What is a normal blood sugar level
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- Опубликовано: 5 сен 2024
- Diabetes is diagnosed with a finger prick glucose test of over 11mmol/L (198dl/mg) or a HbA1c of over 48mmol/mol.
This is regardless of the type of diabetes and therefore diagnosis replies upon the symptom history and further blood tests.
One question many patients have is what is a normal blood sugar level and what should they be aiming for.
In this video we explain what blood sugar level you should be aiming for in the context of different forms of diabetes.
Wow, all the comments responded too. That's amazing sir, hats off to you, and a massive thank you. You're more helpful than the local GP who's looking at the clock and worrying about seeing the next patient.
Thanks Adam. Most appreciated 👍
Sorry Daniel. See that’s your surname. My apologies
@@diabetesdietguy no problem at all, you can call me what want. Just keep helping the masses :)
I've come across your video after getting a CGM for the 1st time. I've not got diabetes, but want to learn what the foods I'm eating is doing to my blood sugar. Wished these things were cheaper :(
Ha ha I bet Daniel. Well good luck buddy
What is sugar +2
I found out I have T2 diabetic recently, and this video is excellent to put my mind in ease regarding the spikes I'm having daily when i take my meals. Thank you for the information and the simplicity of it .
I'm T2 also. You can avoid spikes by reducing your carbohydrates to 50 to 75 grams per day, and choose slow absorbing carbs over fast absorbing carbs at every meall. Best of health.
Great video. I am not diabetic, but I had relatively high fasting glucose on my last checkup (6.0 mmol/l). I follow a very healthy diet exercise on average 2 hours daily, so I was really surprised and quite upset. So I decided to wear a CGM for few days to see what is really happening. It turns out it is a bit difficult for non-diabetic to understand what the optimal glucose levels should be and how the glucose charts should look like. So far, I have average glucose level of 5.4 mmol/l and the chart is very flat. In fact, my after food glucose is usually up to level of 6.2 mmol/l and back to 5.2-5.5 range within 30 minutes. I have bit more significant response to things like intense workout such as thai box sparring (up to 9.0 mmol/l), no response when weight lifting, and I also seem to be having higher glucose level when I am anxious (around 6.6 mmol/l). It is a shame there is so little information about blood glucose for healthy people, as I a see how it could help type 2 prevention significantly.
Thank you I have lived in the USA and the UK. I was thrilled to find that most doctors in the USA try to share as much information about your health concerns to educate you. Here in the UK...NHS. All you get if you are lucky is a diagnosis and you are on your own...unless you are fortunate enough to discover information like this.
I am in the UK - Scotland. I find that once I get to see a doctor, or nurse specialist, I get all the information I want. One practitioner told me that it is unusual for patients to prepare for appointments and ready to ask challenging questions.
If you're not getting information you're not asking the right questions. No matter what condition I see a doctor for (I have a lot), I prepare and ask questions. And any doctor or nurse who can't, or won't, give me clear answers is very quickly informed that I want all information and I will use the complaints process to get it.
@@17portland Count your blessings. NHS is like a Lottery standards change from one practice to another.
@@user-nc2kz2mn5v I agree, and if I wasn't on the ball I would be in the same boat as everyone. But my doctors know I research, follow legislation and can quote the complaints policy backwards.
I'm sure warning go with referrals because I I get good treatment at most appointments. The main issue I have is with the admin supoort staff - they seem to have a law to themselves and don't seem to care about anything other than teabreaks and finishing time.
Yep if u have the $, US doctors will go home with you
@@jwgibbs44 As a senior on a pension I always had great treatment when I was in The USA. As for NHS face-to-face appointments, I am lucky to see the side of their face as they barely leave their computer screens. I have mentioned this to friends in other areas and counties and they all seem to find it the same.
Wish we have a doctor like you that is very active even in the social media giving true medical advice. And the most important is the way you deliver, communicate, socialize and deal with your patients and viewers. You give Hope to the people! God bless you Doctor!
Fantastic job. This video is a one stop shop to understanding glucose levels. I have recently been diagnosed as a pre diabetic. I now have a clear picture of the whole spectrum of diabetic conditions. Thanks
Thanks so much
Fantastic explanation, that release the anxiety of person that wanted to find more about diabetes.
Lovely to hear Henry thank you
My latest A1C was 4.8. First time my doctor checked it at 63 years old.
Love this guy,so informative,my doctor told me blood sugar over 7 is dangerous,you’ve given me hope
Thanks Noel
Appreciate it
@@diabetesdietguy keep the videos coming mate
Really enjoyed this one. My diabetes nurse never really explained what the hbac1 were
Thanks alot :)
I was totally confused by this video. My blood sugar goal is 100 -110. Took a bit of research to figure out that measurements in the US are in mg/dl (milligrams per deciliter) but elsewhere can be mmol/L (millimoles per liter). To convert multiple / divide by 18. Would be good to put a quick notice at the start of your videos about this.
Hi Dale, thanks for the comment. I'm based in the UK so the mg/dL measurement isn't used here so it's not something I'd previously considered until recently when I realised people are watching from the US. Obviously, once a video is filmed it can't be changed and it will be tricky to jump between mmol/L and mg/dL in every video. Nor could I real off the glucose levels in mg/dL like I can in mmol/L as we just don't use it. However, you're absolutely correct, divide by 18 and that converts it.
I felt the same way!
Not too long ago, the normal blood glucose level was 80. Now it is 100?!?!? That change has increased the previous NBG level by 20 points!!! I would keep my goal at 80!!! Higher levels above 0 are certainly damaging. If one continues to damage one's body (diabetic), wouldn't that continuous damage be financially beneficial to the pharmacies and those who receive kickbacks?
@@diabetesdietguy Here in Australia, we also measure it in mmol/L, so it wasn't a problem for me. But I experience the same frustration when watching American videos because Americans typically see the world from their own narrow perspective, taking little trouble to accommodate different units of measurement, whether it be speed, temperature, weight or whatever. And A1c readings will be expressed in different units again: % and mmol/mol. No wonder people get confused!
But people making specialist videos like this should already be aware that different systems are used throughout the world, and anyone on the internet should certainly understand that their viewers can be from anywhere in the world, and should make the effort to present information that will be meaningful to all. One common means of dealing with this is to edit their videos after filming to overlay equivalent units in text on the screen.
@@richardofoz2167 hi Richard
Thanks for the comment
I do this in my spare time basically for free so unfortunately to go back through over 100 videos and edit every mention of glucose in mmol/L is not realistic.
I respond to comments if someone asks but they are few and far between and in reality. A Very quick google search shows you it’s to the power of 18 between the measures.
As I say above, I couldn’t reel off targets or figures in mg/dl anyway because we don’t use them and to keep jumping between the two wouldn’t work very well.
We use mmol/L. Im aware anyone could see the videos but what I was surprised by was the amount of views from America!
So I’m making an conscious effort to remind myself to try to mention other units - as I do with HbA1c In newer videos.
Excellent presentation which gives lots of useful info and anticipates many questions which might be asked re blood glucose issues.
Thanks michael. Appreciate it
This video was excellent. Everything very clearly explained. Thank you!
You're very welcome!
Hi Mark , thank you for taking the time to create a very informative video,,,,,ive been told im pre-diabetic ,,,,for abt 4/5 yrs ,,,,I have made changes to my diet specially for over a yr now ,,,, not perfect , but still have the odd chocy and cake , oh and bread ,,,occasionally spuds ,,,,, but starting this year , i have been doing fasting ,,,, usually abt 20hrs ,,,try to eat sensibly maybe veg and meat , eggs and beans on toast , or maybe spaghetti , but trying to loose weight is so difficult , specially as i cant do running or walking to much , if i eat anything of the above can result in a few pounds over night , sometimes even a healthy salad can do it as well blows my brain box haha,,,,sorry for rambling but sure others are going through this as well and might help they are not on their own , recently ive been told i have elevated cholesterol levels and do to age and med history , been offered statins , but not heard good stuff about them , anyone who bothers to read this ,,,,Any ideas good or bad to report
Hiya mac
Thanks for the comment. Sounds like you’re really trying. Unfortunately I don’t have much in the way of advice as I’d need a detailed idea of exactly what you’re doing over a period of weeks and months - weight loss is an average of diet and exercise after all so outside of the generic videos I’ve made, I can’t offer much more. It would need to be a 1:1 appointment which I do offer - visit the website - diabetes diet guy.com
Maybe go check out the weight loss playlist too. There’s a video on there called the weight loss blueprint which could be useful
Perfect video… even though I had to convert everything. But extremely helpful 🎉 thank you
Great information and confirms my suspicion that I’m not really diabetic. Stress causes high blood glucose in me, incl. extreme temperature. I was treated for Non-alcoholic Fatty Liver and my blood glucose has been wobbly between 13 and 6 with my body re-adjusting. Metformin caused low readings before. Hope I can level this out.
Good luck!
love this information
Excellent presentation and easy to follow and understand the whats and whys . Thank you.
Glad it was helpful!🙏
Great presentation.
great video,very clear,thank you Mark
Very well delivered thank you and really great at reassuring me about my glucose levels. Thank you so much, de mystifying some fear-based things I’ve seen already.😊
🙏
My HABC1 is 45. 😢 179 cm, 78 kg and 21% body fat. I gained weight during the pandemic and hit 84 kg and high 20s body fat. I lost the weight. I started testing my blood. This morning my fasting level was 6.7. One hour after a 2 eggs it was 6.7, two hours it was 6.1. 😢
Sounds nothing to acutely worry about padraic. HbA1c is in the pre diabetes range.
How old are you if you don’t mind me asking?
But if glucose levels always single figures I wouldn’t worry too much at this point. It just needs to be monitored to check the HbA1c doesn’t start increasing year on year but even then it’s perfectly manageable
Hope that helps put you at ease.
I keep by blood glucose level between 3.9 and 5.6 which is the normal range by following a low carb diet.
Hi Donald
What ya basing that normal range on?
The normal fasting blood glucose level given in the manual for my blood glucose meter and the normal level two hours after a meal should be under 7.8. I only eat twice a day to try and keep my insulin level low.@@diabetesdietguy
Thanks for the information. My twin sister and I have type 2 diabetes. I'm from Australia. I just subscribed to your channel.
Is a reading of 9 considered diabetic?
@@zzz-rl4ur yes but it's normal .
@@minatran3652 what do you mean by normal? Lol I just tried my mates blood prick testing kit and I read 9 again after a decent meal..now you got me worried and I'm definitely going to the doctors to get tested
@@zzz-rl4ur ok you should go to the doctor.
Sorry I could be wrong . I'm not a doctor .
That was a great video!!
I was diagnosed a few months back with t2
Since then a 180 flip with diet and exercise.. bloods looking pretty good these days.. falling between 5.5 and 6.5 with regularity both pre and post meal.. a few outliers.. but feeling great from the changes..
And been trying to educate myself with the help of some diabetes professionals.. it’s a tough one to navigate and whilst there is general consensus in terms of a range to fall into there’s still a wide variety of information out there.
One day at a time
Great job
So you're not diabetic anymore? I think I'm 5.8 as I'm 105
@@SupremeODMG
I don’t think that’s how diabetics works..
It’s kind of like alcoholism or addiction..
once you’ve got it you kind of always have it even if it’s managed and under control..
you may never drink again but you’ll always be an alcoholic..
(A bad analogy I know).. but that’s kind of the way I’m looking at it..
so just because it’s under control it doesn’t mean my bloods won’t spike up and stay high when I eat pizza or have a beer etc.. carbs raise your sugars all all carbs are basically sugars but not all carbs are created equally.. super confusing..
I’m not on any diet persay.. just eating healthy and trying to limit how much carbs I have vs my activity..
I’m still new to all this.. and still learning..
I’ve found fibre content in food is a big one.. trying to make sure there’s adequate amounts in every meal but not going overboard.. exchanging fats.. saturated vs good fats like avocados and nuts..
And water… drinking water regularly!!
Now that I’ve got a stable and almost predictable blood sugar (even morning levels have returned to normal range some days better than others) I’m kind of in a testing phase.. like I had some pizza and wine and a cookie on the weekend and bloods were normal afterwards.. but then after dinner stayed above 7% for about 3hrs so jumped on the treadmill to get it down.. 🤷♂️..
Still want to know what constitutes a high level.. like what kind of peaks I should expect or what is abnormal during those two hours post meal..
and I’m guessing that would depend on a number of factors.. quantity of food, type of food.. but still would like a general answer to that
Pre diabetic to 6.5 beyond is diabetic.
Not only before and after meal but also before exercising and after...
Good dynamic interpretation not just solid numbers but what & when to do to correct & control the safe glucose levels.
Safe flactulations levels of glucose levels make more sense as is indicated in this presentation.
Individual glucose levels maybe should be the guide because at 8 mmol myself is a very bad feeling & 10.5 is beyond tolerance or imagination ...
Safe flactulations of glucose levels make more sense.
Hey jet
You feel bad with a glucose level of 8.5??
That’s surprising as that’s a normal glucose level I.e. someone without diabetes will get an 8 more than once a day unless they are very low carb.
Even 10.5 is normal. Diabetes isn’t considered until over 11 but I’ll concede people without diabetes rarely get to 10 without something very starchy. But the point is. This is a normal level for the body. So you shouldn’t feel different.
It’s a bit like saying I feel bad if my body temp is 36.5.
Think you might be seeing a bit of a placebo effect if you don’t mind me saying. 👍
Thank you very much for your valuable information
Interesting - definitely very useful video. The text on the whiteboard is impossible to read at least for me with moderate sight loss.
It’s a work around I admit Brian
Ideally I’d have a big smart screen but the budget doesn’t afford it
In my newer videos I try to write important points over the video
@@diabetesdietguy thanks - your videos are very good.
What are you talking about 4 ? You need to do 70-140
I was diagnosed with pre diabetes and I’m just here confused. 33 years old, 6’3” weight 190 pounds and very active.
Now I don’t know how I found myself in the situation because I exercise 2-3 times a week playing competitive sports and I’m underweight.
Now I have been monitoring my glucose levels and have never seen a 9 even after meal and I’m always below 6
My morning results are always below 5.4.
Yes I use to eat a lot of cab’s which I have stop.
Can someone plz tell me how to increase my weight without not putting my self at risk with diabetes
Thanks
Hey
I don’t want to go into advising just on RUclips without knowing a full background.
But this doesn’t fit your usual pre diabetes picture. There are other forms such as genetic diabetes that fit this picture more accurately
If you’re UK based it can be tested for. Not sure about other countries but I’m sure they can
Unless there’s another reason like drinking lots of alcohol
If you don’t have an insulin resistance problem - which on paper you shouldn’t - the amount of carbs shouldn’t matter too much as your body will just deal with them.
Unless they diagnosed it with a random finger prick and not a HbA1c?? If they didn’t, get a HbA1c
I am 70 years old, my doctor said my A1C is 8.5, she wanted to put me on medicine so I told her to give me you about 90 days change my diet. I have a little monitor where I stick my finger every day. They gave me enough test strips but now I'm getting it down. 30-day reading 135mg/dl, I'm not on any medication. I just changed how I was eating process foods, a air, frying my chicken wings, extra virgin olive oil and been eating lots of vegetables raw. I was walking every day but I stop. I have arthritis. I do bowl and when it gets warm I'm a ride my bicycle. Can you tell me how to get it done? 15 mg. Thank you for the response. You got a great video! Thinking about exercise more. I might be able to get in that range of good A1C. The first one doctor said if I stayed at 7:00 I'm okay but it got up to 8.5. she was talking about meds. Metform didn't like the idea. Took it to my own hands. I think I'm going in right direction. What do you think? Thanks!
Sounds like changes for the better 😁. Well done. I’d encourage a follow up A1c but I think you have that booked.
It’s hard to say how to get it down by x amount specially but as long as you’re eating healthy and exercising as you can you’ll be doing everything in your power to help
Just keep in mind sometimes higher glucose levels are as a result of less insulin being produced by the pancreas - 20% of cases roughly are due to things like the pancreas wearing out a bit or age related. So sometimes there’s only so far you can go with lifestyle
But lifestyle changes certainly won’t hurt so keep it up and see where you’re at with the doc
Re: exercise. You’ll know what you can manage more than me. So find what’s manageable and do it as much as possible within reason 🙏
@@diabetesdietguy Is there any topic related to glucokinase situation? I'm thinking my pancreas didn't made enough insulin. My A1C was 15 12mths back and right now buffered and sit at 5.9. but sometimes my daily averages are between 5.5 - 7mmol. But I couldn't get back to carbohydrates anymore.
5.5-7mmol is below normal glucose levels so I can’t see how you’d cut that back anymore if I’m honest. Sounds like you’re trying to drive the sugars down beyond normal levels. An A1c of 5.9 is normal/borderline pre diabetes.
I dunno what meds you might be taking to achieve this but if none of modest therapy - tablet or two, this is really good.
I don’t quite understand your glucose kinase question if I’m honest? Are you referring to genetic diabetes? The genetics I am referring to above is referring to a predisposition for diabetes - like some people are more prone to anxiety - some are more prone to getting diabetes
Genetic diabetes (MODY) like glucose kinase is different. That’s a genetic issue where your genes aren’t programmed normally resulting in high glucose levels - normally from an early age.
My reply is keep healthy .Eat good food.All should eat like diabetics,well balanced.more danger if low.when young low,grow old than 75yrs and looking after with this readings makes head go round.Do not worry,no one can solve.Diabetis.
Great video
Thanks so much! I found this really helpful! Especially because I live in Canada and most videos I’ve found are American numbers.
Glad it was helpful!🙏
Mine isn't going above 7 anymore; that's with diet alone and a bit of walking. I am diagnosed Diabetic, but have now stopped taking the tablets and my levels seem to be lower now than when I was taking them. I still struggle to get it below 6 first thing in the morning.
Hey John
I’d ensure you get another check up with the doc and a new HbA1c to ensure the glucose levels are as you think. Easy to miss high readings throughout the day which the HbA1c will pick up
Also some meds have additional benefits - like metformin reduces your cardiovascular risk, so always best to speak with someone before stopping meds so you can make a fully informed decision.
But on the face of it, great job
i got a 9 when the student nurse did the fingerprick test DURING my main meal, and then the nurses freaked out...all my other times were 5 about.
Thanks for uploading
Very well informed. Thx
Thank you so much
Hello Diabetes Diet guy. I am a senior canadian with mild diabetes and often wondered the difference in measurements with my meter readings and A1c levels. Now it makes sense. thanks. Also, I have had a history of hypoglycemia over a number of years, usually triggered by caffeine. I have read that caffeine usually raises one's blood sugar, but in my case it's just has the opposite effect. Since I was diagnosed with diabetes, I started moderately drinking coffee again to help lower my blood sugar during the day. Have you heard of anyone else that experiences this?
Hi
Thanks for reaching out and keep fighting the diabetes fight!
No this is a new one for me. You’re right. Normally it increases glucose levels.
thanks again - really good info - spoke before type 2 total insulin dependent - 8 units lantus, 2 units humalog daily, taken 7-8am and abt 5-6 tests a day range 4.8 - 7-5 estimated hba1c 5.6 - average morning 5.8 - 6.6 night time 5.5 to 6.9 night to mornings (insulin control as per your vlogs) average about 0.5 higher in the morning - doing low carb keto (less than 20 ? - 1 keto toast (7g) + the sneaky ones in eggs / cheese / sausages / olives and cheese, onion carrot avocado etc - do you have a buy me a bulletproof coffee account - really appreciated your comments on the insulin balance vlog
Hiya Jim
Yes I remember. Good glucose control there. Keep up the good work
No buy me a bulletproof coffee account no. Never heard of it if I’m honest
Sounds like ya doing well 👍
@@diabetesdietguy the buy me a coffee / beer is setup by the vlogger so viewers can say thanks etc - I am not a techy but someone out there would know how to do it - Your channel is really helping people including me by filling in details of the little questions we have eg the basil balance vlog was very enlightening - thanks again and all the best
@@jimlofts5433 thanks Jim That’s really nice
I found my son on the bathroom floor (age 5) unable to speak, no movement reduced breathing. I took him straight to A&E and his level was 2.2. This has happened a few times and waiting to see a specialist, It's very worrying and suggestions. He visits the bathroom at least 6 times every 30 mins and is always thirsty, tired, hungry and always emotional (crying). I haven't a clue what to do.
Hoy Khiya
Sounds awful. I hope they get to the bottom of it
@@diabetesdietguy thank you me too.
What was diagnosis? My 4 year old suffering from lots of symptoms!
Hi I do intermittent fasting my levels are between 8 and 9.5 while fasting.After eating it is 6.5 after 2 hours is this ok .Thanks for upload.
Depends on the context padraigh
8-9.5 is a little high fasting but that’s compared to no diabetes. If you’re type 1 then it’s not too bad, if you take meds, it’s not too bad, if your HbA1c is in a good range, then it doesn’t matter. And this just scratched the surface. So it spends a little on the context so usually needs more info to say
I want to know I just test ,they said I'm 8 I'm worried I have diabetic or non
Excellent video!
Really useful - thank you
Thank you for the info however it much better fif ur illustration board is clear
Amazing.
Thank you
Beyond 6 its "full blown". Im hovering at a 5 after coming down from a 7.5 to 6. My goal is a 4.5--4.7. U.S measurements.
It would be nice if you could convert those numbers for those in the US
Already done about 20x below in comments Judith.
Didn’t realise anyone would watch yet alone across borders.
But quick google solves the riddle
However, I’ll comment one last time on the conversion factor
Multiply our numbers by 18 for your numbers 👍
So after insulin not good for ppl with type 2 . Sad wish me did know this many years bk
thanks
why my blood sugar levels is 5.5 two hours after a meal and I feel excessive thirst and other symptoms of diabetes.
Hi Sam
5.5 after eating Is a normal glucose level. It’s not diabetes if that’s your numbers
Are you eating lots of salt? Could be making you thirsty ?
Great content
I wish people would move away from calling it a 3 month average. It's a weighted average. Blood cells don't wait until you have an A1c test then all replace themselves. Since the majority of the blood cells will have been replaced from 3 months ago and fewer from 2-3 months ago, it's weighted to the most recent month or so.
Hey thanks for the comment
That’s correct it is weighted for the most recent month.
But why over complicate it when explaining it to patients ?
Sometimes just keeping it simple is easiest and ultimately it doesn’t make much difference as regardless you wouldn’t repeat it more regularly than every 3 months as a minimum.
@@diabetesdietguy Perhaps they should consider doing it more often! I had an infection driving my A1c to 12. Hospital IV for a week when my infected wrist went septic. 3 months later including 3 weeks one in the hospital when my daily Blood sugar was coming down from 400 to
Units please.
It would have been better just to say the amount in Mg.ex. 100 MG. Or 75mg. Or 126mg. Or 200mg. Etc.
Hey Jaca
We don’t use Mg/dL I’m afraid
It’s after the fact I’ve discovered people from other places than the UK watch my videos
So going forwards I’ll cross reference once I can commit to doing more videos again 👍
Hi! great video. I took some reading yesterday, I had a reading of 2.2 just before I had my meal (I fasted for 22 hours before this reading), had vely low carb high fat/protien meal and took the following reading. 4.0 30mins after, 5.0 2hours after, I'm on a very low carb diet. I'd just got concerned when I'd seen the range of 4-ll as normal on your board, should I be concerned at 2.2 even though I felt fine?
Hey
Good question.
Do you take any insulin or diabetes medication?
If yes - particularly insulin or a sulphonylurea, then yes, this isn’t ideal even though you feel fine. It likely means you’ve lost hypo sensitivity. So even though it feels fine, your brain isn’t getting enough glucose due to a low bloody sugar
If you don’t have diabetes, the question gets harder to answer. Because I’m not aware of much research looking at the effect of low blood sugars on long term outcomes. It’s not a concern like with diabetes acutely. A low blood sugar can be dangerous for someone taking certain medications because the risk is their sugars keep dropping lower due to the meds which can be life threatening in severe cases
Without taking those meds, you’re not at that same risk and so that isn’t a concern
However, what I’m unsure about is there is a good link in diabetes between people who regularly have low blood sugars (hypos) and developing dementia/Alzheimer’s type diseases.
In theory, if your glucose levels are low regularly - we’re talking over years here - then the same physiology is at play and I wonder if it does then increase the risk. However, medications will also rapidly change the speed at which glucose levels drop and so it’s not like for like. Plus insulin will likely reduce other nutrients like ketones and so the overall energy to the brain is hindered even though glucose is it’s preferred energy source.
So hard one to answer really. I suspect without diabetes it’s ok but I doubt it’s a well studied area particularly and so can’t say yes or no in this case I’m afraid.
@@diabetesdietguy Thank you for your response, I'm not on any diabetes medication but I'll continue to monitor my blood sugars to see if they continue to drop this low which might warrent some investingation if that's the case.
If it’s following a fast I’d expect them to drop low and so that would be normal.
What I don’t know is whether repeatedly doing that has knock on long term effects for health in the same way someone experiencing low blood sugars with diabetes medication,
My inclination is no it wouldn’t. But in theory a glucose level of 2.2 is the same on or off medication and so in theory might elicit the same response in terms of long term dementia risk
However, if fasting - unlike diabetes medications, the low sugar is caused by less nutritional intake and so your body will rely more on ketones to fuel the brain whereas diabetes medications like insulin will suppress everything and so starve the brain of nutrients which is where the risk comes from (rather than just a low glucose event)
So having spelled it out actually, on the balance of things, I think you’d be fine,
@@diabetesdietguy Hi again, if you don’t mind I’d run this by you out of interest to see what your thoughts were. I was in the prediabetic last year but after losing weight and diet (zero carb) had managed to get back within a normal range. As we have discussed above, I’d started testing again but have noticed my GL’s dropping as low as 2.2mmol but feeling perfectly fine. That being said, I still have concerns and I’m trying to figure out what’s going on as this is happening daily.
Recently I had come across some information with regards to Ketogenic Induced Hypoglycaemia, with the body running on fats as its primary fuel and something I’m just trying to grasp call Activated Protein Kinase (AMPK), which supports the fusion of GLUT4 to the plasma membrane, so glucose can be transported to the cell more efficiently. The cells also capture more glucose from the blood stream, so whilst getting adequate amounts of glucose there would be lower readings at times due to this process.
AMPK also leads to expression of GLUT1.
I find this all very fascinating to learn, please excuse me if I’m completely misinformed but it would be interesting to hear your thoughts.
Hi buddy
I think it’s reasonable to expect a lower circulating glucose level if you’re following a low carb diet
The main concern with hypos is if there’s an excess amount of circulating insulin that pushes glucose too low - this will only be caused by medications such as insulin or a neuroendocrine tumour of some sort. If there’s not an excess amount of insulin in your system then the hypo is nutritional and therefore not clinically dangerous.
In your case your body will likely utilise ketones in place of glucose and so you’ll probably be lacking some glucose but your ketones will be picking up the slack energy wise.
A wider chat about the adequacy of the diet is always open to debate as we as a people tend to focus on one element only in terms of diet e.g. weight loss, glucose levels etc and thus don’t look at the overall research about getting everything you need in terms of vitamins minerals and importantly fibre.
However, on the whole I wouldn’t worry too much unless taking certain medications that induce hypos or an SGLT-2 (ends in gliflozin) as we end up with some problems with These meds on keto diets
Keep up the good work 👍
just had a look at some sailing vlogs I follow and the buy me a coffee / beer looks like a paypal account thingy - hope that helps
My fasting BGL is 4.6 -4.7 and my after eating has been as high as 6.1 and low as 5.2. I think these are good readings? Can anyone confirm?
Normal glucose there Jackie
Below 4 and above 9 is not normal to much carbs causing this.
thank you doc!
I’m having trouble finding information on what I’m seeing without my own blood glucose levels. I have type 2 diabetes, treated with oral medications. My highest BG are my fasting levels, first thing in the morning. Around half an hour after eating, my BG levels are considerably lower. Initially I thought this was because I was eating low carb/low sugar food for breakfast… but recently I had a significant drop after eating a small sandwich (obviously high in carbs considering the bread)
I am having trouble understanding this. Are you able to help please?
Hi Samantha
Thanks for the comment
It’s impossible to answer this without a thorough assessment of your background and current circumstances and even then there’s no guarantees.
However, Here are some general thoughts I’d have which perhaps you can look into
1) medications preventing post meal rises but not preventing Morning rises - depends on type of meds and when taken
2) your glucose might still rise after testing depending on the meals glycaemic index.
3) what’s your A1c - not everyone automatically goes high when they eat carbs. We see lots of patients start with a higher reading in the morning and settle as the day goes on - hormones in the morning can cause a higher reading
4) how high is your morning level? If it’s single figures but your HbA1c is high, it might be that your missing when your sugars do spike when testing.
5) are you overweight? How old are you? Is there a family history of diabetes in your family? People that are diagnosed with type 2 diabetes who are slim and relevantly young with a strong family history are sometimes misdiagnosed and actually have a genetic form of diabetes called MODY diabetes. One of these is categorised by a high fasting and then reduction in levels later
Hi. I recently watched a video mentioning that morning glucose levels can be higher because the liver dumps glucose the muscles/blood after we wake up. I’m sorry, I can’t provide a link. Perhaps if you look into this, it might help understand what you’re experiencing. Regards.
I just wonder about at what level of glucose cause inflammation and damage from both high glucose and insulin?
HbA1c above 59mmol/mol or 7.5% Norman
That’s an average glucose of about 6-14 most of the time. But regularly spiking up
Or 108-252 depending on your units.
So more towards the 14 end than the 6 as 6 is a normal sugar
I am not on any sugar meds. Slim, very athletic, 12hrs of fitness every week since decades and vegan for 20 years too. Just turned 50 too. My fasting blood sugar in the morning was around 5.2 for years but recently it shows as 5.7.
My post lunch reading after 2 hrs is in the 6.5ish range. My last A1C which was done 6 months ago was 5.3. Am I prediabetic?
Hi ZK
No I don’t think so. I wouldn’t worry.
Especially with that hba1c. That’s miles off diagnostic.
I have to do this in the new money so I’ll type it out whilst I’m thinking
Diagnostic values of diabetes is 48mmol/mol which is 6.5%
Each 1 percent is worth 11mmol/mol
So 5.5% is 37mmol/mol
Pre diabetes is 42mmol/mol which is going to be around 6%
So your HbA1c is well below pre diabetes levels so I wouldn’t worry at this stage. Likely around 35mmmol/mol ish. So I wouldn’t even raise an eye brow if I saw that figure. It’s normal
@@diabetesdietguy Funny that you replied today, as only few hours ago I got A1C test done and it is still at 5.3% like before. So all good. Thanks.
Reduce carbohydrate,sugar,fruits,cereals,kimva,millet,,keto...diet less carbohydrates etc
What about spikes with prediabetes? Can you comment on glucose variability? When I eat anything with carbs I spike about 11.0-11.1 and then drop below 3.0 and get shaky.
Hi Nicole
I couldn’t diagnosis anything on here nor am I someone that diagnosis
But might be worth reading up on reactive hypoglycaemia. Seems consistent with your symptoms and then speak with a doc if it adds up.
In terms of the spike itself
It’s not surprising it happens as pre diabetes basically means you’re on your way to actual diabetes and so your body is struggling a bit with controlling glucose levels if you eat carbs and your baseline levels will be slightly higher also.
But have a read about reactive hypos as if your symptomatic it is something that happens
Unless you’re taking insulin or sulphonylureas also. Then it might be different
4-11 WHAT? We have 80-110 as normal mg/dLt. We have this in the EU!
Lol hey Patricia. we use mmol/L not my/dl.
Just divide your units by 18 or multiply mine by 18 and that gives you the conversion
So 10mmol/L is 180mg/dl
Thanks fir the information on your video, i was taken in a ambulance a month ago they did my sugar test told me i have sugar , what i said to my surprise as i vern told by my gp i got normal sugar. So i seen gp did 2 hour glucose test, result was boarderline diabetic, so bern told to be careful. So worried as i font understand this at all. Been monitoring finger prick test each morning when i wake up it sits around 7.2 to 8 after bf 2 hour test still under 8, so should i be worried
Hey Amalie
Did they not do a HbA1c test?
The fasting is a bit high but then it’s not really moving when you eat. So it’s a bit of a mismatch.
I’d ask for a HbA1c and take the guess work out the equation. That’ll tell you if you have diabetes or not
I was hoping this would help me but your measurements for daily measurements don’t match mine in th U.S. my numbers range from 59 to 200. Just recently go a Libre 2 and my last A1C was 5.7.
Divide by 18 Carol and you get our numbers
So yours are 3.2-11.1
I think you could go slower in your explanation and let the patient know if the reading is in England or USA
Hi
Thanks for the comment
Noted
I am English though so readings are UK readings.
My blood sugar levels 153 can you explain to me in a A1C range please😊
Hey Mae
I’m assuming you mean 153mg/dl?
It doesn’t quite work like that. You can’t predict A1c off a single glucose result. The A1c is a 3 month average. However, if they are all around 150 then the A1c is going to be very good. Likely not in the diabetes range or very well controlled if you have diabetes.
If it’s 153 as a HbA1c I’d suggest this needs looking at urgently as that is very high 👍
On the Libre 2 my average glucose is 6.3 is this normal? Or is this a concern? When I wake up in the morning my blood sugar is 5.5 but it does go up when I’ve woken up and I havnt even eaten. I got a libre 2 on a trail as I can’t afford the Zoe. But I am overweight so wanted to keep any eye on my blood sugar x
Thanks for the comment. 6.3 sounds pretty good to me but if you want to confirm 100% either look at the predicted HbA1c. Or actually get a test with your GP/doctor 👍
Yes this is confusing. On wearing the cgm, instead of giving us the range over two weeks why didn't you simply tell us the average? I've just worn one and the average was 6.1 but your video doesn't give me any information on whether that is good, bad or in between.
Hi Sam
Thanks for the comment but I’m not sure I get you for the following reasons.
if a glucose reading of 6 is normal and an average glucose is 6, then that would be normal reading on average. So if normal is 4-11, then an average of this means on average a normal glucose does it not?
However, averages can be misleading too as you can have 3 readings for example of 5,6,7. The average is then 6 and that’s good control.
You could also have 4 readings of 2,2 6 and 14. The average is still 6. But you’ve had a major hypo and a high reading. So it’s then not good to look at this.
Also the average is a hba1c, which you should be invited for at least yearly
@Diabetes Diet
Fasting rate according to my glucose monitor chart is between 4 and 7. Borderline is 7-10 and over that is the big D.
@@samcturnbull7464
Hi again Sam. I’m assuming D = difference.
fasting and post meal have different targets Sam because food effects your glucose levels. So what’s normal differs depending on what you’ve done before it. Although that isn’t actually a big difference. If you’re between 4-10 all day - you’re doing pretty well.
If your average is good I.e. HbA1c (assuming it’s not skewed as per my previous message) or your time in target is good with no hypos then on average you’re doing well
👍
Hi 👋.... i had some blood results back today .... my level was 2.9. I was given a glucose test kit to take home. My fasting level was 6.5.... it then dropped a few hours later to 4.1....i then had a cheese salad and 2 hours later it was then 6.1...... am i pre diabetic? It seems all over the place
I don't understand your number system. blood glucose should be 70 to 140. what is 4?
English Canadian and Australian system. Multiply these numbers by 18.
4 and 7 do not compute to all your viewers. You must be talking about Hemablobin A1c. I was wondering about the daily self check.
Hey Ramona
Sorry for that. We’re UK based and so use UK figures. Which are different to the US and Europe.
So it’s not A1c, it’s point of care glucose tests.
If you want to convert into mg/dl you multiply by 18.
So 72-126 is 4-7.
I didn’t really think a lot of people would watch from other parts of the world but it turns out the US is my largest audience.
So sorry about that
@@diabetesdietguy coming from Australia, I appreciate you having it in measurements I can understand… And also appreciate the method of conversion for when I come across the masses of American videos who don’t seem to understand that not everyone uses the same measurements.
Thank you for that.
Are these numbers in mmol /L? Because my doctor is trying to say that I have diabetes when my aba1c test was 7.6 mmol/l, mind you i was very dehydrated and barely drink water and had a infection during my hba1c test. Can that effect my numbers? Plus my stress level was very high. Also, my rbc and wbc was high. I believe because of my infection. I am so confused. I live in canada.
Hey
Yes numbers in mmol/L
But HbA1c is a different measure and measured in mmol/mol or as a percentage
So it’s a bit confusing
A blood sugar might be 7.6mmol/L
But a HbA1c might be 7.6% (one measure)
Which would be a HbA1c of about 60mmol/mol
Which means ya sugars are probably running between 4-14 most of the time.
Then of course we have the other measure for finger pricks in the US and mainland Europe which is mg/dL
So it’s a mess really 🤦
Is it possible to have diabetes if your blood sugar levels are normal? I was told it’s normal.
Hi
No if the glucose levels are normal then you don’t have diabetes 👍
It's clear that chronic high glucose levels lead to health issues, but can you clarify what's wrong with temporary glucose spikes? Like the ones caused by eating a banana or an apple. Is it a great workout for the beta cells in the pancreas to quickly ramp up insulin production? Thank you in advance, somehow I can't find any good research on this topic.
Hey
Thanks for the question
The quick answer is it depends on how high and how often these temporary glucose spikes happen
If they happen 3 times a day every day then those temporary spikes are actually causing chronic hyperglycaemia. So this is then potentially problematic
If they don’t, then it’s not a problem and not likely going to cause any long term problems.
So it all comes down to the frequency and severity of each spike. For example, 3 glucose readings of 20mmol/L lasting 2 hours at a time will raise the average of all the other glucose results.
However, this doesn’t change the fact a glucose level of, for example, 20mmol/L is abnormal for the body. But a few one offs won’t cause any problems long term. Much in the same way drinking 5 beers once a year will unlikely cause any long term damage but it doesn’t mean your body will like it at the time and you might have some acute symptoms.
I wouldn’t normally describe insulin release as a workout for the pancreas. It’s not really something that gets stronger like the heart when you work it and the more you ask it to release insulin. In fact, in type 2 diabetes, if anything you’re likely stressing the pancreas as it has to release more insulin to overcome the insulin resistance in the body
Obviously this ignores type 1 diabetes. The same principle applies in terms of the frequency and severity of the transient hyperglycaemia.
But there will be no “pancreatic workout” as there’ll be no insulin production as categorised by the disease.,
Thanks
@@diabetesdietguy Really helpful, thank you for your detailed answer!
Hi There
My dad is diabetic so i decided to keep a check on mine.
My concern is i exercise and do a physical job.
Ive cut carbs and sleep well but when i fast for 12 hours or so my finger prick readings are between 5.5-5.9 sometimes 6.0 or over even after ive finished work and not eaten anything.
I have a little belly fat but im not massively overweight so i dont understand it.
Hi Daniel
Thanks for the question
That’s a normal blood glucose level so I’m not sure what the question is exactly?
If it’s because it goes up and down, glucose levels don’t stay the same number all day and ebb and flow regardless of what you do but there’s hardly a difference between the numbers you report.
If you have concern, ask the gp for a HbA1c - that will tell you very quickly if you have diabetes but on those numbers, it’s not likely
@@diabetesdietguy Hi There
Thank you so much for your reply.
The confusion for me is that guidelines say anything over the 5.6 mark is prediabetes and as I always tend get them sort of numbers sometimes 6 and over when I prick my finger I assumed I was entering the prediabetic range - Also after not eating for hours my suger is always around the upper 5 mark which I assumed would be a lot lower.
@@danielusher8565 hi mate
It’s very difficult to say with certainty what a finger prick is telling us - even if the sugars are high you won’t know how high until you confirm it with a HbA1c result
5.6mmol/L is a fasting waking glucose also. I’m not sure if yours are above this first thing or you mean generally throughout the day. Either way, if you have glucose levels in single figures all of the time, you’re likely going to be ok. But confirm it with a HbA1c and stop worrying too much about point of care finger prick results that are largely quite normal by the sounds of it.
If the HbA1c is high, then you can do something about it 👍
Thank You! This is God News!😊👍
Is there a translated video of this presentation in Japanese?
I don't have access to a doctor for another month so the only diabetic medicine I have is natural Curaline I buy each month and watching what I eat, my sugar is always high 200 highest 140 lowest what else can I do to keep it down??? I need help thanks!!
Hi tammy
Sorry to hear that
Depends really
First off these aren’t worrying numbers overall - they’re ok - you’re going to bed ok
But I agree if this captures the entire day including fasting in the morning and not just post meal then they are a couple of degrees higher on thermostat
Things you can do
Keep eating healthy
Exercise lots - keep moving
Check HbA1c when see doctor.
Point of care finger pricks help but the A1c helps to see exactly where your sugars are at.
Good luck
Ps if your overweight at all
Start trying to lose weight. Best thing you can do for type 2 diabetes if that’s what we’re dealing with here
@@diabetesdietguy Yes I have type 2 diabetes I also have high BP co trolled I take it everyday and Diabetic Neuropathy I do have Lyrics I take for that magnesium do u know any good Natural things I could take also?? Thank you for your help!💜
@@tammyblalock3694hi again tammy. Not much evidence to support any herbal remedies unfortunately. Even the very small poorly put together evidence there is, it won’t make the difference in the long run.
But in terms of natural just good old fashioned healthy living and exercise. Lots of veggies and keeping your calorie count down but ensuring you’re eating lots to fill you up. In other words, nutrient dense foods - veg, lean protein, modest fruits, some whole grains and do this 80% of the time whilst combining cardio and resistance training.
Good luck
so after only 30 mins your blood glucose comes back to normal after a rise in glucose????
Hi Sirius
I suspect you’re referring to someone without diabetes?
Well the question you ask implies glucose levels rise above normal range in the first place after you eat.
If you don’t have diabetes and eat and your glucose levels go up - that’s normal. If they rise above normal than that’s likely diabetes or pre diabetes - which would need confirmation with a HbA1c.
So the question you pose can’t be answered. Apologies if I say back to normal in the video - that would be a turn of phrase that’s not entirely accurate but from memory I don’t say that.
But rising glucose levels after eating is ‘normal’.
If they rise too much - as per the video or persistently remain elevated - that’s not normal.
However, typically what you find is even if someone with diabetes manages to maintain near normal glucose levels, they’ll be elevated for a little while longer than someone without diabetes because your body is more easily able to bring your levels back down more efficiently because your body is working better at this particular element. Which normally means glucose levels will be back to near fasting levels after 30-60mins give or take.
Been scared mines average around 105 sometimes it's in 90s but often in 105 area. Hba1c is 50 my trigs are 52.
Use the other units like the doctor. Can't understand these.
Good info
I am confused as my levels are measured in mg/dL my finger prick meter is Accu check guide and have app mySugr it gives me as pre-diabetic range of 90mg/dL to 160mg/dL as green. I test before each meal and normally it will drop lower than 90mg after breakfast then rise after lunch and dinner than I fast for 17 to 18 hrs. The highest I have tested is after lunch of brown rice and stir-fried pork and mixed vegetables 3 hours latter still at 125mg/dL as I only test prior to meal.
My app calculates my A1c at 5.2 but that is just calculated off last 21 readings not really accurate.
Hey Gregory
UK measures are different which I must admit was an oversight as I didn’t think I’d have any audience, yet alone one in the US
The conversion is multiply UK measures by 18 or vice versa from US
So 90-160 is normal = 5-9mmol/L 👍
@@diabetesdietguy I am a Australia living in Thailand my Endocrologist uses mg/dl
@@gregorymcleod yea think Oz and UK are the exception to these values
Thank you for this valuable video Sir , please can you reply I live in a city where English is not spoken much My Hiabc is 4.8 nut after I eat at times with a soup som3 salad and a toast of rye bread blood sugar after one hour is 10.2 mmol Is there cause for concern
Hi mona
Hopefully I’m understanding you correctly and thanks for the comment
If these numbers are consistent and these are the numbers you see regularly then no these numbers are good. 10.2 1 hr after eating is higher than normal but it is still a good result and shouldn’t cause any problems going forwards.
@@diabetesdietguy thank you so much I’m sorry for the late acknowledgement as I missed seeing the reply I’m working hard to keep my levels in check Best wishes to you
Im 30 mu a1c is 4.9 i have episodes of low blood sugar at times i try to keep my sugar at 90 is that ok im not a diabetic at all just have low sugar
Hey Charlie
90 is pretty normal so is it dropping lower than this regularly?
@diabetesdietguy sometimes yes it go to 80 sometimes 75 but not all the time
got you
I wouldn’t worry Charlie
These are normal glucose levels 👍
I am diabetic.Did anyone understand this man?Why doing a video on blood sugar level for people with non diabetic condition???Just do a simple video of what the level of glucose should be for diabetese ?These youtube video drive me insane.
There’s plenty for videos on the channel with that exact Info. This is one video to give a point of reference as I get asked the question a lot. I’d suggest watching our type 2 playlist assuming it is type 2 you have. If not, watch the type 1 programme
im using a smart watch which measures blood glucose it says... is it reliable?
Unlikely Gracie I’m afraid
There’s no watch officially approved for this and I suspect if there was everyone who needs to measure glucose would have this watch!
thank you @@diabetesdietguy
3 hours after eating my glucose was 80, but 1 hour after eating pancakes it was 163. does that mean prediabetis or is it just because the simple sugars?
Hey Chelsea
It’s overwhelming likely it’s fine. 163 is still pretty low overall but I think the best test to pick up pre diabetes is the HbA1c
It’ll soon tell you if you do or dont. It’s difficult to diagnose pre diabetes on a finger prick
Hi, my fasting blood sugar is 4.5mmol, 1 hour approximately after a fairly heavy carb meal my sugar reached 8.9mmol, 2 hours in I checked again and it had dropped to 4.2mmol.
Should I be concerned about 8.9mmol, I understand damage starts to occur to the body when sugar exceeds 7.8mmol is this correct?
Does this sound like prediabetes or am I normal? Thanks
Hi NRG
I wouldn’t be worried about damage at these levels. These are very normal levels. You can’t diagnose pre diabetes really off finger prick testing. You’d need a HbA1c test to get your average glucose over 3months.
But these aren’t anything to worry about. They’re good actually
@@diabetesdietguy perfect thank you!
Mine is 6.5 fasting sometimes lower and I have not got dibeates so my doctors says
They’ll be using a hba1c test
That’s a better measure Paul than point of care finger pricks
My hba1c was 37
@@paullapworth2426 ah yea exactly then Paul
A good example here
Fasting above what is considered “normal glucose” seemingly on a finger prick but overall glucose control is normal. I they’ll be a reason for the 6.5s in the morning too whether it’s waking up later or bad nights sleep.
But the key here is the hba1c is fine
I am in confusion about the actual blood glucose test level. Is my blood glucose still normal at 10mmol/L 4 hours after meal?
Hi hidup
It’s elevated yes - compared to normal levels. However, 10 isn’t too bad. However, this is 4 hrs after eating. Does it go higher closer to eating and how does this relate to your HbA1c?
Other websites are giving different ranges 5.5mmol when fasting and 11mmol after eating ...
You're also saying something different am very confused what's happening here and on the websites even Wikipedia is also saying something different...
Can I humbly ask what's the best number readings for diabetes and non diabetics thanks bruh 💦💦💦💦
Hey Benjamin. Thanks for the questions. The answer is As the video says. There’s different guidelines which might say differently. NICE and diabetes uk recognise 7mmol/L fasting and 11 after eating as diagnostic.
But these are only in the moment readings and so aren’t great for diagnosing diabetes - unless you’re doing readings every day. Therefore, the hba1c is better because that measures glucose levels over 3 months. In other words, there’ll be no debate to a diagnosis as it’s not a one off reading.
Gestational diabetes’s is diagnosed with a fasting over 5.6mmol/L which is slightly different due to the risks with glucose exposure when pregnant. So perhaps that’s what you’re reading?
What resources did you see with 5.5mmol/L can I ask??
Cheers
I had a reading of 68 ,i lost 7 stone and now my reading is 38 .I have never taken any meds am i still type 2 diabetic...?
Hey John
I’m assuming this is your HbA1c. Or I hope so!! Lol
With no meds then yes this looks like you’re in diabetes remission! If intentional, well done!
You should still have to it yearly check ups as things can change - hence why we say remission and not cured but that’s a great result
Glucose on blood test was 41 mg/dl but I felt fine and I hadn’t ate in 10 hours..what’s your thoughts
Quite low there Jodie admittedly but if you felt fine and had been fasting for some time it’s not surprising. Sometimes glucose levels are just a bit low in circulation when you’ve not eaten. So it makes sense. So I wouldn’t worry too much
Unless you’re taking insulin or other meds that cause hypos???
What unit are you using? I am in the USA
Multiply our figures by 18
Gives you the answer 👍
Hi i randomly check my suger levels because my wife is type 2. The highest it ever was was 9.7 but in 30min its back to less the 6. Today i test myself after having a coke and food nd it jump to 8.7 and in less then 15 min was 6.5 and 30min was 5.5 am i good to go. I had my blood test over 2 months ago. I ask my doctor my boodtest results was 5.7 normal. Am i stil in good health
These all seem pretty normal levels to me Sandra
It should be under roughly 7.8mmol/L one hour after eating. Everyone will go into the 9s if you test quick enough after eating. Ive had it lots of times myself 👍
I have a question, Diabetes Diet Guy: if a type 2 diabetic achieves normal or near normal Hba1c does this arrest the loss of beta cell function ? Or just slow it down?
Hi michael.
Possibly. But it depends how they achieve it i.e. lifestyle or meds.
If its a lifestyle change then this reduces insulin resistance and that drives the disease. So better insulin sensitivity, less chance of diabetes progression. Beta cell loss comes later in the journey. So yes, if you can control it early with lifestyle change, this stops the pancreas getting worn out and so preserves beta cell function.
Hope that makes sense
@@diabetesdietguy Hi That's encouraging. Where do you stand on this question of the causes of beta cell dysfunction / demise ? About a decade ago I was reading that the beta cells became 'exhausted' or worn out by insulin resistance ie : they couldn't cope with the demand for more and more insulin.
Then there is the poisoning effect of high blood glucose on the cells ( oh the irony of that ) and then there is the explanation emphasised by Roy Taylor , that pancreatic fat creates a toxic environment which renders them 'de -differentiated'. Is it a bit of all three , plus inflammation? Sorry to get all nerdy about this, but I'm curious!
@@michaelhussey440 in a nut shell Michael. Yes that's it. So if you lose beta cell function, that is a tipping point where less insulin is produced so remission is then unlikely. You can still improve insulin senstivity of course but beta cell failure means less insulin is produced and that can only be treated by medication. Its why acting early from diagnosis is better and why roy Taylor's patients in his study were all diagnosed within 6 years and were not on insulin.
We also shouldn't ignore the liver in this. Ive done videos on this previously. But liver fat causes high glucose levels as much as pancreatic problems as the liver is unable to regulate is glucose release. 👍
@@diabetesdietguy Thanks again. I am looking through your other videos now and redoubling my efforts. I must say that not one of my doctors or nurses has ever explained the possibility of remission and the need to take prompt action. Its always been fairly vague advice like 'try to eat smaller portions' and 'try to be more active.'
,
@@michaelhussey440 thanks michael. I think theyre just keeping it simple and it can be difficult to translate theory into practical advice in a short time.
Generally, simple changes like portion sizes, lots of veggies and getting active help kick start the weight loss that most (not all) people need in order to achieve remission/better control.
That said, i have had patients not achieve remission but they do reduce their doses or number of medications with lifestyle changes. Not to mention better glucose control and general well being. So its never too late.