James and I were talking with another associate and the other associate kept
saying you know what guys I think I may be able to get for you and for your population a great
improved access to Dexcom G6 CGM glucose monitoring and I said that's fantastic
I said you know by the way we're currently doing that with Libre and James and Yanni both said yeah
I'll get it understand and James and I went for about how long was it James before you realized
it was over a week I'm afraid it was over a week I thought it was more like three weeks anyway
so James is now hooked up has a CGM on his arm as we speak I do too James actually
I'm going to do a little strip routine here and take my shirt off and show mine
while you tell a little bit about what you're finding out yeah my experience
there it is mine's in the same spot but I'm going to keep my clothes on
otherwise you'd have a bigfoot sighting a very small bigfoot sighting if I took my shirt
there's three things that I've discovered in the two weeks that I've been doing and I'm a big fan
at this point I misunderstood as you said I was thinking the Libre was I knew what the Dexcom was
they I guess did a better job of advertising to me I was anticipating with the Libre it was more of
a finger stick you know traditional meter but it wasn't it's just the same it's continuous glucose
monitor that attaches but there's three things and I have no economic interest whatsoever and Dexcom
and Libre ever sent any of those we've looked at a number of them so this is pure review so I'm
embracing it and I like it a lot I like what it's done for me over the last two weeks but
I describe it in three ways number one it's easy to do two it's engaging and three it's effective
I literated those by accident but that is true all three things I find it number one easy
probably the most common question people have as I've told people the last two weeks what I'm doing
and when some people have seen it when I've had a short sleeve shirt on they immediately think
they start feeling sorry for well I didn't realize you had something wrong with you
so well it's not a mental health device if that would be appropriate but it doesn't hurt so it
was easy to apply it it comes in an applicator my pharmacists recommend that I use some skin
adhesive strip to make sure it stays on so I was easily able to apply it and it was easy to sync
with my smartphone like yourself for it I have a an iPhone and those two things sync very easily
those of you are watching who may think that you have technology challenges and I don't know what
to do if you have a flip phone or you know or something but if you have a smartphone easiest
thing there's also another meter you can get from the pharmacy but I find it works very well with
my phone the only negative that I've found with it I said is it will train you to make sure you
walk around corners very broadly because I have caught it a couple of times on corners and that's
the only time you're going to feel it if you catch it on the corner of a door or something like that
when you walk in that room but it stays on it's very stable it's very easy it's engaging I am very
aware although I would forget that I have it on even sleeping at night I'm very aware during the
day that my choices are going to impact that so I tested a lot more than usual very early and now I
fall in traditional a couple times a day and track it look at all the impacts the daily patterns the
software allows you to go in and do something very important and that's the log so I can log what
I've eaten I can log what I've drink I can log behaviors have I exercised was I active and then
I've done something as you've said I'm overlaying it myself a little bit where I download it on my
iPhone a sleep app and each night when I go to bed I turn that sleep on app on it tracks my sleep I
was a little skeptical of these sleep apps however I've engaged with it and I've noticed a pattern
in the mornings on nights that it tells me I did not sleep well my fasting glucose is always higher
so last night it told me I had a terrible sleep and I did I only steeped slept for about one
hour and I like slept for about five hours even though I went to bed early I went to bed early
for some reason I wouldn't go into why I didn't sleep well I woke up a lot last night
but this morning when I did my fasting glucose it was at 100 normally I'm in the high 80s to low 90s
so I track my sleep and I track my blood sugar my fasting as well as my afternoons and I have
a very consistent pattern throughout the day I am very mindful of what I'm eating what I'm drinking
but I find the most interesting thing is that that my cortisol evidently we can talk about that and
then talk about leptin as a hormone cortisol is a hormone and obesity but there is something
evidently in the mornings maybe because I'm starting my day I'm talking with you on the
phone very early in the mornings that's raising my cortisol levels because of stress maybe who knows
and my blood sugar is the highest is in the morning when I'm fasting it's higher than
after lunch when I eat of course I'm on a high- fat low-carb diet so my three o'clock numbers
are significantly lower than my nine o'clock numbers especially on nights when I don't get
three four hours of real estate that's not uncommon at all I get a lot of folks one of the
things they focus on once they start realizing the importance of blood sugar is they focus on
what's called the dawn effect the dawn effect is due to the fact that the vast majority of us
have an increase in cortisol between four and six in the morning that cortisol causes our liver to
start pushing out glucose I have never seen a dawn effect which was routinely getting people
into dangerous levels blood sugar when we'll have an event we'll often take these finger
sticks with us and people will be surprised they'll say wait a minute my blood sugar was
higher before breakfast than it was afterwards and just like you've described what happens is
your glucose is being pushed by cortisol in the morning you eat something and then you get a bolus
of insulin as a response to what you eat so we've got quite a few comments and again I think folks
that use this CGM begin to realize there's a whole bunch of stuff that I learned and we used to say
eat to the glucometer James was saying gosh you know what you live to the glucometer you realize
what you need to be doing in terms of developing muscle mass the more you develop good muscle mass
the better those muscles pull that blood sugar in even if your receptors are resistant to insulin
sleep big impact we just talked about some of that you get poor sleep and your blood sugars
are going to average a little bit higher for the next 48 hours and obviously stuff like activity
you can take a carb vacation which many of us will do during these upcoming holidays
remember you take up a carb vacation you go a little bit higher on your blood sugar you walk
around you don't have to do major aggressive hill rides just gentle walking will pull that
sugar out of your blood and into the muscles the large muscles of your body why wait for a disease
and hope for a cure I used to be an ER doc my name is Ford Brewer I quit ER after a few years because
it was just so frustrating most of the things bringing people into the ER are things that should
have been prevented including heart attack stroke number one cause of death number one cause of
permanent disability people think that you're just gonna have those and that they're not predictable
both of those are wrong they are predictable and you don't have to have them usually it's
lifestyle lifestyle is more important than supplements and even prescription drugs and even
stents and surgery but the current times are tough major financial impact with the lockdowns that
most states have been going through we've been working on a way to make this much more affordable
with a subscription process and that's exactly what we're announcing today we've got two levels
one is the Silver Membership where you get access to our courses a private webinar each
month and access to our supplement store and supplement recommendations and prescription or
I would suggest even more so the Gold Membership you can get a script for a Freestyle Libre and
find out what your blood sugar metabolism is doing on a daily basis and you can get a lab
order for inflammation OGTT and insulin survey you can also get a 30-minute one-on-one with me
so I'm looking forward to seeing you cost is no longer an excuse so if you're interested go to
care.prevmedhealth.com/Membership or call us at
859-721-1414 859-721-1414