A disease of carbohydrate intolerance, but you pile in not only pile in carbohydrate,

but you mix fat and carbohydrate together, which is even more straining on the system.

Right.

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We're here in University of Houston, Clear Lake, and I've caught up with Jake Kushner. Dr. Jake Kushner. Great to see you again.

Nice to see you, Ivor. Excellent. And we were going to talk a little bit about why we eat the macronutrient ratios that we do eat and things around that whole scenario.

Yeah, so I've been obsessed on this question because if you go to a nutritionist and you ask them,

hey, I have diabetes, what should I eat?

They'll often give you these very precise macronutrient ratios and they'll say,

ah, so this comes from this thing that I learned back when I was in a nutritionist school and they'll say

there's a document it's called the Institute of Medicine it's the acceptable

macronutrient distribution ratio and they define the macronutrients quite precisely

and so the nutritionists around the world will tell you that the carbohydrates should

be between 45 and 65 percent and the protein and the fat are

roughly equal of the rest and I heard this over and over again as a physician as a

pediatric and a chronologist when we were working with children who were newly

diagnosed with diabetes.

And families often said to me they were surprised at how many carbohydrates they were being told to eat.

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