Episode 10 of The Living Life Well Show: Reversing Diabetes
ADA Website https://diabetes.org/about-diabetes/statistics/about-diabetes#:~:text=Prevalence%3A%20In%202021%2C%2038.4%20million,of%20the%20population%2C%20had%20diabetes.&text=Diagnosed%20and%20undiagnosed%3A%20Of%20the,and%208.7%20million%20were%20undiagnosed.
Nutrients. 2019 Apr; 11(4): 766.
Published online 2019 Apr 1. doi: 10.3390/nu11040766
PMCID: PMC6520897
PMID: 30939855
Reversing Type 2 Diabetes: A Narrative Review of the Evidence
Sarah J Hallberg,1,2,3,* Victoria M Gershuni,4 Tamara L Hazbun,2,3 and Shaminie J Athinarayanan1
J Obes Metab Syndr. 2022 Jun 30; 31(2): 123–133.
Published online 2022 May 27. doi: 10.7570/jomes22001
PMCID: PMC9284579
PMID: 35618657
Type 2 Diabetes Remission with Significant Weight Loss: Definition and Evidence-Based Interventions
Jung Hae Ko and Tae Nyun Kim *
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[00:00:00] Welcome to the Living Life Well Show, the intersection of God's Word, today's science, and healthy living with common sense application, all based on the truth of the Word of God. I'm your host, Dr. Jon Skelton. Now let's get straight to the truth.
Welcome to the living life. Well show I'm so excited to be with you today because today we're talking about something that's near and dear to my heart and really the whole impetus as to why we even have the live life well clinic. And this living life will show it's diabetes reversal. You know, it was said in the past that marijuana was kind of a gateway drug. If we take that same analogy, I think. Diabetes is the gateway disease, the gateway [00:01:00] disease to high blood pressure to kidney dysfunction, to. Heart attack, stroke, all those things.
And so I think really attacking your diabetes and reversing it. Is going to be huge. And we're going to talk a little bit about the conventional ways to do that, that are out there right now. And then maybe more quite honestly, God's way to do it. And so we'll talk about what strategies you can employ the benefits and drawbacks to both. And then we'll kind of get down to some real practical steps and things that you can start looking at and implementing for yourself.
But let's kind of talk why I am so excited. About this is because I've really seen a lot of success with the ways that we choose to go about attacking this problem. And we'll get into that. More with some real world examples. Just a couple of [00:02:00] clients that I've had just in the past, even a few months.
But with that being said, let's go ahead and get started. So the American diabetes association estimated in 2021 that about 38 million Americans or roughly about 12% of people in America had diabetes. . And so what happens with diabetes is you actually have it for a while typically before it's diagnosed. It's kind of one of those. Things that you don't necessarily realize is there you're maybe a little bit more fatigued. Maybe noticing some increase urination or increased thirst. But that is kind of a later sign.
You typically go along with increasing blood sugars for quite a while. Before you even necessarily realize that there's something underlying going on. And so the big issue with diabetes is people really define it as a blood sugar problem and it is, but the [00:03:00] underlying issue is that your body is still making insulin.
Insulin is what is driving that blood sugar into the cells for the body to use. The problem really is that you have developed insulin resistance. It isn't that your pancreas isn't working anymore. Your pancreas is still pumping out insulin necessary to get the glucose into the cells, but your body no longer responds to it as it should.
And so there's a lot of reasons for insulin resistance and we'll get into some of that today. So I hope you're excited and let's just. Just jump right in. So I mentioned pre-diabetes and actually in that 38.4 million. That we're talking about with diabetes, they, that actually doesn't include the prediabetics prediabetics have. Yet to meet the criteria. To where we say that their hemoglobin [00:04:00] A1C is high enough to , call them diabetics, but is over what is considered normal.
So if you're between. 5.6 and 6.4. That would be kind of the pre-diabetes range. If you're over 6.4. Then we consider you to be diabetic. You're considered in remission. If your blood sugar is with a hemoglobin A1C of 6.5 or less, but still higher than the 5.6. So with prediabetes in 2021, the ADA estimated that there's about 97 million Americans with pre-diabetes.
So these are people with elevated blood sugars, but not to the level to where it's brought that A1C to that threshold to be diagnosed with diabetes. Well, why is that important? Because just like, , marijuana. Marijuana going [00:05:00] from marijuana to cocaine or any other kind of, drug once you have pre-diabetes unless you have a significant intervention. You're going to go to diabetes.
It is a slope that is going to continue unless you put in a big disruptor to stop that. It is just going to keep that insulin resistance going . And so one of the articles that are wanting to get was from the UCLA school of medicine. And this Dr Duru about insulin resistance and what he says is when cells are resistant, it takes more and more insulin to get them to open.
And then at some point the insulin stops working on the cells at all. It would be really like revving up the revolutions per minute in your car, just to get it, to move wearing down the engine in the process". And I think that's a really good analogy because. What is going on with diabetes and insulin [00:06:00] resistance. Really. And a lot of the drugs that are manufactured are just trying to rev up that pancreas more and more.
They're trying to get it to produce more, to move along at the same speed if you will. And so his analogy with a car would be., very similar to what you're seeing with diabetes as you kind of go along, it takes more and more to get you moving to get that blood sugar moving down in the direction. That we want it to go and actually getting it into the cells to be utilized. By your body. So that's essentially what diabetes is, that's what prediabetes is.
I suggested that there are some significant interventions that you can do to stop that progression, that movement from prediabetes to diabetes. If you are diagnosed as a diabetic, a hemoglobin A1C. That is a 6.5 or higher then. There is hope there is a [00:07:00] way to reverse it.
You don't really hear about this quite often. And I would like to read a quote from. An article that showed up in a nutrient. In 2019. It was entitled. "Reversing type two diabetes, a narrative review of the evidence". And so one of the initial paragraphs reads is this. "Despite the growing evidence that reversal is possible.
Achieving reversal is not commonly encouraged by our healthcare system. In fact. Reversal is not a goal in diabetes guidelines, specific interventions aimed, at reversal. All have one thing in common. They are not first-line standard of care. This is important because there is evidence suggesting that standard of care does not lead to diabetes reversal. This raises the question of whether standard of care is really the best [00:08:00] practice. A large study by Kaiser Permanente found a diabetes remission rate of 0.23%. I'm going to repeat that. 0.23%. Reversal of diabetes with standard of care. The status quo approach will not reverse the health crisis of diabetes". And so there you go. So that is a very poignant statement. As to why it is a slippery and continual slope going from. Prediabetes to diabetes. Quite honestly, that treatments that we have are just slowing down the process. They aren't helping to get you back to where you need to be.
So if all we're doing is slowing down the inevitable, is that really treatment? Is that really a standard of [00:09:00] care? I would submit to you that it's not, and that it needs to change. Now. Having said that. What this means is if you're not going to do standard of care, which would be typically Metformin, then going on to some other medication like glyburide or a GLP-1. If you wanted to get a really much more radical that would be kind of the standard of care, the, the education on lifestyle and the interventions that you could do and what foods are hurting and helping and what other underlying issues could be going on as to why you even have diabetes. It's never even discussed with you.
It's never even. Brought forth to the forefront of any kind of possibility for change or doing anything different. And the three options that I'm really going to be talking to you about today. They're all radical. [00:10:00] When you look at it in comparison to what is considered the standard of care, which really is no care because only 0.23% of people are reversing their diabetes.
If you want to reverse your diabetes, the bottom line is this. You've got to get radical. Just doing what your doctor says and taking your medications. Is not going to do it. That's not enough. You have got to get radical. Each one. Of these. Possibilities of treatment involve potentially radical changes to your lifestyle. And the way you go about living each and every day, they all have benefits.
They all have drawbacks. And so we're going to discuss all three of those. So let's start with probably the most radical from a physical standpoint which is going to be bariatric. surgery So bariatric [00:11:00] surgery is a very good option for reversing diabetes. Bariatric surgery can result in a 60 to 70% reversal in those that choose to go that route. What we see with bariatric surgery is right away after that, you're going to see improvements in your blood glucose and your insulin sensitivity. You're also going to see changes in your abdominal hormones that are being released like a ghrelin and leptin. You also see changes to the response to GLP one, as well as many others, which result in that decreasing insulin sensitivity so that your body responds.
These changes in these hormones now allow your body to respond to the insulin that you're secreting in an inappropriate manner.
And so the glucose is now delivered into the cells. The other thing that's postulated that's really occurring with this, you know, alteration of your [00:12:00] gut with bariatric surgery is that it really is changing the microbiome in your gut. And we know that microbiome. Is very important. And so you have an obesogenic microbiome for most people that have diabetes and then you have a lean microbiome as well.
And so when you go through this radical alteration with the surgery, and really this was looking at a, kind of an older surgery that isn't performed quite as much now. Um, It, it really can change the way that a makeup of your microbiome looks. And so it can then result. In improvements now. I postulate that it's not the surgery itself that is resulting in the microbiome. Changes, but it is a result of how and what you were eating that is resulting in that change because [00:13:00] you see, when you go through a surgery like this, whether it's a gastric sleeve where there's an older surgery like a Roux en y and gastric bypass. You are not going to be able to eat the same. There's going to be significant consequences to going off script on the bariatric diet. And so people learn this unfortunately the hard way. Because they pay consequences with abdominal pain, vomiting lots of reflux type symptoms. And with the surgeries. You have to. Eat differently.
And so you're typically eating a lot smaller meals and for many people they're doing a lot more fasting as well. And so the success rate at about five years, if somebody just as the gastric sleeve, about 37% of people reverse their diabetes and have continued to reverse their diabetes at five years, if you do [00:14:00] that older surgery, the Roux en y gastric bypass surgery. That's a little bit higher.
It's a little bit better. It's at 45%. You have taken drastic action. You have had a surgeon come in and perform a significant surgery on you. Any time you disrupt the God given architecture in your peritoneum or where all your abdominal organs are kept. You run the risk of then developing secondary problems like Bowel obstruction but obviously there could be an issue with the surgery itself.
Again, very rare surgeons are very competent. Most of the bariatric surgeons that have been performing these surgeries for quite a while, have it down very well. And they have very good success rates with low complications, however complications do occur. And those complications can be from. Leaking of the anastomosis, a perforation of, of the bowel necessitating [00:15:00] further surgery and or infection, further hospitalization and those things again. Those are very, very rare. Much those side effects from the surgery are much more rare than, than one of the other options that we'll talk about. But the big thing with bariatric surgery is now your stomach and your upper GI track are completely altered in the way that they are functioning. Because you have now taken a portion of that and bypassed it, right.
And so you're not using your entire stomach. You're not using all that area. That, that God made to be able to digest the food properly and make sure that it gets in. So when you go off script and start eating too much or the wrong things. When you have healed from bariatric surgery. You can start expanding that area.
And so you can then go off script and. And not [00:16:00] be one of the 37 or 45% of people that are able to reverse their, their diabetes. The bariatric surgery. Again, it's, it's pretty successful, right? I mean, 40 to 45% being able to re reverse their diabetes compared to with 0.23%. Of somebody doing standard care, I would consider that a tremendous success.
From that standpoint. So yes, bariatric surgery absolutely has. Has its place. So the next thing I wanted to cover is the GLP one. So the GLP ones, we, we covered quite a bit with regards to mechanism action and what they do on one of the previous episodes. When we talked about weight loss and those same principles and things apply here when we're talking about diabetes if you want to have more of that information, I encourage you to go back and listen to that episode. I believe it's 8.1.
It's the first. Installment of episode eight. What [00:17:00] we want to cover with the GLP ones in this. Is there success rate and then go over again, those, those benefits and those things. So GLP-1s. For diabetes have been out for a while now, but there's not any really longterm studies. Like we have going on right now with bariatric surgery and, and diet and lifestyle intervention quite as much. But we do have some, some good data.
Looking at semiglutide you know, really patients who were able to achieve a Greater than 10% reduction in their body weight. At 68 weeks. Was about 45%. When we see that somebody loses about 25 pounds or so, that's kind of where we're really going to start seeing that number. Come down with a hemoglobin A1C and getting closer to that 6.5.
Now, granted, it all depends on where you started hemoglobin A1C of [00:18:00] 12 or. You know, 15. Lose 25 pounds. It's not going to come down to that. So it's going to be case dependent, but in general when we see about a 10%. You know, body mass reduction. Then that is a good predictor of what is going to happen with diabetes reversal.
And it was, and the proportion of people who Took it for the 68 weeks that they did the study. I showed that 67.5 or a little over two thirds achieved a hemoglobin A1C of less than 6.5. So they went into diabetes, remission. And so they, , basically rival. Gastric bypass and, and even improve it maybe a little bit at about the one year mark.
And so this is a little over a year. Obviously we don't have a two and five-year studies that are real great to tell us for certain [00:19:00] how effective. These are going to be long-term. The issue with the, , GLP-1s is much like I discussed last time is that you are really talking about up to a 50% rate of significant side effects.
And so me being an ER doctor, that's what I see all the time in the ER, is I see lots and lots. Of patients that are suffering the side effects of these GLP ones. Be it abdominal pain. Be it gastro-paresis be it. Constipation with the pain. Be it vomiting. Be it diarrhea. And what I specifically see in most of my diabetic patients that have been on these GLP-1s. Is unrelenting diarrhea, diarrhea. That ends up keeping you at home and away from living life. And the other thing is, is that these GLP-1s, especially if you're one of the one 50% that are having symptoms with it, [00:20:00] The studies do show that if you go off of the GLP-1s, the weight's coming back.
Guess what? So is the diabetes because your hemoglobin A1C is going to rebound. As well. So the GLP-1s are very successful with what they do. But remember the GLP ones are essentially. Causing you to eat less and causing you to fast. And it may be at the expense of how your gastrointestinal system, operates.
Long-term. So to me, that's a consequence that really needs to be put forth and considered strongly before you ever look at doing a GLP one, because once you're on it, You're on it. So you have to continue those dietary and lifestyle changes by yourself. If you choose to go off of the GLP one.
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Diet and lifestyle changes. So to me, this is the best option. It doesn't require a [00:22:00] potential. Bad outcomes. Associated with surgery. It isn't a forced diet change and the consequences that can come if you go off that diet. The GLP ones again. You know, they work and for those patients that don't suffer the consequences. Of the GLP one side effects.
Great. But again, it's a one in two and they tend to not always show up with these consequences specifically, the diarrhea. For usually several months into the treatment aspect of it.
I prefer the diet and lifestyle aspects. Because again, if you choose. Hey, you don't want to do the diet and lifestyle things. You can go to one of these other two. They are always a backup for you, but once you've gone to one, you're kind of stuck there because you're not going to have your [00:23:00] gastric bypass reversed.
Okay. Once you're on the GLP one, either you're staying on the GLP one, or you've got to go back and now Institute these diet and lifestyle changes. That's why I think really the key is starting with the diet and lifestyle change. So what is the success rate really when we're talking about these diet and lifestyle interventions?
So with regards to the diet and lifestyle aspects, there was a great study done. That is called the direct trial is the diabetes remission clinical trial. And basically what they did is they took diabetics that had been diabetics for six years or less. And they enrolled them into two arms. Directed at diet and lifestyle intervention.
versus standardized care. So the results of the study show that at two years, 36% of the people that were on the. Diet and lifestyle [00:24:00] interventions. Reverse their diabetes and, and keep it reversed. And so that really kind of rivals at the five-year mark. What you're seeing with the bariatric surgery. And the interventions that they employed were really to, to get the patients to, to be reversed. We're about three to five months.
And so that's really what I see in my practice. I've I've had patients go from an 11.7 hemoglobin A1C to down to below seven. In , really just five months. I've had another recent client just in the last couple of weeks that took their hemoglobin A1C from 8.8 down to 6.5. And you know, both are having more energy, sleeping, better, feeling better than they have in years.
Even the client that , dropped from 8.8 to 6.5. Is at a weight that they haven't been at since 1986? There really can be some simple [00:25:00] diet and lifestyle interventions that can. Give profound results and really can be lasting. And I have created a bit of a success formula, I think, for you to really be able to employ. This for yourself. But first, I want to talk about kind of the obstacles to achieving success and achieving rapid success.
Like the two clients that I just described to you have achieved. And a couple of those obstacles can be your time since diagnosis.
So when I have patients that have been diagnosed with diabetes or prediabetes 10 years, Or less that success rate is very, very good. Over 10 years. It is variable. Okay. Because as that, that description of that pancreas kind of wearing out a little bit with the description of the car, the RPMs revving and revving and revving, and, and still not really moving that blood sugar down because of that [00:26:00] insulin resistance there. Then you're going to see that as you progress in diabetes, however my client that I was just telling you about that that went from an 8.8 to 6.5. in three months they have had diabetes more than 10 years.
It is absolutely possible. But time since diagnosis is going to be , part of the issue. Other things that we'll see is if people have had issues, especially with their heart function or their kidney function. Those people are going to be less successful and getting to a remission state.
Okay. Now they absolutely will get benefit. From all these interventions, I'll, I'll kind of describe here to you. But the, the rate at which they're going to see improvement and the level of potential improvement may not be such that they get completely to remission. It also depends on where they're [00:27:00] starting from.
That's another big key. Kind of depends on where your hemoglobin A1C is right now as to how quickly we're going to be able to get you into remission. And then finally, and this is the biggest thing, and this is with the bariatric surgery as well. It's your willingness to do the work.
I'm not going to lie. These answers that I have for you are not super complicated. But it is definitely living differently than the world. And as Christians, that's what we're called to do. We're called to be. In the world, but not of the world. And so I would challenge you that what I am asking you to do with these interventions is. Really live that out in your daily life.
And it is while they answers are easy. It is difficult to be different and to do things [00:28:00] differently than the way you've always done them. So let's kind of get in to what I think are the keys for you to have success. Okay. Number one, you need to get a physician or a qualified medical professional that is willing to help you with this, that understands diabetes reversal and can help you come off of medications and, or switch medications, lower those doses.
If you were on insulin or you are on any type of oral medication. You cannot start a reversal. Of your diabetes without having a physician on board that is monitoring you and helping guide you through that process, that's going to be number one. Number two. Get a continuous glucose monitor. Insurance will pay for it.
Generally speaking the reason that I like to have that continuous glucose monitor. [00:29:00] Instant feedback because you eat something. And you're going to see, oh, wow. That's really spiked my sugar. Wow. That is interesting. So you will get instant information. As to how your body responds to certain things and you can then. Keep them in or take them out of your diet.
And so a continuous glucose monitor is a really great tool. I think. To have now. Is it mandatory to all of my clients have this? No. Do you have to have this , to reverse your diabetes? No, but you do need some sort of monitoring. The device It's a hundred percent needed. If you are on any type of oral medications or insulin. So that you can know how to really. Check those blood sugars to communicate that information. To your physician so that you can then [00:30:00] plan. when to either lower doses or completely discontinue a medication.
So if you don't have , that continuous. Glucose monitor then, you know, get a log. Log your eating times and log your foods. , just the types, not the quantity. So yeah, I beans a bread, a chicken, a veggies, a fruit and then write down your blood sugars, 30 minutes and one hour and two hours after that, we'll kind of show you where your insulin spikes are because. So say you ate and your pre. Lunch glucose was say 180. You ate and at one hour. It was at 270. And then at a hour two, you check it and now your blood sugar is down to 110 and you're feeling jittery and those things that's because you're having a later insulin surge, you're having a [00:31:00] hyperdynamic. Response. in your insulin production and it's crashing your blood sugars. And that then makes you feel worse, then you eat more and the cycle perpetuates itself.
And that's how you continue to get insulin resistance because you are secreting more and more of insulin. And many of the medications that you're on are designed to do that. That will then help you to see. So then what you do is you cross reference that, right? So you take that log and you see, okay. Well, I, these four foods and, you know, my sugar started out at 170, but it only went to 200.
And then when it went down, it only went down to like 150, 140, which may seem counterintuitive as being a good thing. But. If it doesn't induce that sense of hypoglycemia and the need to eat more, that's a win. So you really want to [00:32:00] be careful with what you're eating and you really want to log.
And again, I don't want you weighing food. I don't want you counting calories. I am just wanting you looking at. What foods do what? So it's not a real. Tough way to go about logging things. And then next we want you to eliminate all the processed food and the seed oils. Really just eliminate any kind of oil that isn't ghee. Or coconut oil for the most part. Olive oil.
I love on salads or after you have finished. Preparing the food and take it at taking it off the fire. So if you want to put a little olive oil on your salad , and use that for a salad dressing, olive oil and balsamic. Yes, go for it. Again, everything in moderation. But, but yes, we would want you to use that the process foods and the seed oils really [00:33:00] induce that insulin resistance, that process food is almost always going to have some sort of filler or artificial sugar or some sort of added sugar in it.
And so you really want to eliminate all those things. So what do I consider processed food? If it doesn't look like it came out of the ground or off the tree, or, , it. , never had a life. That's a process food. So bread would definitely be a process food. And so when you're thinking about your shopping, you're going to stay around those edges of the grocery store.
You're going to be in the produce section. You're going to be in the meat section a little bit in the dairy section. Again, that's that is variable depending on the individual and what's going on with their gut. And then the frozen section. So when you are eating and especially when you're talking about. Eating vegetables and fruits. I never canned okay.
Fresh is best. Frozen's next? Never canned.[00:34:00] Canned again, is going to have different processing that causes it to lose nutrients and keeps it shelf stable. Which is nice. But. You don't want to eat canned, especially if you're trying to reverse your diabetes. And then finally, , you really need to educate yourself on what added sugar is.
There's about, , 30 something names for sugar. Artificial and otherwise that gets added to our food. All the time. And so knowing what those names are, are going to be critically important because you need to start reading the backs of the, of the labels. And I'm not talking about the nutrients section that tells you how many proteins and carbs and fats and all that's in there.
What I'm talking about is that paragraph below that, that tells you other ingredients. And those are the things that you really want to pay attention to. Basically good rule of thumb to know if something's processed. If it has more than five [00:35:00] ingredients, that's processed. So if it has more than five other ingredients, consider that process and stay away. From that. So next key. Weight training. Don't skip leg day.
Okay. Muscle. Overcomes insulin resistance. And here's a good quote. I wanted to read two years from Dr Duru from UCLA. "A lot of glucose going into cells, goes into muscles. He explains muscles that are active and working. Can take in glucose more easily that helps lower your blood sugar. Active muscles are also less prone to insulin resistance." The the key is muscle mass.
So you people that are out there and your cardio, Kings, and Queens. You need to do weights. Whether that's body weight or whether that is , lifting weights. It just really depends on where you are. And so [00:36:00] the three exercises that I have, all of my diabetics start with is start with squats. Lunges and planks. So start with body weight, start with a chair, do chair squats.
If you need to, to start, if your knees and hips are hurting Do very stable lunges between two large pieces of furniture, . And then when you start on a plank, start on it at your knees, not all the way out to your toes. And so these will be things that will help to start building those biggest muscles in our body so that you can then overcome that insulin resistance. The reason we want to work a core and legs is because those are, those are our biggest muscles in our body.
So we're going to get the most benefit out of doing that. Versus doing a bunch of curls or bench press or, you know, things like that. Really working on those core muscles[00:37:00] particularly the long strap back muscles. And then working those, those leg and butt muscles are really going to allow you to achieve success and lower that insulin. Insulin resistance. And then you want to heal your gut.
You really want to look and find out what your gut biome is like. And so a long way to healing your gut is eliminating the sugar. And eliminating those processed foods and seed oils. That's going to go a long way. However I generally recommend that you have a GI map, a GI map will tell you exactly what that microbiome is.
And if you don't have one of the particular. Essential bacteria. Akkermansia within your microbiome. It makes it a little bit more difficult for you to get that benefit that you'll see from eliminating those processed foods and, and seed oils and, and those [00:38:00] things. And we can. Overcome that with some different supplements, but again, I think it gives you a lot of good information.
And then for a lot of people. They may have H pylori. Infection that's going on. H pylori is going to live in the upper GI tract , in your stomach area. When you have a bad process. At the start of a process. Guess what everything downstream from that is going to have problems. And so if H pylori is living in your stomach and is causing disruption to the digestion of your food. And how those particles are escaping the stomache, getting into the small intestine and eventually through the small intestine, into the large intestine. Then. You're going to have a bad process from the start.
So I really recommend getting a GI map. If you can't get a GI map get stool testing for H pylori even if breath testing or blood testing. Is negative for H pylori. I recommend that.
And then the final [00:39:00] tip is going to be fasting. So where I want you to start with this and again doing anything more than this really needs to be under the care of a doctor and even starting. At what I'm going to suggest to you today, you may need to talk with your doctor before doing this. You want to eat nothing three hours before bed.
Want to drink nothing, two hours before bed. And then you don't want to eat again until it's been 12 hours after you last ate. So say you finish your meal at 6:00 PM. No snacking or anything else until you go to bed at 10. No eating again until at least 6:00 AM. This does a couple of things.
One, it allows your gut to rest at night. Which is needed so that you can heal your, your body. Number two, it's going to help to decrease your waking at night because now you're not going to get late night [00:40:00] surges of insulin causing you to have low blood sugar and wake up at night and feel the need to eat. Those are going to be things that, that you would need to do now. If you are not on any medications at all. Then yeah, you can push the fasting and we're going to have a future episode. Here shortly. That's going to go into a lot more on the do's and don'ts. Fasting and the different types of fasts that you can do. As well, that wraps it up for for this session.
So I hope that you have enjoyed this. I hope this has been beneficial. If you are a diabetic or pre-diabetic or been told that you had. Metabolic syndrome or you know, you're not diabetic a but we need to start showing this Metformin here. You are okay. So if you want help with that, I really encourage you to go to our website and either sign up for a discovery call or you can go straight to [00:41:00] our 90 days to, to living life.
Well, Paige and sign up and become a client. And really start getting that education and process moving so that we can get you. In to remission or reverse that diabetes. I hope this all finds you well, and I pray that you have a great day. Thanks. So God bless.
That's it for this episode of the Living Life Well Show. If you like what you've heard and want to learn more, or want to know how to put this into practice for yourself, go to livelifewellclinic.com. Until next time, this is Dr. Jon Skelton saying, go out and live the truth so you can live life well. The preceding is for entertainment and educational purposes only. It is not meant to be used to prevent, diagnose, treat, or cure any condition. The information contained in this show does not substitute the need for a qualified medical professional, [00:42:00] nor is it meant to provide medical advice or services.
If you feel information presented in this show may apply to you, we recommend you seek out the help of a qualified medical professional who can evaluate and treat your specific concerns.
