Have Type 2 Diabetes? WATCH THIS! NEW UPDATES!

Dr. Christy explains the latest Type 2 Diabetes Guidelines released by the American College of Physicians.
REFERENCES:
www.acponline.org/acp-newsroo...

[@donfillenworth5702]

I'm a 67 year old male that has dealt with Type 2 diabetes for over 10 years. I've followed all ADA recommendations with very poor results (because their guidelines are flawed!) I was taking 2000mg of Metformin daily and had an A1c of 9.6. My doctor recommended adding Jardiance to my daily meds. When I found out that Jardiance would cost me over $700 a month, it was a real wake-up call. I started my research, and decided to adopt a carnivore diet (beef, bacon, eggs, and water) with 10 miles per day on the exercise bike. I quit my Metformin within 2 weeks because my blood glucose reading were so low. In less than 3 months, my A1c had dropped to 6. I am no longer on any medications and I feel so much netter!

[@johnbrando8248]

Pure carnivore is bad for the heart just avoid carb and sugar and eat vegetables too

[@oribron]

This is the truth. T2 can essentially be cured by going true Keto or Carnivore. I'm in a similar boat except A1C of 14, and everything including my lipid panels (cholesterol etc.) dropped to normal levels after 4 months. Don't fall for the lies of the sugar industry, establishment medical, sugar/carbs are the enemies, not fat.

[@glasswinder]

Exactly what my approach is, doctors will eventually make your situation worse. I personally don't trust most doctors anymore especially since the Plandemic 🎉

[@catherinewheatley1493]

That’s my story, too! Except I’m following Dr. Westman’s simple keto plan. Finally getting better rather than steadily worse.

[@glasswinder]

Those injection medications are beyond most peoples affordability 🎉🎉

[@loriereid458]

My husband went from A1C of 7.0 to 5.6 in two months on low carb diet. Off all meds for type 2 abd congestive heart failure. Stop the meds! Take control of your life!

[@TommyGator92]

Unfortunately, that doesn't work for a lot of type 2s. It all depends on which of the four subtypes you are

[@bobcocampo]

My HBA1C was reduced from 10.2% to 5.2 with zero carb diet and walk 👣 after every meal 🍴🍱 without medicine. Fasting helps cure faster.

[@cloakster]

Congrats, but a zero-carb diet doesn’t sound terribly sustainable long-term. 😐

[@bobcocampo]

@@cloakster I am carnivore for 3 years now. Except birdays of my family 👪 members that I have to eat cakes and other carbs. Sustainable because no calorie counting and eat until full.

[@bobcocampo]

@@cloakster Eating protein with fats is delicious. Eat until full

[@cloakster]

Congrats Bob, but again, many ppl report finding it hard to stay on very restrictive diets long-term. If *you* can and it works for you with no bad effects (elevated cholesterol and/or triglycerides), then props.

[@dchanson55]

Exactly, diet and exercise cures many ills.

[@Sideler74]

My A1C went from 8.4 to 6.5 in 90 days. Dropped 30.lbs in the process. No alcohol, junk food, processed sugar or fried foods. eat real food. steak, chicken, fish, salads, vegetables etc. No pharmaceuticals whatsoever!!!!!!!! You can do this!!!!!!!!!

[@djhogan9399]

I'll let you take metformin, I've been diabetic for 26 years. Berberine has got my A1C to drop from 13.3 to 5

[@Suelynngrr]

Wow! I am a bit shocked at some of this advice!!! I have been on Statins for decades (FH) and they gave me diabetes. I have been on some of the diabetes meds stated here and have NOT improved. Thankfully, I have taken advice from doctors who study metabolic disorders and have gone on a LOW CARB diet and decided to stop taking statins. I don't need diabetes and possible dementia down the road thank you. I have also stopped Invokana and almost done with Gliclazide because my A1C is coming down and I am now seeing readings of around 5 at some points in the day. My best advice to anyone is to AVOID the meds and look at your diet. Eat proper WHOLE foods and avoid sugars and carbs. Don't eat highly processed foods (that come in a box or packet and has a label with a list of ingredients!) The Canadian Diabetes Association still uses the "plate" as advice for diabetics.... 1/2 plate of fruit and veggies, 1/4 plate grains and 1/4 plate proteins. Stick to the proteins and eat non-starchy veg. Skip the fruit (fructose). cut out the grains, and watch yourself lose that nasty weight!!! I am also more alert to possible side effects of drugs which are often NOT discussed. Big pharma and big food are invested in selling their products and gaining customers. REAL food is what the body needs.

[@rayraynod]

Thanks for the good info!

[@manjeetwaraich1558]

Great information. Thanks a lot doctor . 👍👍

[@jayareddy6252]

Very nice information dr.

[@fsimons6]

I am 68 years old and was taking Ozempic for approximately 1 year. I did lose 20 lbs, but the ozempic totally messed up my digestive system. I could not eat. I was full all the time. Food did not leave my stomach for days and by the time I just quit taking it of my own accord, i was terribly constipated and at one point did not have a bowel movement for over 2 weeks. It has been about 5 months since I stopped taking the drug and my digestive system is almost back to normal., I am controlling my diabetes with basaglar only and my A1C has been below 7.

[@sheldonf]

Lots of money to be made by keeping us on medications.

[@messianichebrewshawnkawcak1550]

And people dependent on meds are easier to control.

[@user-wu7sn7ml7v]

Berberine natokinase. Metformin is like nuclear waste.

[@elliotelliott901]

This…..is EVERYTHING….. Great info here….. ❤️🌞🙏

[@ChristyRisingerMD]

Thank you!

[@user-mt7bc8og6d]

One tablespoon of apple cider vinegar with the " mother" in 13 ounces of water, works wonders.

[@JMWexperience]

I completely reversed my 35 years of type 2 diabetes which required 2 different medications + insulin. I did it when I discovered the ketogenic diet! After 6 months I am off of ALL of my type 2 diabetes medication and insulin as well as my blood pressure medications. I think that all MD’s should absolutely be required to have a minimum of 6 months of dietary studies before they can graduate with their degree. Stop supporting the pharmaceutical companies and junk food industries. Prescribe a proper human diet and cure diabetes just like I did! At all costs, DO NOT take any advice from the ADA because they are completely backed and supported by the food and drug companies.

[@bobboscarato1313]

I'll say doctors should go to seminars covering aspects of patient diets!

[@alexandriamancheck3474]

Great info, thank you! Still on metforminn 500, A1C 6.4🦅

[@wythetrumpet6419]

I had great results with Farxiga and Trulicity. This included great glycemic control and weight loss. I was also able to go off insulin. I had to stop taking them both because of the extreme price. I am retired on a fixed income so spending $1,400 a month for two medications just was not practical. This forced me back on Metformin and Glipizide. I had to also resume some insulin. My A1c typically runs 6.0 to 6.4, so no problem there. Thank you for the video!

[@franceskennedy2938]

Thank you for this information. I'm going to be starting Wegovy and this was very helpful.

[@Karen-jp1ns]

My friend just had a colon tear from vomiting from Wegovy. Had to have her colon resected. Nearly died.

[@elsullo2]

Odd, after ten years or so on Metformin and Glipizide, my body told me that I DID NOT LIKE GLIPIZIDE! I cut the dose to half, but still felt a terrible need to nap around noon after an eight AM dose of the Glipizide. I finally just stopped the Glipizide, period, and no longer have a crash after noon for no reason! My A1c is now still 6.4.......................elsullo

[@ifiantreadin]

A goal of under 7% is always good! But yeah, my doc took me off Glipizide last year because it causes low blood sugar… I take Ceylon cinnamon with meals now to keep sugars managed.

[@nationofhebrewisraelites]

Thank you! I am more knowledgeable about diabetes medicine. Your video presentation has lead me to bring my care team to put me on medicines that are not harmful to my health.

[@sungeing4782]

Dr., what about Synjardy? Your sharing knowledge of this new drug is well appreciated.

[@lesliebright3860]

Last year, diagnosed as type 2, my A1C was 13.9; my doctor didn’t want to put me on metformin, said he wanted to leave my pancreas alone to do what it does without flogging it and burning it out; he did put me on jardience, and was willing to spend months fighting the insurance company to get it deemed medically necessary; insurance covers it, doesn’t cost me a thing. With a massive change in diet and an uptick in exercise, 3 months later my A1C was 6.2, and has been there since, just diet/ exercise/ jardience.

[@djrondo1224]

Can metformin cause a spike in anxiety/low mood or is that more likely type ll kicking in. I have seen some recent posts where people are saying anxiety really cranked up on metformin.

[@Barbarapape]

As someone who was recently diagnosed as a type 2 diabetic as is normal i was started on Metformin, i was very ill with it, and once i did some research i found out why. It is reknown for many side effects but by far the worst are the way you end with a very bad stomach even when taken with food, the slow release one is little better. I am now taking Berberine, and fingers croosed it suits me far better, doctors only prescribe Metformin because it is cheap, i would rather pay for my treatment than suffer with a fear of loosing sight of a bathroom.!

[@bigcatproductions2789]

Metformin has been Recalled !

[@gailhoffman7812]

Since when?????

[@sandgroper4044]

I don't eat carbs and sugar exercise after meals .my Hg has dropped from 9 to 7 in one month from this diet just diagnosed with type 2 diabetes

[@kipditlow7737]

I was diagnosed five years ago. I did a little research adopted time restricted eating and stopped eating anything with added or excessive sugars and cut out the starches. My A1C went from 12.2 down to 5.7 in six months. I lost weight and my blood pressure went back to normal. I had come off the metformin and if I had known then what I know now I would have never been on it.

[@larkendelvie]

For me what works right now is combo of 1000 mg of Metformin and 15 Humulin a day plus eating 1200 calories a day and walking for 10 minutes after each meal. That gives me 6.5 A1C and slight weight gain (about 5 pounds a year). I should point out that I not only have Type 2 diabetes but also heart failure due to a severe infection many years ago. I can't take more Metformin (I have a very embarrassing side affect when I've tried, maybe related to the fact that I no longer have a gall bladder). I was on Jardiance combined with Metformin a few years ago and lost weight on that combo but unfortunately a change in my health insurance forced that to change. Biggest advice I can give is to insistently work with your doctor. There is a combination out there that will work for you -- just has to be found. It's not easy but can be done.

[@jimsh8009]

Recently, I was put on a daily Rybelsus pill. Is it an approved/recommended medication?

[@elvadrum4965]

I’m concerned about husband’s kidneys and liver. PCP switched him from Metphormin to Jardiance. Absolutely taking into account nutrition and activity which he is working on. 😅

[@bobboscarato1313]

His doctor should order some blood work to monitor these conditions. Mine does.

[@huwgrossmith9555]

Any thoughts on Glyxambi?

[@herrtomas6729]

On top of the metformin, our doctor has added Canagliflozin (300mg) which has added to the improvement.

[@tarekkholy641]

Hi, Is vildagliptin safe? Why it’s not approved by fda? Many thanks

[@jennifertappan3823]

Where does Basaglar fit into this conversation?

[@dpatt45]

I am on Janeuvia? Where does that fit in?

[@neville-rl6tr]

Are you going to pay for these medications for the patients.

[@Marcie66]

I take Ozempic (once a week, highest), metformin, (2x a day) jardiance, and insulin ( 3x a day)and my A1C is just now down to 6.8 after 11 years . I can’t exercise because of neuropathy in both legs and feet. I was just approved for SSID. If not for the VA, I would be dead. They can supply all my meds ( I take others for HBP, arthritis and depression).

[@dorisevans3536]

Metformin ruined my kidneys

[@Mmmmmmmiwish]

Im on metformin.. 1000mg x twice a day ... invokana 300mg per day... candesartan 8mg per day... gliclazide 2 80mg twice a day.. should i take all of these each day... also on trulicity once a week

[@user-uv1ri1zf8c]

what about dapagliflocin + vildagliptin

[@tessmartinez9446]

How about GLYXAMBI 25/5 Doctor?

[@chetbodley8629]

Step 1 "Life style, diet/exercise" works 100% of the time. No need for drug pushers. Make people take responsibility for their own health. Physicians are enablers treating symptoms not the root cause.

[@larkendelvie]

Thanks for judging me harshly - I needed that so much from both strangers and everyone else I know.

[@oribron]

You are 100% correct with this statement. The medical establishment is doing more harm than good.

[@gailhoffman7812]

I'm wondering what she's selling. I do talk to my own dr..

[@user-ps2nn5pj4g]

Just had bloodwork. After low-carb for 3 months, lipids are normal and A1C is trending down (now 6.1). Blood pressure normal; weight is down. Doc nevertheless insists I need FOUR medications, including a statin, just as prophylactics. three of them are contraindicated for thyroid patients (hypothyroidism is my only legitimate health concern). One of them is a sulfonylurea. Clearly, selling medicines is the point. Patient health doesn't factor in.

[@ruthybarretta7955]

Does metformin help weight loss

[@ChristyRisingerMD]

Such a great question. It’s weight neutral for most but occasionally can cause weight loss for some.

[@papablue5665]

Doc put me on farxiga. Horrible side effects so had to stop about 2 weeks. Berberine and natokinase for me.

[@trnswamy]

Why do you say DPP4 is not good. My doctor has prescribed DPP4 drug Isatavel 100mg once per day along with Metformin.

[@Gregg-ds8ni]

OZEMPIC now has a law suit against the manufacturer

[@fayeanderson5893]

Do you know they are not good.

[@petersymons7817]

Berberine

[@stellabell1820]

How much berberine do you take? I take it also. 1,000 mg

[@cherylradabaugh2720]

Jardiance causes a lot of urination

[@rongerardo1193]

I take glipizide and metformin ,i have to be on it or my blood sugars go up,plus I'm on low carb

[@ronaldjones996]

I do think keto diet should be the first line treatment!

[@cloakster]

Great vid, thanks much for this Dr Risinger. Everyone needs to know about the change in guidelines for T2D. 🙏 My mother’s T2D, and unfortunately her doctors have been VERY conservative with her treatment (seems to be a Kaiser Permanente thing). One didn’t know what Wegovy was, another touted insulin as “the gold standard” in treatment, and pooh-pooh’d GLP-1s as ‘risky’ due to possible hypoglycemia. 😒 Only very recently did they prescribe her an SGLT-2 inhibitor (she’s already on metformin and insulin), and my guess is it still won’t be quite enough. Her Hba1c has been around 9 w/the other meds, not completely horrific, but it’s been a *very persistent* 9 with her. She also has physical ailments which preclude much in the way of exercise. 😕 My one concern re: GLP-1 use for her is that she has *HF-rEF,* and I’m not certain as to how that complicates matters. HF-pEF, conversely, seems to improve some with GLP-1 usage. 🤔

[@ChristyRisingerMD]

Thanks for watching. Keep asking and advocating for your mom! Her insurance should cover Mounjaro or Ozempic with her Type 2 DM diagnosis and there is great cardiovascular data with these medications.

[@bobboscarato1313]

@@ChristyRisingerMD : I'm on Ozempic which I prefer over Mounjaro but both drugs cause constipation so you need to get Miralax to avoid this.

[@lavidadida]

There are no long term studies of Ozempic and some people have horror stories about it, so I would not play Russian roulette with my life.

[@macdaddy63]

Start eating Real Food!!! Don’t Paralyze Your Stomach With Ozempic

[@bobboscarato1313]

I eat real food of all sorts and Ozempic allows me to lose 12 pounds and feel a lot better.

[@macdaddy63]

@@bobboscarato1313 you should do some research on Ozempic and reconsider if the risk outweighs the results. Best wishes

[@Worldwar2387]

Why your don’t know this knowledge

[@cherylradabaugh2720]

Don't take metformin

[@johnbrando8248]

Drug pushers

[@jwde2630]

my dr who just retired kept pushing high dollar drugs [jardiance 600 dollars a month] which my obama care doesn't pay for and i can't afford, so what do you do?????

[@eberhoozen]

Canada 120/month

[@ChristyRisingerMD]

I have someone at my office that works full time to help patients get medications free from the manufacturers if they qualify. There are also drug coupons that can be helpful. When you pick an insurance plan be sure to look to see what meds are (and aren’t) covered.

[@jeffdittrich6778]

I notice that none of my doctors are good at giving useful information. Drugs yes, information no. If patients are not changing lifestyles then doctors need to change their approach to conveying their information. I suggest that you do another video to persuade your patients to have a real “come to Jesus” moment and change their dangerous habits. The information is out there. It just needs to be sold to the patients.

[@gregorygreene1940]

My PCP and endocrinologist always talk about diet first. The problem is not everyone wants to make those changes so the meds are prescribed to get the values under control. Ultimately, it's up to the patient as you said. The most important factor for me was weight loss. The "what you eat" didn't matter as much as "how much you eat". I have to be in a calorie deficit to do well. Way too much fear mongering out there about certain types of foods. I've lost almost 60 pounds and I still eat bread, pasta, and some potatoes. Just watch your portions.

[@ray99931]

Metformin is a terrible medication 👏👏

[@christinamoreno6969]

Ya not at 700.00 dollars

[@20alphabet]

Sadly, I'm pre-diabetic. That's right, I still don't have it. Lousy diabetics... get all the love. What about us healthy folks, what do WE get? We get to listen to all those who've squandered their health talk about what medications, procedures, and surgeries they've had and how much their insurance picks up. Another thing we get is high health insurance premiums without the benefit of any maladies on which to use it.

[@cloakster]

‘Lousy diabetics’?? Are you for real? 😒

[@ChristyRisingerMD]

@20alphabet you should meet with a dietician to learn about dietary changes, lose weight, move your body, and probably should be on metformin as well to help PREVENT diabetes

[@VernCrisler]

Diabetic patients don't actually ask for the disease. If you are approaching close to a diabetic range, you can probably get on generic meds to lower your A1c. No need to rush into GLP-1 injections when you don't really need them.

[@seesharp81321]

Drop your carbs, but do it gradual. Besides there's no such thing as pre-diabetic. You are diabetic. But it's completely reversible within a few weeks. Those lousy diabetics are being advised by lousy doctors like this one to "manage" it with meds. The reason that diabetes is exploding is because of the US government and no one else. American society is so deprived that only the bottom line counts

[@VernCrisler]

@@seesharp81321 You are sadly misinformed.

[@stevenbennett1403]

Lots of BS on KZbin