Diabetic Management in this country sucks!!
I had a type 1 diabetic in my office this week, she was literally crying when I explained what diabetes does to your body if improperly managed. I explained what HbA1C actually is and how high levels kill your cells. I explained that using more insulin is bad, and never ideal. You may have heard me say this, but I will say it again.
USING MORE INSULIN KILLS YOU FASTER!!!!
One of the first signs of Insulin resistance is hypertension, which usually gets treated with ant hypertensive medicines instead of proper management with diet for insulin resistance.
After she and I talked she told me, in her entire life as a type 1 diabetic no one ever explained things like I did, and now that she understood she was going to make changes. A day later she returned to thank me already making changes in her diet.
Later in the week she found she needed to adjust her insulin levels down since she didn't need as much. She will always need to take insulin, but my goal for her is to get her on the minimal effective dose to manage her condition. This will undoubtedly affect the course of her disease and her entire health for the rest of her entire life!
Just because things are simple does not mean they are easy, making the proper changes for type 1 or Type 2 diabetics are simple, but they are not easy. The reason is that people have been educated improperly.
What you need to know:
Always keep copies of your blood work in a folder, it's your health! Be on top of it, your doctor has 1000's of other patients, you only have you.
So here are some of the indicators you should care about.
FASTING BLOOD SUGAR 80-110, if your trend is an increasing level you are developing insulin resistance. Ie it was in the 90s and now it's in the 100s.. not good.
FASTING INSULIN LEVEL - ideally 5 or below. High insulin levels in the blood cause cell growth in the walls of the arteries making them thicker and the space inside them smaller, this causes higher blood pressure because the heart has to work harder to propel the blood through the vessel. I am befuddled as to why this isn't a standard test. The entire medical community needs to find their brain. This is an easy cheap test that gives a wealth of information. I just had another patient with normal blood sugar and HbA1c with 6X the normal fasting insulin. This is clearly insulin resistance, but without this test it is entirely silent. This test can catch Type 2 diabetes 10 or even 20 years in advance!!!!! WAKE UP!!!! Demand this test and I don’t care if your doctor gets pissed, maybe they will learn something. This test is the true canary in the coalmine. Remember that TYPE 2 DIABETES is an INSULIN PROBLEM not a SUGAR PROBLEM!!!
HbA1C- also know as A1C or glycosylated hemoglobin. 5.4 or under. YES 5.4!!
Ok here is the skinny on HbAIC – this means glycosylation. To make this easy to understand imagine you have a lollipop. You lick the lollipop and then put it on the back of your hand. What is the sensation?
If you said sticky you win, HbA1c essentially measures the amount of sugar sticking to the hemoglobin in your blood. Hemoglobin is needed to carry oxygen. The more sugar (glycosylation) you have bound to hemoglobin the less oxygen you can carry.
Eventually the cells that need this oxygen start to die. It happens first in the tiny vessels in your toes, kidneys and eyes then eventually to the heart, brain and other tissues. It means you life is being stolen away.
HBA1c is irreversible in that hemoglobin molecule, luckily you body replaces red blood cells every 90 days or so or you would be dead if too much glycosylation occurred. Having a cavalier attitude about a potentially deadly indicator is dangerous and irresponsible.
Here are the numbers as I view them:
HbA1c over 5.4 is the threshold for tissue disease and destruction.
Yes I am more hardline on this than most, but that is because this is the tipping point of a trend that leads to bad things.
So if you are above 5.4 you are in a state of trouble relative to your score. A 10 for example is extreme glycosylation and tissue destruction. Mind you this is cumulative, it take a while for the damage to add up, and it can be reversed and heal provided the levels are restored to normal. A prolonged elevated HbA1C will cause permanent tissue damage.
Here is the good news, I know how to help all diabetics improve their insulin sensitivity, lower their sugar, lower their HbA1c, If you are type 1 we can get you using less insulin, if you are type 2 we can get you off insulin if you are on it and start to heal your metabolism.
Are you a type 1 or type 2 diabetic that is struggling? Are you willing to make change? I can help you.
I will add you to my Metabolic Programming group, its completely free: https://www.facebook.com/groups/metabolicprogramming/
I will get you an advanced copy of my book as soon as I am finished. We will makes changes together. I am also going to create a 12 week course on the complete diabetic lifestyle reboot.
Want to talk? Message me. I will take a limited number of people for a one on one session, either via Skype or Phone.
If your doctor will not order the tests I recommend go here and order them yourself.