A1c goals (Part 1): The VA Diabetes Trial: Are we neglecting Diabetic Control - FORD BREWER. Join the PrevMed Community: https://mailchi.mp/1224fb9e00e7/prevmed_community
For information regarding our services or to become a patient visit: https://prevmedheartrisk.com/
ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. 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 close to 1,000 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, and stroke prevention clinic.
At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.
If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/
ABOUT THIS VIDEO:
The VADT, or VA Diabetes Trial is reviewed. There were a series a trials in the years 2005 - 2009 showed that improved glucose control did NOT slow down heart attacks and strokes.
Here's why: there was 11.5 years since diagnosis of diabetes in this population. And each of us typically has a decade - or more- of hyperglycemia and hyper-insulinemia prior to the actual diagnosis of type 2 diabetes.
These studies ( ACCORD, VADT, EDIC and others) showed no improvement in lifespan due to "tighter" control. One of the studies even had to stopped early.
Why? the time for prevention of heart attack and stroke is the decades of prediabetes, or insulin resistance, or metabolic syndrome. So, find insulin resistance early. Hit it hard, control it as tightly as possible. THAT will prevent heart attack, stroke and dementia decades later. We do fail to acknowledge this is our culture. Both doctors and patients are guilty of neglect. And so is the government and standards bodies.
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