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Listen to Dr. Mowll reveal insights on how to prevent or reverse diabetes.
Dr. Brian Mowll is the founder and medical director of SweetLife® Diabetes Health Centers and serves clients worldwide as The Diabetes Coach™. He is a master licensed diabetes educator (MLDE), CDE, and was one of the first doctors to be certified to practice functional medicine by the prestigious Institute for Functional Medicine. Since 1998, Dr. Mowll has been helping people with all forms of diabetes properly manage their complex health conditions. Additionally, with type 2 diabetes, pre-diabetes, and metabolic syndrome, his goal is to not just manage but to reverse these conditions using a natural, personalized lifestyle approach.
Dr. Mowll has spent over 20 years studying and applying clinical nutrition, physical activity, lifestyle management, functional medicine, and diabetes self-management education. He is the host of the popular “Diabetes Summit”, as well as a prolific writer, blogger, and speaker.
In addition, he has written hundreds of articles about diabetes and natural health and has been a featured speaker and contributor on diabetes. Dr. Mowll treats clients locally in the greater Philadelphia area and nationally through his acclaimed Mastering Blood Sugar™ programs.
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[00:01] REENA JADHAV: Hi everyone it’s Reena Jadhav with the live longer podcast and health bootcamps here with Dr. Brian Mowll and he is going to talk about the diabetes bootcamp but more importantly we are going to answer a lot of your questions that have been coming in. So you can get a better sense of how to prevent reversed manage monitor your diabetes. Make you share this with your friends and loved ones and today’s question is Dr. Mowll the biggest question everyone asks is why me? Why did I get diabetes Dr. Mowll? My friend eats sugar, my uncle drinks like a fish why don’t they get diabetes why me?
[00:41] DR. BRIAN MOWLL: Yeah it’s a great question and sometimes confounding confuses a lot of people and I’m just going to expand that and talk about why people get not only type 2 diabetes but also pre-diabetes and what percentage of the people who get pre-diabetes actually develop full-blown diabetes. And if we want to be expanded even just a little bit further we can also look at gestational diabetes in women because there’s a strong correlation between all three of those and they’re all related to the same root cause which is called insulin resistance. And insulin is a hormone that helps us regulating control your blood sugar it takes sugar out of your blood so when you eat some sort of food whether it be a fruit or vegetable or a piece of bread or a whole grain and it has some glucose or some sugar in it we’ve got to take that out of the blood and move it into our cells to be burned for energy. It’s like taking firewood from outside your house and bring it in and putting in your fireplace so we’ve got to do that and insulin does that insulin actually is like the key that opens the door your front door to allow you to bring that firewood in. So we need that insulin but what can happen over time for various reasons and I’ll talk about a few of those is we become resistant to that hormones so it’s like that key no longer opens the door. And then we can’t get the firewood in the house we can’t burn the firewood so we start to develop problems one of them being high blood sugar. So this can happen during pregnancy for a lot of women that’s gestational diabetes mellitus or GDM. It can happen for people who start to move along that path slowly and that’s called pre-diabetes and we can talk about the different lab values associated with that but pre-diabetes is essentially elevated blood sugar but not quite into the diabetes range yet. And then, of course, we have full-blown type 2 diabetes again they all have the same root cause which is insulin resistance this hormone called insulin and that happens for a number of reasons. One of the key causative factors called chronic systemic inflammation. So research is pretty clear that inflammation starts the process of insulin resistance. We get inflammation in our cells which essentially damages or gums up if you weld those locks so the insulin no longer can open the door and therefore the insulin doesn’t work properly so it doesn’t allow us to again bring that firewood into the house to burn it for fuel. From there we start to develop fat around the organs because we get elevated levels of insulin to try to overcome that resistance and that leads to fat storage so we start to gain weight, we start to build up fat around the visceral like the liver and the pancreas and the other organs kind of deep inside our belly. And that leads to more insulin resistance which eventually starts to drive our blood sugar up. So there are a number of lifestyle factors which will get into over the over the course of the bootcamp but those lifestyle factors contribute to insulin resistance which can lead to gestational diabetes, pre-diabetes and eventually type 2 diabetes.
[04:31] REENA JADHAV: And the reason that I am pre-diabetic is just that of how my body structure correct or if I do have type 2 diabetes because. Why is it that my insulin resistance is an issue versus someone who is eating sugar all day long and drinking like a fish and still doesn’t seem to have any issues?
[04:52] DR. BRIAN MOWLL: Right I mean you could say the same thing about Alzheimer’s disease, heart disease different forms of cancer. We have genetic tendencies towards what are called certain phenotypes of certain displays of health. Our genes express themselves differently from one person to the next so a certain level of chronic inflammation, systemic inflammation in person A might lead to certain problems may be an autoimmune disease for example where in person B. they might start affecting insulin signaling and lead to just gestational diabetes or pre-diabetes. And in others where they may not develop those but they may develop Alzheimer’s disease from the inflammation of the brain. So chronic systemic inflammation is, of course, the root cause of a lot of problems but it can affect different people in different ways based on their genetic type.
[05:48] REENA JADHAV: And we know that stress and other lifestyle changes can actually reduce inflammation which means that they might also be causative right? One person has a lot more stress in their life, isn’t sleeping very well, probably have a higher likelihood of developing insulin resistance than someone who even if they eat crap sleeps like a like a baby at night. Gets of their 8 hours of sleep and really has not much stress in our lives.
[06:15] DR. BRIAN MOWLL: Right so you’re talking about what we sometimes termed the cause of the cause or some people say the root cause which brings us back to these lifestyle factors you’re right. And it’s all the different things that contribute to inflammation and fat storage around the organs which a lot of that is diet much of it is related to stress and sleep and lack of exercise and just really moving away from living in a natural state. We live probably the furthest away from nature than we ever have, we move less, we sit more. We don’t eat a great diet, unfortunately, it’s highly processed, highly refined, we have way more stress than we used to, we’re not sleeping like we used to.
[07:04] REENA JADHAV: Absolutely thank you so much Dr. Mowll and the rest of you make sure you tune in we’ve got so many more great interviews where Dr. Mowll answers some tough questions like testing, monitoring, exercise, stress related to diabetes and of course how to prevent and treat so we’ll see on the next one.
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