Take the extra hour or two or three. It's worth it. Stay at the lab, get a
full-blown OGTT (oral glucose-tolerance test) or even an
insulin survey. These things are so important. An OGTT is where you get...
you fast for eight hours, you get a blood sugar, and an insulin value. Then you take
the Glucola. An hour later, you get the blood sugar again. And an hour later, you
get the blood sugar again. It tells us exactly what's going on with your body.
Even more importantly, add insulin to that one- and two- and three-hour value.
Once you do that, you get a huge increase in information.
I've finally been able to get Quest Labs to agree to do that. It took me months to
get that done. Here's what I'm finding out. Two or three patients per
month have a normal OGTT, but they have they have to use double the amount of
insulin to keep their blood sugars normal. Why is that important? Because
insulin causes inflammation, just like glucose. So think about it once you get
your CIMT today. And this is old information in an old study. I will tell
you, it's incredibly conservative. According to this study, done way back in
'11, they found that 70% of people that had any plaque at all had insulin
resistance. But here's the thing. That was measured by A1c and fasting blood
glucose alone. When you realize that 20% of the cases are missing missed through
those studies, it's probably more like 90%. And I would say 90% is much more
the types of numbers that I see in my practice. What about the other 10%? It's
usually people with inflammatory disease, like lupus or rheumatoid arthritis. Those
inflammatory diseases cause much risk for heart attack and stroke as diabetes.
So again, I've described the glucose tolerance test. For sake of your time and
David's, I'm going to not repeat that you can go into my other videos and we'll go
into details on how to interpret an oral glucose tolerance test, how to get one
done, how to interpret a Kraft prediabetes or insulin survey. These
are great tests. You can do those at home. You know, if you want to know how to do
them, we can certainly help you get that done. A lot of people get very
interested and got a lot comments when I showed this diagram. It's
hard to see but it basically shows the patterns that Dr. Kraft saw when he
did thousands of these insulin surveys. The first one is normal, with your blood
sugar peaking up around 120, coming in the 80s, peaking at 120, getting back to
about a hundred at hour one and a half, two, and then back down into the to the
80s. With insulin levels, going starting between 0 and 5, going up
usually no higher than 50, sometimes 80, and then coming back down within a
couple of hours to less than 10. Here's what happens as you start getting more
and more insulin resistant. Your blood sugar continues to climb beyond the 120
then up into 140 and then takes a little bit longer to get back down to 120. So at
hour 1, you're at 120; hour 2, your 140; and two hours, three hours, you're
finally starting to get back down.
Insulin levels are peaking up higher. They're going beyond 50, beyond 60, going
up to 80. With pattern 3, a further delay, and that's exactly what I've seen with
several patients. We demonstrated that on a couple of our videos, we're up at hours
2. Even you still have continuing increase going up to 160, 140, 160, even
180 in terms of glucose values. And again these are showing some fairly low
insulin levels. I've seen insulin levels go up over a hundred at hour 1, even at hour
1 and 2, trying to keep their blood sugar down. And again, having a high
insulin level is just as bad just as inflammatory as having a high glucose
level. What gets very interesting is what I'm just this
pattern 4 is the hyperinsulinemia pattern. I've described that a couple of times
already and then pattern 5 is insulinopenic. In other words, you've burned out
all of your beta cells, you don't have any insulin left. Your blood sugar goes
up to 200 or more before it finally comes back down. That's full-blown
diabetes. Once your blood sugar at any stage with any kind of challenge
including this one goes over 200, that's one of the criteria. You meet the
criteria for being full-blown diabetic. Don't panic if that happens, and I have
that happen again a few times a month. Don't panic if that happens. This
happened to me. We manage that to a large extent. The very same way that we manage
is just that we manage insulin resistance. It's a stronger form of
insulin resistance. There are things to do and it usually does not mean that
you're going to have to go on insulin or any type of injectable drug. Now again, I
mentioned triglyceride to HDL ratio. I mentioned home glucose monitoring. You
can do that with finger stick but I would strongly suggest that you try the
Freestyle Libre. You see it on many of my videos. And again, as I mentioned
before, that's like 70 bucks to get continuous glucose monitoring. For a
couple of weeks, what you find is what your blood sugar's doing between
midnight and 6:00 a.m. I don't care how good you are in terms of doing your
finger sticks. You're not gonna wake up in the middle of the night routinely and
do that. This helps you understand those kind of patterns. It helps you understand
how you're different from day to day, how do you change. Some people have problems
with lentils, other people's... other people don't. There's a lot of variation in this
in our body's reaction to different foods, to different days, depending on how
we slept, in our cortisol levels. This is how you can start beginning to
understand this. And again we've been flying blind in this up until now. Now,
information is available. We can start managing this. So there
are a lot of things that we can do to manage it. By far, the most important is
diet. The second most important is diet. The
third most important is diet. Other things that are important: good sleep,
exercise is incredibly important. One of the major components of diet is keeping
a proper muscle to body fat mass ratio. Again, we've got videos available to you
for all of that. Now, let's say you've gotten all of this done. You get a CIMT.
You're interested in doing more. There's a lot of different ways that we can get
help for you, ranging from... you can basically for the most part follow the
free advice in the free videos on YouTube and get very far. As you see in
many of the comments, I've had many viewers do just that. If you'd like more
help, we can do that, ranging from a full concierge type of service, all the way
back down to one of our newest services- webinar series. A webinar series is a
way to... it's sort of a mix between do-it-yourself and working with the
doctor. Basically what you do is we will help... we will provide you with lab
requisitions, things that you need to get the proper labs lists and orders for the
labs. And then you attend webinars, that's a plan to be small groups and so far we
do continue to have very small group webinars where you we talk about
inflammation, we talk about plaque, we talk about insulin resistance, and we
talk about specific individual results. So we help you interpret it. What time
are those things? Right now, we may change it. But right now, we're doing them
Tuesdays at 11:00 Eastern Time. I don't remember the price. I think it's about
250 to get the labs that you need and attend the webinars for three months. You
also get a three month subscription to the web
our content that's been presented during that past three month time period. I'm,
as you know, I'm passionate about this. I want to make this kind of information
available. I greatly appreciate what you're doing in terms of interest and
taking a look at what we're doing. If you'd like to get into this and find out
a little bit more, you can go to the membership page, you go to our website
prevmedheartrisk.com. There's a new button here... membership login. You just
click on that button. If you haven't signed in already, it's a free membership.
You give your email, you sign in, create a free account, and then that gives you the
basic overview of all of the information and content that we have. A lot of free
content. We've got a book coming out within a couple of months on plaque
recognition and some of the things that I talked about here. You get the
intro and the first chapter of that book for free on this membership page. You get...
we've got two courses out there already and a third getting ready to come out.
One on plaque, one on inflammation, and one on insulin resistance. Again, free
content out of each of those courses is available just by going into the
membership site. And if you want to just get it all done, you want to make some
investment of a couple of days of your time and the money to get all of the
labs and the CIMT, you can come to an event with us. So we've got one coming up
in Louisville on November 8th and 9th. My name is Ford Brewer. I started off as
an ER doc. Then I became very frustrated with the fact that most
things that bring people into the ER were preventable, like heart attack and
stroke. I went to Johns Hopkins to get training and ended up running the
program there in prevention. There, I trained dozens of docs, and again that
was three decades ago. Since then, I've trained thousands of docs. And even more
importantly, supervised those docs. And even most importantly, helped
thousands of patients prevent things like heart attack and stroke. Waiting for
it, for the disease and hoping for a cure for this kind of devastation, doesn't
work. So come to Louisville on November 8th and 9th. We have a boot camp type of
environment for two days where you learn all the things that you didn't learn
from your doc in terms of heart attack stroke prevention things, like
cardiovascular inflammation, how to detect it, how to measure things like
insulin resistance (the number one cause of inflammation), how to detect it, how to
measure it, how to stop it, how to manage it. You also get you can get the labs
there for that event if you'd like and get a complete evaluation. In addition
you get an arterial scan called a CIMT. To get the right one of those is fairly
difficult. So I'm looking forward to seeing you there. Thanks.