June 7, 2024 • 36 mins
How can you take charge of your health and potentially reverse type 2 diabetes? Join me, Dr. Dwayne Wood, as we explore the essential lab tests that can transform your health journey. In this episode, we dissect the significance of crucial tests like hemoglobin A1c, fasting blood glucose levels, and lipid profiles. These tests are not just numbers on a report; they are vital markers that give a comprehensive overview of your metabolic health and the effectiveness of your diabetes management plan.
We'll dive into the details of my recent lab results to bring these concepts to life. Understanding your complete blood count, glucose levels, creatinine, and liver functions can provide critical insights into your health. I'll discuss the importance of maintaining specific ranges for cholesterol and testosterone levels and how fasting and improved metabolic health can be pivotal in managing diabetes. Real-life data from my journey will illustrate the tangible impact of these markers on overall health.
Lastly, we'll examine how dietary choices influence your health markers. My personal experiences with diet changes, including a review of my lipid panel after increasing my intake of cheese and sausage, will highlight the direct correlation between what we eat and our health outcomes. By the end of this episode, you'll be equipped with the knowledge to monitor your health more effectively as you work towards diabetes remission. Let's make 2024 the year of reclaiming your health!
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
I can't tell you the number of people that ask me all
the time hey, dr Wood, whatlabs should I get checked?
I'm trying to work on mydiabetes, I'm trying to work on
my health, I'm trying to work ongetting healthier and I want to
reverse my diabetes.
What should I look at?
And so tonight we're going tospend some time looking at the
(00:23):
labs that we should get as weare working on getting better,
and we're going to actually sometime looking at the labs that
we should get as we are workingon getting better, and we're
going to actually take a look atsome of my labs.
I think I've been telling youfor a while now that we're going
to take a look at that.
That's what we're going to bedoing tonight.
Hey, if you're new to me, I'm DrDwayne Wood.
That's Wood with an E.
The E stands for endocrinology.
And here on the channel, I ameducated, educating, empowering
(00:43):
and encouraging our patients,our clients, our viewers to take
charge of your health and yourlife, avoid complications and go
to the next level.
And in this year new year, newyou.
I'm talking to adults with type2 diabetes who want to put
their diabetes in remission, whowant to improve their health,
who want to get off of diabetesmedications and who want to
(01:04):
reverse their diabetes.
If you're new to me, I'm DrDwayne Wood, that's Wood with an
E the E stands forendocrinology.
Here on the channel, I educate,I empower and I encourage you
to take charge of your health,your life, avoid complications
and go to the next level.
We're creating the life we'vealways wanted and in this year,
2024, our new theme is New YearUU.
(01:36):
As we are working on improvingour diabetes, there are several
things that go on in our body aswe're working on getting
(02:07):
healthier.
There are several changes thatwe will see as we go throughout
our year, our month, as we takevisits to our doctor, and there
are some key things that we wantto make sure that are being
checked and that you are mindfulof as you are going through the
process of working on yourhealth.
And I'm going to show yousomething that happened to me
with this most recent set oflabs that I got, which I don't
(02:28):
know that it was surprising, itwas expected, but I wasn't happy
about it, and you'll see we'lltake a look at that here in just
a minute.
In metabolic disease, there areseveral general things that your
doctor will check.
They will, and if you're havingspecific items, if you're
(02:52):
having specific things go on,there are, of course, things
that they will check If you'refatigued, if you're having pain,
if you have other diseaseprocesses, they'll check other
labs.
As we talk about diabetes andremission for diabetes, or
reversing diabetes, or even aswe are managing diabetes in
general, there are severalthings that we want to take a
(03:14):
look at and we'll go throughthose here in just a little
while, but you want to make sure, first of all, that you are
having regular checkups, right?
I can't say that enough.
I'm actually doing apresentation next week to a
group of men, and one of thethings that we're going to be
talking about, one of the thingsI'm going to be emphasizing, is
(03:36):
making sure that we're havingregular checkups, because, as
men, we tend not to do that, asa matter of fact, in general.
Sometimes we tend not to go tothe doctor, but more so in men.
So, making sure that you'rehaving regular checkups.
If there are other things goingon, your doctor will go through
and they will work with you tocheck those.
But, specifically for diabetes,there are several things that
(04:00):
we want to look at and you'llsee those coming up on the
screen and we'll kind of gothrough those in turn that we
want to look at.
And you'll see those coming upon the screen and we'll kind of
go through those in turn.
Number one we want to check ahemoglobin A1c.
Why hemoglobin A1c?
Because it's a marker of howyour diabetes management is
going.
It tells us whether the planthat you're using is being
(04:20):
effective for the management ofyour diabetes.
The hemoglobin A1c is a 90-dayaverage of what your blood
sugars are.
I won't go through right nowhow to convert average blood
sugar to hemoglobin A1c.
We'll come back and we'll dothat and we've done a video on
that in the past.
You can look at the website andit will be coming up again for
(04:43):
us to take a look at.
So, hemoglobin A1c a 90-dayaverage.
We want your hemoglobin A1c tobe, on average, about 6.5.
Depending on the organization,some people would say less than
7, less than 6.5.
I tell my patients 6.5 becauseit gives us a little leeway in
(05:05):
case we drift and we drift,don't we everybody?
Yeah, you know that Right.
So hemoglobin A1c.
The next is a fasting glucose, afasting blood glucose.
This is a surrogate, if youwill, and, in conjunction with
the hemoglobin A1cc, it helps usto see what those blood sugars
(05:28):
are.
Now here's an interesting thingthat can sometimes happen.
You can actually have.
You can actually have anabnormal hemoglobin a1c and a
normal fasting glucose.
Some people, their spike inblood sugars only occur after
they eat, but they're eatingthree times a day, or four times
(05:51):
, or whatever the number is interms of snacking, and so they
have blood sugars that arehigher more often than just in
the morning.
So just because your fastingblood sugar is normal does not
mean that you do not haveprediabetes or even diabetes.
And just because yourhemoglobin A1c may be normal
(06:16):
doesn't mean that you're notstill having fluctuations.
Okay, because remember thathemoglobin A1c and I guess let
me go ahead and talk about it.
So if you have a hemoglobin A1cand I guess let me go ahead and
talk about it so if you have ahemoglobin A1c of 6.5 or higher,
then you're considered to bediabetic, right?
6.5 or higher is diabetes.
(06:37):
Below that is considered to notbe diabetes, and then, of
course, there's the range fornormal and then pre-diabetes.
So here we're talking aboutdiabetes.
So 6.5 or higher is a diagnosisof diabetes, and then, of
course, there's a range fornormal and then pre-diabetes.
So here we're talking aboutdiabetes.
So six and a half or higher isa diagnosis of diabetes.
So you can have a hemoglobinA1c that is not diabetic range,
but your blood sugars arefluctuating and so that fasting
(06:58):
blood sugar in the morning willgive us an indication of what
else could be going on.
The other thing is a lipidprofile.
This is your cholesterol.
So there's total cholesterol,ldl, which is your good
cholesterol, sorry, hdl, whichis your good cholesterol, ldl,
which is your bad cholesterol.
And there are some nuances forthe lipid profile, lipid panel,
(07:32):
because we traditionally havealways talked about looking at
the bad cholesterol, the LDLcholesterol.
There are some other surrogatesand people can actually have a
bad LDL and still be in a goodspace, or they can have a good
LDL and still be at risk fordisease processes.
(07:55):
Okay, so just because you'relooking at just the regular
lipid profile, there may be someother things that your doctor
may have to check on.
So that's the lipid panel, orcholesterol levels.
The other thing is to look atyour kidney function.
Remember the kidneys are part ofthat triopathy, right?
(08:17):
So nephropathy, neuropathy andretinopathy those are the
tissues in the body that aremost often involved in being
damaged from diabetes.
So, looking at the kidneys very, very important and the kidney
functions, there are threenumbers that I usually tell
(08:40):
people that we want to look at.
We want to look at yourcreatinine that comes on
something called the completemetabolic panel.
We want to look at your GFR, orglomerular filtration rate,
which also comes on the completemetabolic panel.
And then we also want to lookat your microalbumin, which
we'll talk about here in just aminute.
(09:00):
So what are we looking at whenwe're looking at kidney function
?
Your kidneys are responsiblefor filtering and detoxifying,
and so diabetes can cause damageto the mechanisms that are
involved in the kidneys and ifwe're not careful then we have
(09:21):
difficulty filtering anddetoxifying and ultimately, if
that progresses right stage one,two, three or four kidney
disease, chronic kidney disease.
The ultimate of that is whateverybody kind of talks about
and fears, that's dialysis.
But you don't have to be ondialysis to have difficulties
(09:42):
with kidneys.
So you want to make sure thatyou are looking at those numbers
.
There are specific numbers thatwe look at, depending on age,
depending on race, depending onso many different things Not a
conversation for this discussiontonight, but just to know that
(10:03):
those are things that you wantto be looking at as well.
So kidney function and then theother organ that detoxifies, and
that is the liver, right?
So we want to look at the liverfunctions and specifically here
we're looking at AST and ALT.
Those are some of the enzymes.
You don't have to know thatright now, but these are markers
of liver functions andsometimes we'll see those start
(10:25):
to rise as people get into thatthing that we've been talking
about all the time, sonon-alcoholic fatty liver
disease.
So people will have difficultywith their liver.
And looking at the liverfunctions gives us an early
indication of what's going on,or what can be going on in the
liver.
So the kidney function and theliver function and the fasting
(10:51):
blood sugar are all on the samepanel and it's called a complete
metabolic panel.
Complete metabolic panel.
A lot of times the doctor willget a basic metabolic panel and
it will give a blood sugar, itwill give the kidney function,
but it doesn't give liverfunction and some of the other
(11:11):
things that may be required tokind of make sure there aren't
other issues that are going onin the body.
Remember, the body is thisintricate interplay of different
organs, organ systems.
Hormones, right?
So, hey, I'm the hormone guyEnzymes and proteins, and so
(11:34):
making sure that you get acomplete picture of everything
that's going on is where we wantto be, and that's what checking
these different labs will giveus.
Okay, so kidney function, liverfunction, and then microalbumin
this is the one I was talkingabout, remember the three?
So creatinine, glomerularfiltration rate, or EGFR, and
(11:55):
then, of course, themicroalbumin.
So microalbumin, so your body,your kidneys, are kind of like a
sieve or a strainer.
Okay, your kidneys are kind oflike a sieve or a strainer, and
so things that shouldn't passthrough, as diabetes affects it,
those holes in the strainer andthe sieve get bigger, and
things that should not gothrough can go through, and so
(12:19):
what we begin seeing is thisthing called microalbumin that
shows up in the urine.
So when your doctor says, hey,I want you to go to the lab and
they get a urine specimen,particularly if you're diabetic,
what we're looking at we'relooking to see whether you have
microalbumin and whether we'restarting to see effects on the
kidneys from your diabetes andyour elevated blood sugar.
(12:42):
So that's what the microalbuminis, and this is one of those
three numbers that I just gave.
And then, of course, thyroidfunctions.
Thyroid functions and thethyroid functions fall in play
here, because people who haveone autoimmune disease or one
inflammatory process which webelieve is what diabetes is an
(13:05):
autoimmune disease then theytend to have another disease
because they tend to travel ingroups.
And so checking the thyroidlevel very important in terms of
making sure that we're notseeing other issues, other
disease processes that are goingon.
Now for the things that we'renot seeing, other issues, other
disease processes that are goingon.
Now for the things that you'reseeing, right, the things that
(13:27):
we just named.
So hemoglobin, your fastingblood sugar, your lipid profile,
your liver profile, your kidney, your microalbumin many of
these are screening.
What does that mean?
That means that we are notexpecting to see damage, we're
not expecting to see changes,but what we're doing is we're
(13:49):
screening to make sure that, assoon as if something shows up,
that we can catch it and beginworking on it.
That make sense.
So it's a screening process.
So a lot of people say, well,why do I get?
Why do I have to getmicroalbumin?
Why do I have to get this otherthing?
Because there's nothing wrongwith my kidneys.
Well, we don't know.
There's nothing wrong with yourkidneys unless we check.
(14:11):
And so that's what many ofthese are.
They are screening tools thatwe use to check to make sure
that we're not starting to seedamage.
We use to check to make surethat we're not starting to see
damage.
Often, I'll sit or go into theroom and I'll review each of
these with the patients.
Okay, your sodium, yourpotassium, your calcium levels
(14:32):
are good.
Your kidney functions.
Your creatinine is good.
Your microalbumin there's noprotein there.
Your cholesterol level I'll gothrough each of the cholesterol
numbers and I'll go through andtalk about what the liver
numbers are, and we'll see thosehere in just a minute as we
take a look at some of mypersonal numbers, as we review
that.
Okay, all right.
(14:54):
So, and then there are someother things that I want to.
They may not all be labs thereare a couple of labs, more labs
coming up but there are someother things that we want to
make sure that we're looking atas well, and so other things to
be checked.
So, something called aC-peptide and your insulin level
.
Now, as we talk about adultswith type 2 diabetes and we talk
(15:17):
about type 2 diabetes ingeneral, type 2 diabetes is what
we call an insulin resistantissue, right?
So that's the dogma.
There are some changingthoughts that are going on, but
right now it's aninsulin-resistant issue.
What does that mean?
That means that in the body,insulin for some reason doesn't
work as effectively as it should.
As you guys know, the pillarsthat we've been using here
(15:39):
number one is to decreaseinsulin.
Number two, suppress theappetite and number three, get
rid of sugar.
So that number one, that firstpillar that we talk about, is
the insulin that's showing upthere in that C-peptide and
insulin.
So when we check a C-peptide andan insulin level, what we're
doing is we're trying to figureout how much insulin resistance
(16:03):
someone may have or whethertheir body is still producing
insulin.
So as I go through the office,as I talk to patients, clients,
I'll say to them your body isstill making insulin if that's
the case.
So the question then comes ifmy body is still making insulin,
(16:24):
why is the insulin I'm makingnot sufficient to reverse my
diabetes?
And there are lots of reasonsfor that.
As we have been walking throughthis process of new year, new
you, you've heard me talk aboutseveral of the reasons, and the
reasons.
A big reason, of course, isfood, exercise, our stress
(16:47):
management, sleep and all thoseother things.
Okay, so looking at theC-peptide gives us a marker or
an indication of whether someoneis making insulin.
Now, what's the differencebetween actually checking the
insulin and looking at theC-peptide?
What's the difference betweenactually checking the insulin
and looking at the C-peptide?
Well, if someone is actuallytaking insulin medication-wise,
(17:10):
then there's no virtue inchecking their insulin level,
because I don't know when I getthat lab.
Is this because I'm checkingthe level of the insulin that
they got when they took theirshot?
Or is this insulin coming fromwhat their body's making?
So there's no way to tell.
But the C-peptide is a way tolook at how the body's making
(17:31):
that.
All right.
So C-peptide, cbc or completeblood count.
So what I'm looking for is I'mlooking to see is someone anemic
?
Because having anemia can causeother issues within the body.
So I'm checking for anemia.
And then these next few thingsare not labs, but they're things
(17:53):
that need to be checked as well.
So you want to make sure you'rehaving an eye exam Retinopathy
so one of the apathies thetriopathy Retinopathy,
neuropathy and nephropathy.
So making sure you're having anannual eye exam, making sure
that you're checking your weightand we have been doing a good
job here on the show in ourfasting, in our check-ins, of
(18:14):
looking at weight so that we cansee what's going on as we're
making changes in our metabolichealth, and then, of course,
checking blood pressure andchecking your foot exam, and you
need to do the foot exam.
We normally send our patientsoff to see the podiatrist and
they do an exam, they do aninitial assessment and then they
(18:36):
schedule you based on what'sgoing on for more appointments.
You may be seeing them morefrequently, less frequently, but
it's based on what's going onfor more appointments.
You may be seeing them morefrequently, less frequently, but
it's based on what's going onin terms of your blood sugar.
All right, and so then now let'stake a look, and we're gonna
take a look at some of mynumbers, right?
If you have questions, makesure you go ahead and put those
(19:00):
in the comments about any of thelabs, right?
So those are the comments aboutany of the labs, right?
So those are the standard labsthat you want to make sure are
being checked as we talk aboutimproving our health.
Now, once again, several ofthem are screening labs and what
we're trying to do is catchthings before they become an
issue.
(19:20):
Let's hop over and let's take alook at and I've been saying to
you for the last several monthsthat we're going to come and
we're going to take a look at myactual numbers as I've moved
through prior to new year, newyear process, in the new year
(19:40):
for new year process and where Iam right now.
And so this first set of labsthat we're going to do is my
labs from December of last year,and you'll see the December
labs, but you'll also see labsfrom the month or some time
prior to that, because on thelabs, remember, they usually put
(20:00):
the current labs and then,right next to it, they'll put
what previous labs were, and solet's go ahead and let's take a
look at.
These are labs for me from themonth of, so these are labs that
were collected in December of2023.
And the first set of labs thatyou see there, of course, is the
(20:22):
CBC, the complete blood count,as we just talked about a little
while ago.
You'll see this in a differentorder as we look at the others.
This one was I think there wassomething that they didn't order
in this, but we looked at it inanother place.
So the things I look at andyou'll see there my pointer is
(20:44):
not working for some reason.
So, about four down, you'll seethe hemoglobin and hematocrit,
right, and you'll see that thoseare in the target range and
usually you'll see if it's outof the target range.
You'll either see it, say, lowor high.
Okay, so if you don't seesomething next to it, that means
that it's actually in the rangethat we want it to be.
(21:06):
So, yeah, so you'll see therethe hemoglobin and the
hematocrit.
And so for the CBC, that's themain thing that I will look at
when we're talking aboutchecking labs.
Right below it is that completemetabolic panel we talked about
, and the very first one thereyou'll see is the glucose and
(21:29):
the glucose of 103.
And you'll see, next to theglucose, it was a glucose of 193
.
Now that previous one was donein September of 2022.
You'll see, down there thecreatinine is 0.91 and that's a
(21:52):
marker of the kidney function.
You'll see, the GFR is 100.
We talked about creatinine asone of the markers, the GFR as
another marker, and we'll lookhere in a little while.
I don't think on this one therewas a microalbumin, but we'll
take a look at one of my otherlabs and we'll see that in just
(22:14):
a little bit.
Okay, so, continuing on this, inthis lab you'll see at the top
of the screen that my AST andALT the last two numbers, those
are my liver functions and thosewere in the target range.
And they were in the targetrange in September, prior the
(22:38):
next section.
Those are my cholesterol levels, right?
So total cholesterol,triglycerides, good cholesterol
and then bad cholesterol, andyou'll see on the most recent
labs there that my badcholesterol was actually in the
good range.
It was 84.
But prior to that it was 105.
We like it to be less than 100.
(23:01):
Five, we like it to be lessthan 100.
And in a lot of cases there's alot of theory that it should be
actually less than 70.
So here mine was 84.
Next, you'll see and we didn'ttalk about this when I talked
about labs that should be drawnFor my men a lot of times I will
(23:22):
check their testosterone levels, right, because testosterone
level, or your low testosteronelevel, can have a significant
impact on health, well-being,life and so forth.
And you'll see there that mytotal testosterone was normal.
Prior to that it was actuallylow, 242.
(23:43):
And my free testosterone waslow on the most recent labs and
we usually treat to the totaltestosterone.
So the total testosterone wasnormal.
So nothing that was done thereat that point.
Now here's a big one.
You see, my A1C was 7.6,.
(24:20):
Now here's a big one.
You see, my A1C was 7.6, righton this current lab in December,
a year a little where we walkedthrough my journey in diabetes
and some of the struggles that Ihave, and you'll see there that
A1C is during that phase ofthose struggles.
(24:43):
So if you've not already doneso, go back and watch through
some of those shorts and you'llget a flavor of what was going
on, some of the things that weregoing on at the time.
So, yeah, so 18 months prior,and then 7.6, you'll see the TSH
1.3, or sorry, 1.3, theC-peptide, and look at this one
(25:08):
y'all.
So back in when the A1C waselevated and the blood sugar was
elevated because remember theblood sugar was 193, I think is
what it was let's back up therefor a minute Blood sugar of 193,
a1c of 11.6, c-peptide was lowat 0.3.
(25:29):
So the body apparently wasn'tmaking a whole lot of insulin.
And then, as the A1C improved,look at that the C-peptide
improved as well.
So we went from looking likethere was no insulin being
produced.
To hey, some insulin is beingproduced and that's one of the
(25:51):
beauty of this process ofreversing diabetes, correcting
diabetes, improving metabolichealth, because as you heal the
body, as you heal the body, thebody begins to do what it was
designed to do.
If you remember, as we've beentalking about the fasting those
days, those of you who are outthere who've been fasting those
(26:13):
days, immediately followingfasting, you will find that
you're able to eat things thatyou weren't previously able to
eat and your blood sugars don'tspike as much.
Why?
Because the body isrecuperating.
The body is recovering, thebody is improving and becoming
(26:36):
less insulin resistant.
That's one of the beauties ofthe New Year, new Year process
and reversing diabetes.
All right.
So that was the.
Those were the labs fromDecember and, of course, 18
months prior to that or so, inFebruary.
In February, let's take a lookat what the blood sugar was and
(27:04):
you'll see there down at thebottom, the glucose was 102.
The previous one was 103,you'll remember.
Sodium, potassium, calcium,liver functions are all in the
target range.
Look at the cholesterol levels.
Those are in the target range.
That's in February.
In December, they were in thetarget range again and we'll see
(27:25):
some changes here in just alittle while.
Now here is the microalbuminthat we talked about, and that
number down at the bottom, the 7, is where we want to see Normal
is between 0 and 29.
Some labs you'll see is between0 and 30.
And in this case we're 7.
And so we're in that targetrange.
(27:47):
So we're not seeing anymicroalbuminuria, so we're not
seeing any damage to the kidneysin this case.
And then if we take a look atthe hemoglobin A1c, so we went
from a 7, let me back up so wewent from a 7.6 on the previous
(28:08):
labs, so 11.6, 7.6.
And then on this set of labs itwas 6.6.
We're going to go and look atthe glucose.
So now we've been fasting.
So December, january, february,march, look at the glucose.
So now we've been fasting.
So December, January, february,march, look at the glucose.
So we've gone from beingglucoses above 100 to now
(28:31):
glucose was 61 at the time thatthis was done.
Still no kidney issues, becauselook at the creatinine, that's
right below that and the EGFR.
And then let's hop over andlet's take a look at the
hemoglobin A1c.
We went from a 11.6, 7.6, 6.6,6.1.
(28:53):
What do you think thehemoglobin A1c is going to be.
I just got this done last week.
Yeah, I know I keep you guys insuspense.
So right now we need to knowwhat my ketones are and, of
course, what the hemoglobin A1Cis.
So we're going to hold on tothat for a minute and let me hop
(29:14):
over and let's take a look atsome of the reports.
So my average blood sugar hereis 93.
That's for the last 14 days.
If I go back 90 days, it'sprobably going to be like 107 or
(29:35):
110.
Okay, 104.
Okay, pretty good.
And it says that my estimatedA1C is going to be 5.8.
So, remember, that's theglucose management indicator.
I'm in target 91% of the time.
That target is 70 to 180.
And if we actually look at thedaily graphs and I want to go
(29:58):
back to Friday, so we broke ourfast out here right around 6, 7
o'clock, if you guys remember wedid that show Blood sugar was
62.
And then it started climbing asI ate.
What did we use to break thefast?
(30:19):
I think I used some cheese.
Yep, yep, yep, I used somecheese, smoked Gouda and salad.
That's right.
I had to think back and so intothe next morning, blood sugars
(30:39):
are climbing into the 140s andthen low 100s and then right in
here is lunchtime, and then westarted going down to 130s and
then yesterday stayed in the115s 120s A couple of spikes
there as we had some meals, andthen, of course, into today,
(31:02):
we're into the 120s 115s.
One thing that I did want toshow you, and let me hop back
over to my labs, and you guyswill recall that I have been
eating a lot of cheese as partof the process, right?
(31:25):
So I've changed what I've beeneating.
So I'm not eating a lot of thecashews and the almonds because
I was getting those spikes in myblood sugar.
I moved away from eating thebeans, right, because once again
, I was getting those spikes inmy blood sugar.
But I want to show yousomething that happened.
So one of the things people askabout is the differences between
(31:48):
different diets.
What's the difference between alow-carb diet, a ketogenic diet
, a paleo diet and so on and soforth?
And here is one of the right.
So I want you to look rightthere, that is, you'll see in
the middle of the screen, that'smy lipid panel, those are my
cholesterol numbers, and if wego back here, you see
(32:15):
cholesterol total cholesterol167, good cholesterol 77, bad
cholesterol 79.
And as I've changed what I'meating eating more cheese you
guys saw me eating sausage andlook at the cholesterol it went
from 167 up to 200.
The bad cholesterol went from79 up to 100.
(32:43):
Okay, so as we are adjustingthe things we're eating, we can
look at the labs and see changesin those values that correspond
to the things that we are doingin terms of our diet.
Let's hop over and let's take alook.
I know I'm prolonging this,right, we're going to take a
(33:05):
look at what my ketones havebeen.
All right, so 77 was the bloodsugar.
And look at the ketones theketones are 0.8.
So that means that I've beenactually doing a pretty good job
, even though I was eating, ofmaintaining some ketosis
post-fast.
(33:26):
I mean, one of the reasons thatwe're doing the fast is because
we want the body to be able toburn calories from fat, and the
calories that we burn from fatwill produce ketones and we get
the weight loss as a result ofthat.
We get the improved blood sugaras a result of that.
We get the improved blood sugar.
As a result of that, we get theautophagy and all those
(33:47):
benefits that come from that andin this case, I'm still kind of
maintaining some ketones as Igo through that process.
All right, all right.
So, yeah, I know you've waitedlong enough.
Let's go ahead and let's take alook at what my A1C is.
And let's take a look at whatmy A1C is and drum roll, please.
And the A1C look at that rightin the middle of the screen was
(34:10):
5.8, which is what the Keto notthe Keto, but what my Dexcom
Clarity app actually predicted.
It said that over the course ofthe last three months, my
estimated A1c was going to be a5.8.
And, in fact, when we got thenumbers, when we got the levels,
(34:33):
my A1c was 5.8.
So that's a pretty good marker,pretty good indication.
And so the process of improvingour metabolic health, the
process of doing all thosethings that we've described in
terms of reversing to diabetes,this is a process that works.
(34:56):
This is a process that you cando.
This is a process that isimportant and a process that we
are working on here on thechannel, as we work to reverse
your diabetes.
This is Dr Duane Wood, that'sWood with an E the E stands for
endocrinology.
Here on the channel, I educate,I empower and I encourage you
(35:19):
to take charge of your health,take charge of your life, avoid
complications and go to the nextlevel, creating the life you
always wanted.
And for this year y'all newyear, new you.
I can't tell you the number of people that ask me all
the time hey, dr Wood, whatlabs should I get checked?
I'm trying to work on mydiabetes, I'm trying to work on
my health, I'm trying to work ongetting healthier and I want to
reverse my diabetes.
What should I look at?
And so tonight we're going tospend some time looking at the
(00:23):
labs that we should get as weare working on getting better,
and we're going to actually sometime looking at the labs that
we should get as we are workingon getting better, and we're
going to actually take a look atsome of my labs.
I think I've been telling youfor a while now that we're going
to take a look at that.
That's what we're going to bedoing tonight.
Hey, if you're new to me, I'm DrDwayne Wood.
That's Wood with an E.
The E stands for endocrinology.
And here on the channel, I ameducated, educating, empowering
(00:43):
and encouraging our patients,our clients, our viewers to take
charge of your health and yourlife, avoid complications and go
to the next level.
And in this year new year, newyou.
I'm talking to adults with type2 diabetes who want to put
their diabetes in remission, whowant to improve their health,
who want to get off of diabetesmedications and who want to
(01:04):
reverse their diabetes.
If you're new to me, I'm DrDwayne Wood, that's Wood with an
E the E stands forendocrinology.
Here on the channel, I educate,I empower and I encourage you
to take charge of your health,your life, avoid complications
and go to the next level.
We're creating the life we'vealways wanted and in this year,
2024, our new theme is New YearUU.
(01:36):
As we are working on improvingour diabetes, there are several
things that go on in our body aswe're working on getting
(02:07):
healthier.
There are several changes thatwe will see as we go throughout
our year, our month, as we takevisits to our doctor, and there
are some key things that we wantto make sure that are being
checked and that you are mindfulof as you are going through the
process of working on yourhealth.
And I'm going to show yousomething that happened to me
with this most recent set oflabs that I got, which I don't
(02:28):
know that it was surprising, itwas expected, but I wasn't happy
about it, and you'll see we'lltake a look at that here in just
a minute.
In metabolic disease, there areseveral general things that your
doctor will check.
They will, and if you're havingspecific items, if you're
(02:52):
having specific things go on,there are, of course, things
that they will check If you'refatigued, if you're having pain,
if you have other diseaseprocesses, they'll check other
labs.
As we talk about diabetes andremission for diabetes, or
reversing diabetes, or even aswe are managing diabetes in
general, there are severalthings that we want to take a
(03:14):
look at and we'll go throughthose here in just a little
while, but you want to make sure, first of all, that you are
having regular checkups, right?
I can't say that enough.
I'm actually doing apresentation next week to a
group of men, and one of thethings that we're going to be
talking about, one of the thingsI'm going to be emphasizing, is
(03:36):
making sure that we're havingregular checkups, because, as
men, we tend not to do that, asa matter of fact, in general.
Sometimes we tend not to go tothe doctor, but more so in men.
So, making sure that you'rehaving regular checkups.
If there are other things goingon, your doctor will go through
and they will work with you tocheck those.
But, specifically for diabetes,there are several things that
(04:00):
we want to look at and you'llsee those coming up on the
screen and we'll kind of gothrough those in turn that we
want to look at.
And you'll see those coming upon the screen and we'll kind of
go through those in turn.
Number one we want to check ahemoglobin A1c.
Why hemoglobin A1c?
Because it's a marker of howyour diabetes management is
going.
It tells us whether the planthat you're using is being
(04:20):
effective for the management ofyour diabetes.
The hemoglobin A1c is a 90-dayaverage of what your blood
sugars are.
I won't go through right nowhow to convert average blood
sugar to hemoglobin A1c.
We'll come back and we'll dothat and we've done a video on
that in the past.
You can look at the website andit will be coming up again for
(04:43):
us to take a look at.
So, hemoglobin A1c a 90-dayaverage.
We want your hemoglobin A1c tobe, on average, about 6.5.
Depending on the organization,some people would say less than
7, less than 6.5.
I tell my patients 6.5 becauseit gives us a little leeway in
(05:05):
case we drift and we drift,don't we everybody?
Yeah, you know that Right.
So hemoglobin A1c.
The next is a fasting glucose, afasting blood glucose.
This is a surrogate, if youwill, and, in conjunction with
the hemoglobin A1cc, it helps usto see what those blood sugars
(05:28):
are.
Now here's an interesting thingthat can sometimes happen.
You can actually have.
You can actually have anabnormal hemoglobin a1c and a
normal fasting glucose.
Some people, their spike inblood sugars only occur after
they eat, but they're eatingthree times a day, or four times
(05:51):
, or whatever the number is interms of snacking, and so they
have blood sugars that arehigher more often than just in
the morning.
So just because your fastingblood sugar is normal does not
mean that you do not haveprediabetes or even diabetes.
And just because yourhemoglobin A1c may be normal
(06:16):
doesn't mean that you're notstill having fluctuations.
Okay, because remember thathemoglobin A1c and I guess let
me go ahead and talk about it.
So if you have a hemoglobin A1cand I guess let me go ahead and
talk about it so if you have ahemoglobin A1c of 6.5 or higher,
then you're considered to bediabetic, right?
6.5 or higher is diabetes.
(06:37):
Below that is considered to notbe diabetes, and then, of
course, there's the range fornormal and then pre-diabetes.
So here we're talking aboutdiabetes.
So 6.5 or higher is a diagnosisof diabetes, and then, of
course, there's a range fornormal and then pre-diabetes.
So here we're talking aboutdiabetes.
So six and a half or higher isa diagnosis of diabetes.
So you can have a hemoglobinA1c that is not diabetic range,
but your blood sugars arefluctuating and so that fasting
(06:58):
blood sugar in the morning willgive us an indication of what
else could be going on.
The other thing is a lipidprofile.
This is your cholesterol.
So there's total cholesterol,ldl, which is your good
cholesterol, sorry, hdl, whichis your good cholesterol, ldl,
which is your bad cholesterol.
And there are some nuances forthe lipid profile, lipid panel,
(07:32):
because we traditionally havealways talked about looking at
the bad cholesterol, the LDLcholesterol.
There are some other surrogatesand people can actually have a
bad LDL and still be in a goodspace, or they can have a good
LDL and still be at risk fordisease processes.
(07:55):
Okay, so just because you'relooking at just the regular
lipid profile, there may be someother things that your doctor
may have to check on.
So that's the lipid panel, orcholesterol levels.
The other thing is to look atyour kidney function.
Remember the kidneys are part ofthat triopathy, right?
(08:17):
So nephropathy, neuropathy andretinopathy those are the
tissues in the body that aremost often involved in being
damaged from diabetes.
So, looking at the kidneys very, very important and the kidney
functions, there are threenumbers that I usually tell
(08:40):
people that we want to look at.
We want to look at yourcreatinine that comes on
something called the completemetabolic panel.
We want to look at your GFR, orglomerular filtration rate,
which also comes on the completemetabolic panel.
And then we also want to lookat your microalbumin, which
we'll talk about here in just aminute.
(09:00):
So what are we looking at whenwe're looking at kidney function
?
Your kidneys are responsiblefor filtering and detoxifying,
and so diabetes can cause damageto the mechanisms that are
involved in the kidneys and ifwe're not careful then we have
(09:21):
difficulty filtering anddetoxifying and ultimately, if
that progresses right stage one,two, three or four kidney
disease, chronic kidney disease.
The ultimate of that is whateverybody kind of talks about
and fears, that's dialysis.
But you don't have to be ondialysis to have difficulties
(09:42):
with kidneys.
So you want to make sure thatyou are looking at those numbers
.
There are specific numbers thatwe look at, depending on age,
depending on race, depending onso many different things Not a
conversation for this discussiontonight, but just to know that
(10:03):
those are things that you wantto be looking at as well.
So kidney function and then theother organ that detoxifies, and
that is the liver, right?
So we want to look at the liverfunctions and specifically here
we're looking at AST and ALT.
Those are some of the enzymes.
You don't have to know thatright now, but these are markers
of liver functions andsometimes we'll see those start
(10:25):
to rise as people get into thatthing that we've been talking
about all the time, sonon-alcoholic fatty liver
disease.
So people will have difficultywith their liver.
And looking at the liverfunctions gives us an early
indication of what's going on,or what can be going on in the
liver.
So the kidney function and theliver function and the fasting
(10:51):
blood sugar are all on the samepanel and it's called a complete
metabolic panel.
Complete metabolic panel.
A lot of times the doctor willget a basic metabolic panel and
it will give a blood sugar, itwill give the kidney function,
but it doesn't give liverfunction and some of the other
(11:11):
things that may be required tokind of make sure there aren't
other issues that are going onin the body.
Remember, the body is thisintricate interplay of different
organs, organ systems.
Hormones, right?
So, hey, I'm the hormone guyEnzymes and proteins, and so
(11:34):
making sure that you get acomplete picture of everything
that's going on is where we wantto be, and that's what checking
these different labs will giveus.
Okay, so kidney function, liverfunction, and then microalbumin
this is the one I was talkingabout, remember the three?
So creatinine, glomerularfiltration rate, or EGFR, and
(11:55):
then, of course, themicroalbumin.
So microalbumin, so your body,your kidneys, are kind of like a
sieve or a strainer.
Okay, your kidneys are kind oflike a sieve or a strainer, and
so things that shouldn't passthrough, as diabetes affects it,
those holes in the strainer andthe sieve get bigger, and
things that should not gothrough can go through, and so
(12:19):
what we begin seeing is thisthing called microalbumin that
shows up in the urine.
So when your doctor says, hey,I want you to go to the lab and
they get a urine specimen,particularly if you're diabetic,
what we're looking at we'relooking to see whether you have
microalbumin and whether we'restarting to see effects on the
kidneys from your diabetes andyour elevated blood sugar.
(12:42):
So that's what the microalbuminis, and this is one of those
three numbers that I just gave.
And then, of course, thyroidfunctions.
Thyroid functions and thethyroid functions fall in play
here, because people who haveone autoimmune disease or one
inflammatory process which webelieve is what diabetes is an
(13:05):
autoimmune disease then theytend to have another disease
because they tend to travel ingroups.
And so checking the thyroidlevel very important in terms of
making sure that we're notseeing other issues, other
disease processes that are goingon.
Now for the things that we'renot seeing, other issues, other
disease processes that are goingon.
Now for the things that you'reseeing, right, the things that
(13:27):
we just named.
So hemoglobin, your fastingblood sugar, your lipid profile,
your liver profile, your kidney, your microalbumin many of
these are screening.
What does that mean?
That means that we are notexpecting to see damage, we're
not expecting to see changes,but what we're doing is we're
(13:49):
screening to make sure that, assoon as if something shows up,
that we can catch it and beginworking on it.
That make sense.
So it's a screening process.
So a lot of people say, well,why do I get?
Why do I have to getmicroalbumin?
Why do I have to get this otherthing?
Because there's nothing wrongwith my kidneys.
Well, we don't know.
There's nothing wrong with yourkidneys unless we check.
(14:11):
And so that's what many ofthese are.
They are screening tools thatwe use to check to make sure
that we're not starting to seedamage.
We use to check to make surethat we're not starting to see
damage.
Often, I'll sit or go into theroom and I'll review each of
these with the patients.
Okay, your sodium, yourpotassium, your calcium levels
(14:32):
are good.
Your kidney functions.
Your creatinine is good.
Your microalbumin there's noprotein there.
Your cholesterol level I'll gothrough each of the cholesterol
numbers and I'll go through andtalk about what the liver
numbers are, and we'll see thosehere in just a minute as we
take a look at some of mypersonal numbers, as we review
that.
Okay, all right.
(14:54):
So, and then there are someother things that I want to.
They may not all be labs thereare a couple of labs, more labs
coming up but there are someother things that we want to
make sure that we're looking atas well, and so other things to
be checked.
So, something called aC-peptide and your insulin level
.
Now, as we talk about adultswith type 2 diabetes and we talk
(15:17):
about type 2 diabetes ingeneral, type 2 diabetes is what
we call an insulin resistantissue, right?
So that's the dogma.
There are some changingthoughts that are going on, but
right now it's aninsulin-resistant issue.
What does that mean?
That means that in the body,insulin for some reason doesn't
work as effectively as it should.
As you guys know, the pillarsthat we've been using here
(15:39):
number one is to decreaseinsulin.
Number two, suppress theappetite and number three, get
rid of sugar.
So that number one, that firstpillar that we talk about, is
the insulin that's showing upthere in that C-peptide and
insulin.
So when we check a C-peptide andan insulin level, what we're
doing is we're trying to figureout how much insulin resistance
(16:03):
someone may have or whethertheir body is still producing
insulin.
So as I go through the office,as I talk to patients, clients,
I'll say to them your body isstill making insulin if that's
the case.
So the question then comes ifmy body is still making insulin,
(16:24):
why is the insulin I'm makingnot sufficient to reverse my
diabetes?
And there are lots of reasonsfor that.
As we have been walking throughthis process of new year, new
you, you've heard me talk aboutseveral of the reasons, and the
reasons.
A big reason, of course, isfood, exercise, our stress
(16:47):
management, sleep and all thoseother things.
Okay, so looking at theC-peptide gives us a marker or
an indication of whether someoneis making insulin.
Now, what's the differencebetween actually checking the
insulin and looking at theC-peptide?
What's the difference betweenactually checking the insulin
and looking at the C-peptide?
Well, if someone is actuallytaking insulin medication-wise,
(17:10):
then there's no virtue inchecking their insulin level,
because I don't know when I getthat lab.
Is this because I'm checkingthe level of the insulin that
they got when they took theirshot?
Or is this insulin coming fromwhat their body's making?
So there's no way to tell.
But the C-peptide is a way tolook at how the body's making
(17:31):
that.
All right.
So C-peptide, cbc or completeblood count.
So what I'm looking for is I'mlooking to see is someone anemic
?
Because having anemia can causeother issues within the body.
So I'm checking for anemia.
And then these next few thingsare not labs, but they're things
(17:53):
that need to be checked as well.
So you want to make sure you'rehaving an eye exam Retinopathy
so one of the apathies thetriopathy Retinopathy,
neuropathy and nephropathy.
So making sure you're having anannual eye exam, making sure
that you're checking your weightand we have been doing a good
job here on the show in ourfasting, in our check-ins, of
(18:14):
looking at weight so that we cansee what's going on as we're
making changes in our metabolichealth, and then, of course,
checking blood pressure andchecking your foot exam, and you
need to do the foot exam.
We normally send our patientsoff to see the podiatrist and
they do an exam, they do aninitial assessment and then they
(18:36):
schedule you based on what'sgoing on for more appointments.
You may be seeing them morefrequently, less frequently, but
it's based on what's going onfor more appointments.
You may be seeing them morefrequently, less frequently, but
it's based on what's going onin terms of your blood sugar.
All right, and so then now let'stake a look, and we're gonna
take a look at some of mynumbers, right?
If you have questions, makesure you go ahead and put those
(19:00):
in the comments about any of thelabs, right?
So those are the comments aboutany of the labs, right?
So those are the standard labsthat you want to make sure are
being checked as we talk aboutimproving our health.
Now, once again, several ofthem are screening labs and what
we're trying to do is catchthings before they become an
issue.
(19:20):
Let's hop over and let's take alook at and I've been saying to
you for the last several monthsthat we're going to come and
we're going to take a look at myactual numbers as I've moved
through prior to new year, newyear process, in the new year
(19:40):
for new year process and where Iam right now.
And so this first set of labsthat we're going to do is my
labs from December of last year,and you'll see the December
labs, but you'll also see labsfrom the month or some time
prior to that, because on thelabs, remember, they usually put
(20:00):
the current labs and then,right next to it, they'll put
what previous labs were, and solet's go ahead and let's take a
look at.
These are labs for me from themonth of, so these are labs that
were collected in December of2023.
And the first set of labs thatyou see there, of course, is the
(20:22):
CBC, the complete blood count,as we just talked about a little
while ago.
You'll see this in a differentorder as we look at the others.
This one was I think there wassomething that they didn't order
in this, but we looked at it inanother place.
So the things I look at andyou'll see there my pointer is
(20:44):
not working for some reason.
So, about four down, you'll seethe hemoglobin and hematocrit,
right, and you'll see that thoseare in the target range and
usually you'll see if it's outof the target range.
You'll either see it, say, lowor high.
Okay, so if you don't seesomething next to it, that means
that it's actually in the rangethat we want it to be.
(21:06):
So, yeah, so you'll see therethe hemoglobin and the
hematocrit.
And so for the CBC, that's themain thing that I will look at
when we're talking aboutchecking labs.
Right below it is that completemetabolic panel we talked about
, and the very first one thereyou'll see is the glucose and
(21:29):
the glucose of 103.
And you'll see, next to theglucose, it was a glucose of 193
.
Now that previous one was donein September of 2022.
You'll see, down there thecreatinine is 0.91 and that's a
(21:52):
marker of the kidney function.
You'll see, the GFR is 100.
We talked about creatinine asone of the markers, the GFR as
another marker, and we'll lookhere in a little while.
I don't think on this one therewas a microalbumin, but we'll
take a look at one of my otherlabs and we'll see that in just
(22:14):
a little bit.
Okay, so, continuing on this, inthis lab you'll see at the top
of the screen that my AST andALT the last two numbers, those
are my liver functions and thosewere in the target range.
And they were in the targetrange in September, prior the
(22:38):
next section.
Those are my cholesterol levels, right?
So total cholesterol,triglycerides, good cholesterol
and then bad cholesterol, andyou'll see on the most recent
labs there that my badcholesterol was actually in the
good range.
It was 84.
But prior to that it was 105.
We like it to be less than 100.
(23:01):
Five, we like it to be lessthan 100.
And in a lot of cases there's alot of theory that it should be
actually less than 70.
So here mine was 84.
Next, you'll see and we didn'ttalk about this when I talked
about labs that should be drawnFor my men a lot of times I will
(23:22):
check their testosterone levels, right, because testosterone
level, or your low testosteronelevel, can have a significant
impact on health, well-being,life and so forth.
And you'll see there that mytotal testosterone was normal.
Prior to that it was actuallylow, 242.
(23:43):
And my free testosterone waslow on the most recent labs and
we usually treat to the totaltestosterone.
So the total testosterone wasnormal.
So nothing that was done thereat that point.
Now here's a big one.
You see, my A1C was 7.6,.
(24:20):
Now here's a big one.
You see, my A1C was 7.6, righton this current lab in December,
a year a little where we walkedthrough my journey in diabetes
and some of the struggles that Ihave, and you'll see there that
A1C is during that phase ofthose struggles.
(24:43):
So if you've not already doneso, go back and watch through
some of those shorts and you'llget a flavor of what was going
on, some of the things that weregoing on at the time.
So, yeah, so 18 months prior,and then 7.6, you'll see the TSH
1.3, or sorry, 1.3, theC-peptide, and look at this one
(25:08):
y'all.
So back in when the A1C waselevated and the blood sugar was
elevated because remember theblood sugar was 193, I think is
what it was let's back up therefor a minute Blood sugar of 193,
a1c of 11.6, c-peptide was lowat 0.3.
(25:29):
So the body apparently wasn'tmaking a whole lot of insulin.
And then, as the A1C improved,look at that the C-peptide
improved as well.
So we went from looking likethere was no insulin being
produced.
To hey, some insulin is beingproduced and that's one of the
(25:51):
beauty of this process ofreversing diabetes, correcting
diabetes, improving metabolichealth, because as you heal the
body, as you heal the body, thebody begins to do what it was
designed to do.
If you remember, as we've beentalking about the fasting those
days, those of you who are outthere who've been fasting those
(26:13):
days, immediately followingfasting, you will find that
you're able to eat things thatyou weren't previously able to
eat and your blood sugars don'tspike as much.
Why?
Because the body isrecuperating.
The body is recovering, thebody is improving and becoming
(26:36):
less insulin resistant.
That's one of the beauties ofthe New Year, new Year process
and reversing diabetes.
All right.
So that was the.
Those were the labs fromDecember and, of course, 18
months prior to that or so, inFebruary.
In February, let's take a lookat what the blood sugar was and
(27:04):
you'll see there down at thebottom, the glucose was 102.
The previous one was 103,you'll remember.
Sodium, potassium, calcium,liver functions are all in the
target range.
Look at the cholesterol levels.
Those are in the target range.
That's in February.
In December, they were in thetarget range again and we'll see
(27:25):
some changes here in just alittle while.
Now here is the microalbuminthat we talked about, and that
number down at the bottom, the 7, is where we want to see Normal
is between 0 and 29.
Some labs you'll see is between0 and 30.
And in this case we're 7.
And so we're in that targetrange.
(27:47):
So we're not seeing anymicroalbuminuria, so we're not
seeing any damage to the kidneysin this case.
And then if we take a look atthe hemoglobin A1c, so we went
from a 7, let me back up so wewent from a 7.6 on the previous
(28:08):
labs, so 11.6, 7.6.
And then on this set of labs itwas 6.6.
We're going to go and look atthe glucose.
So now we've been fasting.
So December, january, february,march, look at the glucose.
So now we've been fasting.
So December, January, february,march, look at the glucose.
So we've gone from beingglucoses above 100 to now
(28:31):
glucose was 61 at the time thatthis was done.
Still no kidney issues, becauselook at the creatinine, that's
right below that and the EGFR.
And then let's hop over andlet's take a look at the
hemoglobin A1c.
We went from a 11.6, 7.6, 6.6,6.1.
(28:53):
What do you think thehemoglobin A1c is going to be.
I just got this done last week.
Yeah, I know I keep you guys insuspense.
So right now we need to knowwhat my ketones are and, of
course, what the hemoglobin A1Cis.
So we're going to hold on tothat for a minute and let me hop
(29:14):
over and let's take a look atsome of the reports.
So my average blood sugar hereis 93.
That's for the last 14 days.
If I go back 90 days, it'sprobably going to be like 107 or
(29:35):
110.
Okay, 104.
Okay, pretty good.
And it says that my estimatedA1C is going to be 5.8.
So, remember, that's theglucose management indicator.
I'm in target 91% of the time.
That target is 70 to 180.
And if we actually look at thedaily graphs and I want to go
(29:58):
back to Friday, so we broke ourfast out here right around 6, 7
o'clock, if you guys remember wedid that show Blood sugar was
62.
And then it started climbing asI ate.
What did we use to break thefast?
(30:19):
I think I used some cheese.
Yep, yep, yep, I used somecheese, smoked Gouda and salad.
That's right.
I had to think back and so intothe next morning, blood sugars
(30:39):
are climbing into the 140s andthen low 100s and then right in
here is lunchtime, and then westarted going down to 130s and
then yesterday stayed in the115s 120s A couple of spikes
there as we had some meals, andthen, of course, into today,
(31:02):
we're into the 120s 115s.
One thing that I did want toshow you, and let me hop back
over to my labs, and you guyswill recall that I have been
eating a lot of cheese as partof the process, right?
(31:25):
So I've changed what I've beeneating.
So I'm not eating a lot of thecashews and the almonds because
I was getting those spikes in myblood sugar.
I moved away from eating thebeans, right, because once again
, I was getting those spikes inmy blood sugar.
But I want to show yousomething that happened.
So one of the things people askabout is the differences between
(31:48):
different diets.
What's the difference between alow-carb diet, a ketogenic diet
, a paleo diet and so on and soforth?
And here is one of the right.
So I want you to look rightthere, that is, you'll see in
the middle of the screen, that'smy lipid panel, those are my
cholesterol numbers, and if wego back here, you see
(32:15):
cholesterol total cholesterol167, good cholesterol 77, bad
cholesterol 79.
And as I've changed what I'meating eating more cheese you
guys saw me eating sausage andlook at the cholesterol it went
from 167 up to 200.
The bad cholesterol went from79 up to 100.
(32:43):
Okay, so as we are adjustingthe things we're eating, we can
look at the labs and see changesin those values that correspond
to the things that we are doingin terms of our diet.
Let's hop over and let's take alook.
I know I'm prolonging this,right, we're going to take a
(33:05):
look at what my ketones havebeen.
All right, so 77 was the bloodsugar.
And look at the ketones theketones are 0.8.
So that means that I've beenactually doing a pretty good job
, even though I was eating, ofmaintaining some ketosis
post-fast.
(33:26):
I mean, one of the reasons thatwe're doing the fast is because
we want the body to be able toburn calories from fat, and the
calories that we burn from fatwill produce ketones and we get
the weight loss as a result ofthat.
We get the improved blood sugaras a result of that.
We get the improved blood sugar.
As a result of that, we get theautophagy and all those
(33:47):
benefits that come from that andin this case, I'm still kind of
maintaining some ketones as Igo through that process.
All right, all right.
So, yeah, I know you've waitedlong enough.
Let's go ahead and let's take alook at what my A1C is.
And let's take a look at whatmy A1C is and drum roll, please.
And the A1C look at that rightin the middle of the screen was
(34:10):
5.8, which is what the Keto notthe Keto, but what my Dexcom
Clarity app actually predicted.
It said that over the course ofthe last three months, my
estimated A1c was going to be a5.8.
And, in fact, when we got thenumbers, when we got the levels,
(34:33):
my A1c was 5.8.
So that's a pretty good marker,pretty good indication.
And so the process of improvingour metabolic health, the
process of doing all thosethings that we've described in
terms of reversing to diabetes,this is a process that works.
(34:56):
This is a process that you cando.
This is a process that isimportant and a process that we
are working on here on thechannel, as we work to reverse
your diabetes.
This is Dr Duane Wood, that'sWood with an E the E stands for
endocrinology.
Here on the channel, I educate,I empower and I encourage you
(35:19):
to take charge of your health,take charge of your life, avoid
complications and go to the nextlevel, creating the life you
always wanted.
And for this year y'all newyear, new you.
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