Questions on Blood Glucose and Oxalate

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Why Should Postprandial Glucose Be Kept Under 140 mg/dL?

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Podcast

Question: Why should postprandial blood glucose be kept under 140 milligrams per deciliter?

Short Answer: When blood glucose rises above 140 mg/dL, this is the approximate point at which it spills into the polyol pathway at a greater-than-normal rate, which represents a suboptimal state of metabolism that is likely to hurt antioxidant status and compromise detoxification pathways as well as the recycling of vitamin K and folate. It must be kept in mind that a healthy person will adapt to glycemic loads they consume regularly. Thus, a one-time spike above 140 mg/dL should never be used to conclude anything whatsoever. Only repeated spikes above this level with repeated consumption of the same glycemic load over several days to several weeks should be used as a cause for concern.

How can I protect against oxalates?

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Podcast

Question: How can I protect against oxalates?

Short Answer: Getting 300-400 mg calcium between food and supplements at each meal will minimize oxalate absorption. Maintaining postprandial urine pH in the 6.4-6.8 range by getting 3-5 grams of potassium per day from food or from organic acid salts such as potassium citrate will prevent its crystallization in the kidney. Reducing dietary oxalate will prevent any possible damage in the gut.

The Full Recordings and Transcripts

These Q&A Files episodes are free snippets taken from three recent AMAs. To access the full recordings and transcripts, become a Masterpass member. You can learn more about it here. Get 10% off the membership fee using this link.

Here are the links that Masterpass members can use, as well as a preview of the content contained within them:

Ask Me Anything | April 12, 2023 AMA

All things heart disease, and on blood sugar, nutritional testing, oxalates, and more.

The questions include:

• What Causes Hypercholesterolemia and Does It Matter?

• How to Reverse Coronary Calcification?

• How to do a comprehensive nutritional screening

• How long after eating improperly cooked egg whites should I wait to take biotin?

• Is the extrusion process as harmful as some claim?

• How long can one fast before micronutrient deficiencies become an issue?

• Do B vitamins compete with each other for absorption?

• Why is thirst a symptom of diabetes?

• Do I agree with Peter Attia that ApoB should be driven as low as pharmacologically possible?

• During a fast, does the body break down muscle?

• How do you rest and refeed your brain?

• Why would someone have high RBC magnesium but low serum magnesium?

• GLA deficiency?

• Should we eat for our ethnicity?

• How convincing are polyphenol studies?

• Can coronary calcium be driven by oxalate?

• Citrulline for vasodilation

• How to reduce catabolism

• Rapid-fire run-through of orphaned questions from the submission contest, including a detailed look at Nadia’s thyroid numbers

Click here to see when the next Q&A is or to register for it if you are a Masterpass member. You can learn more about it here. Get 10% off the membership fee using this link.

Thanks to everyone who participated, and I hope you find these useful!
Chris