Ep:38 Understanding Diabetes: Insulin Resistance and Pre-Diabetes
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- Опубліковано 2 бер 2020
- HOW ARE THEY DIFFERENT?
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I get the feeling that my doctor is not as smart as this guy. What a smart man!
I love how he snapped a little bit with the cholesterol 😆
My doctor checked my Hba1c and my triglycerides and put me on blood pressure, statin and metformin instantly. I refused to take those and went carnivore.
The water wave metaphor is stunning in explaining insulin resistance 💦
Actually I thought it was stupid. Because I can argue that eating meat is just like throwing rocks to the pond. And btw. I am not a vegetarian. I just hate those analogies.the way the human body works is not that simple. Peace
One year ago i was overweight and pre-diabetic, so i went on a carnivore,eggs, and some cheese diet! Lost 41lbs and put my pre-diabetes in hibernation!
About the same but it's been 2 years for me
I've done carnivore for three mnths. 90% strict..dairy eggs small cheese as a snack..no exercises..really been good..ONLY lost 5 kilos...NO snacking..NO sugar..Can't understand why its not "FALLING" off me. As with others..so frustrating!! I know it falls of men easier...
@@juliemacandrews1434 just keep going, sometimes it takes 3 months just to get fat adapted. Add in some intermittent fasting a few times a week if you want to speed up weight loss
@@juliemacandrews1434I had slow loss, too and had to stop all snacking, I also needed to cut all dairy except for goat ghee and goat butter and no nuts or just 1/4 cup (if you eat them). Are you fasting too? if not fasting then must eat (TRE) time restricted eating meaning 3 meals a day but 5-6 hours between meals without snacks. If you can extend to intermittent fasting along with healthy eating and eliminating inflammatory foods you will see results. It may take some time to realize consistent progress. Measure yourself don't weigh. The scale is evil and doesn't tell the whole story. Take a picture of yourself and take another in 3 months and see if any difference, sometimes you're changing but the scale does show it as dramatically.
@@helenl7967 ..mate..!! I am the type that STOPS ALL bad items when my light bulb goes on.. even b4 that..I rarely s back.. hardly any sugars..except wine..not a lot..I go EXTREMELY strict..for 3 months mostly..no exercise I admit..but am VERY active..have been all my life..so am ALWAYS disappointed when I try these diets..& don't get results as these "men" get..yes I realise it's A HORMONE thing!! BUT!! ...I work HARD for little results..!! Over it..😒
@1:59😂
“Sugar is sugar by the time it enters your blood stream”.
my non-biological dad has diabetes now so out of curiosity I started checking my fasted glucose~ ended up being around 105. Since I started considering me pre-diabetic I have something important to focus on and am happy to go back to keto. ❤needed a stronger motivation than being fit~
He's my doc, has been for just over a month. He is describing my situation with Diabetes Type 2 perfectly....
Just wonderful, been searching for "best time to exercise for insulin resistance" for a while now, and I think this has helped. Have you heard people talk about - Panadison Substratal Preponderance - (Have a quick look on google cant remember the place now ) ? It is an awesome one off product for discovering how to reversing insulin resistance and diabetes without the hard work. Ive heard some amazing things about it and my friend got great success with it.
Do you know what units he uses to measure insulin? He mentions numbers but no unit of measurement
I recently asked my GP for an Insulin & C-peptide test and was refused.
The tests would have been the second time they'd been done in 20yrs of being diabetic.
This is terrible. I take it you’re in the uk?
@@JBO2493 no! I'm in Australia
Get a new doctor
Wow doc Cywes- you are amazing!! That analogy just blew me away. You have given me an insight into the complex human body by explaining insulin’s job in our body & it’s direct relationship to our hormones!! Love your work!!
Another excellent video. I have recommended that some of my diabetic patients watch your videos.
Good Onya for caring about your patients enough to recommend they watch Dr Cywes videos.
Definitely needs to be more Drs like you.
Fantastic!!
This man is a miracle worker..
Excellent information
I would like with Spanish subtitles for my community #ketomywaymaria
You the man Dr. C
Great analogy with the pond.
I think I'm insulin resistant but with good blood sugar readings, can't wait for our consultation to solve issues
Go Blue!!! Great info - thank you for sharing!
I just love your videos keep them coming
bloody fascinating can't get enough of those vidéos
Your videos are so awesome and so much great info to help people!
he just makes sense!
Thank you Dr Cywes. Very clear and informative video.
So glad you posted I couldn't remember your name. Great video
I like this guy.
,,,excellent physician.
Thank you! 😊
Thank You...the pond illustration is perfect as to understand. Cheers from Pennsylvania......go Blue....
I would like to hear you elaborate more on the use of anticoagulants particularly in the case of A-fib.
I think I love Dude.
This was so helpful! Thank you! I am insulin resistant and my doctor recently diagnosed me as “prediabetic” based on an A1C level of 4.7 and a fasting blood glucose of 107. I had to call the medical assistant back to get further explanation as to how that could be. I started on the Metformin in hopes that it will help in addition to a low carb diet and exercise.
I suggest people read up Dr. Steven Gundry’s work on body health including insulin. Start with his book ‘Diet Evolution’
Want to have those good vibrations.
Question: In your other video about carbohydrates and Keto lifestyle, you advised to not worry about leafy greens and vegetables as long as we avoid starches like potatoes etc.. Does that advice about vegetables in regard to their carbs apply to T2D or were you referring to a healthy metabolism? Thanks in advance Doc. C.
oooOOOooOoooOoohhhhhhhh now I get it....!
This is such important information! Is there a chart for these numbers somewhere that I can refer to when I talk to (educate) my PCP? She has ordered and A1C and lipid panel but is hesitant to test my insulin.
Probably not a chart made anywhere... But just look up the "reference ranges' for all these tests, write them down and then go thru this video and write down what Cywes considers normal then take that with you. If ur PCP has a problem ordering an insulin or C peptide level then you should really find a new PCP because not only do they not understand the value of those lab tests, but they also don't understand how to listen to their patients. Good luck!
@Aman Bhardwaj HOMA IR is a formula that estimates insulin resistance using fasting glucose and fasting insulin levels - a c-peptide is an indirect (yet more accurate) measure of insulin production since c-peptide is formed when insulin is made but, unlike insulin, c-peptide isn't metb's in the portal vein so it stays around longer and thus is a better indicator of actual insulin levels.
If you want to actually measure insulin resistance you need a Hyperinsulinemic-euglycemic clamp - but pretty sure you're not going to find anyone willing to do it since it involves having insulin and glucose infusions going simulatneously and then the amount of glucose and insulin needed to keep your blood glucose at a certain level can be used to measure insulin sensitivity.
The best/easiest measure is probably measure your c-peptide and A1C and go from there- cheap and easy - not an exact measure but it's enough to tell you where you are and measure progress - but I'm just a guy on the internet so def ask your doc haha
@Aman Bhardwaj yeah that's a good sign for sure
Has Doc ever done a vid on fasting?
Prolonged fasting
I was hospitalized for a "hypertensive crisis" three years before I was diagnosed diabetic. I've gone back through my records and found that my doctor tested my A1c at 5.5 (he did not test fasting insulin.) If he'd had any sense, he'd tested the markers you mentioned. In my mind, specifically fasted insulin. I'm betting it was over 10.
If he had, I may have had the opportunity to avoid becoming diabetic. Instead, how did I respond? I ate fewer calories, more frequently, and moved around a lot (daily walks) per the advice I was given. 😡
@Aman Bhardwaj You seem to be a jackass, and coincidentally, a troll. You've attacked me before. There was nothing trollish or aggressive about my post. I'm muting you now.
Why are sugar test strips so bloody expensive
profits. which is also why they want to keep us sick and "managed" rather than cured.
I am trying to spread this message about athletes and carbs.
I lost 70 lbs (255 to 185) over this past year on a keto lifestyle. My doc was amazed at the results and did a OGTT. Baseline fasting glucose was 90. Two hour blood glucose was 118. He told me I’m still insulin resistant because my 2 hour wasn’t low enough. My A1c was 5.2. He wants to start me on Actos. Is it time to look for a new doctor?
Yep... New doctor time. If he can't see that you're reversing ur condition and you don't need a drug to do it then bye bye
@Aman Bhardwaj No! Just keep reducing your carbs to where you personally will get the desired results. For me it’s now zero carbs. It takes a different amount of time for everyone and no instant miracles - except in some other symptoms like GERD for example.
you doing good. dont let the pill pushers ruin your amazing accomplishments. One years is not so long after all, you got in the state of IR over a long period of time, as many years.
So here's my issue. I'm 6'2 265lbs @ about 12% body fat. I work out ALL THE TIME, I lift heavy and make sure to keep my heart rate within fat burning range. I eat A LOT and "carb up" often before lifting to help with ATP.
Recently, my fasting blood sugar has been around 100-108. When I eat food it goes down to about 80-95. I can figure out for the life of me why my fasting sugar would be higher???
Testing that fasting bs in the morning? Dawn effect?
C-Peptide 1.4 and A1C 5.8 on a low carb Keto diet. What does it mean?
what did you start with? how long on the diet? are you still eating "some" sugar, grains, starches, alcohol?
Doc what about rice diet experiments and pritkins? Can we agree on the fact that energy distribution is what matters? Both high carb low fat and high fat low carb diet works?
One thing not strictly correct is it does actually matter what type of carbs you eat. Prior to 1980 Chinese ate 65% carbs -obesity and diabetes< 1%. Now diabetes 10,9% due to refined sugars. Fructose can only be metabolized in the liver. Overdose causes fatty liver which then cant handle glucose without lots of insulin. This leads to a huge increase in insulin resistance and diabetes. Fructose: poison in the dose much more potent cause of insulin resistance than glucose.
They weren't eating processed foods and we're relatively active. weather simple or complex carbohydrates there are no benefits to them
And they don't eat as much as people in the western world are. They eat just like what Doc Cywes say, empty plate infront of you and food in the middle of the table. You take as much as you want to eat. Also China was mostly in poverty back then so they probably only eat 1-2 times a day.
I have been very confused about fasting insulin. It has been as high as 68 -- before I began eating ketogenically over for 6 months ago. I am now with an A1C of 5, (down from 6.4) fasting glucose of 89, and current fasting insulin of 27. Will my fasting insulin ever normalize? I also have a CAC score of 619 and am dealing with recommendations to increase statins and take a stress test. My treating physicians do not understand or seem to appreciate insulin resistance as a root cause issue. I feel I am managing my insulin resistance all by myself and am not sure about how to best navigate all of this. So confused.
Statins increase insulin resistance
My insulin resistance skyrocketed on statins and keto did nothing to help - even though it reduced glucose levels. Nearly 6mth zero carbs and sugars and finally insulin resistance is coming under control.
its been proven in many studies that Statins cause T2 Diabetes.
Dr. Cywes how would you account for the Kenyan runners whose diet is 80 percent carbs but apparently don’t have a diabetes issue?
If I understand correctly, when you exercise you burn the sugars/carbs. These runners deplete their carb storage totally. If they continued to carb load but did not exercise as much they would get fatter and less healthy
Sugar is used as energy, when you exercise like an athlete does (4+ hours a day), you will most definitely used up all the "sugar" that you consume.
Michael K Only 600 calories of sugar are stored in our bodies. Athletes must keep their heartbeat low enough to be running on fat stores. Kenyan runners are exceptionally efficient in their requirement for oxygen thus their running speed over longer distances is advantaged. The complications of carb loading comes later in life for apparently healthy athletes, as the Doc said.
@@stewartsaunders1838 I know and I agree that carb loading will have effect later in life. But the question is why the kenyan runners don't have diabetes is because they most likely use all the sugar as fuel when they are still an athlete. If they keep eating the same when they retire, they will developed diabetes too. I am not an athlete, but I used to play badminton quite heavily, my energy level always drop pretty fast on carb, but when I do keto, there is no "crash" and I can sustain my energy level much longer.
unua!
Doc 15:00 I am an athlete (hockey) please tell me how to eat and I will do it?!!!
Shannon Metzer He gave you the answer. Keto. Eat very low carb. Get your nutrition primarily from fat and protein. Carbs raise insulin.
Lynette Daniels so you are saying hockey players should eat the same as triathletes? It’s not that simple. Some sports are aerobic and others are anaerobic.
Shannon I am not sports nutritionist. I just educated myself and reversed my td2 diabetes in one year without meds. The Dr says you can't burn off carbs. They do their damage when you eat them. Research athletes and forms of keto/carnivore. There is a lot of information out there. You can be a great athlete and fed your for long term health. My uncle was a professional boxer never stop being athletic and ate what we thought was a healthy diet. His maintained an athletic build. He died due Alzheimer's (diabetes type 3) carb overload. Good luck and be well.
Carnivore rocks for hockey! Takes a couple weeks to adapt to running on fatty acids but when you do your last shift on the ice is the same as your first. The carb addicts have everybody believing that you Will bonk, bullshit. Elite level powerlifting maybe but like they would ever try it for more than one week. Just do it and ignore the Carb Cucks...
I play in two leagues fyi.first round Playoffs tomorrow night..😁
An athlete or couch potato, carb eater or protein and fat eater, the human body can only hold 600 calories of sugar available for a quick fight or flight. After this your burning fat and perhaps the sugar your fat can produce on the move. Carb loading is in fact fat storing. Healthy energy storage is through eating fat, working with the body not stressing the body by eating carbohydrates.
Ohh yes, now I understand 😁 hahahaha
Is Cywes a Welsh name?
So now I understand why people who make intermitent fasting, not only loss weight but has muscle gain... because insulin excess block the steroidogenesis pathway....
My doctor at Kaiser Permanente refuses to check my insulin level.
AmyB next time request the test and if they refuse again, tell them to record that refusal in your medical record. Most likely they won’t because then it’s in a legal document and if something happens to you they can get in trouble. But if they still refuse, request another provider. It is your right as a patient to have a doctor that you feel is providing you adequate care. Don’t be bullied by a doctor, you’re paying for medical care and it’s their job to provide it.
Amy, you can also order it yourself online there are lots of sites.
I've found about 90% of PCPs have no idea what these tests are (insulin, c peptide) and so they immediately dismiss them because they figure if they've practiced this long without them they can't be that important.
He's wearing Michigan State but he doesn't practice in Michigan? Just curious
Every doctor I go to tells me there isn’t an insulin test 🙄
Labcorp test number 004333... Tell them you want that test and give them the number and tell them to look it up. Maybe that'll convince them to pull their head out of their...
On the level of pure information, we have no essential problem with this individual.. but on the level of personhood, there is much that is problematic about both his attitude and his self-regard.
Apart from the troubling deadness in his eyes, and the complete lack of any emotion vaguely resembling warmth, care, affection, good humor, we are left with a rather toneless and robotic delivery of that essential information, against the backdrop of barely veiled superiority and condescension.. for course, he knows ever so much more than we do, and he is quite impatient that we should see that as soon as possible.
'so I have all things, but have not love, I am but a sounding brass or a tinkling cymbal.
My suggestion for this self-appointed master of all things biochemical - first, find love and genuine care for your subjects and then learn how to express it so that it is perceivable and palpable to them.. remove the deadly glare from your cold visit and soften your features so that they can convey the gender emotions and sensibilities.
Stop dividing up the nutritional world into American and non-american.. America is a huge nation, filled with innumerable kinds of people from all over the world, and at all levels of knowledge and skill and wisdom. America contains the most brilliant minds as well as the least. America is not simply a nation which eats extraordinarily high carbohydrate meals, but a nation of vegans, vegetarians, carnivores, and all varieties of mixtures thereof. Stop blaming America for the bad habits of the world, and start praising America for all the brilliant minds that she offers that world.
You can do it Robert, all it takes is some genuine love.
I want to put a comment on you tube video.....
Why do you have to cuss!.!
I want to forward these great videos to people but I will not forward something with curse words in it.
Surely you are educated enough that you dont have to curse to communicate.
There was a chimpanzee that was taught to sign. It wasn't taught vulgarisms. It adopted the sign for "dirty" as a swear-word. So I suspect swearing is deeply embedded in human language usage.
That said, I also wonder why you are making a big thing about something that is an artifact of human culture, rather than an absolute. Even within English itself, there are sounds and words and phrases that are considered "rude" in some parts of the English speaking world and which are considered normal words in other parts. To Australian ears the American pronunciation of "solder" sounds rude. Whether a word is regarded as rude or not varies over time.
So I'm happy for Robert Cywes to communicate the way he feels comfortable.
He said Bullshit not the F word. Come on!!!!
Oh for heaven's sake, get over yourself.
g043675 Get a grip on it. Didn’t bother me one bit.
Grow up