Peter Attia: What if we’re wrong about diabetes?

As a young ER doctor, Peter Attia felt contempt for a patient with diabetes. She was overweight, he thought, and thus responsible for the fact that she neede…

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    • Olav B en 1 abril, 2014 a las 4:23 pm
    • Responder

    What a bad, bad actor.

    • tony greene en 26 junio, 2014 a las 7:59 pm
    • Responder

    In 2005, I had a surgery done that rid my body of the scourge type 2

    • Robin Carneke-Green en 11 julio, 2014 a las 1:35 am
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    There are SO many factors that go into the development of diabetes, and
    most of the media, and physicians who do NOT specialize in endocrinology,
    are ignorant of the disease. The media, and therefore almost everyone else,
    are focused solely on obesity as the primary factor in contracting diabetes.

    Genetics play a factor, autoimmune disorders, metabolic deficiencies,
    self-induced obesity, unhealthy eating habits… all of these things need
    to be considered, and more.

    Type 1 diabetes, formerly called Juvenile Diabetes, USUALLY manifests at a
    young age and is caused by an autoimmune disease that completely shuts down
    the insulin production in the pancreas. Zip. Zero. Nada. Pancreas is dead
    to insulin production.

    Type 1.5 LADA is T1D which manifests at an older age.

    Type 2 diabetes is the one most talked about, bullied over, shamed…
    because it’s associated with obesity. All the multiple factors I listed
    above have to be considered when dealing with this type of diabetes. It is
    not just ONE thing, especially since a good number of thin people also have
    Type 2.

    Yes, there is some personal responsibility involved in trying to avoid T2,
    but let’s also put some blame where it lies. The food industry is a MAJOR
    contributor to diabetes with all the chemicals and processed crap put into
    what they are trying to pass off as food. It is FAR less expensive to eat
    the processed garbage than it is to eat healthy, and people are struggling
    financially. Restaurants in the United States need to take lessons from
    restaurants in Europe and not overfeed their patrons. Parents need to stop
    telling kids to “clean their plates.” When you are full, stop eating.
    Period. Food should never be used as a reward.

    There are MANY changes needing to take place in the war against diabetes.
    Education about the FACTS is the first place to start. Making personal
    changes is the next step. Getting involved is another.

    • Andres Vernazza en 18 julio, 2014 a las 8:34 pm
    • Responder

    Great video! One of the bests of TED Talks

    • Mary D en 24 septiembre, 2014 a las 6:52 pm
    • Responder

    I felt a very similar way to Dr Attia when I was visiting my mother in
    hospital following her second or third heart ‘episode’. Three years prior,
    she had had her first ‘episode’ and I was training as a personal trainer
    and following her brief hospital rehabililtation period (including exercise
    classes), I invited her to come on as my client..her doctor suggested I
    work with her to help her lose 10kg. My mother started with gestational
    diabetes with each of her 5 children and this was upgraded to type 2 a
    couple of decades ago. To cut a long story short, I sat beside her bed with
    tears of frustration because I ‘knew’ that she wouldn’t be in there if she
    had just (like the Dr said) cared just a little. Now, 5 years on, she is
    now more overweight and her medications increased for her diabetes, heart
    and blood pressure. She might still have diabetes but her heart and the
    rest of her body would be a LOT better off

    • Stephen Nichols en 8 octubre, 2014 a las 11:23 am
    • Responder

    Thank you for your humility and honesty on the topic of diabetes. I
    recently was diagnoised with type 2 diabetes and I’m trying to understand
    this condition. My levels can range at times from 195 all the way down to
    76 and being that this is all new to me it can get very confusing. I have
    made big changes in my diet and I’m starting to see positive results in my
    readings on a consistant basis. Thank you for explaning how differicult it
    is to understand this condition for even educated doctors like yourself.
    Unfortunetely many doctors are more prone to just treat the condition
    without investing the time and energy in finding the causes. I pray
    that the medical industry and science become more interested in finding
    cures then just making millions from people pain. 

    • Nouri Al-Kadhim en 15 octubre, 2014 a las 1:39 pm
    • Responder

    He didn’t say anything new. People have been trying to figure this out for
    so long. I thought he was going to present some evidence either way.
    Instead, he said “I’m going to study this from now on.”

    • Donald Swinerton en 5 noviembre, 2014 a las 9:33 pm
    • Responder

    Unfortunately, the development of Type II diabetes is far more complicated
    than people realize. As Dr. Attia explains, medical scientists still do
    not know or understand the many “nuanced molecular mechanisms” taking
    place. To make matters worse, medical professionals, as well as those in
    training, only learn bits and pieces without seeing the bigger picture.
    It’s not simply “calories consumed vs. calories burned” or eating
    “unhealthy,” processed foods. Yes, the incidences of metabolic diseases
    have increased in the past century; nobody can deny that. But to say our
    ancestors ate “healthier” is incorrect and if you, the Reader, open your
    mind, discard your current misconceptions, and contemplate some of
    the facts and ideas I explain here, you, too, will understand why this
    obesity epidemic has not been resolved yet. First, the process of
    digestion breaks down all foodstuffs consumed to its very most basic
    components. ALL carbohydrates (simple and complex, good and bad) MUST be
    broken down to either glucose, fructose, or galactose to be absorbed into
    the blood stream. After that, galactose is converted to glucose and
    fructose is converted to glucose or triglycerides in the liver depending on
    glycogen levels(stored glucose/animal starch). No matter what, ALL CARBS
    are converted to glucose. All proteins are broken down to individual amino
    acids; all fats (lipids) are converted to monoglycerides and packaged in
    chylomicrons before entering the lymphatic system; all ingested DNA/RNA is
    broken down into individual nucleic acids (this is why GMOs should be of no
    concern). Any foodstuffs like sugar alcohols/artificial sweeteners and
    fiber which cannot be converted or broken down appropriately pass
    UNABSORBED and enter the colon for the microbiome to enjoy and make you
    gassy. This means that the food you eat DOES NOT resemble the nutrients
    your body actually “experiences.” Therefore, the body DOES NOT know the
    difference between “healthy/good” and “unhealthy/bad.” Second, not
    everything you eat gets absorbed. A person’s digestive efficiency greatly
    determines how many nutrients you actually absorb
    (bioaccessibility/bioavailability). If it’s not absorbed, it’s ignored.
    Refined/processed foods have smaller molecules so less time for digestion
    is necessary; that makes their digestion and absorption more efficient than
    unprocessed foods. However, as my first point states, the body doesn’t
    know from whence nutrients came, only the amount it receives/absorbs.
    Third, every single cell in the human body (and there are trillions of
    them) can interconvert (transform) any one type of macronutrient into
    another type of macronutrient via the Kreb’s Cycle (Citric Acid Cycle) with
    a few exceptions. This means any cell at any time can take a lipid
    molecule (fat) and make an amino acid (protein) or vice versa, as needed.
    Fourth, the level of each nutrient is regulated by a feedback loop (usually
    negative), and many feedback loops affect each other. These are the
    “nuanced molecular mechanisms.” And lastly, cells produce energy (ATP) on
    an “as needed basis;” in fact, energy production is tightly regulated via a
    negative feedback loop from levels of ADP in the cell. If ADP cannot be
    made into ATP, then the entire electron transport chain and Kreb’s Cycle
    can’t proceed; however, via the Kreb’s Cycle my fourth point can occur and
    excess amino acids and glucose can be converted to triglycerides and stored
    as body fat for later use. This is all basic information that every
    premed/med student, resident, and medical professional learns at some point
    in their career from anatomy/physiology, biochemistry, and bioenergetics.
    Given this information, one can see it’s a one million piece puzzle and we
    have only a few hundred pieces and no completed picture to work with.
    Personally, I’ve hypothesized for some time that obesity and metabolic
    diseases are not cause and effect as many believe; rather, the two are
    coincidental byproducts of something else. One last thing: all these
    “studies” are a waste of time. Observational studies CANNOT show cause and
    effect; that’s their very inherent nature. They can only indicate a
    POSSIBLE relationship and it’s correlation (strength). That means these
    studies prove nothing conclusive and may actually signal false positives.
    Think of all the contradictory evidence! Without experiments (which are
    the only way to prove cause and effect), we would never know for sure. Why
    do you think all these nutrition studies use the words “may,” “suggest,”
    “recommend,” possible link,” “could,” or “might?” It’s because studies are
    potentially worthless.

    • Joseph Q. Pham en 13 noviembre, 2014 a las 12:35 am
    • Responder

    I’m a bit confused. Isn’t insulin resistance an obvious threat to a
    person’s well being. And that it can cause many other problems, including
    being a component or initiator of the cascade that leads to weight gain,
    poor health, and other issues. In disadvantaged populations you see quite a
    bit of this. Many people work their butt off but are still obese simply
    because the mechanics in their system function poorly.

    • zPOINTz en 14 noviembre, 2014 a las 12:00 am
    • Responder

    I have an Aunt that is in her 60s, eats a terrible diet, weighs over 500
    pounds, is bedridden and doesn’t have Type 2 Diabetes. Whatever causes
    Type 2 Diabetes it is not as simple as diet and weight. There is some
    other variable in play. 

    • David Foster en 15 noviembre, 2014 a las 11:48 am
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    That may well have been the best speech I’ve ever heard!

    • Laura Sims en 15 noviembre, 2014 a las 1:54 pm
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    @2:54″…Yet, when it came to a disease like DIABETES, that kills Americans
    eight times more frequently than MELANOMA, I never once questioned the
    conventional wisdom….I actually just assumed the pathologic sequence of
    events was settled science.” This is EXACTLY WHAT’S WRONG WITH DOCTORS!
    In April 2013 my 12 year old son almost died when his cardiologist
    prescribed him a BETA BLOCKER (as in blocking the beta cell from sending
    out the signal, or ‘KEY’ to open the door and let in the sugar from the
    blood stream). Immediately after taking his first dose he looked wrong,
    but I am his mom-so I wasn’t surprised when no one listened the first week
    or two; but by his 1st “AUTOMATIC” refill (no doctor follow up required) my
    son was noticeably ill, and half way through his 2nd auto-refill he was in
    DKA and for the next three weeks I told doctors I thought he was dying, but
    they just said “he’s fine, mom”. My son lingered in DKA for weeks while I
    BEGGED DOCTORS to consider the possibilities of an allergic reaction to the
    beta blocker, but all the doctors did was focused in on his heart problem
    (SVT) running EKG’s and X-rays, (but NO blood work). My son spent 16 days
    in Children’s Hospital Madera and UCSF while every doctor that saw him
    REFUSED TO TAKE HIM OFF THE BETA BLOCKER; my son was actually discharged
    during a fainting spell. Doctor, can you please tell me how is it that a
    “mom” (with no medical training at all) can instinctively know a beta
    blocker is so deadly, yet hundreds of thousands of highly trained medical
    professionals in the United States cannot deduce that a BLOCKED beta cell
    MIGHT functions as well as a beta cell that isn’t functioning at all? Just
    how deep does your medical programming run?

    • Donna Willis en 22 noviembre, 2014 a las 10:10 am
    • Responder

    TEDMED Talk: So profound on many levels about the core values of healing
    and the art and science of being a physician. The summary thought by Dr.
    Peter Attia is as essential as an inquiring mind.

    As a young surgeon, Peter Attia felt contempt for a patient with diabetes.
    She was overweight, he thought, and thus responsible for the fact that she
    needed a foot amputation. But years later, Attia received an unpleasant
    medical surprise that led him to wonder: is our understanding of diabetes
    right? Could the precursors to diabetes cause obesity, and not the other
    way around? A look at how assumptions may be leading us to wage the wrong
    medical war.

    #physicians #corevalues #healing #artofmedicine #biomedicine #science
    #lifescience #insulinresistance #diabetes #wholefoods #nutrition #newstart
    #healthreform #healthministry #dlwillis11

    • NICK COIN en 28 noviembre, 2014 a las 7:23 pm
    • Responder

    Peter Attia what a nice person you are. Be strong , world need people
    like you

    • Jess Henry en 4 diciembre, 2014 a las 1:32 am
    • Responder

    I believe that insulin resistance is caused by obesity. I was doing some
    research and came across a very interesting article about how and obese
    person has a large accumulation of visceral adipose tissue which causes an
    impairment in insulin signaling. the article explains the mechanisms
    between tissue, insulin, etc. @nutritionunibe
    #obesitycrisis #nutrition
    Jesenia H.

    • Drew Ramsey en 16 diciembre, 2014 a las 2:57 pm
    • Responder

    Peter is one of the smartest most interesting minds working in Medicine. We
    are wrong and arrogant more than we care to admit. I look forward to
    results from Nusi. If you want to learn more about nutrition check out
    pater’s blog the War on Insulin

    • Mat N en 17 diciembre, 2014 a las 8:43 pm
    • Responder

    For me, this talk presented a medical perspective to understanding that
    individuals are largely not responsible for their life outcomes (Eg. Obese
    individuals with Type 2 diabetes) and why we shouldn’t pass swift judgement
    about anyone based on a narrow perspective of their identity. We should
    always aim to rationalise causes and effects more broadly considering
    social, environmental and genetic influences.

    • Sara Ali en 20 diciembre, 2014 a las 5:21 am
    • Responder

    Plant Based Diet is the answer. Is not that hard, to see how heathy vegans
    are. Read the China Study, it will give you all the answers. 

    • Jeffrey Slott en 21 diciembre, 2014 a las 11:27 am
    • Responder

    When I first spotted the title of this clip, I was anxious to view it as
    soon as possible. Then after clicking on it, I found out that the main
    thrust of the talk concerns type-2 diabetes. I am a type-1 diabetic (have
    been so for over 47 years). So, while interesting, this clip simply did not
    have the personal relevancy that I initially expected. I still watched and
    admired the video, but I wish that the medical profession would finally
    come around and seriously consider the need for re-naming. Type-1 diabetes
    and type-2 diabetes seem to be different-enough diseases to warrant this
    change. I personally don’t care which condition retains the word
    “diabetes”; you can call what I have “Great Caesar’s Ghost Syndrome”, and
    keep the word “diabetes” for all the type-2ers. But please, let’s do
    something about this mish-mash.

    • Ken Fehling en 3 enero, 2015 a las 3:14 pm
    • Responder

    Interesting. Similar conclusions to the movie Fat Head.

    • Tina Derby en 10 enero, 2015 a las 9:14 pm
    • Responder

    Peter Attia is awesome.

    • Mimi Herrmann en 23 enero, 2015 a las 9:26 am
    • Responder

    This is what science is all about.

    • workwithksmusselman en 17 febrero, 2015 a las 12:12 am
    • Responder

    From an overweight woman with insulin resistance, taking Metformin, and
    unable to lose weight – THANK YOU!!!!!!!!!!!!!!!!!!

    • Sunil Ashra en 17 febrero, 2015 a las 6:23 am
    • Responder

    New Perspective on Diabeties

    • KetoBabe en 18 febrero, 2015 a las 4:25 pm
    • Responder

    With youth comes passion. With age comes wisdom. It looks like Dr.Peter
    Attia has now put the two together.

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