Low carb for doctors with Dr. David Unwin

Part 1

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Here’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 “You’ve got type 2 diabetes”

1:30 The golden opportunity – 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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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 “Yes, this is something I want to discuss”

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 “Is there much sugar in your diet?”

1:26 “Oh, I have two bananas for breakfast.”

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 patients’ hopes

1:34 Explain what the patient should expect

3:19 A special word about Amlodipine

3:47 Summary

4:25 Dr. Unwin’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 patients’ cholesterol increases significantly. Table of contents

0:06 Cholesterol is sofisticated

2:45 Hyper-responders – 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 don’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 patients’ goals

2:44 Intermittent fasting

4:16 Activity and exercise

4:37 Revisiting the diet Transcript Full low carb for doctors guide

Part 16