Dark spots on the skin, dark warts on the neck, armpits, baldness, hair on the face, fat in the liver, cysts in the ovaries. These can all indicate insulin resistance, high blood glucose, and diabetes. This is very important because when a person is diagnosed with diabetes, they may have had insulin resistance and diabetes for ten, 15 years and did not know it. In fact, this is what happens in eight out of ten of my patients. It can be present in people who are obese, but it can also occur in people who are not obese, who are normal weight, or just overweight. Hello everyone. I am Dr. Veller and I tell you that despite all this, there is excellent news. All this that I told you has a cure. It can be reversed. There are natural ways to prevent all of this from progressing to diabetes and its complications. What is insulin resistance and diabetes? It is a metabolism disorder. Blood glucose is elevated, but not high enough to be considered diabetes. I already told you about normal blood values and when diabetes is considered. Notice, this over here is our pancreas. When we consume some food, this organ immediately releases insulin. What this hormone does is open channels in our cells so that the glucose that is circulating in our blood, which I drew here in purple, enters these cells and is stored as an energy source called glycogen. This is very important, because when we are fasting these energy deposits are going to break down and our body is going to use glucose for all its biological processes. Sometimes with our daily routine, poor diet, stress, sleeping poorly, consuming toxins such as alcohol, smoking, sedentary lifestyle, we make it harder for insulin to get glucose into cells. That is, more insulin is required to open these channels. And get the glucose in. Then the glucose that does not enter the cells begins to accumulate in our circulation, in our blood, and what we know as hyperglycemia or increase in blood glucose occurs. This is what we know as insulin resistance or decreased response to insulin. In these situations, by consuming the same amount of food, glucose will increase a lot in the blood and the pancreas will feel this. You will need to release more insulin in order to move glucose out of circulation. Then a state of hyperinsulinemia or increased insulin in the blood is generated. And here I am already naming three problems. Notice first the hyperglycemia that occurs after consuming food. The second, the state of hyperinsulinism, and third, the work overload that we cause in our pancreas. And then it is created as a cycle, glucose increases more, the pancreas works harder, insulin increases more. And all this ends. In what? in prediabetes. Which then ends in diabetes. And all its complications. Now all this does not happen from one day to the next. People who discover diabetes may have had insulin-resistant diabetes for many years. 10, 15 years. And in this long way, this can be reversed. It can be cured. Now, what are the causes of this problem? Many patients ask me Doctor, I do not consume sugar, I have diabetes or I am diabetic. Well, despite what many people believe that carbohydrates are the main problem, I will tell you that there are many other factors. Also, it is not about the carbohydrates, but about the type of carbohydrates that you consume. And also how you consume it. But notice, obesity, especially increased abdominal or waist circumference, is one of the main determinants of insulin resistance. Grab the tape measure you have at home and measure your belly. If you are a woman and you are over 80 centimeters or you are a man and you are over 90 centimeters, you may have insulin resistance. Now, these measurements may vary depending on your ethnicity, the country where you live. But my point is that central obesity that causes an apple shape in our Body is the most dangerous. That other obesity that causes more of a pear shape, that is, fat accumulates in our thighs, buttocks, hip region, is less harmful. And what happens is that abdominal fat accumulates between the viscera and this type of fat causes inflammation. It is a tissue that releases hormones and releases substances that will generate a state of chronic inflammation in our body. This type of adipose tissue literally inflames us and, in addition to causing insulin resistance, damages our circulation, damages our arteries, increases the risk Of having a heart attack, thrombosis, stroke, memory problems, dementia, among other things. The next point. Stress and poor sleep. This can leave us in a state of insulin resistance for several days. When we sleep poorly, our body detects a state of stress as if it were an alarm. This causes the release of substances, hormones, some chemicals that produce inflammation and this hinders the action of insulin and increases blood glucose levels. Even in people who are not obese. In simple words, stress generates insulin resistance. In patients who have diabetes or who are already diabetic and prioritize Sleep hours, they sleep 7 or 8 hours a day and always at the same time their blood glucose levels decrease dramatically. Many times these patients are even taken off medication because they can better control their disease. The third point is the foods that produce oxidation, inflammation, those That produce chronic fatigue, that leave us in a bad mood, that cause us to age. That is, industrialized junk food with high sodium content, high glycemic index carbohydrates. Or that they have bad fats. All of these foods cause insulin resistance. Toxic substances, such as alcohol and cigarettes, damage our cells, damage our Arteries and hinder the action of insulin. There are other causes that I put here, such as some medications that cause insulin resistance, corticosteroids when they are used chronically in some patients. Some drugs used in psychiatry. The antipsychotics. Some medicines used to treat the HIV virus. All this can also cause increased blood glucose. Pregnancy can lead to a transient state of insulin resistance, prediabetes, or even gestational diabetes. Some genetic defects or even family history. If your parents or any of your siblings have diabetes or diabetes, you are at greater risk of having the same problem. Well, now let’s see what are the symptoms of prediabetes and insulin resistance. Many times the patient does not feel anything at all or the symptoms are very subtle, but knowing everything that I explained above, they will be able to identify which people are at greater risk. Now the increase in glucose is toxic, but the increase in insulin is also toxic for our body. In some cases, this causes spots on the skin. Dark spots in the region of the neck, armpit, groin. These spots are not removed by bathing and are called «acanthosis nigricans». In some cases, in these same regions of the body there may be small tumors. It’s like dark warts that represent the same a state of increased insulin. In other cases, insulin resistance and diabetes are accompanied by polycystic ovaries. Accumulation of fat in the liver. What we know as this hepatic steatosis. Virilization in women or alterations in fertility. Amenorrhea, menstrual disturbances. Hirsutism hair grows on the face, in the region of the mustache, in women. They can even have baldness like men. If you have any of this, it is very important that you investigate how your blood glucose is. But insulin resistance isn’t just a glucose problem. It generates a state of chronic inflammation in our body that leads to many other problems, such as cardiac disorders. And it can also be accompanied by metabolic syndrome. Alterations in triglycerides, decrease in HDL cholesterol. Problems with blood pressure. The chronic inflammation that is generated causes atherosclerosis to occur, that is, our arteries become clogged with fat. This can lead to circulation problems. Heart attacks, cerebrovascular accidents. All this even without having diabetes yet. Now let’s look at some warning signs. If you have problems urinating a lot at night or during the day, or you are very thirsty, or you are eating a lot, you have polyphagia or you are unexplained losing weight. Maybe you already have diabetes, even a more complicated form of it. If you have vision problems, numbness in the hands and feet, recurrent candida infections, for example, or recurrent urinary tract infections. Or if you already have kidney problems, you may also have a more advanced, more complicated form of diabetes. In some cases it can take a long time for the wounds to heal. These are all warning signs of type 2 diabetes. And if you ask me what are the complications of prediabetes and is insulin resistance dangerous? In addition to everything I already told you before. Pre-diabetes and insulin resistance also increase the risk of fatty liver. This can lead to cirrhosis to liver cancer. It increases the risk of having other cancers, such as breast cancer , endometrial cancer. Colon cancer increases the risk of chronic kidney disease, sleep apnea , uric acid problems, gout also increases the risk of memory problems. Dementia, then it’s not to be taken lightly. But again, remember that all of this can be treated. It has a cure, it can even be prevented. Let us now see how to detect these problems. And for that it is important to know the normal values of glucose in the blood. On an empty stomach, it is normal to have between 70 and 99. Two hours after eating, your blood glucose can rise to 139. And there are three tests that we can do to diagnose this. The first of these is to measure blood glucose after an eight-hour fast. If it’s between 100 and 125, you may have prediabetes. The second is to do the oral glucose tolerance test. In this case, after fasting for eight hours, your doctor will give you a glass of sweet liquid to drink and two hours later they will measure your blood glucose. If your result is between 140 and 199, you may have prediabetes. And the third is to measure what is called glycosylated hemoglobin or “HbA1C”. If this test gives you between 5.7 and 6.4, you may have prediabetes. Now how can we reverse? How do we prevent and treat this in relation to food? There are some that are really powerful. Many times medication is not even required. Consume carbohydrates with a low glycemic index. In other words, after consuming them, they keep glucose and insulin levels stable in your blood. In other words, they do not cause a spike in glucose and insulin. It’s fundamental. And as examples are all those foods that have a lot of fibers, proteins or good fats or a combination of these three things. For example, sweet potato or sweet potato, beans, lentils, quinoa. Chickpea, oatmeal. But the key here too is not to overdo it. All good food becomes bad when we overdo it. One fruit that is fantastic for diabetes is the pomegranate. Its antioxidant and anti-inflammatory power is much higher even than that of red fruits such as blueberries, grapes, blackberries. In addition, eliminate or avoid consuming inflammatory oxidant foods as much as possible, such as Ultra-processed industrialized foods with a high content of sodium, fats, bad carbohydrates with a high glycemic index. Avoid soft drinks, juices as much as possible, knowing how to read the labels to identify the sugar that is often hidden under other names. Consume fruits with edible shells, apple, pear. Soluble fibers. All these details and much more, we will tell you in a specific video about this. Another very important recommendation here is to stay well hydrated, consuming at least between 30 and 40 milliliters per kilo of water per day. This is very important. It dilutes glucose and helps your kidneys eliminate it more easily. Sleep well, prioritize sleep hours 7 or 8 hours per day. This lowers stress levels and lowers insulin resistance. Consequently, it lowers the sugar in our blood. Exercise at least 30 minutes a day, since I’m not talking about going to the gym, lifting weights. I’m talking about staying active, gardening, dancing, taking the stairs Instead of the elevator. Cycling to work. Incorporate physical activity into your daily life. Now, if you ask me, is there any surgery for insulin resistance? In patients who are morbidly obese, bariatric surgery can be considered both as a treatment for diabetes and for diabetes, that is, for metabolic disorders. But this must be discussed very well, case by case with your doctor. On the other hand, liposuction to reduce abdominal fat does not eliminate insulin resistance. And as part of the treatment, is there a remedy for diabetes and insulin resistance? The answer is yes. In some cases, especially in obese patients or those who have or have several polyclinics, metformin is used, which is a drug that helps open these channels. They improve insulin resistance. It has really good effects. Now very important. Don’t miss the specific video we made on foods and habits to lower Blood glucose and improve insulin resistance. I hope you liked this video about the symptoms. It was informative. Please, leave us your comment, subscribe to our channel and activate notifications. 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