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today’s video is about my morning routine (diet, workout, tips, etc) i’ve started about three months ago to lose 7 kg slowly on a healthy diet. **remember everyone’s body is different and it’s just my own experience. my goal is to build a sustainable healthy lifestyle with my dream body shape. i hope this video will be helpful for someone who are on diet. i’m still feeling shy and awkward to reveal this side of myself but it’s something i am going through so…😛 if you like it, im happy and thank you ☺️ please like and subscribe~ your support means a lot to me 🥰 IG: https://instagram.com/jesstongtong BUSINESS EMAIL: [email protected] 🏷 p r o d u c t s 🍎apple cider vinegar https://www.amazon.com/Bragg-Apple-Cider-Vinegar-Pack/dp/B06XD9S1N7/ref=mp_s_a_1_3?crid=4K2MS2FZM42Y&keywords=apple+cider+vinegar&qid=1663051184&sprefix=apple+cider+%2Caps%2C792&sr=8-3 🅱️ nutritional yeast https://www.amazon.com/Bragg-Nutritional-Seasoning-Liquid-Aminos/dp/B08Q8PD8DP/ref=mp_s_a_1_20?crid=1A0P2GCCEU96H&keywords=nutritional+yeast&pscroll=1&qid=1663108409&sprefix=nut%2Caps%2C415&sr=8-20&wIndexMainSlot=25 🌿 references and more infomation about intermittent fasting. ▪️Dr.Eric Berg DC’s YouTube channel https://youtube.com/c/DrEricBergDC 🏷 h o m e w o r k o u t s ⚖️ for body asymmetry correction. ▪️Somifit’s pelvis stretching https://youtu.be/nQlbDogfCpE ⏳ab and waist workouts. ▪️alexis ren’s 10 min ab workout https://youtu.be/cbCt69XAUKA ▪️alexis ren’s hourglass ab workout https://youtu.be/k4Y37-Rsv4o ▪️thank you bubu‘s waist slimmer workout https://youtu.be/1uJV1ZmzeoI ▪️11 abs workout routine by zoeunlimited https://youtu.be/D-8kLwf8xjc ▪️10 min abs workout by Somifit https://youtu.be/p623pewgTc0 🍑 butt workouts. ▪️slim legs + fuller booty by zoeunlimited https://youtu.be/Dd3Nbh7OXUU ▪️alexis ren’s ten min beach butt workout https://youtu.be/u6f4KzFx6_8 💦 cardio and full body ▪️10 min full body workout / a kpop idol body shape / fat loss at home by Shirlyn Kim https://youtu.be/vaq7YpCwH7M ▪️7 min HIIT by Somifit https://youtu.be/R6GHtRJLKQg ▪️15 min sweat cardio workout by Somifit https://youtu.be/lazFuEUBB7A ▪️arms & shoulders workout by Somifit https://youtu.be/hgqSlNH_NYo ⏳t i m e s t a m p 00:00 52kg➡️45kg 00:30 my morning routine 00:56 stay hydrated 💧 01:35 apple cider vinegar 🍎 02:02 pelvis stretching ⚖️ 02:23 black coffee before workout ☕️ 02:29 home workout 💦 03:13 breakfast 03:25 low carb diet 03:33 intermittent fasting 🎧m u s i c bored by lukrembo https://youtu.be/t9r4cHSnjq4 Jay by lukrembo https://youtu.be/1zmJ_4kGYUU Dream with tea by lukrembo https://youtu.be/t_0PQkXZxiE #다이어트 #체중감량 #다이어트식단 #체중감소 #다이어트식단먹 #40s #weightloss #weightlossjourney #dietroutine #morningroutine #workout #45kg #diettips #dietvlog #dietplan

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GLP-1 agonists are not only for weight loss but also for patients with diabetes. Anne Peters, MD, discusses the importance of monitoring dosing between insulin and GLP-1 agonists. https://www.medscape.com/viewarticle/997976?src=soc_yt -- TRANSCRIPT -- We've all been hearing about the weight loss benefits of glucagon-like peptide 1 (GLP-1) receptor agonists, but it's important to remember that they are also diabetes medications. If you have a patient who's on an insulin secretagogue and/or insulin, it's important to remember that you need to adjust those medications to avoid hypoglycemia as you start and uptitrate the GLP-1 receptor agonist. This isn't really cookbook, in the sense that you have to think about each patient, but I'll tell you what I do. First, I try to have most of my patients on continuous glucose monitors (CGM) because if they're on CGM, I can look at the trends to see what's happening as I'm adding a GLP-1 receptor agonist. If they're not on CGM, it's helpful if they test a fasting glucose level and perhaps a postprandial, though it's harder to get people to do, because you want to know whether to reduce the basal insulin or the prandial insulin. Regardless of testing, you need to review with the patient the signs and symptoms of hypoglycemia and how to treat it if it occurs. In a patient on insulin, you may want to make sure they have glucagon at home because there have been episodes of severe hypoglycemia when a GLP-1 receptor agonist was added to insulin. As a rule of thumb, I start by looking at the A1c. If the A1c is above 8%, I'm probably not going to do much reduction in the insulin secretagogue or the insulin right off the bat. I'll watch the patient as they begin to respond to the GLP-1 receptor agonist and then start tapering down the insulin if their glucose levels fall. I often reduce the prandial insulin levels first because you're going to start seeing the patient eating less and be at increased risk for hypoglycemia between meals. If I start seeing the fasting glucose fall, then I'll start reducing the basal insulin. Usually, I reduce the doses by 10%-20%. As I said, in somebody who starts out with a higher A1c, I don't right off the bat reduce the insulin. I watch what happens as the dose is increased. As the dose is increased in someone who's on an oral insulin secretagogue, I'll tend to cut that dose in half as I see glucose levels coming down. On the other hand, if someone's starting A1c is below 8%, I might start by reducing their prandial insulin by 50% and maybe their basal insulin by 10%-20%, depending on their glucose levels. I think patients who are closer to target on insulin and/or a sulfonylurea agent are going to be at increased risk for going low. Ideally, one can taper the patient off their insulin — and if not entirely off their insulin, off their prandial insulin — because it's much easier to give basal insulin and a once-weekly GLP-1 receptor agonist than to be on a multiple daily insulin regimen. Potentially, you'll be able to taper your patient off their insulin secretagogue as well. The important thing to remember is that there's more than one moving target. You're uptitrating the GLP-1 receptor agonist or the GIP/GLP-1 receptor agonist and you're downtitrating the insulin secretagogue and/or the insulin. You want to downtitrate in gradual steps to keep ahead of any risk for hypoglycemia. Usually, that is done in slow steps, say, 10%-20% at a time. It also means that you pay attention to your patients and that you may need to follow them every week or two, particularly if their A1c starts out below 8%, where they're likely to be at more risk for hypoglycemia. If you pay attention to this process, you should be able to get your patient to a better point, hopefully on less medication that can cause hypoglycemia, and onto a medication that not only improves glucose but also helps with weight reduction, improves cardiovascular outcomes, and may have a renal benefit. Thank you. https://www.medscape.com/viewarticle/997976?src=soc_yt

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