Elevated Blood Glucose. Now What? Pre Diabetes

On this episode of taking with docs Dr.Cheng endocrinologist talks about pre diabetes and certain things that night be causing you to be pre diabetic.
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
#diabetes #prediabetes #type #diabetestype #diabetic #diabetestipo #t #diabetesawareness #diabetesmanagement #diabetesmellitus #diabetescare #insulinresistance #diabetescommunity #diabetesdiet #insulin #gestationaldiabetes #curediabetes #weightloss #bloodsugar #diabeteslife #diabetesgestacional #diabetesuk #diabetesawarenessmonth #diabetessucks #diabeticrecipes #healthylifestyle #weightlossjourney #diabeticlife #diabeticfood #diabetesfood

[@shariespainting5100]

I have just recently been diagnosed with type 2 diabetes’. There was no pre diebetes. They have also determined there is kidney damage. Going to the washroom all the time was something I thought was from my water pill for high blood pressure. This was not an ideal diagnosis that’s for sure. I felt horribly guilty and ashamed. When I heard you all say it is “ not your fault” it brought tears to my eyes. Several members of my family had it. That 1 little comment made me feel so much better. Thankyou for that ❤

[@TalkingWithDocs]

Glad we could help Sharie. All the best

[@dmmcmah1]

Stop eating carbs and your problems will be significantly reduced or go away all together. Also try time restricted eating to 6 hours per day or less. If they put you on medications already you'll have to work with your doctor of course.

[@KDF54321]

Type2 is reversible, look into Keto

[@motherof1doll.]

Pre-diabetes is diabetes if nothing is changed. The body progresses to diabetes if no improvements are made. Medication may help if diet change is not an option. I highly recommend Dr. Eric Westman’s KZbin channel called Adapt Your Life for more detail for newly diagnosed diabetics & obesity patients on how to use diet & exercise in a way that you would enjoy, individually. We are not given a CGM up front upon diagnosis. Once patients are allowed a CGM we get to see for ourselves at home exactly what is causing our own blood sugar to rise and decide what we want to change or keep the same. It’s not our fault. Especially when information about healing quickly is so hard to find at the beginning of diagnosis. ♥️ And as for genetics, there’s a theory that we are also taught to eat & be active by our own family so that may play a part in seeing diabetes ‘passed down.’ Of course it is moods nuanced than that. 🫣 Hang in there. Things definitely get better, not worse, after finding what really works more quickly in reversing your own specific symptoms. 🤗

[@zachmatt3]

I've been pre-diabetic for several years. Last year, my doctor said "it's time to get serious", as I had put off making changes. I didn't think of myself as overweight at all, but by cutting out all sources of added sugar, I have lost 14 pounds, and both my fasting glucose and A1C have come down significantly. I still eat too much chips and salsa, where the chips are not a good choice at all. But stopping the sugared sodas, cookies, cakes, Snickers bars, and things like that was pretty easy. I was already physically active, so have continued that.

[@TalkingWithDocs]

Keep it going!

[@user-dj4gh4tn8l]

I am pre diabetic too, My grand father had diabetes but my father only had pre diabetes. I am going to follow your words and hopefully i can reverse my pre diabetes.

[@ifiaintreadin]

I love snacking! I just found Quest chips to be good and low carb. The loaded taco flavor is good!

[@joebojito]

I don't understand what you mean about several years? How many years

[@Dr.BCAnderson]

Great for you. And the exact opposite of the last bit of advice or comment of the video, it's not your fault. Given that you cut out the things you needed to and got serious, it seems like many of us find ourselves in this situation because it is our fault

[@lindamartin6860]

Excellent video. Dr. Cheng speaks so eloquently and breaks down “doctor speak” so well.

[@TalkingWithDocs]

She sure does Linda

[@marystewart1717]

Dr. Cheng does an amazing job of explaining. I hope you keep having her on.

[@TalkingWithDocs]

She sure does. Love to bring her back

[@Cacheola]

No she doesn't

[@doveandolive1153]

Always informative, thanks for sharing such great content. Keep up the great work and providing guest hosts to join you! ❤

[@TalkingWithDocs]

Thank you! Will do!

[@darlenebartos3889]

Love your videos! So down to earth and informative- the BEST

[@TalkingWithDocs]

Wow, thank you!

[@lindacoffin5110]

I know one person who took her pre-diabetes numbers seriously and kept the disease at bay for twenty years!

[@TalkingWithDocs]

Nice

[@SHMB1999]

That’s the way!!!

[@marikiemarie7622]

That's very common. Lol

[@weekendhomeprojects]

What happened in the 21st year?

[@marikiemarie7622]

@@weekendhomeprojects she's working on it

[@hollish196]

I really wish you had discussed the role of stress in sugar levels. When I retired, my blood sugar dropped 20 points and a diabetic friend said stress was significant to sugar levels. Could you do a video about this? I am thrilled that my sugar levels dropped especially since they always run in the upper 90's.

[@TalkingWithDocs]

We can yes. It relates to the hormone cortisol which is released during stressful times

[@mford9029]

@@TalkingWithDocsCortisol control would be a great topic for lots of reasons.

[@neil216]

I am now T2D. I have a very stressful job. I have through diet and exercise and 500mg of Metformin got down to “normal” morning glucose (4.5 to 4.9) I’m absolutely convinced that part of that has been stress management. I now insist on at least 30 minutes for lunch and do a 5 minute stress breathing exercise before eating and a short 10 minute walk after. After I get home from work I walk in a park for at least 45 minutes. My BG reading after eating and exercise are always between 5.0 and 6.2. Stress management and low carb/IF have been key to turning this around for me. I am NOT saying what I do is the only way or will work for everyone. I’m just sharing what I’ve done and saying that it works for me.

[@zachmatt3]

Dr. Cheng is a great guest. Enjoy listening to her, and of course Dr. Zalzal and Dr. Weening.

[@TalkingWithDocs]

We agree!

[@valorie3357]

Thank you to all three of you for this. Dr. Cheng's words were very comforting. Keep up the good work, guys. Your videos are quite informative and entertaining! Bravo!!

[@TalkingWithDocs]

Thank you kindly!

[@davidpescod7573]

Another informative and extremely helpful video whereby Dr Cheng, on being questioned by the two docs, explains the pre diabetic condition and ways in which it is treated. Many thanks

[@TalkingWithDocs]

Very welcome David

[@joanneb3935]

I was pre-diabetic several years ago. Lost a lot of weight--numbers all normal then! Diet can resolve this without meds.

[@lvredgrl5201]

Yup - me too.

[@TalkingWithDocs]

For some it can Joanne

[@weekendhomeprojects]

@@TalkingWithDocs If you register pre-diabetic numbers, lose some weight, then register normal #'s - are you pre-diabetic still?

[@Kathy61954]

Anoter very informative and easy to understand video ! Thank you doctors !

[@TalkingWithDocs]

You are welcome!

[@howiegray6602]

Thanks guys ,,,, another great vid !!!! :)

[@TalkingWithDocs]

Our pleasure!

[@MarioDallaRiva]

Great guest, thanks!

[@TalkingWithDocs]

Any time!

[@donnamariebrown2478]

Thank you Dr. Cheng and of course my fav guys in blue. Great video.

[@TalkingWithDocs]

Our pleasure Donna!

[@DonovanZS2DL]

Great video as always!

[@TalkingWithDocs]

Glad you enjoyed!

[@marciaborg77]

Which on my dad's side of the family has always been diabetic. In junior high school I was always watching my test results and I still do since I'm 44 year's old. My brother got diabetes a couple years ago like my dad. My mom and I don't have it. Which I'm thankful for that.

[@TalkingWithDocs]

Good luck Marcia

[@oneupmanship]

Thanks for putting Dr, Cheng in there, certainly pertyfied the room between you two galoots. Yes, I made up that word, and I've been watching to many old westerns on KZbin.

[@TalkingWithDocs]

That’s awesome Terrence

[@jerryrobinpendleton5171]

Just got this diagnosis last week. I’ve started Cutting carbs and walking for exercise to lower this number.

[@TalkingWithDocs]

Best of luck

[@donwinston]

Carbs are not the problem. Too many calories are the problem. A bacon cheeseburger and a slice of pepperoni cheese pizza have as many or more calories then a can of coke.

[@schpengler]

@@donwinston Carbs are sugar, sugar raises insulin. Pretty simple.

[@Debbie_Bcool]

​​@@donwinston That can't be true that carbs are not the problem. I am not over weight i eat to many carbs I have Prediabetes no problems with calories. Type two diabetes runs in my family. I am a carb junkie but that's going to change.

[@donwinston]

@@Debbie_Bcool no. Not everyone gets it at the same level of fatness. You may not think you are overweight but you are. For genetic reasons you may be accumulating fat in and around your pancreas, liver, and muscles more easily than most people. Also you probably don’t have much muscle so your weight is relatively low. Lose weight and your blood sugar levels will decline. Otherwise you do not have type 2 diabetes. Search for Roy Taylor on KZbin. He is the leading type 2 diabetes researcher in the world. There are a number of short videos where he explains it without a lot of gobbledygook. Almost everything low carb high fat diet morons say is bogus. Keto, Paleo, and Atkins diets are not a healthy way to eat.

[@jeffreyb6165]

Never had a problem with my blood sugar until i retired and was diagnosed as pre-diabetic. I went from daily manual labor to being practically sedentary except for doing the lawn work once a week. I can go for a good walk and my blood sugar will literally drop 50-60 points every single time. I also went from multiple cokes per day to drinking only 1 of those tiny 7oz cans. Ive also been a lifelong fan of sweets and couldn't have imagined not having my daily snack cakes, candy bars, etc, but ive turned that around as well to only one item per day. The difference walking and diet modifications have made is astonishing. We dont always have to deprive ourselves completely of the things that we love, and many of us can benefit greatly by just cutting back on those things. I inherited a blazing fast metabolism like my father who could eat enough for 2 people at every meal and never gain an ounce, and i foolishly viewed that as a right of passage to consume whatever i wanted. I learned that just because my diet wasn't affecting my waistline it doesnt mean its not effecting things within my body, and it was a reality check that i sorely needed. Personal accountability goes a long way with diabetes, and i believe far too many people with diabetes or pre-diabetes have the mindset that they can still eat all the things they want and their meds will take care of it. I know someone who has had type 2 diabetes for probably 15 years and she never changed her eating habits. Her diabetes has worsened over the years and her doctor keeps having to increase her meds and her insulin to try and make up for it. Her A1c is like 9.6 now. On special occasions when theres a lot of food involved such as thanksgiving and Christmas she will purposely take extra units of insulin in advance assuming it will counter the boat load of carbs and sugars she's going to be taking in. She's quick to complain about the doctor not doing enough to get her diabetes under control or that the meds arent working like they're supposed to, but never asks herself "what can i do to help myself"? She is literally eating herself to death.

[@TalkingWithDocs]

Thank you so much for sharing and congrats on your success

[@tabithah198]

I'm in the states... My fasting sugars for hte past 8 weeks have been between 108-120 (with less than 50 g of carbs and less than 15 grams of sugars the previous day). Went to the doctor, did a fasting hba1c test, it came back as 4.9% (our threshold is 5.6%)... My feet and fingers/arms go numb randomly, I can taste the sugar in the my mouth and my friends tell me they can smell sugar on my breath. Family history of type 1 and 2 diabetes, I've had gestational diabetes three times. And i was told not to worry about my blood sugar. :/ So now I'm KZbin watching anything from reputable sources on prediabetes and how to reverse it. I don't think I "don't need to worry about it".. I'm switching over to a ketovore and praying it works.

[@jenniferp1497]

Great choice switching to the ketovore diet! Not medical advice but it might be a good idea to get a glucose monitor or continuous glucose monitor just incase your getting alot of highs then crashing so low numbers making A1C look good. Also it might be good to get a fasting insulin test incase your sugars could be good but maybe you have insulin resistance.

[@tabithah198]

@@jenniferp1497 10 years ago I would have been considered prediabetic. I've always been hypoglycemic so my sugars now going the other way are throwing me for a loop. I've reduced carbs to under 40 g a day and sugars to under 15 a day. Focusing mostly on protein diet. I finally got fasting down to under 100. I have a glucometer, I can't get a continuous without a prescription.

[@samsontesfay1]

Thx so much for your superb presentation.

[@bw6078]

Great informative video. Many thanks.

[@TalkingWithDocs]

Glad it was helpful!

[@jbjacobs9514]

Dr. Cheng, you are a wonderful lady and in addition, anyone that says "Toot" is immediately my fave. I am glad you mentioned insulin. When I was diagnosed, the doctor really didn't know me and he really believed "Oh you're very sick - don't think you're going to succeed - we may have to try adding different supplements like Trulicity, etc". He started me off with insulin vs. pills and at 16 units. Funny thing is my first appt after, I had really dramatically changed my eating habits and everything. I was getting low numbers at times even. So he told me to incrementally decrease units each time I stayed 3 days at lower than 130 (1 unit) and 3 days at lower than 100 (2 units). I was getting 70s at times! So within a year, I was at 5 units and going down and he decided, let's try an experiment and just take you off everything after first considering pills. I've been off ever since!

[@TalkingWithDocs]

Congrats JB!

[@lawrenceharada430]

Congratulations!

[@Wedow12]

Diagnosed January 2021, I was put on 4 tablets of metformin. Just changing my diet and exercise routine, within 3 months oh, I was just down to a half of a tablet twice a day. My A1C registers as prediabetes ever since. I am so happy!

[@TalkingWithDocs]

Sweet christina

[@IonTrone]

More Dr. Cheng please!

[@TalkingWithDocs]

Agree!

[@angierobinson5570]

Very interesting vlog thank you and a very informative young lady too 👍🏻

[@TalkingWithDocs]

So nice of you

[@beverlyharward9631]

11 months ago, seemingly out of nowhere: Dying of thirst, wee weeing often. Ambulance called. Hospital-ED and admitted. 3 IV's running. a1c 13. BS 1100. They stated most people coming in with those # were in a diabetic coma or....I eat by the book. By the book! Thanks Doc's for putting this info out.

[@TalkingWithDocs]

Wow scary

[@noreenn6976]

I wish she had also said the blood sugar levels in mg/dl for the USA viewers

[@judy3333]

Also, the only medication approved in the US for pre-diabetes is metformin. They wait until you're full-blown diabetic to offer any nutritional counseling or other medications. Not much into prevention down here....

[@TalkingWithDocs]

Hi Noreen. 100-125 is prediabetic

[@jamescabaniss5857]

Yep, me too. It levels of 126 mg/dL or more is diabetic. I was told two consecutive readings above 126 or above is the diagnosis.

[@noreenn6976]

Thank you!

[@youthrevisitedagain]

Grandma, mom, brother, & myself have/had diabetes. My sister is pre-diabetic & doing everything you mentioned to hold off developing full-blown diabetes for as long as possible.

[@TalkingWithDocs]

Good luck to her!

[@schpengler]

I assume you are talking about type 2.

[@youthrevisitedagain]

@@schpengler yes.

[@schpengler]

Great, reduce carbs and keep it at bay forever.

[@marilynfife1609]

No one speaks of epigenetics … you can change your genes….berberine is one example of supplement helping lower blood sugars, amongst other healthy tools.

[@kristinesanchez5433]

thank you doctors

[@TalkingWithDocs]

Very welcome Kristine

[@YoSpiff]

Thanks, that was helpful. A little over a year ago I was just over the line at an A1c of 6.5. I don't want to take unnecessary drugs, so I started educating myself (part of which has been watching your channel), eating better and riding my bike more. It has been 5.7 for 4 tests since then with my other risk factors also improving. My Dr. says to just keep doing what I am doing.

[@TalkingWithDocs]

Great job!

[@toddblackburn6302]

Please have Dr. Cheng come back on and talk about the the progression of type 2 diabetes, the timeline of damage to organs, and what factor age of diagnosis plays into that time line. Also dangerous blood sugar level that need immediate attention, and symptoms of very high/low blood sugar.

[@TalkingWithDocs]

Yes we sure will Todd

[@GreggBB]

another great video. pretty cool we can get a "warning" with the pre-diabetes diagnosis. If only more conditions has that lol.

[@TalkingWithDocs]

For sure Gregg

[@susanross1651]

I had a pre diabetes diagnosis nearly three years ago. I got myself back into the normal sugar levels within six months by changing my diet. I was a little bit overweight but not fat so an added bonus was losing a stone in weight. I’ve kept it there ever since.

[@TalkingWithDocs]

Congrats Susan

[@yolandagrabowski6043]

Garlic lowers my blood sugar. My mom's doctor told her to not feel guilty when she cheated on her diabetes diet. But he talked her into taking insulin. So being on garlic tried and true, I don't stress cheating on my diet either.

[@Ashley-fr2qn]

Ca6i get crips

[@redhen689]

When I was younger my fasting glucose level used to run on the low side. Now that I’m in my 60s I get readings between 96 and 106. I try to eat healthy most of the time, and try to walk a few miles per day.

[@TalkingWithDocs]

Very nice

[@Bugnetblue]

So much diabetes in our future. Thank you all for this video.

[@TalkingWithDocs]

There is a lot

[@wordswordswords8203]

I hope you did these all on the same day with Dr. Cheng or she needs to expand her wardrobe. Kidding! She is amazing, so smart, and explains things so well. Plus, I love that outfit, it's so cute she can wear it every dang day if she wants. Thanks for very helpful video. Only thing, could you convert blood sugar ranges to the USA scale, also, if it's not too much trouble? I don't think ours is the same. Thank you, docs. 💖

[@TalkingWithDocs]

Same day filming. So pre diabetes is 100-125 mg/dl in the US.

[@wordswordswords8203]

@@TalkingWithDocs Thanks.

[@kubotajordan9502]

Good evening docs Dr. Cheng does an excellent job with her explanations . In the US over 100 they want to start feeding you pills. Bad digestive issues with metformin .In the UK they say having wind . you all have a wonderful evening & weekend .

[@TalkingWithDocs]

Exactly right. You too Kubota!

[@AlfaRomeoFox]

Jajajaja thanks mom!!!!,,, It will be nice to talk about range and behavior. About 15 years ago on my 40´s I become a prediabetic and with medicine and lifestyle change I didn´t reverse back but stay at 99 - 110

[@TalkingWithDocs]

There will be more diabetes talks for sure

[@michaellovett1041]

Great explanation, My dad takes Metformin for prediabetes. Now I have had blood test come back prediabetes in the UK my reading was 43 Now I am under weight, And work in a factory manual Labour. My problem is that when I am hungry realistically I want a sandwich or a proper dinner meat potatoes vegs etc I am not going to just eat salad because I need something more substantial. Don't know where to start. Michael

[@TalkingWithDocs]

Best advice to start is eat whole foods. Get rid of sugar, processed foods and refined carbohydrates. And start exercising regularly.

[@michaellovett1041]

@@TalkingWithDocs Just wondered what you mean by whole foods, What happens at proper meal time

[@michaelsadventures4261]

Hello from somewhere close to Fort Knox, Kentucky U.S.A.

[@TalkingWithDocs]

Nice Michael! Hello right back at ya. Thanks for watching

[@jamiecraswell9368]

A few co- workers of Mine had to get off metformin due to sideffects ! I personally had been for many years told I’m on the borderline but never been treated for it and no family history of it

[@TalkingWithDocs]

Good luck jamie

[@test40323]

Great talk again, so...how do you take Metformin? Do you have to balance it with food intake like insulin? Thanks!

[@TalkingWithDocs]

Not so much. Usually twice a day.

[@JudeNance]

I have typed 2 diabetes for 20 years. I'm 84 and my blood sugar is sky high because I had a mastectomy in 2023.

[@toryberch]

Perfect timing Dr ZalZal Dr Weening and Dr Cheng 😊 My husband has been about on the cliff for pre diabetes. I am helping him see what all the Coke is doing to him as he's 61 now

[@TalkingWithDocs]

Ok time to change Tory!

[@toryberch]

@@TalkingWithDocs Yep Yep 👍😊

[@mikehabel2441]

How are you guys? I just wanted you both to know that I think you’re awesome people I am a whipple survivor. I have 2/3 of my pancreas so far so good for blood sugar I have the ability to monitor my blood sugar I would like to know how long should I fast before I check my numbers. Again, thanks a lot guys big thumbs up . Mike from the Kootenay’s

[@sueo656]

How many grams of sugar a day is “safe” if you’re not diabetic? Thank you. Your talk on hypothyroidism was stellar. It helped me greatly

[@TalkingWithDocs]

Most organizations recommend 24g added sugar for women and 36g for men.

[@lsdev4229]

Could you please do an episode on LBBB(Left Bundle Branch Block) as I find very vague information on this condition. How serious is this condition? Thank you in advance...LOVE YOU GUYS!!!🥰Sharon.

[@TalkingWithDocs]

Ok will add it to the list for sure

[@ritabrassfield4296]

I have been pre diabetic for a few years, I’ve been “avoiding it “ definitely with lifestyle changes and of course lowering carb intake . I come from a very large family ( 14 ) all siblings have diabetes and 3 with type 1 whom lost limbs and no longer with us. The rest have type 2 . Both parents were diabetic. maternal side grandparents were type 2 also with a paternal grandfather whom had type 1 . I have for many years avoided high blood sugars but even though I carefully monitor my eating habits , and still bs seems to creeps up. I take prolia every 6 months for osteoporosis, and celebrex as needed , Vit D, calcium citrate, and magnesium no other meds! I guess I’ve done well and not going to beat myself up when it does go up since it may be genetic? I’m not sure what it was this time but still pre diabetic .so I think at my age 69, I do pretty good although A1C has been 6. ? In the past. My poor kids ! Diabetes on their fathers side also. I’m afraid to take Metformin if ever I need help . It took awhile to convince me to do prolia. I stress at every injection. Anyway again, good to know it could be genetic .

[@senkaletemitope1915]

"It doesn't mean join a gym. It doesn't mean run a marathon." I hope you all hear

[@TalkingWithDocs]

Thanks for sharing

[@gennisparry4352]

It doesn’t, I reduced my pre diabetes in two months by throwing out carbs and cholesterol also. My A1C was 6.4 and it came down to 5.4. The doctor asked me how did I do it. She was so happy for me. She never gave me any meds and sent me home to cut down my blood pressure. I go back in 6 months time. I didn’t go to the gym. I walked and do push ups. I have added some cabs because I noticed my fingernails were not growing, they were always long. Now I am scared to do my blood test, because I test my blood sugar daily and it’s a little bit up. You don’t have to go to a gym.

[@claytonh6781]

For pre diabetes. So does the 3 month trial period of meds metformin end or do you continue taking it for the rest of your lives.

[@HTXLemarc]

20 years old and found out I am prediabetic range with a glucose level of 117, time to start making changes 🙏🏽

[@charlesbarclay5733]

I’m only 22 my fasting glucose levels was 104 so I’m hoping I’m able to reverse within a few week but you got it 💯 good luck to you to hopefully a speedy reversal to you as well any updates ??

[@alejandrodominguez3172]

@@charlesbarclay5733how many hours is considered fasting ?

[@diegoplanes7183]

Thanks for the video. Always very informative. I have a question. What if your fasted blood glucose comes out at 99 but aic is 4.5, it happens to me the doctor told me not to care but I find the blood sugar number high. I only eat carbs after training and stay really fit. Very active. Terrified of insulin resistance. I also have low triglycerides but helps is a bit high. I am completely lost. 😢

[@user-cr7bi5zo6n]

I dot have a weight problem. I have had the same normal weight since my early 30s. I have nothing to lose except my muscles. But, I am diagnosed with pre-diabetic by a A1C test in my mid-fifties. One of my friends who has normal weight and pre-diabetic told me that he reversed his pre-diabetic status to normal by walking an hour everyday rain or shine. That is what I am planning to do. In the winter, it is a little difficult, but I walk at least 30 min a day in the winder.

[@dawnt5587]

Why is type 2 diabetes not the fault of the person? It’s your diet and lifestyle that got you there. If it was genetics, diet and lifestyle wouldn’t matter.

[@b.a.erlebacher1139]

Both lifestyle and genetics are involved. There are people with 'lucky' genetics who won't get diabetes despite bad lifestyle, and there are people who will get it despite being thin, getting lots of exercise and eating well. In many cases people can fend off or delay the onset of diabetes by lifestyle changes, but you can't change your genes. Most chronic diseases and conditions associated with ageing have both genetic and environmental (lifestyle) components.

[@TalkingWithDocs]

Hi Dawn. It is a combination of the two but there are healthy people who eat well that get diabetes. And diet and lifestyle unfortunately don’t work for everyone

[@schpengler]

@@b.a.erlebacher1139 the problem is what people define as eating “well”. If you have not reversed type 2 diabetes, keep reducing the carbs.

[@dawnt5587]

@@TalkingWithDocs I still can’t help but think that they overestimate the exercise they get. And they have convinced themselves that they eat healthy when in reality, they don’t. I know numerous people who think they eat healthy and their diets are atrocious.

[@tracy9921]

@@schpengler 💯

[@UHFStation1]

Is there a mechanical change between pre diabetes and full diabetes? Or is it still a slide in which a person can reverse back to pre diabetes and even get better than that?

[@shrutifrancis3320]

Hi doc, I have been diagnosed as pre diabetic with AC1 5.9. In order to monitor my blood sugar I bought a glucose monitor can you please let me know what is my target range inorder to reduce my insulin

[@dianel830]

Great video! Dr. Cheng does a great job explaining this issue. Also her stance and looking into the camera while talking helps. In my opinion, when the guest doctor isn’t looking into the camera it seems a bit distracting and can seem like it takes away from the message. It’s like they’re not talking me, but rather the two other doctors who already know the information. Just noticed it and seemed a bit awkward. Nonetheless, these videos are great and a refreshing addition to medical content.

[@TalkingWithDocs]

Thanks for the feedback Diane. Glad you liked it

[@lg-ii6pm]

Have you seen covid affecting blood sugar levels? I started having fatigue after eating after having very mild covid this summer. I lost weight before my physical and was feeling back to normal but my sugar and a1c were both up a little which surprised me. Nothing terrible but it was weird that it went the wrong way when all of my lifestyle factors were better and my other numbers like cholesterol were all improving.

[@TalkingWithDocs]

The stress of disease can do that sometimes

[@SHMB1999]

Would you comment on how meditation does not have to be a “whole life” response. Continuous lifestyle changes including healthy eating and movement may support eliminating medication. Routine visits to health care providers and checking levels is key.

[@TalkingWithDocs]

Yes medication may not be necessary for life but unfortunately that often is the case. And for sure, regular visits and bloodwork can help make this decision

[@paulaswaim8434]

The biggest predictor of getting diabetes is what types of food or drink one consumes.

[@TalkingWithDocs]

Hi Paula. That is a very common misconception.

[@levitate]

My HBAIC is 5.7, do i need to take meds like sitagliptin?

[@genesanderson]

i have always loved my fruit and vegetables and i have always worked out but still got Thyroid disease and 3 weeks ago i was told i have Diabetes and may need needles and i have kidney damage. and seeing a specialist

[@cathylaycock5598]

Type 2 since 2005. Our genetics on my Moms side. Our history is Haida which apparently is very common for Indigenous. Skipped a couple of generations to me. Low dose Metformin and Trajentra. One thing I’m learning lately with being sick with lung infection and steroids and antibiotics are driving my blood sugars crazy. I’ve not been eating much with being sick. I’m sure that’s not helping either. Awful side effects from the 2 meds I just finished. 🤢🤢🤢

[@TalkingWithDocs]

Yes sickness can make sugars wacky. Hang in there

[@hommie789]

Lucky for Dr. Zalzal chicken wings have zero carbs so eat away, no issue with diabetes from them. Now those energy drinks, another story. Great video and Dr. Cheng is very good on camera, handles herself well with you two.

[@TalkingWithDocs]

Yeah she’s a winner for sure.

[@alejandrodominguez3172]

How many hours should you fast before checking blood sugar ?

[@jonathonshanecrawford1840]

Can Potassium and magnesium Glycinate be used together and what vitamins are required? As since 2014 I was diagnosed with type 2 diabetes, and been prescribe metformin and insulin, the doctors ideas haven't worked at all and they still insist on the same prescription over and over, and increasing the dosages!

[@moose64]

After a blood test I had a blood sugar reading of 22.2mmo/L. I was on Prednisone and a blood pressure med and the Dr didn't pick up the fact that these two meds increase BS. Since the test(6 days) I've stopped those meds and my BS is currently down to 6.5mmo/L.

[@wvnanaskitchenandgarden]

I’ve been a type 2 for 20 years now. I’ve been on Metformin ever since! I want to control my type 2 naturally. I only weigh 125#

[@TalkingWithDocs]

Hmmm. Lots of theories and strategies. Nutritionist for sure. Watch our Apple cider vinegar video. Maybe worth considering a healthy keto style diet with lots of plants. Talk to your doc

[@crow9119]

I don’t agree with the gene rational. Go keto / carnivore and reverse diabetes. My A1C was 10.3 (severe) but now reduced to 5.8 after 8 months, along with losing 30 lbs. My doctor said I am no longer diabetic and can stop the metformin. A low carb diet is key!

[@TalkingWithDocs]

It isn’t an opinion about the genetics it’s a fact. But yes strict elimination style diets can often improve the numbers at first which is fine but they are typically not sustainable and certainly are not healthy and our patients at significantly higher risk of heart disease and cancer long term. Eliminating refined carbs and sugars go a long way. You don’t have to be keto or carnivore to do that though

[@santyclos1302]

Weird. Here in the US the prediabetes A1C level starts at 5.7%

[@TalkingWithDocs]

Interesting

[@FloridaManVal]

I keep seeing people mention obesity as a reason. I’m thin as a rail. Just got told I’m prediabetic and I’m freaking out

[@TalkingWithDocs]

Yes obesity is a cause of type 2 diabetes. In the others the cause is insulin resistance. Sorry to hear that

[@cindicescon3149]

For me intermittent fast helped. I monitor my sugar in all foods I'm not diabetic but do not want to be. Great info guys.

[@TalkingWithDocs]

Thanks for sharing Cindi

[@MrMockingbird1313]

Hey Docs, Every blood meter I have ever used operates in mg/dl. It has been hard to find the correct conversion. Does 7mm = 126 mg/dl?

[@TalkingWithDocs]

The ratio is 1:18 so yes

[@johnnyb1497]

Both parents and two siblings were type 2. I keep waiting.... I could do a lot better with my diet, but all those high carb things are just so easy to grab and eat.

[@TalkingWithDocs]

Yeah it can be tough

[@su.ma.r8673]

About me: Blurred Vision✅️ No weight loss❌️ No frequent Urination❌️ Increased Heart rate(at stress)✅️ Weak shivering of body if i dont eat my lunch✅️ Do i have pre-diabetes?

[@TalkingWithDocs]

So would depend on your blood glucose. Those are common symptoms from many conditions. Talk to your doc for sure

[@su.ma.r8673]

@TalkingWithDocs Thank you Doctor(s). Means a lot that you replied. True, they say doctors are next to God.

[@margavanasperen8379]

What about lowcarb or keto-diet????

[@kristinesanchez5433]

I do have a question...that I have been thinking about. Is Type 2 Diabetic hereditary or is it a result of a bad life style, meaning not caring what you eat and no physical activity.

[@TalkingWithDocs]

There are components of both

[@monaantony9096]

Respected Doctor please let me know why I have elevated blood sugar 102 to 115 at times Fasting morning readings but my GTT n I Gf n tryglyverides all normal so my doctor says to just follow exercise n duet and forget about it but I’m not in peace

[@ohplezz]

If you have pre diabetes you should start taking a quality name brand Berberine supplement 3 or 4 times per day in addition to a diet high in fat and protein but low in carbs. The only carbohydrates you should eat now should be green in color. Also you need to walk at least one hour per day and do 15 minutes of calisthenics and or weight lifting 6 days per week. You can take control of your health or your health can control you.

[@mikeh7203]

Berberine and Myo-Inositol will work as well if Metformin is not your thing

[@TalkingWithDocs]

Thanks for sharing

[@alejandrodominguez3172]

Does the meal the night matter ?? Cause if I eat a small mallI get 110 mg in the morning but if I eat something more aggressive like a burger and fries my blood sugar is like at 140 mg

[@jakepullen394]

I have my HBA1c result of 5.4. i checked it twice but still normal reault. But i am so much confused with my fbs result recently i got 102 a.little bit above normal range. So my question, which one i have to follow?

[@toddmurray1828]

I had my A1C taken 1 hour after eating breakfast. How much would fasting change the result.. would it add or subtract to the overall value?

[@schpengler]

A1C is the average for about the last 3 months. Fasting one day will not affect it.

[@TalkingWithDocs]

Hi Todd. Yes A1C is an aggregate measure of your sugars over the last 3 months

[@alsjogren7890]

I gave pre-diabetes. Last Hb1C was 6.2% and last fasting glucose was 100 Mg/Dl. Was diagnosed over 2 years ago and I ignored it thinking I get a lot of exercise so it won't progress to diabetes. Well, the HbA1C number was 5.9% two years ago - so it got worse with plenty of exercise. So now I am seriously addressing my diet. If I am successful and reduce those indicators of diabetes into the normal range, will I still be insulin resistant?

[@nancym4049]

Hard to say but lots of great info on KZbin about insulin resistance.

[@simmomantua8910]

I been prediabetic for about 3 years now been working on it my eating and walking

[@TalkingWithDocs]

Good luck!

[@yolandagrabowski6043]

Everything I eat makes me sleepy. When I get sleepy I fall asleep. I dare not eat before I go anywhere. If I do, I get dizzy and fall. My aunt said something is wrong with me because of it. I use food as medicine.

[@TalkingWithDocs]

Hmmm worth a chat with your doctor. Some people can get low blood sugar if they have a surge of insulin

[@dougperkins2036]

Been there had that! Came pretty close but reversed it with Keto.

[@TalkingWithDocs]

Nice work Doug

[@annatjieventer514]

Hallo what about spices for diabetic.

[@TalkingWithDocs]

Spices in general are very good and usually not a problem

[@user-kh7so2zv5o]

Im still confused how my doctor diagnosed me prediabetic by only checking my insulin? My insulin when last tested was 45mL

[@daviddean6032]

How often should you get an A1c test if you are prediabetic?

[@MichaelGroves777]

My doc checked every 6 months

[@TalkingWithDocs]

It measures the last 3 months essentially so not more frequently than that

[@MichaelGroves777]

@@TalkingWithDocs I went from a1c of 12 to 6.4 by changing my diet. Mostly carnivore with a little veggies. I ate nothing white, no sugar, bread, flour, pasta, etc.

[@mford9029]

No bread, man thats rough

[@nj423]

A1c 5.7 and fasting Bs 78 mg/dl and after two hours of eating 100 mg/dl. is it possbile to cure it? or just keep it at bay?

[@inecita1958]

Many times..............it is our fault! Eating carbs, no movement, and overweight! You are enabling all of us!

[@gennisparry4352]

It’s not! It’s our lot! It’s genetics.!

[@jamescabaniss5857]

Confusing for most of us on what she said diabetes range was, but 7mmol/L means 126 mg/dL or more.

[@TalkingWithDocs]

Yes prediabetes in the US is 100-125

[@jamescabaniss5857]

I was also told you need two readings of > or = 126 in a row for a diagnosis of diabetes.

[@DO-bn9hg]

Question…Once you go from pre-diabetic to diabetic, is there any going back without the help of medications?

[@TalkingWithDocs]

Yea there is still a chance

[@Wedow12]

I did! I use the glycemic index. Only eat Foods with a glycemic index of less than 55. Literally I ate as much as I wanted, never was hungry. And lost 30 pounds! I have been pre-diabetic ever since. Which has been since January 2021.

[@schpengler]

@@Wedow12 why not eat less carbs and also reverse the pre diabetes?

[@freedom2084]

Thanks for the laugh. “It’s not your fault take these meds “. I think I watched a comedy video

[@TalkingWithDocs]

Glad you liked it!

[@jackywhite9756]

In Canada prediabetes levels are too high. Anything higher than 5.0mmol is prediabetes. This is to decrease the amount of people going to the doctor so it decreases the strain on medical system

[@torgervedeler6949]

Very interesting and informative. But what does a blood glucose level of 79 mg/dL mean? Do I have cooties?

[@TalkingWithDocs]

Normal. Above 100 is presiabetic. Above 125 diabetic