Yes ! I was going to say because even slim people can have diabetes so really it's not about weight rather it's about lifestyle choices and how people manage stress ,and environmental factors that increase the risk...
Within one year my A1c level went from normal to diabetic. I’m Indigenous and I’m about to complete my third year of nursing school in August. I’ve been working through complex trauma, working as a caregiver and doing full time nursing school. It’s been a stressful year even if you don’t count being in the middle of the pandemic. All that to say, this video could not have come at a better time. I would so appreciate more videos on diabetes. Love you Abbey ❤️
Thank you for doing all you do to help others. Complex trauma is a lifelong journey, but it can get better. I hope you’re able to continue working through it in a safe way ☺️
Wow! I'm in awe of what you do, thank you for doing what you do. I used to have diabetes, I don't now, it wasn't easy to get rid of or manage, but I've done it.
@@Queenofcats36 hey! I just wanted to ask if the blood sugar monitors (the ones used at home) are accurate? My fasting blood sugar came 99 and the pre diabetic range starts from 100 and I'm just really worried lol. I'm really thin and all my other blood work is perfect, I just took this reading out of curiosity, I didn't actually think that it would be somehow high. I know 99 is normal but it's literally the last number in the normal range so I'm kinda worried
@@nini-qc1qd a bit late, but as long as you use them as the package suggests you should be good. FYI bodyweight doesnt necesarally suggest healthy bloodsugar levels.
My hubby went from A1c of 7.2 to 5.5 in four months. The doc recommended Mediterranean diet, and people are so surprised that he still has carbs and has such good results. Oats most mornings for breakfast. I am so curious about the starch solution and blood sugar effects.
At 116 pounds at 15 years old - my cholesterol is as 200. I became a vegetarian and my cholesterol continued to climb. After I had my daughter, my cholesterol was 263. I couldn’t loose weight bc I was always hungry. I went on keto, ate shrimp and butter several times a week. I took of 30 pounds and my cholesterol is 181. A homeopathic doc years ago told me too much sugar was causing my body to store fat and raise cholesterol. I didn’t listen. My sister in law who never thought she could do keto has also done it and loves it. She lost 60 pounds, is no longer pre-diabetic and is off blood pressure medication for the first time in 14 years.
I loved this video. I have been prediabetic for years. I did the keto diet for about 6 months and yes, I saw a drastic drop in all my lab values but it was not a sustainable option for me. I've been working with an endocrinologist and a registered dietician and while I wouldn't say I have everything 100% under control yet, I have seen a huge improvement in my blood sugar numbers following their advice and guidance without cutting out any one food group, like carbs. ive only been working with them 2 short months, so I feel really good about where I am and where I am going. The one thing they both really encourage is daily movement/exercise. I cannot wait until I get my sciatic nerve pain under control so I can focus on that aspect!
Thank you for this. Genetically, my odds of becoming pre-diabetic/diabetic is pretty high! So far, I’ve managed to keep my insulin levels in a range that is “normal” although not optimal. Working towards optimal!
I had gestational diabetes, so I have an increased risk for diabetes. I was so excited to see this video! I want to be able to prevent progression to diabetes later in my life.
I was diagnosed with prediabetes in 2017, and I reversed that diagnosis by reducing my carb intake. It may not be necessary to everyone but it was super effective for me. Other details; -I didn't change my physical activity because I was already fairly active from being on my feet all day 5 days a week for work, and walking and cycling everywhere. -I lost 20~22 lbs (9~10kg) and this put me smack dab in the middle of my ideal weight range. I was on a calorie restricted diet before but it was far less effective than carb reduction for my weight loss pace and I was having issues with satiety (and going to bed hungry), probably because of the role of insulin resistance in weight management and hunger levels. -I kept an eye on my blood glucose levels throughout the process. The large majority of the time they were between 4 and 5mmol/L. -reducing your carb intake doesn't necessarily mean you're reducing your fiber intake. Low carb doesn't mean no carb. I get enough fiber and poop just fine. -all of my other stats are fine. I do not have cholesterol issues or anything else that suggests a negative effect of a reduced carb diet. In fact my blood pressure is on the line between low and normal. -type 2 diabetes runs in my family. All of them that are diagnosed are overweight and not getting any better or losing any excess fat on the plan they've been given. The standard plan they get contains plenty of high carb food, some of it pretty processed. -I can eat some high carb food, even some high carb processed food, each week without developing issues.
So you’re saying that we don’t actually need carbohydrate rich fiber sources… if soluble fiber is what helps manage blood sugar wouldn’t it make more sense to eat fiber rich/lower carb foods? Oats, breads, and other grains don’t really contain that much fiber compared to foods like seeds and vegetables. You’re telling people that carbs aren’t the enemy but all of the research shows that a high carb diet results in insulin resistance…..
Thank you very much for this video! When I was diagnosed with prediabetes I actually searched for the term on youtube and only found stuff made by people pushing ridiculous extreme diets with zero scientific basis. Great to see an actual professional talking about this
I was just diagnosed t2 two weeks ago. My head has been spinning with all the information out there and I can’t get in to see my nutritionist until later in the month. This video has actually calmed me down from what seems like constant anxiety since my diagnosis. I have found switching to complex carbs/ less processed carbs to work for me so far. But I found this video to help me learn that I don’t need to restrict so much. Thanks so much!
While all your videos are fantastic, this may truly be your BEST VIDEO yet!!! You addressed every major myth, explained everything in a way that is easy for most audiences to understand, and did so with just the right amount of detail... you truly knocked it out of the park!!! I can't wait to share this with family, friends and some of my PCOS communities (where misinformation is abundant). I get so overwhelmed trying to explain this is all in a simple, articulate way, so from the bottom of my heart.... thank you!!! 💛
I just want to know why testing A1C is not part of annual lab work in America. My doctor laughed and made a big deal about it when I wanted to test it.
I’ve been waiting for a video like this 🙌 I was pre-diabetic and no longer am. Thank you for the truth about carbs. I was told I couldn’t eat fruit or bread I did and lost weight and got on a workout routine.
Can you put "Type 2" diabetes in the title? There are so many misconceptions about Type 1 diabetes that are based on information about Type 2 diabetes and I think it's really important for people to understand the difference!
Thank you for this! I am a nurse practitioner student and I am very passionate about nutrition and chronic disease prevention. Thank you for communicating so clearly and with so much evidence!
Thank you so much. I reversed my diabetes a year ago using very low cal and keto. It was very effective but been hard to maintain while still having a life. This makes a lot of practical sense and is a balance between the extreme approaches of low fat high carb and keto trends.
The Doctor said I was pre-diabetic after my annual check up back in March. I left my job and got a new one. That was my solution, not sure if it has worked yet. That job was way too stressful and I wasn't eating very much or very well. Often my meal was a cookie or two. Now with my new job I am able to eat much more regularly and I am able to eat actual meals. I have not cut out carbs but I have focused on making sure there is fiber with the carbs that I do eat. Whether this be eating a sweet potato that has its own fiber or eating avocado on a sandwich that had white bread. I could probably focus on exercise a bit more but I am skateboarding more now which I enjoy and it's aerobic! Glad I stumbled on this video because I felt like maybe I wasn't doing enough to reverse the pre-diabetes but now I feel like I am on the right path and I just need to keep up the good work. :)
Thank you Abbey, Honestly, I needed this, recently diagnosed with insuline resistence and somedays I over worry , some days I "forget" and over eat ( i have anxiety and often use food to cope) so I've been kind of lost
May I ask what was done to receive this diagnosis? I keep trying to get my doctors to test my A1C but they always make a big deal out of it and they say my glucose is fine.
@@TheYazmanian of course! In my case I was having a lot of abdominal inflammation , I couldn't lost weight I was gaining it, and I was having trouble going to the bathroom, so my doctor did a full panel on me. My HOMA Index was very high, also my cortisol and my gut bacteria wasn't good either. The HOMA Index is used to diagnose insuline resistance , then I got my hbA1c test to check it, but my numbers weren't on diabetes yet. So for now I am medicated with metformin, also take probiotics a lot of vitamins and supplements
@@AriLuciani Thank you so much for that detailed response. I was under the impression that A1C markers could tell if we are insulin resistant but it looks like I'll have to do the HOMA index. I guess that's why my doctor thought it was strange that I wanted to check the A1C but he never suggested HOMA index either. 😕
@@TheYazmanian you are welcome! Maybe suggest that, or try a different doctor 🤭 for me, no one was understanding how uncomfortable I was, and we where nowhere near a solution until I got done those tests with a new doctor
I recently found out I might be insulin resistant to some degree, and I tried to find out what to do to improve my health. I was *overwhelmed* with the amount of information, most of which disagreed with what I already knew about nutrition. The information I received made me hate myself every time I ate carb rich food, and made me think I need to give out every food I enjoy. Your video brought some light and sense into this confused state I found myself in, and I am really grateful for that. Please keep making awesome content!
My child developed type 1 diabetes. So entirely different from type 2 but I got to hear all about the misinformation people think they know about type 2. So I spend a lot of time saying that's not how any of this works!
My sister was diagnosed with type 1 when she was 12 and the number of kids who told her she "couldn't have diabetes" because she "wasn't fat" was astounding. Not to mention the number of doctors who told her to just "get her numbers under control" and she'd "lose weight," as if that was her goal...all of the misinformation out there is incredibly frustrating.
Thank you. I am 20 yo. I have type 2 diabetes in my family on both sides. My mom has never been overweight but she has diabetes so I felt very discouraged and hopeless. This video gave me the information and hope that I needed.
I used to have diabetes, I don't anymore, and that's because I lost a lot of weight, mostly due to watching what I ate, and lowering my calorie intake, not getting rid of carbs or anything like that! And I now exercise WAY more often than I ever did!
My mom was able to reverse her diabetes. She’s still not the healthiest but I am proud of her. My dad passed away with diabetes complications. The past year I have knocked out my sugar addiction because I’m so worried I’ll get diabetes.
@@laurenelizabeth2505 those fruit yogurts contain almost 30 gr of added sugars. Pretty much the entire amount of added sugar recommended by the American heart association for the day. Add to that the granola and you prob doubled it. So in terms of health as you put it, better to add a nice fresh salad to your bacon snack. Closer to the hunger crushing combo abbey is always talking about
In regards to myth #6 for Americans: socio economic status also impacts access to food. Idk how it is in Canada and other parts of the western world but here in the States, we have ‘food deserts’. Aka, areas in which access to affordable and nutritious food are limited. These are commonly found in impoverished areas and if you live there, good luck eating healthy. This only compounds the risk factors these people face when it’s also stacked on top of racial bias, and access to quality healthcare. I’m glad that the medical community now has quality data to bust this myth. There’s still a long way to go, but at least we’re moving forward.
We definitely have food deserts here in Canada. And in many indigenous communities food is 5 to 6 times more expensive then elsewhere. It's pretty horrifying.
There was a time where I lived in a neighborhood where the closest supermarket was a few miles away and I didn't have a car. Instead of eating from the convenience store everyday, I would take the bus, on my one day off of work, and go get groceries. Food deserts usually happen because of crime, not socioeconomic status
I am pre-diabetic. My doctor's solution, lose weight. He is a wonderful doctor, but losing weight is easier said than done. I did keto for a year but couldn't sustain it. Missed too many foods. Would love a video on high soluble fiber carbs which could help.
It comes down to focus. If you choose what you put in your mouth (choose to eat healthy), you can do it. Anyone can do it. You have to persevere and move also, that is, you need to exercise also.
I am so so so excited for this video. I was pre diabetic in Nov 2021 and I turned it around by eating more legumes, less red meat and more fruits and veg. I did decrease my carbs as well but I definitely still eat them everyday (they’re impossible to avoid they’re in everything).
Hi Abbey for pcod/pcos patients I have read that strength training 3 times a week is beneficial and more than that will cause excessive stress in body which is not good for us. How correct is it? Please do an updated video on pcos/pcod.
In March of 2022 The American Heart Association published that they recommend a low carb diet to reduce A1C and Triglycerides. The American Diabetes Association has also published low carb recommendations in their guidelines.
I'm convinced stress is a huge factor. I've never had gestational diabetes before, but this last pregnancy was so stressful and I ended up getting it. My levels went right back down after after the baby was born, but then more stress ensued, extreme stress and trauma! My blood sugar levels shot right back up. Three months of nothing but stress. When I have a few relaxing days my blood sugar goes down a bit. I also haven't been able to exercise. Hoping things will go back to normal soon.
@@MeredithDomzalski My PP says that if it were LADA my BS would climb much higher into 600-700 range instead of maxing out at 350. As it is I keep it fairly under control by keeping my daily carbs under 150g and exercising daily. I have a continual BS monitor so I can track what affects it and how much. I feel like dieticians must be taught how to eat if you are on insulin/diabetic meds instead.
@@marylaw9024 That's not necessarily true. I'd consider getting checked out by an endocrinologist if you have access. The rate of misdiagnosis is very high. While I transcribed diabetes advisory boards for six years, I'm not a doctor and could very well be wrong, but it couldn't hurt to seek a second opinion. Of course, Type 2 isn't out of the question at all. There's a large genetic component as well.
The American Diabetes Association now recommends low carb diets for people with diabetes. Diabetes is on the increase, so obviously the standard American diet that is high in carbs and sugar is not the answer.
Most likely because people eat the wrong carbohydrates, like overly processed, white carbs. If you eat whole grains, in moderation, you should be fine. Unless you have an allergy to gluten or something along those lines.
@@KristenKras Oatmeal is considered a good carb but it has a high glycemic index. The instant ones are the worst but even the steel cut ones raise blood glucose and are much higher on the glycemic index than say, an egg. Same with whole grain bread and a lot of the other typical carbs people eat.
Low carb is definitely effective - but I wore a continuous blood glucose monitor for several weeks and really “got” GI (glycemic index) for the first time. I was shocked that some foods I ate that had sugar and flour in them did not spike my blood sugar at all, because of what they were combined with (butter, eggs, rye, chocolate). But when I ate a meal with jasmine rice & potatoes my blood sugar did go up. A friend wore one & had a similar experience - pasta didn’t raise his blood sugar, but chips did, and a protein shake did (because it’s absorbed so quickly). I didn’t believe glycemic index mattered before & I didn’t believe you could eat carbs without spiking your blood sugar, but some foods, including some carbs. definitely do slow down the release of glucose into the bloodstream. As an aside, I learned that exercise can IMMEDIATELY lower blood sugar because it moves the sugar out of the blood and into the muscles. So taking a walk or doing a few squats etc after a meal is a way to take some control of your blood sugar. It truly is intricate and fascinating!
@@RenieNostalgic oats' glycemic index is 55-57 so while it's higher than an egg, it's still low. Plus it has a lot of antioxidants and keeps people full for a long time (also has very less calories). I think eating oatmeal (not the instant one) after or before workouts might be a good idea
Loved the video! My A1C is in the prediabetes category so I’ve been looking for ways to get it down. I started walking 3 miles a day (broken out into mini walks throughout the day) and I’m working with a nutritionist to develop a healthy relationship with food. I will find out in November if it helps get by number back down to normal
Really enjoyed this and learned a lot in this video! You mentioned that BMI isn’t a good indicator of health and some other markers that are but how would I figure those markers out for myself? And would you be able to do a video on ways to measure health for yourself that are completely separate from weight?
RE: Pre-diabetes & Fruit... I'd love some feedback from someone in the know! I got my annual fasting bloodwork done about two weeks ago and was shocked to see that my glucose level was at 105 (technically categorizing me as pre-diabetic). For the past two years, my level has hovered around 85. I'm at a very healthy weight, am conscientious of my diet (from a nutritional standpoint), exercise 6 days/week (a mix of cardio, strength training, and vinyasa yoga), and walk nightly (after dinner). "Dessert" for me is usually a protein bar between lunch and dinner; otherwise, I consume almost no added sugar. I read nutrition labels & am mindful of choosing foods like cereal/granola, yogurt, etc. with lower sugar levels, pretty much never touch white carbs, and don't eat carbs naked (Abbey's HCC-inspo has been life-changing!). The only possible thing that I can think to attribute this glucose spike to is how much fruit I tend to eat (up until this result came back, I was eating about 6 servings of fruit/day... some of these servings included fruits like cherries, grapes, mangoes, and/or bananas, which I realize are higher-sugar). I always figured that fruits were whole foods loaded with nutrients, and especially because I consume so little sugar throughout my day, I could afford to be liberal with them. But could fruit be the culprit after all? I've pumped the brakes and limited my fruit intake to 2-3 servings/day over the past week & change. Is this likely to help or does it constitute unnecessary restriction/extremism? Big thanks!
Normal fasting blood sugar is 70-110, which would put you in normal range. You can’t be labeled as pre-diabetic or type II unless you have an elevated A1c, which is a separate lab that is the average of your blood sugar over 3 months.
@@jeanettegeraci1515 No, it has nothing to do with pushing pharmaceuticals, because you wouldn’t be started on something without getting an A1c to actually determine if your pre-diabetic or diabetic. Your fasting blood sugar has to be above 126 at least two times for it to be considered abnormal enough for further investigation, OR you have symptoms of hyperglycemia and/or a large family history of diabetes. Some labs just have different “normal” ranges that might be a bit off from the actual normal ranges.
Abbey I would love a vid on, not just how carbs aren’t harmful, but how they actually make you healthier as opposed to a keto diet🥹🥹 I’m so confused as to why they’re necessary. Thankuuu
I'm taking a multi-day continuing ed course on diabetes (as an RD) and the presenter gave this interesting perspective about body weight and insulin resistance (IR): "We still don't know if increased body weight causes IR or if IR is causing an increase in body weight." Why? Because no one looks for or even considers IR until someone already has a "high" body weight.
The body of evidence definitely suggests that weight gain is one of the first symptoms of IR/diabetes and that it occurs many years before the development of diabetes. Hence why fasting insulin should be a routine annual test. On a personal level, I went from naturally underweight to nearly obese when I developed severe IR after a traumatic experience at the age of 19. In my case, it was very clear that IR came first due to the symptoms and extreme weight gain.
@@lynncrf Where do you live? Fasting insulin is not a standard check here in the US unless there is a family history, though it definitely should be as you say there is growing evidence to support it. In trauma, it definitely is something we look out for (I work in the ICU) as the body naturally raises BG during a critical illness. It would be interesting to see a study on the long term effects of a critical illness in IR/DM development
@@megananderson841 I live in Ireland, but you can't get fasting insulin tested here. I have to go through a private English lab, pay for it myself, and arrange my own blood draw. It sucks as with PCOS I would like to be able to test it annually but sadly I can't afford to pay hundreds every year for the test. I make do with getting it done every few years instead. I was actually burnt as a teenager and have never been right since. I think my HPA axis was damaged and perhaps that set off something with my insulin levels too although I didn't develop IR symptoms until five years after I was burnt.
Yup. I know that from transcribing diabetes ad boards for years. Also, cue me asking my doctor to test my A1c because I'm pretty sure I get highs and lows, even though I'm on the lower end of the BMI scale. My A1c is 5.5. Fine, but I'd still like to have a little wiggle room to have it lower, especially since I've experienced postprandial syndrome when I eating high sugar foods without fiber and protein for years. (I rarely get it now bc I know to do that but like a treat occasionally or get caught by surprise if I exercise after eating something slightly high that would usually be fine bc of enough fiber like a Larabar.)
I think people are different. I know when the dietitian got me on the ADA recommended diet and worked with me to figure out the best plan with whole grains and brown rice and healthy veggies, my diabetes was barely under control, even w/insulin & meds. I lowered carbs and did better. Lowered them again, even better-- was able to go off insulin. I eat extremely low carb now and my diabetes is reversed, I'm off meds and all. Labs better than ever all around, and I don't at all feel restricted by not eating grains or added sugars or starchy veggies/fruits because I no longer crave them. Lost a lot of weight, too. Best decision ever-- listening to my body and following my own blood sugar levels, labs, etc.
You can’t technically reverse type two once you have it. As dietitians we can’t recommend keto or intermittent fasting because the research doesn’t support it in own nutrition care manual. While it may work for some, patients should definitely see a dietitian because it’s not in the scope of doctors.
@@amelialynn3684 true but most who “develop” it are. Clearly there’s a genetic component as in everything. Still doesn’t change anything. Best defense against it. Maintain a proper body composition (keto, fasting or normal calorie restriction whatever you like) and exercise.
I have had so much fear over developing diabetes as it’s common in my area and “culture”. I have. Fear every time I eat a carb, even a sweet potato. This video is SOOOOOO enlightening thank you!! ❤️❤️❤️ hope you are doing ok, you’ve been going through a lot Abbey 🌷🌷🌷
Thank you for this information! Your videos are helpful for me as I am studying nutrition and have family history of diabetes. Keep up the great content.
My dad was prediabetic for years and was diagnosed with diabetes this year because he did not take lifestyle changes seriously 🙁 Hopefully I won't have the same issue in the future, but this is great info to have!!!
He's an idiot who's been disciplined more than once. He's a carb/insulin model pusher, the hopelessly simplistic idea that people become diabetic because they "eat too many carbs" and so the best move to reduce that blood sugar is to "avoid carbs". Fung is an unqualified person, as well. He said in his videos that, "Your body is like a sugar bowl, that rises when you eat, and falls when you don't". Yeah? How come my 12 hour fasting blood sugar wasn't any lower than the 2 hour?
This is such a great video. I’m so grateful for you sharing information that is informative without triggering my ED. As a POC and a woman I rarely hear medical and clinical professionals mention the unique factors that impact our communities. Thank you! ❤️
love this video!!! Have a client who is prediabetic and vegan - could you do a video on insulin resistance and hunger crushing combos for vegans?! Love your content as always 💕
Some people on keto actually become diabetic due to the very high fat intake. Other diabetics heal by eating truckloads of natural carbs on the Mastering Diabetes program. I'm one of those people with bad genetics. I'm very thin but have blood sugar struggles due to my mom's diabetic side of the family. I have held diabetes back due to my quality vegan diet at age 55, but it's getting harder and harder. Granted, most people in the family are diabetic by their early 40s.
I would love to see a video on the correlation between prediabetes and insulin resistant PCOS!! There is So much misinformation on how to properly manage this
I'm a type 1 diabetic and when I was first diagnosed at 21(I'm late onset type 1 juvenile) the first endocrinologist I had gave me such a huge complex around carbs. I developed a fear of them and also developed an eating disorder because this lady played dietitian with me for 5 minutes... my A1c was always stuck around 7 even with the semi keto diet I had. Got another doctor 5 years later and he was straight up mad at me for not eating a balanced diet and gave the same information you did with pairing the carbs with high fiber and high protein foods. My A1C is closer to 5 now, my story is a bit different since I will never be rid of this disease but the most important thing for diabetics is access to the medications we need to manage high blood sugars and most importantly we need access to life changing devices like continuous glucose monitors to keep us in range. they can be ridiculously expensive as well and they really are life changing.
Don't have prediabetes but had to watch! If you can make similar videos on diet & other chronical illnesses that would be awesome! I have epilepsy and often hear how amazing keto would be, but I don't know anyone who was able to eat keto long term 😅
The keto diet was created to help children with epilepsy, but nowadays it's used more for children who have refractory epilepsy and is strictly controlled by Drs
For those of you who love white rice might I suggest cutting it 50/50 pressed barley in the same cooking vessel and it will help rein in the glycemic index, barley is like 25-28.
I have a family history of diabetes am morbidly obese and approaching 30. I also have PCOS and insulin resistance. I realised about a year ago that I need to sort my lifestyle as I didn't want to see my future looking how my Dad's does. And it's been working. It's so slow sometimes but I can feel how different and more capable my body is becoming! And my bloods are getting better. Weightloss is slowly happening but I've made sure this isn't my focus
Basically: 1) 2x week resistance training full body with high degree of effort (cv benefits), 5x week brisk walk/swimming for 30-60 minutes. 2) 3 meals a day based on balanced plate of 25% lean protein (meat, fish-even fatty, eggs, dairy), 25% quality carbs (potatoes, rice, wholegrains, pasta…), 50% vegetables, 1-2 pieces of fruit a day, noncaloric drinks - water, tea, coffee. Optimal meal timing is probably 7AM-1PM-7PM, ideally you go to sleep after 3 hours of not eating. 3) Sleep for 7,5-8 h (ideally go to bed at 10PM if you wake up at 7AM and read a book for an hour) 4) Managing all other work, health, relationship etc. stressors/time management. 5) Taking all the medications your doctor prescribed - could be lipid lowering, glycemic control, hypertension, asthma, sleep apnea machine etc. Considering even other methods like psychotherapy or bariatric surgery if offered.
I was recently diagnosed Prediabetic. Gaining weight in 2020 and the stress of the last 2 1/2 years (possibly Covid) definitely didn’t help me any. My RD suggested eating no more than 120 grams of carbs a day. Which I’ve obviously failed at. And I’ve been stressing over. This video helped me so much emotionally. And helped me accept that I don’t need to restrict to improve things. Thank you!
As a type 1 diabetic for over 30 years I can categorically state that eating more than 30g of carbs per day makes blood sugar management very difficult. I do like how she neglects to mention the fact that generally low-GI carbs tend to contain more carbs than regular GI foods. High protein, high fat, low carb, lots of fibre actually works for diabetes
@@susanoakeshauf You have to remember this is a dietitian talking and she has stomach issues from the way she eats. I just hope people don’t take her advice. Keto and intermittent fasting work extremely well to reverse type 2!
I'd say that while you may have found a way that works for you that differs from what Abbey says, she bases her information on scientific research therefore being general information. Of course there are always individuals who do it differently and it works for them.
Fascinating how dependent on research the author is. If there hasn’t been a study on the matter, she just doesn’t seem to have an opinion. My personal experience is that she is all kinds of wrong about keto and carnivore diets (and especially cholesterol). But then again, it’s not she (she doesn’t seem to have opinions), it’s all the studies. That said, whatever makes you healthy and enjoy life, I say go for it.
Love love love this! As a nurse, as a person very at risk for diabetes based on my family history. Keto long term is crap for your arteries, straight up. Mediterranean diet is where it’s at. Oh and the HCC ofc!
Yes! Keto and Atkins, people think those fad diets are a carte blanche to eat lots of fat and protein, no!! You will affect your cholesterol levels, unless you are lucky like me genetically and you will be missing some crucial food groups. Med diet definitely is a good one.
yeah trying to stick to keto almost gave me an ED. carb fearmongering did nothing for me but ruin my relationship with food even more and make me binge on them
Thanks so much for the info. People are really angry at Abbey for this video, however you have to realize she gives very generalized advice. She always say you should work with a health professionals who know your health history.
Thank you for this video! So helpful and informative. I would love to hear you speak on lowering cholesterol and how you can combine one diet to help both cholesterol and blood sugar. Also food tips!
What about a chat with Dr. Robert Lustig? Would be an interesting convergence of views. Not sure if his approach is legit or not since I'm no scientist, but he seems to be making some waves and to have a lot of background in researching this topic.
My fat distrubition is highly subcutaneous fat rather than abdominal fat. And i still have higher levels of insulin due to obesity. Even though i lost 17 kg and not being in the obesity level right now i am still overweight for my height so IR is still there. There more factors to IR than just saying abdominal fat. Yes agree that abdominal fat plays a hugh role for someones health i dont think ruling out subcutaneous fat helpfull. And what really helped my weight loss journey was having no snack (snacks make me wanna eat more i prefer having fuller meals than snacks) and eating low glisemix index carbs. Also my dietian put me on a low carb diet high fat diet and my body responed very quickly rather than standart diets that other dietians put me.
According to one of my professors (phD biochemist, studying mithocondrial metabolism and chronic disease) keto its good for weight loss and managing blood sugar for a short period of time, for example at the beginning of a weight loss diet for an overweight person. However its not sustainable in time since glucose its our brains favorite source of energy, and you loose the beneficial effect of cetosis after a few months
I would love if you did a video on reactive hypoglycemia and how to eat for it without feeling totally restricted! Recently for diagnosed and I’m feeling really down and restricted with my food lately. Thank you!! Love your videos 🫶🏻❤️
Loved the video Abbey! Maybe I missed you mentioning this, but isn't it unavoidable due to genetic factors or just bad luck, for some people to progress to diabetes?
Hubs is type 2 (diagnosed last year) and his most recent bloodwork came back at 10.1 (YIKES). They had him meet with a 'beetus specialist who recommended low(er) carbs, but mostly just "processed" carbs and sugar (like no more pop tarts, eat a balanced breakfast instead lol)
Question: so when you say smoking increases your risk of diabetes, does that mean all kinds of smoking? Or specifically cigarettes? I’m not a smoker if any kind, but I’m curious if it’s the crap in cigarettes or the action of smoking.
Can you do a video on what the best diet would be for type 1 ? My boyfriend is type 1 and I’m struggling to know if I should limit carbs or still give him a healthy amount when making a meal
If I fall asleep after carb heavy meals does that mean I’m resistant or sensitive to insulin? I’ll pass out even after eating a can of black beans and I just don’t quite understand why
Keep taking this advice - lots of carbs and watch your pre-diabetes progress to full blown diabetes. Highly dangerous advice. Why won't she address the elephant in the room - most people in the USA are overweight or obese - get those fat people to lose weight. Oh, I know, there are a few thin people who get diabetes, but these are in a very small minority.
im so glad that i found your channel! when i was diagnosed with pcos and finding more out about how to treat pcos from insulin resistance, i came across so many people touting keto and low-carb as the ONLY good long-term treatment for insulin resistance in general. trying to eat as few carbs as i could has led me dangerously close to disordered eating and losing a ton of progress ive made on improvements in how i ate
Lower carbs, good quality carbs with a lower glicemic index AND of course, HCC is the best combo for PCOS and insulin resistance. PCOS cyster here. Add in a bit of intermintent fasting (nothing extreme, try it do to a 12 hour fast in the begining, very gradually increase the fasting period) and you will see even better results. I also do weight training 3 times a week, walking whenever possible. Helps alot with managing symptoms.
Hi Abbey, I have a question on white rice. Youbl say it is better to add egg and oil to the rice for the hunger crushing combo. Would that imply that eating fried rice is healthier than eating white rice then? Thanks for your help.
Hi Abbey- Thank you for this very informative video. My 15 yo daughter is obese and prediabetic and I would like to help her get in better health, but I feel like anything I say or do will promote "diet culture" or ED's. I want to help, not hurt or offer unsolicited advice. I don't really have any idea what to do or say. I grew up with "diet culture" and don't want to share that with her. She is very smart and understands quite a bit about healthy eating, but may be addicted to certain foods like cheese, ice cream and pastries. I do not to tell her what to eat or purchase. We have been better this summer about meal planning balanced meals we both can enjoy. I always offer her to join me for a walk, but she refuses and stays home to sit on the couch. Any suggestions to help motivate her, get her moving more, improve her eating habits?
Thank you for this video, I was just recently diagnosed with insulin resistance and it is so hard to know where to start and what information is reliable.
I would recommend Jason Fung the obesity code, he has tons of videos about it on yt. As someone who got rid of diabetes, understanding at a depth level what is happening in my body was key to curing it on my own.
Physician here- agree with 95% of this! Great video! Only thing I’d say, is that I do see utility in actually avoiding higher GI carbs in my patients with prediabetes and diabetes. Foods like white bread and white rice don’t have any benefits for our health and quitting them almost always leads to improvements in blood sugar.
"Weight loss is not a behavior, it's a side effect" I love that!!
Yes ! I was going to say because even slim people can have diabetes so really it's not about weight rather it's about lifestyle choices and how people manage stress ,and environmental factors that increase the risk...
❤️👍
I loved this so much I need it on a tshirt
Within one year my A1c level went from normal to diabetic. I’m Indigenous and I’m about to complete my third year of nursing school in August. I’ve been working through complex trauma, working as a caregiver and doing full time nursing school. It’s been a stressful year even if you don’t count being in the middle of the pandemic. All that to say, this video could not have come at a better time. I would so appreciate more videos on diabetes. Love you Abbey ❤️
Thank you for doing all you do to help others. Complex trauma is a lifelong journey, but it can get better. I hope you’re able to continue working through it in a safe way ☺️
Wow! I'm in awe of what you do, thank you for doing what you do. I used to have diabetes, I don't now, it wasn't easy to get rid of or manage, but I've done it.
@@Queenofcats36 hey! I just wanted to ask if the blood sugar monitors (the ones used at home) are accurate? My fasting blood sugar came 99 and the pre diabetic range starts from 100 and I'm just really worried lol. I'm really thin and all my other blood work is perfect, I just took this reading out of curiosity, I didn't actually think that it would be somehow high. I know 99 is normal but it's literally the last number in the normal range so I'm kinda worried
I’m so glad this video can be helpful for you. Thank you for sharing ❤️
@@nini-qc1qd a bit late, but as long as you use them as the package suggests you should be good. FYI bodyweight doesnt necesarally suggest healthy bloodsugar levels.
My hubby went from A1c of 7.2 to 5.5 in four months. The doc recommended Mediterranean diet, and people are so surprised that he still has carbs and has such good results. Oats most mornings for breakfast.
I am so curious about the starch solution and blood sugar effects.
Thank you for sharing what works for you!
My doctor recommends the Mediterranean diet too and I think many doctors do because it is heart healthy and not restrictive. 😀
Does he eat pasta or rice daily or regularly?
As a nurse, I love this. Your videos are SO informational, I love that everything is solidified in science, too. Great Video Abbey!
Thank you for being informed on nutrition as a medical professional!
Thank you! ❤️
At 116 pounds at 15 years old - my cholesterol is as 200. I became a vegetarian and my cholesterol continued to climb. After I had my daughter, my cholesterol was 263. I couldn’t loose weight bc I was always hungry. I went on keto, ate shrimp and butter several times a week. I took of 30 pounds and my cholesterol is 181. A homeopathic doc years ago told me too much sugar was causing my body to store fat and raise cholesterol. I didn’t listen. My sister in law who never thought she could do keto has also done it and loves it. She lost 60 pounds, is no longer pre-diabetic and is off blood pressure medication for the first time in 14 years.
I loved this video. I have been prediabetic for years. I did the keto diet for about 6 months and yes, I saw a drastic drop in all my lab values but it was not a sustainable option for me. I've been working with an endocrinologist and a registered dietician and while I wouldn't say I have everything 100% under control yet, I have seen a huge improvement in my blood sugar numbers following their advice and guidance without cutting out any one food group, like carbs. ive only been working with them 2 short months, so I feel really good about where I am and where I am going. The one thing they both really encourage is daily movement/exercise. I cannot wait until I get my sciatic nerve pain under control so I can focus on that aspect!
Thank you for this. Genetically, my odds of becoming pre-diabetic/diabetic is pretty high! So far, I’ve managed to keep my insulin levels in a range that is “normal” although not optimal. Working towards optimal!
i am in the same boat!
what numbers would be considered optimal?
I’m glad this video can be helpful for you!
What's optimal? My last A1c last one was 5.1.
@@max0192 That’s something to discuss with your health care provider!
I had gestational diabetes, so I have an increased risk for diabetes. I was so excited to see this video! I want to be able to prevent progression to diabetes later in my life.
I’m glad this video is helpful for you!
I was diagnosed with prediabetes in 2017, and I reversed that diagnosis by reducing my carb intake. It may not be necessary to everyone but it was super effective for me. Other details;
-I didn't change my physical activity because I was already fairly active from being on my feet all day 5 days a week for work, and walking and cycling everywhere.
-I lost 20~22 lbs (9~10kg) and this put me smack dab in the middle of my ideal weight range. I was on a calorie restricted diet before but it was far less effective than carb reduction for my weight loss pace and I was having issues with satiety (and going to bed hungry), probably because of the role of insulin resistance in weight management and hunger levels.
-I kept an eye on my blood glucose levels throughout the process. The large majority of the time they were between 4 and 5mmol/L.
-reducing your carb intake doesn't necessarily mean you're reducing your fiber intake. Low carb doesn't mean no carb. I get enough fiber and poop just fine.
-all of my other stats are fine. I do not have cholesterol issues or anything else that suggests a negative effect of a reduced carb diet. In fact my blood pressure is on the line between low and normal.
-type 2 diabetes runs in my family. All of them that are diagnosed are overweight and not getting any better or losing any excess fat on the plan they've been given. The standard plan they get contains plenty of high carb food, some of it pretty processed.
-I can eat some high carb food, even some high carb processed food, each week without developing issues.
So you’re saying that we don’t actually need carbohydrate rich fiber sources… if soluble fiber is what helps manage blood sugar wouldn’t it make more sense to eat fiber rich/lower carb foods? Oats, breads, and other grains don’t really contain that much fiber compared to foods like seeds and vegetables. You’re telling people that carbs aren’t the enemy but all of the research shows that a high carb diet results in insulin resistance…..
I wish you would specify that you mean type 2 diabetes. I have type 1, which is an autoimmune disease.
Thank you very much for this video! When I was diagnosed with prediabetes I actually searched for the term on youtube and only found stuff made by people pushing ridiculous extreme diets with zero scientific basis. Great to see an actual professional talking about this
I was just diagnosed t2 two weeks ago. My head has been spinning with all the information out there and I can’t get in to see my nutritionist until later in the month.
This video has actually calmed me down from what seems like constant anxiety since my diagnosis. I have found switching to complex carbs/ less processed carbs to work for me so far. But I found this video to help me learn that I don’t need to restrict so much. Thanks so much!
While all your videos are fantastic, this may truly be your BEST VIDEO yet!!! You addressed every major myth, explained everything in a way that is easy for most audiences to understand, and did so with just the right amount of detail... you truly knocked it out of the park!!! I can't wait to share this with family, friends and some of my PCOS communities (where misinformation is abundant). I get so overwhelmed trying to explain this is all in a simple, articulate way, so from the bottom of my heart.... thank you!!! 💛
I just want to know why testing A1C is not part of annual lab work in America. My doctor laughed and made a big deal about it when I wanted to test it.
It is?
I’ve been waiting for a video like this 🙌 I was pre-diabetic and no longer am. Thank you for the truth about carbs. I was told I couldn’t eat fruit or bread I did and lost weight and got on a workout routine.
I’m glad you found the video helpful!
Can you put "Type 2" diabetes in the title? There are so many misconceptions about Type 1 diabetes that are based on information about Type 2 diabetes and I think it's really important for people to understand the difference!
Thank you for this! I am a nurse practitioner student and I am very passionate about nutrition and chronic disease prevention. Thank you for communicating so clearly and with so much evidence!
Thank you so much. I reversed my diabetes a year ago using very low cal and keto. It was very effective but been hard to maintain while still having a life. This makes a lot of practical sense and is a balance between the extreme approaches of low fat high carb and keto trends.
The Doctor said I was pre-diabetic after my annual check up back in March. I left my job and got a new one. That was my solution, not sure if it has worked yet. That job was way too stressful and I wasn't eating very much or very well. Often my meal was a cookie or two. Now with my new job I am able to eat much more regularly and I am able to eat actual meals. I have not cut out carbs but I have focused on making sure there is fiber with the carbs that I do eat. Whether this be eating a sweet potato that has its own fiber or eating avocado on a sandwich that had white bread. I could probably focus on exercise a bit more but I am skateboarding more now which I enjoy and it's aerobic! Glad I stumbled on this video because I felt like maybe I wasn't doing enough to reverse the pre-diabetes but now I feel like I am on the right path and I just need to keep up the good work. :)
Thank you Abbey, Honestly, I needed this, recently diagnosed with insuline resistence and somedays I over worry , some days I "forget" and over eat ( i have anxiety and often use food to cope) so I've been kind of lost
May I ask what was done to receive this diagnosis? I keep trying to get my doctors to test my A1C but they always make a big deal out of it and they say my glucose is fine.
@@TheYazmanian of course! In my case I was having a lot of abdominal inflammation , I couldn't lost weight I was gaining it, and I was having trouble going to the bathroom, so my doctor did a full panel on me. My HOMA Index was very high, also my cortisol and my gut bacteria wasn't good either. The HOMA Index is used to diagnose insuline resistance , then I got my hbA1c test to check it, but my numbers weren't on diabetes yet. So for now I am medicated with metformin, also take probiotics a lot of vitamins and supplements
@@AriLuciani Thank you so much for that detailed response. I was under the impression that A1C markers could tell if we are insulin resistant but it looks like I'll have to do the HOMA index. I guess that's why my doctor thought it was strange that I wanted to check the A1C but he never suggested HOMA index either. 😕
@@TheYazmanian you are welcome! Maybe suggest that, or try a different doctor 🤭 for me, no one was understanding how uncomfortable I was, and we where nowhere near a solution until I got done those tests with a new doctor
I recently found out I might be insulin resistant to some degree, and I tried to find out what to do to improve my health. I was *overwhelmed* with the amount of information, most of which disagreed with what I already knew about nutrition. The information I received made me hate myself every time I ate carb rich food, and made me think I need to give out every food I enjoy.
Your video brought some light and sense into this confused state I found myself in, and I am really grateful for that. Please keep making awesome content!
My child developed type 1 diabetes. So entirely different from type 2 but I got to hear all about the misinformation people think they know about type 2. So I spend a lot of time saying that's not how any of this works!
I also have a Type 1 kiddo so I feel you on all the misinformation!
My sister was diagnosed with type 1 when she was 12 and the number of kids who told her she "couldn't have diabetes" because she "wasn't fat" was astounding. Not to mention the number of doctors who told her to just "get her numbers under control" and she'd "lose weight," as if that was her goal...all of the misinformation out there is incredibly frustrating.
Thank you. I am 20 yo. I have type 2 diabetes in my family on both sides. My mom has never been overweight but she has diabetes so I felt very discouraged and hopeless. This video gave me the information and hope that I needed.
I used to have diabetes, I don't anymore, and that's because I lost a lot of weight, mostly due to watching what I ate, and lowering my calorie intake, not getting rid of carbs or anything like that! And I now exercise WAY more often than I ever did!
My mom was able to reverse her diabetes. She’s still not the healthiest but I am proud of her. My dad passed away with diabetes complications. The past year I have knocked out my sugar addiction because I’m so worried I’ll get diabetes.
So happy for your mom!
Show to this to the people who think bacon wrapped cream cheese is a healthier choice than a fruit yogurt and granola parfait
I so agree!!! It is unacceptable!!
Even though if you are pre diabetic or diabetic you prob shouldn’t eat that parfait
@@EddyP596 This is in contrast of bacon wrapped cream cheese... in terms of health.
@@laurenelizabeth2505 those fruit yogurts contain almost 30 gr of added sugars. Pretty much the entire amount of added sugar recommended by the American heart association for the day. Add to that the granola and you prob doubled it. So in terms of health as you put it, better to add a nice fresh salad to your bacon snack. Closer to the hunger crushing combo abbey is always talking about
@@EddyP596 Ugh.
In regards to myth #6 for Americans: socio economic status also impacts access to food. Idk how it is in Canada and other parts of the western world but here in the States, we have ‘food deserts’. Aka, areas in which access to affordable and nutritious food are limited. These are commonly found in impoverished areas and if you live there, good luck eating healthy. This only compounds the risk factors these people face when it’s also stacked on top of racial bias, and access to quality healthcare. I’m glad that the medical community now has quality data to bust this myth. There’s still a long way to go, but at least we’re moving forward.
We definitely have food deserts here in Canada. And in many indigenous communities food is 5 to 6 times more expensive then elsewhere. It's pretty horrifying.
There was a time where I lived in a neighborhood where the closest supermarket was a few miles away and I didn't have a car. Instead of eating from the convenience store everyday, I would take the bus, on my one day off of work, and go get groceries. Food deserts usually happen because of crime, not socioeconomic status
I am pre-diabetic. My doctor's solution, lose weight. He is a wonderful doctor, but losing weight is easier said than done. I did keto for a year but couldn't sustain it. Missed too many foods. Would love a video on high soluble fiber carbs which could help.
It comes down to focus. If you choose what you put in your mouth (choose to eat healthy), you can do it. Anyone can do it. You have to persevere and move also, that is, you need to exercise also.
Keto isn't the only solution to losing weight
I am so so so excited for this video. I was pre diabetic in Nov 2021 and I turned it around by eating more legumes, less red meat and more fruits and veg. I did decrease my carbs as well but I definitely still eat them everyday (they’re impossible to avoid they’re in everything).
Hi Abbey for pcod/pcos patients I have read that strength training 3 times a week is beneficial and more than that will cause excessive stress in body which is not good for us. How correct is it? Please do an updated video on pcos/pcod.
In March of 2022 The American Heart Association published that they recommend a low carb diet to reduce A1C and Triglycerides. The American Diabetes Association has also published low carb recommendations in their guidelines.
I'm convinced stress is a huge factor. I've never had gestational diabetes before, but this last pregnancy was so stressful and I ended up getting it. My levels went right back down after after the baby was born, but then more stress ensued, extreme stress and trauma! My blood sugar levels shot right back up. Three months of nothing but stress. When I have a few relaxing days my blood sugar goes down a bit. I also haven't been able to exercise. Hoping things will go back to normal soon.
I was 36, running marathons, eating "clean", and 120lbs when I was diagnosed diabetic :X
Have you explored the possibility of LADA?
@@MeredithDomzalski My PP says that if it were LADA my BS would climb much higher into 600-700 range instead of maxing out at 350. As it is I keep it fairly under control by keeping my daily carbs under 150g and exercising daily. I have a continual BS monitor so I can track what affects it and how much. I feel like dieticians must be taught how to eat if you are on insulin/diabetic meds instead.
@@marylaw9024 That's not necessarily true. I'd consider getting checked out by an endocrinologist if you have access. The rate of misdiagnosis is very high.
While I transcribed diabetes advisory boards for six years, I'm not a doctor and could very well be wrong, but it couldn't hurt to seek a second opinion.
Of course, Type 2 isn't out of the question at all. There's a large genetic component as well.
Would love to see you talk about Metabolic Syndrome and what causes it!
The American Diabetes Association now recommends low carb diets for people with diabetes.
Diabetes is on the increase, so obviously the standard American diet that is high in carbs and sugar is not the answer.
Most likely because people eat the wrong carbohydrates, like overly processed, white carbs. If you eat whole grains, in moderation, you should be fine. Unless you have an allergy to gluten or something along those lines.
@@KristenKras Oatmeal is considered a good carb but it has a high glycemic index. The instant ones are the worst but even the steel cut ones raise blood glucose and are much higher on the glycemic index than say, an egg.
Same with whole grain bread and a lot of the other typical carbs people eat.
Low carb is definitely effective - but I wore a continuous blood glucose monitor for several weeks and really “got” GI (glycemic index) for the first time. I was shocked that some foods I ate that had sugar and flour in them did not spike my blood sugar at all, because of what they were combined with (butter, eggs, rye, chocolate). But when I ate a meal with jasmine rice & potatoes my blood sugar did go up. A friend wore one & had a similar experience - pasta didn’t raise his blood sugar, but chips did, and a protein shake did (because it’s absorbed so quickly). I didn’t believe glycemic index mattered before & I didn’t believe you could eat carbs without spiking your blood sugar, but some foods, including some carbs. definitely do slow down the release of glucose into the bloodstream.
As an aside, I learned that exercise can IMMEDIATELY lower blood sugar because it moves the sugar out of the blood and into the muscles. So taking a walk or doing a few squats etc after a meal is a way to take some control of your blood sugar. It truly is intricate and fascinating!
@@RenieNostalgic oats' glycemic index is 55-57 so while it's higher than an egg, it's still low. Plus it has a lot of antioxidants and keeps people full for a long time (also has very less calories). I think eating oatmeal (not the instant one) after or before workouts might be a good idea
@@wavingcat5 Wow!
Cholesterol is a risk factor for cardiovascular disease tho🤣🤣🤣 closed the video immediately after this Goodness me!!
So excited to see someone talking about the social determinates of health!
Loved the video! My A1C is in the prediabetes category so I’ve been looking for ways to get it down. I started walking 3 miles a day (broken out into mini walks throughout the day) and I’m working with a nutritionist to develop a healthy relationship with food. I will find out in November if it helps get by number back down to normal
Thank you for sharing what works for you!
Really enjoyed this and learned a lot in this video! You mentioned that BMI isn’t a good indicator of health and some other markers that are but how would I figure those markers out for myself? And would you be able to do a video on ways to measure health for yourself that are completely separate from weight?
I can put these topics on my list to discuss in a video!
The videos where you explain, affirm, and debunk stuff are my favorite by far 🥰
RE: Pre-diabetes & Fruit... I'd love some feedback from someone in the know! I got my annual fasting bloodwork done about two weeks ago and was shocked to see that my glucose level was at 105 (technically categorizing me as pre-diabetic). For the past two years, my level has hovered around 85. I'm at a very healthy weight, am conscientious of my diet (from a nutritional standpoint), exercise 6 days/week (a mix of cardio, strength training, and vinyasa yoga), and walk nightly (after dinner). "Dessert" for me is usually a protein bar between lunch and dinner; otherwise, I consume almost no added sugar. I read nutrition labels & am mindful of choosing foods like cereal/granola, yogurt, etc. with lower sugar levels, pretty much never touch white carbs, and don't eat carbs naked (Abbey's HCC-inspo has been life-changing!). The only possible thing that I can think to attribute this glucose spike to is how much fruit I tend to eat (up until this result came back, I was eating about 6 servings of fruit/day... some of these servings included fruits like cherries, grapes, mangoes, and/or bananas, which I realize are higher-sugar). I always figured that fruits were whole foods loaded with nutrients, and especially because I consume so little sugar throughout my day, I could afford to be liberal with them. But could fruit be the culprit after all? I've pumped the brakes and limited my fruit intake to 2-3 servings/day over the past week & change. Is this likely to help or does it constitute unnecessary restriction/extremism? Big thanks!
Normal fasting blood sugar is 70-110, which would put you in normal range. You can’t be labeled as pre-diabetic or type II unless you have an elevated A1c, which is a separate lab that is the average of your blood sugar over 3 months.
How is your sleep? Sleep has a massive effect on blood sugars.
@@valeriegoodwin1424 That's good to hear! According to the lab that tested my levels,
@@lynncrf Pretty good overall! 7-9 hours most nights! I'm a medicated stress case. 😇
@@jeanettegeraci1515 No, it has nothing to do with pushing pharmaceuticals, because you wouldn’t be started on something without getting an A1c to actually determine if your pre-diabetic or diabetic. Your fasting blood sugar has to be above 126 at least two times for it to be considered abnormal enough for further investigation, OR you have symptoms of hyperglycemia and/or a large family history of diabetes.
Some labs just have different “normal” ranges that might be a bit off from the actual normal ranges.
Abbey I would love a vid on, not just how carbs aren’t harmful, but how they actually make you healthier as opposed to a keto diet🥹🥹 I’m so confused as to why they’re necessary. Thankuuu
I'm taking a multi-day continuing ed course on diabetes (as an RD) and the presenter gave this interesting perspective about body weight and insulin resistance (IR): "We still don't know if increased body weight causes IR or if IR is causing an increase in body weight." Why? Because no one looks for or even considers IR until someone already has a "high" body weight.
The body of evidence definitely suggests that weight gain is one of the first symptoms of IR/diabetes and that it occurs many years before the development of diabetes. Hence why fasting insulin should be a routine annual test. On a personal level, I went from naturally underweight to nearly obese when I developed severe IR after a traumatic experience at the age of 19. In my case, it was very clear that IR came first due to the symptoms and extreme weight gain.
@@lynncrf Where do you live? Fasting insulin is not a standard check here in the US unless there is a family history, though it definitely should be as you say there is growing evidence to support it. In trauma, it definitely is something we look out for (I work in the ICU) as the body naturally raises BG during a critical illness. It would be interesting to see a study on the long term effects of a critical illness in IR/DM development
@@megananderson841 I live in Ireland, but you can't get fasting insulin tested here. I have to go through a private English lab, pay for it myself, and arrange my own blood draw. It sucks as with PCOS I would like to be able to test it annually but sadly I can't afford to pay hundreds every year for the test. I make do with getting it done every few years instead.
I was actually burnt as a teenager and have never been right since. I think my HPA axis was damaged and perhaps that set off something with my insulin levels too although I didn't develop IR symptoms until five years after I was burnt.
Sounds like a pinned comment! Very interesting, I wonder what the answer is.
Yup. I know that from transcribing diabetes ad boards for years. Also, cue me asking my doctor to test my A1c because I'm pretty sure I get highs and lows, even though I'm on the lower end of the BMI scale. My A1c is 5.5. Fine, but I'd still like to have a little wiggle room to have it lower, especially since I've experienced postprandial syndrome when I eating high sugar foods without fiber and protein for years. (I rarely get it now bc I know to do that but like a treat occasionally or get caught by surprise if I exercise after eating something slightly high that would usually be fine bc of enough fiber like a Larabar.)
I think people are different. I know when the dietitian got me on the ADA recommended diet and worked with me to figure out the best plan with whole grains and brown rice and healthy veggies, my diabetes was barely under control, even w/insulin & meds. I lowered carbs and did better. Lowered them again, even better-- was able to go off insulin. I eat extremely low carb now and my diabetes is reversed, I'm off meds and all. Labs better than ever all around, and I don't at all feel restricted by not eating grains or added sugars or starchy veggies/fruits because I no longer crave them. Lost a lot of weight, too. Best decision ever-- listening to my body and following my own blood sugar levels, labs, etc.
I’m one of the viewers who asked for the Pre-Diabetes video and I have to say Abbey, you did an excellent job. Thank you!
There are several doctors that have reversed Type 2 in several patients with keto and/or Intermittent Fasting!
It’s a viable option but not the only way. Weight loss is the key.
@@strikefirststrikehard780 not all diabetics are overweight
You can’t technically reverse type two once you have it. As dietitians we can’t recommend keto or intermittent fasting because the research doesn’t support it in own nutrition care manual. While it may work for some, patients should definitely see a dietitian because it’s not in the scope of doctors.
@@daniellealongi6084 especially a kidney Dr like fung. Why do people take nutrition advice from chiropractors and kidney drs?
@@amelialynn3684 true but most who “develop” it are. Clearly there’s a genetic component as in everything. Still doesn’t change anything. Best defense against it. Maintain a proper body composition (keto, fasting or normal calorie restriction whatever you like) and exercise.
I have had so much fear over developing diabetes as it’s common in my area and “culture”. I have. Fear every time I eat a carb, even a sweet potato. This video is SOOOOOO enlightening thank you!! ❤️❤️❤️ hope you are doing ok, you’ve been going through a lot Abbey 🌷🌷🌷
Thank you for this information! Your videos are helpful for me as I am studying nutrition and have family history of diabetes. Keep up the great content.
My dad was prediabetic for years and was diagnosed with diabetes this year because he did not take lifestyle changes seriously 🙁 Hopefully I won't have the same issue in the future, but this is great info to have!!!
WOW, Dr.Ken Berry promotes beef,bacon,butter and eggs.
He's an idiot who's been disciplined more than once. He's a carb/insulin model pusher, the hopelessly simplistic idea that people become diabetic because they "eat too many carbs" and so the best move to reduce that blood sugar is to "avoid carbs". Fung is an unqualified person, as well. He said in his videos that, "Your body is like a sugar bowl, that rises when you eat, and falls when you don't". Yeah? How come my 12 hour fasting blood sugar wasn't any lower than the 2 hour?
This is such a great video. I’m so grateful for you sharing information that is informative without triggering my ED. As a POC and a woman I rarely hear medical and clinical professionals mention the unique factors that impact our communities. Thank you! ❤️
This is so prevalent to my life currently it’s crazy you did a video on this right now lol Thank you!
same!
love this video!!! Have a client who is prediabetic and vegan - could you do a video on insulin resistance and hunger crushing combos for vegans?! Love your content as always 💕
she does have a free vegan meal plan ebook on her website that has hunger crushing combos :) it’s my go to
Some people on keto actually become diabetic due to the very high fat intake. Other diabetics heal by eating truckloads of natural carbs on the Mastering Diabetes program. I'm one of those people with bad genetics. I'm very thin but have blood sugar struggles due to my mom's diabetic side of the family. I have held diabetes back due to my quality vegan diet at age 55, but it's getting harder and harder. Granted, most people in the family are diabetic by their early 40s.
I would love to see a video on the correlation between prediabetes and insulin resistant PCOS!! There is So much misinformation on how to properly manage this
same here!
I'm a type 1 diabetic and when I was first diagnosed at 21(I'm late onset type 1 juvenile) the first endocrinologist I had gave me such a huge complex around carbs. I developed a fear of them and also developed an eating disorder because this lady played dietitian with me for 5 minutes... my A1c was always stuck around 7 even with the semi keto diet I had. Got another doctor 5 years later and he was straight up mad at me for not eating a balanced diet and gave the same information you did with pairing the carbs with high fiber and high protein foods. My A1C is closer to 5 now, my story is a bit different since I will never be rid of this disease but the most important thing for diabetics is access to the medications we need to manage high blood sugars and most importantly we need access to life changing devices like continuous glucose monitors to keep us in range. they can be ridiculously expensive as well and they really are life changing.
Don't have prediabetes but had to watch! If you can make similar videos on diet & other chronical illnesses that would be awesome! I have epilepsy and often hear how amazing keto would be, but I don't know anyone who was able to eat keto long term 😅
The keto diet was created to help children with epilepsy, but nowadays it's used more for children who have refractory epilepsy and is strictly controlled by Drs
This was so informative. Is the way glucose is processed but people with pcos, metabolic disorders, congenital adrenal hyperplasia …..different ?
Okay but I don’t understand as a Canadian how you use what you are sponsoring because you have to be US Citizen in order of use it…
For those of you who love white rice might I suggest cutting it 50/50 pressed barley in the same cooking vessel and it will help rein in the glycemic index, barley is like 25-28.
I have a family history of diabetes am morbidly obese and approaching 30. I also have PCOS and insulin resistance. I realised about a year ago that I need to sort my lifestyle as I didn't want to see my future looking how my Dad's does. And it's been working. It's so slow sometimes but I can feel how different and more capable my body is becoming! And my bloods are getting better. Weightloss is slowly happening but I've made sure this isn't my focus
Basically:
1) 2x week resistance training full body with high degree of effort (cv benefits), 5x week brisk walk/swimming for 30-60 minutes.
2) 3 meals a day based on balanced plate of 25% lean protein (meat, fish-even fatty, eggs, dairy), 25% quality carbs (potatoes, rice, wholegrains, pasta…), 50% vegetables, 1-2 pieces of fruit a day, noncaloric drinks - water, tea, coffee. Optimal meal timing is probably 7AM-1PM-7PM, ideally you go to sleep after 3 hours of not eating.
3) Sleep for 7,5-8 h (ideally go to bed at 10PM if you wake up at 7AM and read a book for an hour)
4) Managing all other work, health, relationship etc. stressors/time management.
5) Taking all the medications your doctor prescribed - could be lipid lowering, glycemic control, hypertension, asthma, sleep apnea machine etc. Considering even other methods like psychotherapy or bariatric surgery if offered.
I was recently diagnosed Prediabetic. Gaining weight in 2020 and the stress of the last 2 1/2 years (possibly Covid) definitely didn’t help me any. My RD suggested eating no more than 120 grams of carbs a day. Which I’ve obviously failed at. And I’ve been stressing over. This video helped me so much emotionally. And helped me accept that I don’t need to restrict to improve things. Thank you!
Sorry I disagree with you. Low carb lowered my A1c from 6.3 to 5.1 for 3 yrs so far
As a type 1 diabetic for over 30 years I can categorically state that eating more than 30g of carbs per day makes blood sugar management very difficult. I do like how she neglects to mention the fact that generally low-GI carbs tend to contain more carbs than regular GI foods. High protein, high fat, low carb, lots of fibre actually works for diabetes
It does. I reversed my pre-diabetes in 3 months by eating very low carb (I.e., keto). My doctor told me to keep doing what I’m doing.
@@susanoakeshauf You have to remember this is a dietitian talking and she has stomach issues from the way she eats. I just hope people don’t take her advice. Keto and intermittent fasting work extremely well to reverse type 2!
@@amelialynn3684 excellent point!
I'd say that while you may have found a way that works for you that differs from what Abbey says, she bases her information on scientific research therefore being general information. Of course there are always individuals who do it differently and it works for them.
@@amelialynn3684 you must be new here. Her stomach issues (SIBO) are from several rounds of antibiotics for mastitis while breastfeeding, NOT diet.
Fascinating how dependent on research the author is. If there hasn’t been a study on the matter, she just doesn’t seem to have an opinion.
My personal experience is that she is all kinds of wrong about keto and carnivore diets (and especially cholesterol). But then again, it’s not she (she doesn’t seem to have opinions), it’s all the studies.
That said, whatever makes you healthy and enjoy life, I say go for it.
Love love love this! As a nurse, as a person very at risk for diabetes based on my family history. Keto long term is crap for your arteries, straight up. Mediterranean diet is where it’s at. Oh and the HCC ofc!
Yes! Keto and Atkins, people think those fad diets are a carte blanche to eat lots of fat and protein, no!! You will affect your cholesterol levels, unless you are lucky like me genetically and you will be missing some crucial food groups. Med diet definitely is a good one.
yeah trying to stick to keto almost gave me an ED. carb fearmongering did nothing for me but ruin my relationship with food even more and make me binge on them
What is HCC?
Wish you would have made the distinction that this video is about TYPE 2 diabetes and not just diabetes. From a type 1 diabetic
As an anthropologist, thank you for mentioning the social determinants of health. They get discarded so easily by the medical system.
I've been arguing the complexities and racially motivated oversights of the last "ethnic group" point for years and years. Thank you again, Abbey.
Thank for the very helpful information.
Thanks so much for the info. People are really angry at Abbey for this video, however you have to realize she gives very generalized advice. She always say you should work with a health professionals who know your health history.
Thank you for this video! So helpful and informative. I would love to hear you speak on lowering cholesterol and how you can combine one diet to help both cholesterol and blood sugar.
Also food tips!
I will second the cleaning counts as exercise!
What about a chat with Dr. Robert Lustig? Would be an interesting convergence of views. Not sure if his approach is legit or not since I'm no scientist, but he seems to be making some waves and to have a lot of background in researching this topic.
YAYYYYY BEEN WAITING FOR THIS!!!
update after watching: one of the BEST videos you've ever done. Period.
My fat distrubition is highly subcutaneous fat rather than abdominal fat. And i still have higher levels of insulin due to obesity. Even though i lost 17 kg and not being in the obesity level right now i am still overweight for my height so IR is still there. There more factors to IR than just saying abdominal fat. Yes agree that abdominal fat plays a hugh role for someones health i dont think ruling out subcutaneous fat helpfull. And what really helped my weight loss journey was having no snack (snacks make me wanna eat more i prefer having fuller meals than snacks) and eating low glisemix index carbs. Also my dietian put me on a low carb diet high fat diet and my body responed very quickly rather than standart diets that other dietians put me.
What do you mean by subcutaneous fat? Do you mean you are pear shaped?
same !
Unless you did an MRI, you don’t know how much visceral fat you have . You can’t eyeball visceral fat .
According to one of my professors (phD biochemist, studying mithocondrial metabolism and chronic disease) keto its good for weight loss and managing blood sugar for a short period of time, for example at the beginning of a weight loss diet for an overweight person. However its not sustainable in time since glucose its our brains favorite source of energy, and you loose the beneficial effect of cetosis after a few months
I would love if you did a video on reactive hypoglycemia and how to eat for it without feeling totally restricted! Recently for diagnosed and I’m feeling really down and restricted with my food lately. Thank you!! Love your videos 🫶🏻❤️
Loved the video Abbey! Maybe I missed you mentioning this, but isn't it unavoidable due to genetic factors or just bad luck, for some people to progress to diabetes?
I think the more people in your family that have diabetes, the more at risk you are, same goes for certain cancers and more. ;)
@@KristenKras yes I think it would have been wise to mention that even with all the lifestyle changes, there is no guarantee
Hubs is type 2 (diagnosed last year) and his most recent bloodwork came back at 10.1 (YIKES). They had him meet with a 'beetus specialist who recommended low(er) carbs, but mostly just "processed" carbs and sugar (like no more pop tarts, eat a balanced breakfast instead lol)
People are saying keto is unsustainable. But to me, eating carbs that trigger cravings and relying on sheer willpower ISN’T sustainable. 🤷🏾♀️
Question: so when you say smoking increases your risk of diabetes, does that mean all kinds of smoking? Or specifically cigarettes? I’m not a smoker if any kind, but I’m curious if it’s the crap in cigarettes or the action of smoking.
Also people in eastern Kentucky
Can you do a video on what the best diet would be for type 1 ? My boyfriend is type 1 and I’m struggling to know if I should limit carbs or still give him a healthy amount when making a meal
Can you unpack glycemic index vs glycemic load.
Yes! I'm super curious about that too.
If I fall asleep after carb heavy meals does that mean I’m resistant or sensitive to insulin? I’ll pass out even after eating a can of black beans and I just don’t quite understand why
Gauge girl training on YT has a quiz on insulin sensitivity. It’s highly informative. Carbs don’t affect everyone equally
@@RA-qv3nd I’ll check that out thank you!!
Keep taking this advice - lots of carbs and watch your pre-diabetes progress to full blown diabetes. Highly dangerous advice. Why won't she address the elephant in the room - most people in the USA are overweight or obese - get those fat people to lose weight. Oh, I know, there are a few thin people who get diabetes, but these are in a very small minority.
Amazing video as always! Could you please make a similar video about hypertension and cardiovascular diseases? 🙏🏻🙏🏻🙏🏻
im so glad that i found your channel! when i was diagnosed with pcos and finding more out about how to treat pcos from insulin resistance, i came across so many people touting keto and low-carb as the ONLY good long-term treatment for insulin resistance in general. trying to eat as few carbs as i could has led me dangerously close to disordered eating and losing a ton of progress ive made on improvements in how i ate
Lower carbs, good quality carbs with a lower glicemic index AND of course, HCC is the best combo for PCOS and insulin resistance. PCOS cyster here. Add in a bit of intermintent fasting (nothing extreme, try it do to a 12 hour fast in the begining, very gradually increase the fasting period) and you will see even better results. I also do weight training 3 times a week, walking whenever possible. Helps alot with managing symptoms.
Love watching your content you really backed everything up scientifically and make it very easy to understand. Balance is key 😃
Hi Abbey, I have a question on white rice. Youbl say it is better to add egg and oil to the rice for the hunger crushing combo. Would that imply that eating fried rice is healthier than eating white rice then? Thanks for your help.
Very helpfull & very informativ!! Thanx so much, as a daughter of a diabetic father I‘m concern about my risks
Hi Abbey- Thank you for this very informative video. My 15 yo daughter is obese and prediabetic and I would like to help her get in better health, but I feel like anything I say or do will promote "diet culture" or ED's. I want to help, not hurt or offer unsolicited advice. I don't really have any idea what to do or say. I grew up with "diet culture" and don't want to share that with her. She is very smart and understands quite a bit about healthy eating, but may be addicted to certain foods like cheese, ice cream and pastries. I do not to tell her what to eat or purchase. We have been better this summer about meal planning balanced meals we both can enjoy. I always offer her to join me for a walk, but she refuses and stays home to sit on the couch. Any suggestions to help motivate her, get her moving more, improve her eating habits?
Thank you for this video, I was just recently diagnosed with insulin resistance and it is so hard to know where to start and what information is reliable.
I would recommend Jason Fung the obesity code, he has tons of videos about it on yt. As someone who got rid of diabetes, understanding at a depth level what is happening in my body was key to curing it on my own.
Thank you so much for this video, Abbey.
I love that you addressed this! I have some thoughts but will need to come back later so I’m commenting for the algorithm ^_^
Could you please make a video on managing diabetes? Or we follow the same principles?
Physician here- agree with 95% of this! Great video! Only thing I’d say, is that I do see utility in actually avoiding higher GI carbs in my patients with prediabetes and diabetes. Foods like white bread and white rice don’t have any benefits for our health and quitting them almost always leads to improvements in blood sugar.