1 out of 3 Americans has prediabetes. Could continuous glucose monitors help? | Dr. Michael Snyder
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- Опубликовано: 29 окт 2024
- Approximately one-third of the U.S. population has blood sugar levels in the prediabetic range, with the majority being unaware. Dr. Michael Snyder, recent guest of the podcast, maintains that closely tracking blood sugar levels, for example, with continuous glucose monitors (CGMs), can alert people when their levels reach prediabetic or diabetic ranges. Such knowledge can enable them to make crucial dietary and lifestyle modifications, including weight loss, exercise, and stress reduction, that can halt or reverse the progress to type 2 diabetes.
Continuous glucose monitors, or CGMs, are wearable devices that allow users to monitor their blood glucose levels through a tiny sensor placed under the skin. While they are a medical product, some consumer-oriented companies are making them available through a physician network, such as:
January.ai* - january.ai/
NutriSense.io - www.nutrisense...
Levels Health - www.levelsheal...
The most common CGMs currently available, include DexCom and the FreeStyle Libre. More consumer-oriented CGMs are thought to be coming on the market soon:
appleinsider.c...
Watch the full interview with Dr. Michael Snyder here:
www.foundmyfit...
Episode guest affiliated company.
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New interview! Dr. Michael Snyder is the director of the Center for Genomics and Personalized Medicine at Stanford University. Learn more about the benefits of "deep profiling": ruclips.net/video/eHJXh5zvOHU/видео.html
Show notes for the interview here...
www.foundmyfitness.com/episodes/michael-snyder
I'm a Certified Nutritionist and have helped many many people discover that they have pre-diabetes by getting and using their own regular glucometers, which cost $30 and don't require a prescription. I think CGMs are very cool for those who can afford them, but really not necessary. The most important part is getting people to believe that they might be at risk and can take steps to prevent all the consequences of high blood sugar.
what is the name?
I have to disagree. I was diagnosed pre-diabetic and managed to browbeat my physician's assistant into prescribing a CGM. The data from the CGM was one of the most valuable tools I had to understand what "really" drives blood sugar levels. I already had both a glucometer and a ketometer (to determine whether I was in ketosis. Pre-diabetics need this kind of information just as much as any "full diabetic". Oh, and I am no longer pre-diabetic.
I was recently diagnosis with diabetes. I requested a CGM which I pay for myself. I was given no medication or insulin ,and my A1C was 6.5 (1 time) But the CGM has been the best tool for me as discussed in this video. I see my glucose is actually in the normal or pre-diabetic level and after a week I receive a projected A1C of under 6.5. It let's me see how my food intake affects my glucose and plan accordingly.
It’s not the pork in “pulled pork” that causes his blood sugar to rise, it’s the sugar in the sauce pulled pork is swimming in. Accuracy is important.
The breakpoints in this clip accidentally create a mistaken impression here. Our bad. The point Dr. Snyder was making was actually that the sauces themselves, included in the pulled work, were creating a glucose response that were out-of-proportion from what he expected. I'm sure he was aware it was sweet, but as he acknowledges in the actual interview, it had sugar. As anyone that has a CGM can tell you, a lot of things can have hidden sugar or more sugar than you thought... but even knowing that doesn't prepare you for the occasional surprises. E.g. comparing one "treat" at my favorite restaurant vs. another similar treat that tastes just as good or better, perhaps even a similar subjective "sweetness," but a totally different glucose response.
Please watch the interview!
www.foundmyfitness.com/episodes/michael-snyder
Also available on Apple Podcasts at...
podcasts.apple.com/us/podcast/dr-michael-snyder-on-continuous-glucose-monitoring/id818198322?i=1000524692959
And the bread! Bad
He is being accurate. That’s why he said pulled pork instead of just saying pork.
Hey! Just thought I would share my experience reversing prediabetes. I was prediabetic for probably a decade from the age of 24 to 34. But that entire time I was attempting to fight my weight gain (I had suddenly gained from 150s to 215-225 lbs) throughout those years. I had been intermittent fasting, low-carb eating, etc., but still remained pre-diabetic. What finally worked was a 1.5 month liquid protein sparing modified fast (didn't have to be liquid, but that was easier for me, and it was monitored by a bariatric doctor). I had between 6-800 calories per day and remained in ketosis (cheated maybe 1 or twice in the 7 weeks. I lost approx. 35 lbs and maintained for approx. 4 months (through the holidays) and gained a little back thereafter. But when I had my numbers ran 1 year after the fast, everything came back perfect - which hadn't happened in over 10 years! I'm now aiming for healthy proteins and vegetables and lots of fiber to help me lose my latest pregnancy weight. :)
I say that I think it was the fasting, because even when I gained weight back, I wasn't pre-diabetic. I theorize the fast somehow "reset" my system. But it would be nice to know for sure how that all happened.
What do you consider perfect? Between 4% and 5.6% is non-diabetic but ideally as close as you can get to 4% is perfect.
What exactly is a liquid protein sparing modified fast? Thank you
I just started a few days ago but I agree with him, it has to be certain foods. I had sloppy joe, bun, pickles and potato chips for only meal of the day after fasting for close to 20 hours and mine shot up to 180. Now it’s been 5 hours and I’m at 75. Go figure. Yesterdays high was 148.
Some of the problem today is there is to many visits to the doctor and you see a HP,PA and some doctors that don't pay attention to the numbers. My A1C has been running at 6.6 for the last 5 years and blood sugar at 140, and all I heard from them is we should keep an eye on that. My Doctor now says we have to sddress this. I was also taking gloucosamine for joints and I finding out that it can inhibit your insulin from working. I got off of that and changed my diet and in 10 days I've lost 10 pounds and feel so much better. I've got my Sugar down to the 100 to 120 level and I see my Doctor next week to discuss what steps to take now. Advice is check out the pills you take and see if there's something that might interfere with your blood sugar.
Yes, the doctors consider 7 to be controlled. Absurd.
Oatmeal with maple syrup (not too much really) raised my sugar levels higher than 2 hamburgers in McDonalds.
Not saying McDonald’s is good…
There is no difference between diabetes and pre diabetes…it’s like the first sign of a cold is is a condition called “pre cold” ?!!? It’s frustrating enough that an overwhelming number of doctors don’t really call it like it is.
It makes it hard to get help. Most insurance companies will not pay for a pre-diabetic to see a nutritionist or get glucose monitoring tools.
i’m frustrated too i’m A1c 6.0 but thin and fit ( past serious sugar fiend) so doctor literally said well it’s JUSt Prediabetes. ugh 😣.i’m still traumatized by seeing my grandma lose her sight and die too young from diabetes
@@saraf8529Take Metformin then and stop worrying
Thank you so much for sharing this! Personally I had a heart attack at 37 A1c of 5.9 long story but i'm very sensitive to glucose levels. Ive become metabolically healthy now. Eating mostly low carb and fasting. Thanks again, so much to learn. It's fascinating!
Exactly, no need for monitoring when fasting, but carbs aren’t bad, processed sugars are, and I guess if you don’t workout much, low carb in grain is solid, but you can eat simple sugars in fruits and vegetables all day. I am 24, heart attack at 17 and 23, my health was really only the culprit for the second one and it’s due to me abruptly stopping my bodybuilding for 2 years and continuing to eat my same diet which consists of a ton of dessert haha. I was completely healthy eating that way while working out and I did intermittent fast so that’s really why I was doing good
@@MLGB0Yz be careful about bodybuilding look into health building. There's something off about bodybuilding... It's probably the massive use of steroids that they don't talk about. ... It's vain .. I hope you're doing a lot better. I wonder maybe you weren't doing as healthy as you thought when body building and eating junk.... At such a young age it's crazy that you had two heart attacks. I think moderate exercise instead of extreme exercise might be better for you. At least be conservative in how far you push it . Lean towards slow and steady gains if anything Imho. This is Not medical advice. Avoid most if not all bodybuilding suppliments and minimize caffeine Imho. Maybe consider meditation too... I hear Sahaja Yoga can he helpful. Maybe wuitbodubuilding and instead just do very basic exercises with maximizing heart health as your main goal...... There is cardiac rehab out there it doc might b able to prescribe
@@MLGB0Yz heart attacks at 17 and 23 doesn't sound anywhere near normal. Something was very wrong imho. Find out what
@@nunyabiz2117 it was my drug use that caused the first one and the second was from no exercise and a ridiculous diet of at least 5000 calories of sugar a day in addition to regular food. But I know people use gear in bodybuilding, I haven’t though. I appreciate the words and advice.
Am totally confused. Is this fear of short term spikes for non-diabetics anything to worry about? What happens if your post-meal glucose levels return to normal after 2 hours as a non-pre diabetic?
Nice video, I diagnosed with T1 and use the FreeStyle Libre sensor with Blucon transmitter, I track blood glucose readings on watch and phone constantly and the phone beeps at night when the glucose is out of range.
Muchas gracias por la información.
For me, the foods that spiked my glucose were rice noodles and dried apricots.
Can you please do a video on Esselstyns study/diet? Or the potential of a low fat diet and it's benefits of maintaining o3to06 ratio and thus low inflammatory environment actually reversing plaque out of the tissues? If maybe the real reason for reversal could've been the "lowish" protein or just the kcal deficit (it's probably very difficult to hit even kcal maintenance with a 80% carb diet since that's a ton of food)? It's the nr1 killer so I think it would be interesting to talk about.
Also prolonged fasting and sauna use?
A question I could maybe hope an answer for, how much o3 is too much when we compare to o6. Most often we talk about 1:1 as optimal, but what happens when o3 is like 4:1 to o6? Any benefits from 2:1 for example?
I second this
Any links you can provide to help the uninitiated understand your post?
Fasting insulin as well as C-Peptide levels are very important, and almost never checked. If you have a "normal A1c, but your insulin levels are high or towards the higher end of the "normal" range, that should be the initial OH CRAP moment and wakeup call. CGM's need to be over the counter items and not require a prescription for a sensor to monitor your own health. If they were over the counter, the cost would also drastically be reduced. Lastly, ALL carbohydrates spike blood sugar. There really are no "good" carbs when it comes to metabolic health and carbs are not an essential macro nutrient for the human body. If you want to reverse your T2 diabetes and\or improve your metabolic health, say no to the sugars, grains, fruits, seed\vegetable oils and the starchy root vegetables. It's really that simple.
This video made no mention of fasting insulin and C-Peptide. So, it lost a lot of credibility in my opinion, because (like you said) those markers can be much more predictive than blood sugar and HbA1c. Also, the HbA1c cut-off of 7 for prediabetes to diabetes is rather lenient. Most sources I see use a HbA1c cut-off of 6.5.
So what are you recommending people eat?! That’s completely unsustainable
He’s wrong. Your intestine blocks first 5 gms of fructose or carbs naturally. An orange is only 6 gms fructose. Mix that with antioxidants/FIBER, and you have a great food. No, just stay away from table sugar, high fructose corn syrup (like soda), and HIGH glycemic foods. And refined foods especially refined carbs like chips etc. Watch Peter Attia, Richard Johnson, MD on “how fructose Drives Metabolic Disease”. You can thank me by passing it to another person… R. Johnson MD has Published over 800 papers in his research.
@@bf1937/Carnivore is perfectly "sustainable"...I've lost sixty pounds (still have 15 or so to go) and see no reason to ever quit.
Thank you for sharing such valuable information. It is important for people to hear how to extend life and improve quality of life. Question: what is diabetes? Is it lack of insulin control?
Very informative video, I have been using the FreeStyle libre sensor with Nightrider Blucon. It allows me to read my bloods without having to prick my fingers. I can see exactly the state of my bloods and what has happen. It provides a clear picture of how food and exercise affect my bloods. I feel I can control my diabetes a lot better.
Nice video, I use Libre2 with the Blucon device to track real-time readings, set alarms, food insights, and more. These features have significantly improved my ability to manage my glucose levels effectively.
7:45 post meal walks really drops blood sugar
How long should we walk?
@@gustavomora7593
About 30 mins - 45 mins
I used the Freestyle Libre 14 day. I used 4 out of 6 boxes prescribed to me and paid by BlueCross. I had high hopes after listening to these promotion videos. My experience is that it was very inaccurate and worthless. They were on the average 30 to 50 points off all of the time. Now I hear others saying the same. What a rip off they are. You know that 4 grams of carbs = 1 teaspoon of sugar. Do the math and save your money. I hope in the future they get better. Good luck.
how can one monitor glucose with non-continous meter? what time interval should be used? just to have a general idea, not for scientific precession
I test five times a day. At wake up, hour after every meal and before bed!
The pin prick glucose meters are cheap. Check online. Test frequently for a few days.
i check at 6 am 8 10 and 12 then again at night 6 8 10 12
Given those numbers no one is normal. The goal for all of us should be A1C levels below 5.0.
My A1C is always below 5.0, but I’m prediabetic. I hate A1C, it’s always been useless for me.
How do I get one of these monitors
True 'Health'care systems would screen for hyperinsulinemia, but of course, they don't because it's time consuming and expensive. Better wait till you are a diabetic and metformin is cheap.
The current pricing of these GCM is egregious. I'm not paying $200+ per month for that. Sure, it'd be nice to see how I react to X, Y and Z, but all the content I see on the topic points to the same things, rather than being truly individual: go for a walk after you eat carbs, blunt the carbs with fiber, protein and fat, and so on, all being common sense when you know a bit about nutrition. I agree that having the app will help keep people accountable, but I can also see it as a source of anxiety. I don't want to feel - and how long until I'm told? - that I have to go for a walk after i eat rice. I can see how the gamification of glucose levels monitoring could lead to anxiety, stress, frustration, and big brother.
I agree is very expensive, I've been a type 1 for 24 yrs and I'm Blessed to have insurance that pays for this but I also know other diabetics who cannot afford this which pretty much sucks.
My take on glucose spike concerns is that they happen at all. Making your body take this drastic action to negate too much sugar circulating in your body repeatedly over time causes damage. Even if the system responds appropriately its damaging over the long term. Your body is slowly cooking over your lifetime. Keeping the fire low as possible is the best course of action.
Dr Patrick do you recommend Gymnema Sylvestre ?
How do you purchase a cgm without diabeties?
That's what I'm trying to figure out, I think people who are not diabetic like me and want to have control of their health should have access to CGM, my doctor doesn't want to prescribe one for me unless I'm diabetic and taking insulin, so basically, they want you to be sick to have access to a CGM, there's no such preventative medicine.
get a regular meter $20.00
I bought a blood glucose meter from my local drug store which was CVS Pharmacy. The glucose strips are only sold at the Pharmacy (that’s at any drug store.) If you purchase one, I’d suggest Accu-Chek brand. I hope this helps!
Is limiting blood sugar going to be a tool to heal peripheral neuropathy?
Your comment on rice is misleading as its glycemic value depends on type ranging from a low of 43 to a high of 96 depending on amylose content and method of cooking. So pre-washing long-grain rice with an amylose level above 19 to remove any free starch and then cooking it and leaving it in the fridge overnight lowers the glycemic value to 43 and importantly provides a form of restricted starch that stimulates butyrate production in the gut that has a major impact brain function as well as metabolism via gene expression. Short grain rice with an amylose content below 19 will have a high glycemic value but this too can be lowered through cooking and cooling though not as much as the long-grain type. Rice has been the staple food of Asia for centuries and they are not noted for diabetes. It also very much depends on what you eat it with as the glycemic value of a mixture of foods is not simply the average of the ingredients but depends on how they interact with the gut microbiota.
Plus if the rice is with vegetables and protein this would stabilize levels too.
so what is your glucose an hour after you eat rice?
I'm afraid to check. I've been considering it a Schrodinger's cat scenario
So, is it the spike in glucose that is bad or the sustained higher levels of glucose? I'm my simplistic mind, I would think that a spike is ok, as long as you're relatively healthy anyway, because your body would filter out the glucose.
You want to limit spikes from food because this leads on to the next problem, not being able to lower blood sugar to safe levels in an adequate time frame.
The title should read: 1 out of 3 Americans has prediabetes.
I would love to wear a cgm for a month.
Rhonda, you are the best :)
Don’t you think we should add CGM as a new way to qualify diabetes
Excellent.
its more then 1 in 3 for sure. How would we know its that level if no one knows they have it?
Buy a glucose tester (finger prick) test yourself before and after meals to see how high you go over a week.
You can also do a glucose curve over a course of 6-8 hours. I used to do this for my diabetic cat. Or get a glucose monitor. Definitely get fasting bloodwork to check glucose and A1c1 checked.
Im sorry but you dont just turn type 2 diabetic overnight, you start going towards that stage 10 plus years before.
TOFI or Thin on the Outside and Fat on the Inside exists and the true way to be minimally affected by growing blood sugar levels is dont eat how the typical american eats. Also, exercise like everyday physical exertion is enough, you dont need to hammer yourself though. Just a walk is enough.
wait so it takes 10 years for your a1c to change
@@Atimid yip, sometimes up to 15, but insulin levels changes much earlier. Insulin is the key to early detection, not blood sugar. The test for this is HOMA-IR.
HOMA-IR tests are not talked about by conventional doctors, nor are they covered by insurance. You must pay for the test yourself.
The guy in the video did have HOMA-IR but thats after the fact because he had gone to the point past just prediabetes anyway so it was just academic at that point.
I am prediabetes ,I like to have ones I need one bad in ask my doctor about it
"pulled pork"? What's in that pork?
Hidden sugar! It was in the interview but accidentally and unintentionally didn't make it into this clip. Make sure to watch the interview. www.foundmyfitness.com/episodes/michael-snyder
no sugar no grains. pretty simple.
Rice does not spike everyone. It doesn’t spike me
everybody is different? we are not same species/? what is different is diets
Great show! I hope Q Bio opens a branch in Los Angeles, and becomes more affordable. Human Longevity, Inc. went in the reverse direction with their Health Nucleus program, now offering only their 100+ program with ongoing care and access to world class specialists, which significantly raised the price of membership.
So what is Dr. Snyders protocol for reversing his Diabetes Type 2? Is he on typical medications?
There’s no point of continuous monitoring when you eat right and exercise. If you intermittent fast, there’s absolutely no benefit to monitoring levels and that’s how we are supposed to live because back in the day, that’s how life worked, we would gather and hunt for food during the day and then eat at night and then sleep and do it all over again. So stay hydrated, work out after waking up and stretching, perhaps foundation training which is the best for body functionality. Then go to work or do whatever and eat 2 large meals that equal your caloric surplus so you can gain size, but watch your macros and make sure to be high protein and low processed sugar, zero if you can. Water is your friend. And then you go to sleep. Easy stuff, but people want to live in momentary pleasure, which is sin. You need to gauge yourself, you can eat what you want for the most part if you actually put the work in strength training with weight lifting and high intensity interval training for cardio.
I love white rice. 😢
If you’re going to be speaking as an authority about prediabetes you gotta know the range. It’s 100-125, not 90-120.
香港人已經很隨便要求很低的，日本人和台灣人對社會秩序的要求更高，他們從小的教育是不可以騷擾別人和麻煩別人。香港人的公德教育其實不算高。
One giant advertisement
A couple of hundred dollars a month! Rhondda is this planet hypochondriac? Great work though, but you need to concentrate more on the needy and get them to eat more healthily and move much more.
Otherwise the USA will eat itself into an early economic grave.
True that.
What does monitoring have to do with hypochondria? You are so far off target. Do you believe that we don't have major sugar/insulin issues in modern society? Or is it that you feel we should not seek our health but only respond to illness in crisis? And your comment about the needy is meant to say what? That no one can live any better than the least? If there is one starving child in the world, that you will not eat? Have you done that? Did it improve things? And how did you learn so well what is "eat more healthy"? To the degree one knows anything it's from monitoring either personally or in study groups. But none of that would be allowed in your kingdom as long as somebody is "needy"?
And expensive is expensive. But if I could afford it, I would. I certainly don't blame or criticize anyone who can. Sheesh.
Too much weed I reckon!
Words aren’t enough for me to show how I grateful I am for helping me to get rid of my Diabetes Dr Igudia
Cgm...$200 a month? Good ole capitalism in the USA. Somebody's getting rich.
香港人已經很隨便，比日本人隨便得多，台灣人和日本人從小教育是不可以騷擾別人和麻煩別人。香港人的公德教育其實不算高，很一般。