I want to talk for a minute about hemoglobin A1c. It's a kind of three month average test for, or how frequently and how high you would spike your blood sugar. We'll talk more about that in a minute. So I was dealing with a patient recently who brought lab work in from her other practitioner and said, "Oh, doc, I think it's really good news. Doctor, my other doctor said my hemoglobin A1c," or she just called it, "My A1C, came back great, he said. So I think what we're doing is working. I'm doing better." Or her hemoglobin A1c had come down from, I think it was eight something, down to 7.2, 7.1, something like that, still abnormal.
And her other doctor said, "We're doing great. We're right on target. This is where we want you to be. Don't change anything. This is perfect." Well, I had to kind of explain to her that it's not perfect at all. It's what's considered good management of a type 2 diabetic to be kind of in the upper sixes. Some doctors are okay...
Back in 2015, not too long ago, in a medical journal called Diabetes…aptly named. There was a research article that just recently came across my desk. The lead author's last name was Nolan and N-O-L-A-N if you want to look it up. The article was basically discussing what they present as a new concept that maybe with type 2 diabetes or insulin resistance, maybe the insulin resistance itself is not the enemy. That's a pretty new concept in conventional medicine. So what they lay out is for the worst cases of type 2 diabetes, the ones that don't respond well to medications, they're obese, they've got substantial insulin resistance...in those cases, maybe we should rethink focusing on insulin resistance as the enemy. So let me find a way to describe this to you that will make some sense. Basically in type 2 diabetes, we have sugar entering the body, then sugar gets in the bloodstream than sugar has to go from the bloodstream into the cells.
There's this cell...
Hi everyone. I Want to take a minute and talk to you today about insulin resistance. This is a blood sugar issue. If you're not familiar with what insulin is, first of all, I'm going to go over basics of blood sugar. When we eat something, especially something that has a significant carbohydrate content, or a significant refined carbohydrate content, or we just have something with sugar in it, like we drink a soft drink or something, then our blood sugar goes up. We digest that, it gets absorbed into our bloodstream and then our blood sugar starts to come up. Normal fasting blood sugar's probably going to be, about 75 to 90 maybe, somewhere in that range. Depending on who you talk to, it's 70 to 90, or 70 to 85, or 75 to 95. It varies a little bit, but it's in that range; below 90 and above 70, probably.
But when we eat something or drink something that has sugar in it, that blood sugar number's going to go up dramatically. When it does, our pancreas creates insulin to take some of...
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