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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Questions about my TRT regimen and way to help things along
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<blockquote data-quote="dnfuss" data-source="post: 111810" data-attributes="member: 15487"><p>Sorry for taking so long to reply.</p><p></p><p>HgbA1c may, or may not, accurately reflect your actual average blood sugar levels (see <a href="https://bit.ly/2to6G0t" target="_blank">https://bit.ly/2to6G0t</a>).</p><p></p><p>The definitive test that doctors use to diagnose pre-diabetes and diabetes is an Oral Glucose Tolerance Test (see <a href="https://mayocl.in/2ltKBJl" target="_blank">https://mayocl.in/2ltKBJl</a>). But you can do your own testing to get a good idea of what your blood sugars actually are. Get a blood sugar meter and some test strips, no prescription required. The Freedom Freestyle and Freedom Freestyle Lite meters and test strips are highly accurate and recommended. There are many others. Test yourself upon arising and one, two and three hours after meals. Here's is some helpful information on that process: <a href="https://bit.ly/2Iixe87" target="_blank">https://bit.ly/2Iixe87</a></p><p></p><p>If the resulting blood sugars are completely normal, congratulations! If blood sugars fall into the category of pre-diabetes (or diabetes), they need to be brought under control. The causes of pre-diabetes are unclear (although inflammation is often involved), and it is true that the majority of pre-diabetics do not progress to diabetes, about 35-40% will do so. But pre-diabetes is not a benign condition. Pre-diabetics, e.g., experience serious cardiovascular events (stroke and heart attacks) at significantly higher rates than those with truly normal blood sugars.</p><p></p><p>For solid information about high blood sugars and how to normalize them, I highly recommend the book "Diabetes Solution" by Dr. Richard Bernstein. It explains how everyone, including pre-diabetics and diabetics, can and should have normal blood sugars. The protocol (highly simplified) laid out therein for achieving truly normal blood sugars in a nutshell is as follows (note that each step includes all the previous ones, i.e., if #1 isn’t enough, you add #2, if still not enough you add #3, etc.):</p><p></p><p>1. First and foremost, a low-carb diet. No one with blood sugar control issues can achieve truly normal blood sugars without it, no matter what medications they're on. Dr. Bernstein's diet calls for less than 30 grams of carbohydrate per day for average-sized adults. I try to adhere to that, but it is pretty tough and may not be necessary for everyone. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day. If that's not enough, try going down to 50 grams per day, then 30.</p><p></p><p>2. If diet alone is insufficient to achieve normal blood sugars, add exercise, both resistance and cardio.</p><p></p><p>3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try.</p><p></p><p>4. If still insufficient, add insulin.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="dnfuss, post: 111810, member: 15487"] Sorry for taking so long to reply. HgbA1c may, or may not, accurately reflect your actual average blood sugar levels (see [URL]https://bit.ly/2to6G0t[/URL]). The definitive test that doctors use to diagnose pre-diabetes and diabetes is an Oral Glucose Tolerance Test (see [URL]https://mayocl.in/2ltKBJl[/URL]). But you can do your own testing to get a good idea of what your blood sugars actually are. Get a blood sugar meter and some test strips, no prescription required. The Freedom Freestyle and Freedom Freestyle Lite meters and test strips are highly accurate and recommended. There are many others. Test yourself upon arising and one, two and three hours after meals. Here's is some helpful information on that process: [URL]https://bit.ly/2Iixe87[/URL] If the resulting blood sugars are completely normal, congratulations! If blood sugars fall into the category of pre-diabetes (or diabetes), they need to be brought under control. The causes of pre-diabetes are unclear (although inflammation is often involved), and it is true that the majority of pre-diabetics do not progress to diabetes, about 35-40% will do so. But pre-diabetes is not a benign condition. Pre-diabetics, e.g., experience serious cardiovascular events (stroke and heart attacks) at significantly higher rates than those with truly normal blood sugars. For solid information about high blood sugars and how to normalize them, I highly recommend the book "Diabetes Solution" by Dr. Richard Bernstein. It explains how everyone, including pre-diabetics and diabetics, can and should have normal blood sugars. The protocol (highly simplified) laid out therein for achieving truly normal blood sugars in a nutshell is as follows (note that each step includes all the previous ones, i.e., if #1 isn’t enough, you add #2, if still not enough you add #3, etc.): 1. First and foremost, a low-carb diet. No one with blood sugar control issues can achieve truly normal blood sugars without it, no matter what medications they're on. Dr. Bernstein's diet calls for less than 30 grams of carbohydrate per day for average-sized adults. I try to adhere to that, but it is pretty tough and may not be necessary for everyone. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day. If that's not enough, try going down to 50 grams per day, then 30. 2. If diet alone is insufficient to achieve normal blood sugars, add exercise, both resistance and cardio. 3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try. 4. If still insufficient, add insulin. Good luck. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Questions about my TRT regimen and way to help things along
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