this post was submitted on 20 May 2026
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Every day, patients walk into clinics with diseases that, unbeknownst to them, stem from what’s on their dinner table. Yet most doctors are ill-equipped to counsel them, not for lack of care or effort, but for lack of training....

Today, most medical students receive fewer than 20 hours of nutrition training over four years of school

Recommendations to “eat less fat” or “choose whole grains” overlook metabolic realities and fail to address the underlying dysfunction driving most chronic disease.

Ketogenic and other carbohydrate-restricted diets, in particular, have been extensively studied and shown to stabilize blood sugar, improve insulin sensitivity, and, in many cases, induce remission or major improvement in chronic metabolic diseases. Yet these dietary approaches are not taught to our future physicians.

Future physicians must understand the latest science surrounding diet and metabolic health.

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[–] jet@hackertalks.com 2 points 12 hours ago

This lack of formal training and examination may be why the old talking points like cico, eat less move more, fiber, whole grains, etc are so persistent and why so many MDs repeat them.

[–] Elting@piefed.social 0 points 12 hours ago* (last edited 12 hours ago) (2 children)

I have noticed that my body always feels better when it burns primarily fat instead of carbs. Waking up and eating a bowl of cereal or oatmeal often makes me worse off than not having eaten at all. If I make a hash brown and eggs, I might not even need to eat again that day.

[–] TIN@feddit.uk 1 points 9 hours ago (1 children)

Isn't a hash brown also carbs?

[–] Elting@piefed.social 1 points 9 hours ago

Yeah the potatoes have it, but when I make them I use what some might consider to be an unholy amount of butter and olive oil.

[–] jet@hackertalks.com 1 points 12 hours ago (1 children)

Yup! A big bowl of carbs to start the day, spikes glucose, spiking insulin for 2-4 hours... which drives a hypoglycemic dip, which drives hunger.... and a day of constantly snacking on carbs begins

fun fact - the body doesnt store glucose, we only have the 5g of glucose floating around in the blood.... no wonder we get hungry so fast when we are in a glucose metabolism

[–] Elting@piefed.social 2 points 11 hours ago (1 children)

I have noticed also that I can get away with a bowl of cereal if I replace half of it with frozen fruit. What is it about fruit that keeps it from spiking your glucose?

[–] jet@hackertalks.com 2 points 11 hours ago

a bowl of cereal and frozen fruit.... both are filled with carbs, the cereal will turn into glucose quite quickly, the frozen fruit will convert a bit (a few minutes) slowly, and it has some fructose as well, plus it has a bit of fiber a anti-nutrient which can block the other food your eating... so a slightly delayed glucose spike, maybe muting a bit of the cereal carbs.

I suspect your glucose is still spiking with a slight delay, if you want to see it you can get a CGM and eat the different foods and look at the real time graph of blood glucose.