I'm a T1 diabetic and follow a low-carb, protein-focused diet. My A1c is 4.4%. My average blood sugar on my CGM is 80mg/dL with a very low 20mg/dL standard deviation (this means nice and stable numbers). I use an Omnipod Dash with the "Loop" app for my basal insulin and take separate injections of R-Insulin for the protein in my meals. No blood sugar roller coaster rides that are all too common in the T1 world. For me, just healthy, safe, flat, and stable blood sugars 24/7.

RT @DikemanDave: @Knomdivad With the exception of @ryanattar and Bernstein, who both know everything there is to know about T1D management,…

@DikemanDave @BevTchangMD Years ago my endo’s reply to me was, “not true, protein is a freebie”

RT @ryanattar: Even back in December you were making crazy T1 claims. You deleted & reposted after Dr Dikeman & the T1 community corrected…

Even back in December you were making crazy T1 claims. You deleted & reposted after Dr Dikeman & the T1 community corrected you, @anthony_chaffee. We aren’t your enemy. We’re glad you are introducing T1s to a low carb diet, but you know the original title was clickbait & a lie.

@RahnMorris @anthony_chaffee @JonMortensenV8Z @DikemanDave @JayNeckhammer @max_ev_84 Yes, he wrote about @DikemanDave in the book, but Dikeman consulted on the entire book, and reviewed early drafts

@IntuitiveSpider @anthony_chaffee Great. I just need a time machine and go back 45 years to stop baby me’s vaccinations.

@IntuitiveSpider @anthony_chaffee Should be the other way around. Why isn’t Chaffee inquiring the experienced low carb / carnivore T1 world? He thinks he’s discovered something ground breaking, but we’ve been doing this for a long time.

@IntuitiveSpider @anthony_chaffee Reverse course with what? My diet? Salt intake? Why are you spamming me? I’m doing all this. I’ve been low carb / carnivore for almost 2 decades. I see why Dikeman blocked you now.

@IntuitiveSpider @anthony_chaffee If you say so! Sounds like you think you have T1DM solved. I think you are confusing the management of T1 and T2 diabetes. If you think dealing with exogenous insulin is easy, you should start working with T1 clients and show them the light and how easy it is!

Ok. Plenty of these same T1s supplementing with salt and electrolytes throughout the day, and we still have to manage our basal insulin. Fine to bring up these ideas you have, and many have a factor in blood glucose management. But managing T1 is more complex than you're making it out to be. I don't think you've ever personally worked with any T1s, and I can understand why you wouldn't see this.

@IntuitiveSpider @anthony_chaffee We have a huge community of low carb and carnivore T1s many (including myself) eat OMAD. We still have to deal with dawn phenomenon. We manage our basal insulin properly and then we don't see any spike.

You’re right that these factors influence blood sugar variability and contribute to dawn phenomenon, but managing T1D is far more complex than just diet or fasting. Since you’re not a T1 yourself, you may not fully appreciate that morning cortisol elevations are physiological... everyone experiences them, even the most stress-free, devout yogi types. For T1s, the key is matching basal insulin to these natural rhythms. Stress management helps, but OMAD or any diet alone won’t remove the need for precise basal adjustments.

@IntuitiveSpider @anthony_chaffee It sure can for some folks. Others no. Even during fasts might experience a dawn phenomenon spike. Dialing in basal insulin is crucial.

Video from a decade ago with Dr. Bernstein and @DikemanDave chatting about extending the honeymoon phase and preserving beta cells in T1 diabetes with a low carb diet Bernstein further discusses how he’s maintained this honeymoon for 30 years in some patients.

This is great! Glad you are acknowledging the honeymoon part of this. Normalizing blood sugars quickly after diagnosis is so important to stop progression and preserve remaining beta cells. Chaffee doesn’t seem to want to acknowledge the honeymoon party of this. This is something that Bernstein has documented for decades and we’ve all been tracking in the low carb world.

I agree. And great to hear you've had so much success! My point is that a 150 year old anecdote in no way proves T1s can go without insulin "indefinitely" following a carnivore diet. Also I was replying because Chaffee seems to have a bone to pick with Dikeman, who was literally a consultant on Taubes' book and works more closely with Dr. Bernstein than anyone in the diabetes world.

RT @ryanattar: @anthony_chaffee @JonMortensenV8Z @DikemanDave @JayNeckhammer @max_ev_84 If that’s the conclusion you got from the Taubes bo…

@anthony_chaffee @JonMortensenV8Z @DikemanDave @JayNeckhammer @max_ev_84 If that’s the conclusion you got from the Taubes book about T1, I think you need to reread it. There is literally a chapter about your favorite “blogger”, @DikemanDave in that book! He was a consultant on the book too.