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Low Carb MD Podcast

Rethinking Type 1 Diabetes Management | Dr. Ian Lake - E444

Low Carb MD Podcast

Drs. Brian Lenzkes & Tro Kalayjian

Medicine, Mental Health, Health & Fitness

4.81.2K Ratings

🗓️ 25 May 2026

⏱️ 54 minutes

🧾️ Download transcript

Summary

Dr. Ian Lake has worked as a doctor in the NHS for nearly four decades, most of this time as a general practitioner. After being diagnosed with LADA Type 1 Diabetes at age 36 and managing it conventionally for 20 years, he adopted the low carb diet and has been following it for the past 10 years. He is a founding member of the Public Health Collaboration in the U.K. and has conducted several important research projects investigating the connection between low carb diets and human health. He has also worked with Dr. Tro and others to produce the Type 1 Consensus Statement.

In this episode, Drs. Tro and Ian talk about…

  • (00:00) Intro

  • (03:30) The mental and physical health challenges faced by Type 1 Diabetics and how these challenges have traditionally been dealt with

  • (13:44) Ketoacidosis, what insulin does, and modern methods/dietary reccomendations for controlling Type 1 Diabetes

  • (25:45) How Dr. Lake's colleagues have responded to his ideas regarding Type 1 and ketogenic diets

  • (38:00) Dr. Lake's new book, Shifting Gears, on the need to move from a glucose-centric view of Type 1 to a holistic, healthy human being perspective

  • (50:23) Outro

For more information, please see the links below. Thank you for listening!

Links:

Please consider supporting us on Patreon: https://www.lowcarbmd.com/

Resources Mentioned in this Episode:

Dr. Ian Lake:

Dr. Brian Lenzkes: 

Dr. Tro Kalayjian: 

Toward Health App

Join a growing community of individuals who are improving their metabolic health; together. 

Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more. 

Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888 

Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US

Learn more: https://toward.health/community/

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Low Carb MD Podcast. No one is beyond help. No one is beyond hope.

0:07.2

Nothing said on the Low Carb MD podcast is medical advice. Please consult your own doctor before making any lifestyle changes.

0:23.5

Welcome to the Lowcarb MD podcast.

0:27.2

Dr. Brian Lenskis is not here with me today.

0:29.0

My co-host, I'm Tro Collesian.

0:32.0

The Twitter warrior.

0:36.4

I'm so happy to be here today.

0:39.7

Actually, we have a return guest, somebody who I've had a chance to work with on a very important project two years ago, and he's done such amazing

0:46.8

work and has continued to do amazing work. We have back on the podcast, Dr. Ian Lake, please go back to the old episode, listen to it.

0:58.5

We talk about the consensus statement. We work together on for type 1 diabetes, and there's

1:04.1

been so much in the field since then. He's a physician, he's an endurance athlete, and really one of

1:10.7

the leading voices, I'd say,

1:13.0

in the space of type 1 and type 1 advocacy as it relates to low carb and metabolic and

1:18.1

ketogenic diets, he's lived with type 1 diabetes himself and has experimented with various

1:25.9

approaches.

1:28.2

And I think from the last interview, you'll all, you may remember,

1:32.4

he's found incredible stability with a low carbohydrate approach.

1:37.8

A couple of fun facts.

1:40.2

One of the craziest, Rod, he's a, he's a, it's just as much as a maverick as I think I am.

1:46.6

If you guys remember 0-5-100, that was him.

1:51.4

That was a group of docs fasting and running 100 miles, doc scientists and all the above.

2:00.6

And now, you know, he just did a 1,000-mile

...

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