Thanks for the tips❤️ 😢 Sadly I was given confirmation (3.16.24) to what I kind of already knew but happy since im borderline I now know it can be prevented.😊 I just have to get back to my daily walks and and exercises and kick the late night sugar habits. I eat plenty of veggies and fruits its just that sugar snack habit I need to kick. Heres to a happy healthy life 💕
Why skinny People Who r not overweight AVE diabetes??? Nothing makes sense Why some type 1 Even when young? I think I have to ask The Marker of the Universe The Lord Jesus ❤
Once you are prediabetic even if you get your blood sugar back in the normal range you still cannot eat like people who are not diabetic or you will be prediabetic again. You must keep to a good healthy eating pattern
@@michelelisa1420 This is all about creating a healthy relationship with food, where you can enjoy all the food you eat! Watch my weight loss series for more info.
Everyone is different. Some can eat that apple and some can’t . All our bodies are different. I purchased a glucose monitor and it lets me know the foods that make my sugar rise. 😊
A CGM can be helpful for people with diabetes or pre-diabetes, but only if it shows blood sugars staying high. An apple may cause a spike that quickly settles, which is of no concern. Nobody gets diabetes from eating too much fruit!
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches. The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
Dr. Sophie. That is all very well but........! I consider myself to have done all the right things over the years, and, as a result, on the face of it should not be a candidate for either high BP or type 2 Diabetes, yet I have both. I have taken vigorous exercise all my life, kept my weight down, yet have been on BP meds since the age of 60, and was diagnosed with Diabetes 2 at about 75. In my 91st year I cycled 3,000 km, and now coming up to 93 I am still cycling and my weight is what it was when I was 21. The ONLY way I can keep my numbers in check, though, is by reducing my carb intake. At the moment I am running at about 50 to 60 g. per day and even then my hbA1C is at 6.4%, which is too high in my opinion, and I have some peripheral neuropathy, so I should obviously do better. It's all carbs, it seems to me!
(1) don't focus on weight loss (2) choose something you can stick to forever (3) focus on what you can add into your diet (fruit, veg, salad; for every meal 50% is fruit, veg, lentil, beans, with fiber) (4) switch to wholeweat (5) increase exercise Those are all pretty good advice. Only 1 missing in my view is removing added sugars (fructose without fiber). In any case, you can measure insulin resistance (the part that makes you prediabetic), the measure is called the HOMA-Index. By changing my diet, I managed to substantially reverse my HOMA-Index in 1 month. You can measure your HOMA Index in the start, make your lifestyle change, and then measure it after. If it declined, then your lifestyle change was good enough. By having high fiber + a little bit of exercise (even walking after meals), you will directly address your insulin resistance. You will even feel better in your body after some time. Good luck!
The general vibe and info of this video is great. The diet advice is where I diverge. Most fruit will wreck your blood sugar. A few don't. Be careful. Whole wheat, pasta, carb-monsters like these are a bad idea. Dig the vibe though.
Most fruit will not wreck your blood sugar, especially if eaten whole. Whole wheat carbs are not a bad idea. Sure, you can follow a low-carb diet if you like, but studies have shown this isn't necessary to improve HbA1C and reduce risk of diabetic complications.
@@DrSophieGPyou dont know what you are talking about. Carbs break down to sugars. I am living proof by sugars dropped drastically and I am sure I am not the only one. You need to do more research if in fact you are a real doctor. You don’t give information
@@Irish12345 As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches. The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
Diagnosed with T2 45 years ago. Immediately cut all obvious high carb food and started long walking. But losing weight…did not happen ! It took decades to slowly lose 60 lbs. now , 84 and still working on improving my life style. My advice…start learning …
My A1C is two tenths of a point from being type 2 diabetes. My blood test came back today. I’m 43. My BMI is 20.4 so I ain’t fat. I’ll have to cut all sugar from my diet and get more exercise
What happens when people have diabetes and they have numbness n they are not in the mood to do sports no energy..its not good... Pray and God will bless u with strength energy
I was duped into believing that pre-diabetes is not so bad. What I did not understand is that all the structural damages happen inthat phase… I ended up with HbA1c of 11,7. After changing my eating habits I am now stable at 5,1 since more than a year - without any drugs like Metformin or Insulin.
You're not the only one this happened to, American doctors. 🙄 I simply cut out sugar, not high GI foods like I should've, and my pre-diabeties still went to 6.5 A1C diabetic. I've gotten it down to 5.4, so you've done better than I have. Congratulations!
@oneworld1160 Yeah, it's the entire medical world that doesn't take prediabetes seriously, and I had trigeminal neuralgia pain in my teeth at the time. So I paid it as much of attention as my doctor did, removal of sugary foods. Wished I had looked it up and found the glycemic index and what foods to avoid. Now, I can look forward the rest of my life, at least I'm nearly 50, and may have to inject lizard saliva (Ozempic) to keep my blood glucose under control in my old age and avoid those nasty complications they don't tell you about either.
@ I have a video on ozempic etc and explain the side effects. Not all doctors are trying not to tell you things! My channel is all about giving patients information to enable them to make good decisions about their own health 👍🏻
Some high calorie foods confer additional benefits, like fibre, which can keep you fuller and therefore eat less. However, your body doesn’t interpret physics, excess calories consumed compared to burned leads to weight gain.
The nutritional guidelines you keep quoting were as a result of the In 1977, Senate Select Committee on Nutrition and Human Needs) who introduced the first explicit fat target. They recommended reducing fat intake to 30% of total calories, with an emphasis on limiting saturated fat to curb heart disease. As recommended protein intake was 15%, this left 55% for carbohydrates. Obesity rates in the UK since then have gone up 4x from 7% to 28%. There is growing evidence that low-carbohydrate diets can have positive effects for individuals with type 2 diabetes, especially in terms of weight loss, improved insulin sensitivity, and in some cases, even remission of the disease. A meta-analysis in The Lancet (2018) found that low-carb diets were associated with better outcomes for type 2 diabetes when compared to higher-carb diets. I rest my case.
I always did fasting before my test for 12 to 16 hours I always range from 100 to 115 even when I used to do keto with hour weights hour cardio 5 times a week min sometimes even 6 to 7 it never changed. I heard about the dawn phenomenon perhaps that's what I'm going through. Do you suggest eating something before the test like a high protein high fat breakfast then getting tested? I am considering metformin what's your thoughts on that?
The HbA1C is what we usually measure and gives us an idea about the last 3 months, so short term fasting etc won’t affect it and would give you a better idea than a random blood sugar reading.
Some people are more genetically susceptible, despite not being overweight. The advice I give in the video is key, find a sensible balanced diet you can stick to forever and try and make movement a habit in your life 🙌🏻
I lead a wellness class with seniors and found exercises from easy to more challenging on TH-cam. Easy....Sit And Be Fit, Stretching....Tai Chi Health Products ( I do a 10 min one daily...feels great. All can be done sitting as well), for more of a workout...Drums Alive (they use drumsticks and a ball or chair. To adapt can use pencils and drum on the back of a chair or table.) Hope these help stir ideas.😊
If in the low numbers of type 2 diabetes, can this be taken down to pre diabetes? Im not overweight and just found out my fasting blood suger was high.
We don’t diagnose type 2 diabetes with just one reading, unless there are symptoms. Usually we repeat the test to confirm it is still high. If someone is diagnosed, it is possible to go into permanent remission, back to pre-diabetes levels.
@@DrSophieGP Thank you. This was quite a scare to me, and I want to do everything in my power to get these numbers back in range. I do not want to be on medication if at all possible. And I definitely do not want to cut my life short by a decade or more.
@@DrSophieGP Have you ever heard of different readings depending on which hand? I was really excited yesterday when I was almost within normal range....but had switched to my right hand when measuring for that reading. This morning, 119 with right hand, then 131 with left hand....only a minute apart....So happy, then so disappointed
Current evidence does not strongly support the claim that even healthy carbohydrates consumed in large quantities can reverse type 2 diabetes, particularly in the context of a meta-analysis or systematic review. Most research focuses on low-carbohydrate diets, typically defined as less than 130 grams of carbohydrates daily or around 20-26% of total caloric intake, as a strategy for diabetes management or remission. Meta-analyses and systematic reviews have shown that low-carbohydrate diets (including very low-carb ketogenic approaches) can lead to better glycemic control, reduced HbA1c levels, weight loss, and a decrease in diabetes medication use compared to higher-carb diets. However, these benefits tend to be most evident with carbohydrate intake levels significantly lower than 45-60 grams per meal, and remission rates vary depending on the diet's restrictiveness and adherence. As a doctor with a hippocratic oath, you shouldn't be promoting ideas that are not backed up by science.
You haven’t shared this consensus of evidence that you claim. We know over the long-term, adherence is key, rather than diet type. This is good news as people have options to see what suits them. Here is some more evidence for you: med.stanford.edu/news/all-news/2022/070/keto-mediterranean-diet-diabetes.html I suspect you have been caught in a low-carb echo chamber and need to see the light out.
@GLOBALFACTSandFIGURES Very well said. Am wondering if she is another food or drug industry stooge. Many people don't realise that the more people there are who go low carb, the less profit is made by the big food companies and big pharma. The more high carb foods give them greater room to 'add value to foods, and it keeps everyone sugar addicted and snacking on junk.
On FRUIT. Several years ago I cut out almost all sugary food and drinks from my diet. Everything from fizzy drinks, biscuits, cakes , fruit juices, all the way down to white bread and so-called ‘hidden’ sugars. I avoided, as far as possible, anything that might contain sugar, with very rare exceptions such as a cake or an ice cream when away on the annual holiday or once in a while a meal containing white rice. And quite often a couple of squares of 90% cocoa chocolate, for its antioxidant properties. I drink very little alcohol, maybe a beer every couple of weeks. Nor do I eat much in the way of fatty foods, and definitely no snack foods or pizzas or burgers or takeaway food, or any stuff like that. Most days for dinner I opt for oily fish, chicken, with veg or salad. I should add that I am in my 60s and pretty active, I easily exceed 150 minutes per week of walking, typically 4 mile walks most days at 4 mph, often more, and at least 10,000 daily steps generally. Meanwhile, however, over the years I have always kept eating (raw) fruit, quite a lot of fruit and berries, making sure to get at least the recommended 5 a day, every day. After all, all the medical advice, which I constantly seek out (including, I now see, the advice of diabetic organisations). is to eat plenty of fruit. Also following advice, I eat nuts (almonds, walnuts etc). What I have found though, dismayingly, is that this diet and lifestyle has led to my weight always tending to climb steadily, and my waistline to expand, to unhealthy levels. At 175 cm / 69 inches tall I recently weighed in at 87 kg/.192 lbs. I can lose weight by dieting but even being relatively watchful when I go back to ‘normal’ eating, and not going OTT on calories, it just always seems to creep up on me. Even strict intermittent fasting - including a 36-hour zero-calorie gap every week - had zero effect on my weight, the only way I can lose weight is by having around 1400 calories or fewer ever day over a long period, which loses about 1k a week, which I have now gone back to yet again. I now have to reluctantly acknowledge that it can only be fruit that causes my weight gain, and the high blood sugar, there is simply nothing else it can be. And so, having recently been diagnosed as prediabetic, I have now decided fruit has to go. Maybe not completely, but definitely nowhere near 5 a day, or even more than 1 every single day. It seems that ‘calories are calories’ is right, there are no good ones, though I don’t know how I will replace the gap in my diet.
I would have thought something like an Omelette to start the day 🤔 protein and fat is the way to go, peanut butter too....isn't a focus on Protein and fat more appropriate for a sugar or insulin problem 🤔..because its satisfying and nutrition packed there's less likely you'll be snacking..I've not got diabetes or any health issues. I can't tell you how effective a morning meal of concentrated protein and fat is ... I dont eat through the day as I'm satiated by fat and protein...just my thoughts 😊
Protein is very satiating, but fat is not so much. Key is avoiding saturated fats as much as possible. Reducing processed sugars also an excellent plan! I have a whole series on weight loss, the first episode is about what you can eat more of.
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches. The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches. The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
@@dagmarvandoren9364Dry wine does not have any carbs. I know that its not good on other issues, but as a Portuguese I can assure you that it does not influence your blood sugar. I reduced my HbA1c from 11,7 to 5,1 just by avoiding carbs - but continued drinking🤪
Terrible advice!!! Sophie recommends you eat fruit, pasta, bread, noodles & rice as part of a healthy diet. Sorry, if you have pre-diabetes you should cut all these foods out of your diet as you will be guaranteed to get diabetes if you continue eating them. The only way to get your blood sugars down is reduce or eliminate carbs not continue consuming them!
Afraid that is not true. This evidence suggests that a flexible approach, allowing for carbohydrates in a balanced diet, can effectively help prevent diabetes without the need for a complete carb elimination. The totality of evidence shows that, although many low-card zealots will cherry-pick studies to suit their belief. Here are some interesting bits of reading for you: professional.diabetes.org/standards-of-care diabetesjournals.org/care/article/44/Supplement_1/S34/30895/3-Prevention-or-Delay-of-Type-2-Diabetes-Standards
@ so whole grains are not carbohydrates? So when you consume whole grains they don’t convert to glucose in the body because they are whole grains? Carbs act the same way whether or not they are whole grains.
@@DrSophieGP I am not advocating complete carbohydrate, although that is not a bad thing as the body doesn’t need carbs. Without reducing substantially or eliminating carbs you will never get a grip on insulin. Until you can control insulin you won’t eliminate your metabolic disease. A so called balanced diet has led to an obesity epidemic & diabetes explosion that the world had never seen. If a so called balanced diet works why have 90% of the population got one or more markers of metabolic disease. Unfortunately as a doctor you represent a profession that makes a living prescribing pills to people who are victims of big food. As you clearly know very little about nutrition, you should stick to one you do know rather than causing more harm than good talking about something you have no knowledge.
Sophie I called you a food/pharma industry stooge in a recent comment. I dont have any proof of that so I apologise and withdraw that specific comment.
Dear Doc not everyone I know with type 1 and type 2 are heavy weight at all Sometimes I think something else is going on! When Lord Jesus Christ of Nazareth our Lord and Saviour comes back He will tell us what's going on Amen ❤ Maranatha Till then we r obeying the Good Advises of kind people & Docs and nurses 😃 ( angels)💐💐💐
While being overweight is not good. Overweight is a symptom of T2. Extra glucose in the bloodstream is being turned into fat. There are all kinds of overweight and obese people that never get T2, and then 30% of diagnosed T2s are active and have a great diet and still become diabetic (my uncle). It's just 💩 genetics. A prediabetic could eat low carb and MAY forstall diabetes, possibly forever.
Why skinny People Who r not overweight AVE diabetes??? Nothing makes sense Why some type 1 Even when young? I think I have to ask The Marker of the Universe The Lord Jesus ❤
Type 1 is completely different. It’s when the pancreas doesn’t create insulin at all or very little. It has nothing to do with bad dieting. That’s why children can get it also. You basically have to get insulin artificially. Type two diabetes or pre diabetes either comes from bad diets or it can be hereditary as well.
@@Terry-ho7ds As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches. The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
@DrSophieGP If you improve your metabolic health by reducing carbohydrates, everything else improves at the same time. There is a very low fat diet which can work, but which most people would find more difficult to sustain. You appear to have been grossly mislead in your education on this. There is no such thing as healthy carbohydrates. We can tolerate a small amount, but unless people remove the highest carb foods such as bread ànd other grains from their diet, it will be an uphill task to improve. The ADA has been completely discredited and gives totally useless advice.
Thanks for the tips❤️
😢
Sadly I was given confirmation (3.16.24) to what I kind of already knew but happy since im borderline I now know it can be prevented.😊
I just have to get back to my daily walks and and exercises and kick the late night sugar habits.
I eat plenty of veggies and fruits its just that sugar snack habit I need to kick.
Heres to a happy healthy life 💕
Yes! This is a positive moment where you can make little changes and build on them overtime to live that healthy happy life! You’ve got this 🙌🏻
Why skinny People Who r not overweight AVE diabetes??? Nothing makes sense
Why some type 1 Even when young?
I think I have to ask The Marker of the Universe The Lord Jesus ❤
You got this!!!!
Once you are prediabetic even if you get your blood sugar back in the normal range you still cannot eat like people who are not diabetic or you will be prediabetic again. You must keep to a good healthy eating pattern
Yes, like I say in the video, these are long-term habits you need to create, short-terms diets don’t work!
Never to enjoy food ever again
@@michelelisa1420 This is all about creating a healthy relationship with food, where you can enjoy all the food you eat! Watch my weight loss series for more info.
@@michelelisa1420 lol! Sounds like a death sentence. I’m pre diabetes and I’m working on it…🇨🇦
Everyone is different. Some can eat that apple and some can’t . All our bodies are different. I purchased a glucose monitor and it lets me know the foods that make my sugar rise. 😊
A CGM can be helpful for people with diabetes or pre-diabetes, but only if it shows blood sugars staying high. An apple may cause a spike that quickly settles, which is of no concern. Nobody gets diabetes from eating too much fruit!
Pre diabetic. Doctor recommends eating lots of carbs. This is the very reason everyone is heading towards type 2 diabetes. Please doc, have a rethink!
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches.
The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
Change the doc
ADA ? That reminds me of WHO... Are the carbs " safe and effective " against diabetes too ? 😂😂😂
@@DrSophieGP honestly grains spike bs like crazy i know this due to a friend who had diabetes and used bs reader.id also avoid quite a few fruits .
Dr. Sophie. That is all very well but........! I consider myself to have done all the right things over the years, and, as a result, on the face of it should not be a candidate for either high BP or type 2 Diabetes, yet I have both. I have taken vigorous exercise all my life, kept my weight down, yet have been on BP meds since the age of 60, and was diagnosed with Diabetes 2 at about 75. In my 91st year I cycled 3,000 km, and now coming up to 93 I am still cycling and my weight is what it was when I was 21. The ONLY way I can keep my numbers in check, though, is by reducing my carb intake. At the moment I am running at about 50 to 60 g. per day and even then my hbA1C is at 6.4%, which is too high in my opinion, and I have some peripheral neuropathy, so I should obviously do better. It's all carbs, it seems to me!
Thank you Doctor this video was explained in such a simple manner yet full of great information
So pleased it was helpful, thank you for letting me know
@maz872 Unfortunately it's mostly incorrect and outdated.
(1) don't focus on weight loss
(2) choose something you can stick to forever
(3) focus on what you can add into your diet (fruit, veg, salad; for every meal 50% is fruit, veg, lentil, beans, with fiber)
(4) switch to wholeweat
(5) increase exercise
Those are all pretty good advice. Only 1 missing in my view is removing added sugars (fructose without fiber). In any case, you can measure insulin resistance (the part that makes you prediabetic), the measure is called the HOMA-Index. By changing my diet, I managed to substantially reverse my HOMA-Index in 1 month. You can measure your HOMA Index in the start, make your lifestyle change, and then measure it after. If it declined, then your lifestyle change was good enough.
By having high fiber + a little bit of exercise (even walking after meals), you will directly address your insulin resistance. You will even feel better in your body after some time.
Good luck!
Bad advice . Eliminate starches, sugar and sweet fruit.
Thank you very much,
Excellent video
I am following your guidance and tips
Excellent, hope it really helps
@DrSophieGP how much smoking is dangerous for prediabatics?
What will affect quit smoking?
@@adnana.shahban4151 it’s really bad news, so definitely a key focus should be trying to stop smoking
Thank you for sharing ❤️ bless u
The general vibe and info of this video is great. The diet advice is where I diverge. Most fruit will wreck your blood sugar. A few don't. Be careful. Whole wheat, pasta, carb-monsters like these are a bad idea. Dig the vibe though.
Most fruit will not wreck your blood sugar, especially if eaten whole. Whole wheat carbs are not a bad idea. Sure, you can follow a low-carb diet if you like, but studies have shown this isn't necessary to improve HbA1C and reduce risk of diabetic complications.
@@DrSophieGPyou dont know what you are talking about. Carbs break down to sugars. I am living proof by sugars dropped drastically and I am sure I am not the only one. You need to do more research if in fact you are a real doctor. You don’t give information
@@Irish12345 As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches.
The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
Diagnosed with T2 45 years ago. Immediately cut all obvious high carb food and started long walking. But losing weight…did not happen ! It took decades to slowly lose 60 lbs. now , 84 and still working on improving my life style. My advice…start learning …
Sounds like you’re doing great! 👍🏻
My A1C is two tenths of a point from being type 2 diabetes. My blood test came back today. I’m 43. My BMI is 20.4 so I ain’t fat. I’ll have to cut all sugar from my diet and get more exercise
Reducing foods with lots of added sugars is a good thing, but whatever you do needs to be sustainable for life. Good luck!
What happens when people have diabetes and they have numbness n they are not in the mood to do sports no energy..its not good... Pray and God will bless u with strength energy
I would recommend tiny positive changes daily, making small steps is easier and set goals for the future.
@@DrSophieGP
Thank u Drc
Bless u🛐
I was duped into believing that pre-diabetes is not so bad. What I did not understand is that all the structural damages happen inthat phase… I ended up with HbA1c of 11,7. After changing my eating habits I am now stable at 5,1 since more than a year - without any drugs like Metformin or Insulin.
Well done on making those changes! 🙌🏻
You're not the only one this happened to, American doctors. 🙄 I simply cut out sugar, not high GI foods like I should've, and my pre-diabeties still went to 6.5 A1C diabetic. I've gotten it down to 5.4, so you've done better than I have. Congratulations!
@@MrSmith-zy2bp This time its not American doctors but the medical establishment worldwide. Greetings from Portugal😎
@oneworld1160 Yeah, it's the entire medical world that doesn't take prediabetes seriously, and I had trigeminal neuralgia pain in my teeth at the time. So I paid it as much of attention as my doctor did, removal of sugary foods. Wished I had looked it up and found the glycemic index and what foods to avoid. Now, I can look forward the rest of my life, at least I'm nearly 50, and may have to inject lizard saliva (Ozempic) to keep my blood glucose under control in my old age and avoid those nasty complications they don't tell you about either.
@ I have a video on ozempic etc and explain the side effects. Not all doctors are trying not to tell you things! My channel is all about giving patients information to enable them to make good decisions about their own health 👍🏻
Thank you, a very informative and useful video. I feel motivated having watched this.
That’s so good to hear! Good luck!
some great advice from a professional thanks for sharing this great advice
You’re welcome. Hope it was helpful.
Its not about calorie size doc ,its where the calories come from
Some high calorie foods confer additional benefits, like fibre, which can keep you fuller and therefore eat less. However, your body doesn’t interpret physics, excess calories consumed compared to burned leads to weight gain.
The nutritional guidelines you keep quoting were as a result of the In 1977, Senate Select Committee on Nutrition and Human Needs) who introduced the first explicit fat target. They recommended reducing fat intake to 30% of total calories, with an emphasis on limiting saturated fat to curb heart disease. As recommended protein intake was 15%, this left 55% for carbohydrates. Obesity rates in the UK since then have gone up 4x from 7% to 28%. There is growing evidence that low-carbohydrate diets can have positive effects for individuals with type 2 diabetes, especially in terms of weight loss, improved insulin sensitivity, and in some cases, even remission of the disease. A meta-analysis in The Lancet (2018) found that low-carb diets were associated with better outcomes for type 2 diabetes when compared to higher-carb diets. I rest my case.
I always did fasting before my test for 12 to 16 hours I always range from 100 to 115 even when I used to do keto with hour weights hour cardio 5 times a week min sometimes even 6 to 7 it never changed. I heard about the dawn phenomenon perhaps that's what I'm going through. Do you suggest eating something before the test like a high protein high fat breakfast then getting tested? I am considering metformin what's your thoughts on that?
The HbA1C is what we usually measure and gives us an idea about the last 3 months, so short term fasting etc won’t affect it and would give you a better idea than a random blood sugar reading.
My weight is normal , I eat good and healthy and still have pre diabetes....
That is bad luck! Sometimes it’s genetic. Always important to keep eating well and exercising.
Some people are skinny and they have diabetes high cholesterol H.B Also the question is what must they do? What kind of plant diet do u suggest Doc💜🌹
Some people are more genetically susceptible, despite not being overweight. The advice I give in the video is key, find a sensible balanced diet you can stick to forever and try and make movement a habit in your life 🙌🏻
can you inc exercises for wheelchair users plz
There are lots of workouts on TH-cam you can try 💪🏻
I lead a wellness class with seniors and found exercises from easy to more challenging on TH-cam. Easy....Sit And Be Fit, Stretching....Tai Chi Health Products ( I do a 10 min one daily...feels great. All can be done sitting as well), for more of a workout...Drums Alive (they use drumsticks and a ball or chair. To adapt can use pencils and drum on the back of a chair or table.) Hope these help stir ideas.😊
Have been sent this video by my GP .... Confused as i only weigh 7st ... I dont think i should try to loose any more weight!
No, it doesn’t sound like it. Sometimes there is a genetic disposition to type 2 diabetes, but it might be worth discussing this with your doctor.
If in the low numbers of type 2 diabetes, can this be taken down to pre diabetes? Im not overweight and just found out my fasting blood suger was high.
We don’t diagnose type 2 diabetes with just one reading, unless there are symptoms. Usually we repeat the test to confirm it is still high. If someone is diagnosed, it is possible to go into permanent remission, back to pre-diabetes levels.
@@DrSophieGP Thank you. This was quite a scare to me, and I want to do everything in my power to get these numbers back in range. I do not want to be on medication if at all possible. And I definitely do not want to cut my life short by a decade or more.
@@anonymousf454 It sounds like you have the right motivation to get back on track! 🙌🏻
@@DrSophieGP Have you ever heard of different readings depending on which hand? I was really excited yesterday when I was almost within normal range....but had switched to my right hand when measuring for that reading. This morning, 119 with right hand, then 131 with left hand....only a minute apart....So happy, then so disappointed
Current evidence does not strongly support the claim that even healthy carbohydrates consumed in large quantities can reverse type 2 diabetes, particularly in the context of a meta-analysis or systematic review. Most research focuses on low-carbohydrate diets, typically defined as less than 130 grams of carbohydrates daily or around 20-26% of total caloric intake, as a strategy for diabetes management or remission.
Meta-analyses and systematic reviews have shown that low-carbohydrate diets (including very low-carb ketogenic approaches) can lead to better glycemic control, reduced HbA1c levels, weight loss, and a decrease in diabetes medication use compared to higher-carb diets. However, these benefits tend to be most evident with carbohydrate intake levels significantly lower than 45-60 grams per meal, and remission rates vary depending on the diet's restrictiveness and adherence.
As a doctor with a hippocratic oath, you shouldn't be promoting ideas that are not backed up by science.
You haven’t shared this consensus of evidence that you claim. We know over the long-term, adherence is key, rather than diet type. This is good news as people have options to see what suits them. Here is some more evidence for you: med.stanford.edu/news/all-news/2022/070/keto-mediterranean-diet-diabetes.html I suspect you have been caught in a low-carb echo chamber and need to see the light out.
@GLOBALFACTSandFIGURES Very well said. Am wondering if she is another food or drug industry stooge. Many people don't realise that the more people there are who go low carb, the less profit is made by the big food companies and big pharma. The more high carb foods give them greater room to 'add value to foods, and it keeps everyone sugar addicted and snacking on junk.
What about insulin resistance
Insulin resistance can also be improved with lifestyle measures
what about pre-diabetes/borderline CFRD ? is the prevention same as borderline type 2 diebetes?
In general yes, but may require specialist CF input.
On FRUIT. Several years ago I cut out almost all sugary food and drinks from my diet. Everything from fizzy drinks, biscuits, cakes , fruit juices, all the way down to white bread and so-called ‘hidden’ sugars. I avoided, as far as possible, anything that might contain sugar, with very rare exceptions such as a cake or an ice cream when away on the annual holiday or once in a while a meal containing white rice. And quite often a couple of squares of 90% cocoa chocolate, for its antioxidant properties. I drink very little alcohol, maybe a beer every couple of weeks. Nor do I eat much in the way of fatty foods, and definitely no snack foods or pizzas or burgers or takeaway food, or any stuff like that. Most days for dinner I opt for oily fish, chicken, with veg or salad. I should add that I am in my 60s and pretty active, I easily exceed 150 minutes per week of walking, typically 4 mile walks most days at 4 mph, often more, and at least 10,000 daily steps generally.
Meanwhile, however, over the years I have always kept eating (raw) fruit, quite a lot of fruit and berries, making sure to get at least the recommended 5 a day, every day. After all, all the medical advice, which I constantly seek out (including, I now see, the advice of diabetic organisations). is to eat plenty of fruit. Also following advice, I eat nuts (almonds, walnuts etc). What I have found though, dismayingly, is that this diet and lifestyle has led to my weight always tending to climb steadily, and my waistline to expand, to unhealthy levels. At 175 cm / 69 inches tall I recently weighed in at 87 kg/.192 lbs. I can lose weight by dieting but even being relatively watchful when I go back to ‘normal’ eating, and not going OTT on calories, it just always seems to creep up on me. Even strict intermittent fasting - including a 36-hour zero-calorie gap every week - had zero effect on my weight, the only way I can lose weight is by having around 1400 calories or fewer ever day over a long period, which loses about 1k a week, which I have now gone back to yet again.
I now have to reluctantly acknowledge that it can only be fruit that causes my weight gain, and the high blood sugar, there is simply nothing else it can be. And so, having recently been diagnosed as prediabetic, I have now decided fruit has to go. Maybe not completely, but definitely nowhere near 5 a day, or even more than 1 every single day. It seems that ‘calories are calories’ is right, there are no good ones, though I don’t know how I will replace the gap in my diet.
I would have thought something like an Omelette to start the day 🤔 protein and fat is the way to go, peanut butter too....isn't a focus on Protein and fat more appropriate for a sugar or insulin problem 🤔..because its satisfying and nutrition packed there's less likely you'll be snacking..I've not got diabetes or any health issues. I can't tell you how effective a morning meal of concentrated protein and fat is ... I dont eat through the day as I'm satiated by fat and protein...just my thoughts 😊
Protein is very satiating, but fat is not so much. Key is avoiding saturated fats as much as possible. Reducing processed sugars also an excellent plan! I have a whole series on weight loss, the first episode is about what you can eat more of.
Just eat Keto or Carnivore. See the youtube channel Beat Diabetes, Dr. Ken Berry or Dr. Tony Hampton.
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches.
The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
Not good advice with the food options. Cut out the carbs.
As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches.
The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
I just eat to survive, never enjoying anything
Always feeling guilty....i know....its,soo stressful....i ga ve then. A glass of white wine.....and feel guilty. Again...hmmmmm
Please do watch my weight loss series, really important to try and gain a good relationship with food.
@@dagmarvandoren9364Dry wine does not have any carbs. I know that its not good on other issues, but as a Portuguese I can assure you that it does not influence your blood sugar. I reduced my HbA1c from 11,7 to 5,1 just by avoiding carbs - but continued drinking🤪
if you have to exercise to control your weight your diet is wrong. Prof Tim Noakes
Exercise is proven to help maintain weight, but is not great for losing weight. I have a whole video all about it!
Terrible advice!!! Sophie recommends you eat fruit, pasta, bread, noodles & rice as part of a healthy diet. Sorry, if you have pre-diabetes you should cut all these foods out of your diet as you will be guaranteed to get diabetes if you continue eating them. The only way to get your blood sugars down is reduce or eliminate carbs not continue consuming them!
Afraid that is not true. This evidence suggests that a flexible approach, allowing for carbohydrates in a balanced diet, can effectively help prevent diabetes without the need for a complete carb elimination. The totality of evidence shows that, although many low-card zealots will cherry-pick studies to suit their belief. Here are some interesting bits of reading for you: professional.diabetes.org/standards-of-care diabetesjournals.org/care/article/44/Supplement_1/S34/30895/3-Prevention-or-Delay-of-Type-2-Diabetes-Standards
She said whole grain versions if those food groups. They are not a threat to sugar overload to the body. Listen properly to her words.
@@SophiaForlong 🙌🏻
@ so whole grains are not carbohydrates? So when you consume whole grains they don’t convert to glucose in the body because they are whole grains? Carbs act the same way whether or not they are whole grains.
@@DrSophieGP I am not advocating complete carbohydrate, although that is not a bad thing as the body doesn’t need carbs. Without reducing substantially or eliminating carbs you will never get a grip on insulin. Until you can control insulin you won’t eliminate your metabolic disease. A so called balanced diet has led to an obesity epidemic & diabetes explosion that the world had never seen. If a so called balanced diet works why have 90% of the population got one or more markers of metabolic disease. Unfortunately as a doctor you represent a profession that makes a living prescribing pills to people who are victims of big food. As you clearly know very little about nutrition, you should stick to one you do know rather than causing more harm than good talking about something you have no knowledge.
Cut the fruit, bread, and pasta....do have meats, vegetables and healthy fats! Drink only WATER!!!!!
The key thing is to make changes that are going to be sustainable for life.
@@DrSophieGP🤔
@@S0_Rhyn Do you think fad diets are better?
Sophie I called you a food/pharma industry stooge in a recent comment. I dont have any proof of that so I apologise and withdraw that specific comment.
I appreciate the apology, thank you. (PS - I can promise you I’m really not a food / pharma industry stooge).
Dear Doc not everyone I know with type 1 and type 2 are heavy weight at all
Sometimes I think something else is going on! When Lord Jesus Christ of Nazareth our Lord and Saviour comes back He will tell us what's going on Amen
❤ Maranatha
Till then we r obeying the Good Advises of kind people & Docs and nurses 😃 ( angels)💐💐💐
Type 1 diabetes isn’t linked to being overweight, but type 2 is, especially excess weight around the middle.
What I've learnt in life is that being overweight puts you at higher risk of getting diseases but being skinny doesn't mean you're immune😢
@@munasheandeliandallmyfam4023 Thats definitely true! Size doesn’t always relate to health.
More importantly, diabetes is not linked to religion. What a stupid this is.
While being overweight is not good. Overweight is a symptom of T2. Extra glucose in the bloodstream is being turned into fat. There are all kinds of overweight and obese people that never get T2, and then 30% of diagnosed T2s are active and have a great diet and still become diabetic (my uncle). It's just 💩 genetics. A prediabetic could eat low carb and MAY forstall diabetes, possibly forever.
So wrong!
Low-carber by any chance? Please have a read of the many other comments and replies.
Why skinny People Who r not overweight AVE diabetes??? Nothing makes sense
Why some type 1 Even when young?
I think I have to ask The Marker of the Universe The Lord Jesus ❤
Everybody has different tests in their lives and, that is those individuals tests.
Type 1 is completely different. It’s when the pancreas doesn’t create insulin at all or very little. It has nothing to do with bad dieting. That’s why children can get it also. You basically have to get insulin artificially. Type two diabetes or pre diabetes either comes from bad diets or it can be hereditary as well.
Be nice if you knew what the hell you was talking about
Please elaborate on any inaccuracies with references to back up any claims.
@DrSophieGP Diabetes is caused by eating excess carbohydrates and you are recommending eating more carbohydrates!
@@Terry-ho7ds As well as being a medical doctor, I have a diploma in lifestyle medicine, with a special interest in nutrition, so happen to know a lot about this topic. While low-carb diets can help some people with blood sugar control, they are not the only effective approach for preventing diabetes. Research shows that the most important factors in preventing type 2 diabetes are sustained weight loss, improved metabolic health, and reducing overall calorie intake-achievable through a variety of dietary approaches.
The American Diabetes Association (ADA) states that both low-carb and balanced diets, including those with healthy carbs like whole grains, fruits, and vegetables, can reduce diabetes risk when paired with weight management. The ADA emphasizes sustainability over strict rules, as the best diet is one you can stick with long term diabetesjournals.org/care/article/41/Supplement_1/S38/30025/4-Lifestyle-Management-Standards-of-Medical-Care
@@Terry-ho7ds Your right Terry.
@DrSophieGP If you improve your metabolic health by reducing carbohydrates, everything else improves at the same time. There is a very low fat diet which can work, but which most people would find more difficult to sustain. You appear to have been grossly mislead in your education on this. There is no such thing as healthy carbohydrates. We can tolerate a small amount, but unless people remove the highest carb foods such as bread ànd other grains from their diet, it will be an uphill task to improve.
The ADA has been completely discredited and gives totally useless advice.
fasting is bad
It’s not so black and white. I have a video going through the pros and cons, take a look!
Quite the contrary, fasting is extremely good for you.
Fasting is no 1 tool for reversing diabetes
Bad for addiction. True