Ep:369 THE SCIENCE BEHIND TREATING INSULIN RESISTANCE IN DIABETES (1&2)
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- čas přidán 23. 08. 2024
- TYPE 1 DIABETICS SUFFER AND DIE MOSTLY BECAUSE OF INSULIN RESISTANCE - A TYPE 2 EFFECT CAUSING HYPERGLYCEMIA. ENDOCRINOLOGISTS MISMANAGE TYPE 1 DIABETES HORRIFICALLY. TARGET INSULIN RESISTANCE BY INCREASING INSULIN DOSING AT FIRST IS VERY EFFECTIVE IN HELPING T1DM TO NORMALIZE BLOOD SUGARS AND HbA1c. Our clinical trial in our T1DM patients lowering blood glucose shows improved co-morbidities such as retinopathy, arrhythmias, peripheral neuropathy and cardiovascular events. These insights are not beliefs or conjecture. They reflect real data from an extremely busy clinical practice dealing with metabolic health transition. Know the scientific truth about how your body works. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below.
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ROBERT CYWES M.D., PhD and SHERYL FOX RD ARE clinically PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. The mission of our media content is educating the public about a CARBOHYDRATE ADDICTION approach to treating obesity, diabetes and metabolic syndrome. Understanding the importance of replacing carbs in your diet with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a more effective diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using obesity surgery and devices as tools along the way, and helping people who have had bariatric surgery stay healthy and not relapse
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This makes a lot of sense. Glad your patient found you in time to save his eye.
Thanks, and great to hear a mention of Dr Bernstein. His book, although intended for diabetics, is also a treasure of info for everyone in the keto space as well.
Thank you, I finally understand that i am am obesogenic type. Reduced carbs but not eliminated. Lost 45 lbs but need to do better
Your explanations are always informative.
Absolute best explanation I have ever heard. Now I am understanding my own situation.
I WISH THE ADA WAS NOT SO CORRUPT AND IT WOULD PROMOTE THESE CONCEPTS
Dr.. Cywes, this was so understandable. Thank you for this. You explained so much to me, tonight!
This is something I have discovered about myself. Diagnosed Type 2 in 2011. Was already carb smart by that time. Took Metformin for many years. Around 2018 discovered Keto and slowly transitioned to ketovore. My highest A1c was 7.2. Lowest was 5.7. Over the last several years I've seen my A1C slowly climb back up to 6.3. Occasional cheat. Most or all of my blood markers suggest I am not insulin resistant yet my A1C suggests otherwise. 6ft, 170 lbs. It's not fat related. Liver? I am of the opinion my Pancreas simply is not producing enough insulin. LADA beginning? My current doctor is not smart enough to understand so basically using my own research/knowledge.
Fasting Insulin, C-Peptide, both good. Trig/HDL ratio less than 1.5(previous was less than 1.0)
Do you exercise alot/ hard often?
You are a mountain of information.Thanks.JHB-SA.
Amazing light from this new information, which has come to us from much more direct, practical research---research that is written down to prove it all! The opponents don't get it. THANKS!
This has way too much common sense for some people. Keep up the good work... :)
You teach us and entertain at the same time, got to love this guy
Thank you for the clear explanation of obesogenic terminology and how to classify insulin resistant people. Perhaps we should call those folks (of which I am one) "Type 3 Diabetics?" Really one of your best videos. 🎉
T3 already taken...Alzheimers
hey!! home of the green monster here!! and i just got some ketone iq before even seeing this video- decent stuff!! would love to work with you some day!
As a paramedic, the "standard treatment" for ALL in crisis diabetics was the same - I was so confused!
Loved this and shared it on Facebook hoping my parents maybe finally get it 😢
You certainly can have type 2 superimposed on type 1 with bad diet and lots of insulin. My dentist is type 1 and has a big belly and all the signs of insulin resistance. He goes berserk when I tell him he needs to be in ketosis as I sit in the chair at age 66 at a slim 135 lbs with an A1C of 5.2. Makes me very sad because I doubt he will see 66.
I can’t say what I really want to say, but you’re a jerk!!
@petercyr3508 do you find that even though you’ve turned your life around & maintain it that others dismiss you bec you’re not a doc/APRN etc?
Share this video w him
I'm type 1, diy looping setup, a1c since going keto 4.8% - 5 7%. That high was the most recent one as I tumbled off my keto wagon and am having trouble climbing back into the driver's seat. I have the resistance of a type 2 though. And those who are thinking I might have been misdiagnosed, nope, dxd 27 yrs ago, c-peptides were practically non-existent.
Have to say I like your no bullshite attitude.
Thanks for helping me get more healthy. 😊
Love your passion!
This makes so much sense as a type 1. I wish I’d see this when I started carnivore and I couldn’t understand why I needed more insulin even tho I wasn’t eating carbs.
Great explanation!
This is exactly what I've been telling so many people. The title mimics my must popular videos, are you watching my stuff doc??? 😂
haha powerful stuff ... used your info to literally heal my chronic illness, ty yannick!
Not diabetic, never have been. Current A12 is 5.2….but struggling with intense insulin resistance. It’s been a real roller coaster ride. Thanks to Dr C I understand it better but my brain just won’t adjust to my victory point of ONEderment! 😭 I be been in the 200s for so many years. 😢
Wow this is so useful and informative. I’ve put on a lot of weight recently and become reactively hypoglycemic. I’ve been really confused because I’m not diabetic, and I thought insulin resistance meant I couldn’t clear blood sugar so I was wondering why my blood sugar levels are still healthy according to my doctor. This makes a lot of sense that I’m just producing a crazy enough amount of insulin to auto correct, whenever I eat carbs I feel like I’m going to faint. Low carb has been helping but for some reason it’s making my sleep worse which sucks, but I’m sure everything will eventually balance out
Just found you on CZcams! Luv your content Doc! Thank you!!
Thanks!
North Carolina Type 2 since 2017. Keto at first, trailed off and A1C went up. Back on Keto, on a CGM, endocrinologist wants me to inject insulin. Fasting insulin is 19.3 and average glucose on CGM is 162 mg/dl but coming down. Don't want to go on insulin.
Set up a visit so that we can get you into remission
Hi folks greetings from poor Greece
Greece may be economically poor but it is one of the culturally and most beautifully rich places I have ever visited love Greece
@@robertcywes2966 Yes sir but I can't afford beef every day and I have to eat pork most of the days. I guess its better than pizza and pasta tho :) Thanks for the love
That was informative. ❤
T1 here. I cannot seem to get A1c down. 6.4. On carnivore for 7 months my doctor won’t give glp 1 drug. Take about 20 u total ( long acting and rapid ) per day. Help😞. I weight lift, walk. 62 yo female. And 10 lbs to goal weight to 130 at 5’7.
How do you feel? How are your other blood markers? Triglycerides/hdl ratio?
Are you low carb?
@@DaveIrish66 great ratio. Yes, low carb.
I did realize that, believe it or not, reusing syringes for my insulin injections can cause a lot of issues. The old residual insulin inside polymerizes and doesn’t work as well. I’m stunned. The syringes won’t be fully covered by my insurance after June so I was trying to scrounge and reuse the ones I have… But in only using new ones with each injection, the last few days it’s made a huge difference! I’m feeling very ashamed about this🥺. At least my A1c isn’t 12 or anything like that it’s 6.4.
At the 17:23 mark, I am wondering if you meant to say you want their blood sugar in 80s rather than 180s? If it is 180, I require more explanation. 😊
Yes. 80s. 180 is good for my business🤣
@@robertcywes2966 So funny! 😂 Great video!
Total sense
Why wouldn’t you give Glipizide to a Type 2 diabetic if more insulin is all they need and the pancreas is still functioning? Doesn’t excess insulin as a hormone alter other hormones in the body? I thought Having excess insulin in a type 2 diabetic is what caused them to be insulin resistant?? I am so confused after this video
Glipizide works
Type 2 diabetes is not really a lack of insulin. It is the inability of the body to use insulin properly to get rid of glucose. In a healthy person, very little insulin is needed to get rid of a large amount of glucose. Once done, the insulin goes back to baseline. The more insulin resist you get, the more insulin is required required to get rid of the same amount of glucose. What this also means is that it will take longer for the larger amounts of insulin to drop to baseline during which time the body cannot access fat stores. Traditional thinking has been to increase the amount of insulin artificially which is like throwing oil on fire considering that the issue is that the body cannot process insulin well. Best course of action is to reduce the amount of sugar (carbs) consumed so that the body does not need to get rid of the glucose. Increasing doses of insulin will get the body deeper and deeper into trouble because it typically means the person is still consuming excess carbs.
We need thousands of Dr Cywes to treat the massive amount of people dealing with diabetes. I doubt many will be able to find a doctor with this knowledge. If I'm understanding this correctly obesogenic people don't need GLP1 agonist because they already have high insulin and GLP1 increases insulin to bring sugars down???
Yes. But in obesity GLP1have appetite suppression effect
Huh, at 20:52??
“Elevated a1c is a t2 problem not a t1 problem “
My a1c was almost at 13 when I got dx in er/icu while in ketoacidosis. My bs was 980. My fasting bs a few months prior at annual physical was 76. Bonafide type 1.
What is he saying with this? My a1c can stay at 6.4 and I don’t need to worry about it? I’m doing all I know to do, and would love to have a dr Bernstein a1c😢
Yes. Of course at dx. But on insulin high A1c is insulin resistance or diabulemia
Goal is A1c 5.2. V achievable
@@robertcywes2966 what else can I do to get it down? With this disease I basically have a toddler with me 24/7.
The past almost 20 yrs I’ve gone between 5.7 & 6.5. Was vegan for a while (BAD experience, but a1c was the 5.7). I eat super low carb, exercise, no smoking or alcohol. Nonstarchy Vegetables here and there. I do have small amount of fruit 2-3 x per week….but to cut out the only thing left I enjoy to get down a few points is just, well….🥺😩
I would very much appreciate an answer to this question, if there is one, or a video on it. I eat very low carb (less than 15 total grams per day, if that), take no meds and wear a CGM. My CGM indicates my 90-day glucose average as 96. During the day, it ranges from 95 to 105, occasionally a little higher or a little lower. This is corroborated by 2 different finger-stick glucose meters I have. So why do my 2 most recent hbA1C test results indicate 5.9 and 6.1? Over the last 2 years, my fasting insulin has ranged from 2 to 7 and my c-peptides have ranged from 1.1 to 1.7. I’ve read other people’s posts with this same issue, but never seen an answer.
Watch my insulin suppression videos
@@robertcywes2966 Dr. Cywes, thank you for your reply. I have watched 3 of the videos but need to watch them again to truly understand all that you say. However, the one question that sticks in my mind that I can’t resolve is this: if my Dexcom G7 is measuring the amount of glycated blood and my hbA1c is measuring the amount of glycated blood, why aren’t they the same number? They aren’t even close. It just doesn’t make sense to me. Thank you again for responding and I really find your videos to be so informative!
@@WickedLowCarb look up dry fasting club
@@WickedLowCarb G7 can't measure true hba1c because it only scan the glucose at interstitial fluid and get that hba1c number from formulated calculation. True hba1c is collected from your bloodworks
In order to "go up to come down", won't using a large amount of insulin add a significant amount of body fat? Isn't that counter-productive? This is where I am stuck. [DM2 X 25 years, Insulin X 15 years, insulin pump X 10 years (~40 u/day), C Peptide 0.5, A1c 5.4-6.0.] Or does this only work on a Keto diet?
May transiently gain a little wt
Needs ultra low carb diet
@@robertcywes2966 Thanks! Yeah - I am about halfway there. Dropping the remaining carbs, as you know, is difficult. My older sister (Type 2) is struggling with a Keto diet, but getting there. Also a recipient of two stents about 2 years ago, so my cardiologist isn't keen on Keto. 😉
I am seeing benefits from using ketone IQ. I run fasted and have had lows in the past . Very low carb diet here.👍
This seems related to the phenomenon of upward drifting serum glucose and A1C in the long term carnivores (especially LMHRs). An effect of insulin suppression/lack of phase 1 response?
Yes
65-99 normal BS, A1c's in the mid-upper 4's. Type 1 can drive down A1C with insulin, but triglycerides go up from carb intake. My A1C in feb was 4.9 type 1 36 yrs. The Dexcom G7 isnt accurate (mine wasn't) #'s were off from glucose meter way more than they closely matched. Eating carnivore weight 205@5'11" (been lifting 40yrs) taking roughly 32u +/- daily. But large protein meals spike my BS so I eat 6 sm meals a day.
Hi, it's been four years now that I do low carb (zero sugar and refined grains, some leafy greens and the occasional whole grain biscuit with coffee) and intermittent fasting (+hiit and resistance training), lost weight improved health, however, my latest HOMA-IR is still slightly above the threshold of 2. U
I wonder what is the problem. Shall I go even stricter on carbs? even fibre?
This is fascinating, but I have questions. I have T1D. I transitioned from low-carb to carnivore 3 weeks ago. My total daily insulin dose pre-carnivore was about 30 units (last A1C was 5.9). In the first few days of close to zero carb, my TDD dropped to 20 units, but it has since crept back up, despite the continued absence of carbs. Dr. Cywes is saying that in the treating of T1D and T2D with a keto/carnivore diet, insulin requirements generally increase before they can decrease. I'm not sure I understand the physiology of this phenomenon. Could someone explain?
Dr, how do you reduce the risk of blood sugar goes too low if you raise the insulin intake and lower the carb intake at the same time?
Very good explanation. When I asked my gp why I could not get my blood sugar down below 130 I got crickets. On carnivore occasionally. My sugar would go to 70. But most of the day and night it was above 120-130. It was so frustrating. I am diet control only. So a short term of a glp agonist might Help increase insulin?
If insulin is an anabolic hormone-is there any link to tumor growth (malignant or benign)?
Absolutely! Insulin resistance tightly associated w cancer
@@robertcywes2966 Ty! I’ve been telling this to my onc but he says there’s no data/studies. BS.
My fasting insulin stays at 6 no matter what I do
Even experimenting with some metformin but that’s only improved the fasting glucose
Hi Dr C. My c-peptide and insulin are same as your numbers but my sugar is very high. I was diagnosed type 2. Been on ketovore for the past 5 years but my sugar hasnt budged. Im on metformin now but doesnt make any difference on my a1c or fasting sugar. Frustrating. Im going to talk to my dr and try your method. Thank you!
Have you tried going zero carb for a period of time? Why are you on metformin? These meds tend to make you lose lean muscle mass, which will raise blood sugar from my understanding levels.
I'm actually ketovore eating mostly carnivore. I asked for it bc of frustration. I've been on ketovore for about 5 years but my a1c hasn't dropped. Like I said my c-peptide and insulin numbers are as low as dr Cs. So I'm going to ask my dr to treat me w Dr Cs protocol. It also took me over a year to gain 10lbs. I also exercise 5 days a wk, w weight and cardio. I know this is TMI 😂
I am curious though.. you mention you can produce large amounts of insulin to clear glucose.. if you were to eat something say of 90g carbs.. would it take you the "normal" 1 to 2hrs to come back to a normal glucose range?
💯
Dr. is that young man taking only lantus?
Can I stop my insulin and do canavore safely
Monitor your glucose carefully. Taper so you don’t die!
if our a1c is 5.1 but we're not losing weight can we still be insulin resistant? CPep is 2
Have you measured how many calories you intake versus how much you burn?
Give more to get less!
I was with ya till that nonsense about rugby being better than football?! Made doubt everything.
Come on watch a game of Rugby go to the seventh tournament in LA and you will understand
Yeah....rugby is the best, especially if you're South African😊😊😊
Give your fruit to your endocrinologist. 🤣🤣🤣