Carbohydrate Requirement for Type 1 Diabetic Children – Episode 153

Performance Menu: Journal of Health & Athletic Excellence

Download Episode Here

Download a transcript of this episode here


  1. [3:36] Stanford Cooling Glove
  2. [11:58] Synthetic Vitamin D Dangers
  3. [15:20] Mental Decline With 30 Day Challenge
  4. [20:50] Carbohydrate Requirement For Kids With Type 1 Diabetes
  5. [28:13] Incorporating Gymnastics Into A Strength Program
  6. [32:05] Physiogenomic Testing
  7. [37:47] Histamine Rebound
  8. [42:31] Bone Marrow Donation Recovery
  9. [44:01] Finger Nail Ridges



1. Too good to be true!

John says:
Check out this article on cooling to improve athletic performance. This is more amazing than anything that I had previously heard of, and sounds a helluva lot better than ice baths. I would like to hear Robb and Greg’s take on this.


2. Is synthetic vitamin D3 dangerous?

Max says:
Hey, Robb and Greg! Thanks for spectacular podcast!

Quick question.

I recently stumbled upon this article in Green Pastures blog by Dr. Mercola.
The point it makes is that synthetic D3 actually increases the risk of various diseases. Instead, we should get more sun, eat more fish, and take fermented cod liver oil (surprise-surprise!)?

Looks like bollocks. But it would be great to hear your perspective.

Assuming that one lives in a Northern part of the world, works in office and almost no sunshine at all, can one get all the D3 from fish & FCLO or is additional D3 is still a must? And if yes, are there any differences between brands currently on the market?

Thanks a lot!


3. Mental Decline Over the 30-Day Challenge, Why?

Cale says:
Hi Robb,

I was introduced to paleo by some friends who lost a weight and claimed huge health gains. I’ve never been overweight and always been physically active: lacrosse, skiing, hiking, running, gym, etc.

Read your book and completed the 30-day challenge, zero cheating. Physically I felt normal. I lost about 5 lbs over the course of the month. However, I’m a programmer and each day I became more mentally fatigued, started having memory problems, and could not solve anything but the most basic problems. I supplemented the lack of carbohydrates with sweet potatoes and bananas, but they barely made a dent in my fog. I ate lots of fat, bacon, burger meat, salmon, butter, etc. Nothing was helping, mentally I kept declining. During the last week, my boss became outwardly concerned at my decline in job performance.

As soon as the 30-day challenege was over, I ate two slices of whole wheat pizza, peanut butter and jelly, a spoonful of refried beans, and a tall glass of skim milk explicitly trying to trigger the reaction you describe in you book. My stomach felt completely fine, and my brain returned to its normal self again with an hour and half.

Any ideas as to why this happened to me?


4. how many carbs do kids with type 1 need daily?

Diana says:
Hi: I’ve been eating paleo for about 6 weeks – got interested because I have an 11 year old granddaughter diagnosed last year with type I diabetes. My initial reaction to her diagnosis was, interestingly, what if she doesn’t eat carbs? I was immediately shot down. The docs and nutritionist told her to let her keep her diet as it (grilled cheese and PB sandwiches, mac and cheese, cold cereal in the am. I knew nothing about paleo at the time. 18 months later I am asking the question again. When she came to stay with me for three weeks this summer I cut her grains way down, cut as much bread as I could, and gave her complex carbs like sweet potato, etc. She had bacon and eggs for breakfast. Protein at every meal, coconut mild, etc. and she needed way less insulin and was way more even in her blood sugar levels. The docs and the ADA keep telling my daughter she needs “lots of carbs as a growing child”. I probably had her on 90 to 140 grams of carbs daily. I’d like your opinion about how many carbs a child or adolescent needs. Are the carb needs of a diabetic child different than for a “normal” kid. She is 5’3″ and 115 lbs currently. She is very interested in her health and doesn’t like it when her blood sugar is high. She is also concerned about her weight – slightly chubby but starting to lengthen out and change shape. Her mom and I both want to focus her on health rather than weight, but as she said “you’re not healthy if you are overweight”- good point. Her mom is concerned about her eating “fatty” foods like coconut milk and bacon, which might be a realistic concern if she is also eating a high carb diet as per ADA. I’d like any thoughts you might have and any books or other resources that might help me make a case to my daughter that paleo might be a good alternative. I intuitively feel that leaky gut is at the root of the problem. I’ve got another granddaughter, age 8, who I fear is in the diabetes pipeline. Their dad was diagnosed at age 3. I’ve been eating paleo for 6 weeks and feel great. Had an achy gut after meals with grains and that has gone away. Lost 7 lbs right away and have to work to keep the weight on. I feel clearer mentally and generally more positive. Totally hooked and want to know more and help my family. Thank you so much in advance.


5. Secret Squirrel Programming!

Lithe Gorilla says:
Leaders of the Paleo Enterprise,

Thus far in my quest for world domination, I’ve been following a protocol of strict paleo and crossfit football programming. Shoutout to John and the guys at CFB for the killer program. Am loving the programming but I’m looking to up my recovery game and improve my mobility and bodyweight work. Purchased Building the Gymnastics Body and am waiting for it to arrive in the mail. Robb, I’ve heard you mention in previous podcasts that you use gymnastics to supplement your strength game but was hoping you could give some details into how you specifically integrated that? Am looking to do an AM CFFB workout and then follow later in the day with some gymnastics work.

If relevant: 6’2” 205lb 15% bodyfat


6. physiogenomic testing

Josh says:
hi robb, great site! i am a long time follower, and re-tweeter! (@paleo_osteo)
i was wondering your thoughts on physiogenomic testing and the idea that there are 3 basic lipid metabolic types?
i am signing up for a course based on physiogenomic model, but i hear that of the 3 types (A, B and C) that C cannot handle substances like olive oil, or animal based saturated fats, but do well on coconut oil (also saturated?!?!)
i have yet to delve into the reading materal, and think this idea is kinda cool but wondered your thoughts?
i am an australian trained osteopath with a keen interest in dietary intervention, stemmed from initial success with patients with “fibromyalgia,” as well as my own transformation.
cheers, hope to hear from you


7. Histamine Rebound Nightmare

Jennifer says:
Hi Robb & Greg,
I’ve trolled through the site for anything regarding histamine, and so far I haven’t come up with much in regards to the issue I am having.

I recently came off Zyrtec after 6 years of taking it daily. I realized I would have withdrawal symptoms a long time ago and doctors said I could simply never stop taking it.

All my allergy problems have pretty much been resolved via eliminating gluten, so I decided to stop taking Zyrtec since putting a drug in your body that you don’t actually need can’t be a good thing. Plus there have been reports linking Zyrtec to heart problems etc.

4 weeks after going cold turkey I am still having histamine rebound symptoms. No bronchial nasal symptoms however, just chronic itching that is extremely painful, some rashes sporadically, difficulty sleeping & some extreme bipolar type mood issues (possibly worsened by sleep deprivation). I have been toying with the idea of doing the histamine elimination diet but giving up bacon, salmon and berries is kinda lame and I’ve only been able to adhere to it somewhat. During this time I have been doing strict paleo with also a nut elimination. I am doing a lot of crossfit and jiu jitsu once or twice a week and sometimes I feel like the training is making symptoms worse, then I up my carbohydrate intake and that seems to help, sort of. When symptoms were getting worse instead of better a week ago, I did come off paleo and did a cheat/carb refeed as an experiment where I ate some sugar, vodka, and gluten free “junk food”. My symptoms got WAY better but I also experienced a lot of water weight gain and digestive disturbance so I went back to a clean diet and now the extreme itching, moodiness, and sleeplessness has returned though the water has dropped out and my digestion is better. I feel like I just can’t win here.

What’s your opinion on high protein/lower carb diet and it’s potential impact on histamine? Are there any ways I can address this issue via supplements? How does training recovery effect histamine and is there a way to counteract potential elevated histamine levels post-training?

Thanks for all the information you guys put out there.


8. bone marrow / stem cell transplant

Greg says:
Hi Robb!

I am a long time listener of the podcast, and this is the first time I have ever had a legitimate question that might be of some value to others. I am 50 years old, very active (Crossfit 4-5 times per week), 5’10, 155 lbs, and have a reasonably clean diet – very low on processed carbs, very high on meat, fish, veggies and fruit. Some dairy as well, which does not cause me any issues.

I am preparing to donate bone marrow (or more accurately the stem cells from my bone marrow) tomorrow for my younger brother (Jeff, who you know well) who is suffering from Hodgkins disease.
I am not sure how to recover from this procedure – any ideas as to foods that may be beneficial or harmful in this process? Should I look for Iron rich foods? Maybe just keep doing what I am doing? Any thoughts would be great. Please keep Jeff and Melissa in your thoughts.


9. Ruffles have ridges (and so do my nails)

Keith says:
Greetings Robb and Greg–

Really enjoy the podcast, especially the banter between the two of you. Congrats to you both on the births of Zoe (Robb) and the book (Greg).

Let’s see, where to begin…

I’m 46, around 155 pounds. Was a vegetarian for around 7 years in my mid 20’s to early 30’s before rediscovering the joys of medium rare steaks. Been gluten-free for a couple years and moving towards paleo over the past few months.

I’ve had a couple bone density scans that show I have osteopenia (and I think I’ve lost a little height at the same time). A recent endoscopy biopsy found a moderate level of eosiphils (13, I believe) in my esophagus and the colonoscopy done at the same time found diverticulosis.

I was wondering about your thoughts on fingernail quality as an indicator of digestive wellness and bone health. My fingernails have significant vertical ridges, are whiter along their base, and tend to be brittle and split (especially my left thumb).

I’ve read that vertical ridges are a sign of malabsorption, but haven’t found any solid suggestions on how to fix. A search on the interwebs for paleo and fingernail quality has brought up a lot of references to a loss of fingernail quality after starting a paleo diet.

Additional info… Vitamin D levels have fluctuated over the last couple years, but still on the low side (from 29.1 in March 2010 to 65.3 in September 2011 to 40.4 in March of this year, which is probably partially a seasonal issue). I’ve been supplementing recently with Vitamin D capsules at around 8000 iu per day, but going to get some drops based on your recommendation from a few podcasts back. In addition to the vitamin D, I have been supplementing with calcium and vitamin K. I take either betain HCL or Now enzymes with nearly every meal.

Any suggestions on how to improve absorption? Anything I should add to my diet that will improve the quality of my nails and bones before I lose any more height?

Up the enzymes? Start an IV of bone stock? Add gelatin to everything? Mainline BCAAs? Liver let die?

BTW — I’ve found that the Now enzymes come in both tablet and capsule forms. Any differences on timing of either of these? Is one form better than the other?

Thanks in advance for your words of wisdom.


Audio clip: Adobe Flash Player (version 9 or above) is required to play this audio clip. Download the latest version here. You also need to have JavaScript enabled in your browser.

Categories: Podcasts


Robb Wolf’s 30 Day Paleo Transformation

Have you heard about the Paleo diet and were curious about how to get started? Or maybe you’ve been trying Paleo for a while but have questions or aren’t sure what the right exercise program is for you? Or maybe you just want a 30-day meal plan and shopping list to make things easier? Then Robb Wolf’s 30 Day Paleo Transformation is for you.


  1. John says


    I have attached a link to a follow-on article about the Stanford cooling glove. Near the bottom of the article they discuss a proposed mechanism of action. It’s a little beyond my meager brain power to understand, but I think Robb would dig it. Essentially muscle pyruvate kinase acts as a thermal circuit breaker in the muscle cells to stop them from cooking themselves to death (Hence the reason for fatigue). Rapid cooling re-activates MPK allowing a much higher work capacity.


  2. Anna says

    Thanks for the discussion on carbs for type 1 diabetic kids. However, I feel you should have mentioned that ketogenic diets appear to cause stunted growth in children. As a parent of a kid with a strong family history of type 2 coming at her from all sides, I have also been asking myself about the right level of carbs for her, considering that there have been known issues in terms of growth when lower carb diets have been implemented.

    • Anna says

      Thanks for the link. I’m glad to see that Jaminet investigated this issue. Interesting to know that the stunted growth may not be due to keto – although the article is still speculative and not conclusive.

  3. Stephanie says

    I was quite sad that the response to the histamine question did not mention anything about the potential for female hormone imbalance. The symptoms regarding mood changes and sleep problems to me signal a hormone issue more than anything and could be a result of too low of carb intake coupled with high metabolic activity levels. That kind of stress could be exacerbating the hormone issue if it is promoting unchecked cortisol production. Also, noting that upping the carb intake alleviated some problems just supports a stress/hormonal response issue. Since hormones are affecting gut health, it makes sense that this could manifest as a histamine/allergy type of symptom and therefore, a misdiagnosis. I’m really a big fan of trying to relax a bit with worrying about diet all the time, once you’ve removed main antagonists like cereals, sugar, milk products. Maybe before recommending an even more restrictive (and more stressful) diet, there could be some acknowledgment of the complication of female hormones and that women may need to take a different approach to the “paleo diet” than brute force low carb.

  4. says

    regarding the Pizza Girl, it could be lack of carbs but we also may be overthinking the symptoms, I have heard Robb say, many times something to the effect of … during your 30+ day, especially if you are particularly glucose dependent, it will be a hard ride towards fat adaptation and re-training your body to produce ketones to use as fuel… I would like to see how she does with a short term ketogenic experiment to see if she can get past the misery threshold that Robb mentions in previous podcasts (and The Paleo Solution), which also mentions up to 6 or 8 weeks to rehabilitate extreme metabolic derangement in extreme cases. Or something to that effect.

  5. grayson says

    Stephanie, i think you are on to something, but are a little hung up on the carb thing. If it is unchecked cortisol production (depleting progesterone, etc) that you are focused on – rightly so, i think – there are definitely other things that could cause that than carb levels. It could simply be stress alone, for example.

    • Stephanie says

      Certainly you are right it could be any number of things causing stress/cortisol/hormone imbalance. I was only responding within context of her question, which there asked about tweaking the carb factor. However, apart from that, I do truly think low carb dieting is an entirely different beast for women.

  6. Peter says

    Re: Carbohydrate Requirement For Kids With Type 1 Diabetes. Been searching in vain for the link to the study. Could some kind person post it here please? Cheers!

Join the Discussion