Low carb for doctors with Dr. David Unwin

Part 1


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Hereโ€™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


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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  โ€œYouโ€™ve got type 2 diabetesโ€
  1:30  The golden opportunity โ€“ offering an alternative

Transcript

Full low carb for doctors guide

Part 3


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What other problems can a low-carb approach help with? Can knee and hip pain, breathing, skin problems, 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


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Is there any evidence for the low-carb 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


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    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  โ€œYes, this is something I want to discussโ€

    Transcript

    Part 6


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    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  โ€œIs there much sugar in your diet?โ€
      1:26  โ€œOh, I have two bananas for breakfast.โ€
      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


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    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 higher 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 higher 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


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    Explaining the benefits of eating a low-carb diet 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

    Interview with David and Jen Unwin

    Part 9


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    In the ninth part of our low carb 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


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    In the tenth part of our low carb 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 patientsโ€™ hopes
      1:34  Explain what the patient should expect
      3:19  A special word about Amlodipine
      3:47  Summary
      4:25  Dr. Unwinโ€™s own experience

    Transcript

    Part 11


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    In the eleventh part of our low carb 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


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    In the twelfth part of our low carb 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


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    Dr. Unwin discusses cholesterol on a low-carb diet. This includes common improvements and the rare case when patientsโ€™ cholesterol increases significantly.

    Table of contents

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

    Transcript

    Part 14


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    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


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    What can you do if patients donโ€™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 patientsโ€™ goals
      2:44  Intermittent fasting
      4:16  Activity and exercise
      4:37  Revisiting the diet

    Transcript

    Full low carb for doctors guide

    Part 16


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    We have now reached the final part of our low carb for doctors series, where Dr. Unwin discusses the key takeaways from the course

    Table of contents

      0:06  Working with patients

    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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