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FORD BREWER MD MPH PrevMedHeartRisk.com
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Over half of adults in California have insulin resistance. Insulin resistance and diabetes are the major causes of cv inflammation and therefore heart attack, stroke, and dementia. If you’re over 60 yo, you’re more likely than not insulin resistant. So, if you think you won’t be touched by this problem – reconsider that.
What’s the difference between Type 1 DM and Type 2? And why is Type 1 an issue? Type 1 is far more severe. And the following study shows that Type 1 Diabetes happens just as often in people 30-49 years as it does in younger people.
Since Type 2 is so common, most adult-onset Type 1 cases are misdiagnosed early on as Type 2.
C Peptide is the key to differentiating between Type 1 and Type 2 DM. When the insulin protein is made by the cell, the amino acid sequence is cleaved into 3 sequential components: the A chain, B chain and the C peptide. The A and B chains are bound together, and the C peptide is cleaved away and eventually destroyed.
The absence of fasting C Peptide is therefore used to diagnose Type 1 DM. If there is no fasting C Peptide, there is no insulin being made. THAT is Type 1 DM – little to no production of C peptide. Type 1 patients will need insulin. Lifestyle alone will not help. And they can get into blood sugar levels of 300 and much higher very quickly.
About Dr. Brewer – Dr. Brewer started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic.
At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer’s prevention. We find a lot of undiagnosed Type 2 diabetes. Treating unrecognized risk factors like diabetes allows reduction of risk. We provide state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at email@example.com or visit http://prevmedheartrisk.com.