Blood Sugar – Functional Medicine Back to Basics

Blood Sugar – Functional Medicine Back to Basics

In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses blood sugar and why that is an important metric to monitor for people suffering from chronic health problems especially autoimmune issues.

Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors.

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Hi I’m dr. Martin Rutherford, author of power, health back the basics clinic director here at power, health in Reno Nevada, and today we’re, going to be talking about sugar. We’re, going to be talking about blood sugar and I’ve.

Give me a minute or two here: I’ll. Tell you why we’re talking about blood sugar and we’re gonna be talking about every type of blood sugar, probably except for diabetes type one, because everybody’s, pretty familiar with that, and that’S a this is a part of a series that were that we are doing and this series generated from, I am also a certified functional medicine practitioner and I’ve, been, I would say, I was one of the first group of certified functional medicine Practitioner so I’ve been doing it for a long time and I’m, seeing the change in in functional medicine and I’m, getting a lot of people who come in now, who have already been the functional medicine.

Practitioners, except what they’re telling me, has been done to them. Doesn’t sound, like what functional medicine practitioners are were originally at least taught to do, and I think what are being taught in several of the courses out there and the other reason we’re doing.

This is because we have, I don’t, know five or six hundred hours online. Talking about all of the things that we treat. We have a sort of more or less a chronic condition, chronic pain practice, and so we treat five imagine four frothy and chronic fatigue.

Vertigo dizziness balance irritable bowel syndrome, but we treat the things concussion syndrome. We treat the things that come and just won &, # 39 t go, and there are certain elements to that and we have.

We saw. We have like 500 hours online with addressing each one of those polycystic ovarian syndrome and blood, sugar and obesity, and all that and that’s, a power health, and in doing that, the thanks that we’ve got is actually a Lot of a lot, we get a lot of positive feedback, but we get a lot of well.

You’re, not telling me how to get better. You’re telling me what fibromyalgia is you’re, not telling me how to get better and in the end I could have a finer fibromyalgia patients in here or 100 migraine patients in here and they’d.

All be, you know a little different, so I can’t. Do that so, based on all of that, we came up with the idea this year, maybe just going through a series of what is functional medicine. So this is, I don’t know.

This is fifth or sixth. In the series we’ve already talked about the foundation of functional medicine and what it should be. We’ve talked about how you do exams where you know phone and what they mean in functional medicine.

We talked about testing and what that means. In functional medicine, we’ve talked about the initial consultation and how to how? To kind of how to kind of screen out what I call well, I don’t call them, like my colleagues and mentors called them obstacles to cure, and so I certainly do that because it’s.

Important to have people who are able to go through the type of a program that needs to be gone through to get better, and so then we started off. And then we started into the foundational aspects of treatment last week and we talked a lot about oxygen and and how oxygen is very foundational.

So in functional medicine online it seems like mostly it’s, the magic right. Now it’s. To take this pill for that and do your SIBO and take your take your berberine for your C bows. Take this for your leaky gut and take this powder and take glutamate and all that’s out there.

But people are still getting sick and not getting better. This series is addressing why so, ok, so back to the foundation, so so foundation of treatment is what we’re going through now, and the first foundation of treatment is follow.

The fuel the fuel to our body is largely largely oxygen and sugar, and it is seems to be across the board, almost universally ignored when patients come here from other doctors and and it looks and they’re.

Taking all the supplements that I probably would use, I probably would use as many, but but but you know they’re using tumeric and they’re using berberine and they’re using adapted friends and they’Re using all this stuff, but they’re sitting here and they’re still sick, because things have been missed.

Okay, and so we’re, going through what those things are and sugar is like, like among the top top top physiological abnormalities that are missed so so blood sugar is. I will talk just briefly about the ketogenic aspects of fuel.

Okay and we’ll, we’ll. Do it relative to relative to the sugar that we’re talking about today, so we’re going to talk about sugar and we’re gonna talk about how it is so important to those of you who have Chronic problems, so people come in here and if they have diabetes, okay, if they have diabetes, type 1 or diabetes type 2, they’re, being attended to and and and that’s because that’s, where the mindset is Right now let’s, wait until for like the 25 years that it takes to develop but diabetes, type 2 or diabetes type 1.

And then, with the exception of juvenile diabetes and let’s and then let’s. Take care of it then, after there’s been 25 years of damage done to that person’s, brain and arteries, and heart and all that type of stuff.

But that’s where at because that’s. The medical model not anti medicine, it’s, just that the medical model is is designed for heroic care. It’s, designed for what it’s designed for emergency care, keeping people alive, and then, when things start to not work, then we can give a drug and and of course, if a person has diabetes type 1, they’Re not making any insulin or pancreas they take insulin, diabetes, type 2 is a different animal and we’re gonna talk about that in a little bit, but even that at least you’re going to the doctor and they have A lot of different names for it now metabolic syndromes syndrome, X, insulin, resistance, and we’re going to talk about that.

But but the diabetes type 2 is getting a little bit more attention. They ‘ Ll. Basically, tell you exercise tell time the doctors will you to tell you to change your diet, eat better exercise, go! Take a walk! 40 minutes three times a week, 20 minutes five times a week, 30 minute four times a week.

Whatever a doctor you go to, and then maybe if that doesn’t work, maybe they give you a Matt Foreman which there are actually better natural alternatives for that and we’ll talk about that in a minute, but that’s the blood sugar world right now the problem is most of the people who come in here.

Their problem is low blood sugar and most of them actually have something called reactive hypoglycemia, which invariably is almost never addressed, and invariably the patient, doesn’t even know that they have it.

So these are those are those of you out there who want to know you know what are the reasons I’m, not getting better, taking my supplements and and eating better than anybody on planet earth. This is a big one all right! This is a big one, so basically low blood sugar is huge.

If you get low blood sugar, low blood sugar symptoms are I’m irritable, I get shaky. If I don’t eat, I get fatigued. No. That would be high pleasure. I get irritable, I get shaky, I want to kill people when I don’t eat.

I get. I know I get I get nasty. Maybe I get some anxiety it’ll, be you could have cravings for sugar. A big one. Is I eat and I feel much better after I eat, I feel much better. It’s not like I’m hungry I eat, and then I just go on with it.

It’s. Like I’m fatigued, I’m. Getting brain fog. I can’t. Think I’m in a dumps and then I eat and I’m. Like I’m fine again, okay, those are symptoms of low blood sugar and there’s more. I think I said crave sweets and if I didn’t and crave, sweets is one of them.

So so that’s, something that isn’t really normally addressed. But here’s here’s. What blood sugar is supposed to look like here’s, how your blood sugar works; okay, yeah! Basically, everything that we eat breaks down into sugar.

Your way in, and unfortunately most of us still in this country run mainly off of carbohydrates. Okay, we have. We have a hark hike, hydrate tight for the most part, with the exception of those. Have you been, you know, fine-tuning your your diets a little bit more, but basically it goes like this.

You eat, you eat something and it, and if it’s and if it’s protein, it breaks down into amino acids and that breaks down as a shirt. If you, if, if it’s good, if it’s, carbohydrates without getting into the whole premise a so like acid cycle and and all of the breakdowns, those break down at the inter sugar, they break down into glucose.

Okay, go ahead, and these things either the sugar either goes into your cell. It breaks down and goes into your liver and becomes triglycerides, and, and so we’ll, get into that. We’ll get into the the fatty part of this.

Here in a little bit, but but basically it it’s going to be stored, it’s, going to be it’s, gonna be broken down or it’s. Gon na be mobilized out of out of the liver where it’s stored that’s, that’s, your shirt and in the muscles the site it’s, like your muscles store, like 400 grams of blood Sugar per 100 grams, that’s stored in your liver, but basically you read it: it breaks down to sugar.

It gets stored until you need it. Okay, if you eat the sugar okay, if you eat the food and it breaks down into sugar, then here’s. How it should go here’s, how the cycle of sugar should go. You eat it! You break down! You’re satisfied.

Okay, you’re hungry. How do you? Why do you get hungry? You get hungry because your blood sugar drops? Okay for the record you get hungry because your blood sugar drops and you eat. Then you shouldn’t be hungry, then you should wait and wait and wait if, if you’re normal okay, most of the patients are come in here.

Aren’t normal. They’re, sick, okay and then they wait and then you get hungry again. You eat your blood. Your blood sugar drops, you eat. It comes up that’s, that’s, the normal that’s. The normal flow of blood sure, but we don’t necessarily do that.

Okay, in this country, don’t, we don’t. We don’t necessarily eat the way that we should and we don’t necessarily follow that simple pattern. But what we see is all the things that we just got done talking.

We don’t see that we see people don’t eat breakfast because they can’t look at it in the morning. We’re, going to talk about that. We have people who skip meals, we have people who skip breakfast. We have people are changing their metabolism with new diets to make it happen to make to make it work properly, but the circadian rhythm for for our main fuel, which is glucose, should be eating about every two and a half hours that doesn’t Mean a full meal, it means I get up.

I eat about two and a half hours later. Maybe I start getting a little hungry. I take just a little snack. I mean I get hungry at lunch. I eat. Maybe I don’t get hungry in the afternoon, but a lot of my patients do because their blood sugar drops and and then you eat, okay and then and then, and you just feel fine.

You don’t get all of these symptoms. The person who gets up first thing in the morning, doesn’t want to eat Naville of blood sure they have low blood sugar. Okay, low blood. Sugar is bad. Okay. Now that now the medical model for low blood, sugar or the range for glucose for those of you who are into that ass-end of it is 65 to 100.

Now I got to tell you in the medical in the functional world we’ve tightened. Those those lab ranges up because 65, you’re, not getting any sugar through your brain, your your your brain needs sugar, and we’re gonna and and and so 65 is a little love.

The the functional medicine world has tightened that up to eighty five to ninety nine. So, as my patients ask me all day, what is my fasting blood sugar supposed to look like it’s supposed to look like eighty five to ninety nine, at least in the 80s, with no symptoms and the symptoms are the ones that I talked About, but here’s, a typical patient that comes into my office.

Okay, they they they can’t, go to sleep; they wake up, they can’t go back to sleep. What was I got to do it? Sugar? It has a lot to they were sugar, then they get up in the morning. They don’t wan na look food in the face it’s, like that, I I can’t eat.

I can’t eat first thing in the morning anything so so then they start to have a later on. They started to get low, they start to get a year of all shaky. They start to get. You know. Their temperament starts to get off and then maybe they eat something their sugar to bring their sugar out.

They think they’re diabetic, which, and so they so they mimic that diabetic, who, when their sugar drops, starts eating something that’s. Sweet and and and they could eat anything at the time that they’re, irritable and shaky and it would bring their sugar up and and so it goes, and so it goes, and maybe they that lunch day at the right time or as a Consistent time, maybe they know and and and then and then they eat the lunch and then shortly after lunch they’re either like they’re either like I their dopey, they can’t, think or or maybe after lunch.

They crave more sugar, so these are all signs that your blood, sugar or else and there are more signs of low blood sugar than they are of high blood sugar. So here’s. How here’s? How blood sugar runs through the night? Okay, you go to sleep, so blood sugar.

Let eleven linked. Let me step back on so so blood sugar is. It is involved in all of these things: okay, low blood, sugar. You have low blood sugar, your frontal lobe, which is what gets irritable and che get your brain to work well needs it needs an absence of inflammation, it needs enough oxygen, it needs enough fatty acids and it needs pristine tightly controlled blood sugar, not too high, not Too low it gets too low.

You get irritable, you get shaky. You want to kill people, because your frontal lobe is not getting enough blood sugar. You get too high. It’s too much blood sugar that blood sugar starts getting broken down into actually into fats, and this is has a lot to do it with with why the ketogenic diet has come along and when it does that.

That is a very energy draining thing to break down: sugars into fats and storm in your liver. It’s, energy draining. So after dinner you go so the brain needs proper blood sure not too high, not too low.

If you don’t have enough blood sugar, you can’t make dopamine and serotonin. Today I’m finding that a lot of people know what that is. When I, when I talk to them, those are neurotransmitters.

Serotonin. Is your nice happy transmitter? Your life is good transmitter. Dopamine is more unlike motivation. I want to do things. You know I want to get up out of bed in the morning. I want to get going.

You can’t make those if you have low blood sure you can pay. How many, how many of you come in when chronic fatigue or how many of you come in with with five-round and have these symptoms and and think it’s? Something else or don’t realize that the low blood sugar may be the aspect of what of what your case is because your doctor told your blood sugar is going well, meaning you’re, not diabetic, so so blood sugars cause that Low blood sugar is one of the main causes of people not being able to convert their thyroid hormones properly, but that means is your thyroid makes a hormone it’s in the thyroid hormone that is made is usually inactive, then that has to be Made to become active in that active hormones called t3 and that’s.

What gives us our energy? That’s? What goes to the mitochondria in your cells and gives you energy, okay and you’re fatigued. The low blood sugar in and of itself is going to fatigue you in between meals to low blood.

Sugar itself is one of the main issues in in not allowing you to make proper thyroid hormone, even though your your thyroid tests are normal, and even though your you know your your, your taking your thyroid, you can’t convert it to make it Work right, if you have a little blood sure, though blood sugar causes a lot of problems, it is a huge trigger and cause of anxiety and, ultimately, panic attacks, maybe not enough itself, but certainly in conjunction with other things.

And if you have these other things that are allowing your brain threshold of its ability to to react to stimulus, in other words, if your brain is here and you get stressed and you have a reaction bag, you get a little stressed and you walk on.

But if you’re, but if your brain function is here because it’s inflamed, then there’s, essential fatty acids that are missing and you got blood sugar problems. Now you have that same reaction and you had anxiety, because all of these things are there, but now maybe the low blood sugar for that hour that you didn’t eat.

You got here a little shake. It puts you over the edge, and now you got anxiety and me and if it’s bad enough, you get a panic attack. Low blood sugar is a huge part of chronic problems and low blood.

Sugar will put your put a tremendous stress on your adrenals and it’ll. Put a tremendous stress on cortisol and cortisol is a hormone that controls your blood sugar. So let’s, go and and then that will create an inability for your immune system to respond the way it should respond to say, flus and calls.

Maybe you don’t need to go, get a flush and say that, as I say, maybe I don’t need to go. Get a flu shot, maybe need to like get your blood sugar right. So don’t don’t. Take that the way that I think it might have sounded so anyway, so blood sugar.

So let’s. Just go back to let’s. Go back to blood sugar. Let’s. Go back to the biggest thing I see when people come in here. Blood sugar is insomnia. Blood sugar has a lot to do with insomnia, particularly if you can go to sleep, but you wake up in the middle of the night and you can’t go back to sleep, so everybody comes in here I mean I’m, Telling you, if somebody comes in here and they are, they can go to sleep and they wake up and they can go back to sleep theories are taking drugs for it or there’s, something very weird about their case, because that’S very normal for a patient as chronic conditions, because the chronic conditions can also screw up your blood sugar and the stress can screw up your sleep.

So I’m, not used to seeing people can sleep person who goes to sleep and wakes up camp back, say 90 % of time it’s. Low blood sugar here’s. How it works! You go to sleep, okay and you haven’t eaten! Let’s.

Say you ate. At 6, o’clock, say ate at 6, o’clock, so you’ve, eaten a meal and you’ve, eaten proteins and you being carbohydrates and who knows? Maybe you need some junk and that lasts for maybe 2 or 3, maybe 4 hours.

So let’s say you go to bed about eleven o’clock at 11, o’clock. You got and after about two hours, your blood sugar will start to drop alright, because you’re, not eating. You’re on a fast all night long, so so your brain still needs that blood.

Sure. Never! We talked about the brain needing proper blood sugar. Your brain still needs that your whole body needs it, but you’re. Not really. You know you’re, not really using your muscles at night, but you’re.

You’re using your brain, believe it or not. I know it goes down, but you’re dreaming and and your brain just cannot do without blood sugar, so the blood sugar starts to drop and there’s. These things called the adrenal glands, which we’ll talk about in a future segment and these adrenal glands, the the brain senses that there’s, low blood sugar and without getting into the whole pathway.

The brain ultimately communicates the adrenaline. So we need we need pleasure, not the pranker is not the liver, which most many of you may know has a lot to do with with that sugar function, but the adrenal and then the adrenal glands, put out something called cortisol cortisol then moves blood sugar out Of the liver, where it’s being stored after it’s, broken down, you know when you ate it and they couldn’t get into the cells it gets into the liver.

It’s stored for times like this. So now, basically, the cortisol moves the blood sugar out of the liver and it moves it in to your system and then the blood sugar goes up and your brains, okay, for two hours.

Okay and the way goes is, is then two and a half hours later. Maybe it’s. Maybe it’s. Four o’clock. You get another squirt of cortisol. Okay goes up two and a half hours later. You know our squirt goes up say it’s.

Six o’clock now now, if you don’t get up by seven. Now I’m. I’m, going on a model and you went to bed at 11:00. So now, if you don’t go up about seven o’clock, the cortisol goes up and, and it it stimulates, this thing called the reticular activating since the system.

In other words, it activates your brain to wake up, and you should wake up and you should be like energetic your sugar should be good. You should be hungry because you just haven’t eaten since six o’clock.

The last night right, you should be hungry, you should get up. You P. Frankly, you should urinate first thing in the morning and then you should go and eat and that’s. How it should be. That would be the normal flow you would eat because you’re hungry because you haven’t eaten since 6:00.

O’clock the previous morning. For all those of you who can’t look food in the face first thing in the morning me being one of them: okay, so that’s normal, so that’s, the normal rhythm, but that’s. But that’s, not who walks into my office normal, normally healthy people, don’t walk into my office very often when you have a lot of different problems in your body.

When you have inflammation, you have food sensitivities, you have parasites, you have bad bacteria of small intestine bacteria, all those things stress, all those things, but a strain on your adrenal glands, and so your adrenal glands are the guys remember who are supposed to be controlling the Sugar and what happens in those cases is when you go to bed and the sugar drops.

Maybe you get a cortisol response initially and maybe you don’t. So let’s say you get one. So let’s say you get a cortisol response and and it moves the blood sugar out of your liver and into your brain and you’re fine.

So now it’s, like 2 o’clock, but the four o’clock response. You just can’t get that cortisol because you’re sick and the adrenal glands are being beat up. The adrenal glands don’t have enough strength to produce the number amount of cortisol that you need.

So what takes over adrenaline adrenaline now becomes the guy that wakes you up. Okay, for those of you, are not familiar with adrenaline. That’s, the fight/flight hormone and so adrenaline takes over moves.

Liver out of moves moves, blood, sugar out of your liver, but it wakes you up and now you’re awake and, and you’re like yeah, and your brains going a million miles an hour and you’re. Looking at the clock – and you can’t, go back to sleep and and you’re waiting and and of course you fall asleep back right about you know about fifteen minutes before you got to get out and and that’s a bad thing: that’s, that’s; another whole story, so that’s.

Blood sugar, okay, low blood sugar is what almost always is involved with the person going to sleep and waking up and can’t, go back sleep not going to sleep. Frequently is more poor, sleep, hygiene or stress most of the times stress poor sleep hygiene.

You know you’re, watching your videos until 11, o’clock at night. You just watched your favorite basketball team, get their butt kicked and you’re. All stressed out, you can’t, go to bed things of that nature, okay, so so those are the things that will cause you to not go see, but it is low blood sugar that will cause you to wake up and not be able to Go back to bed, and that was really the core of insomnia, how many people walk in here with insan? Yes, everybody walks in here with insomnia because the off low blood sugar, so there’s, a low blood sugar, so that’s.

I went through all that because that’s, the foundation for the next things I’m, going to walk through and it’s going to make it a lot easier for me to just hit those other things with you. So, basically, blood sugar, so there’s, a low blood sugar.

The next thing is reactive hypoglycemia. How do you know you have that reactive hypoglycemia is me, as my wife and and my staff will tell you if I don’t? If I get really busy – and I don’t get to do my mid-morning snack because I have reactive hypoglycemia, then I start to get I start to my head starts to Bob.

I started. I start getting brain fog. I start getting fatigued. I can’t, think I go to lunch. I eat and by the time I leave wherever it is, I’m eating if it’s at home or if it’s at a restaurant, I’m. Fine.

Everything comes out, but remember it. Shouldn’t be like that blood, sugar and eating should be. I feel good I get hungry I eat. I feel good. I wait until the next time I get hungry should be that you get here.

It alone shake he shouldn’t, be they fall asleep afterwards, it should be. They fall asleep beforehand that’s. All blood sugar, okay, reactive hypoglycemia, means that there are things in your system that just aren’t working right.

Relative to the liver pancreas: these are the things that control your blood, sugar and adrenals, and what’s called the receptor sites on the cells where the sugar has to get so there’s, a lot of herbs and botanicals.

For that I take some of those they work. Sometimes once you get a person through a protocol that gets the inflammation down and gets gets, gets the infections better and all these things any adrenals start working about.

Sometimes person doesn’t need to take supplements. Sometimes they just need to go back to learning how to eat they. They’ll, get up first thing in the morning and they’ll be hungry because their blood sugar is correct.

So the point is that when these things aren’t working, you can eat right and you’re sick. When these things aren’t working and you’re sick, you can eat right, you can eat in the morning for sit down. You can need a little mid breakfast meal.

You could do lunch, a mid breakfast mid-afternoon meal dinner, maybe a maybe some protein before you go to bed, to help your blood sugar to not drop so easily, and you can still have all those symptoms that’s called reactive hypoglycemia and those those Structures those organs, those receptor sites, they need to be rehabilitated.

If they can’t. If they can be rehabilitated, then you know, then you can and then it’ll work with just the diet. If they can’t be rehabilitated. There are a lot of herbs for those of you who think I’m, always holding back on you out there.

The the one herb that the Indians use is, I ‘ Ll have to think of it. Now I forgot of it. It’s. I’ll. Think of it because I this is embarrassing. I I just I just prescribed it yesterday. So, okay, I’ll.

Tell you what it is when I think of it, so basically that’s, low blood, sugar and and then there’s low pleasure and that’s, reactive hypoglycemia. So the next thing is, as you are, having these issues, the blood sugar, your is, is continually pounding up against your your your cells and, if you’re somebody who eats a lot of so so basically what happens is you? You eat the blood.

Sugar comes in insulin, you’ve heard of insulin. It comes out of your pancreas, the brain says: tells your pancreas, but not insulin, insulin, hit yourselves and, and the insulin is what opens up your cells so that the blood sugar go into it, and so so, basically, that’s.

The mechanism of proper blood sugar, but if you eat a lot of hard carbohydrates, if you eat the standard American diet, if you too much, if you too much junk okay, the sugar that insulin keeps hitting this cell and it becomes what’s called Resistant, okay, it comes this becomes resistant to the insulin and what happens? Is the blood sugar sits in your cell in your arteries instead of going in here, and for those of you are gonna like get into the chemistry I get that it’s more sophisticated than this, but but not everybody that’S watching this is a biochemist okay, so basically it keeps hitting this.

This won’t open up, it becomes numb, it becomes resistant. Okay, it won’t respond and then this sugar has to be broken down and it’s broken down into triglycerides sugars, glucose Glu triglycerides are tri GL.

Why glycerides dly Glu as sugar, so your triglyceride count that is really high on your liver when you get it is not a fat problem, it’s, a blood sugar problem and it’s any means, and it’s. The very first sign of that you’re going into high blood sugar that you’re, going towards diabetes, that your insulin resistant just a little tip for you.

So when you look at your blood labs, if those triglycerides are high and you go wow, they’re high, but my cholesterol is good and, and everything else is good and and you’re starting to get symptoms. Where are you eating? You fall asleep afterwards and you can’t lose weight and these are signs of pre-diabetes.

These are signs of insulin resistance. These are signs of higher blood sugar. Then you need to start changing now. That is a sign that you’re. Going into insulin resistance, insulin, resistance can take ten years to show up on your blood panel.

So one of the things several of the symptoms that insulin resistance causes is fatigue after meals feels better when you eat. Sometimes, if you have, if you have high end low blood sugar symptoms, I get irritable, I get shaky, but I also eat and then I feel bad after meals.

You are now in insulin resistance. You are, you are having both of the symptoms. Okay, you’re. Having low blood sugar symptoms, I’ll. Assure all of those symptoms are from blood sugar. All those symptoms are symptoms that our patients suffer from, and don’t know that it’s.

Their blood sugar because they’re coming in with low blood sugar and some resistance, and nobody’s, treating because nobody’s going to treat them until, at the very least they can say you’re pre-diabetic And usually not until you’re diabetic, what can insulin resistance cause insulin? Resistance is the number one causes something called small fiber neuropathy, peripheral neuropathy.

If you have numbness tingling, burning, sharp, shooting pains and your feet your legs, your feet, your ankles. Well, maybe all the way up to your knees, you’ve gone. They’ve done a nerve conduction velocity test on you, it doesn’t, show anything because it mostly doesn’t show small fiber neuropathy, and I just had this case in here two days ago and with the lady who Was in here two days ago and she has a small fiber neuropathy she has, I said you probably have insulin, resistance or pre-diabetes.

She says I do and – and I said, did anybody connect it to your feet? They, no, they didn’t. So, in some resistance also is the cause of polycystic ovarian syndrome, polycystic ovarian syndrome for those of you or women out there who may be having difficulty conceiving or caring.

The term is the number one cause of infertility in this country. It is responsible, is deemed to be responsible for half half of infertility in this country and when that person goes to the doctor, they are now beginning to understand that that that is the case, not all doctors but a lot of them, and so what do they Do they give the person metformin, which is designed to move sugar out of the liver and get the sugar in there that form it comes with a lot of side effects.

A lot of women can’t, take it if they can ‘ T take it, it comes with a lot of side effects, but I’m, making the point that blood sugar about the only people who are getting really truly evaluated at this point in the in the blood sugar flow relative to their chronic conditions.

At this point time, our women trying to get pregnant and not all of them, okay, but but but that pre-diabetes again it has a lot to do with your thyroid, not working. It has a lot to do with your brain, not working brain fog.

Mental fatigue fatigue not making dopamine, not making serotonin your your. You know your intestines, 90 % of your intestinal motility is due to serotonin. If you have low blood sugar reactive icing, we are pre-dive our insulin resistance.

You’re, not making serotonin. You’re. Looking for the reason you’re constipated, nobody’s. Looking at that, you fixed the blood sugar. All this stuff starts getting better. It may not get make it all the way better make it a little bit away, but it is a huge part of that person’s, chronic clinical picture.

If they have these things so insulin resistance is a big deal. It’s. The reason that you fall asleep afterwards insulin resistance then works into pre-diabetes. Our pre-diabetes means insulin. Resistance is finally shown up on your blood test.

Okay, now they do the blood test and they have these little. They have these little ranges there, and this is this is pre-diabetes, and this is diabetes type 2, and this is diet and his diabetes type 1 and a lot of doctors store in treating even when you get to diabetes type 2.

A lot of them are saying: yeah you’re, not diabetic. Yet so let’s. Just just wait and see, exercise change your diet. Some doctors will give you metformin. Some doctors won’t. It just depends on that.

Doctors, sensibilities may be how much time they have with you. Maybe your insurance there’s, just a lot of things that will affect as to whether they’re, going to treat you or not. So once you start getting into pre-diabetes, you have a problem because pre-diabetes should not be called pre-diabetes.

It should be called diabetes because it does all of the things and diabetes does, but it just hasn’t raised your blood sugar numbers enough, because there, just hasn’t been enough damage to those little cells.

Yet to leave enough to stop enough sugar from not going in, and so they say that we’ll wait. What does that do? What does prediabetes does everything a diabetes? Does it can cause you? It can cause you more than small fiber neuropathy.

That can start the more from small fiber neuropathy and the large fiber neuropathy large fiber neuropathy is bad. You don’t want to have that, okay and it can it – and this is where, when this sugar, alright again it’s.

Gon na be more sophisticated than what I’m about to tell you, but when this and chemically, but when this sugar is not getting in to the cell, okay, it ‘ S got to do something one of the things it does.

Is it breaks down into the triglycerides why we talked about before and and then eventually it makes it can turn into that fatty liver they’ve told you had okay at this point. This is this is usually turning into fatty liver.

So those of you been told you have fatty liver there’s, usually a reason why okay and then and then it creates all the other things that we talked about relative to serotonin, the dopamine, the but it this is where you start getting.

The inflammatory responses in the arteries – this is where so, when blood sugar, doesn’t get into these cells and it hasn’t been broken down yet to go into the liver, it starts to become inflammatory, and this is where you start Getting inflammation and your arteries, your coronary arteries, your brain.

This is the beginning of strokes. This is the beginning of where it is for strokes. So so now you’re getting into the area of polycystic, ovarian syndrome, infertility, strokes, cardiac problems and peripheral neuropathy.

I don’t see that many cardiac problems. I do see post stroke, patients, we see a ton of infertility. We see an awful lot of small fiber neuropathy and most these people, don’t, really understand either don’t know that they have pre-diabetes or they don’t.

They know that they have it and they don’t understand that it’s, a part of their problem because they didn’t, get the diabetes type 2, yet nah not to be one of these, like conspiracy, theorists right.

Thank God, this is just the way it is. Is most doctors are treating you until you get the diabetes type 2, because now diabetes type 2. They have a definitive diagnosis that has an icd-9 code that they can bill for, and they have a drug or a set of drugs that they can give to you and then that set of drugs will and that set of drugs will will be paid for by The insurance company now the next and last area I’m, going to go into is the person who comes in here with diabetes type 2 and they’re on three medications.

They’re on a metformin, maybe on Humalog. Maybe are on land, maybe on a a insulin, medication and and their blood Sugar ‘ S are like we’re 400 or 500 or 600, and now they’re down to 200 and they’re happy.

Okay again, this is a part of chronic pain conditions, brain needs, proper blood, sure not blood sugar, that’s. 200. Okay, 200. You’re still inflaming your arteries 200. You’re, still messing up your dopamine 200.

You’re, still messing up your gut so and I didn’t get into that part. We’ll, get into that right now. So, basically, what is that? How come that person’s? Blood sugar is up and the doctors have given them three medications and those medications are not bringing their blood sugar down here’s.

Why? Okay, there’s, a number of things that are not being addressed. What are the things that can affect blood sugar, well diet, but they bite. Usually, by that time, the person is on a diet exercise, a lot of mard exercising some of them can’t because remember these blood sugars cause a lot of abnormalities in their brain.

Some. A lot of these people are starting to get effects and their feet. Numbness tingling burning they can’t walk as far it’s. It’s, it’s, it’s, draining their energy. Well, let’s, say they’re, exercising let’s, say they’re, even eating right, let’s say they ‘

Ve now started eating right. They’re exercising, but they’re, not losing weight. So the reasons for that are some of the other things that we ‘ Ve talked about the things that can raise your blood sugar, for example.

We actually have our patients. Take their blood sugar two hours after every meal until we get a good grip on what’s happening in your physiology and it so they understand what’s. Going on in your physiology and here’s, things that can raise blood sugar, the person might be.

We put them on a diet on a very strict allergy, elimination, diet and so the person it might be eating perfectly normal. Yet they see a spike in their blood sugar. What we’re going to look for is we’re, going to look for? Well, I ate right doc, so it couldn’t, be that we’re Alex II.

Was that a food sensitivity? Because when you have a food sensitivity, you eat the food, it creates inflammation inflammation, cause something call the cortisol response there’s cortisol again, but don’t.

All you need to know is: when is when blood sugar goes up. Cortisol goes up when blood sugar goes down, cortisol goes down when cortisol goes up. Blood sugar goes up, the cortisol goes down blood sugar goes it’s.

A one-to-one relationship, okay, so and cortisol is highly inflammatory. So when your blood sugar goes up, you create a lot of inflammation. Okay, when your blood sugar goes. I mean I’m. Sorry, when your when you, when you have a like a bacterial infection.

Okay, let’s. Talk about like you! Have a bacterial infection in your I moved on from stress. I moved on from food sensitivities. Let’s. Go back to eating. Okay! Let’s! Go back to eating. So basically I was talking about the diet.

I was talking about us keeping our blood sugar under control, and then we eat something good and it goes up. A food sensitivity will cause an inflammatory response that inflammatory response will cause cortisol to go up and so and then cortisol will then raise your blood sugar.

So a food sensitivity will raise your blood sugar. You’re on three medications. You’re wondering why your blood Sugar’s still up. You could have a number of food sensitivities. Most people by now know the number one food sensitivity out there that screws them up is gluten and it is, and then number two is milk.

After that it’s, Katie bar the door. It could be broccoli, it could be anything we’ve done this for a long time. It’s, amazing. What people in you have food sense theories through. So so, if you’re watching okay, there’s, a couple of nuggets.

You know you’re on medication. It’s, not working, maybe maybe eliminate gluten and milk products and casein from from there from your diet for a month and see what happens see if your blood sugar starts coming down.

Another thing that would cause their blood sugar to go up would be. I had already started to move on to that. Another thing: wouldn’t, be stress. You’re sitting there, you’re arguing with somebody you’re upset.

You’re thinking about your bills. Whatever it is, you get stressed, stress hormone, the main stress hormone. It goes up as cortisol. Cortisol raises blood sugar blood. Sugar goes up. If you’re in a chronic stress cycle, it’s hard to get your blood sugar down.

Unless you handle that chronic stress cycle, you might do that by getting rid of stress. You might do that by meditation yoga. You might do that by using herbs or botanicals, but that stress is what needs man, let’s say I’ve stressed, and you had food sensitivities.

Gon na be hard to get your blood sugar down. Okay, let’s, say let’s say you have a bad gut say you’re, let’s, say you get gas bloating and and and you gas and bloating, maybe diarrhea every time you eat fruits or Vegetables or starches, okay, that’s, called that’s, probably something called small intestinal bacterial overgrowth there’s, a bacteria in your intestines, that is, that bacteria, it’s called small intestinal bacterial overgrowth.

That’s, the bacteria in small, intestine overgrowth, and that bacteria, actually, when when when, when those bacteria break down, they become toxic to the system, and then they cause the gas in the bloating.

But what else they do is they can get through your gut and most people who have that have a leaky gut. They go into your bloodstream and they can actually alter the way your insulin works in getting the blood sugar into your cell next thing.

You know you have insulin resistance or if you have diabetes type 2. This is going to add on to the stress this is gonna add on to the food sensitivities. This is gonna add on to through all of those things, and you put them all together and guess what you’re.

That forum is not gonna work and the next thing you know they’re on to lantus. You know, and the next thing you know they’re on the Humalog and the next thing you know you’re in here ago. I got peripheral neuropathy and they told me nothing can be cured because I ‘

Ve got three, you know blood sugar medications and they said that there’s. Nothing can be done. We’ve, got it dad it’s great. It’s, not 600. Now it’s, honey. You’re still gonna have a heart attack or a stroke.

So I’m, not sure why everybody’s so happy about that. But these are the reasons that your blood Sugar’s not coming down. Now I can talk about blood sugar for the next six hours in case you, you know in case you didn’t get that because each one of these cases could be expanded upon drastically.

But the point is this: until you get that you know the whole summation is this is until you get to diabetes type 2. Nobody’s, really taking your blood sugar serious and when you get to die to be DS, type, diabetes, type 2.

And if you’re on the diet and you’re walking, you’re exercising and and you’re. Taking three medications. You’re, pretty much done there’s. There’s like nothing else that the medical model will look at, but you need to, and there’s more okay, there’s more than the bacteria there’s more than just the stress there’s more than just the food sensitivities there’s, other things that will cause your blood sugar to not come down, and but those are the main ones.

Those and those are the ones that you can really kind of kind of glom onto and and and maybe look at them in your own world. Now again, this is a part of fuel blood sugar. Blood sugar is you? Can you can talk about diabetes, type 2? For a long time, I’m, not gonna get into metabolic syndrome and syndrome, acts because those are just variations of pre-diabetes and and insulin resistance, and so so again it goes low blood, sugar, reactive hypoglycemia in some resistance and then pre-diabetes.

All of those all of those are causing you physiological damage and all of, and if you have them, they are playing heavily heavily into your physiology.

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