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Dr. Charles Mobbs: Diabetic Kidney Damage Can Actually Be Reversed With A High-Fat, Low-Carb Ketogenic Diet

Exciting news spread throughout the low-carb blogosphere this past week when a brand new study of mice published in the April 20, 2011 issue of the scientific journal Plos One revealed a rather surprising positive health effect of a high-fat, low-carb ketogenic diet for treating diabetic complications.

Lead researcher Dr. Charles V. Mobbs, professor and researcher at the Fishberg Center for Neurobiology at the Mount Sinai School of Medicine in New York City, set out with the hypothesis that diabetes is just an accelerated form of aging. And as someone who has studied aging and metabolism throughout his career, he had already made the connection between complications from diabetes being the result of too much glucose metabolism. Along the way of examining aging, though, he noticed that the presence of ketone bodies would actually prevent glucose metabolism from happening which deeply intrigued him to become intently interested in this whole idea of a ketogenic diet as a therapeutic means for treating the various health problems associated with diabetes. Because nephropathy, or kidney disease, is easy to measure by the amount of protein in the urine, he and his fellow researchers focused in on that in conducting their study.

Dr. Mobbs acknowledges that the ketogenic diet (defined very specifically as a nutritional intake comprised of 87% fat, 8% protein, and 5% carbohydrate) has already been used for many years as a therapeutic measure for treating epileptic seizures thanks to a fabulous organization named The Charlie Foundation promoting it as an excellent nutritional alternative to medications. I’ve previously interviewed two outstanding experts about using ketogenic diets for epilepsy on my “Livin’ La Vida Low-Carb Show” podcast in the past few years: Dr. Eric Kossoff and Dr. Deborah Snyder. While the mechanism for knowing why the ketogenic diet works for controlling seizures is still unknown, that doesn’t prevent it from being used when drug therapies are ineffective or undesirable. Dr. Mobbs wondered if the same mechanism that helps reverse the complications from epilepsy would apply to complications from diabetes. His study was meant to test that hypothesis on mice.

Here’s my exclusive 30-minute interview with Dr. Mobbs recorded on Tuesday regarding his study of the ketogenic diet for treating mice with diabetic nephropathy and actually REVERSING this condition. You’ll hear him discuss the details of the study, his theory about why the ketogenic diet does what it does, the peculiar response he’s received by the media covering his research, the difference between a ketogenic diet and an Atkins-styled low-carb diet, his frustration at having difficulty getting the paper published, the apathy towards the high-fat, low-carb diet studies that still exists today, and so much more! Dr. Mobbs was quite frank with me throughout our conversations and I’m pleased to share this with you today:


http://youtu.be/HWYdHtBU9k8


http://youtu.be/-YLAx-NclIo

I’ll be sharing this interview with Dr. Mobbs about his study on “The Livin’ La Vida Low-Carb Show” podcast in Episode 469 on Monday, May 9, 2011. But I thought the information provided needed to be shared with my readers and listeners as soon as possible. While Dr. Mobbs is indeed an interesting researcher who actually had never even heard of the clinical work on high-fat, low-carb ketogenic diets by people like Dr. Eric Westman or Dr. Mary C. Vernon, I have to admit I was a bit dismayed that his self-proclaimed purpose in examining the ketogenic diet for treating complications from diabetes is to create as he tells The Los Angeles Times “a pharmacological intervention that mimcs these effects.” Really? People can’t consume this intensive very high-fat, very low-carb diet for a period of time to reverse their health issues from diabetes and then transition to the Atkins diet, for example? I certainly think that’s a lot better option for people to try than to be placed on some drug for the rest of their life that has dubious effectiveness and side effects.

The future of this research is promising. But Dr. Mobbs admits that most researchers want to identify how a disease works rather than actually finding a cure for a disease. Funding for a clinical trial on humans would be very costly, but could be quite illuminating in the coming years if research like this could actually be done. It is the logical next step with this theory that holds such great promise for treating the complications of diabetes–a disease that continues to skyrocket as the low-carb solution espoused by people like the great Dr. Richard Bernstein continues to be ignored. Does it really matter WHY the ketogenic diet works if we’re noticing improvements and even reversal in things like diabetic nephropathy? Doesn’t that demand we give this a closer look for human application? I sure think so and hope that it happens sooner rather than later.

For more on this study, check out this interesting perspective by Peter at the “Hyperlipid” blog.

  • Dan (aka Renegadediabetic)

    This is encouraging and I beleive there is something to it. It certainly contradicts the notion that low carb will make your kidneys explode. :)

    However, we need to be careful in touting animal studies. There are several animal studies that demonize fat and we denounce them as not necesarily applicable to humans. Human studies are needed and I beleive they will show positive results. Dr. Bernstein reversed his proteinuria by normalizing blood sugar with low carb, but that is just one anecdotal case. I hope that we get some human studies soon. It would be another strike against the anti-low carb crowd – as if these folks recognize meaningful science anyway. :)

    • http://www.livinlavidalowcarb.com Jimmy Moore

      I agree about needing human clinical studies…and so does Dr. Mobbs. If it’s been done in animals with success, then let’s test it in humans, too.

  • http://skinnyforgood.com/ Skinny Lesley

    Interesting interview – especially the fact that researchers don’t really understand the specific pathway that causes a ketogenic diet to actually reverse this “metabolic memory” previously considered irreversible: whether it’s the carb-restriction which obviously lowers blood glucose, or whether it’s the restriction in protein. He’s right about how annoying it is the way the popular media jumps on the “high fat” angle instead of the point: it’s carb- & protein-stricted dietary approach. He seems like a decent fellow & seemed, to me at least, to be uncomfortable with the fact that to get funding for this sort of research, the focus has to be on finding some sort of pill. It’s too bad these drug companies couldn’t instead focus on selling branded foods that would meet, say, Paleo Approved standards. But Americans do love their pills & insta-cures rather than getting to the root of many of their health problems: what they’re piling onto their dinner plates.

    • http://www.livinlavidalowcarb.com Jimmy Moore

      It’s a sad state of affairs we live in these modern times.

  • Gene

    Can someone please help me with a good book for my dad, who is diabetic and has stage 4 kidney disease. I want him to try this but don’t know what food to eat to get 87% fat 5% protein and low carbs?

    • http://www.livinlavidalowcarb.com Jimmy Moore

      There is a book on epilepsy called The Ketogenic Diet by John Freeman that discusses this kind of therapeutic diet. It’s basically the Atkins fat fast, though. That’s in Dr. Atkins New Diet Revolution or can be found doing a simple Google search of “Atkins Fat Fast.” Hope this helps!

  • Gene

    Thank you Jimmy, the question i have is the atkins has allot of protein and my dad has to stay away from protein because of his kidneys.

    • http://www.livinlavidalowcarb.com Jimmy Moore

      But Atkins doesn’t have a lot of protein. It’s high in fat with moderate protein and very few carbohydrates. A true ketogenic diet like what Dr. Mobbs is proposing is closer to Atkins than not.

    • Richard A.

      The Charlie Foundation has some good recipes.
      http://www.charliefoundation.org/recipes

      Matthew’s Friends also has a lot of information on the ketogenic diet.
      http://matthewsfriends.org/

  • Dan (aka Renegadediabetic)

    I was also reminded of a case study where a low carb diet did improve kidney disease. It’s a case study of a single individual and a larger clinical study is necessary if there is any hope of silencing the critics.

    http://www.ncbi.nlm.nih.gov/pubmed/16774676

    • http://www.livinlavidalowcarb.com Jimmy Moore

      Thanks Dan!

  • Lawrence Louis

    Jimmy,

    Having been a long time listener, no other show you have done hits closer to home than this one. Your interview with Dr. Charles Mobbs made we want to throw my laptop across the room in anger, because what he is doing, with his research into how ketogenic diets can reverse diabetes induced nephropathy, could have possibly saved my dad’s life.

    He was a long time sufferer of type II diabetes, and ate a low fat, high carb diet as recommended by conventional wisdom. His kidneys failed in the mid 90s, and he got a transplant. Two years ago his transplanted kidney failed, as a result of diabetes, and he went back on dialysis, and eventually passed away in September 2010, due to complications related to dialysis and nephropathy.

    I am elated in one sense that pioneers like Mobbs is doing this sort of research, but what makes me so incensed is how he has such difficulties getting funding for this sort of research because corporations have a hard time manufacturing a drug based on the research. If corporations are unwilling to fund it, the government should be investing heavily in such research. Just think about how much money the government would save in unnecessary medical care expenses, which result from diabetes caused degenerative diseases like nephropathy, many cases of atherosclerosis, and retinopathy . More importantly, think of how many lives could be saved, and how many diabetics and kidney disease patients could have their quality of life improved. It sickens me to no end.

    Please keep us up to date on any more progress Dr. Mobbs has made, and whether there is anyway where we could financially contribute to the furtherance o f his research. Thanks.

    -Lawrence

    • http://www.livinlavidalowcarb.com Jimmy Moore

      Lawrence, I hear your frustration and am right there with you. We’ve been lied to about so much and there’s gonna be you know what to pay. Rest assured I’ll be keeping up with the work Dr. Mobbs is doing.

  • Daniel

    So, does this mean, that from 100 grams of food, 87 grams should come from fat, 8 grams from protein and 5 grams from carbohydrates?
    Or am I totally wrong here?

    Is the low protein intake due to the bodily stain of converting glucose from proteins, rather than fat?

    • http://www.livinlavidalowcarb.com Jimmy Moore

      Keep in mind that fat has around 9 calories per gram and protein and carbs around 4 calories per gram. It’s not a 1-1 ratio when it comes to fat vs. protein and carbs. Cut that 87 number about in half to, say, 40g of fat and your numbers are more in line with what Dr. Mobbs is referring to. Plus, keep in mind that this is a therapeutic diet for treating the nephropathy. Protein control is all about preventing gluconeogenesis from happening and producing more ketones.

  • Daniel

    Thank you, Jimmy, for your answer.

    I read here: http://onlinelibrary.wiley.com/doi/10.1111/j.1528-1167.2008.01824.x/pdf

    That you should be looking for a 4:1 ratio of fat to protein ratio, so I suppose this is in line with what you’re saying.
    I’ve always been a little bit confused when it comes to calculating the different ratio, in regards to calories and grams. I seem to confuse the two.

    But I still wonder about the protein.
    Does gluconeogenesis kick in, if the protein level becomes too high, and if kept under, the body will not convert some of the protein into glucose, but use ketones as energy?

    • http://www.livinlavidalowcarb.com Jimmy Moore

      I admit I don’t always fully understand how it works either, but based on what I’ve learned from my interview guests it’s a process that happens in everyone. Excess protein (i.e. eating chicken without added fat) can produce glucose for the body in excess of what the body actually needs for energy. Some ketones in that instance would also serve as a fuel source as well. Fasting also starts GNG happening even in people who don’t eat low-carb…overnight while sleeping, almost anyone will create ketone bodies.

  • http://yahoo.com Michael

    Hello Jimmy,

    I was so happy when I found your program on Youtube.com, and have enjoyed the episodes for over a month. My problem is that I have always had problems with my weight, mainly my gut. And when I was 35. I had a heart attack and subsequent triple bypass. That was over 3 years ago, and after hiring a personal trainer 6 months ago, I was starting to get fitter, but I couldn’t lose the weight. About 2 months ago, I was diagnosed with Type 2 Diabetes. Now my question is I completely undersatand the low-Carb Diet, and support it, however, is it safe for someone with Coronary Artery Disiease? And, do you have access on any research information on anbyone who has had cardiac issues who’ve been successful with Living La Vida Low Carb? Any information on this would be greatly appreciated.

    Thank You,

    Michael

    • http://www.livinlavidalowcarb.com Jimmy Moore

      One of the most heart-healthy diets you could ever eat is a high-fat, moderate protein, low-carb diet. Find a trustworthy low-carb friendly doctor at http://lowcarbdoctors.blogspot.com.

  • Suzanne

    Jimmy,

    Like a previous poster, I too have a loved one suffering from the effects of diabetes. She is currently on dialysis.

    I went to nursing school over 30 years ago and remembered reading older medical text that said before the discovery of insulin in the 1920′s a high oil(mostly lard) diet was used to to control sugar in the urine. I used a form of this diet while I waited for my insurance at a new job to go in force to keep her from going into Ketoacidosis for a couple of weeks.

    This new research is interesting because it replicates a nutritional approach that had wide application over 100 years ago and was generally very well known. I will investigate how we may do this again ourselves, as she is in a state of decline.

    Sincere thanks for bringing this important new study to our attention.

    Suzanne