why is my blood sugar high? seth roberts tsinghua university & uc berkeley [email protected]

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Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley [email protected]

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Page 1: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Why is My Blood Sugar High?

Seth RobertsTsinghua University & UC Berkeley

[email protected]

Page 2: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 3: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 4: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 5: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Blood Sugar Measurement

• First QS = home blood glucose measurement • Started by Richard Bernstein (who had Type 1

diabetes) in 1960s• He achieved much better blood sugar control• Now standard for diabetics

Page 6: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Blood Sugar Measurement Tools

Page 7: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

“Fasting” Blood Sugar

• 8-12 hours without food• <100 = “normal”, 100-125 =

“prediabetic”, 126 or more = diabetes• I believe best = low 80s• In big U.S. study, mean = 105• Strong correlation with HbA1c

Page 8: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

“Fasting” Blood Sugar

• 8-12 hours without food• <100 = “normal”, 100-125 =

“prediabetic”, 126 or more = diabetes• I believe best = low 80s• In big U.S. study, mean = 105• Strong correlation with HbA1c

Page 9: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 10: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 11: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Can I Reduce My Fasting Blood Sugar?

• After reducing carbs, didn’t know what else to do.

• Already did regular aerobic exercise

Page 12: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

How to Reduce Fasting Blood Sugar? Online Answers

• “I exercise 3 times/week but my fasting blood sugar is 94-107. Why is this happening when I am not consuming carbs and sugar?”

• Answer 1: “Quit taking blood sugar test so often.” Answer 2: “There's no 'trick' to lowering blood sugar that you haven't already tried.” Answer 3: “These numbers are OK.” Answer 4: “You are TOTALLY NORMAL.”

Page 13: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

How to Reduce Fasting Blood Sugar? Online Answers

• “I exercise 3 times/week but my fasting blood sugar is 94-107. Why is this happening when I am not consuming carbs and sugar?”

• Answer 1: “Quit taking blood sugar test so often.” Answer 2: “There's no 'trick' to lowering blood sugar that you haven't already tried.” Answer 3: “These numbers are OK.” Answer 4: “You are TOTALLY NORMAL.”

Page 14: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

How to Reduce Fasting Blood Sugar? Online Answers

• “I exercise 3 times/week but my fasting blood sugar is 94-107. Why is this happening when I am not consuming carbs and sugar?”

• Answer 1: “Quit taking blood sugar test so often.” Answer 2: “There's no 'trick' to lowering blood sugar that you haven't already tried.” Answer 3: “These numbers are OK.” Answer 4: “You are TOTALLY NORMAL.”

Page 15: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Effect of Walking on Blood Sugar

Page 16: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Effect of Walking on Blood Sugar

Page 17: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 18: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 19: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 20: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 21: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Intermittent Fasting

• 2012 BBC TV show Eat Fast and Live Longer• Emphasized IGF (insulin growth factor)

improvement• Best-selling book The FastDiet. Advises 2 fast

days/week.• Lots of supporting research

Page 22: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Intermittent Fasting

• 2012 BBC TV show Eat Fast and Live Longer• Emphasized IGF (insulin growth factor)

improvement• Best-selling book The FastDiet. Advises 2 fast

days/week.• Lots of supporting research

Page 23: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Intermittent Fasting: My Friend’s Experience

• Started 9 months ago eating every other day– Same amount & type of food, different timing– Hungry first fast day, easy after that. Feels strong

hunger for first time on non-fast day– Three different food/digestive problems went

away• So I tried it

Page 24: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
Page 25: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com
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Intermittent Fasting: Other Effects

• No unpleasant hunger, not hard at all• No problem not eating while others eat• If anything, feel more energetic• Save 1-2 hours/day• Weight loss• No sleep change

Page 27: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Intermittent Fasting: Other Effects

• No unpleasant hunger, not hard at all• No problem not eating while others eat• If anything, feel more energetic• Save 1-2 hours/day• Weight loss• No sleep change

Page 28: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Q. I know fasting is healthy.What’s new?

• Blood sugar much easier to measure than other measures that improve, such as IGF

• Fast clear improvement• Blood sugar measurements can determine

details of fast (how often, how much)• Intermittent fasting rarely proposed to cure

high blood sugar

Page 29: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Q. I know fasting is healthy.What’s new?

• Blood sugar much easier to measure than other measures that improve, such as IGF

• Fast clear improvement• Blood sugar measurements can determine

details of fast (how often, how much)• Intermittent fasting rarely proposed to cure

high blood sugar

Page 30: Why is My Blood Sugar High? Seth Roberts Tsinghua University & UC Berkeley twoutopias@gmail.com

Conclusions• Expect to do this rest of my life•Worth trying for Type 2

Diabetes