
Dr Carrie Diulus is one of just a handful of board-certified female orthopaedic spine surgeons in the United States.
Dr. Carrie Diulus (Twitter, Instagram, Facebook) is a thriving Type 1 diabetic who utilizes a low-carbohydrate diet with specialized insulin strategies both for herself and her diabetic patients to have a powerful impact on the management of these conditions. Dr Diulus received her medical degree from Northeast Ohio Medical University, did three years of residency in anatomic and clinical pathology at Summa Health System in Akron, Ohio, and completed a six-year residency-training program in orthopedic surgery at the Cleveland Clinic in Ohio. She completed a spine fellowship with the SpineCare Medical Group in San Francisco.
Dr. Diulus is also a recognized leader in healthcare information technology. She is the CEO and founder of Speira Health (formerly C. Diulus, LLC) and a former Senior Clinical Associate for Tres Rios Group and Amati Health. Together these companies align to form a unique team of physicians and business analysts who work with healthcare providers, developers, and investors to identify breakthrough strategies that align healthcare IT initiatives, products and services with enterprise goals and market opportunities. Previously Dr. Diulus served as Medical Director within the Information Technology Division at the Cleveland Clinic from 2011-2014.
Dr Carrie Diulus is one of the most interesting and impressive human beings I have ever spoken with. It was a great pleasure for me to have her on the show and I am so excited for you to hear what she has to say about all things health, nutrition and exercise related.
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In this episode, we cover:
- How a type-1 diabetic uses a low-carb plant-based diet to thrive
- Optimising muscle gain and performance vs optimising health span and longevity
- How to improve spine health with inversion tables, swimming, and strength training
- … and much, much more
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Selected Links from the Episode
- Pritikin diet
- Cleveland Clinic
- Insulin resistance
- Pescetarianism
- Paleolithic diet
- Drawdown: The Most Comprehensive Plan Ever Proposed to Reverse Global Warming by Paul Hawken ( Amazon US / Amazon UK )
- OpenAPS
- Closed-loop insulin delivery for treatment of type 1 diabetes
- Dexcom Continuous Glucose Monitoring
- Tic Tac
- Omnipod
- Americans with Disabilities Act (ADA)
- Bulletproof Coffee ( Amazon US / Amazon UK )
- MCT Oil ( Amazon US / Amazon UK )
- Diabetic ketoacidosis
- Pea Protein ( Amazon US / Amazon UK )
- mTOR
- High-intensity interval training
- Eat Rich, Live Long Mastering the Low-Carb & Keto Spectrum for Weight Loss and Longevity by Ivor Cummins and Jeffry Gerber, MD ( Amazon US / Amazon UK )
- Ivor Cummins – Eat Rich Live Long (#165)
- Ketogenic Diet
- Methionine
- Intermittent Fasting
- Mitophagy
- Autophagy
- Body by Science: A Research Based Program for Strength Training, Body Building, and Complete Fitness in 12 Minutes a Week by Dr Doug McGuff and John R. Little ( Amazon US / Amazon UK )
- The Big-Five Workout Program
- TRX Training ( Amazon US / Amazon UK )
- Know Better Foods
- Ketosis
- How To Make Cauliflower Mash from the 4-Hour Chef by Tim Ferriss
- Inversion Table ( Amazon US / Amazon UK )
- Type II Muscle Fiber
- MedX Lumbar Extension Machine
- Nautilus Lower Back Machine
- Warrior III
- Clamshells
- Half Moon Pose
- Advanced glycation end-product
- beta-Hydroxybutyric acid
- Carnosine
- Vitamin B12 ( Amazon US / Amazon UK )
- Algae Oil Omega 3 ( Amazon US / Amazon UK )
- Fish Oil Omega 3 ( Amazon US / Amazon UK )
- Vitamin D ( Amazon US / Amazon UK )
- Vitamin K2 ( Amazon US / Amazon UK )
- Nutrient Optimiser
- Beta-keratin
- Carnivore Diet
People Mentioned
- Paul Hawken
- Ivor Cummins (Listen to my episode with Ivor here)
- Dr Ted Naiman (Listen to my episodes with Ted here: Part 1, Part 2, and Part 3)
- Valter Longo
- Tim Ferriss
- Skyler Tanner (Listen to my episodes with Skyler here: Part 1, Part 2, Part 3, Part 4, Part 5, and Part 6)
- Dr Mark Hyman
- Marty Kendall
- Mark Sisson (Listen to our episode here)
- Dave Asprey
- Dr Rhonda Patrick
That was an interesting interview. She seems very high energy and very driven. I guess you would need both to have done well with a career in medicine while overcoming some significant health challenges (though it seems that some of her health challenges were made worse by being too driven).
There were lots of interesting points raised in the discussion, but it felt a little bit like drinking from a fire-hose.
With regard to the amount of exercise needed to be healthy: I wonder if HIT advocates miss something by focusing almost exclusively on the acquisition of strength/muscle mass using the minimum effective dose? Certainly strength is the foundation for good health. But if you don’t build something on that foundation, perhaps the job has not been completed?
There seems to be pretty good evidence that when it comes to physical activity, more is better, up to a pretty high level, before the benefits level off (in terms of mortality). There is a good case to be made that humans evolved to be fairly active on a daily basis, and if you fail to get sufficient activity on a daily basis, then there may be adverse consequences. See for example: https://www.americanscientist.org/sites/americanscientist.org/files/2005217135249_306.pdf
(FWIW: Frank W. Booth would likely be interesting interview subject.)
So it is worth asking yourself if infrequent and very short strength training session, no matter how intense, get you to the threshold level of physical activity required for optimum health. Even with cardio, I am not convinced that all the potential benefits can be realized via infrequent HIIT style training; duration and frequency may still matter.
I did like her agnostic approach toward diet and nutrition. Sometimes it is best to admit that we have to make choices based on incomplete information.
Around the 54 minute mark, she mentioned a study in Cell that compared the adaptations produced by different styles of exercise.. No link was provided, unfortunately. I wonder if this is the study:
https://www.sciencedaily.com/releases/2017/03/170307155214.htm
A fascinating and enjoyable interview Lawrence! The thing that really stood out for me was how much individuality plays a part in how we react to different protocols whether it be exercise or dietary. one size definitely doesn’t fit all that’s for sure.
I also found the plant based keto concept an interesting concept. ‘Food’ for thought that’s for sure.
Thanks Carrie for sharing your experiences.
Thank you Malcolm. Carrie is fascinating. It’s good to talk to someone who follows a very different dietary protocol to many of the listeners of the podcast.
I’m glad you are sharing your experienced dr about curing the diabetes illness. Keep it up and save a lot of people. good job