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Dr. Andrew Koutnik, PhD is metabolism researcher and type 1 diabetic who courageously and rigorously pushes the bounds of evidence-based care for metabolic health and diabetes care. In this continuation of our conversation, we dive deep into how and why the standard of care fails patients and what needs to change. We unpack the metabolism, incentive structures, data, and explain what urgently needs to change.

Don’t miss Part 1 of this conversation, where we dive deep into Andrew’s personal journey with type 1 diabetes and the science behind his approach to metabolic health. Watch it here:    • The Diabetes Status Quo is Unacceptable! D...  

Follow Dr Andrew Koutnik on X @AKoutnik, and learn more at https://andrewkoutnik.com

The StayCurious Metabolism Newsletter covering some of these topics can be found here:
https://staycuriousmetabolism.substac...

Chapters
00:00 — Introduction to Dr. Andrew Koutnik and Modern Type 1 Diabetes Care
01:21 — The Biggest Misconception in Treating Type 1 Diabetes
02:04 — Why Type 1 Diabetes Rates Are Rising (and Why Blood Sugar Control Is Worse)
07:10 — Type 1 vs Type 2 Diabetes and the “Double Diabetes” Problem
11:10 — What Clinics Overlook: Nutrition and Diabetes Education Gaps
14:56 — Iatrogenic Hyperinsulinemia: What It Is and Why It’s Dangerous
19:02 — The Ins and Outs of Insulin Resistance and Insulin Signalling
23:04 — Why “Less is More” when it comes to Insulin and Health Benefits
29:44 — Diabetes Outcomes: Normalize Blood Sugar, Low Insulin, Best Outcomes
33:15 — Guidelines vs Reality: Evidence, Funding, and Incentives in Diabetes Care
39:33 — The Ethics of “Do No Harm” in Diabetes Treatment
43:00 — Beyond Science: Cultural and Political Barriers to Change
47:03 — Final Thoughts and a Riveting Disclosure


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