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محتوای ارائه شده توسط Peter Attia, MD, Peter Attia, and MD. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Peter Attia, MD, Peter Attia, and MD یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
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#279 - AMA #53: Metabolic health & pharmacologic interventions: SGLT-2 inhibitors, metformin, GLP-1 agonists, and the impact of statins

27:10
 
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Manage episode 383497137 series 2352826
محتوای ارائه شده توسط Peter Attia, MD, Peter Attia, and MD. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Peter Attia, MD, Peter Attia, and MD یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

In this “Ask Me Anything” (AMA) episode, Peter explores various pharmacologic tools commonly utilized to improve metabolic health and treat diabetes, including SGLT-2 inhibitors, metformin, and GLP-1 agonists. He examines the available data on these drugs, assessing their comparative effectiveness and their potential in the context of lifestyle interventions. Additionally, he offers insights into whether SGLT2 inhibitors hold promise as geroprotective agents beyond their effects on glycemic control. Next, Peter analyzes the relationship between statin usage and the risk of developing insulin resistance and type 2 diabetes, investigating possible causal pathways and providing insights into strategies for risk reduction. He offers insights on monitoring adverse statin effects and evaluating the need for adjustments, ultimately weighing the trade-off between the risk to overall metabolic health against the benefits of reducing apoB levels through statin use.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #53 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Pharmacologic tools for improving metabolic health, and the relationship between statins and insulin resistance [2:00];
  • SGLT-2 inhibitors: how they work and help to manage type 2 diabetes [4:15];
  • The history of SGLT2 inhibitors – from discovery to the current state [10:15];
  • Comparing the various FDA-approved SGLT2 inhibitors [15:00];
  • Other beneficial effects of SGLT2 inhibitors outside of glycemic control [20:15];
  • Exploring SGLT2 inhibitors as potential geroprotective molecules [22:45];
  • The side effects and risks associated with SGLT2 inhibitors [31:45];
  • Medications, lifestyle interventions, and other considerations for treating diabetes and improving metabolic health [37:45];
  • Metformin as a tool for pre-diabetics, and how metformin compares to lifestyle interventions [44:00];
  • How GLP-1 agonists compare to metformin and SGLT2 inhibitors in terms of glycemic control and weight loss [49:15];
  • Exploring the relationship between statin use and the risk of developing insulin resistance and type 2 diabetes [52:30];
  • Possible mechanisms of statin-induced insulin resistance and diabetes, and potential mitigation strategies [1:04:30];
  • How to monitor for adverse effects of statin use and assess the need for adjustments [1:11:45];
  • Weighing the benefits and risks of statin use: does the diabetes risk outweigh the benefits of lowering apoB with a statin? [1:15:30];
  • Parting thoughts [1:20:45]; and
  • More.

Connect With Peter on Twitter, Instagram, Facebook and YouTube

  continue reading

422 قسمت

Artwork
iconاشتراک گذاری
 
Manage episode 383497137 series 2352826
محتوای ارائه شده توسط Peter Attia, MD, Peter Attia, and MD. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Peter Attia, MD, Peter Attia, and MD یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

In this “Ask Me Anything” (AMA) episode, Peter explores various pharmacologic tools commonly utilized to improve metabolic health and treat diabetes, including SGLT-2 inhibitors, metformin, and GLP-1 agonists. He examines the available data on these drugs, assessing their comparative effectiveness and their potential in the context of lifestyle interventions. Additionally, he offers insights into whether SGLT2 inhibitors hold promise as geroprotective agents beyond their effects on glycemic control. Next, Peter analyzes the relationship between statin usage and the risk of developing insulin resistance and type 2 diabetes, investigating possible causal pathways and providing insights into strategies for risk reduction. He offers insights on monitoring adverse statin effects and evaluating the need for adjustments, ultimately weighing the trade-off between the risk to overall metabolic health against the benefits of reducing apoB levels through statin use.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #53 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Pharmacologic tools for improving metabolic health, and the relationship between statins and insulin resistance [2:00];
  • SGLT-2 inhibitors: how they work and help to manage type 2 diabetes [4:15];
  • The history of SGLT2 inhibitors – from discovery to the current state [10:15];
  • Comparing the various FDA-approved SGLT2 inhibitors [15:00];
  • Other beneficial effects of SGLT2 inhibitors outside of glycemic control [20:15];
  • Exploring SGLT2 inhibitors as potential geroprotective molecules [22:45];
  • The side effects and risks associated with SGLT2 inhibitors [31:45];
  • Medications, lifestyle interventions, and other considerations for treating diabetes and improving metabolic health [37:45];
  • Metformin as a tool for pre-diabetics, and how metformin compares to lifestyle interventions [44:00];
  • How GLP-1 agonists compare to metformin and SGLT2 inhibitors in terms of glycemic control and weight loss [49:15];
  • Exploring the relationship between statin use and the risk of developing insulin resistance and type 2 diabetes [52:30];
  • Possible mechanisms of statin-induced insulin resistance and diabetes, and potential mitigation strategies [1:04:30];
  • How to monitor for adverse effects of statin use and assess the need for adjustments [1:11:45];
  • Weighing the benefits and risks of statin use: does the diabetes risk outweigh the benefits of lowering apoB with a statin? [1:15:30];
  • Parting thoughts [1:20:45]; and
  • More.

Connect With Peter on Twitter, Instagram, Facebook and YouTube

  continue reading

422 قسمت

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