How sugary blood damages arteries

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Dr. David Unwin explains the crucial role of HbA1c and how high blood sugar quickly damages our arteries and glycocalyx. Highlighting the importance of maintaining a healthy blood sugar range.
 
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With the new information coming out it seems more like the increase in insulin which is trying to unsuccessfully deal with the " sugary blood" is causing the problem. Is it the sugar or the insulin or the perfect storm of both?

bdailey
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The insulin becomes resistant first. Then then A1C rises. So the cause is the insulin but mainstream doctors don’t test the cause, they test the result. Then Rx a pill because it’s harder to make effective lifestyle changes at that point to undo insulin resistance. Not impossible, just harder. If there was a pill to treat insulin resistance they would start testing it. Mainstream medicine mostly only tests that which can be “managed” with a pill.

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