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Top Lab Tests For Diabetes

March 26, 2020

What are the top lab and preventative tests
diabetics must include post diagnosis? Not only can these tests extend ones life,
but help with blood sugar control which will thwart all the unwanted complications associated with
this disease. These are the tests my doctors missed that
could also save you years of anguish, misery and pain. But before we begin, let me welcome all of
you Resilient Diabetics out there. This is the channel where we turn ordinary
struggling diabetics into extraordinarily well controlled diabetics. If you don’t know who I am, and you are brand new to this channel, my name is Jay
Sampat and I became an insulin dependent diabetic a little over 6 years ago due to an autoimmune attack which caused the destruction of my pancreas as a result of a severe gluten allergy attack. So basically I am the proud owner of a pancreas that seems to have gone on a permanent and life long vacation. So not only am I diabetic like you, where
we walk the walk and talk the talk together but I also have a university B.Sc degree in Nutrition/Dietetics. And that comes in VERY handy in helping discuss all the intricacies of being a diabetic… Don’t forget to hit that subscribe button,
followed by the GREY notification bell. Then choose TURN ON ALL notifications….
if you want to be notified when a Resilient Diabetic new video has been published. As with all of my videos this should not be
considered personal medical advise. This is my interpretation of the latest research. If you want medical advise please always consult your physician. Diabetes is now one of the most common diagnoses made by family physicians. Both uncontrolled and controlled diabetes
with higher then normal blood sugars can lead to blindness, limb amputation, kidney
failure, and vascular and heart disease. The main problem we all face, each one of
our doctors and each health care institution have different standards and treatment plans, for this growing epidemic. So you will undoubtedly face two issues. One comes down to the minimizing of cost by requiring the most basics of tests. The second and main battle and disagreement will come down to the A1C and what level is appropriate for your specific diagnosis. Some doctors want an A1C in the 4’s for all
their diabetics patients including type 1’s and type 2’s. And then you have other doctors who want an A1C’s in the 6’s, and some are even comfortable A1c in the 7’s. If your doctor happens to be wrong with your corresponding A1c, it is your suffering and loss of life that is at stake. The new studies that looked at A1c levels
in people with and without diabetes shows that every 1% increase in the A1c upped the risk of death from all causes by 24% for men and 28% for women. Every 1% rise in A1c added 18% to a person’s risk of heart disease. And there was a 28% jump in risk of peripheral vascular disease. So every 1% change is clinically significant
to our health. Every diabetic regardless of type should know why our doctors and the American Diabetes Association recommends higher then normal A1Cs. Shouldn’t we have the right to normal blood
sugars like a non-diabetic would? And as we have discussed this in the video How Long Can You Live With Diabetes. It comes down to the bottom line and liability issues
for our health care institutions, not about your well being. Ill create a link in the description box to
that all important video. So how do we as diabetics hedge our bets through the right tests to ensure our own health. Because we are just another number in the
overburdened health care system. This disease in particular requires us to
take charge of our own destiny, and our fate. Besides the basics of the A1c, what tests
would you want to have done, especially ones your doctor may not have ordered. And I wish, I wish I had this piece of information your getting today the first day I was diagnosed, or should I say mis-diagnosed. And the reason for the misdiagnoses, and years of unnecessary suffering was because the right tests were never ordered or even done until
I demanded them. The first set of tests we will discuss are
related to your pancreas and pancreatic burnout. But these tests would take the right doctors familiar with each test. They are usually better interpreted by your
endocrinologist. But as many of you are finding out, the endocrinologist are generally the hardest to work along side with, due to their very strong unwavering stances. First is The C-peptide Test: The pancreas
produces this protein alongside insulin. Low levels of C-peptide in the blood can suggest low levels of insulin. Thus, it shows how much insulin your pancreas is producing. Once you have a baseline your can then determine how your pancreas is doing over time. By the way, this also needs a glucose test done along side for accurate interpretations. The C-peptide test will ultimately determine
if and when insulin may be needed. Second, is Insulin autoantibodies: This test
checks for the presence of proteins that target and destroy insulin. Third the Glutamic acid decarboxylase antibodies, also known as the GADA test. This test checks for the presence of antibodies that can destroy the
insulin-producing beta cells of the pancreas. After my C-peptide and GADA were done, I then insisted on an endocrinologist. It was then I was re-typed from a type 2 diabetic to a type 1 insulin dependent diabetic. This proactive stance saved my life. The second blood tests I wish I had done on day one, is a complete Thyroid check. And to help you understand some of the complexities, I will share my personal blood work with you today. It’s not uncommon for someone to have both thyroid disease and diabetes. In fact, if you have type 1 diabetes, type
2 diabetes, insulin resistance, or metabolic syndrome, your risk of developing thyroid
disease is increased. I am now one that has gone a long time with a thyroid dysfunction. Its better late then never, and that was my mistake. I should have asked for more intensive tests from day one. Type 1 diabetes and thyroid disease can both be caused by an autoimmune process, in which the body attacks itself. If you have one autoimmune disease, such as diabetes, this increases your risk of developing another autoimmune disease, such as thyroid disease. So it important, then, to make sure you undergo routine screening for thyroid disease, and vice versa, to ensure early detection and
timely treatment. When one of the conditions is poorly controlled, it can make management of the other condition even more difficult. Because thyroid disease interferes with metabolism, it can alter your blood sugar levels and it can make it harder to manage your blood sugar if you concurrently have diabetes. Many hypothyroid patients also find themselves consuming very few calories, while also having a big problem losing weight. Thyroid disease is one of the most complicated of the disease, and so is the list of very confusing potential panels that may be run… More then likely to safe cost your provider may only run what is known as the TSH test. And yes today’s TSH tests are very accurate and sensitive; they can help diagnose even the mildest cases of hypothyroidism. It’s important to understand that if your
TSH test comes back normal, it does not rule out the possibility of you still being hypothyroid. Here are my TSH results over time… And as you can see it has been all over the
place. So that is why I recently asked for additional tests. The TSH by itself may fall short of showing what is going on in your body. And this is what happened to me.. Your doctor may then measure your levels of free T4. Free T4 is what is directly available to your
tissues in your bloodstream. And here is my Free T4 results. Way below the threshold. My total T3 and T4 were also just as bad as
you can see. Just to reiterate, my health care team would never had run these additional tests without my aggressive stance. But unfortunately asking your doctor to run all of the thyroid tests on the potential list may not be helpful for the following reasons:
If you have to even ask for these tests there is a high probability that your current provider
may not treat you appropriately. Many physicians are set in their ways and
unwilling to change their practice style regardless of the data right in front of them. The next labs that were missed upon diagnosis was the Vitamin D panel. Again, low and behold when pressed for
and demanded this test it too came back pathetically low. Vitamin D is not just necessary to keep our
bones strong, for muscle movement, and to keep our immune system working. It appears equally important for a healthy thyroid function as well as cardiovascular health. The other major factor, vitamin D appears to help with allowing the beta cells in the pancreas that make insulin to stay healthy and functional. Vitamin D also acts to reduce inflammation, which is a major process in inducing insulin resistance. It’s first always best to try and meet your
nutrient needs through diet first. Vitamin D is a fat soluble vitamin. So it will be found in fatty protein based
foods. Salmon, tuna and mackerel are among the best sources of vitamin D and they provide important heart-healthy fatty acids too. Dairy products, including cheese, fortified
milk, yogurt, and egg yolks are good sources of vitamin D too. As you can tell even with me, it can be difficult to get enough vitamin D from foods and the sun light alone, so vitamin D supplementation may be warranted. But heed my warning! The internet is full of seedy unscrupulous
characters pushing incredibly high doses of vit D. Taking high doses of vitamin D for
long periods of time can lead to some troubling side effects. Especially for us diabetics it can raise calcium in the blood to critical levels. Excessive levels of calcium in the blood,
can actually weaken your bones, cause kidney stones, and interfere with the basic functions of the heart and brain. That excessive vitamin D and calcium is dangerous for other health conditions, including kidney disease, which you and I both know is common with us diabetes. I would personally work with your doctors
to get your levels into the normal range. Now what about the non lab work which are just as critical and important to have run. The first on that list is a continuous blood
pressure check As you know already from my video Diabetes and Blood Pressure which I will put a link in the description box below, diabetes and
high blood pressure go together and I explained why. So if you are on the recommended high carbohydrate intake, check your blood pressure regularly. There is a reason high blood pressure is commonly referred to as the “silent” killer. There are no symptoms. So remember besides sugar, blood pressure is also a very important value that you should always know! Next is an eye check. Eye complications usually develop gradually. At first there may be no noticeable symptoms or visual impairment, but if blood sugar levels are elevated for long periods of time, it
can and will damage the eyes. Elevated blood sugar affects the tiny blood
vessels of the retina, so there is a risk of damage to the back of the eye. But make sure a dilated eye exam is done. A dilated eye exam is different from the eye
exam you get for glasses or contact lenses. When you get a dilated eye exam, you are given eye drops that help give the eye doctor a better look at the blood vessels deep inside
your eyes. Next on our list is regular Kidney checks. And I have said this numerous times. There are reasons for the explosion of dialysis centers opening up on what seems like every street corner. There were non 20 years ago, so who are they catering to? Yes us Diabetics. Remember more then one in three is now pre-diabetic all due to the high carbohydrate, high A1c models that are pushed on us. Next, A routine foot check may not seem like much, but it will inform you if your blood sugars are already damaging the body. The long nerves of the feet are the first
warning signs. Loss of sensation or a weak pulse in your
feet can be a signs of nerve and blood vessel damage from elevated blood sugars. So it’s important to check your feet regularly. Don’t worry, if you have never had this done before, it not only takes just a few minutes, is absolutely painless, but it actually tickles! If you don’t find and treat these foot problems at an early stage, they can and will lead to the amputation or the surgical removal
of toes or feet. We’ve also got the dental check. And I bet your thinking what do my teeth have to do with diabetes? Yes, there is a connection here too. People with diabetes have a 3 times higher
risk of gingivitis and/or severe gum inflammation compared to people with out diabetes. The higher the sugar levels, the more likely
we are to have gum inflammation and, in some cases severe tooth loss. The inflammation of the gums and the bacteria that enters the bloodstream then increases blood glucose levels as well as the needed increase of insulin. Believe it or not bad teeth and inflamed gums are one of the reasons many diabetics cannot control their blood sugars. So to prevent gingivitis never skip your dental check ups. I will set up a direct play-list for you at
the end of this video directly on foods that that help keep my A1c low and controlled. In the episode Diabetes and Protein, you will come to find out protein may be the single most important nutrient for a diabetic to
consume for the greatest possible health outcome. What are the top three vegetables for a diabetic to consume and why. What about breads? Are they to blame for the first known cases
of type 2 diabetes found in the ancient world, and the for the recent explosion of diabetes found in our modern world? If on a desktop or laptop I want you to use your mouse to click that upcoming box. If on your mobile devise just tap that with your fingers… The first is the link to subscribe to this
all important life changing channel, and the second is the link to the all playlist mentioned on foods… So….Have a great and productive day and
we will see you soon… with another new video which are generally released
weekly. Bye for now.

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  • Reply Nancy Muller February 18, 2020 at 5:11 pm

    Why is the person in the video, sticking the lancet into the pad of her finger? I see this all the time and was told never to do this. I was also told to wash my hands rather than use alcohol wipes. It sure looks like she is using alcohol wipes. These are not criticisms but rather questions so I can take care of myself better.

  • Reply Randy Friesen February 18, 2020 at 5:18 pm

    Jay, as always very informative video. Great info to keep this monster we call diabetes undercontrol. How long were you mis-diagnosed before you were put on insulin? I went 4 months, and went 8 months without insulin, due to my dietary control and exercise with my Endo supervision. Thanks in advance.

  • Reply Nancy Muller February 18, 2020 at 5:19 pm

    Thank you for the Vit D information. I just saw my endocrinologists and she is making me wait for the Vit D test. Yes, I have had the test in the past when I begged the PCP to order them. Then I asked the PCP why my levels were low when I was already taking a supplement of D3. I was told to take more. Well, I got refused to be retested until several months from now. Then I discovered what appeared to be a gel cap in the toilet. So my body was not actually getting the D3 for years now!!!! I an ordering liquid D ASAP. I am also angry at the first doc who told me 10 years ago that the Vit D tests were "very expensive". I later discovered that the lab would have let me make payments.

  • Reply Ty M February 19, 2020 at 9:58 pm

    Type 1 for 23 years and graves sldeseaise for 6 and had a total thyroidectomy and on thyroid replacement and have a hard time losing belly fat and controlling high sugars. Love your videos!

  • Reply James Kantor February 25, 2020 at 7:38 am

    @Jay, Can you say what Vitimin D levels we should be aiming for as a diabetic?

  • Reply Wile E Coyote March 20, 2020 at 6:21 pm

    Diagnosed Type 2 Nov '18 with blood work post op for knee scope. A1C 7.9 Currently 5.8 last blood work (Feb 2020) completely drug free.

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