Podcasts, Presentations, and Virtual Summits

Joy Y. Erdile, MSc, RD

Joy Y. Erdile, MSc, RD | Licensed in BC, AB, ON | Clinical Specialization: Chronic Disease Management, Digestive Health, Therapeutic Ketogenic Diets.

For a full clinical background and list of credentials, please visit my About Me page.


Summary with references from talk at U of TOn June 6, 2024, I spoke along with Amy Berger, MS, at the University of Toronto – Joannah & Brian Lawson Centre for Child Nutrition, on the subject of Dietary Patterns in the Management of Cardiometabolic Disease.

Amy and I taught different sections of the talk.

Joy – speaker at U of T Lawson Centre

I shared from the academic literature how carbohydrate-restricted diets have been used therapeutically for diabetes for centuries, and that more recently, clinical evidence supports the use of low-carbohydrate and ketogenic diets for improving numerous other cardiometabolic conditions, including obesity, metabolic syndrome, polycystic ovarian syndrome, atherogenic dyslipidemia, and non-alcoholic fatty liver disease. [Read my articles: 1) Standard Treatment for Diabetes Before the Discovery of Insulin, 2) American Diabetes Association & European Association Classify Low Carb Diets as Medical Nutrition Therapy]

Amy presented how carbohydrate-restricted diets have been shown to improve conditions such as type 2 diabetes and hypertension while facilitating the reduction or elimination of related medications, and I shared how emerging research suggests ketogenic diets may be effective as adjunct therapies in mental illness, including those that are treatment-resistant.

I differentiated between therapeutic ketogenic diets used historically in the treatment of epilepsy and diabetes, and the popularized “keto diet.” I elaborated on 4:1 and 3:1 therapeutic ketogenic diets (3- or 4-part fat to 1-part combined carbohydrate and protein), which are used as dietary therapies for epilepsy and that were used historically in the treatment of diabetes, and which require weighing and measuring food and adhering to precisely calculated “macros” (percentages of total calories from fat, protein, and carbohydrate). [Read my articles: 1) Standard Treatment for Diabetes Before the Discovery of Insulin, 2) A Keto Diet and a Therapeutic Ketogenic Diet are Very Different, 3) A Therapeutic Ketogenic Diet – treatment and adjunct treatment]

Amy discussed that, in contrast, the “keto diet” represents a more relaxed approach that is typically used for weight loss and improving common cardiometabolic conditions, and that does not require the same degree of precision when it comes to weighing and measuring food.

We highlighted that low-carb and ketogenic diets can be tailored to suit client preferences, food allergies or intolerances, religious or cultural needs, and budgetary constraints, and may be vegetarian or omnivorous.

We concluded the talk with the fact that while social media continues to depict “the keto diet” as abundant in steak, bacon, butter, and cream, this is both misleading and inaccurate, and may steer patients and clinicians from considering a dietary intervention with documented efficacy that has been recognized by the American Diabetes Association, Diabetes Canada, the American Heart Association, and others. [Read my articles: 1) The Stereotypical High Fat Keto Diet is Only ONE Type, 2) American Diabetes Association (ADA) is Making Sense of Carbs, 3) New ADA Standards of Medical Care Include Low Carbohydrate Diet, 4) Diabetes Canada Deems Low Carb and Very Low Carb Diet Safe]

Amy highlighted the controversy surrounding the impact of carbohydrate restriction on blood lipid profiles and outlined that while many individuals on low-carbohydrate or ketogenic diets observe decreases in total cholesterol and LDL-C, some experience increases. She concluded that ongoing research aims to clarify the significance of elevated LDL-C as an independent risk factor for cardiovascular disease, particularly considering improvements in other relevant biomarkers such as triglycerides, HbA1c, blood pressure, body weight, abdominal circumference, LDL particle size, and fasting insulin. She concluded that in cases of elevated LDL-C, a collaborative decision should be made between patient and physician, considering individual risk profiles and patient preferences.

References [Click to View +]
1. Lennerz BS, et al. Carbohydrate restriction for diabetes: rediscovering centuries-old wisdom. J Clin Invest. 2021.
2. Volek JS, et al. Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets. Nutrients. 2021.
3. Hyde PN, et al. Dietary carbohydrate restriction improves metabolic syndrome independent of weight loss. JCI Insight. 2019.
4. Unwin DJ, et al. Substantial and Sustained Improvements from a Carbohydrate-Restricted Diet. Int J Environ Res Public Health. 2019.
5. Feinman RD, Volek JS. Low-carbohydrate diets improve atherogenic dyslipidemia. Nutr Metab (Lond). 2006.
6. Khalid K, et al. Effects of Ketogenic Diet on Reproductive Hormones in Women With PCOS. J Endocr Soc. 2023.
7. Luukkonen PK, et al. Effect of a ketogenic diet on hepatic steatosis in NAFLD. Proc Natl Acad Sci U S A. 2020.
8. Danan A, et al. The Ketogenic Diet for Refractory Mental Illness. Front Psychiatry. 2022.
9. Hallberg SJ, et al. Effectiveness and Safety of a Novel Care Model for T2D. Diabetes Ther. 2018.
10. Cucuzzella M, et al. Adapting Medication for Type 2 Diabetes to a Low-Carbohydrate Diet. Front Nutr. 2021.
11. Westman EC, et al. Implementing a low-carbohydrate, ketogenic diet to manage T2D. Expert Rev Endocrinol Metab. 2018.
12. Evert AB, et al. Nutrition Therapy for Adults With Diabetes or Prediabetes. Diabetes Care. 2019.
13. Joseph JJ, et al. Comprehensive Management of CV Risk Factors for Adults With T2D. Circulation. 2022.
14. Diabetes Canada Clinical Practice Guidelines Expert Committee. CPG for Management of Diabetes. Can J Diabetes. 2018.
15. Diamond DM, et al. Statin therapy is not warranted for a person with high LDL-C on a LC diet. Curr Opin Endocrinol Diabetes Obes. 2022.

Note: Talks below about Joy’s clinical use of a low-carbohydrate diet in diabetes and weight management relate to her former low-carb division (lchf-rd.com). BetterByDesign Nutrition is Joy’s long-standing Dietetic practice that has been in operation since 2008, and offers a variety of dietary patterns, including low-carb.


 

Joy Erdile (Kiddie), guest on Podcast with Esther Kane On November 23, 2022, I was a guest on Compassionate Conversations, a podcast hosted by Esther Kane, Registered Social Worker and Registered Clinical Counsellor.

We chatted about the emerging role of ketogenic diets in mental health, the 100-year history of a therapeutic ketogenic diet, as well as the need for individualized dietary approaches for those with compulsive overeating or food addiction. [Read my articles; 1) Do You Identify as a Food Addict? 2) Another Client Journey — freedom from food addiction]

The podcast was titled “Can a Low-Carb / Ketogenic Diet Help Curb Overeating?” and is also available in video form.

[The first few minutes of the podcast are an introduction to Esther Kane’s new series, and the interview with me begins at 2:44. Enjoy!]


Joy Erdile (Kiddie), guest in Netta Gorman's Life After Sugar podcast

On November 7, 2022, I chatted with Netta Gorman of the Life After Sugar podcast #105, where she asked about my adoption of a low-carb lifestyle, my book Low Carb Breads of the World, and my recent diagnosis with hypothyroidism. [Read my articles: 1) Low Carb Breads of the World – the book, 2) To Hell and Back – recovering from hypothyroidism (a Dietitian’s Journey)]

The talk is titledYou can eat bread and still be low carb,but we speak about more than low-carb bread.


 Lets-End-Diabetes-chat-with-Dietitians-with-names-of-RDs

October 22, 2022: I was the Dietitian representing low-carbohydrate and ketogenic diets in the management of type 2 diabetes at the Diabetes Canada Let’s End Diabetes Virtual Conference.

My talk focused on evidence from the literature that reducing carbohydrate intake to improve blood sugar is both safe and effective, and that this approach also supports weight loss and improves blood pressure. I also highlighted that a low-carb eating pattern can be tailored to a wide range of individual needs, including vegetarian and pescatarian. [Read my article: Diabetes Canada Deems Low Carb and Very Low Carb Diet Safe]

The session concluded that the most effective eating pattern is one that aligns with a person’s personal preferences, lifestyle, and health goals, while helping them manage blood sugar and maintain overall well-being.


Joy Erdile (Kiddie) guest on LowCarbMD-Podcast

On September 9, 2022, I was a guest on Episode #241 of the Low Carb MD Podcast, hosted by Dr. Tro Kalayjian and Dr. Brian Lenzkes. We talked about my book, Low Carb Breads of the World, and my recent diagnosis with hypothyroidism, and the articles that I have written on that subject.

Joy Erdile (Kiddie) guest on LowCarb MD podcast 141

I was also a guest on the Low Carb MD Podcast Episode #141, where Dr. Kalajian, Dr. Lenzkies, and I discussed fasting in combination with a low-carb diet and the importance of considering bio-individuality when considering a suitable dietary approach for a patient. We talked about the necessity to lower stress and get sufficient sleep as part of the long-term sustainability of a successful diet.

I was one of the first guests on the Low Carb MD Podcast Episode #7, where Dr. Kalajian, Dr. Lenzkies, and I discuss our shared struggles with weight loss following the standard dietary guidelines.  I talked about how a low-carb approach combined with intermittent fasting altered my approach as a Registered Dietitian, and how I lost a significant amount of weight and put my type 2 diabetes into remission. I also spoke a little bit about my academic research in mental health nutrition, and Dr. Kalajian, Dr. Lenzkies, and I discussed why some people struggle with carbohydrate addiction, while others do not. [Read my articles: 1) 1977 Dietary Recommendations — forty years on, 2) Intermittent Fasting and Time Restricted Eating, 3) From the Mountains Through the Valleys – five year update]


Joy Erdile (Kiddie) guest on Food Junkies

On October 14, 2021, I was a guest speaker on the Food Junkies Food Addiction Summit.

As I wrote about in Do You Identify as a Food Addict, the evening before the summit, I was given the list of questions that I was going to be asked, including “Do you identify as a food addict?” “How has food addiction impacted your life?” and “How old were you?”


Joy Erdile (Kiddie) guest on Vinnie Tortorich podcast

I was also a guest on Episode #1651 of Vinnie Tortorich’s 1-on-1 Luminaries, where we discussed the benefits of a low-carb diet, my personal journey with weight loss, therapeutic ketogenic diets, and more. 


Joy Erdile guest on Become Your Own Superhero podcast

On March 16, 2021, I was a guest on Laban Ditchburn’s, Become Your Own Superhero, a podcast dedicated to interviewing people who are considered experts in their fields, to help listeners learn optimal ways to live their lives.

Listen to the interview on Laban Ditchburn’s Become Your Own Superhero.


Joy Erdile guest on The Die Healthier podcast

On Thursday, June 20, 2019, I was invited to be the guest of Daniel Flahie and Scot Gubbels on Episode #41 of the Die Healthier Podcast. We discussed several topics related to low-carb-high-fat eating, including ketogenic diets and vegetarian approaches, and talked about prevailing dogma about nutrition. We also discuss my personal health recovery and weight loss journey, and how sleep, circadian rhythms, and blue light exposure play an important role in our overall health and well-being. [Read my articles: 1) Three-Year Health Recovery Anniversary – a personal story, 2) When to Eat and Not Eat, How Many Meals and Snacks

Listen below.


Joy Erdile (Kiddie) guest on Episode 153 Ketovangelist

On May 1, 2018, I was the guest of Brian Williamson, host of the podcast Ketovangelist, where we discussed my research, findings, and publication of research in mental health nutrition in a peer-reviewed journal, and how my research background eventually led to my interest in low-carbohydrate and ketogenic diets as therapeutic nutrition.

We also discussed the politics of nutrition, changes in Dietary Guidelines in both the US and Canada beginning in 1977, the obesity epidemic, and the role that I see for individual nutrition for helping those with type 2 diabetes and insulin resistance, as well as the comorbid disorders of high blood pressure, abnormal cholesterol levels, and obesity. [Read my articles: 1) When Fat Was Made the Villain, 2) Sugar Industry Paid to Shift Blame for Heart Disease to Fat]
Listen to the interview on Ketovangelist.


Weight Solutions for Physicians logo


On August 9, 2020, I was one of three speakers, along with Dr. Paul Mason of Australia and Ivor Cummins of Dublin, Ireland, at Solving Healthcare’s Virtual Summit on a Low Carb and Ketogenic Approach to Health

In my presentation, I address the common but mistaken belief that there is a singular entity known as ”the keto diet”, which is a very high-fat diet that includes heavy whipping cream, butter, bacon, avocado, and fatty cuts of meat. I present that there is a range of ”keto diets” from the popularized high-fat version, to a high-protein, moderate-fat version that can be used for weight loss and improved metabolic health. I also talk about the several different types of therapeutic ketogenic diets that have historically been used as Medical Nutrition Therapy in the treatment of epilepsy and diabetes, and as adjunct treatment (along with chemo and radiation) in cancer, such as glioblastoma.


A Dietitian’s Journey – My weight loss and health recovery story

A Dietitian's Journey - March 2017 - March 2019
July 2017-July 2020

Below is a YouTube video that I made on March 16, 2017, when I started my own health recovery and weight-loss journey, which I called “A Dietitian’s Journey.” That title stuck and has been used on all articles that I have written from a personal perspective (posted under the Food for Thought tab, and marked “A Dietitian’s Journey”).

In March 2017, I was obese, had type 2 diabetes for the previous 8 years, and had developed dangerously high blood pressure. There is no mistaking that I was a very sick woman. You can hear it in my voice in the video below. I could barely walk and talk at the same time.

 

One Year Later: March 5, 2018

A year after I had adopted a low-carbohydrate lifestyle, I had lost:

  • 32 pounds
  • 8 inches off my waist
  • 8 inches off my chest, 3 inches off my neck, and 1 inch off my arms
  • No longer meet the criteria for type 2 diabetes (achieved without medication)
  • Blood pressure ranging between normal and pre-hypertension without medication
  • Ideal triglycerides and excellent cholesterol levels

Two Years Later: Progress and Challenges

Joy comparison photo

Two years after beginning my journey, I had lost a total of:

  • 55 pounds
  • 12-1/2 inches off my waist
  • Significant reductions in my neck, chest, arms, and thighs
  • Met the criteria for partial remission of type 2 diabetes
  • Maintained ideal lipid levels and improved blood pressure

Four Years Later – March 6, 2021

Hike-12-Thornhill-Trail-plus-Silver-Ghost-March-6-2021.
March 6, 2021

Four years later, I took up hiking. To me, this seemed unreal, considering I could barely walk and talk at the same time when I began my journey.

Like most journeys, this one has had ups and downs with both “mountain top experiences” and “valleys”. One such “valley” was being diagnosed with profound hypothyroidism in June 2022, where it looked like I had gained 80 pounds, after successfully losing and keeping off 55.  From the mountains to the valleys, there is still no looking back, only forward.

I hope my story and persistence in pursuing health, despite various diagnoses, serve to encourage you.

To your good health!

Joy