Podcasts about hgb a1c

Diabetes is an important topic in nursing school, and a common diagnosis that you'll help treat in your future patients. In this podcast, I talk about the:Differences between type 1 and type 2 diabetes.Complications such as Neuropathy, Retinopathy, Peripheral Vascular Disease, and Nephropathy.How it's diagnosed (Hgb A1C test)Diabetic medicationsPurpose of insulinTriangle of treatment: Medication, exercise, and dietSigns and Symptoms of hypoglycemia and hyperglycemiaDKA and HHNS conditionsSick Day CareCheck out Picmonic for a great way to memorize the types of insulins. https://www.picmonic.com/viphookup/nursingschoolweekbyweekLGH22

“Get Fit with a continuous glucose monitor. Ditch the scale. Get a CGM.” Is this the next big thing? We all love gadgets and everyone wants to find that missing piece that will help them get to their goals. Continuous Glucose Monitoring (CGM for short) is what we are going to be talking about today and this is such an interesting topic! CGM is not a brand new technology-it has been available commercially since 2000 to help people with type 1 and type 2 diabetes manage their blood sugar, medications, and prevent hypoglycemia (dangerously low blood sugar that can be fatal). It is actually pretty cool-a small sensor is inserted under your skin usually in the arm or mid-section. The sensor continually tests your blood sugar and wirelessly transmits the information to your smartphone or other device. Some systems automatically adjust medication based on the reading. Many will alert a patient or caregiver if blood sugar is getting too low. These are great little machines that are associated with improving the outcomes of diabetes, such as better Hgb A1c levels and decreased bouts of hypoglycemia. However, are they useful, necessary and worth the money for people without diabetes? Today, we will have a discussion about what information we have so you can make an informed choice. Follow us on social media: Facebook - Achieving Your Best Instagram - aybspringfield Twitter - AYBspringfield

In this episode, I will apply the 80-20 Rule to healthy permanent weight loss even if you are diabetic or pre-diabetic. Help with weight loss whether a diabetic or pre-diabetic. Learn the signs that your body is no longer making insulin as well as it did. Learn the relationship between insulin and carbohydrate consumption. Learn questions you should be asking your doctor or other healthcare providers if you think you might have pre-diabetes. Understand what Hgb A1C is and how to have yours checked. Learn what is the number one thing you must focus on if you are trying to lose weight permanently and it's not what you think. Happy health and fitness from yours truly Debra Spears author of Lean Expert Secrets® and founder of Foxy Lean®! As always you can reach me here for out of the box health and fitness strategies and my delicious fat burning smoothie recipes, support and so much more: www.debrasspears.com/ www.instagram.com/@debraspears222/ www.facebook.com/debraspears.org/ twitter.com/@debra spears Find my NEW Book "Lean Expert Secrets" with Bonus Recipes on https://www.amazon.com/LEAN-EXPERT-SECRETS-WITHOUT-DIETING/dp/1980789185 ________ DISCLAIMER This information is not intended for the purpose of providing medical advice. All information, content, and material of this website is for informational purposes only and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. MEDICAL EMERGENCY If you have a medical emergency, call your doctor or 911 immediately. The information contained here is not intended to recommend the self-management of health problems or wellness. It is not intended to endorse or recommend any particular type of medical treatment. Should any reader have any health care related questions, promptly call or consult your physician or healthcare provider. No reader of information provided here should be using it to disregard any medical and/or health-related advice, nor should it be used as a basis to delay/replace consultation with a physician or a qualified healthcare provider. You should not use any information contained here to initiate the use of dietary supplements, vitamins, herbal and nutritional products or homeopathic medicine, and other described products prior to consulting first with your physician or healthcare provider. Foxy Lean and Debra Spears disclaim any liability based on information provided on this platform. Supplements: https://shop.realmushrooms.com/?ref=57 --- Support this podcast: https://anchor.fm/debraspears22/support

Download my free thyroid resources here (including hypothyroid symptoms checklist, the complete list of thyroid lab tests + optimal ranges, foods you should avoid if you have thyroid disease, and more): https://www.restartmed.com/start-here/ Thyroid lab tests are important, no question, but you also need to be looking at other systems: Why? #1. Your thyroid affects almost every system in your body. #2. Your thyroid affects OTHER hormone systems and leads to imbalance. #3. Your thyroid affects your ability to absorb nutrients and leads to deficiencies. #4. These imbalances/problems/deficiencies/issues are NOT corrected with thyroid supplementation alone (or necessarily with natural therapies). Lab tests to get: FIRST - A word about insurance - these labs SHOULD be covered. Call your insurance company if you are worried, though, to prevent having to pay out of pocket. The diagnosis codes of hypothyroidism and Vitamin D deficiency work well and I've used these codes to get these covered by most insurance companies. The FULL set of lab tests you should be ordering as a thyroid patient: Serum Magnesium or RBC magnesium Vitamin B12 Folate Vitamin D Leptin Insulin, Hgb A1c, blood glucose - assess for insulin resistance Estradiol Progesterone Free and total testosterone Sex hormone-binding globulin Cortisol Iron studies (ferritin, iron, TIBC, % saturation) Cholesterol studies (HDL, LDL, total cholesterol) CMP Liver/kidney function (Creatinine and AST/ALT) Inflammatory markers (ESR, CRP, ferritin) Autoimmune markers (mostly thyroid antibodies, thyroid peroxidase antibody and thyroglobulin antibody) Make sure to get these lab tests AND Thyroid lab tests: Which includes: TSH, free T3, total T3, reverse T3, free T4 + thyroid antibodies (initially and frequently if you have Hashimoto’s). Recommended thyroid supplements to enhance thyroid function: - For thyroid hormone production and conversion: https://www.restartmed.com/product/thyroid-adrenal-reset-complex/ + https://www.restartmed.com/product/t3-conversion-booster/ - For hair loss: https://www.restartmed.com/product/thyroid-hair-regrowth-complex/ - For weight management: https://www.restartmed.com/product/gut-bomb-350-billion/ + https://www.restartmed.com/product/functional-fuel-complete/ - For gut health: https://www.restartmed.com/product/ultra-biotic-x100/ - For energy and adrenal health: https://www.restartmed.com/product/thyroid-adrenal-reset-complex/ + https://www.restartmed.com/product/power-b-complex/ I'm Dr. Westin Childs and I focus on thyroid health, hormone balance, and weight loss. I write about thyroid disorders, weight loss, insulin resistance, estrogen/progesterone balance on my blog. I truly believe that hormone balance is the key to managing your weight, your mood and your quality of life which is why I'm so passionate about it. If you enjoyed this video please subscribe on youtube or leave a comment on my podcast here: https://itunes.apple.com/us/podcast/dr-westin-childs-podcast-thyroid-weight-loss-hormones/id1141207688?mt=2 This video is not intended to be used as medical advice. If you have questions about your health please consult your physician or primary care provider. Dr. Westin Childs goes to great lengths to produce high-quality content but this is NOT a substitute for medical care.

Dr. Mike Miedema, a preventive cardiologist with the Minneapolis Heart Institute, discusses cardiovascular disease (CVD) prevention, including current uses of aspirin and diabetic agents for primary CVD prevention.  Dr. Miedema also discusses current changes in recent cholesterol guidelines. Objectives: Upon completion of this CME event, program participants will be able to: Describe current optimal use of aspirin for primary cardiovascular disease prevention. Express their understanding of novel diabetic agents used for CVD prevention. Explain changes in the recent cholesterol guidelines. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2 weeks.  You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit:  CME Evaluation: A 2018 Cardiovascular Prevention Update - CME Enduring Activity (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”   FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.     Show Notes:   We were fortunate to be joined by Dr. Michael Miedema on December 14, 2018 to discuss cardiology updates and how they are about to impact our practice, if not already. He is a board certified cardiologist, and senior consulting cardiologist and principal investigator with MHI. He trained in medical school at U of M, then went on to an internal medicine residency at Abbott Northwestern, with his cardiology fellowship to follow at the University of Minnesota.  He went on then to another fellowship in cardiovascular prevention at Harvard, in addition to earning his Masters in Public Health. He happens to also be on the committee for the ACC/AHA 2019 Guidelines for the primary prevention of cardiovascular disease. And despite the fact that he grew up in rural Minnesota, this midwesterner speaks as fast as any east-coaster I’ve ever met! So whether you’re in your car,  operating your snowblower or starting that crossfit New Year's resolution , enjoy the knowledge that’s about to be dropped by our very esteemed colleague, Dr. Mike Miedema.   Aspirin: should people take aspirin for primary prevention of heart attack and stroke? We used to say, probably yes!  In the ASCEND trial (New England Journal) in the fall of 2018, Low dose aspirin was looked at and in 7.5 years there was approximately a 12% reduction in major CV events, however serious bleeding was increased by 29%. Not a simple nose bleed, but hospitalization type bleeding.    Another trial, ASPREE in the NEJM also in the fall of 2018, looked at older patients without CV disease, above age 70, taking low dose aspirin for 5 years. It showed no benefit again in overall CV risk, but bleeding risk was increased signficantly, by 38%. In fact all cause mortality showed an increase in cancer in this group, which is interesting. At the very least, the study showed no improvement in cancer risk.   Another trial published in Lancet, the ARRIVE study, consisted of 12000 patients. They were kept on ASA low dose for 5 years, and once again no improvement in the aspirin group was shown. However, the calculated risk was about twice what their actual risk was. The bleeding risk once again was higher.  Rates of MI actually demonstrated no change in the aspirin group.    The Physicians Health Study looked at a primary outcome of MI. It showed that ASA prevented the outcome of MI. Later the investigators tried to expand the outcomes of the study to include CV deaths in general. Unfortunately this now diluted the effect of aspirin and in other words, aspirin’s effect on preventing all cause CV death, like aortic dissection, etc., which makes aspirin look less effective. In addition, there is the issue of these trials looking at “intention to treat” which relates to an inherent bias toward the intervention arm, which didn’t account for the people who had to pull out the trial.  The double edged sword is that many people do in fact pull out of the trials and are still included in the trial results, which skews the results as well.    To conclude, aspirin is likely not helpful if you’re over age 70.  Essentially, if you’re at low CV risk or increased bleeding risk, you probably also shouldn’t take it. Between the ages of 40 and 70, patients may benefit from aspirin therapy, although not without risk of bleeding.      Cholesterol: One month ago, ACC/AHA updated the cholesterol guidelines from the 2013 version. In 2013, statins were recommended for primary and secondary prevention.  Secondary prevention includes lifestyle modifications.  There has been a movement to stratify people into not high risk and higher risk.    With regard to secondary prevention, the Improve-It trial was reanalyzed. The initial trial looked at ezetimibe with and without a statin.  Over 7 years and 18000 patients, there was  a 2% reduction in risk for CV disease. Cholesterol went down by 20%. Risk scores were calculated when the study was reanalyzed. Only half the trial had zero to 1 of the usual risk factors, and there was no benefit in this group. And in this group over the 7 years, there was no benefit from ezetimibe. In 25% of the trial, there was a benefit, but these people had 3 or more risk factors. Consequently, this group saw the most improvement and benefit. Essentially, if you’re not at high risk, a statin is sufficient. Ezetimibe can be considered in this group if the statin does not get you below an LDL of 70.  Otherwise, if you decide not to add ezetimibe, a maximally tolerated statin is appropriate. Older than age 75?  A statin can be offered but not mandatory. The very high risk group, however, meaning a major CV event (ACS, MI, Stroke or symptomatic PAD) history, along with at least one other risk factor, the LDL goal must be less than 70.  Statin therapy, along with ezetamibe is warranted, and if this doesn’t work, a PCSK9 inhibitor is indicated as well. These are expensive meds, though. Ezetimibe is not very expensive and tolerated well, so if that LDL can’t get below 70, it should really be added in this group.   Regarding primary prevention, familial hypercholesterolemia should be screeened for.  An LDL > 190 should be on a statin. No other risk factors are needed. People with type2 DM should be on a statin as well. Greater than age 75? Risks must be weighed, but statin is optional. Age 0-20, lifestyle, FH screening. 20-39, if LDL > 160 and/or a calculated greater lifetime risk, a statin can be offered. Plaque is much more regressable in earlier rather than later stages. A trial is currently under way looking at this concept, attempting to treat people in their 30s. This is the Cure Athero trial which is ongoing.  For age 40-75 with ldl between 70-190, if risk is less than 5%, no intervention besides lifestyle is indicated. With a calculated risk of >20% they should be on a statin.  If somewhere between low and high risk, there are other risk enhancers that should be looked at, i.e. family hx, inflammatory diseases, ethinicity, etc. If the calculated risk is 7.5 to 20%, a statin should be offered, but if there is uncertainty about whether to treat, a calcium score should be obtained. In fact, this is one of the major guideline changes, in that calcium scoring should be looked at. If the score is 0, then no therapy should be used. Scores between 1-99, statin should be offered, but 100 or greater, statin is indicated.  This concept was from a paper published in JACC in 2015.  Again, Ca++ scoring is best used in the group with intermediate risk between 7.5 and 20%.  Following the cholesterol is also advised. In fact, fasting lipid panels are not required. The panel can now be done non-fasting. Trial data has also shown that statins are very safe. Over 20 years, cancer, dementia and other theorized health risks were debunked.  Coenzyme Q10 use, and monitoring CPK, ALT/AST on asymptomatic patients are not indicated.  To summarize, people with known CV disease should be on a high intensity statin with goal LDL < 70, ezetimibe and PCSK9 added if at high risk. Also, if FH, consider adding ezetimibe and PCSK9, goal < 100. DM? Moderate intensity statin, higher if at high risk. Primary prevention? Moderate intensity statin, high intensity if high risk. If risk is uncertain, do a Calcium score.  Another trial is ongoing looking at fish oil (EPA and DHA).  EPA (vasepia) the purified variety ("fish oil on steroids"), is implemented in the mildly elevated TG population. Over 5 years, this medication along with statin therapy showed a reduced risk 25% reduction and 5% absolute risk reduction. Strangely, if your TG are in the 1000s, you are not at higher CV risk, but when they are mildly elevated, there is more atherogenicity. Essentially, if you have mildly elevated TG, you may benefit from this treatment. Expense and dosing is an issue, but this must be a considered therapy.    Diabetes: Cardiologists are becoming more engaged in DM care once again. The vast majority of DM is type 2. 1/3 of adults in this country are pre-diabetic. The risk of MI and stroke is significantly greater in diabetics and lifestyle really matters most with diabetics as well.  A recent paper in JACC demonstrated the significant benefit in lifestyle improvement.  The UKPDS trial looked at lifestyle vs. insulin vs. metformin.  Metformin showed substantial benefit in diabetes related events and diabetes related death. If metformin is started before insulin, a significantly lower Hgb A1C and lower BMI is seen. Type 2 DM is a disease of insulin sensitivity, not deficiency. Insulin is a storage hormone and does lead to weight gain. Metformin is recommended therefore as first line for type 2 DM, based on studies in the 90s and early 2000s. They showed improvement in Hgb A1C, but CV risks really weren’t shown to improve.  Based on 3 large trials in 2010 (ADvance trial, a VA trial and the Accord trial) no significant reduction in CV events was shown. In fact a slight increase in all cause mortality was shown. This was in people with more intense glucose control. Weight gain was a significant issue in aggresive Hgb a1c treatment group.   There a two relatively new medications: sglt2 inhibitors and the glp1 agonists. The sglt2s basically block the  pulling of glucose from the urine back into the blood stream. This lowers the HgbA1C. It also has a natriuretic/diuretic effect as well. There is very little risk of hypoglycemia with this drug as well. It is also a natriuretic. In 2015, a trial looking at this class of med revealed a 14% reduction in MACE.  CV death showed a 38% reduction. Most of the benefit was in patients with risk of heart failure.  Another trial also showed a 33% reduction in heart failure hospitalizations.  The largest trial though of 17000 patients was a primary and secondary prevention trial. Similar benefts were noted, but also a renal benefit. Ultimately, our type 2 DM patients should have these medications considered for both primary and secondary prevention. GLP1 receptor agonists or glutides, are also an option. This medication class causes less glucose production by the liver, more uptake by the muscles and delayed gastric emptying. Weight loss may occur with this med. CV effects include decreased inflammation and decreased risk for clotting in the smaller vessels. Overall reduction in Hgb a1c, weight loss, improved LDL, decrease in BP and decreased inflammation. 13 to 14 % reduction in MACE was noted with this, especially in stroke and atherosclerosis. Not so much with CHF due to an anti-atherosclerotic mechanism.  Glutides are given once weekly. Yeast infections are more common with the SGLT2s due to increased glucose in the urine.  ACC constructed a pathway for use of these various medications:  Essentially, For your DM pts with CHF, an SGLT2 should be given, and a GLP1 for DM pts with previous CV events. Cost is also an issue with these meds; however they can be used together.   CV genetics considerations and screenings is an up and coming topic.  The Framingham study said CV disease is due to multiple-factorial processes and risk factors. Therefore it is hypothesized that mutliple genes may lead to higher risk.  If your lifestyle is good, even if you have increased genetic risk, you can substantially lower your risk. In about 2% of the population, an FH gene can be found.  If you have this gene, your risk is higher than others at a similar cholesterol level, and for a longer period of your life of course. Therefore it is important for these patients to address this with medication and lifestyle.  Adding the genetic risk score to your overall basic CV risk factors will help to predict your actual CV risk.  This risk calculation and stratification is still being studied and looked at.   ACC/AHA Risk calculator link: cvriskcalculator.com   In summary:    ASA for primary prevention probably shouldn’t be used. Select high risk patients are okay, but avoid in the elderly.  Cholesterol:  Statin plus ezetemibe and pcsk9 for higher risk, and Ca score for  those uncertain about their risk.  DM: use the new meds with type 2 DM at high CV risk.  Genetics: not quite ready for prime time, but we need to look into this more and get ready for patients desiring this in the future.  Again, a big thanks to Dr. Miedema for joining us and for providing this cardiology update. Ridgeview appreciates his expertise, his ongoing dedication to his patients and to the cardiology specialty.

Welcome back to this weekend's Cabral HouseCalls! We have a biggest Q&A ver this weekend answering over 16 of our community's questions! LaSandra: Hi, Dr. Cabral. I found your podcast a few weeks ago and have been obsessively trying to catch up on previous calls. My good friend has been struggling with some neurological issues and cannot get answers from her physicians. A few months ago she had a cervical disc replacement in her neck, but her symptoms continue to worsen. She has burning sensations in her mouth, tongue, upper shoulders and head. She also feels like she has a lump in her throat. She recently found out that she has extremely high B6 levels even after quitting her multivitamin. I told her that I had heard you talk about the MTHFR gene and that it might be related. Because she can't find information on it with the Mayo Clinic, she is skeptical. She is unsure of where to go from here. Any advice you can offer would be greatly appreciated. Thank you!   Angela: Hi Dr. Cabral! First off, thank you for your amazing work. I've been listening to your podcast for only a few months now and it has become a part of my daily routine. I have already seen rewarding progress by the numerous little changes you have suggested. I have also spoken very highly of you to friends, colleagues and family, and I'm borderline becoming that Nutrition nerd that is full of facts and guidance! Now for my question: I have always struggled with acne and digestion issues since I was a kid, but not anything acute or serious. My mother was always hesitant with antibiotics and always work to heal me as gently as possible. I have been detoxing bi-annually for about 3 years now and two days ago I finished your 14 day Dr. Cabral Detox. WOW! I feel amazing. However, before I started the detox I completed an IGG food sensitivity test with my local Naturopath, and the results show that I have way more sensitivities than what I expected. The top 5 foods of my elevated intolerance are: egg whites, Cow's milk, Baker's yeast, cashews, and rice. I also show high sensitivity to every dairy and wheat source that was tested, as well as, almonds, amaranth, beans (kidney, white, and soy) and peas. I am concerned with how I should continue my diet due to the fact that I am also sensitive to the main alternatives of wheat and dairy, and the great protein source of beans. I have a few plans and would like your opinion on their validity: - I am continuing to not eat any fruit or starch vegetables for another week and then I am going to introduce starch carbs, Quinoa, and oats back into my diet like you have suggested on an earlier podcast. I am looking forward to balanced sugar levels and hormones. - Suggested by my Naturopath: I am going to test the strength of my stomach acid with a burp test and if needed, taking acid capsules at meals to test the strength (I can't remember the name of the acid) REAL QUESTION TIME: - How long should I cut out these foods to see results and what should I be doing to heal my gut? - What is the best way to naturally increase my stomach acid to healthy levels? - Can I ever eat these foods again that i'm sensitive to and how should I plan this? - What exactly is food combining and will this help with my digestion/absorption/stomach acid health? Thank you so much for your time, I really appreciate everything you offer! Angela   Emily: Hi Dr Cabral, thank you for doing this podcast and spreading knowledge. I recently got my blood test back and my Hgb A1c is 5.4%. ESTIMATED AVERAGE GLUCOSE is 108 mg/dL. How do I prevent pre-diabetes and get my Hgb A1c down? My mother has pre-diabetes and my grandmother (on my mom's side) has diabetes. Thank you   Amanda: I would like to know what my mom can do to improve her memory, as it appears she is in the early stage of Alzheimer's or dementia. She is 61, not over weight, eats a relatively healthy diet and is active. She drinks maybe 3-5 glasses of wine or rum and cokes a week. She does not have any other health concerns that we are aware of. She has been forgetful for about the last 5 years. However this last year her short term memory has gotten worse. She will ask me a question and then ask me the same question 5 minutes later. She knows she is struggling. I would love to have her work with you if you feel this is an area you can help with. Love the show Thanks, Amanda Rau   Allison: well. I was listening to an episode Dr. Cabral previously did on hives and was hoping to ask a question regarding my situation. I am 34 years old. Four months ago I started to get hives on my body. I now have hives every day and they are severe. The doctors I have seen have not been able to help me. Detail are as follows. Originally there would be small outbreaks of hives on my arms, pelvis area, legs and stomach that usually would go away with antihistamines. After a couple months the hives started getting worse, covering larger portions of my body, and the antihistamines stopped working. For the past 6 weeks, the hives have become constant, covering my back, legs, arms, neck and some days, my face. They seem to get worse from pressure and heat so I wear light loose cotton clothing to cover my body. I also have swelling to my eyes and lips occasionally. I had a son 5 months before the hives began so initially thought it was hormone related and stopped nursing. When that didn’t resolve the issue, I stopped eating gluten, dairy, sugar, caffeine, and alcohol. This was 6 weeks ago. I also changed all products in our house including laundry detergent, dish soap, hand soap, diaper wipes, etc. 6 weeks ago I also started taking probiotics, vitamin D, B12, a multivitamin. I also started taking fresh garlic and coconut oil daily. My doctor has done the standard blood tests and found no obvious problems. Outstanding results from various tests include low RBC (3.84), C reactive protein of 13.9 ( very high), no hepatitis B immunity detected. H. pylori IgG was 0.59. Allergy testing for common allergens and inhalants did not show any issues. I had an ovo parasite test done that showed I had many blastocystis hominis and I was treated with 2 courses of antibiotics which has not helped. Specifically I took paromomycin – 1000 mg x 2/day and metronidazole – 750 mg x 3/day for 10 days. I have been prescribed the following antihistamines by my doctor, allergist, and the emergency room but none have helped consistently. Cetirizine, Loratadine, Bilastine, Hydroxyzine, Zantac and Rupatadine. I started getting Xolair (omalizumab) injections of 300mg yesterday. Today the hives were not as bad as they have been the last 3 weeks but they are still all over my body and constant. I am nervous to stay on Xolair given the side effects and it is not solving the problem, just trying to mask it. Other potentially related symptoms: I am often tired. I have undigested food in my stool which is relatively recent (last 2-3 months). I am usually cold. I do not seem to be sweating as much as I used to or at all. I have seen my doctor several times as well as two allergists, an emergency room doctor, a naturopath and an infectious disease doctor. No one has been able to help. I have had hives every day since mid December. I would be very grateful for any help you could provide. Thank you.   Maria: Hi Dr. Cabral thank you so much for everything you do. Listening to your podcasts I know I have yeast overgrowth I was given antibotics 3 times in one year. Have all the systems, now feel like I have fibromyalgia. Feel like its getting worst. Will a gastrologist help me dont know where to turn. Im really scared. If so is there someone I could see for this on the northshore in MA. I never would have know this if it wasnt for you. I would try on my own listening to what you say to do but I get a little mixed up on all the things. Thank you. Maria   Aiden: Hi Dr. Cabral, I have Tourette's Syndrome and have lived with it for at least 20 years. When I was younger I was given medication and I took it blindly until I started to feel like I wasn't myself. I accepted it as part of who I am and accepted that I will live with it and stopped searching for a "cure." It's been so long since I've given much thought to treating it. Is there anything I can do to help control my tics? Anything I could focus on adding or taking away from my diet to reduce them? Thank you for your time and insight. Aiden   Edward: I am currently battling the various symptoms of LPR: asthma, chronic, recurring, cough, occasional lump in throat, and general discomfort in lungs and throat. Is this disease something you have dealt with, in your practice, and, if so, what advice would you give? LPR seems to be notoriously hard to beat.   I hope you enjoyed the show and be sure to tune back in tomorrow for 8 brand new questions! - - -  Show Notes: http://StephenCabral.com/442 - - - Get Your Question Answered: http://StephenCabral.com/askcabral  

hsHgb A1c is a marker of insulin resistance and when it is elevated, that means the body is no longer properly managing blood sugar levels. When this number is elevated, that also strongly suggests a tendency toward higher inflammation throughout the body. The graph below represents the correlation between Hgb A1c levels, blood glucose levels, and 10 year survival probability. Research has shown that insulin resistance and prediabetes can frequently be improved with diet and exercise. Hgb A1C provides a reliable test to evaluate the effects of dietary and nutritional support programs. The post 223 – Predictive Biomarkers – Hgb A1c – My Interview with Dr. Russell Jaffe appeared first on Health Quest Podcast.

On today's show... Lightning strikes twice in the Robinson household. Janice Robinson, RN lives in Harlingen, TX in South Texas. She is the owner of 2 small assisted living homes for the elderly. Janice has two kids with Type 1 Diabetes, and is an inspiration to parents who find themselves in a similar situation. Her son, Mark (23) was diagnosed with Type 1 Diabetes at age 5. He was on insulin pump therapy for 10 years, and currently uses daily injections. Her daughter, Lexi (5) was diagnosed with Type 1 Diabetes at age 4. She currently is on insulin pen therapy with the Novolin Jr pen, and is managing well. Her most recent Hgb A1c is 6.5, down from 6.8 five months ago. GO LEXI!!!   DiabetesPowerShow.com Charlie Cherry, Producer, Co-Host Chris Moore, Co-Host Theresa Moore, Co-Host Chris Daniel, Co-Host