The insurance industry does not want to pay for the fasting insulin test, not because it is expensive in and of itself, but because it is not in their best financial interest. They want people to be metabolically unhealthy, otherwise who needs medical insurance companies?
@robinq55118 сағат бұрын
Every time I hear Dr Lustig I learn something new about things I have heard before. I save them all and watch over & over. I do use a CGM, but unfortunately it is not as accurate as blood testing with a meter but it does show trends.
@homomorphic5 сағат бұрын
If you listen to Lustig and act on what he says, you're gonna be ok!
@callofthewildbuck40 минут бұрын
would you be willing to share which CGM you use? and it's better to stick with a traditional glucose meter?
@bonnieschmidt588225 минут бұрын
I agree about the better accuracy of finger sticks, but it’s hard to catch the peak of the spike. And to be fooled by the dips. Or how walking keeps my BG stable until I stop walking when it rises again. Also, there’s information that you can get during your sleep.
@haroldwagner458610 сағат бұрын
I am double boarded ER and IM Listing is the real deal and one of the few doctors that could even teach me something. He has raised Metabolic medicine to a new LEVELS ( Play on words)😂
@homomorphic5 сағат бұрын
So glad that someone with impeccable credentials like Lustig decided the truth is more important than money.
@danger_pig10 сағат бұрын
I love this guy
@BarbaraGallo-bl3ti11 сағат бұрын
The only thing that changed in 1980 was the food industry, switching to high fructose corn syrup, because it was government-subsidized and cheaper than cane sugar which has a tariff. Being so much cheaper, they decided to go by the tobacco industries playbook and used its addictive quality and put it in all foods. This pushed up the sale of snack foods while computer games reduced physical activity. The perfect storm.
@homomorphic5 сағат бұрын
This is definitely part of it, arguably the largest part, but the problem has its origins much earlier than 1980.
@TomSmith-cv8hk4 сағат бұрын
Low fat push done the most damage to modern health in my mind. High Fructose Corn Syrup isn't World wide.
@homomorphic4 сағат бұрын
@@TomSmith-cv8hk HFCS is absolutely world wide, and it is very likely the most significant factor in the accelerating incidence of metabolic syndrome. The low-fat nonsense accelerated the damage that HFCS did, but it was HFCS doing the actual damage.
@kenadams55043 сағат бұрын
@@homomorphic Fructose is actually a mitachondrial poison . Chronic damage to mitachondria can result in cells using fermentation of glucose/glutamine to make ATP , aka the Warburg Effect /cancer .
@wellnesssecrets20142 минут бұрын
True
@tomhermens76985 сағат бұрын
Food suppliers are not being checked as to what they are flogging. Is there an ombudsman or inspectorate? There are too many unhealthy foods on the market.
@gungagalunga904011 сағат бұрын
But could fasting glucose be influenced by the "dawn phenomenon "?
@re15 сағат бұрын
He is amazing, the professor you would love to have.
@beNETiq_ru10 сағат бұрын
it's actually simple eat meat and do fasting for faster weight loss, wp
@aajitpal9 сағат бұрын
Do resistance exercise too so that muscle loss is less than fat. I did 18:6 for 4 months lost almost 50 pounds i which lost a lot of muscle mass too which is required for glucose dump.
@Jona071117 сағат бұрын
I'm not a Plant-Based guy, but on the later segment, Lustig does say that meat typically has high levels of purines, so if you have or are worried about developing hyperuricemia, then maybe don't go ham on the meat.
@dr.jeffstone94242 сағат бұрын
Why would my glucose clear to 120 at 10:30pm, 70 at 3am, 120 10:30am 200 at 11:30. No food eaten and moderate exercise 1 hr stating 9am. Adult diabetic 25 years, fasting insulin 16. Love your talks and depth on knowledge.
@beth2500Сағат бұрын
If your a1-c is 16 you are lucky your still alive
@SueMiddleton-ky7gt12 сағат бұрын
Shouldn't you include insulin response test with OGTT?
@tybofborg10 сағат бұрын
The lab where I had my OGTT done offered a package that did include insulin response testing. Problem is, they needed IV blood for the insulin so they drew IV blood 3 times. This gives you a fuller picture, but it's a lot easier to just measure fasting insulin (and all the other markers) with an IV blood draw, and then do 3 finger pricks for the glucose response test.
@RickTeale10 сағат бұрын
I asked my doctor to add fasting insulin, hsCRP, homocysteine and lipid fractionation to by labs. None of those were done. There was a c-peptide result. How does c-peptide compare to an insulin measurement. Can c-peptide and fasting glucose be used to calculate HOMA IR?
@him-hk7ii8 сағат бұрын
Yes there is a correction algorithm to accommodate c peptide. The Fasting Insulin is far superior to use
@chochooshoe4 сағат бұрын
c-peptide is actually a better test than insulin - the beta cells create equal amounts of insulin and c-peptide but the latter is more stable.
@wellnesssecrets20142 минут бұрын
Excellent content & presentation. Learn 30 Wellness Secrets to prevent or reverse Lifestyle Disorders
@bestdoom123627 минут бұрын
Ha. He didn't want to endorse Dr. Hyman's company. Haha. He probably did not get invited to participate. In all seriousness, Dr. Lustig is indeed a National Treasure. His book Metabolical and his famous frase "feed the gut, protect the liver" were key influencers in my move to a whole-foods, plant-dominant diet. Result: Fasting insulin down from 15 to 5, ALT down from 45 to 20, HsCRP down from 1.5 to 0.3, Triglycerides down from 100+ to 55, Urid Acid down from 7 to 6.1 (still working on that one), and APOB down from 90 to 65.
@TomSmith-cv8hk4 сағат бұрын
Great vid, great info. I notice Dr Lustig avoids going near no carb, just calls out lifestyle. I'd love to know what he thinks of HFG with LFI and good Hba1c.
@BeBedabit3 сағат бұрын
My Lyme doc once did some kind of blood test that required me to go eat syrup laden pancakes and return for blood draw. I had been on Atkins for years and did not want to do it. She insisted. Within an hour and half of that horribly high carb meal, my blood sugar dropped like a bomb. I was weak, shaking, crazy. Family members had to help me 7:20 into a restaurant. Took me two days to recover. Have stayed basically low carb now years. A1C is 5.1.
@davidreece164210 сағат бұрын
Do those following a low carb/carnivore diet have a great incidence of gout compared to those on a standard processed Western diet?
@elenaortega545911 сағат бұрын
How come eating only carnivore with no sweets, the uric acid is fine? Could Lincoln had had a sweet tooth?
@callofthewildbuck10 сағат бұрын
No fructose to create uric acid. But purines are still in protein.
@elenaortega54598 сағат бұрын
@@callofthewildbuck how come eating only carnivore does not raise uric acid levels?
@farmer_donny8 сағат бұрын
@@callofthewildbuckyour body is able to convert glucose to fructose.
@jamesdean77568 сағат бұрын
@@farmer_donnywho knows what’s true anymore.
@farmer_donny8 сағат бұрын
@@jamesdean7756 a very true statement. I have found a few doctors that I'm prepared to believe. And some things I can test out on myself.
@tcskeith10 сағат бұрын
I went keto 2 years ago because my A1c was over 10.. it's now 4.9. however, my uric acid level has skyrocketed to over 10.. I've had non stop gout attacks and I'm tired of dealing with it so unfortunately I've got no choice but to cut out meats or cut way back and eat more salads.
@gungagalunga904010 сағат бұрын
Check out dr berg and dr ekberg videos on uric acid
@aajitpal9 сағат бұрын
Increase your Vitamin C intake daily by a whole lot! Check out Dr. Berg video for this specific issue. I make a whole lemon slice smoothie every day to keep my uric acid in check and it works.
@jamesdean77568 сағат бұрын
your eating the wrong kind of meats What are they. Crappy factory farm meat ?
@gungagalunga90408 сағат бұрын
@jamesdean7756 my messages deleted wow
@Fiftyfive455 сағат бұрын
Yes, share what red meat you are getting, hopefully not branded packed with artificial sugars vegetable oils and more things. Or dirty commercial questionable keto products.
@agentcontrast978410 сағат бұрын
ada/american colleges are so slow in updating guidelines based on sound principles...$ is likely behind such themes as he suggests..the us government needs to step in....but again $/lobbying is likely a barrier... its really a joke at the end of the day.
@homomorphic5 сағат бұрын
...and I wonder why they're so slow to modify guidance? Could it be MONEY+ + money from the food industry
@samblackwell9839Сағат бұрын
I am a huge fan of Dr. Lustig, but understanding his message is sort of analogous to reading your blood lab results - that is, understanding his overall message sometimes means filtering out the random confusing comments much like reading your lab results is better thought of as an overall picture, rather than putting value in each data point. Case in point, at 5:59 he says a fasting blood glucose of 91 is "not doing great" and is "already a problem." Utterances like that are like verbal clickbait. Let's say (real case) a 44-year-old female has a fasting blood glucose of 91 along with ALT of 10, AST of 16, waist circumference of 23 inches, A1C of 4.3%. Are we really going to put her in the category of normal-weight people with metabolic disease? It's almost hypocritical of him to say that, as he prefaces the first interview by saying that the overall picture is nuanced and complicated, but then goes on to say that 91 mg/dL is a problem. The cynic in me wonders why he would make this kind of statement, and I'm guessing it has to do with selling something.
@callofthewildbuck35 минут бұрын
no, I don't think he's saying that 91 mg/dL is an automatic metabolic issue. I think he's saying if that is consistently in the 90s then it's best to watch it. it will creep up overtime. It's a warning, that's what I think he's saying.
@samblackwell983915 минут бұрын
@@callofthewildbuck You're giving him a generous interpretation in the timestamped comment. He in fact says that fasting blood glucose is not the right metric to use as a warning for metabolic function, but that it's the "last marker to change." He recommends fasting insulin and ALT as examples of better warning markers, and I am inclined to agree. In my real example above, I admittedly don't know her fasting insulin (wasn't tested), but given all her other metrics, it's almost certain that her 91 mg/dL was simply dawn effect or mild fasting rise, etc. Having it "creep up over time" is definitely a concern, but that will only happen as a result of the overall metabolic picture getting worse (especially in the metrics that Dr. Lustig mentions as better for demonstrating metabolic health). My (only) problem with him is that he doesn't qualify such simplified statements and thereby dilutes his own message.
@GlobalDrifter100016 минут бұрын
Rob looks to be over fed
@samblackwell98398 минут бұрын
He has said in multiple interviews that 1-2 beers/day is okay. lol
@persimmonpuddin5 сағат бұрын
I had fasting insulin levels tested with my other blood work recently (fasting for 13 hours). I'd been IF and ketivore for months prior and kept carbs to