Unveiling The True Culprit Behind Type 2 Diabetes: What You Can Do About It

Are you or someone you love battling with diabetes and can't seem to find the answer? What if the key to understanding diabetes isn't just about sugar? Join us as we dive deep into the heart of the matter, unveiling the true culprit. Discover overlooked connections and learn how managing them could be your first step towards a healthier life. Get ready to challenge everything you thought you knew about diabetes with our eye-opening video. Hit play and transform your health today!

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Transcript

Dr. Michael Lam: 0:00

There are two types of diabetics. One is called type one diabetic, which is a absolute deficiency of insulin. People are born usually its an autoimmune disease with a reduction and of insulin and therefore, it has to be replaced externally. And most people with type one diabetes have to be on insulin. This is not the type that is affecting most adults in the world. Most adults now in the world have what what we type two diabetes, which is for a long time has been thought of as a insulin deficiency problem, but is now in the cutting edge. Research has shown to be much more complex than that. So, let us back off and understand. First of all, when you eat sugar, or carbohydrate, your blood sugar goes up, and your insulin from the pancreas goes up to normalize the blood sugar, this is normal. And that excess amount of sugar that is not being used by the cells will be pushed into the liver by insulin as well. And inside the liver, the sugar is converted into glycogen for storage. And glycogen is a short term energy store. It is good for about six to eight hours and is used when our body between meals for example, when it cannot get to food. Excessive amount of sugar in the liver is also converted into a thing called triglyceride. And triglyceride is a type of fat that is stored in the liver to a certain degree and excessive amount is then released from the liver in the in the form packaged in the form of VLDL as well as excessive amount can be deposited onto the liver itself. If it is a visual visceral redeposit, meaning the fat is deposited in the visceral organs, then such as the liver such as the pancreas, such as the gallbladder, then you have fatty streaks in the liver its called fatty liver. And 40% of adults in America has this. If it is transported into the bloodstream in the form of VLDL to be deposited into peripheral tissue, then your peripheral fat will go up, your triglyceride level will go up and your VLDL will also go up. Now bear in mind in the liver is a closed organ system. So therefore, when you put fat into the liver, it can only expand and accept certain amount. It's like a warehouse, if you have a certain number of packages it's full, then it's not going to be able to accept any more. Okay, peripheral tissue is different, you have lots of room to expand, so you can gain weight and mostly in the peripheral, you can see that but you cannot see it when there's individual organs like the liver. So, we talked about triglycerides. And triglyceride therefore is really the storage form of, of sugar in our body. And when it's too much it deposited into the liver becomes fatty liver, it also sends a signal to the body to reduce sensitivity to the insulin. So therefore, the is using that analogy is like the warehouse, the warehouse is true, the packages are jammed. So, the warehouse is gonna close the door and when the post office come to deliver the package, then when they deliver, it's gonna say no more because I'm full. And this is called insulin resistance. It's telling the messenger which is insulin, they cannot accept anymore. So, what happens? The insulin is not able to bring the sugar into the cell which is in the liver. And therefore the sugar becomes in the peripheral tissue in the blood and is not being put into liver and when you measure their blood sugar it's going to be high. And then then you'll be told that you are either normal if you're fasting blood sugar isn't at 80/ 90 range or you're the 100 to 110 you are pre diabetic. If you are too high, then you'll be labeled as diabetes. Even see normal is under 5.5 5.6. If you get to between 5.8 to six is pre diabetic or thereabouts. And it once you get above 6.5, you're considered a diabetic. So, we are using blood sugar as a determinant. But the underlying problem is not insulin. Insulin is just a messenger to bring the sugar into the liver. You know the real problem is that the liver is jammed. And the liver is jammed because the triglycerides fill up the space and it causes the liver to be packed and therefore the liver becomes resistant to insulin. And that's why you hear this term insulin resistance. It's from the liver's perspective. Of course, when you have insulin resistance not only that your blood sugar goes up your blood VLDL also goes up because the liver is then trying to bring the triglycerides out of the liver into the cells for deposit. And then the body has more sugar in the bloodstream all around. So, when you look at diabetes, is it really a problem with insufficient insulin, or is it really a problem of too much insulin secreted by the pancreas but not accepted by the liver. More and more evidence is showing now, that it's the latter, meaning, you know, the pancreas is actually functioning very well. And in fact, that's why when your blood sugar is high, you know, you're giving more insulin to the body either externally or by medication doesn't work, because it basically enhances the insulin effect, in the case of medications, or in the case of external insulin by forcing more blood sugar, or blood into a sugar in the blood into the liver. And this works for a little while. And it's very dramatic. And some people can have it work for five years, some people live for three years, and people go for longer. But overall, that doesn't solve the problem. The problem is not that the insulin is not being made enough by the pancreas as in type one, diabetes. In type two, the pancreas is actually oftentimes in what we call hyper insulin anemia state, the pancreas is making too much insulin, but it's no use to make more insulin, because the resistance and the sensitivity is not there. So, the blood sugar continues to stay up. So, you know, it's almost like an alcoholic, they're drinking a lot of alcohol. And the way to fix that is to stop drinking the alcohol by stop the triglyceride being high via reducing carbohydrate. But instead, most of us are doing the opposite and medications is to increase insulin load, which it can work for a while, as I said earlier, but doesn't work long term. And the meta studies does point to that. Now, if that, for many people who are overweight, you know, by reducing the triglyceride, your blood sugar will drop very quickly. I'm talking about like refined sugars, or fruits, or bread or pasta, etc. And very drastically can be over a short period of time. So, doing a low carbohydrate diet will work. Okay. Now, the average person takes about two to 300 grams of carbohydrates a day. And you know, you can go down to between 50 and 80 grams a day and still be very comfortable and lose some weight. And for a lot of people that will lead to weight reduction, as far as trying to reduce right coming down. As well as blood sugar normalizing, the lipid panel would look very good over a few month period, your VLDL will go down, your good LDL will go up, your HDL will continue to stay up and your weight will go down, your blood pressure will go down. That's a very dramatic effect. When you do a low carb diet. The problem then becomes well what happens if you're already at your your weight, and you have not much weight to lose, or you need a lot of calories because your energy need for the day is very high. In which case, the next step is to go to some form of intermittent fasting, where you force the body to burn ketones instead of burning carbs for energy. And so you can eat at about 11:30am And then at 6pm and you have the six hour window or seven hour gap, a window where you eat and the rest of the day you can fast but you can drink water of course, okay, make sure you're well hydrated. And people in fasting state by the way, also have a need for more salt. So, you make sure you have more salt in your system and check your blood pressure. But you know, low carb diet does not work because your weight is already at ideal. You don't want to go lower than you have to go intermittent fasting and increase your protein and your fat intake. Okay, so you had the balance between carbohydrates or complex carbohydrate, it's good but it's low calorie. Refined carbohydrates such as pastures is not good. And fruit is not good except for certain ones like blueberry and strawberry, which is okay. Fat is okay. Protein is okay provided you don't have kidney issues. If you do then you have to go into low protein, high good fat and low carbohydrate diet. And it can be sustained if you do it right. You know, if you have no kidney problem, then you can go on a moderate protein, moderate fat and low carb diet. And it does not mean that you do zero carbs, because your body does need carbohydrate for fast energy. And if you don't want if you especially if you have a very high blood sugar for a long time, you want to the blood sugar to come down in adult diabetes to be gradually done over a period of time. And always consult your your health care provider because you don't want to just go cold turkey. Because hypoglycemia which can happen if you starve the body too quickly, can be a medical emergency and a life threatening issue. So don't proceed yourself without careful consideration of the nutritional balance that you need that's fitting for your body. Those who have chronic diseases such as Lyme, adrenal fatigue, chronic fatigue, fibromyalgia, and infections of any kind has to be even more careful because number one, the sugar can be off to begin with, and may not be accurate, especially the liver as well as in the liver and the lipid. So you need to have accurate readings. But on top of that adult onset diabetes can be managed very well over time if you pay attention to the nutrition. Remember, diabetes in adults is a nutritional illness.. It's not an insulin illness. So fixing it by insulin is not necessarily the best idea although sometimes it can be helpful for short term. Ultimately, you get to the root the root is sugar and sugar from the food in form of carbohydrate. Okay?