My Bjj Labcorp's LP-IR looks at six lipid metrics to estimate insulin
sensitivity yeah I've seen that one LDL particles
HDL particles VLDL size and LDL size HDL size what are your
thoughts on this lipid panel to estimate IR
you know I don't think it's bad if you go back and you
look at what we just talked about My Bjj it's crystal clear
that I can tell a lot about somebody's carb metabolism and whether they have
insulin resistance by looking at HDL LDL
triglyceride and VLDL you know those remnant particles
that's why we went through what we went through today so it's very interesting
I'm very interested in a cholesterol panel
but not like most other docs are and for the reasons that we talked about today
so those are helpful indicators now here's
my problem with it though Quest has a similar index
these labs however don't share with you exactly what they're looking
at and what they're making their decision
on and how they're making their recommendation
so what I would rather do is look at the actual numbers
and go over with you as a patient look at my own numbers
and see exactly what's going on thank you so much
great question I scored the ideal category for all six
LP-IR markers without any meds LabCorp says I'm in the most insulin
sensitive group also my triglycerides only 46 and HDL
74 those are some impressive numbers triglyceride over HDL ratio is 0.62 yet
my fasting blood glucose is often 100 to 110
well again there's nothing like looking at the real data and the direct
data now one thing I would say though just
given what you've told me so far Bjj you obviously have some of what's called the
dawn effect the dawn effect is when in the dawn the
early hours of the morning well all of us tend to have our spike of
cortisol in the dark in the early morning so all
of us tend to have our highest natural blood glucose
levels in the early morning like that so even though you have some dawn effect
you obviously are managing it very very well
and I'm not too worried about that if those are some of the
biggest glucose numbers you're seeing I'm obviously would be very interested
to see what your numbers are after a challenge
I said a few minutes ago those are often the highest numbers for people
natural numbers meaning numbers that are not created by a challenge
and a challenge can be in the lab as well as a challenge
with burgers and a Coke or something like that unfortunately
too many people in the US and you know other parts of the world
are challenging our pancreas our metabolism
with big Macs french fries super sized Coke you name it
not only once a day 7 days a week three times a day 21 times a week maybe
4 maybe 5 times a day you get that kind
of challenge on a regular basis and you're gonna wear your pancreas out and
your arteries My Bjj however I've recently
brought my fasting blood glucose down to 90 93
by being in keto and depleting my glycogen
yep there are some things to do I will tell you this a lot of people get really
really worried about their dawn effect if you're managing your carbs and
managing your blood glucoses during the rest of the day
I have to often counsel patients don't be quite so concerned about a
morning blood glucose of 100 to 110. those are not dangerous levels like you know
180 200 for somebody who's got significant
glucose metabolism problems and eating obviously sometimes the wrong
stuff
so I'd like to talk with you a minute about the webinar people don't
understand what the webinar is it's actually a great way to get some
access to health care that you're just not going to get any other way
you actually get the lab tests yourself for at a local lab a Quest lab near you
for the inflammation panel and the OGTT and the insulin survey these are things
inflammation and prediabetes that your doctor just
does not know about and here's the thing harvard health and
many others have said look sudden death is not always so sudden the
hollywood picture that it's a bolt out of the blue is not
realistic it's more like real lightning preceded by clouds wind and rain
stop that metabolic storm before the lightning strikes
and here's where that metabolic storm comes from
it's inflammation and it has to do usually with prediabetes so again we
actually get labs we go over them in the webinar and then
you can start finding out how you can prevent that heart
attack others said that you couldn't even
predict we can show you how thanks