metabolic healthweight management

How Are We Different?

By March 9, 2020 October 14th, 2020 No Comments
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How Are We Different?

The number two question we get is “how are you different?” Number one of course is, “do you take my insurance” and the answer to that is YES!

Throughout my time working with patients helping to manage their diabetes, I saw an unfortunate pattern of weight gain, low blood sugars (hypoglycemia) and overall mistrust of healthcare providers. Patients would be referred to me for diabetes management typically because they were often considered “non-compliant” or too time consuming for their primary care provider to manage. Understandably, primary care providers are incredibly busy. Past 1-2 medications for diabetes that they are comfortable with, if you aren’t in goal range for your A1C, it’s completely appropriate to be referred to a specialist. This is all I do, all day, everyday so why wouldn’t you want an expert managing your disease process? 

I would see patients come in on medications that made them gain weight, have low blood sugars and overall not actually target the root cause of the problem in diabetes. As the industry grew and offered more medications and options for blood sugar management, we saw that these medications not only lowered blood sugars, but they helped patients lose weight and avoided the low blood sugars associated with some of the other medications. 

It was common in my practice to see someone on medication that made their blood sugars in the morning in goal, but during the day they either climbed up and up, or they were so afraid of going more than 2 hours without eating, waiting for the inevitable blood sugar “crash.” These patients then did what we call “defensive eating.” Meaning they ate every 2-3 hours, typically something with carbohydrates to “keep the blood sugar up” or they ate at night before bed, to avoid a “low” in the middle of the night which can be incredibly scary, not to mention dangerous. This is counter productive to blood sugar management, but it’s centered around hypoglycemia fear, which, if you’ve ever had a low blood sugar experience, you know it’s AWFUL. Treating the fasting blood sugar in the morning but sacrificing patients’ well being throughout the day may get the A1C average under 7%, however the patient gains weight, is discouraged and defensively eats to prevent low blood sugars, which contributes to the weight gain issue. 

At TVMM, we’re not here to give you medication that causes weight gain and low blood sugar. We’re here to support your metabolic health using medications that don’t cause weight gain, tailored nutrition plans and support for your weight loss and diabetes management journey. See the difference experience and knowledge makes, contact our clinic today.

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