The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
we could put a risk predictor like poa into wider use okay which would give a person their individual carbohydrate threshold what if it didn't need to be as low what if we caught them earlier in the disease process and we're like hey buddy you go over you know 175 you know that's where trouble comes in rather than you know you need to stay very low um you know uh indefinitely because we've caught you on the spectrum of the disease you know so late
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there have been a couple of studies recently coming out looking specifically at what we're talking about poa and it's marker for future problems and predictor of future diabetes and other issues one was a study recently published called the panic study looking at levels in childhood and seeing how they translate to health consequences you know decades down the road and then there was another study i believe it was from the netherlands where they looked at poa levels at 50 to correlate them with c-reactive protein levels at age 70
so if we have high levels of co-a desaturates activity you know right there we gotta start thinking things may be concerning even if someone has a normal blood sugar
what are some easy ways and some easy markers maybe that we can check to know that we're headed for trouble even before we have blood sugar go up okay so plasma triglycerides and let's take a look at again poa in those plasma triglycerides in the way of looking at it in quartiles okay so again low versus high