Prediabetes is Like Standing in a Burning House

Prediabetes is Like Standing in a Burning House

How many times have you heard about the
preventable disaster of someone failing to leave a burning home? Here are some of
the reasons. For fear of damage or looting at the home. Just a tragic
overconfidence. Pets were in the home and they went back to save them. There are
multiple other reasons. Now this is a heart attack and stroke channel
Why am I bringing this up? Because failure to acknowledge and deal
with prediabetes is the same kind of tragedy that’s happening over and over
and over right in front of our faces, in front of us, under our nose. And we’re
just not acknowledging it. Part of the reason is we don’t know that it’s
happening. Most people with prediabetes, over 90%
of them, don’t even know, and it’s incredibly common. As you see with the
UCLA study of just a couple of years ago, over half a 30-year olds and above have
insulin resistance or diabetes. Now, we know some of the things that can cause
it: excess weight, obesity, excess carbohydrate intake, sedentary lifestyle,
genetics, aging one of the major drivers. But we’re not… we also know the things
that it does. It causes elevated triglycerides, low HDL, polycystic ovary
disease, sleep apnea (it’s related to sleep apnea). But most of all, it causes plaque
and therefore heart attack, stroke, kidney disease, eye disease. Just incredible
numbers of problems, the major killers and disablers in our world. And again,
it’s not that it’s sneaking up on us. We know how to find it, but we’re not doing
it. We’re able to get oral glucose tolerance test. We can even do it
at home. I’ve done videos showing how I did oral glucose tolerance test with a
Freestyle Lite blood stick finger stick glucose monitor. And I even used Mott’s
apple sauce. You can use Coca-Cola. You can use whatever you want in terms of
sugar sources. Now, obviously, you get into some some argument about well colas have
fructose and that’s a little bit different. Maybe the sugar in a
sugar-laden applesauce is not as accessible. You know what, try it, and you
can see it. The other thing that we’re doing we’re
offering more services where we can have helped patients do an official a medic
more of a medical grade type of oral glucose tolerance test. We’re setting up
ways where you can look at a Kraft insulin survey. We’ll help you interpret
it. We’re also setting up ways where you can do just a simple home screening. So
give us a call. Look us up. We’d love to help help you understand whether or not
you’re in a burning house. Thank you for your interest. This is Ford Brewer. I started
off my career as an ER doc. And that can be frustrating because most of the
things bringing patients into the ER can and should be prevented, like heart
attack and stroke. So I went to Johns Hopkins for training in prevention, did
well ended up running the program, trained dozens of docs there, and have
trained hundreds and even over a thousand doctors since then in
preventing disease. What’s even more important is I’ve helped thousands of
patients prevent heart attack and stroke rather than waiting for the devastation
and hoping for a cure.

18 thoughts on “Prediabetes is Like Standing in a Burning House”

  1. Very true video with a good analogy. The question becomes for a lot of people in this situation, at what point should I consider taking medication after consuming a low carb diet and still having a fasting glucose in the grey area of between 100 and 110. Many pre-diabetics have blood glucose levels that rarely go over 130 by eating 50 or less carbs a day but still rarely can get to the 80's like is ideal for a human being. The question for them is which is worse the condition or the cure?

  2. If finding you have prediabetes means you should make the same lifestyle changes everyone should make, then we should all just assume we have prediabetes starting at 30. If having prediabetes means we should start taking metformin and baby aspirin then that's different, but I haven't seen anyone make that recommendation.

    Would you say everyone who is above some threshold on the glucose tolerance test should take some drug intervention? If so what threshold and what intervention?

  3. Dr Brewer, it's to bad we can not follow the kraft protocol and do it at home. I have been doing the low carb diet for 4 months now and i got dexa scan last week (10 % fat mass, that was good, blood pressure has dropped being 52 and before the diet i often het 140, now mostly between 120 and 107, systolic 78 to 73. waistline from 90 to 81 cm and weight from 78 to 68 kg, bone density could be better(definetely going to do more jogging again and dead lift exercises, been doing callenestics for a few months now at home with very little equipment. I wonder if the food (mostley wheat and sugar are not driving up insuline and causing high blood pressure which is a big indicator that your arteries are under higher stress, so I wonder if blood pressure should not be the thing to watch(it definetely changed a lot since i quit the carbs from grains and sugar in general. What do you think?

  4. For what it is worth I love your branding intro to your videos, right up to the point where the diagonal lines starts flashing past. The diagonal red and white lines are harsh when compared to the really nice soft intro of your name. I would consider downplaying the lines and let the softness of your name in the intro, be the essence of your brand. Imho.

  5. This is off the intended topic, but as a PSA I thought I'd point out, for those unaware, just how dangerous fire in the home is. It is THE biggest piece of low hanging fruit you can address in the context of disaster preparation. Half of all disaster deaths in the home are due to a single cause: house fire. Have multiple ABC fire extinguishers, smoke detectors, escape ladders, and a family plan. If a fire starts in your home, you have about 60 seconds to get it under control. Practice. I'm half preaching to myself right now.

  6. It’s what you eat, one simply can’t take the meds and eat carbs. I’ve gone low carb and now keto. Was 10.4 in July. Now 5.8.

  7. Just a curiosity question, but if I check my fasting blood glucose level, and my 1 and 2 hour levels after meals and they are never out of range, why do a glucose tolerance test? BTW: I listened to your first video on cardiovascular inflammation course, took notes and recently had my blood tested though direct labs. My A1C and most other markers were fine, but much to my surprise, my homocysteine level was high and vitamin D was low. I eat very little meat, and have now increased my supplement of vitamin B12 and vitamin D. Great class, everybody who watches your channel should take it. I will get retested in a couple of months. Thanks for all you do.

  8. Thank you Dr. Brewer. Another great video. Very good analogy. So many people just sit in the burning house until it's too late. Controlling insulin resistance early is a very good space to occupy and will add years to the lives of those who heed you advice. I'm prediabetic and have gone low card, which keeps my BG under 130, which is my goal. I am weighing keeping my BG under 120, as you recommend. I know that I am able to do that if I restrict the carbs even further. I'm finding it hard to get my fasting BG under 100 consistently. I'll get numbers ranging from 98 to 103 for a week, then have a few days 106 to 112. I'm considering going on Metformin to bring my level down more and I really appreciate your videos on Metformin, so I can weigh the cost benefit analysis. After watching your book review on David Sinclair, I watched an online lecture of his in which he indicates that Metformin may delay the aging process. That would be a good reason to take it if one is on the fence about taking it. I'm still researching it, but leaning towards taking it at this point.

  9. Dr Brewer, I have contemplated doing Kraft survey for some time. Haven't done it (or an OGTT) because I have followed a low carb (LC) diet for >5 years. By LC I mean ~50 g carb per day. The LC community is pretty consistent in saying, "don't do OGTT if you do LC because you'll fail". Cited reasons are along the lines of down-regulated enzymes required to beak down sugar leading to "irregular" blood sugar response. I have also read conflicting guidance on avoiding this by eating varying amounts carbs for anywhere from 2 to 14 days. No clear guidance. How can a person following LC get an accurate OGTT or Kraft survey result? Is there definitive data to show the way?

  10. I took a glucose tolerance test based on Fords advice on this channel. I dont know what my result means.
    Fasting 94

    1 hr 155

    2 hr 68

    I have lots of plaque in my arteries ( CAC = 412) at age 58.

  11. I have a number of family members and in -laws, and even one with Type 2 – that are in a buring house, at least 20% over weight. But you can't tell them. It is hopeless. They don't want to know. The carb sugar addiction is too strong to make them think. I know exactly what is going to happen to them. (I saw all the effects with my sister who had Type 1 RIP)

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