1. [4:24] Stomach Distension
2. [9:16] Exercise and Blood Sugar
3. [18:57] Insulin, A1c and Weight Gain
4. [26:21] Post-Game Nausea, Sweating and Dizziness
5. [31:45] Rheumatoid Arthritis Nodules
6. [35:32] Meningioma & Multiple Sclerosis
7. [44:09] Heat’s Effect on Training
1. Stomach Distension
David Says: Hi Robb, First of all, I love the podcast. Thank you for what you do. I have had a problem for as long as I can remember. My stomach appears distended no matter how “in shape” I am. When I flex my abs I have a 6 pack, but when I release my stomach it sticks out and looks like a gut and has a hard quality. Its like a balloon is inflated in my stomach. I am 5 ft 8 in and 170lbs. I have been doing crossfit for about a month and paleo for about 2 months. I have always thought that my back is “swayed” more than other people’s, but I don’t really know. Any insight you have would be much appreciated. Thank you so much for your time!
2. Exercise and Blood Sugar
Dawn Says: Hi Robb and Mark,
I started going to Crossfit in May and have recently started a 45 day Paleo challenge. What I love the most about eating Paleo is that I went from injecting around 60 units of insulin a day to about 7-12 units a day. I’ve had diabetes for 20 years, and it is incredibly liberating to be able to lower how much insulin I have to depend on. But here’s my question. On a typical morning I’ll wake up and have a blood sugar of 105. Then I’ll go to Crossfit to do my WOD. I don’t eat anything before I go, and I never eat after 7pm the night before. After an hour at Crossfit, my blood sugar will be 220. It’s constently jumping at least 100 points while I’m working out at Crossfit. This has never happened before; I’ve always had a problem with low blood sugars while running or doing other kinds of workouts. The frustration comes because I’m trying to take as little insulin as possible, but I’ll have to take 5 units just to correct the high blood sugar, and that’s before I’ve eaten anything. Any thoughts? Suggestions? Thanks so much!
3. Insulin, A1c and Weight Gain
Laurie Says: Hey Robb, Remember me? I’m the one who jumped down your throat after you made a comment about Type II diabetics who basically just need to change their evil ways and they’ll be fine…
We exchanged a few emails and you suggested I might be a type I, not type II. Ringing bells?
You were right. I was finally able to get referred to an endocrinologist who ran the bloodwork and confirmed that I am most definitely a type I (LADA).
My endo is concerned that my HbA1C is too low because I am experiencing hypo unawareness. (I don’t notice anything “wrong” until I get down to about 40.) My last HbA1c was 5.9, which you and many others consider way too high.
At the same time, the insulin is causing me to gain weight which annoys the bejesus out of me. So my doc thinks I should let the numbers go up a bit (strive for a 6.5) and cut the insulin back. She’s worried mostly about the hypo unawareness but has sympathy with my frustration with the weight gain, and thinks this will kill 2 birds with one stone.
I eat mostly paleo with the exception of heavy cream in my coffee (can’t do milk and black espresso is just too much for me). I live in Switzerland where cows still roam the fields and alps, so my stock of beef is of good quality (as is the dairy from these cows). I need insulin even for meat and veggie meals, and generally use the 6-hour type rather than the fast acting (which would require several small shots over the next 3 hours after a meal).
I know you’ve gotten away from using the HbA1c as an important measurement but my mind is still clinging to the “lower must be better no matter what” mentality. Long story, short question: what’s your take on my docs recommendations? Thanks for a quick response if you can!
4. Post-Game Nausea, Sweating and Dizziness
Evan Says: Hi Robb and Greg, Like everyone else I thank you and all your guests for the great podcasts.
My unique snowflake moment is this. I play lacrosse (I’m a goalkeeper) at a reasonably high post-collegiate level and about an hour after every game this season I have been experiencing a sudden nauseated feeling, dizziness and profuse sweats which lasts for about 10 minutes. It’s not impacting anything else in my life but it feels awful while it’s on.
I’m 1.87m and about 90 kilograms diet is approaching ‘paleo-hood’ but could be better. My pregame meal is usually an omelette or similar with a black coffee and post-game it’s generally some fruit and nuts with water.
I don’t get this feeling after heavy weights or conditioning sessions – only games. So, do you think this is generally just a carbohydrate depletion issue? Inadequate hydration? Interested to hear your thoughts.
5. Rheumatoid Arthritis Nodules
Cathy Says: I started a gluten/dairy free diet seven years ago, shortly after being diagnosed with severe rheumatoid arthritis. I have been on medication, off medication and back to medication again. Currently I am on Methotrexate and Enbrel as well as following a strict paleo diet for the last year. My body seems to need the combo of drugs and diet as one doesn’t seem as effective without the other. When I was on my two year break from meds I starting developing nodules. Since being back on meds, paleo diet, and basically in remission, the nodules continue. I know methotrexate can contribute to nodules but I am wondering what else is going on in my body despite feeling better than I have in years. If diet is helping, wouldn’t the nodules eventually stop growing?
6. Meningioma & Multiple Sclerosis
Sarah Says: Hey Robb, I’ll get straight to it. Two and a half of years ago at age 31 I was diagnosed with a golf ball sized olfactory grove meningioma (benign brain tumour), and later that week with Multiple Sclerosis.
The tumour was removed (along with my sense of smell), so now I’m tackling the MS. Luckily it has remained at a level where it barely meets diagnostic criteria – so no drugs. I’ve been paleo for a year but with 10% cheats, very strict for the past few months, and have just started autoimmune paleo. I also take a high does of vit D3, B12 and fish oil as prescribed by my naturopath.
I am now fitter, stronger, and feel better than I ever have, having spent he past year focusing on strength training. I rarely think about the MS it’s so mild, but I want it to stay that way. So what is it with my brain that I got both? My neurosurgeon and neurologist’s advice only intersect with “you are an unusual case” (at least they agree). Is there anything extra I should be doing to take care of myself based on all this brain stuff?
7. Heat’s Effect on Training
Emma Says: Hi Robb and Greg, Im trying to lose some weight. SHOCKING i know! Diet is not the problem. Ive got the paleo shtick down cold. However, due to the financially restricting conditions of being 23, a freelance journalist and living abroad I dont have the funds for a gym membership so I am doing some strength training at home and sprints outside in 30 second intervals with 30 seconds rest for about 15 minutes three times a week trying to work up to real tabata sprints (tried tabata at the begining of my get leaner and stronger and stop drinking so much wine initiative and nearly vomited -lovely)
So this would all be fine except I live in Beirut, Lebanon. Its the Middle East. Its almost July. Its hot. Its Really hot and humid. I keep myself as hydrated as i can and since my workouts are short and intense im not worried about sun exposure. Obviously the heat makes the workout harder but not impossible.
What Im wondering is how does the temperature affect the biosignaling that would usually come from this kind of workout. Are my workouts more or less effective (or exactly the same) because I do them in a very warm environment? Is there any virtue to manipulating the temperature of the space in which I work out when possible?
Ill spare you the shpeel about my excessive gratitude. Just rest assured that if the podcast were to stop there would be a lot of us missing you and your brain dearly.