Despite what conventional medicine has told us, type 1 diabetes is not a sentence for a heavy reliance on insulin. For many people, a diet that carefully monitors carb intake can dramatically reduce blood sugar swings and reduce the amount of insulin needed.  Keto (or the ketogenic diet) has gotten a lot of buzz lately, and this fat-heavy very low-carb approach to eating is showing some promise for diabetics and many other metabolic diseases as well. With that being said, there is no perfect diet for everyone, and each person needs to find what works best for them. One of my guests on this week’s Doctor’s Farmacy podcast, Dr. Carrie Diulus, has found vegan keto is the best approach for managing her type 1 diabetes and maintaining a healthy weight. We’re also joined by Dr. Ethan Weiss, who’s been steadily in ketosis for about 2 years using a plant-heavy, mostly pescatarian keto approach. This episode is brought to you by Thrive Market and SomniFix.  Thrive Market has made it so easy for me to stay healthy, even with my intense travel schedule. Not only does Thrive offer 25 to 50% off all of my favorite brands, but they also give back. For every membership purchased, they give a membership to a family in need, and they make it easy to find the right membership for you and your family. You can choose from 1-month, 3-month, or 12-month plans. And right now, Thrive is offering all Doctor's Farmacy listeners a great deal, you’ll get up to $20 in shopping credit when you sign up, to spend on all your own favorite natural food, body, and household items. And any time you spend more than $49 you’ll get free carbon-neutral shipping. All you have to do is head over to thrivemarket.com/Hyman. Most of us aren’t getting our best rest. But there is actually a proven solution I’ve found for getting high-quality rest, simply by helping you breathe through your nose instead of your mouth. They’re called SomniFix Strips. Breathing through your nose has so many benefits—it protects against mouth dryness and nasal congestion, boosts oxygen saturation for enhanced focus, and helps naturally produce nitric oxide that kills bacteria and supports immunity. SomniFix is now offering all Doctor’s Farmacy listeners 20% off of your order. Just go to somnifix.com, and use the code HYMAN20 at checkout. Here are more of the details from our interview: -How Dr. Diulu became vegan keto (9:13) -The evolution in thinking about heart disease and heart-healthy diets (22:26) -The idea of “the best diet” (26:36) -Saturated vs unsaturated fats and the ketogenic diet (32:38) -Why fiber is a significant factor and calories still matter with the ketogenic diet (43:58) -Do you need to go in and out of ketosis and can you achieve longevity through diet? (50:55) -Sarcopenia of aging and eating for mobility as you age (1:00:53) -The benefits of testing blood insulin levels (1:12:37) -What you need to know if you want to try keto (1:20:15) -What a typical day of eating looks like for Dr. Diulu and Dr. Weiss (1:31:03) -Learn more about Keyto, which aims to make the ketogenic diet more accessible through a breath meter device and phone app at www.getketyo.com