:34  Explain what the patient should expect
    3:19  A special word about Amlodipine
    3:47  Summary
    4:25  Dr.Unwin's own experience

    Transcript

    Part 11


    ">1,925 views
    In the eleventh part of our manbet体育 for doctors series,Dr.Unwin discusses things doctors should have in mind when it comes to low carb and diabetes medications.

    Table of contents

    0:06  Patients on metformin
    2:25  Patients on gliclazide
    3:13  Patients on insulin and other medications

    Transcript

    Part 12


    ">2,672 views
    In the twelfth part of our manbet体育 for doctors series,Dr.Unwin discusses common side effects when patients switch to a low-carb or keto diet.

    Table of contents

    0:06  Few side effects
    0:40  Tiredness  1:31  Muscle cramps
    1:53  Constipation  2:26  Transient problems
    3:14  Positive side effects

    Transcript

    Part 13


    ">3,696 views
    Dr.Unwin discusses cholesterol on a low-carb diet.This includes common improvements and the rare case when patients' cholesterol increasessignificantly.

    Table of contents

    0:06  Cholesterol is sofisticated
    2:45  Hyper-responders – patients whose cholesterol increases significantly

    Transcript

    Part 14


    ">1,386 views
    How do you convince colleagues to become low-carb doctors?Dr.David Unwin talks about what doctors can do:

    Table of contents

    0:06  Starting small
    0:55  Do low carb yourself and be an example

    Transcript

    Full low carb for doctors guide

    Part 15


    ">2,309 views
    What can you do if patients don't lose as much weight as anticipated on a keto diet?Dr.Unwin discusses some useful strategies:

    Table of contents

    0:06  Keeping a food diary
    1:58  Go back to the patients' goals
    2:44  Intermittent fasting
    4:16  Activity and exercise
    4:37  Revisiting the diet

    Transcript

    Full low carb for doctors guide

    Part 16


    ">2,040 views
    We have now reached the final part of our manbet体育 for doctors series,where Dr.Unwin discusses the key takeaways from the course

    Table of contents

    0:06  Workingwithpatients

    Transcript

    About the video

    Recorded in Manchester,England.Published in October 2017.
    Host: Dr.David Unwin
    Production coordinator:Dr.Andreas Eenfeldt
    Camera and sound:Giorgos Chloros and Simon Victor
    Editing:Simon Victor

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    21 comments

    1. 1
      Jordann
      I am so excited about this series.I am a physician.I just started residency and I have been learning about/following (for the most part) a low carb lifestyle for about 5 years now.I am interested in endocrinology,particularly as it relates to diabetics and this is the only approach that I have encountered that both works from a medical standpoint and from a quality of life standpoint.
      Reply: #5
    2. 2
      Andrew
      I would love to have a consultation with Dr Unwin.I'm in Basingstoke (about 30 miles from Southampton).I'm Type 1,doing Keto,yet struggling to lose fat.If anything I'm putting on weight.I'd love to have a sit down with a doctor who understands the low-carb high-fat diet.To have a conversation with someone who could provide actual useful advice would be a refreshing change.

      If you read these comments,Dr Unwin,is this possible??
      Thank you.

    3. 3
      Ian
      I have no problem with"taking pills for life"when they work like Levothyroxine or even Matformin for people who don't get the side effects.But Matformin does not work for life without adding more drugs every few years unless combined with"low carb"…..

      Hence if a Dr asks me if I happy to take a pill for life,they may get the answer"yes"and miss the opportunity,as I am also 100% happy to make lifestyle changes when they work better then pills.

    4. 4
      Mariano
      Who am I,a patient,to even suggest to a doctor how to treat me?He would feel insulted!Most doctors,if not all,really and deeply want the best for their patients.But they are doing it unknowingly wrong!And it takes doctors like you Dr.Unwin who are heroes to me who talk boldly but unselfishly and humbly to your fellow doctors whose egos,I believe,are in the high normal.Thank you Dr.Unwin!!
    5. 5
      Eric
      Welcome to our not so secret society of doctors working from the grassroots to change all of medicine.I wish had known this Low-Carb business beginning in residency.
      Reply: #16
    6. 6
      Walter
      On part 6 Dr.Unwin says that a copy of the"diet sheets"will be shared with the video.Could you please post the link?I can't find it.Thanks!!
    7. 7
      Chad
      I get the posters comparing teaspoons of sugar in a product is meant to be over simplistic however a glucose/fructose combo (sucrose aka table sugar) is far more problematic than glucose alone.Its not comparing apple to apples its like comparing starch to oranges;)
    8. 8
      Ira
      Hi,I am a GP in Australia getting into this area of consulting.I was trying to access the following information for doctors but am not able to do so:

      Diet sheet of what to eat with Dr.Unwin
      Full low carb for doctors guide

      Where could I access these??

      Reply: #11
    9. 9
      Robert
      Is there a chance you can post your food to teaspoon visual aid?I like seeing the teaspoon equivalent for different foods.
      Reply: #10
    10. 10
      Andrea
      Robert,I found the teaspoon visual aid from Dr Unwin on this site
      https://phcuk.org/sugar/
    11. 11
      Andrea
      嗨,爱尔兰共和军
      The Public manbetx单双Health Collaborative UK which Dr Unwin is part of has lots of resources.I'm a nurse in Australia working in chronic disease and often refer to this site for reference https://phcuk.org/booklets/
    12. 12
      Mic
      Out of interest- when documenting results on your excel spreadsheet,what is your time frame for comparison- e.g baseline,2 months,6 months,12 months?Do you have a suggested follow up schedule that you use with patients to ensure comparisons can be made in their progress (particularly when collating data that may later be published?)
    13. 13
      Sherief
      Do you have a copy of the excel spreadsheet you use for recording patients data so it can be used by others in their offices?Also is there a specific consent form so that future collaboration can occur?Thanks
    14. 14
      Catherine
      This is an awesome series.I am not a doctor,but have been 30-40kgs overweight FOREVER and have lost about 20kg so far on LCHF--whilst overseas and out of view of my GP.I really hope that when I am home in another 3 months,my weight loss (plus hopefully better blood metrics) gives me the chance to introduce my GP to these videos.Dr Unwin is compelling,clear and such a sweetheart!Thanks to all those contributing to dietdoctor.com.
    15. 15
      Kaye
      Re: #14 - convincing doctors.Interesting initial comments from the partners - that keto would be taking away from treating"sick"patients - or as I would interpret"real patients"- as somehow weight/insulin/blood pressure/renal function etc etc etc are secondary concerns.Great series - next time I see my GP (which will be awhile as I don't really need much in the way of prescriptions or treatment anymore) I will point her here.
    16. 16
      Eric
      Re: #12: This is what I did.Going low carb is not only what I advise my patients to do.I do it myself.I can't imagine doing it any other way.I have at least one Physician's assistant in my group doing low carb and recommending it.
    17. 17
      catherine
      I was diagnosed diabetic in 2016 and was immediately put on insulin,and given the standard American Diabetes Assoc.guide.Their"sample breakfast"is 2 pieces of toast + fruit + milk + 1tsp margarine.This is the WORST possible advice to give a newly diagnosed diabetic!!I decided I don't want to be sick for the rest of my life and started investigating,put myself on a reduced carb diet,but I am deeply concerned that my doctor continues to push me onto medication that is not compatible with low-carb (may cause hypoglycemia,diabetic ketoacidosis,etc).How do I find a doctor in the US that understands this??
    18. 18
      PATRIZIA
      Great information.Thanks so much for teaching doctors how to have a new dialogue with patients.It's so true,when I understand and have the information to guide myself,I do so much better and am more motivated.Did Andrew reach his goal of running a 5km with you??
    19. 19
      Liz in 'straya
      Thank you Dr Unwin,your effort is much appreciated.
      I am a GP in Canberra and looked into LCHF for me (autoimmune,neurological issues) and stumbled across LCDU (a fab resource for us Aussies.)
      About 70 or 80% of my work is with people with metabolic syndromes or other conditions that will benefit from some degree of carb restriction.So your video course is very timely for me,with great practical tips for collaborating with patients.I love your patient- centred-ness!!
      Have already had one patient with difficult chronic pain,obesity and met-syn report that she has had 2 weeks with no Endone (oxycodone) and a modest loss of 2 kg as a result of giving up that slice of bread that the dietitian told her was OK.I've been badgering her with 'low carb' for years,but she had to get willing to let go of the last slice of bread.The impending TKR and then a frozen shoulder proved her tipping point.
      PS- would also be interested in the Excel spreadsheet to track patient results,if you have a 'blank' set-up that I can just enter my patient data into...
      Oh,and thanks for the sugar equivalent infographics.Woohoo!!
    20. 20
      B
      HI i Would love to try this diet and I am but I have a big problem with greens since I am taking Warfarin.2.5 five times a week and .5 two times a week because I had a blood clot in my lung.That is the only medicine that I am on.It has been 7 years now and thank G-d I am alright.The only thing is I am over weight and need to loss weight.And by the way I am 71 thank G-d.Can you help me with this diet and do you know of anyway I can use vitamins and herbs to get off of the Warfarin.I Warfarin has a lot of side effects.Thank you and have a great day

      Beatrice Sommers
      pninamoms@gmail.com

    21. 21
      Michael
      This was an interesting series of videos from a physician's point of view.Watching these videos will help me speak with my doctors in way they can appreciate why I am on a Keto diet.

      My early reactions from my doctors was not hugely positive but my approach was come with me on this journey or I will be forced to find a new doctor.

      Significant drops in A1C,B/P,and weight got all their attentions and they have been more open to the Keto diet.Mike

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