7 Reasons Normal Blood Sugar Could Rob You Of Your Health
Normal blood sugar levels what does that mean? and is it the best thing to measure
if you're trying to figure out if your insulin resistant or if you're moving
closer to diabetes or not? traditionally in the medical field they have been
looking at blood glucose as the only or the primary determinant to see if you've
meet the criteria for diabetes or not in this video we're going to look at seven
reasons on why it can be very misleading why it can be basically totally missing
the point of what you're trying to achieve if you only look at it glucose
coming right up blood sugar and insulin resistance is very very important it may
be the single most important factor in trying to avoid disease but we're often
looking at the wrong thing insulin resistance is affecting the majority of
the Western population if you look around you at any given day and anyone
that you see with some love handles or a belly or being overweight in general it
is probably insulin resistance at work there but does sugar really measure
insulin resistance that's what we're going to talk about so first of all
though let's look at the traditional criteria for if you have insulin
resistance and diabetes normal blood sugar fasting blood glucose that means
that you don't eat anything after dinner and then you go you sleep through the
night and in the morning typically you go and have your lab work done so they
draw the blood when you haven't eaten for at least 12 hours wouldn't have to
be in the morning but that typically works the best and normal means that
your blood glucose your fasting blood glucose is less than a hundred
milligrams per deciliter and I'm of the opinion that that's still getting a
little bit too high I think optimal is somewhere between 70
to 90 and if you're fasting or if you're in ketosis then it could go a whole lot
lower that it could get probably into the low
60s or even upper 50s without being a problem because you have ketones as an
alternative fuel but typically we want to think of it 70 to 90 pre-diabetic
would be anything over a hundred but below 125 and then diabetic would be
anything over 125 so then we're looking all set the corresponding these days
they are looking at A1c and we've done videos on that to explain exactly what
A1c is A1c is a better measurement than simply fasting glucose because it
measures an average glucose over a few months so if you are in the optimal
range that means that your a1c is going to be somewhere around 5 again it could
be four point five five point three somewhere in there
normal official criteria is anything below five point seven but in my opinion
your bit you've been slipping for quite a while if you're at five point seven
pre-diabetic would be anything over five point seven but below six point five and
anything diabetic would be over six point five then the a1c indicates what
the average glucose is so if you have a fasting glucose of 70 to 90 the a1c
indicates that your average glucose is probably around a hundred that means
when you eat your Blue Coast goes up and then in between meals it goes down so
your average ends up around a hundred even though your fasting is about
seventy to ninety so the average glucose for a normal person would be about 120
and for pre-diabetic it would be 120 to 140 and a diabetic it would be over 140
and once the dams break so to speak once the system crashes then this 140 could
go way way way high it could get two three four five hundred even this person
who was pre-diabetic all the way up until a hundred and twenty five so they
were going from a hundred they were ideally inching their way up and at 1:24
and a half they were still pre-diabetic they were almost healthy but then all of
a sudden it's over 125 and now they're sick why is there a dividing line is
there just like ok healthy healthy healthy healthy and then all of a sudden
sick or is this a process that takes a long long long long time so this is what
we have to understand that functional disease takes a long time to develop
it's different if you have a trauma if you have a symptom if you have pain
because you fell down the stairs then you're hurting because you fell down the
stairs but if your knees start hurting overtime from arthritis that's a
functional problem it's a degeneration the body took awhile to get there so we
want to think of this sort of like a battery that perfect health would be
when you have like a hundred percent health a hundred percent function the
battery is is fully charged and then as the battery starts to wear out as it
starts discharging as it starts doing work then it has less and less reserve
capacity and eventually it reaches a point where we start having symptoms so
in terms of a battery that would be if you have like a leaf blower or something
that is quite demanding that it's battery driven all of a sudden the
battery isn't strong enough to power it at full speed it starts slowing down it
starts fading and the body it's the same thing that once the body starts fading
all of a sudden we start having symptoms and disease but this didn't happen
overnight it takes a while to get there so one example would be heart disease so
you're happily moving along through life and your function is decreasing it might
take 10 20 30 years and then all of a sudden you have a heart attack that's
the first so is the question then is were you
healthy the day before the heart attack or did the disease start the moment you
had a heart attack well the answer is obvious that it was a
process it didn't start overnight it didn't happen instantly
diabetes and insulin resistance and glucose works the same way so let's take
a look at at a hypothetical example so these are numbers that could illustrate
what could happen I'm not saying that it would take this long or that these would
be the exact numbers but this is something that could happen everyone's
different so just bear that in mind so let's say that we have a healthy normal
person in year one and they go and they have some lab work done and their blood
glucose their fasting blood glucose is 90 and their a1c is 5.3 and then they
measure their insulin their fasting insulin and the fasting insulin is three
units so that's a healthy level I've drawn them the same size because this
indicates that this person is very insulin sensitive there's a balance
between the glucose and the insulin so insulin is a storage hormone and if we
have balance between glucose and insulin that means that there is time balance
between feeding and burning that we're allowing the body enough time to store
something but then to allow enough time to burn that fuel so that we're in
balance and we're ready for the next meal but when we eat a whole lot of
carbs and we eat too often then the body doesn't have time to burn things between
meals and we start storing too much and now the cells start to become insulin
resistant the cells don't want so much fuel they start resisting so now the
body has to try harder to get the glucose out of the bloodstream and into
the cell we fast forward a few years and this could
two three four five years and we measure again so now this person measures
fasting glucose and it's at ninety so it looks great perfect no problem
healthy lifestyle right a1c has come up one point but hey what's what's a point
what's a tenth of a point and we don't pay much attention to it unless we also
measure insulin because now we're seeing that it takes twice as much insulin that
is insulin now is six so even though the blood glucose the fasting blood glucose
is the same and it appears that nothing changed we have become quite insulin
resistance because it takes twice as much insulin to get the job done the
body is still coping the body is still adapting managing to control the blood
sugar but it takes twice as much insulin to do it and we are well on our way
toward insulin resistance but if we only measure glucose we would never know fast
forward another five years now we the blood glucose has come up to 93 so hey
three points no big deal it looks about the same it's within the margin of error
A1c has come up another tenth of a point no big deal it's starting to creep
along but it's such a small change that we don't really think about it
but if we measure insulin the fasting insulin now is nine so it takes three
times as much work to keep the glucose where it is another five years forward
now blood glucose is 95 A1c is five point eight so it's starting to creep up
but nothing significant we're still well in our way the glucose indicates that we
are normal the a1c indicates that we might be just barely pre-diabetic and
they they'll tell you all just exercise a little bit more loose some weight
whatever but no one's really worried however your
insulin now is 15 and it takes five times as much insulin to get the job
done so your body is working harder and harder and harder it's adapting it's
changing its inner-workings to get the job done the pancreas has to work a
whole lot harder but it doesn't show up on the glucose yet five more years
twenty years down the road now we're starting to see now this person is
officially pre-diabetic blood glucose is 120 is in the pre-diabetic range the a1c
is on the border of diabetes rather than just pre-diabetes so now they're
starting to get concerned now they're saying hey you might want to get more
serious about this but of course the official guidelines tell you to eat more
carbs and more sugar and less fat eat more low-fat dairy and they tell you
that sugar is not so bad just don't eat the white refined stuff but you can have
plenty of sugar from your your bread and your fruit and your dairy products then
five more years and now the glucose has really shot through the roof now the
fasting glucose is a hundred and eighty the a1c is twelve so it's like the dam
breaks the it there's nothing holding it back and the insulin might be even
higher or it might be the same if the body has sort of reached a plateau where
it can't make any more insulin or where the cells are just so insulin resistant
that the body is pushing out insulin but the cells are not accepting it so now
the glucose shoots through the roof so let's talk about why this is such a bad
idea well first of all measuring glucose does not measure insulin resistance as
we can see the glucose stays pretty much the same but the thing that we're
concerned with the the factor the variable that drives
metabolic syndrome that drives cardiovascular disease is the insulin
the blood sugar can be a problem but what drives the disease is the insulin
and we're missing that when we're just measuring the glucose so the second
problem with only measuring glucose is that the change in glucose is not linear
it's not a little bit after one year and a little more after two years it is
delayed because the body works very very hard at controlling at dampening the
effect so the change of glucose has a flat curve to start with and then it
accelerates very quickly as the system is failing insulin on the other hand is
developing pretty much at a in a linear fashion so as the cells become insulin
resistant very very slowly year after year the insulin increases gradually so
we have a good idea by the degree of insulin how much insulin resistance
there is glucose does not give us that feedback reason number three is related
to that but it's that glucose does not measure the progression if we monitor
something if we get regular blood tests if we get health checks
we'd like for that health checks to give us feedback on how we're doing but
because this line is flat then we're not getting any sort of idea on if this is
better or worse than five years ago it doesn't measure any of the progression
and as functional disease and degeneration progresses we need to start
measuring functional markers not disease markers reason number four is that by
the time we have a significant change in glucose it is too late I mean in a way
it's never too late because the body can always recover but we've already we
missed preventing it we're way way way into the disease
process and we have this strange idea of what prevention is to me prevention
means to keep something from happening but a lot of the prevention that is
being done is simply finding it early prevention is when you make the body
work so well that you never get the disease but finding it early is not
prevention that finding it early just is finding it early this means that you
already have it and it's better to find it early than finding it late but you
already got it so we can't do prevention by measuring this reason number five is
that measuring glucose only can give us a false sense of security we go get our
health checks and we want to see how we're doing but measuring glucose makes
us think that were healthy when we could be 10 15 years into the disease process
reason number six we could waste decades of precious life and precious health so
if we start understanding this model where would you rather be would you
rather be at a hundred percent or would you rather be at 51 percent okay even if
you don't have a symptom at 51 percent you'd much rather be at a hundred
because it means you have more health reserves same thing with this scale if
you had a way of figuring something out in year one why would you wait why would
you want to wait to year 20 you could lose decades and you could make it
impossible or that much harder to recover from it in reason number seven
that glucose can be a poor measurement poor indicator of what's actually
happening is something called a dawn phenomenon so I did a separate video
with more detail but just real brief don't phenomenon is the fact that you
have certain hormones in your body that peak right before you get up in the
morning so they boost your blood sugar to get you ready for your day they wake
you up basic and if your insulin-resistant like if
you have been a pre-diabetic or diabetic if you're very insulin resistant then
the blood sugar rises but the cells are resistant so the increase in blood sugar
tends to be larger okay that's what the dawn effect dawn phenomenon is but now
let's say that you start doing the right thing that you start doing keto you
start doing low carb you start fasting you're doing all the right things and if
you're fasting you basically stop putting carbohydrates into your body
there is no need there's no urgency for the body to get it out of the
bloodstream because the body senses hey in the morning because of the dawn
phenomenon my blood sugar went up a little bit but there's only a gram or
two so there is no alarm there is no crisis so the body doesn't work very
hard at lowering it because it knows that it's not a big deal so now while
you're doing the exact right thing while you're reversing this your blood sugar
could stay a little bit high in the morning and give the false impression
that you're very insulin resistant even though you are working to reverse it so
these seven reasons are why it can be very misleading very confusing not give
you the the true picture of what's happening in your body if you just
measure glucose does that mean yet you shouldn't measure glucose oh absolutely
you can measure it but do it on a regular basis I have a blood measuring
kit and I think it's fun to see what it is in the morning and to see how much it
rises or doesn't rise after you eat a healthy meal high in protein and fat so
you can use it on a regular basis to monitor to learn but if that all you're
doing if you're only measuring glucose as your health check once a year or
every six months then it's pretty much a waste of time
so it's not a bad thing but don't rely on it as your sole measurement of what's
going on if you truly want to understand your insulin resistance if it's
progressing or reversing then you want to measure insulin and I've done some
videos called Homa-IR where I explain in detail how that works and how you can
figure out your insulin resistance score if you're new to the channel and you
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see you in the next video thanks for watching