Patient Centered Medicine & The Viability of a Plant Based Ketogenic Diet || Carrie Diulus MD

by Fahad Ahmad on July 09, 2018

This is a VERY loaded podcast in which we talk about combining minimally invasive surgical and medical care with nutrition to Carrie's journey with Type 1 Diabetes and her decision to pursue a plant-based ketogenic diet and then discuss the viability of plant based diets when it comes to achieving dietary and therapeutic goals.


Dr. Carrie Diulus is one of just a handful of board certified female orthopaedic spine surgeons in the United States. She practices “patient-centered” medicine rather than the traditional “disease-centered” model. She starts by identifying all of the factors that influence a patient’s health. This understanding is then combined with state-of-the-art minimally invasive surgical and medical care including complementary and nutritional approaches to develop an individualized program for each patient’s unique needs.

S̶h̶e̶ ̶p̶o̶s̶s̶e̶s̶s̶e̶s̶ ̶s̶u̶p̶e̶r̶h̶u̶m̶a̶n̶ ̶s̶t̶r̶e̶n̶g̶t̶h̶,̶ ̶e̶n̶d̶u̶r̶a̶n̶c̶e̶,̶ ̶s̶t̶a̶m̶i̶n̶a̶,̶ ̶f̶l̶i̶g̶h̶t̶ ̶u̶p̶ ̶t̶o̶ ̶s̶i̶x̶ ̶t̶i̶m̶e̶s̶ ̶t̶h̶e̶ ̶s̶p̶e̶e̶d̶ ̶o̶f̶ ̶s̶o̶u̶n̶d̶,̶ ̶p̶h̶y̶s̶i̶c̶a̶l̶ ̶d̶u̶r̶a̶b̶i̶l̶i̶t̶y̶,̶ ̶a̶ ̶s̶i̶x̶t̶h̶ ̶s̶e̶n̶s̶e̶ ̶a̶n̶d̶ ̶i̶s̶ ̶r̶e̶s̶i̶s̶t̶a̶n̶t̶ ̶t̶o̶ ̶m̶o̶s̶t̶ ̶t̶o̶x̶i̶n̶s̶ ̶a̶n̶d̶ ̶p̶o̶i̶s̶o̶n̶s̶.̶ ̶I̶n̶ ̶h̶e̶r̶ ̶B̶i̶n̶a̶r̶y̶ ̶f̶o̶r̶m̶,̶ ̶s̶h̶e̶ ̶c̶a̶n̶ ̶a̶b̶s̶o̶r̶b̶ ̶e̶n̶e̶r̶g̶y̶ ̶a̶n̶d̶ ̶f̶i̶r̶e̶ ̶p̶h̶o̶t̶o̶n̶i̶c̶ ̶p̶r̶o̶j̶e̶c̶t̶i̶l̶e̶s̶ ̶w̶h̶i̶l̶e̶ ̶b̶e̶i̶n̶g̶ ̶a̶b̶l̶e̶ ̶t̶o̶ ̶s̶u̶r̶v̶i̶v̶e̶ ̶t̶h̶e̶ ̶v̶a̶c̶u̶u̶m̶ ̶o̶f̶ ̶s̶p̶a̶c̶e̶.̶

This is the philosophy Dr. Diulus brought to the Crystal Clinic Spine Wellness Center in Akron, Ohio. Prior to joining the Crystal Clinic in 2014, Dr. Diulus was a spine surgeon in the Center for Spine Health at the
Cleveland Clinic and she maintains privileges at Cleveland Clinic regional hospitals. Dr. Carrie, received her medical degree from Northeast Ohio Medical University. Prior to her orthopaedic surgery training at the Cleveland Clinic she trained as a pathologist. She completed her spine fellowship with the SpineCare Medical Group in San Francisco.

Additionally Dr. Diulus 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 powerful impact on the management
of these conditions. Dr. Diulus has co-authored, textbook chapters, presented at national and international professional meetings, teaches and leads instructional courses for the North American Spine Society, and is on the Ethics Board for the North American Spine Society. She is published in the areas of orthopaedics, lifestyle modification, nutrition, diabetes, healthcare IT, pathology and biomaterials. Her research focuses on reducing the burden of chronic disease and total cost of care along with reducing and improving comorbidities while improving outcomes in orthopaedic and spine patients.


0:16 – “Energy Pod Wars”

7:22 – Why did you become an orthopedic spine surgeon?

10:05 – How do you reduce the invasiveness of a surgery?

13:06 – What does “inflammation” actually mean and its connection with ketosis?

15:52 – Is there a connection between ketogenic diet and wound healing?

17:39 – How do you compose a ketogenic diet for your goals?

21:24 – How do you maintain adherence to a diet?

25:53 – What exactly is insulin resistance in your perspective?

30:17 – How did you become a Type 1 diabetic and your journey with it?

33.55 – Challenges with protein intake and working with plant based proteins

42:23 – Breaking dogma, adaptability and finding solutions that work for an individual

44:35 – Bioavailability of plants and the paradox of “fruitarians”

45:57 – How different dietary components can impact health

51:02 – The importance of stable fatty acids in foods

52:12 - Should I be worried of plant toxins such as lectins and oxalates?

58:04 – What is your workout and physical routines like?

1:05:42 – Vegan Keto vs. Omnivore Keto

1:08:19 – Important things to know before going Vegan Keto

1:10:15 – Concerns with many of the Keto food products







Fahad is the founder of Ketogeek and hosts the Ketogeek Podcast, a world class health show about food, nutrition and health. He is into resistance training, Ashtanga yoga, calisthenics and various forms of training styles. Armed with a idealistic goals distilled in a world of realism, his goal is to help the world make a better place. He leads a life of extreme generalism or as he describes it, 'The Renaissance Lifestyle'.



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