How Do You Know if You’re HEALTHY? Cholesterol & Uric Acid LAB TEST Results | Dr. Robert Lustig

Although not one single test can tell you whether you are healthy, some biomarkers and lab results can provide you a picture of your metabolic health, which can then inform you about your overall health. Dr. Robert Lustig and Mike Haney discuss why fasting insulin is one of the best metabolic health biomarkers, how you can use continuous glucose monitoring as a proxy for insulin sensitivity, how fast your metabolic health can change, and why your uric acid level and the cholesterol marker ApoB are also important labs to receive.

📍What Robert Lustig, MD, & Mike Haney discuss:
00:00 — Intro
01:23 — Multiple factors help determine if you’re getting sicker or healthier
05:29 — Fasting glucose is not a good gauge of your metabolic health
09:25 — The concern with a rising insulin level
18:38 — A good goal is to keep glucose levels more stable, but you’re going to have rises
29:29 — What a glucose excursion can tell you
30:38 — Why doctors don’t check fasting insulin, even though it’s a better marker than glucose?
45:33 — How often should you get your fasting insulin checked?
49:24 — A continuous glucose monitor can show you your glucose excursions
57:49 — Why uric acid is an important biomarker
1:08:50 — Why you should get ApoB checked

🔗 LINKS:

👋 WHO WE ARE:
Levels helps you see how food affects your health. With real-time, personalized data gathered through biosensors like continuous glucose monitors (CGM), you learn which diet and lifestyle choices improve your metabolic health so you can live a longer, fuller, healthier life.

#metabolichealth #bloodsugar #glucosecontrol

[arosalesmusic]

The insurance industry does not want to pay for the fasting insulin test, not because it is expensive in and of itself, but because it is not in their best financial interest. They want people to be metabolically unhealthy, otherwise who needs medical insurance companies?

[robinq]

Every time I hear Dr Lustig I learn something new about things I have heard before. I save them all and watch over & over.
I do use a CGM, but unfortunately it is not as accurate as blood testing with a meter but it does show trends.

[haroldwagner]

I am double boarded ER and IM Listing is the real deal and one of the few doctors that could even teach me something. He has raised Metabolic medicine to a new LEVELS ( Play on words)😂

[re]

He is amazing, the professor you would love to have.

[tomhermens]

Food suppliers are not being checked as to what they are flogging. Is there an ombudsman or inspectorate?
There are too many unhealthy foods on the market.

[BarbaraGallo-blti]

The only thing that changed in 1980 was the food industry, switching to high fructose corn syrup, because it was government-subsidized and cheaper than cane sugar which has a tariff. Being so much cheaper, they decided to go by the tobacco industries playbook and used its addictive quality and put it in all foods. This pushed up the sale of snack foods while computer games reduced physical activity. The perfect storm.

[bestdoom]

Ha. He didn't want to endorse Dr. Hyman's company. Haha. He probably did not get invited to participate. In all seriousness, Dr. Lustig is indeed a National Treasure. His book Metabolical and his famous frase "feed the gut, protect the liver" were key influencers in my move to a whole-foods, plant-dominant diet. Result: Fasting insulin down from 15 to 5, ALT down from 45 to 20, HsCRP down from 1.5 to 0.3, Triglycerides down from 100+ to 55, Urid Acid down from 7 to 6.1 (still working on that one), and APOB down from 90 to 65.

[BeBedabit]

My Lyme doc once did some kind of blood test that required me to go eat syrup laden pancakes and return for blood draw. I had been on Atkins for years and did not want to do it. She insisted.
Within an hour and half of that horribly high carb meal, my blood sugar dropped like a bomb. I was weak, shaking, crazy. Family members had to help me 7:20 into a restaurant. Took me two days to recover. Have stayed basically low carb now years.
A1C is 5.1.

[RickTeale]

I asked my doctor to add fasting insulin, hsCRP, homocysteine and lipid fractionation to by labs. None of those were done. There was a c-peptide result. How does c-peptide compare to an insulin measurement. Can c-peptide and fasting glucose be used to calculate HOMA IR?

[TomSmith-cvhk]

Great vid, great info. I notice Dr Lustig avoids going near no carb, just calls out lifestyle.
I'd love to know what he thinks of HFG with LFI and good Hba1c.

[JettingChen]

While Dr Lustig makes the most sense, why is his waistline appearing bulkier?

[dr.jeffstone]

Why would my glucose clear to 120 at 10:30pm, 70 at 3am, 120 10:30am 200 at 11:30. No food eaten and moderate exercise 1 hr stating 9am. Adult diabetic 25 years, fasting insulin 16. Love your talks and depth on knowledge.

[SueMiddleton-kygt]

Shouldn't you include insulin response test with OGTT?

[gungagalunga]

But could fasting glucose be influenced by the "dawn phenomenon "?

[dr.hinaaslam]

How long fasting is required for fasting insulin measurements? What the upper normal limit of insulin? What time of the day blood should be drawn for fasting insulin ideally?

[luccarre]

Thanks you very much Dr Lustig for your clear and brillant interview !🙂

[BetterWayLiving]

Better than a fasting insulin is a Kraft Test which is basically an OGTT but they measure insulin for 3 hours.
Fasting insulin might be a good start but your number can be normal and you still have metabolic disfunction.

[AMH-blne]

Thank you for humble chat. Instead of technical discussion's amongst medical professionals, can you please tell me step by step how to remain healthy.

[RoiPourpre]

Hello and thanks for this video.
I've been on a ketogenic diet for over 2 and a half years, I eat less than 20g of sugar a day, I'm very strict on my diet and yet I have a uric acid level of 6-7... I've never had gout, but I have rheumatoid arthritis and when my uric acid rises, I feel inflammatory pain in my affected joints... What should I do to get rid of my problematic uric acid? I also have type 1 diabetes, which is very well monitored, and otherwise I'm perfectly healthy.
Is the solution to take allopurinol? I suspect I really do have a genetic disorder because everyone in my father's family has uric acid... However, I'm very afraid of having a taste attack when I start treatment, because I've heard that's what happens... Ty

[Primetime_dads]

I have the same problem as him, my fasting insulin is 3 but my damn fasting glucose and A1c are 110 and 5.6 🤷‍♂️ like wtf, this does not line up 😂.

Im glad he mentioned he was the same