Bariatric or weight loss surgery is considered a metabolic surgery. It does not only help patients lose weight but also helps to resolve other metabolic conditions such as type 2 diabetes, high blood pressure and sleep apnea.
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Presented by Dr Dorit Samocha-Bonet From Garvan’s Type 1 and Type 2 Diabetes Seminar: http://www.garvan.org.au/get-involved/events. Dr Samocha-Bonet discusses the changes in dietary recommendations over the years, the alkalising diet and gives her tips on healthy eating.
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(USMLE topics) Mechanisms by which obesity and physical inactivity can cause pre-diabetes and diabetes. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/narrated-videos-by-topics/diabetes/-/medias/b42e945a-389f-41d0-b592-77aad378a24d-how-unhealthy-lifestyle-causes-prediabetes-and-diabetes-narrat
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Diabetes refers to a group of conditions characterized by high levels of blood glucose, commonly known as blood sugar. Glucose comes from digestion of carbohydrates in food, and is carried by the bloodstream to various body tissues. But glucose cannot cross the cell membrane to enter the cells on its own; to do so, it requires assistance from a hormone produced by the pancreas called insulin. Binding of insulin to its receptor on a target cell triggers a signaling cascade that brings glucose transporters to the cell membrane, creating passageways for glucose to enter the cells. In most tissues, muscles for example, glucose is used as an energy source, while in the liver and adipose tissue, it is also stored for later use, in the form of glycogen and fats. When the body is in the fasted state, the liver produces and secretes glucose into the blood, while adipose tissues release free fatty acids to the liver where they are converted into additional metabolic fuel.
Diabetes happens when insulin is either deficient or its action is compromised. Without insulin, glucose cannot enter the cells; it stays in the blood, causing high blood sugar levels.
There are 2 major types of diabetes. Type 1 is when the pancreas does not produce enough insulin; and type 2 is when the body’s cells do not respond well to insulin – they are insulin-resistant. Both types are caused by a combination of genetic and environmental factors but genetics plays a major role in type 1, while lifestyle is a predominant risk factor for type 2. For this reason, type 1 diabetes usually starts suddenly in childhood, while type 2 progresses gradually during adulthood, going through a so called pre-diabetic stage, which is defined as borderline blood sugar levels. Pre-diabetes is very common. Unhealthy lifestyle is the trigger of pre-diabetes and the main driving force behind its progression to diabetes type 2. The key factors are obesity and physical inactivity.
There are at least 2 ways by which obesity can cause insulin resistance and high blood glucose.
First, in obesity, fat cells have to process more nutrients than they can manage and become stressed. As a result, they release inflammatory mediators, known as cytokines. Cytokines interfere with the signaling cascade by insulin receptor, blocking the action of insulin.
Second, excess adipose tissue releases abnormally large amount of free fatty acids to the liver – an event that normally happens only when the body is fasting. This tricks the liver into producing and releasing more glucose into the blood. High blood glucose stimulates further insulin secretion. Constant high insulin levels de-sensitize body tissues, causing insulin insensitivity.
Intra-abdominal fat appears to produce more fatty acids and cytokines, and therefore has more severe effect on blood glucose, than subcutaneous, or peripheral fat. For this reason, large waist size is a greater risk factor than high body mass index.
Sedentary lifestyle, apart from having indirect effect by causing weight gain, has its own direct impact on insulin resistance. This is because physical activity is required to maintain healthy blood sugar levels. Physical activity increases energy demand by the muscles, which consume glucose from the blood, and subsequently from glucose storage in the liver and adipose tissue. High energy expenditure helps to clear up faster the spikes of blood glucose that follow every meal. High energy demand also promotes better cellular response to insulin, increasing insulin sensitivity. Physical inactivity, even for a short period of time, results in consistently higher spikes of blood sugar after meals, which can trigger pre-diabetic changes in healthy individuals, or speed up transition from pre-diabetes to diabetes. This happens not only to over-weight patients, but also to people with seemingly healthy weight.
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Are you doing keto and intermittent fasting, but your blood sugar levels are still high? This could be why.
DATA:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927596/
Inflammation Videos:
Timestamps
0:00 High blood sugar levels
0:10 Where is the sugar coming from?
1:09 Insulin resistance
1:56 What to do for insulin resistance
Do you have high blood sugar levels even though you’re not consuming dietary sugar? Today we’re going to talk about why this could be happening.
In this situation, the sugar is actually coming from your liver and kidneys. There is something called gluconeogenesis, which is the formation of new sugar. Your body always needs a very small amount of sugar, but your body can make this sugar out of non-carbohydrate sources. It can make it out of fat, protein, and even ketones. Insulin controls this process. It’s supposed to turn off gluconeogenesis.
When you have high blood sugar, but you’re not consuming any sugar, this could mean that you have very low amounts of insulin in your body. Your insulin may actually be too low. Insulin resistance is a condition that can cause you to not have enough insulin.
With insulin resistance, you have high levels of insulin, but that insulin is not working in the body, and it’s not shutting down gluconeogenesis. It may be best to focus on improving insulin resistance.
How to help improve insulin resistance:
• Exercise more
• Increase your fasting
• Increase your fiber (vegetable fiber)
• Apple cider vinegar
• Vitamin D
• Chromium
• Zinc
• B vitamins (nutritional yeast)
• Potassium
• Magnesium
• Get more sleep
• Decrease inflammation
• Give it more time
• Focus on other improvements
FREE COURSE➜ ➜ http://bit.ly/BulletproofImmuneSystemCourse
Talk to a Product Advisor to find the best product for you!
Call 1-540-299-1556 with your questions about Dr. Berg’s products. Product Advisors are available Monday through Friday 8am-6pm and Saturday 9am-5pm EST.
* At this time, we no longer offer Keto Consulting and our Product Advisors will only be advising on which product is best for you and advise on how to take them.
Dr. Eric Berg DC Bio:
Dr. Berg, age 56, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.
DR. BERG’S SHOP: https://bit.ly/2J20u9u
Follow us on FACEBOOK: fb.me/DrEricBerg
Send a Message to his team: m.me/DrEricBerg
ABOUT DR. BERG: https://bit.ly/37sEI82
Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.
#keto #ketodiet #weightloss
Thanks for watching! I hope this helps you better understand why you could have high blood sugar even though you’re not consuming dietary sugar.
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A Michigan Medicine cardiologist and gastroenterologist for a discussion about Metabolic Syndrome – a group of health conditions that increases your risk for heart attack, stroke, heart failure and diabetes. Our experts will field questions from our viewers and talk about what metabolic syndrome means and how obesity, cardiovascular disease, diabetes and liver disease play a role in diagnosis.
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#MichiganMedicine #MetabolicSyndrome #Obesity #Diabetes #HeartHealth #LiverHealth #Stroke #Health #Medicine #HealthTips
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Robert H. Lustig, M.D., M.S.L. is Professor emeritus of Pediatrics, Division of Endocrinology at the University of California, San Francisco (UCSF). He specialises in the field of neuroendocrinology, with an emphasis on the regulation of energy balance by the central nervous system. His research and clinical practice has focused on childhood obesity and diabetes. Dr. Lustig holds a Bachelor’s in Science from MIT, a Doctorate in Medicine from Cornell University. Medical College, and a Master’s of Studies in Law from U.C. Hastings College of the Law.
Dr. Lustig has fostered a global discussion of metabolic health and nutrition, exposing some of the leading myths that underlie the current pandemic of diet-related disease. He believes the food business, by pushing processed food loaded with sugar, has hacked our bodies and minds to pursue pleasure instead of happiness; fostering today’s epidemics of addiction and depression. Yet by focusing on real food, we can beat the odds against sugar, processed food, obesity, and disease.
Please consider supporting Low Carb Down Under via Patreon. A small monthly contribution will assist in the costs of filming and editing these presentations and will allow us to keep producing high quality content free from advertising. For further information visit; https://www.patreon.com/lowcarbdownunder
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View episode show notes here: https://bit.ly/3ugel18
Rick Johnson, Professor of Nephrology at the University of Colorado and a previous guest on The Drive, returns for a follow-up about unique features of fructose metabolism, and how this system that aided the survival of human ancestors has become potentially hazardous based on our culture’s dietary norms. In this episode, Rick explains how the body can generate fructose from glucose and how circulating glucose and salt levels can activate this conversion. He discusses the decline in metabolic flexibility associated with aging, as well as how factors such as sugar intake or menopause-associated hormone changes can alter responses to sugar across a lifetime. In addition, Rick lays out strategies for combating the development of metabolic illness using dietary changes and pharmaceutical therapies, and he discusses the impact of fructose metabolism and uric acid on kidney function and blood pressure. He concludes with a discussion of vasopressin, a hormone that facilitates fructose’s effects on weight gain and insulin resistance.
We discuss:
00:00:00 – Intro
00:00:10 – Unique features of fructose metabolism and why it matters
00:09:00 – A primer on fructose metabolism and uric acid
00:21:04 – Endogenous fructose production, the polyol pathway, and the effect of non-fructose sugars
00:28:20 – Findings from animal studies of glucose and fructose consumption
00:45:06 – What calorie-controlled studies say about the claim that a “calorie is a calorie”
00:56:45 – Implications for aging and disease
01:08:58 – Impact of endogenous fructose production on obesity and metabolic syndrome
01:12:43 – Why vulnerability to the negative effects of sugar increases with age and menopause
01:26:43 – Dietary strategies to reduce the negative impact of fructose
01:43:56 – The role of hypertension in chronic disease and tips for lowering blood pressure
01:54:16 – The impact of fructose and uric acid on kidney function and blood pressure
02:04:50 – The potential role of sodium in hypertension, obesity, and metabolic syndrome
02:11:18 – The role of vasopressin in metabolic disease
——–
About:
The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 35 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.
Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).
Learn more: https://bit.ly/3AU1GlM
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Subscribe to The Drive:
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#DiabetesMellitus,#Diabetes,#HighlevelSugar,#diabetes,#diabetesmellitus,#diabetestreatment,
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Diabetes mellitus, or diabetes,
is a metabolic disease that causes
high blood sugar levels.
Insulin transports sugar from the
blood into your cells, where it is
stored or used for energy. Diabetes
occurs when your body either does
not produce enough insulin or does
not use the insulin that it does
produce effectively.
Diabetes-related high blood sugar
can harm your nerves, eyes, kidneys,
and other organs if left untreated.
Diabetes is classified into several
types:Diabetes type 1 is an autoimmune
disorder.
The immune system attacks
and destroys cells in the
pancreas, which manufactures
insulin.
It is unknown what is causing
this attack.
This type affects
approximately 10% of diabetics.
Type 2 diabetes develops
when your body becomes
resistant to insulin,
causing sugar to accumulate
in your blood.
Prediabetes is defined
as having blood sugar
levels that are higher
than normal but not high
enough to warrant a
diagnosis of type
2 diabetes.
Gestational diabetes is
defined as high blood sugar
levels during pregnancy.
Insulin-blocking hormones
produced by the placenta
cause this type of diabetes.
A rare condition called
diabetes insipidus is not
related to diabetes mellitus,
although it has a similar name.
It’s a different condition
in which your kidneys remove
too much fluid from your body.
Symptoms of diabetes
Diabetes symptoms are
caused by rising blood
sugar.
General symptoms
The general symptoms
of diabetes include:
*Increased hunger
*Increased thirst
*Weight loss
*Frequent urination
*Blurry vision
*Extreme fatigue
*Sores that don’t heal
Symptoms in men
In addition to the general
symptoms of diabetes, men
with diabetes may have a
decreased sex drive,
erectile dysfunction
(ED), and poor muscle
strength.
Symptoms in women
Women with diabetes can also
have symptoms such as urinary
tract infections, yeast
infections, and dry,
itchy skin.
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What is a low blood sugar level? The medical definition for a very low BLOOD SUGAR sugar (glucose), is your body’s main energy source. In today’s video, we will talk about what exactly causes hypoglycemia ( low blood sugar) and what are the common symptoms and signs of hypoglycemia. Just feeling shaky and weak is not always the only symptom of hypoglycemia ( low blood sugar). Is hypoglycemia ( low blood sugar) your fate when you have diabetes? Do you have to have diabetes to have hypoglycemia ( low blood sugar)? Stay tuned as Dr. Ahmet Ergin, the founder and CEO of Sugarmds.com explains.
𝐁𝐘 𝐕𝐈𝐒𝐈𝐓𝐈𝐍𝐆 𝐒𝐔𝐆𝐀𝐑𝐌𝐃𝐒.𝐂𝐎𝐌 𝐅𝐎𝐑 𝐔𝐒𝐀 𝐂𝐔𝐒𝐓𝐎𝐌𝐄𝐑𝐒 𝐀𝐍𝐃 𝐄𝐓𝐒𝐘.𝐂𝐎𝐌/𝐒𝐇𝐎𝐏/𝐒𝐔𝐆𝐀𝐑𝐌𝐃 𝐅𝐎𝐑 𝐍𝐎𝐍-𝐔𝐒𝐀 𝐂𝐔𝐒𝐓𝐎𝐌𝐄𝐑𝐒 𝐘𝐎𝐔 𝐂𝐀𝐍 𝐏𝐔𝐑𝐂𝐇𝐀𝐒𝐄 𝐅𝐎𝐋𝐋𝐎𝐖𝐈𝐍𝐆 𝐎𝐑𝐈𝐆𝐈𝐍𝐀𝐋 𝐀𝐔𝐓𝐇𝐄𝐍𝐓𝐈𝐂 𝐒𝐔𝐆𝐀𝐑𝐌𝐃 𝐏𝐑𝐎𝐃𝐔𝐂𝐓𝐒:
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-𝐃𝐫. 𝐄𝐫𝐠𝐢𝐧’𝐬 𝐓𝐡𝐞 𝐔𝐥𝐭𝐢𝐦𝐚𝐭𝐞 𝐃𝐢𝐚𝐛𝐞𝐭𝐞𝐬 𝐁𝐨𝐨𝐤
𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐒𝐮𝐠𝐚𝐫𝐌𝐃 𝐞𝐦𝐚𝐢𝐥 𝐥𝐢𝐬𝐭 𝐟𝐨𝐫 𝐝𝐢𝐬𝐜𝐨𝐮𝐧𝐭𝐬, 𝐩𝐫𝐨𝐦𝐨𝐭𝐢𝐨𝐧𝐬 𝐚𝐧𝐝 𝐧𝐞𝐰𝐬𝐥𝐞𝐭𝐭𝐞𝐫𝐬:
https://sugarmds.com/subscribe-now/
𝐒𝐈𝐆𝐍 𝐔𝐏 𝐅𝐎𝐑 𝐎𝐔𝐑 𝐅𝐀𝐂𝐄𝐁𝐎𝐎𝐊 𝐒𝐔𝐏𝐏𝐎𝐑𝐓 𝐆𝐑𝐎𝐔𝐏𝐒 𝐇𝐄𝐑𝐄:
https://www.facebook.com/groups/sugarmds
𝐀𝐁𝐎𝐔𝐓 𝐒𝐔𝐆𝐀𝐑𝐌𝐃 𝐂𝐇𝐀𝐍𝐍𝐄𝐋:
Regardless of your diabetes type (type 2 diabetes or type 1 diabetes), you will find plenty of diabetes control tips in the SugarMD channel by Dr. Ergin. We have a lot of content around foods to eat when you have diabetes, diabetic recipes, exercise videos, diabetic supplements, herbs, natural remedies, regular medications, and more. We talk about normal blood sugar levels, how to keep blood sugar as close to normal as possible without sacrificing your entire diet. How to make a diabetic diet more enjoyable while creating a diabetic meal plan. And, most of all we support and help each other learn and stay strong against this ugly chronic disease.
SugarMD combines holistic and evidence-based medicine and serves you the best of both worlds without bias.
𝐀𝐁𝐎𝐔𝐓 𝐃𝐑. 𝐄𝐑𝐆𝐈𝐍:
Ahmet Ergin, MD, FACE, CDCES, ECNU Endocrinologist, Diabetes Educator www.SugarMDs.com Ahmet Ergin, MD, is a specialist physician in endocrinology, diabetes, and metabolism. He is interested in preventive cardiology as well. He has been practicing for over 10 years, having seen over 30,000 patients in his career so far. He speaks science and proud to educate his patients with real data rather than hearsay. To become a concierge patient with Dr. Ergin please call 561-462-5053. Note: You have to be a Florida or New York Resident to apply.
For collaboration requests please email me:ask@sugarmds.com- 𝐏𝐥𝐞𝐚𝐬𝐞 𝐝𝐨 𝐧𝐨𝐭 𝐬𝐞𝐧𝐝 𝐩𝐞𝐫𝐬𝐨𝐧𝐚𝐥 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐪𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬.
Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition.
#diabetesmellitus #diabetes #diabetic
#type2diabetes #type1diabetes #diabeticmealplan
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Voice by : Marty Henne
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All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Metabolic syndrome, also called syndrome X or insulin resistance syndrome, refers to a combination of metabolic risk factors that increase the chance of developing cardiovascular diseases, such as heart attacks or strokes; and type 2 diabetes.
Metabolic syndrome is diagnosed when a patient has at least three of the following:
– A waistline of 40 inches or more for men, or 35 inches or more for women;
– A systolic blood pressure above 130 and a diastolic blood pressure above 85 mmHg, or if the patient is taking blood pressure-lowering medications;
– A fasting blood sugar level above 100 mg/dL, or if the patient is taking glucose-lowering medications;
– A triglyceride level greater than 150 mg/dL;
– An HDL level of less than 40 mg/dL for men, or 50 mg/dLfor women.
Metabolic syndrome, in turn, has its own set of underlying risk factors, of which insulin resistance is most important. Insulin resistance is when the body’s cells do not respond well to insulin and therefore cannot use glucose; glucose stays in the blood, causing high blood sugar levels while the cells are deprived of nutrition. Insulin resistance can be acquired, hereditary, or mixed. Other risk factors include abdominal obesity, physical inactivity, aging, hormonal imbalances, and use of certain medications. Women are more susceptible than men. Some racial and ethnic groups are at higher risk than others.
Metabolic syndrome is often associated with excessive blood clotting and chronic low-grade inflammation, as well as several other conditions, but the cause-effect relationship is not clear.
The goal of treating metabolic syndrome is to reduce the risk of cardiovascular diseases. Treatment aims to lower blood pressure and cholesterol; and to manage diabetes, or prevent it, if it hasn’t already developed.
Lifestyle changes include a heart-healthy diet, physical activity plan, weight management, stress management, and quitting smoking.
If lifestyle changes aren’t enough, medications may be prescribed to lower LDL cholesterol and triglycerides; to reduce blood pressure, blood sugar level, or to prevent blood clots.
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Diabetes mellitus is a group of metabolic diseases that causes a person to have high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. It’s also a disease of the immune system.
Diabetes affects about 8 percent of the U.S. population or 25 million people. 285 million worldwide. It is estimated that half of all Americans will have diabetes by 2020.
High blood sugar produces the classical signs and symptoms of diabetes: thirst, hunger, weight loss, frequent urination…
Type 2 diabetes is a consequence of a seismic shift in lifestyle beginning about ten thousand years ago.
The shift was from hunting and gathering food to farming and raising animals, then eating the fruit of that labor. Before the shift, Neolithic hunter gatherers gorged food to store body fat in good times to ward off starvation in lean times. Body fat was life insurance!
Today, gobbling food in excess has developed into a pathology linked to obesity, type 2 diabetes, heart disease, and stroke. .
Type 1 Diabetes results from autoimmune destruction of insulin producing beta cells of the pancreas. Incidence varies from eight to 17 per 100 thousand in the U.S. It is fatal unless treated with insulin.
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Dr. Michael Mosley, author of THE 8-WEEK BLOOD SUGAR DIET, explains the difference between diabetes and prediabetes, what the risks are, and how weight is involved.
