Kristin Kirkpatrick

You and I were talking earlier today about wearing CGMs. I have my CGM on right now as well. It's so interesting to compare my patients and their data with someone who doesn't have insulin resistance and looking at how poor and how less efficient the body is at recognizing how much insulin is necessary. losing what we call that sensitivity.

Insulin resistance is not having the sensitivity needed to give you the right amount of insulin to match the right amount of carbohydrate. So that is a huge risk factor. Obviously, that falls within the type 2 diabetes as well. Obesity, and we're looking at obesity here as waist circumference.

Insulin resistance is not having the sensitivity needed to give you the right amount of insulin to match the right amount of carbohydrate. So that is a huge risk factor. Obviously, that falls within the type 2 diabetes as well. Obesity, and we're looking at obesity here as waist circumference.

Insulin resistance is not having the sensitivity needed to give you the right amount of insulin to match the right amount of carbohydrate. So that is a huge risk factor. Obviously, that falls within the type 2 diabetes as well. Obesity, and we're looking at obesity here as waist circumference.

So one of the reasons, and we can talk about this later, but one of the reasons that the nomenclature from non-alcoholic fatty liver disease, which was NAFLD, changed to MASLD, M-A-S-L-D, so that is metabolic dysfunction associated steatotic liver disease, is because of the fact that we needed to recognize the metabolic features of this condition.

So one of the reasons, and we can talk about this later, but one of the reasons that the nomenclature from non-alcoholic fatty liver disease, which was NAFLD, changed to MASLD, M-A-S-L-D, so that is metabolic dysfunction associated steatotic liver disease, is because of the fact that we needed to recognize the metabolic features of this condition.

So one of the reasons, and we can talk about this later, but one of the reasons that the nomenclature from non-alcoholic fatty liver disease, which was NAFLD, changed to MASLD, M-A-S-L-D, so that is metabolic dysfunction associated steatotic liver disease, is because of the fact that we needed to recognize the metabolic features of this condition.

And so that really speaks to the obesity perspective and waist circumference in general. So when we see waist circumference, the belly fat being larger, we know that then leads down a path of a greater incidence of insulin resistance, type 2 diabetes. So there's the connection there. Sedentary lifestyle.

And so that really speaks to the obesity perspective and waist circumference in general. So when we see waist circumference, the belly fat being larger, we know that then leads down a path of a greater incidence of insulin resistance, type 2 diabetes. So there's the connection there. Sedentary lifestyle.

And so that really speaks to the obesity perspective and waist circumference in general. So when we see waist circumference, the belly fat being larger, we know that then leads down a path of a greater incidence of insulin resistance, type 2 diabetes. So there's the connection there. Sedentary lifestyle.

Again, when we are sedentary, we are more likely to be obese and especially having that belly fat. But we also don't have great regulation of our blood sugar again. So we're not utilizing the fuel that we need for activity. So sedentary lifestyle is another huge factor as well. Tobacco use, we know tobacco use can damage the lining of our vessels, so the endothelial lining.

Again, when we are sedentary, we are more likely to be obese and especially having that belly fat. But we also don't have great regulation of our blood sugar again. So we're not utilizing the fuel that we need for activity. So sedentary lifestyle is another huge factor as well. Tobacco use, we know tobacco use can damage the lining of our vessels, so the endothelial lining.

Again, when we are sedentary, we are more likely to be obese and especially having that belly fat. But we also don't have great regulation of our blood sugar again. So we're not utilizing the fuel that we need for activity. So sedentary lifestyle is another huge factor as well. Tobacco use, we know tobacco use can damage the lining of our vessels, so the endothelial lining.

So we know that tobacco use puts us at risk for, of course, lung cancer and things like that. It's also a huge risk factor for things like dementia, right? So if you look at like Lancet's outline of the main risk factors for dementia, of course, tobacco use was in there. And that has to do with the damaging of what happens with our vessels.

So we know that tobacco use puts us at risk for, of course, lung cancer and things like that. It's also a huge risk factor for things like dementia, right? So if you look at like Lancet's outline of the main risk factors for dementia, of course, tobacco use was in there. And that has to do with the damaging of what happens with our vessels.

So we know that tobacco use puts us at risk for, of course, lung cancer and things like that. It's also a huge risk factor for things like dementia, right? So if you look at like Lancet's outline of the main risk factors for dementia, of course, tobacco use was in there. And that has to do with the damaging of what happens with our vessels.

And of course, when we think about the liver, we have to remember that the liver is connected to a whole bunch of vessels, just like every organ is as well. Metabolic syndrome, that would again feed to the type 2 diabetes insulin resistance. Metabolic syndrome is essentially a way for physicians to say, okay, let's look at the factors that you have. Do you have hypertension?

And of course, when we think about the liver, we have to remember that the liver is connected to a whole bunch of vessels, just like every organ is as well. Metabolic syndrome, that would again feed to the type 2 diabetes insulin resistance. Metabolic syndrome is essentially a way for physicians to say, okay, let's look at the factors that you have. Do you have hypertension?

And of course, when we think about the liver, we have to remember that the liver is connected to a whole bunch of vessels, just like every organ is as well. Metabolic syndrome, that would again feed to the type 2 diabetes insulin resistance. Metabolic syndrome is essentially a way for physicians to say, okay, let's look at the factors that you have. Do you have hypertension?

Do you have sleep apnea? Is your hemoglobin A1c 5.7 or above? You have enough risk factors here for us to say that you've got metabolic syndrome, which is basically just a cluster of these symptoms that lead to metabolic dysfunction. High lipids can fall into that as well. And we recently had some news coming in from Cleveland Clinic and Dr. Nissen looking at stealth cholesterol and