Dr. Jason Fung

You have an infection, let's get antibiotics, right?

Just like that.

You have a cancer, let's look for surgery, chemotherapy, whatever, right?

This is the same.

What's the problem?

It's not the calories.

It's what's behind the calories, right?

Addiction, you know, social modeling, conditioning.

homeostasis, insulin, is it an insulin problem?

Is it a GLP-1 problem?

Is it a, you know, let's know this so that then we can reach in and say, okay, your problem is sleep.

Let's fix the sleep, right?

this might you may think you're okay but this might be a sign that you have to pay attention and double down on some of the things that we've been talking about today and definitely be picking up your book this is a little bit more controversial i suppose but a1c is a well-defined number right so there's lots of studies on it that's how high your sugars go but that's not the first thing that happens when you develop either obesity or type 2 diabetes the first thing that happens

is your insulin levels rise.

And this has been known for like 30 years.

Like I learned about this in medical school when I went, you know, in the 90s.

So the first thing that goes up is insulin goes up long before that, before you get type 2 diabetes.

What you find is that as you go through the spectrum of sort of normal weight to obese, insulin is up.

And then you go to prediabetes, insulin goes up, right?

As insulin goes up further, then you get type 2 diabetes.