 Hello guys, welcome to another episode at SugarMDs by Dr. Ergen. Now today we are talking about an extremely important topic, how to beat diabetes. Now if you like this video remember to give it a thumbs up and remember to subscribe so we can get you more videos and you can be notified. Okay, this is going to be an informal conversation with you guys and I'm going to be very sincere with you and I am going to explain what happens and what's happening in my current practice. I have tons and tons and tons of success stories. We call these people in remission, they call themselves in cured, whatever you call it if your A1C is below 5.7 that is at A1C that that that is not diabetic right? So if you can bring your A1C down below 5.7% you're not diabetic anymore. That doesn't mean that you're cured but you're not diabetic anymore. Of course you may have type 1 diabetes, you may have type 2 diabetes, you may have type 3 diabetes, sometimes we call this LADA or type 1.5 you know the the name can change what the bottom line is is a diabetic diabetes between type 1 and type 2 but depending on your diabetes the beating diabetes is possible. Now beating diabetes has many meanings right? So we are not talking about here like diabetes vanishing like a common cold or coronavirus COVID-19 going off the surface of the world. You know diabetes is not a disease like that. It is very controllable, it can put into remission and it can stay in remission for a long time but it's not like a common cold or virus so people don't understand that part and some people think that the diabetes is just a disease of food or sugar that's not true either. So people read on the internet or on different resources and they end up coming up with their own ideas and thoughts and they're trying to influence other people based on what they think it is without a medical degree or without a deep thought and understanding and studying the disease. What you're saying on the internet is affecting a lot of people so if you're not really necessarily a professional if you do not specialize in this if you're not not a medical doctor if you're not if you did not go through this extensive education and training we call medicine practice of medicine for a reason we do not call it science of medicine right? So we practice science because diabetes or any medical topic is not an entire science that is because the presentation of the disease can be different from person to person. Since you're all familiar with the COVID-19 or coronavirus right now as you can imagine the same virus can kill somebody and somebody else may not even have symptoms so as a result you know we do not just write the same prescription for everybody. Trust me I am telling you the truth so my patients actually my current patients in my practice get a lot of benefits from these videos but I want these videos to be available to everyone why not right? So if I can serve other people without asking anything and they are just thankful that's good enough for me. Okay guys so basically if you have just got diagnosed with with diabetes and doctor told you that hey your A1c is high your A1c is 13% your A1c is 15% a lot of times people come to me by the time they get referred to me their A1c is already down because it's like hitting the wall and people understand that they've been eating a lot of carbs they've been like they've not been really caring about themselves they haven't they've not been exercising and so forth. So a lot of people when they hear the diabetes diagnosis they get shocked and they take extreme measures typically. Alright so what happens is that immediately A1c goes down which is great but that happens in the early course of diabetes so sometimes you know I give this car examples all the time although I'm not a really a car guy by any means but if you see the engine light and you do something early you're probably gonna recover pretty quick your car is going to be okay but if you kind of wait and let it go and on and on and on and you may actually end up damaging other parts in your car and you may end up paying way more for the damages for the negligence and so forth. So our bodies are you know kind of similar although way more complicated so we sometimes when we diagnose people with diabetes actually damage is already done so the diagnosis of diabetes actually is something that that is at the end of the story it starts with insulin resistance and you end up with the diabetes. Most people by the time they have diabetes they already have heart disease not everybody but a lot of people end up with heart disease quite early on and just because it just we need to tell these people way ahead of time when your A1c is like 5.8 5.7 5.9 hey you gotta do something aggressive right now don't wait your A1c to be 15 so this happens all the time right so people come to me and say dog my A1c was like 5.9 or 6% I said okay fine I'm just pre-diabetic on borderline I'll be okay and the next thing they go to the doctor six months later doctor says what did you do your A1c is 15% this happens all the time your body gives up your insulin goes up and up and up and at some point your body will say you know I'm done making insulin basically it goes into almost like a crisis situation where your body just shuts off insulin now at that point if you can reduce your carbs drastically you will temporarily recover from diabetes now I get a lot of comments saying that all what you're saying has no meaning because I brought my A1c down from 15% down to 5% and I don't need medication as well that may be true for you good for you and that is the case most of the time when people just get diagnosed and they still have a lot of insulin reserves but what they don't understand is it's not going to stay the same so remember this this is not necessarily 2 times 2 equals 4 there's a lot of things that contribute in your blood sugar management now if you have certain amount of insulin production that your body is capable of and that is genetically determined most of the time so I'm asking to those people who who say that I only need carbs diabetes is a sugar disease so I got the carbs my diabetes is gone there are a lot of people who eat 500 grams of carbs every day and they don't have diabetes or they are like even their 50s and 60s they're overweight and they're obese they don't have any diabetes so how do you explain that right so explanation is that they're genetically they are not prone to have diabetes they can make as much insulin as they want now this they're gonna stay obese they're gonna probably have some other complications from obesity but they will not have diabetes so it is genetically determined how much insulin you can make now how much insulin you can make has a meaning because the amount of the the fat and muscle tissue that insulin takes care of also is very important so if you have a lot of muscle and fat mostly fat and you become insulin resistant because these fat cells create as we discussed in the previous video the inflammation and as a result your insulin production goes down together but also insulin is not able to take care of the demand in the in the fat cells because your fat cells are just stubborn doesn't want to deal with insulin and insulin tries to go up and so forth eventually fails and diabetes happens now if you take aggressive measures like I said go down on the carbs and initially it's fine but what is not known by many people is that diabetes is a progressive disease once it starts it keeps going on like a lot of chronic diseases actually like that so like dementia once it starts it doesn't stay that way you keep going down the medications and everything like that we give for dementia is just to slow the progression so once the damage starts in an organ that is inevitable that that organ is going to go down so you basically reduce the carbs drastically to almost a none of course your body doesn't have to make insulin doesn't mean that you have diabetes your capacity to make insulin is too low it's like saying well I you know I've been spending a lot of money and now I'm spending now $20,000 a month and you know I'm not making enough I'm making $15,000 and now I'm spending $20,000 you're in debt and everybody's on you direct trying to collect your their debts and stuff like that and then all of a sudden say I'm done okay I'm selling my house I'm selling everything I'm going to a small house I'm gonna start spending $5,000 a month suddenly you look like you're $10,000 rich right but actually you're not any rich you're just like you're making the same money it's just that you're not spending as much same thing with diabetes guys your body already is under attack your pancreas is not making enough insulin but if you don't need as much insulin you will still be okay you can still go with the flow you know go for years without needing any other medication that is great we always support that if you start exercising you cut down on the carbs you know your diabetes will be in remission for a long time but this doesn't mean that if you just cut down on the carbs and start exercising your A1C goes down to five that's great but if you don't don't maintain that okay or if you start engaging in high risk behaviors like eating high carbs going partying stuff like that that's gonna come right back on because diabetes didn't go away you just were able to manage it by reducing the demand on your body a lot of times what happens is those people they hit the wall they get excited they say okay I'm gonna change all my lifestyle they do great and there once it comes and I tell them okay well let's see you in six months and see you're motivated and so forth and a lot of times those people come back with a way higher A1C so here the key is guys is being accountable so we are human beings right so we get distracted we get pulled away there are a lot of people around us eating this fun carby stuff and you're the one you're the weird one saying I don't eat carbs you know don't touch me you know I have no fun in my life I'm not gonna eat carbs I'm not gonna drink whatever great but it can only last so long so instead of you know taking aggressive extreme measures you know you should be taking measures that actually will fit your lifestyle for a long time so just choose the middle road just just reduce your carbs yes great but going no carbs is most of the time is not easy to maintain plus a lot of healthy carbs have a lot of nutrients and minerals so for example people say you know yeah well I eat oatmeal my blood sugar spikes of course it will spike it has a spike if your pancreas is not making any insulin it's gonna go up but also depends on how much oatmeal you're eating if you're eating a bowl of like this your sugar is gonna go up so it's not just the food to blame it's also how much carbs you're eating plus if you took a walk after that oatmeal your blood sugar wouldn't spike so don't blame the oatmeal so blame yourself for blood sugar spike because you're actually not doing anything for example after eating a breakfast or just sitting on a desk job in not even moving around of course gonna go up that's the basics of the disease so you have high demand you have a minimal production of insulin it's not going to match now again we're not playing the blame game here but I'm trying to tell here is don't just blame the food and just don't just turn your head away from all the foods yes there are some foods that you shouldn't be touching at all but there are a lot of healthy carbs people say oh you shouldn't be eating any carbs that is not true as long as you can eat the carbs and keep the blood sugar normal you can and there are a lot of ways you can still have healthy carbs in your diet get all the benefits from those carbs the fiber because again think about this guys when we treat diabetes we do not just treat numbers that's that's a lot of people get hung up on they say well my blood sugar is going up my blood sugar is going up the diabetes is not a blood sugar number disease diabetes is a metabolism disease you have to understand that your sugar going up is the end of the story by the time you get there you have a lot of insulin resistance a lot of cholesterol problems blood pressure can kick in this is a metabolic syndrome diabetes is the end result of it so you have to really think that way it's not just blood sugar going up and down so the outcome so why do we treat diabetes right why because we want to avoid damage to the body we want to avoid cardiovascular disease we want to avoid strokes and heart attacks a lot of people die from strokes and heart attacks before dog they go blind or before they go on a kidney dialysis so you have to really think like this that's how a doctor thinks so when patients come to us with their own agenda their their goal is I want to bring my blood sugar down to 100 I don't care how you do it it's not just about bringing blood sugars on it's about getting your whole health together I call this holistic you don't have to use herbal medications to be a holistic doctor holistic doctor is a doctor who looks at your entire body and when a doctor prescribes you a regimen a diet regimen or a medication regimen they try to give you the best possible benefit from all the angles not just from one angle so unfortunately some doctors also do not understand that they also get caught with the same problem or are called the disease the brain disease where your entire goal for diabetes is to bring the blood sugar down and don't care about the rest of it so as a result for example there are some medications that bring the blood sugar down but cause cancer though there are some blood sugar medications that will bring the blood sugar down but it will give you a heart attack come on right there are some blood blood sugar medications that will bring the blood sugar down but will cause a weight gain so what's the point so again when we choose medications as a doctor we we are to at least I am choosing the medication that my patient my patient will get the most benefit now again some people will say oh stop the carbs and you don't need any medication that's not true if you're not making enough insulin right so you may be making let's say 50 insulin and you were eating 100 grams of carbs and you brought your carbs down to nothing you still make insulin you're good to go but somebody else may not be making the same amount of insulin you're making so as a result those poor people they'll say I sometimes go fasting for like day for 24 hours a day and my blood sugar keep climbing so what do you say to those people what do you say to those people they have insulin resistance it has to be taken care of sometimes it's just the way it is that your body is not making enough insulin even if even without eating your blood sugar keeps going up there are ways to approach this sometimes we I call this a SWAT attack basically our tech diabetes I get under control with a combination of medications get under control if you're not able to do it with a diet and exercise diet and exercise is the first thing right cut the carbs exercise if you can now a lot of people there are people from India people from China people from Middle East you will Hispanics you cannot just tell them cut the carbs we're talking about they live on the carbs so you have to understand the reality of people the socioeconomics there are a lot of people who cannot afford those healthy foods guys you just tell them throw things I hate eat avocado eat this eat that how do you know they can right that a lot of things that as a doctor I have to understand patient I cannot just say people oh you know what you're eating just go eat good stuff you'll be good most people cannot afford that now you'll say oh well they have to cut this I understand but the thing is they're not sometimes as well educated not everybody is like you're watching YouTube video right now you're trying to educate yourself but not everybody is the same so I have to consider as a doctor that okay what can he do what can she do what can we do together what is doable what's not doable how motivated are you so motivation is a big thing some people are health freaks they are crazy about any food and every food and some people you know they don't really care now I still have to take care of everybody and I cannot yell at people for eating carbs you know if I can only do okay with less let's negotiate you know instead of eating 100 grams of carbs let's go down to 60 something to say oh we cannot tell people eat 60 grams they have to eat nothing well okay guys calm down if you can bring somebody from 100 grams on to 60 grams that's a success you have to take it like that okay and and then once they eat 60 grams they see the results they get motivated we have to create the motivation in people that is how it works that's we call this motivational interviewing we ask people what they can do what they are willing to do right what are they capable of doing and what do they expect from results why do they have to do this what's the point of controlling diabetes what's the point of taking this medication a lot of people a lot of times people get upset and frustrated because they don't really know what they're doing nobody talks to them doctors don't tell them why they're taking this medication you say you have diabetes just take this medicine or you have diabetes just stop eating carbs and most of the time people get confused like what is doctor talking about you know my entire family everybody eats carbs day and night how am I gonna just say no to everybody and just have my own salad and everybody else will enjoy their pasta Italians right so we negotiate with them we say okay well you have to eat pasta okay let instead of eating pasta every day how about cutting down to two times or three times a week let's see the results and most importantly accountability we do remote monitoring so when I put people into my remote monitoring program they immediately improve why because we work as a team and I tell them what to do and how to take medications how to reduce medications how to get enough medications they they log in all this information into our application and I can see what they're eating and so forth and in a friendly way we just discuss back and forth our educators help the patients so it is a process where people need a lot of support if you bring that team approach to every diabetic patients life then people will first of all will not feel alone feeling alone is horrible with diabetes I mean everybody else is eating whatever they want and you are the weird one that's very hard so at least somebody's on your side right so we do that guys and of course you know educating educating education is the key in everything if you understand what the diabetes is overall and how to treat diabetes have to eat right and again this very individualized process it's not just one size fits all at all so I bring my patients I want to see down always but how we do it depends on the patient motivation depends on their lifestyle depends on their financial status social status etc sometimes it takes us two weeks sometimes it takes us a year to bring the blood sugars down and how intensive they look at the patients determines the outcome and I think that is the key so anybody's blood sugar can be controlled either with lifestyle changes or with medications and both etc so there is no reason to not to beat diabetes you can beat the diabetes and it's not just about what you're eating it's about who you are dealing with who's your coach who's your doctor what is your medication regimen how are you managing it what do you know about your medication a lot of times patients with diabetes don't even know what they're on and I tell them friendly in a friendly way I'm like look you have diabetes you need to understand what diabetes is you need to understand what medications you're on you need to understand why you're taking them and you need to understand how to take them off so if you don't care enough about your diabetes and your medication regimen or your diet or exercise the beating diabetes is not going to be possible you can't control it in a relative way we still bring people down to lesson seven we just you know if somebody is not motivated and they don't want to do anything they just have their own ways and they don't want to change anything in their lifestyle we have medications but then they complain that medications are expensive or even herbal medications we give sometimes that they say it's expensive of course anything that works is expensive unfortunately in the United States we are the pioneers we are the inventors but then of course everybody is also trying to make profit from their inventions from their treatments even herbal treatments that I recommend you know is not is not cheap because I wouldn't recommend something that's not going to work you know there's a lot of like glucose support stuff that you buy for $20 and they just don't work and I don't recommend them but so as a result guy so you know if you want to save money and cost yes diet and exercise accountability being remotely monitored is the key that's how you beat diabetes in a population regimen also in a population management also if everybody was being monitored and everybody was being coached and everybody was giving was given the right medications if they needed medications then everybody can beat that piece I think it is problem of motivation it's a problem of workforce to help these people but my mission my goal is to actually promote that remote patient monitoring so that we can touch a lot more lives we can help people staying accountable help people staying motivated and that's how we beat diabetes again guys please write down your comments please do not give medical advice especially if you're not a medical doctor if you like the video remember to give a thumbs up and we'll see you in the next video