Do not miss the opportunity to hear Gurpreet Padda MD explain just how bad the percentages of healthy versus non-healthy have become. An urban doctor who is trying to make a difference in several ways, Gurpreet’s thoughts and experience will certainly make you think twice about what you consume on a daily basis. The information that he provides is profound and we all need to realize how interconnected the pain epidemic, opioid epidemic, and the diabetes epidemic just are. Don’t miss the Revealing Healing of Gurpreet Padda!
Today we are joined by Dr. Gurpreet Padda, a man of great learning and with a great interest in metabolic health and nutrition. He became interested in metabolic health when he noticed that, working in adult pain at the time, 91% of his patients were overweight. Through observation and experimentation, he noticed that metabolic inflammation was at the epicenter of pain, addiction, and obesity. Ever since that realization, he has continued to work toward sharing his findings and increasing his understanding of the issue. His work led him ultimately to understand that social isolation is an extremely significant factor in addiction/overeating. We also discuss in detail the metabolic impact of various foods, the importance of insulin as a marker for the disease, and the importance of achieving satiety in the process of recovering from food addiction.
With the topical news of the coronavirus disease (COVID-19) taking the world by storm, I thought I’d pick the brain of Dr. Gurpreet Padda and ask how this affects the ‘at risk’ patients he treats and how we can return the power of health to back the individual.
Dr. Gurpreet Padda believes the health of the individual is the fundamental unit of the health of the community. He exposes misaligned incentives and returns the power of health to the individual. We believe empowered individuals change their communities. It is his mission to bring real hope and transformational change to patients who would otherwise be consigned to a lifetime of medications, doctor’s visits, and suffering. He uses a combination of lifestyle intervention, medication management, and emerging scientific research to help patients. Humans are complex adaptive systems, and systematic failure is rarely a single cause phenomenon. Our historical disease models of single cause pathology are inadequate for this new synthesized Universe. Check out his websites: http://www.reversediabetes.md & http://www.painmd.tv
If you have high insulin levels, blood sugar, Type 2 Diabetes, sugar addiction, or insulin resistance, this is the podcast episode for you! Dr. Padda joins Kristy Jo to discuss how you can beat the weight gain, addictions to sugar, and Type 2 Diabetes to regain a life of health, confidence, and control.
In this episode, you will learn:
1) which dietary approach(es) work best for weight loss.
2) how the body’s glycogen stores play a major role in fat storage with glucose uptake in the cells.
3) the gut’s role in fat storage and what inefficiency vs. efficiency means
4) how to eat sugar and NOT gain weight
5) how to exit ketosis efficiently without regaining weight
6) Dr. Padda’s top tips on reducing insulin (C-peptides) in your body and beginning to reverse Type 2 Diabetes
Dr. Padda treats clinically patients at the intersection of the pain epidemic, opioid epidemic, and the diabetes epidemic. They are all inter-related pathologies, the clinical manifestations of systemic meta-inflammation.
Dr. Padda’s Type 2 Diabetes Website: https://reversingdiabetesmd.com/type-…
Download Dr. Padda’s FREE GUIDE: https://reversingdiabetesmd.com/pdf
Pain is the final pathway, the body screaming that something has gone terribly wrong. Dr. Gurpreet Padda and his team treat at the intersection of the pain epidemic, opioid epidemic, and the diabetes epidemic.
Tune in for an informative conversation between Maggie Kelly and Dr. Gurpreet Padda as he discusses these interrelated pathologies and the clinical manifestations of systemic meta inflammation.
We are living in a diabetes pandemic.
But diabetes isn’t just about blood sugar, it’s systemic inflammation, incessant cravings-driven eating.
And it’s impacting our nation in ways most are completely unaware of.
From our children’s exposure to the U.S. dietary regulations in our public schools and the rise in ADD (Attention Deficit Disorder) to behavioral issues in the prison system where most inmates emerge severely diabetic.
We are generating a massive problem of staggering social dysfunction most clearly evident in our nation’s urban areas. As a nation, we are failing.
And our Forget To Eat™ Podcast guest, Dr. Gurpreet Padda is right in the middle of it. Based in St. Louis, MO, Dr. Padda and his Padda Institute are highly regarded as one of the best pain centers in St. Louis.
Watch: Rats, Food, Prisons… Reversing The Diabetes Pandemic
Interview Transcription: Rats, Food, Prisons… Reversing The Diabetes Pandemic
B. McDermott: Welcome listeners. This is Barbara McDermott with SHIFT Formula and it’s my great privilege to share with you today our guest, Dr. Gurpreet Padda, an interventional pain physician.
Dr. Padda, what makes you so interested in the metabolic field when your focus is on pain intervention?
Dr. G. Padda: I practice in the urban core, in St Louis city. What I found in the patients that I was practicing on, I could treat their pain directly, I could get to them and I could treat the one particular joint that was bad or the disc, but they would have a recurrence.
And they would keep recycling over and over and over again.
And so I tried to figure out why it is that they came to me in the first place, which was usually they had a traumatic event.
But why was it that their pain was maintained and then why was it that they would recycle? Why was it that they were coming back?
And so the initial thing is, you look at the patient and think, “Well, goodness, they’re really overweight”.
Because that’s what you see.
And then when you start measuring the metrics and you start looking at everything associated with them. You start spreading out from just the simple tests and you look at things like hemoglobin A1C, you look at insulin levels, you look at GGT for liver function, you look at homocysteine levels and transference, and you start getting a bigger picture of what’s going on.
You realize that the patients are severely metabolically inflamed.
The Metabolic Inflammation Un-Cover
Dr. G. Padda: I also have a background in addiction and that combination with my background in pain and this discovery, not discovery, but un-cover for me of metabolic inflammation basically brought me to a common nexus.
You know, here I am dealing with severely obese patients, patients with severe addictions and patients with severe chronic inflammation and pain.
They’re the same patients. It’s the same common nexus.
And so, that’s how I ended up in this field. I’m dealing with patients that are extremely sick, or they’ve become disabled because they can’t function.
The Cause of Metabolic Inflammation
And what’s causing that metabolic inflammation, it’s our food supply.
We have an epidemic of obesity. We have an epidemic of addiction. We have an epidemic of chronic inflammatory conditions.
It’s all interrelated and pain is the common final pathway. It’s the scream that the body has, something is wrong. And that’s how they end up at me.
B. McDermott: The individuals in our SHIFT Community become much more powerfully aware of glucose-heavy foods.
It’s the carbohydrate category, and certainly the processed versions, that are our highest glucose heavy foods.
So, many in our community, just by down-shifting the amount of glucose, I call it going from glucose stacking to glucose tracking, they reduce glucose overburden and naturally their insulin levels follow.
And insulin levels start to drop as well. And the relief from pain comes very quickly when we understand the pathway. It’s really powerful.
Now, you mentioned obesity earlier. Is it an epidemic or is it pandemic?
Talk a little bit about that.
The Diabetes Pandemic
Dr.G. Padda: I use the word epidemic because that’s the one that everybody understands.
And I look at it this way. If I told you that there was a disease coming and it was going to affect 75% of the world’s population and 90% of the people that got this disease, we’re going to end up becoming pre-diabetic or diabetic and 30% of those, were going to end up with the end-stage renal disease.
And just in the U. S. this disease was going to cost us $1.3 trillion a year.
You’d be worried, right?
Well, this disease is here. It is called pre-diabetes, diabetes, and obesity.
This disease is right in front of us. One out of every five children has this.
So that’s why I call it an epidemic.
But it’s more than that. It’s a pandemic.
The Animals That Are Eating Our Foods Are Getting The Same Diseases
Dr. G. Padda: You know that it’s usually an environmental cause and we call it a pandemic because the animals that eat the same food that we eat get the same diseases.
The monkeys get the same disease, the dogs get the same disease.
The cats get the same disease, the rats get the same disease.
Anything that eats the food that we eat gets this.
There was a beautiful study that was just done recently and it was done in New York City. And what they did was they looked at obese rats because we’ve never had obese rats until recently. But now we’ve got these lumbering giant rats that have severe diabetes who are cognitively impaired because they’ve gotten diabetes and insulin resistance in their brain.
So they are wandering around the cities in New York.
Normally rats are terrified of daylight and they scurry along the edges of things. Once you make a rat cognitively impaired, it just wanders in the middle of the street because it has lost its fear.
The rat is cognitively impaired.
This is very similar to what we have with Alzheimer’s and cognitive impairment as we have type three diabetes of the brain in humans.
So this is the pandemic that we face and that pandemic’s, the central crux is our food supply.
I Love How SHIFT Addresses The Heart Of The Insulin Resistance Problem
You know, I love what you teach. Your concept of SHIFT.
And the reason why I love it is that it goes to the heart of the problem. The heart of the problem is insulin resistance.
And what happens when you shift your food supply, when you shift and change how you’re eating is that you have more hours that you’re not eating than you are eating.
And what that’s doing is it’s shifting the amount of stored glycogen that’s in your liver.
How We Become Insulin Resistant
Your liver has a glycogen carrying capacity of 500 grams. Your bloodstream has a glucose carrying capacity of about five to 10, maybe 15 grams, but not more than that.
And if you’re eating 22 teaspoons of sugar a day, it only takes you one teaspoon to overwhelm your blood capacity.
The other 21 teaspoons go to your liver.
And if you never depleted the glycogen reserve in your liver in the first place, it overflows. You become insulin resistant.
You accumulate fat and you become pre-diabetic and then eventually diabetic.
So we need to have periods of time greater that we don’t eat. So we can deplete our glycogen reserves in our liver so that we can function.
And that’s one of the biggest problems that I find. We have constant foraging of sugar and we never deplete the glycogen reserve that we have in our liver. And so we’re always at that full status. a
You have to deplete that glycogen reserve.
The Cravings Challenge
B. McDermott: And I guess the challenge we have for depleting our liver’s glycogen supply is the cravings.
Cravings are what many can’t rise above. You know the chemistry driven desire to continue eating is virtually impossible to overcome. It’s so powerful. Talk about addiction, right?
Can you expand on why food and in particular glucose and fructose-rich food addiction is a real and valid challenge for individuals?
How Food Addiction Happens
Dr. G.Padda: Yeah. So I think there are a couple of elements of addiction that we should discuss.
Our food supply is tainted.
And it’s tainted in such a way that our large food manufacturers are manipulating the amount of fructose.
High fructose corn syrup is supposed to be 55% fructose, 45% glucose. That’s what high fructose corn syrup is.
But the food industry is manipulating the food supply so that it’s 60% fructose instead of 55% fructose.
You’re probably wondering why they’re spending the extra money to increase the amount of fructose. Because normally these companies want to save money.
So why are they doing this?
Fructose Activates More Dopamine
Because glucose does not activate as much dopamine release as does fructose.
LEARN MORE ABOUT THE WEIGHT LOSS SABOTEUR – DOPAMINE
Fructose kicks in the nucleus accumbens and dumps a bunch of dopamine.
So you end up with a tremendous surge of dopamine that makes you want to eat again and eat again and eat again.
So that’s issue one. Our food supply is tainted in such a way that the processed foods are hyper-addictive and that’s going to be a significant challenge.
How Loneliness And Lack Of Community Work Against Us
The second factor is that we have an epidemic of loneliness.
So researchers did an interesting rat study. We do rat studies all the time… and we just happen to be the rats in some cases.
But in this particular rat study, they put the rats in a cage and offered them water, or cocaine plus water.
Well, each rat was alone. They found the water and drank that. It was okay.
But, when they found the cocaine-water they couldn’t stop drinking it.
They drank it to the point where they were unconscious.
They didn’t eat food. And eventually they died.
And so the natural conclusion from that was if you give an addictive substance to a rat, it’s going to consume that addictive substance to the point where it dies.
And so that was the initial conclusion.
Keep in mind, those rats could also be considered humans.
You give an addictive substance to a human, they’re going to eat it to the point where they die.
And on that basis, when we had people coming back from Vietnam, we knew that about 60% to 70% of them had been using heroin or some form of amphetamine or some form of opiate that was highly addicted.
We assumed that when these people came back from Vietnam, we would have zombies on the streets.
But that’s not what happened. Only 5% came back having an addiction.
What happened to the rest? Why weren’t they addicted?
Because in Vietnam they were addicted, but in the U.S. they weren’t addicted.
So they repeated the rat study. They gave the rats water or they gave the rats cocaine plus water.
But this time what they did was they put them in an enhanced environment. They were given the opportunity to play with other rats, to have sex with other rats, to have a maze and run around.
Low and behold, none of those rats died because they weren’t lonely.
They weren’t isolated.
They had other rats to play with.
The Power Of Community In Weight Loss Management
And so when I deal with weight loss management, my main thing is to generate a community for my people.
Whether that’s me interacting with their church groups and interacting in a way that allows them to communicate with each other and to co-share, we have to eliminate loneliness to treat addiction.
That’s how my addiction side becomes more and more relevant for me, it’s that we have to realize that a big part of addiction is loneliness. It’s not just the substance and it’s not just your genetics, it’s your interaction with society.
And we would think that we have all this cool tech that we have Facebook and we have Twitter, but that’s actually creating more loneliness because there’s not a true human interaction.
B. McDermott: Absolutely. You know that chemistry of ‘love’, right? How emotionally we experience the same neurotransmitters or feelings whether triggered by gossip, a chocolate chip cookie, or love.
There are emotional similarities between the three. Gossip meaning a good thing, being socially connected, in community, you know, it’s really powerful when you can whittle it all down.
What an excellent study to help us see it all so much more clearly.
You and I spoke a bit before this podcast about your work with the prison system. Do you want to segue into that?
How The 1980 Dietary Guidelines Change Paved The Way To Insulin Resistance, Obesity & Diabetes
Dr. G. Padda: Yeah. So I grew up, I actually grew up in India.
I moved to the U.S. when I was probably about eight or nine and I became integrated into the U.S. school system. So I was here in the early mid-seventies.
The dietary guidelines kicked in and were being discussed in 1977 and they were implemented in 1980.
The dietary guidelines from the U.S. specifically stipulated that we should eliminate saturated healthy fats and replace them with vegetable oil. And as we did that, they also recommended that artificial sweeteners were a good thing and that we should start using those.
And when we started to demonize fat, especially the good fat and replaced those fats with vegetable oil, we also started to increase the number of carbohydrates.
So it’s interesting, you know, here I was a little kid and I’m in India, we’re thin as a rail because we don’t have enough food and we use regular saturated fat.
And yet as I saw immigrants that were here in the U.S., and I was in the St. Louis City public school system, as we saw this transition. People started to get fatter.
And we really see the takeoff of obesity from 1977 to 1980 and there’s a direct vertical climb from there up and you can see it on every obesity epidemic chart that you can find.
The Obesity Connection To Jails & Schools
So we see this epidemic of obesity.
Why is this relevant to criminals? Why is this relevant to jails? Why is this relevant to schools? J
ails and schools are an amazing ‘rat cage’ because the dietary guidelines control the food that those kids get.
And a lot of times in the urban core, that may be the only meal of the day that the kid gets.
So the kids getting a specific meal formulated by U.S. dietary guidelines, that meal’s dietary guideline stipulates how much carbohydrate and how much vegetable oil they get.
What we found was that the rates of ADD (Attention Deficit Disorder), started to climb and by the mid-eighties, we had a serious issue.
ADD rates were going up and in school, behavior issues for kids were going up and their exposure to criminality was going up and they were getting kicked out of school.
These kids were ending up in prison systems.
And the food is even more controlled in the prison system.
So now we have a prison system that’s feeding these kids turned criminals the very same diet that contributed to their incarceration in the first place.
And what happens is that these people end up becoming disenfranchised because when they get out, they can’t vote anymore and their specific community suffers because they lose the population that votes.
It suffers because they’ve lost the economic force that would have been productive. And we sideline these people and we disable them and then we have to pay for them.
So, as a society, what we’re doing is we’re creating our own mess.
We’re incarcerating people because of the food that we give them because it increases their likelihood of ADD and oppositional disorders.
And at the end of it, we end up basically criminalizing everything for them and they can never function.
So we end up caught. It ends up costing us as a society because of the food that we subsidize, that we pay for, to give to these people which becomes our large, large volume ‘rat study’.
So that’s how I got involved.
I’ve been working with groups like Exoneration Nation, which is people who have been released from prison and almost all of them come out with severe metabolic dysfunction.
Almost all of them are exposed to vegetable oil, high amounts of grain and high amounts of sugar.
And they’re all coming out of prison pre-diabetic or diabetic, or insulin resistant. And when you have that confluence, you increase the risk of solid tumors, you increase the risk of cancers, Alzheimer’s disease, and all of those other expenses, and it’s going to create a tragedy for us.
So I’ve been trying to work at the school system level and at the prison level to change those controlled environments to help people.
B. McDermott: Oh. On a very personal level, I can share this.
We have a dear friend who was incarcerated, just for a few years. This man came out of prison so severely diabetic he could barely walk.
Since SHIFTing, he’s reversed that.
And as a past school teacher, I can’t tell you how many times I have seen children disciplined for a behavioral outburst after the parents and the faculty gave the children ridiculous amounts of sugar in the form of some kind of reward system.
We reward our children with the very kinds of foods that are going to promote their inability to control their behavior and cause emotional outbursts.
What’s Really Inside ‘Nutrition’ Bars?
Dr. G. Padda: Yeah. If you’ve ever been to a nutrition conference, which I’ve been to, the biggest sponsors of nutrition at these nutrition conferences are typically the big food companies.
These big food companies are basically selling quote ‘healthy bars’ and they’re basically Snickers bars.
And I don’t want to belittle Snickers. I’m not trying to, but, they’re basically candy bars.
They have some protein in them, but they’re basically processed high-glycemic index, processed sugar.
And even when it’s quote fiber, it still has a ton of other compounds in it. Some of the whitening agents cause tremendous leaky gut like titanium dioxide, which is basically what causes something to be white.
So, when we process these foods and we get farther and farther away from how they were really intended, that processing destroys our metabolism.
It destroys our gut bacteria. It changes the absorption of short-chain fatty acids. And it changes the absorption of carbohydrates.
The Calorie Paradox & The Cereal Breakfast
So, it leads to what the calorie paradox is.
You know, a calorie of this is not equal to a calorie of that. It depends on what happens with that calorie and the information contained within it.
B. McDermott: Yeah, it’s so complicated. And yet when someone like you puts it out there in such simple terms it’s so much easier to understand.
But the application of food rules can be so tricky because my gosh, we’re inundated with so much misinformation. We’re bombarded with food marketing and messages, social cues, and so much more.
Dr. G. Padda: It’s like the message of cereal.
How often have we heard that breakfast is the most important meal of the day?
It’s not the best meal of the day for anyone except for the cereal company.
Because if you eat a cereal breakfast, two hours later, you’re going to be hungry. And then you’re gonna eat in two hours. And then you’ll eat in two hours after that, and then you’re going to eat in two hours after that, etc.
And if you spend your entire day eating every two hours, you never deplete your glycogen.
Watch: How Important Is Breakfast?
How We Become Insulin Resistant
If you never deplete your glycogen, you became insulin resistant in 28 days. Later, you’re going to have a serious problem.
I’m surprised that we don’t have more diabetes.
I think that humans are very hard to kill. And I’m really surprised that not everybody’s diabetic because they should be based upon the way that we have feedings that are like goals to hit.
Thank God we have a complex adaptive system that allows the progeny to proceed.
But there are some serious issues with our food supply.
An Epidemic Of Impotence & Falling Birth Rates
We don’t have an epidemic of impotence just for nothing.
It’s another area that I find where people don’t realize that the vegetable oil antagonizes nitric oxide synthesis and nitrates. Nitric oxide synthesis is necessary to get an erection. So that’s one of the reasons, it’s not the only reason, but it’s one of the reasons why our birth rates are falling.
It’s also the epigenetic effect of some of our sugars that we’re eating. We’re predisposing our kids to become diabetic. We’re doing that in the womb and we’re doing that a generation back.
So, what we’re dealing with is a massive thing. I would put this at a climate level. We’ve got a climate issue, but the dietary issue is a climate issue because it’s so pervasive.
B. McDermott: You hit the nail on the head for me, for the next generation.
Again, as a school teacher, as a parent, I see our children and our children’s children having to bear the burden of being raised in this environment. The least we can do is shed some light on it and make some changes in our own lives. Be an example, and get that ripple out effect going.
I’d love to see SHIFT getting into the school system. If our young people understood what it was all about. Place the power of knowledge in their hands. They’d say, “I can handle this.”
You know, any of us can SHIFT the way we eat if we just understand how it all works.
Dr. G. Padda: I agree with you.
It’s a fundamental misunderstanding, but it’s not amongst the lay public.
What 75% of Physicians Don’t Know About Cholesterol
I have to tell you about a study done by Credit Swiss, which is an insurance company.
There’s nobody smarter than an insurance company because they’re insuring when you die so that they don’t have to pay you. And they’re trying to figure it out because you’re paying them and they want to figure out how not to pay you.
So they’re trying to figure out if you’re going to die early or if you’re going to die late.
And they do all kinds of calculations and studies where they figured out how much do physicians know and what do physicians think?
And the vast majority of physicians continue to suppose that the saturated fat that you eat is the cholesterol in your bloodstream.
They have missed the point that the cholesterol in your bloodstream is not the saturated fat that you ate.
Just because you have cholesterol in your blood and it’s sitting as an atheroma on your coronary artery, that may not be the fact that you ate. That may be the second response from inflammation and that maybe the recovery molecule.
That may be the marker of injury and it may not be the cause of injury.
What Causes High Cholesterol?
Glucose is a cause.
Glucose and vegetable oil and things that make leaky gut. Those are the causes and we need to take a step back.
We need to also recognize the incentive that a physician and others have that drives this.
Watch: Lower Cholesterol Naturally
The Economics Of ‘Sick’
Because if I was playing a game and I was strategizing, I’d ask myself, “How do I make the most amount of money?” “Well, I’d want the sickest patients.”
“Okay, how do I get the sickest patients?” “
Well, I delay my treatment to the point where they’re sick and they’re dependent upon me.”
So what that means to me is if I’m treating pre-diabetic patients, I don’t want to treat them at hemoglobin between 5.1 or 5.7, I’m going to wait until 6.5 when they’re on insulin.
And then they have to come in and I can possibly do an amputation or I can do X, Y, Z.
So institutions will wait until the hemoglobin A1C is sufficiently high enough to start some of the more expensive drugs and treatment.
So you know, I am a cynic.
I have a background in economics as well. And so I look at things as game theory.
If I’m completely cynical, what would I do as a drug company, even though I was given insulin for a dollar and I was told to give it or provide it freely?
The answer is, I’m going to modify this free insulin a little bit so that I, as a drug company can charge for it. And that’s exactly what happened.
Get Your Free Insulin For Only $1,200 a Month
In 1923, Frederick Banting and John Macleod of Canada received the Nobel Prize for the discovery of insulin.
It was given by the Nobel laureates to the insulin companies who were to forever provide it for free.
But these companies changed insulin slightly so that they could charge $1,200 a month via a subscription program that you have to pay for for the rest of your life. That’s not cool, but that’s the model.
And so you know, you have to look at people’s drivers.
What Drives The Profits of Food Companies?
With big food companies, their driver is to sell as much food as they can at the lowest possible cost, at the highest frequency.
So they have to figure it out and they have to apply the technologies that they have.
When we got rid of smoking. When we finally said, “Hey, smoking is bad for you”, the big smoking companies moved over to the big food companies to figure out how to increase the likelihood of consumption.
And we’re going to see a similar thing with the marijuana industry. You’re going to see a large shift of the companies from alcohol and cigarettes and food infiltrating the marijuana industry to figure out how to make a previously non-addictive plant become hyper-addictive.
So we’re going to see a shift that will happen in the next five or 10 years.
You have to figure out what people’s motivations are.
B. McDermott: Well, Dr. Padda, you made my day. You shared so many insightful and thought-provoking stories that really helped me visualize some powerful, but abstract concepts.
You know, I tend to be a bit naive.
That last story about the insulin, good grief. My daughter is insulin-dependent. The hardship is not only physical and emotional but financial, too.
One of my greatest victories is helping people get off insulin.
What a wonderful thing to not need to take insulin any longer. Powerful!
Thank you again, Dr. Padda, for taking the time to share your expertise.
I’d seen on your website something that spoke to me. You use the term ‘citizen scientist’.
You’re the kind of doctor who steps over the line and reaches down and lifts the rest of us up. You give us the awareness by simplifying the concepts that open our eyes and makes us take a second look at things.
You know, when our loved ones are suffering, when people in our lives, or ourselves, are struggling we need to understand that the bigger powers really aren’t working for us.
I used to think my daughter was in good hands with all of her high paid experts. That she was truly supported by them. She wasn’t.
We must take matters into our own hands. We are ultimately responsible for ourselves. It takes rolling up our sleeves, digging in and taking a hard look at things.
Dr. G. Padda: And to be clear, my point is not to be a conspiracy person.
I don’t want to leave you guys there. But the motivations have to be perfectly clear for everyone to understand and to make the best decisions.
My hope is that people get the education that they need to take care of themselves.
B. McDermott: Absolutely. And we are not of the platform that medications are wrong or bad. Goodness, no.
A body needs insulin to stay alive.
But when we’re seduced or misled into believing it’s the answer.
Being told to just keep using it. That the only solution is to keep doing more. That’s not good.
Dr. G. Padda: Thank you. It was wonderful.
You have a very wonderful voice and you know how to take really complex science and put it into a story complete with the research and anecdotal evidence.
That was great. Thank you so much.
You know, we’re of kin when it comes to time-restricted nutrition.
I strongly urge people, to restrict their feeding cycles. I believe in intermittent fasting strongly. And so, you know, I totally agree with what you guys are doing. That’s why I reached out to you to be a guest on the Forget To Eat™ Podcast.
B. McDermott: Thank you so much for that! Your validation is huge. We live it, continue to live it, continue to see our client’s lives get so much better from it.
Okay. I’m gonna let you go. Enjoy the rest of your Saturday and we’ll be in touch.
Thank you, Dr. Padda!
Stu: This week I’m excited to welcome Dr. Gurpreet Padda. Dr. Padda is a board-certified MD and the Medical Director of Reversing Diabetes MD. This online space features protocols designed to reverse disease in patients who are overweight or already have established pre-diabetes or diabetes. In this episode, we talk about the secret to becoming a type 2 diabetic. We discuss common industry myths and how the Reverse Diabetes MD protocol can help address this global epidemic.
00:22 Hey, this is Stu from 180 Nutrition and welcome to another episode of The Health Sessions. It’s here that we connect with the world’s best experts in health, wellness, and human performance in an attempt to cut through the confusion around what it actually takes to achieve long-lasting health. Now I’m sure that’s something that we all strive to have. I certainly do.
Before we get into the show today, you might not know that we make products, too. That’s right. We’re into whole food nutrition and have a range of superfoods and natural supplements to help support your day. If you are curious, want to find out more, just jump over to our website. That is 180nutrition.com.au and take a look. Okay. Back to the show.
This week I’m excited to welcome Dr. Gurpreet Padda. Dr. Padda is a board-certified MD and the Medical Director of Reversing Diabetes MD. This online space features protocols designed to reverse disease in patients who are overweight or already have established prediabetes or diabetes. In this episode, we talk about the secret to becoming a type 2 diabetic. We discuss common industry myths and how the Reverse Diabetes MD protocol can help address this global epidemic. Over to Dr. Padda.
Hey guys, this is Stu from 180 Nutrition and I am delighted to welcome Dr. Gurpreet Padda to the podcast. Dr. Padda, how are you?
01:51 Good stuff. Well, look-
01:52 I appreciate being here.
01:52 Oh well look, we appreciate you sharing some of your time, especially on a late Sunday afternoon as well, so thank you for that. But first up, for all of our listeners that may not be familiar with you or your work, I would just love it if you could tell us a little bit about yourself before we get into the questions.
02:10 Yeah, so I’m a clinician. I actually practice medicine every single day. I see patients every single day. I started off as a physician, treating patients with extremely complex medical problems. I do interventional pain, so I see patients that have just horrendous symptoms and in my career, as I started to treat them, I realized that they had a commonality. You know, everybody talks about patients having fibromyalgia, people talk about patients having all of these symptoms, and I kept coming back to, well, what’s the common root cause for all of this? Is there something that I can treat? And it seemed to be progressing. It seemed to be getting worse. I’m 55 years, I started my career 30 plus years ago, and I’ve seen a dramatic shift in the patient population. This is not the same population that I started with when I first started. Patients were never this heavy, patients weren’t this diabetic. And now, three quarters, more than three-quarters of my patients, are diabetic.
And so I’m trying to figure out, why is it that we’ve had this epidemic of diabetes? And what is it that we can do about it? And it brought me through a whole bunch of rabbit holes. I dug deep to figure this out. And it turns out it’s been in front of us the whole time. It’s the food that we’re eating. We don’t have an epidemic of diabetes. We have a pandemic of diabetes. If animals eat the same food that we eat, which is the standard American diet, they get the same disease. And at this point, we have rats in New York that is gigantic, that are diabetic, and they’re cognitively impaired, like Alzheimer’s, and they’re venturing out in the daytime because they have all this growth hormone, which is insulin pumping through their bodies, they’re gigantic, and their brains are defective and they’re out in the daytime and they’re dying. And so if you look at tourist places where you used to have thin dogs, and now thee tourist places have extremely fat dogs. You look at the monkeys at locations, the monkeys are getting huge.
And it’s not that we didn’t feed them before, we’re feeding them something different now. And those are the kinds of the conclusions that have come about. So we know how to make somebody diabetic now, I can guarantee I can make somebody diabetic in about two weeks.
04:49 So that then leads me to my first question because I read while researching that you use the phrase the secret to becoming a type 2 diabetic. So tell me what the secret is. Tell me how you would make somebody, quite efficiently, diabetic, very quickly.
05:05 Yeah, it’s real easy. You give them vegetable oil, you prime their livers with vegetable oil, and you feed them sugar, and I can take anybody and make them diabetic. You know, it’s interesting, you can’t give a rat cancer unless you prime the rat with vegetable oil. You can’t give human beings cancers and diabetes unless you prime it with something. It’s really hard. I mean, yes there are cancers, but if you look back at it, this really started around the time of the Industrial Revolution when we started to process vegetable oils. We didn’t know what to do with them because they were the hazardous waste products. And so we started off with Crisco becoming integrated into basically our food supply. And if you look back at it, you look back at what happened right during World War II, Hitler was terrified of cancer. It was an emerging threat. He actually kept a Jewish doctor alive. His name was Dr. Warburg, he kept him alive because he thought this guy might have figured out the answer for cancer because he was researching cancer and diabetes.
It turns out that Warburg, essentially, the Warburg effect is that you have to have certain nutrients to grow cancer. He didn’t get as far as he would have wanted, but he suspected, at that point, that there may have something to do with the vegetable oils. Now the vegetable oils really cranked up. They started in the 1800s, but they really cranked up in the 1970s and 80s, just about the same time as the U.S. Department of Agriculture, working through the Food and Drug Administration in the U.S. started to push away saturated fats, regular, natural saturated fats and started to encourage the use of vegetable oil.
In fact, so much so, that they said that vegetable oil, reduced cholesterol, and we should substitute saturated healthy fat for vegetable oil because it was healthier and that’s when we started this dramatic uptick in cancer rates, in diabetes rates, we saw a dramatic uptick in fibromyalgia. We saw a dramatic uptick in Alzheimer’s. Anything that you can imagine that is related to the surface cell membrane and metabolic inflammation, you can trigger. Even if you look at populations that aren’t super obese like, look at Asian populations. Asian populations are not super obese, but they eat a lot of vegetable oil. They’re the thin people that become diabetic because they’re consuming vegetable oils and they certainly eat a lot of carbohydrates, but they’re naturally not as obese.
So those are the triggers. So I can take anybody and I can make them diabetic if I can prime them with vegetable oil first, give them high glycemic index, if I really want to throw an extra on it, I would give them grain or gluten, because as soon as I’ve done the first two and they have a leaky gut, I can give them grain or gluten, and that’s going to make them have a fuzzy brain, and it’s going to make them have pain all over their whole body. And I can reverse it. I can take these patients and I can reverse it in a matter of about three months. It takes longer to reverse than it does to start.
08:26 That’s interesting. And it’s interesting because you have described the standard American diet, standard Australian diet, 85 to 90% of the foods that you see in the supermarkets today are a fantastic combination of grains, seed oils, hidden sugars, and all manner of fillers, thickeners, and chemicals as well. And it’s kind of hard to find a convenience food that doesn’t have vegetable oil in one way, shape, or form, as well. So with vegetable oils in mind, are they all as damaging as I’m reading that they are, in terms of canola, sunflower, safflower, rapeseed, you know, all the way across? Because we used to hear the term hydrogenated and that’s kind of slipped away and trans fat, that those terms are kind of slipping away now and there’s still confusion in there. So is vegetable oil 101 like, just forget it? Or are the healthier versions?
09:35 I don’t believe that there’s any version of vegetable oil that’s healthy. Now we have to discern the difference between a polyunsaturated fatty acid such as vegetable oil, a polyunsaturated fatty acid such as shrimp or krill or fish. Vegetable oil is an Omega-6. Shrimp, krill, fish is an Omega-3. Now that’s not the same thing as a monounsaturated fatty acid, like oleic, which is olive oil. And actually, just as an incident, bacon has more oleic oil than does olive oil. And so it’s interesting, bacon’s actually relatively healthy if you look at monounsaturated fatty acids. It’s really the preparation that can be the problem. But in general, the issue is that these polyunsaturated fatty acids that have a bend at the sixth Omega position, at the sixth carbon position, they tend to get into the cell and they tend to make the cell membrane less flexible. And the way that the body metabolizes these, it has to break them down in segments of two. It just turns out that the body naturally metabolizes them and gets stuck at that six-carbon, and it turns into arachidonic acid, which is the precursor for severe inflammation. And so it creates a cascade of the effect of inflammation, as opposed to the Omega-3, which doesn’t get stuck there.
And so it allows that to be processed and so the pro-inflammatory effect of Omega-6s is what’s getting us in trouble. And that’s what creates [inaudible 00:11:18], it creates the central concept of the liver toxicity because all of this stuff gets absorbed in your gut and it goes, first pass, through the liver and it gets stuck in the liver and causes insulin resistance there. And that’s the beginning. And that’s why this is so rapid of an effect. And once it’s there and it intercalates into all your fat and it leaches back out again later, it might take three to six months to replace that fat. And so that’s why it’s easier to get the disease than to get rid of the disease.
11:49 So in terms of early warning signs, what might we experience if we’re in those very early prediabetic stages? And also, to throw into the mix, it’s quite common for lean people to become prediabetic as well, and I throw myself into that category as well. I might think, “Well hey, look at me, I look healthy,” but who knows what’s happening inside. What might I experience?
12:19 I would tell you that over 75% of prediabetic patients don’t know they’re diabetic. You have no idea until you actually do the test. And testing your morning sugar is an invalid test. What you really need to do, is you need to have a combination of tests done to determine if you’re truly prediabetic or not. And that necessitates that somebody runs an insulin level on you. You want to see if you’re hyperinsulinemic, you want to see something called an LPIR score, which is lipoprotein IR, it’s an insulin resistance score. You want to see something called fructosamine, which is a measure of blood sugar over the last 30 days. You want to see hemoglobin A1C, which is a measure of blood sugar over the last 90 days.
And so it’s more than one thing. It’s not just, you have a blood sugar of less than 100, and so you’re probably okay. No, it’s a bunch of stuff, because when you’re prediabetic, and you’re releasing insulin, your blood sugar by definition is going to be normal. In fact, I would be surprised if your blood sugar was high. And so most people get tested and they don’t do the right test. And the average GP doesn’t know that they’re supposed to order an insulin test. Most of them don’t. And so you really have to get that insulin level. You want to see what it is in comparison to your glucose. Because if your insulin level is three, if it’s very, very low, you’re okay. But if you’re insulin level is 25, and your blood sugar is 90, you’re prediabetic. And then you really need to look at your hemoglobin A1C and the insulin resistance factors. So there’s a combination of factors.
14:05 And what might I be feeling? So what are the telltale signs? Might I be carbohydrate cravings, erratic energy levels, things like that?
14:16 Yeah, you might just feel tired, you might feel fatigued. These are such general symptoms that they may not mean anything. You just may not feel great. Most of my diabetic patients, or my prediabetic patients, just don’t feel right. But the thing is that carbohydrates become an addiction and you don’t know that you’re addicted. It’s so subtle, and the food itself is an addiction. It creates a lot of dopamine release, especially fructose, which is what’s in most of the sugar-sweetened beverages. And they’ve specifically engineered these sugar-sweetened beverages to disproportionately have higher levels of fructose than what should normally be in there. It’s much higher than high fructose corn syrup. They’ve actually engineered it to be super high fructose corn syrup and that’s the addictive component. And, of course, why would they do it? Why would they spend the extra money? Because it makes it more addictive. And so you might not even know that you’re prediabetic because you’re just hooked to the stuff.
15:29 You’re in denial.
15:31 In terms of carbohydrates, as well, so at the moment, this culture is shifting towards carbohydrate bashing, and we’re looking at things like low carbohydrate, time-restricted eating, ketosis as being the better way to start thinking about how we eat. But are all carbohydrates, could we put them all in the same camp, in terms of, well, if I’m really mindful about reducing carbohydrates, then I’m going to start eliminating vegetables and fruits, things like that.
16:08 Yeah. And honestly, I look at fruits as dessert. The fruits that we have today have no bearing on the fruits that we had in the 1950s, the 1930s, or the 1910s. If you take grapes and you put it in a glass and you smash them down, there’s more sugar in that grape juice than there is in soda, for the same volume. So the stuff that has been so engineered to be hyperglycemic, so much sugar in it, that it really is not relevant. As in terms of, people talk about the health of the fruit. And so I make my patients separate the concept of fruit and vegetables, or vegetables and fruits because people talk about it like it’s one thing, “Oh, I eat my fruit and vegetables.” No, you eat your fruits, which is dessert,
17:00 And that’s a special treat. And your vegetables are next to you, and those may be healthy for you, or they may not be. It really depends on your personal gut health. There’s a lot of people that have leaky gut, and for them, phytates and oxalates and some of the things, some of the chemical defenses in vegetables can cause the problem. But the intrinsic nature of it as in terms of the fiber that you’re going to get, which is going to buffer the glucose rise, it’s not going to be a big deal. I wouldn’t eliminate vegetables.
Now, I’ll be very honest with you. I’m pretty much carnivorous. I eat mostly meat, but I love vegetables. I grew up as a vegetarian, but I’ve converted over time to be more and more carnivorous because it fits my schedule, and it’s very nutrient-dense, and I can eat one meal a day and get away with it. I can’t do that with vegetables. It’s not as nutrient-dense. I have to eat a lot of them. And I’m running around 16, 17 hours of the day. So for me, this is convenient.
18:07 That’s fa-
18:08 On the weekend I’ll eat vegetables and stuff. But on weekdays I’m too busy.
18:11 Yeah. Well look, that is fascinating because you are not the first MD to come on and talk about a largely meat-based diet, which is really interesting and certainly seems to be gaining more press these days as well. So I’m intrigued about the supposedly incurable nature of diabetes. And you mentioned the reversal of that as well. So is it incurable? Clearly not from what you’ve told me. So where would we start on that route?
18:43 So what I do is, again, I go back to my insulin level. If the patient is producing insulin, I have a chance of reversing them. If they’ve gotten to the point where they no longer produce insulin, they have no intrinsic insulin, and there are two things you want to look at. You want to look at their insulin level, and if you’re giving them insulin from the outside, then you want to look at their C-peptide because you don’t give them C-peptide when you inject. C-peptide is only manufactured from the patient’s own insulin, so if you’re giving somebody insulin, you want to check their C-peptide. You want to see what that ratio is, and C-peptide is just a marker for the body’s production of insulin. It’s a little bit more sensitive test.
If they’re producing insulin, I can reverse them, but then it’s a matter of going through the machinations of getting them detoxed off of their sugars and getting them to the point where they’re sensitive to glucagon again and getting their weight down just a little bit to increase the blood flow to the pancreas because what happens is it only takes about eight grams. That’s like less than a half a tablespoon of fat to be thrown into your pancreas to change the blood flow to the beta cells. And if you just put a very tiny amount of fat, just a little bit of expansion, it reduces the blood flow to those beta cells. And the beta cells don’t see the sugar in the bloodstream and they stop producing insulin.
In fact, people have done this. They’ve actually gone through with catheters and dilated the pancreatic arteries, and temporarily there’s a surge of insulin because the body sees that. The vast majority of patients can be reversed because they were still producing insulin. There are a few patients that can’t, and those are usually autoimmune patients. They’ve had antibodies to their beta cells and you can’t because they really type one diabetic now.
20:43 Okay, interesting. And in terms of medication, things like Metformin, what are your thoughts on that as a tool?
20:55 So I love Metformin and not everybody agrees with me. It’s super cheap. It’s very effective and it doesn’t work anything like we think it works. So everybody assumes that Metformin does something to the insulin receptor, and that’s not my opinion. I think Metformin certainly works on the mTOR pathway, which is the rapamycin pathway. But I think mTOR has another significant effect. It changes your gut microbiome and it shifts the bacteria in your intestines so that you have less absorption of glucose into your system. And the bacteria take the brunt of it and they consume it. And that’s why people get diarrhea when they first start Metformin because you’ve given them a weak antibiotic, and those bacteria are, are shifting bacterial populations. And initially, most patients will get abdominal pain because you’re causing a die-off of bacteria. So I think Metformin has a solid place to play, and I think you’re seeing the mTOR component of it for people using it for longevity.
The people on the West coast, in the US, in Silicon Valley are using it to affect and try to affect longevity. The key element for me in a reversal is to do everything you can to take their insulin down. Because insulin is a growth hormone. It’s a fat-storage hormone. Anytime I give somebody insulin, I can make you fat. The higher your insulin is, the more fat you get. You don’t get a type one diabetic getting fat until you increase their insulin too high. And as you increase their insulin, their liver stores fat, and that’s the vicious cycle that occurs. Because the more fat they have, the more insulin they need. And so you have to break that cycle.
22:55 What about the other areas of a person’s life, and I’m thinking about the sleep movement mindset, all of the above? How does that feed into the problem or even the cure as well? Because I’m mindful that if your blood sugars are all over the place, it’s likely that you’re not going to be sleeping well. And if you don’t sleep well, then you wake up and you’ll make poor food choices because you’re hungry. What are your thoughts on those other areas?
23:28 Yeah, so my opinion is that if you don’t sleep well, you don’t produce hormones. If you don’t produce hormones, your metabolism is defective. And as your metabolism becomes more defective, your thyroid hormone drops, your testosterone drops, your muscle mass drops. It’s a feedback loop. These are complex adaptive systems that have thousands of different inputs and that’s why to pick out the few that we have, we know that causes a defect in this complex adaptive system. We know just where to hit this, and fortuitously, we figured it out as a human race that we figured out just how to poison ourselves perfectly.
And so once you just throw the sleep, you destroy your hormone production. Most of your male hormones are produced early in the morning around between 4:00 and 6:00 AM. One of the earliest things that people talk about that are prediabetic is they start to lose their erections. Now that’s for two reasons. That’s from the low testosterone and it’s also from the vegetable oil. Vegetable oil itself changes the vascular elasticity, and in fact, it’s more damaging than even cigarette smoking. So there’s a couple of things that happen at the same time.
24:54 How long would it take for us to eradicate vegetable oil from our system given the fact that it would get into our fat cells, and all of us are in very different states of health? Can we do this within a few weeks or does it take years?
25:13 It’s going to take awhile. They’ve done biopsy studies when they did liposuction on patients to see what the percentage of vegetable oils that we have in our fats, and they compared it to studies that were done 20, 30 years ago. And we’ve had about a 7x increase in vegetable concentration in our fat cells over the last 20 years when they compared the same type of surgery and they looked at the same kind of fat biopsy. And it’s very easy to tell. You can measure your ratio. It’s called an Omega 6 to 3 ratio. It’s called an Omega check.
You can tell what your serum level is, but as you lose weight, it’s going to peel out of your fat. So it’s going to take it six months just to become normalized. You can really combat it more quickly if you supplement with Omega 3. It’ll at least clear your bloodstream and get the ratio a little bit better in your bloodstream. And so I usually use four to six grams a day of either krill or fish oil for my patients as a supplement to try to more quickly reverse it while they intermittently fast and while they’re doing the other things that they need to do to shift their diet.
26:23 Yeah, it’s fascinating. Well, you’re using lots of terms that aren’t common in a lot of medical doctors phrasebooks, I guess. Hearing things like mTOR and intermittent fasting and mitochondria. Yeah, it’s very, very interesting. And so I’m keen to understand that if somebody is listening to this and they know that something isn’t right and they do eat the standard Australian American diet and they want to start somewhere, where could we go? Obviously they might be on the other side of the world. They might not be able to have direct contact with you and their medical doctor perhaps a doesn’t even consider any of these things. What should they do?
27:12 So all of our information is available freely on the web. We have our entire protocol for our patients. It’s www.reversediabetes.md. If you go there, there’s the downloadable protocol and it’s all there, all the videos, all the information, every single word that I use. Because sometimes I get too fast in my verbiage, I went ahead and recorded information for people so that they can go back and say, “Okay, well what does this guy mean by this?” So all of this is there, including descriptions on Metformin and how and why and what we do.
27:48 So it’s all free. It’s all fully available. I recommend that people start with the very simplest thing, and that is they should have more time than they’re not eating than they are eating. That’s the first step. So at least change and time restrict your feeding. That’s going to be a massive impact for you. So that’s the first step.
And then as you time restrict your feeding, start reducing the things that are sweet and get anything that’s sweet out of your repertoire of food. My feeling is you can’t change the patient by themselves. You have to change the patient and the people around them. I run indigent care clinics in an urban setting in St. Louis, Missouri. We’ve got 11 clinics. We target the church groups around a patient, and we target the patient, we target the family, we target their immediate people around it. And because we have 65,000 active patients in our clinics, so we eventually target two or three people in the same community, and it’s like throwing a pebble into a Lake. Those ripple effects aggregate, and so eventually it’s a self-feeding loop because there might be three or four people in the same church that might be my patient or might know somebody that I know that’s my patient, and they all start to change. And so my goal is to change the health of the community.
I want to change it in a bigger way because my feeling is that we’re facing a disaster. We’re facing the biggest single disaster that we’ve ever faced in our entire existence as a human race, and we’ve created it in 20 years. This is going to be the biggest thing that’s going to destroy the healthcare system. In fact, it’s probably going to consume two-thirds of all of the healthcare dollars in the US. I did an epidemiologic study in St. Louis, and this is why I got passionate about this. I realized that by 2025, 99% plus of my African American female patients would be either overweight or obese, 99% plus. And two-thirds of them, the three-quarters of them would be pre-diabetic, and one-third of them would go on to become so badly diabetic. They would end up with an end-stage renal disease. And the cost of care of end-stage renal disease in the US is $60,000 to $100,000 a year. So once I started running my numbers and I started extrapolating populations because I have an MBA in finance as well as an MD, and I did populate nation health, I realized that the entire state budget for the state of Missouri was going to be consumed in just about 12 square blocks starting in 2025 to 2030 because the rate of end-stage renal disease was so high. That becomes just profound when you realize how expensive this is going to be for us.
31:02 How do you think people might adopt this change or need to change given the fact that they may not have access to the best foods? Whole foods are typically way more expensive than processed foods. They’ve got them a McDonald’s or a Burger King or a Taco Bell on every street corner that are offering $5 meal deals, and they’re hooked on sugar. So they taste fantastic and their brain is telling them that this reward is going to be the best thing they’ve ever had again and again. How do we start this?
31:35 So my patients have no household income practically speaking, and I start them on eggs because you can get a boiled egg in the US for about 15 cents. If you’re desperate for money, that’s an awesome way to do it, and they store well. You can eat four or five boiled eggs. There’s nothing wrong with the cholesterol in eggs. It’s actually healthy for you. It helps build the hormones that you need. I have patients that travel all the time and what they do is they go to a hamburger joint and they get four patties of beef and that’s okay. That’s what they’re getting. It gives them satiety. It gives them the signal of fullness. What you don’t want to do is eat sugar plus protein plus fat and overwhelm yourself because that’s going to make you hungry again in two hours.
So what I tried to do is get them to get away from the sugar so they have satiety and then they’re not grousing for food later. I recommend that people preplan where they’re going to be, preplan their meals. And it’s not as expensive as people think it is, especially if you plan what you’re going to buy. I have patients that take up hunting so they can get venison, and I’m sure that there are other things that people can eat. People start raising their own chickens. It reconnects them. They go to farmer’s markets. There’s a whole host of tools. We actually have worked with some of our local grocery stores, and we recommend that our patients go to the grocery store on the day like Monday because after Sunday they get all their deliveries on Monday for the rest of the week and everything is marked down by 50%. They can buy large amounts of food. Or precook food and pre-freeze it. It’s not as complicated as people think it should be.
The other thing is, remember, the more flavorful food is, the more you’re going to eat. So if you eat three different kinds of food, you’re going to eat all three kinds of food because it’s specific satiety for that flavor. And so what I usually actually recommend is, look, if you’re going to eat a meal, stick to one item for that meal, and eat until you’re full. Then don’t eat any other item. Don’t mix it up and add sour cream plus this,
34:00 … plus this and then add these other flavors because you end up overeating.
34:05 It’s like having a dessert stomach. You’ll always have room for dessert.
34:09 It’s a tidy civic.
34:12 You’ve written some great strategies and your thoughts on sodas. Obviously, we know tap water’s free and it does radically different things for the body than Coca-Cola perhaps. What are [crosstalk 00:34:27] your thoughts on diet soda? So does [crosstalk 00:34:29] diet soda-
34:28 I think diet is worse than soda because it’s more insulinemic and it really jacks the insulin almost immediately, and what’s happening with diet soda is you drink the diet soda, it feels good on your tongue, so you’re hitting some of your dopaminergic addiction receptors in your brain because you think you’re going to get sugar, and you have that happiness.
Your pancreas dumps a bunch of insulin, it gets into your bloodstream and there’s insulin with an absence of sugar and you become hypoglycemic and an hour later you’re hungry because you became hypoglycemic. And so it creates… it actually is more diabetes-inducing than sugar is. It’s actually a lot worse, and there’s actually good study and data on this that patients who drink diet soda are more likely to become diabetic.
35:23 Fascinating. And then there’s the conversation on artificial sweeteners and gut health as well, which is-
35:31 Yeah. I don’t think that any artificial sweeteners are appropriate. There might be some… We don’t have enough information. There might be some that are quasi-artificial-
35:43 Mm-hmm (affirmative).
35:44 Or they’re natural sweeteners that have a sweetness to them-
35:47 And there are appropriately degradable, maybe allulose might be reasonable, but we don’t have enough data, so I tell my patients to completely stay away from them.
35:57 Okay, fascinating. Such great advice. What I’m keen to do, I realize we’re kind of coming up on time, but I’d like to dig into your personal day and just get an understanding of the types of tools and tips and strategies that you use for yourself given the fact that you’re clearly very busy, you’re doing a whole heap of things, your days are… sounds like your full board doing what you’re doing. What do you do in terms of the way that you eat? Perhaps supplements that you may take and even movement and exercise routines and maybe sleep routines as well. What does it look like for you in a day?
36:48 So, let me start with the caveat. This is not normal. My day starts around 3:30 in the morning.
36:58 Oh, boy.
36:59 And I spend my morning working on projects, specific projects because I work in the tech field as well. I have some technology that I’ve been working on and I have some patents that I’ve got and I also work in the financial world. And so I spend from about 3:30 in the morning to about 6:30 in the morning working on that. Then around 6:30 in the morning, I work out.
And effectively I’m only doing 15 minutes of workout.
37:28 And what I’m doing is very significant weight, very, very slow and more eccentric than concentric.
37:37 So, what I’m trying to do is trash my muscles and do very, very slow. And what I’m trying to do is maintain muscle mass because I’m really lazy, and I don’t like to spend an hour on things that I don’t have to do, so I’m biohacking myself.
37:53 Yeah. Brilliant.
37:55 And so then I get to the clinic and I start my day. I do drink coffee. Some people would say, well, you probably don’t need the caffeine, but that’s what I do. The only supplements that I take routinely are I take Krill oil and I take four to six grams a day of Krill oil and I take vitamin K1. Vitamin K1 is critical… it’s basically derived from butter. It’s Beta-hydroxybutyrate and it clears the bloodstream of calcium. It clears the blood vessels of calcium, and I can tell you that it works based on my personal experience, but not from a medical statistical standpoint.
The reason why I know it works is because I’ve done calcium scores and I know that my calcium score dropped almost immediately. I’ve also played with it and looking at coronary artery intimal thickness. I’ve checked my own, sorry, my carotid arteries.
I’ve checked my own carotid arteries and been able to discern the thickness change by about 30% when I eat [inaudible 00:39:08] versus not eat crap. So it’s beneficial. I usually eat a meal around 11 or noon, which is typically hamburger meat and that’s it. And then I’ll eat dinner around six 30 or seven and I’m done. And then I don’t eat any other snacks.
39:26 What might dinner be for you?
39:33 It’s typically some sort of meat. For me, it might be a steak, it might be a salmon, it’s just some sort of meat and that’s my usual six days a week and then on one day a week I might have a Pizza Pizza or I might do something that… But, I don’t do more than one meal a day, one day a week that’s of any significance. And frequently I find that I miss my lunch completely and I forget that I didn’t eat just because I’m running constantly.
40:07 When you mentioned you might eat a piece of pizza, I mean it sounds like it’s almost like a semi cheat day. Is there a strategy around that biologically for that decision?
40:17 Yeah, there is. I believe that if you remain in constant ketosis and you are not getting an insulin excursion, you are actually getting a different form of insulin resistance.
40:29 And what’s happening there is you’re down-regulating the number of insulin receptors that are on the cell surface. And so I want to maintain some degree of excursion of insulin. I want to make sure that my levels go up and down appropriately.
40:43 Just not high and sustained.
40:45 Yeah. Okay. Fascinating. Yeah, I’m laughing because I’m reading about so much of what you’re doing and I know that there is, there’s a finite reason why you’re doing it and it’s clearly working. It’s based upon your biology or your genetics and hard and fast science as well. So its, yeah, absolutely fascinating. So you trained in a fasted state? Always?
41:12 Yeah. That’s the only way to train always. I’ve never been able to train with food.
41:17 Right. Interesting. So, and what would you say to those people out there that are bought into the dogma that you have to get as much protein as possible within that 30-minute window post-training?
41:31 I can see a reason for that.
41:31 Mm-hmm (affirmative).
41:35 If you’re an Olympic lifter-
41:37 Mm-hmm (affirmative).
41:37 And certainly that’s the window that you should use, you should use that biohacking technique to get extra protein into your muscle. But that’s not what I’m trying to do. I’m not going to be an Olympian and I’m not going to be a powerlifter lifting ridiculous weight. I do the weight lifting because I want to avoid sarcopenia.
42:02 The one significant factor that this thing wishes frailty and early death from anything else is muscle mass. If you hold muscle mass and are non-sarcopenic, you’re going to live a lot longer. It’s a critical element and so that’s what determines your success as a biological creature. How much muscle mass do you have?
42:26 As soon as you lose your muscle mass, you’re going to become senescent. You’re tapering off [crosstalk 00:42:31] at that point.
42:32 I spoke to a longevity specialist about six months ago, and at the end of the conversation, I said to him, well look, if you can give me one tip, which is one tip that you think would help me and everyone that’s listening to this live their best life, live as long as they can, what might that tip be?
And he thought about it for a while and he said two words. He just said lift weights.
42:57 Yes. Absolutely.
42:57 That was it. Yeah.
42:58 Fascinating. Brilliant. Well, I’ve, I’ve really enjoyed this conversation. So just to wrap up, I’m very intrigued about what’s next for you. I mean, it sounds like you’re doing lots of stuff. You’re into mini-projects and you wear different hats. What have you got coming up in the future?
43:24 So, what we’re working on right now is a larger project for reversing diabetes. I want to extrapolate this out to larger populations rather than my patients. I want to coach other physicians to do this. And so we’re simplifying our protocols continuously. We’re trying to figure out what’s, how simple can we get this? And so my hope is that over time we’ll have simplified it and incentivized it for people to participate in it because people will only participate if they’re incentivized.
43:57 And unfortunately, incentives drive everything.
44:01 And that’s why we sell insulin. And that’s why we sell processed food; incentives drive that.
44:01 Mm-hmm (affirmative).
44:08 And that’s why the physicians are not chasing after lifestyle changes because they don’t get paid for that. And so what we’re trying to figure out is how can we drive the incentives to make people pay attention? So, change is the population.
And I think that’s coming pretty quickly because we know what the alternative is and it’s abysmal. So in the U.S., there’s going to be significant commercial incentives from the federal government to drive this behavior. And what I’m trying to do is simplify our approach so that anybody could do it. And I’m also working with prison populations right now, changing the criminality inside the prison population by changing their diet. And so what we found is that you get about a 30% reduction in prison violence and less psychotic breaks if you change their diet.
And basically, you get away from the sugars and you get away from the vegetable oil and over the next period of 30 to 60 days, people are able to concentrate better and they’re less likely to have violent outbursts. So, I’m working with prison populations.
45:21 On that as well.
45:22 Fantastic. And just thinking about from the other end of the coin, what about kindergarten, high school students sending them loaded, wired, tired-
45:33 Same thing.
45:33 And expecting them to learn?
45:35 Yeah, exactly. I can’t imagine the kind of crap that we feed these poor kids and give them cereal and then we use candy as treats-
45:46 Every two hours.
45:47 And we’re creating a constant high insulin load and we’re making them insulin resistant. I mean, I see this and I see that 70 to 80% of these kids are prediabetic when they’re coming into me. And that was unheard of.
46:02 If you look at the Joslin Institute, the Joslin Institute kept records in the U.S. on type two diabetes and they only had 20 reported cases of type two diabetes in the 1900s in the entire New York area. And that was it.
46:19 You couldn’t find it. It was unheard of.
46:20 And now it’s 2/3, two out of every three people.
46:24 Something’s changed radically. Boy, oh boy. Unbelievable. Well look, thank you for everything that you have spoken about today. There is so much information and the one thing that I like to be able to prompt, I think in any of our listeners is curiosity. So I want them to find out more, just question things. So for all of those that want to find out more about you, dig deeper into any of the topics that we’ve spoken about, where can I send them? What’s the best address?
47:00 Just use my website or even Instagram, reverse diabetes MD.
47:06 Www.reversediabetes.md or my Instagram reversediabetesmd. And just shoot me a question from there. I don’t mind helping. I love helping. I love people when they ask questions because maybe we can help them navigate.
47:20 My real hope is that other people listen to it and then they affect their family-
47:25 Because it’s not… If you’re in a silo and you’re doing this by yourself, you’re not going to succeed as well.
47:31 If the people around you are doing the same thing, you have a much better chance.
47:36 Yeah. Absolutely right. Fantastic. Well, look, I’ll put everything that we’ve spoken about in the show notes today with all the links so everybody can find you and your work and dig a little bit deeper, but so thank you so much, Dr. Padda, for your time today. I really appreciate it and look forward to following what you’re doing in the future as well. Thanks again.
47:56 All right. Thank you.
47:57 Thank you. I appreciate it. Take care.
Dr. Gurpreet Padda is an interventional pain physician who treats patients with profound, chronic, severe pain that is unrelenting. Over time he worked out that there was more to these people’s pain than just the physical source of it and that it was also a systemic or metabolic inflammatory issue and that hyperinsulinemia was at the root of it. He found that the majority of his patients were obese and either pre-diabetic or diabetic. He found that the majority of them also had leaky gut as well. This was all caused by the standard American diet (SAD) i.e. vegetable oils, processed carbs and excessive sugar. He talks about how junk food companies manipulate the fructose concentration higher than regular fructose corn syrup in order to increase the addiction factor.
What he is doing in the community is astounding. They have over 65,000 active patients in their online program which is totally free and he even contributes more than a million dollars of his own money every year to the program.
You can find out more about this program at https://reversingdiabetesmd.com/