How can I maximize my results on GLP-1?

How can I maximize my results on GLP-1?

GLP-1 medications are used for both blood sugar management and weight loss. This means you may be looking for different results, depending on why you are taking it. 

Maximizing Blood Sugar Control

Like other diabetes medication, the goal of a GLP-1 is to help control your blood sugar. You can track your own blood sugar with a meter at home to determine if you are seeing results. Your doctor may also want to periodically measure your blood sugar, HgbA1C, or other blood markers to evaluate if the medication is working.

The best way to ensure that the GLP-1 medication is working to improve your blood sugar is to follow a diabetic diet and other healthy lifestyle habits. A diabetic diet is a balanced diet that includes lean proteins, vegetables, healthy fats, whole grains, and fruits. Foods that should be limited include sweets, foods high in sodium, sugar-sweetened beverages, and fried foods. 

Meals should also be well-balanced to include the right portion of carbohydrates and protein. A registered dietitian can provide guidance on what type of diet to control your blood sugar. 

Other ways to optimize the results of your GLP-1 on blood sugar are to exercise regularly, get enough sleep each night, and keep your stress well-managed. GLP-1 medications are just a tool in your diabetes management toolbox, other healthy lifestyle habits still need to be in place to help the medication work.

Maximizing Weight Loss

GLP-1 medications work to induce weight loss by increasing satiety after meals (meaning you get full faster), reducing appetite, and controlling blood sugar. In order to ensure you lose weight at an optimal rate, it is recommended that you follow a healthy, well-balanced diet and exercise regularly. 

A diet that is focused on lean protein, fruits, vegetables, and healthy fats will help support weight loss. Limit sweets, sugar-sweetened beverages, and alcohol, to boost your weight loss further. Drink plenty of water, at least 8 glasses per day. 

It may be tempting to eat as little as possible to lose weight faster. But this could potentially backfire, as you could lose too much lean muscle making it difficult to keep the weight off long-term. Instead, try to eat at least 3 small meals per day and always start your meal with protein, which supports healthy muscle and metabolism. 

Finally, consider a multivitamin while on the medication, since you may not be able to meet all of your nutritional needs due to the smaller portions of food. 

References: 

  1. Diabetes Diet, Eating, & Physical Activity. (2023, July 12). National Institute of Diabetes and Digestive and Kidney Diseases; NIDDK – National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/diet-eating-physical-activity
  2. Shah, M., & Vella, A. (2014). Effects of GLP-1 on appetite and weight. Reviews in Endocrine & Metabolic Disorders, 15(3), 181–187.
  3. Moon, J., & Koh, G. (2020). Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. Journal of Obesity & Metabolic Syndrome, 29(3), 166–173.
How and when do I transition off GLP-1 medications?

How and when do I transition off GLP-1 medications?

GLP-1 medications are meant to be long-term treatments for diabetes or obesity. Both are considered chronic conditions that need to be managed over an individual’s lifetime. 

GLP-1 for Diabetes

If you are using a GLP-1 for diabetes management, do not stop the medication without speaking to your doctor first. They can determine if GLP-1 is still an appropriate treatment for your diabetes management or if you can transition to a different medication. Do not stop the medication cold turkey, as it may cause your blood sugar to increase.

GLP-1 for Weight Loss

Many people use GLP-1 medications for weight loss and are unsure what to do once they reach their goal weight. A conversation with your provider is always the best place to start. 

If you are looking to transition off a GLP-1 medication because you have reached your goal weight, proceed with caution. A 2022 study found that when people stopped taking the medication they gained back about ⅔ of the weight they lost within a year.  Additionally, all of the metabolic improvements while on the medication were also reversed.

There is no specific protocol for transitioning off of a GLP-1. There are no harmful effects from simply stopping the medication. GLP-1 medications have a 7-day half-life, which means the medication will likely be out of your system within 2 weeks. Once the medication is out of your system, you may experience an increase in appetite. 

If you prefer to taper the medication slowly, you can try moving to a lower dosage for a period of time. It is best to speak to your doctor about the best way to stop the medication. 

If you have struggled with obesity for a long time, it is not recommended that you stop taking GLP-1 medication. These medications are a long-term treatment for obesity management, they are not a temporary solution. 

References: 

  1. Wilding, J. P. H., Batterham, R. L., Davies, M., Van Gaal, L. F., Kandler, K., Konakli, K., Lingvay, I., McGowan, B. M., Oral, T. K., Rosenstock, J., Wadden, T. A., Wharton, S., Yokote, K., Kushner, R. F., & STEP 1 Study Group. (2022). Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes, Obesity & Metabolism, 24(8), 1553–1564.
  2. Hui, H., Farilla, L., Merkel, P., & Perfetti, R. (2002). The short half-life of glucagon-like peptide-1 in plasma does not reflect its long-lasting beneficial effects. European Journal of Endocrinology / European Federation of Endocrine Societies, 146(6), 863–869.
Become the CEO of Your Health

Become the CEO of Your Health

Hi there! Welcome to Heads Up. Our mission is to put the power of data at your fingertips and make you the CEO of your health!

We’ve built our platform around the following core concepts:

1. Centralized Medical Records

We help you centralize all of your medical records in one place, regardless of where they exist. Thanks to advancements in electronic health records, we can now automatically pull in your records from thousands of different facilities across the country. For your medical records that aren’t online, we make it easy to import data from those files as well. If you are busy and on the go, our Concierge Service can do the data entry for you. Whether it’s your cholesterol data or your immunization records, we make it easy to maintain a complete history of your health at all times.

2. Technology to self-manage

Emerging wearable technology makes it easier than ever to collect valuable data on our health. We integrate with industry leading wearables (Oura, Keto-Mojo, Biostrap, Garmin, Apple Health and many more…), wireless scales, blue tooth blood pressure monitors, glucometers and a range of other health devices. 

With your medical data and your wearable data in one place, it’s easy to see how your lifestyle choices are affecting your overall health.

3. Help me use my data to improve health outcomes

With all of your medical and wearable data in one place, we provide you with personalized insights and powerful analytics tools to master your health using your own data.

Is my FitBit really lowering my weight over time? Are my dietary changes really lowering my cholesterol or my blood sugar? By bringing all your information into one place, we can help you measure and quantify your progress over time in ways that have never been possible before.

4. Share my data with whomever I choose

At Heads Up we realize that your care team extends beyond just your medical doctor. We’ve made it easy to share your health information as you see fit. Whether you choose to consult with a medical doctor, a nutritionist, a personal trainer, a functional medicine specialist or a family member, we make it easy to give them access to your health information so you can make informed decisions.

5. Take my data with me

Whether you move to the other side of the city or the other side of the world, you need to take your health information with you. We built our software so that your health information is not locked into any specific doctor’s office, hospital system, insurance company or employee wellness system. You control your data and you can take it with you wherever you go.

Eight Great Ketogenic Diet Benefits

Eight Great Ketogenic Diet Benefits

As research and public awareness into the ketogenic diet continues to expand, we are learning more about the incredibly powerful benefits of a ketogenic diet for health, wellness and treating disease. That said, many questions remain, especially for those who are new to the ketogenic diet and looking to get started. In this post, we take an introductory look at some of the top ketogenic diet benefits.

Heads Up Health is a free program to help you track all your health metrics – including ketones. You can sign up for free using the button below. Or, read on for our “Eight Great Ketogenic Diet Benefits”.

[maxbutton id=”1″]

A Tale of Two Fuel Sources

Over the course of millions of years of evolution, our bodies have developed the ability to run off of two primary fuel sources – fat and glucose (carbohydrates). When we consume a diet that is abundant in carbohydrates, the body breaks down the carbohydrates into glucose, which becomes the primary fuel source for the cells in our body.

Conversely, when we consume a diet that is abundant in fat (and low in carbs), our cells can switch over and start metabolizing fat for energy.

Lastly, in periods of calorie restriction (starvation, intermittent fasting, high-intensity or ultra-endurance exercise etc.), our body will first burn off all our internal glucose reserves to fuel itself. If food is still not available, the body will then start burning its fat stores for energy.

 

Optimal calorie structure for the ketogenic diet

Optimal calorie structure for the ketogenic diet

When we burn fat for energy, either through a low-carb/high-fat diet or calorie restriction, the body produces ketones. Ketones, as we are now learning, are incredibly powerful compounds for optimal human health.

Rediscovering Our Fat Burning Machinery

In more recent times, our fat-burning fuel system has become obsolete. We live in a society where we have unlimited access to cheap and abundant food sources based almost entirely on carbohydrates (bread, pasta, grains, cereal, rice, sugar, corn, alcohol, fruit etc.). One consequence of relying almost exclusively on glucose for fuel and never accessing our fat stores for energy is that our fat stores just continue to grow, and grow, and grow. This comes with a host of health risks which are now plaguing our society such as obesity, diabetes, Alzheimer’s disease, cancer and heart disease to name just a few.

With the ketogenic diet, we are re-discovering our body’s ability to burn fat for energy. Whereas in the past this capability was used to help us survive and adapt to conditions where food was scarce, we are now learning how to strategically use this fat-burning fuel system for optimal health. We’ve had this ability for millions of years but somewhere along the line we lost touch with it. As it turns out, the cells in our body actually run better on ketones than they do on carbs.

Ketogenic Diet Benefits

With a basic understanding of ketones under our belt, we can now look at some of the top ketogenic diet benefits.

  1. Increased mental clarity:
    • Ketones pass directly through the blood-brain barrier and are a preferred fuel source for our brains. In fact, by some estimates, our brains may perform up to 25-30% more efficiently when running on ketones over carbohydrate [1]. The result is increased mental clarity, better focus and an overall sense of mental sharpness.

      ketogenic_diet_track_heads_up_health

      Ketogenic diet benefits – our brains run better on ketones

  2. Increased energy levels:
    • The mitochondria are the power plants that produce energy in every cell in our body. Much like our brains, our mitochondria have evolved to be more efficient when burning fat (in the form of ketones) over carbs. With a more efficient and cleaner burning fuel source for our mitochondria, ketones can provide a steady boost in our energy levels.

      Ketogenic diet benefits - increased mitochondrial energy

      Ketogenic diet benefits – increased mitochondrial energy

  3. Appetite regulation:
    • Ketones work in the body as a natural appetite suppressant. The exact mechanisms are not yet fully understood, but early research suggests that ketones signal to the brain we are in a fed state, thereby reducing appetite and food cravings.
  4. Weight loss:
    • As we enter a state of ketosis, we are reprogramming the cells in our body to burn fat (instead of carbs) for energy. This forces the body to dip into its fat reserves and burn the fat as energy. This is part of the reason why the ketogenic diet is so effective as a natural treatment for losing weight, treating obesity and improving body composition.

      Ketogenic Diet Benefits - Weight Loss

      Ketogenic Diet Benefits – Weight Loss

  5. Reduced inflammation:
    • Ketones reduce inflammation by directly inhibiting NLRP3, which is part of a complex set of proteins called the inflammasome. The inflammasome drives the inflammatory response in several disorders including autoimmune diseases, type 2 diabetes, Alzheimer’s disease, atherosclerosis, and auto-inflammatory disorders.[2]
  6. Lower blood sugar:
    • Ketones are a natural mechanism to reduce insulin and blood sugar. The ketogenic diet is also very low in carbs, which keeps blood sugar and insulin down. As a result, the ketogenic diet (and other low-carb/high-fat diets) can be an effective and natural strategy for treating conditions such as type 2 diabetes, obesity, Alzheimer’s and other metabolic conditions.
  7. Cancer treatment and prevention:
    • There are a number of studies currently underway exploring the ketogenic diet for cancer treatment [3]. The presence of ketones seems to inhibit the growth of cancer cells [4]. Additionally, since many types of cancer cells can only survive with glucose as a fuel source, we may be able to starve cancer cells through a low-carb/high-fat diet where ketones become the primary fuel source in the body.
  8. Disease management:
    • The ketogenic diet has also been used effectively as a treatment for epilepsy, polycystic ovarian syndrome (PCOS), irritable bowel syndrome (IBS), heartburn (GERD), nonalcoholic fatty liver disease (NAFLD), brain injury, dementia and many more.

Are Ketogenic Diets Safe?

Although many conventional doctors and health professionals may not be up-to-speed on the latest research into ketogenic diets, when used properly, it is a safe and effective strategy for improving health and treating a host of “western” diseases. In fact, given all of the health challenges and chronic diseases now being linked to the Standard American Diet, the ketogenic diet (and other low-carb/high-fat approaches) may actually be a safer and more effective nutritional strategy for optimal health.

Ketone bodies are produced in the liver when the body burns fat for energy

Ketone bodies are produced in the liver when the body burns fat for energy

The diet does come with its own set of challenges and it can be very difficult to implement and maintain. If you prefer to work with a professional, seek out a doctor or health professional who has expertise in the ketogenic diet and who can guide you along the way (see appendix for recommendations).

Track Your Progress

Heads Up Health was designed to help you track all of your health metrics in one place. Everything from weight readings to ketone values to cholesterol levels can be tracked within the app.

The video below is a short tutorial on how to use Heads Up Health for tracking ketones. The same features can be used to track blood sugar, weight, body fat and even your medical records within one single, secure online portfolio. You can learn more about the Heads Up app on our homepage.

We also give you tools to look at trends over time, correlate different metrics and share your data with any health expert you choose. The graph below is showing weight and ketone readings graphed together in Heads Up Health to see how ketosis is affecting weight loss.

Ketogenic diet benefits - weight loss

Correlating weight and ketone readings in Heads Up Health

Conclusions

The ketogenic diet triggers a natural process in our body where we metabolize fat for fuel as opposed to glucose. A benefit of fat metabolization is the production of ketones – which offer a number of powerful benefits for human health. We are just now re-discovering this fat burning capability and learning how we can use ketones and the ketogenic diet to affect a number of powerful health outcomes.

For more information on getting started, check out our blog post: 5 Steps to Jumpstart the Ketogenic Diet. You can also sign up to Heads Up Health below and start tracking all your health metrics as you make the switch to a ketogenic diet. If you have any questions, feel free to shoot us an e-mail.

[maxbutton id=”1″]

References

[1] http://www.drmyhill.co.uk/wiki/Ketogenic_diet_-_a_connection_between_mitochondria_and_diet

[2] http://www.ncbi.nlm.nih.gov/m/pubmed/25686106/?i=3&from=bhb+inflammation

[3] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4215472/

[4] http://www.ncbi.nlm.nih.gov/pubmed/24615175

 

5 Reasons to Hunt Down Your Health Records

5 Reasons to Hunt Down Your Health Records

Of all the information out there in our digital lives, from photos to tweets to text messages, it’s our health records that contain the most vital information of all. The information that could mean life or death in an emergency. The historical information that can lead a physician to the correct diagnosis. The information that can guide us on our journey to optimal wellness and disease prevention.

And yet for many of us, our health history is in disarray. We’ve moved to new cities, changed doctors and changed health insurance plans many times over. We’ve lost health records when our computer hard drive died or when the paper records at home got lost in the shuffle.

At Heads Up Health, we’ve set out to solve this problem by giving you a secure space to centralize all of your vital health data.  If you’re ready to get started, click the button below to visit our home page and create your account. Or continue reading for our top reasons to hunt down your health records and build your own centralized portfolio.

[maxbutton id=”1″]

Top five reasons to hunt down your health records

1. The onus is on the you – the patient. Unfortunately our health care system still thinks it’s 1965 and we all live in the same house with the white picket fence and go to the same doctor or health system until the day we die. If you’ve ever tried to transfer your health records from one facility to another, you know how painful this can be.

The reality is that for most of us, the days of the traditional doctor-patient relationship are gone. We move to new cities, change insurance plans and change doctors. We consult with physicians on Skype and through apps on our mobile phone like Doctor on Demand. We seek health advice from conventional MD’s, functional medicine doctors, nutritionists, naturopaths, Google and our favorite health related groups on FaceBook.

Centralize medical  records  - request copies from your doctor.

Centralize medical records – request copies from your doctor.

In this new world, the onus is on us – the patient – to be in control of our health information. We need tools to manage this effectively – which is where Heads Up Health can help.

2. Empower yourself. Studies have shown that 79 percent of people say online access has a positive impact of their knowledge of their health. Do this and you’ll feel prepared to make changes when needed to lower cholesterol, for example, if you know elevated cholesterol runs in your family.

Centralize your medical records with Heads Up Health

Centralize medical records – the onus is on the patient!

3. Spot mistakes and get them fixed. By getting your health records and taking the time to review them, you’re looking out for number one. There have been numerous reports of people being wrongly diagnosed, like Trisha Torrey, founder of the Alliance for Professional Health Advocates. Torrey was wrongly diagnosed with cancer and because of due diligence on her part, she was able to avoid getting unnecessary chemotherapy treatments. 

Heads Up - Share Data

Heads Up Health enables you to share your health records with your family if needed.

4. Be prepared for an emergency. You think that if you wipe out on your scooter while on vacation that your primary care physician (PCP) is going to drop everything and send your health records over to the emergency room you’re at? Maybe, but maybe not. The Privacy Rule says that your provider must share your health records with you or a personal representative. They’re not obligated to share it with other providers or plans. Meaning: if you end up in a sticky situation where say, you need your records from your PCP now, and your PCP’s office is closed for the weekend, you’re outta luck with getting your records quickly. If you already have them it’s not a problem.

Centralize medical records -  be prepared for the unexpexted

Centralize medical records – be prepared for the unexpexted

5. Because you can. U.S laws are designed to empower the patient. The Affordable Care Act wants you proactively involved in your health care. Under other countries’ laws, it’s not always that easy. For example, in Slovakia, patients have no direct access to the “result of the examinations of diagnostic and treatment components. But, it can be “made available to the patient by the health professional who requested the medical examination or the treatment.” Think about that: some people have to jump through some serious hoops to get access to get something that you legally already have the right to. You have rights under the Health Insurance Portability and Accountability Act (HIPAA). Use them.

How to Get Started

  1. Make a list of past doctors, dentists and other healthcare professionals who may have copies of your health history.
  2. If the doctor or health system is in the Heads Up Health database, you can electronically connect this medical facility and we will automatically synchronize your health data. Check out this video tutorial for a “how-to” on electronically connecting your medical facility.
  3. For facilities we can’t connect to automatically, contact the doctor or facility and request copies of your medical records.
  4. Upload these documents into your Heads Up profile. You can also upload any documents you have at home. We give you an encrypted cloud storage to ensure your records are accessible any time you need them. Check out this video tutorial on uploading your documents.
  5. If all of this sounds like a major pain in the ass, let our Concierge Service do all of the work for you

Heads Up Health empowers patients to collect their health records and keep them in one spot. Sign up today to get started. Or, feel free to contact us with any questions.

[maxbutton id=”1″]

Technology Helps Us Manage Our Health

We’re entering an era where the patient has more data on his or her health than the physician. Thanks to incredible advances in consumer health technology, we can now easily track everything from how much we exercise to what we eat, how well we sleep or how stressed out we feel. Our technology helps us manage our health.

Wearable devices and smartphone apps have opened new doors to measuring our day-to-day lifestyle choices and activities. We can use this technology and the data it provides to feel better, look better and even prevent disease or illness.

In our previous blog post, Centralizing Your Medical Records, we looked at the first of five core principles of the Heads Up Health software:

  1. Centralizing your medical records
  2. Using technology to self-manage
  3. Improving health through better understanding of your data
  4. Sharing data across your care team
  5. Taking your health data with you wherever you go

In this post, we continue our series on the vision for Heads Up Health’s software by looking at how it integrates consumer health technology. This integration can help you intelligently manage your health and transform the way you look at your healthcare analytics.

Your Healthcare Bank Account

Imagine checking your bank account at the end of the year with no information on individual transactions. Just a single number that shows your ending balance.

You’d probably be scratching your head because you’d have no idea where your money went or how to adjust your spending habits. Any attempts to figure out how you arrived at your final balance would probably involve a lot unreliable guesswork, especially since there’s quite a few studies that show that the human brain has limited memory space and can even trick itself into thinking false memories are real memories.

A once-a-year bank statement is kind of like an annual visit to your doctor. You get the final balance but have no way to quantify how you got there. Maybe your weight went up 10 pounds. Maybe your blood pressure has ticked up, and your cholesterol is higher. Maybe you also tell the doctor you’ve been feeling sluggish, not sleeping well and you’re generally stressed out at work.

Now imagine if you had detailed transaction records for your health, just like we have detailed transaction records for our bank accounts. You could easily begin to quantify your lifestyle and make adjustments to improve your health. With the right tools, your short-term and long-term physical health could be managed just like your bank account.

Heads Up Health helps you track all of your health transactions in one place, so you have a complete record of what’s happening in your body. Considering that chronic diseases make up 70 percent of deaths in the U.S. and that most of them are preventable, having an accurate method of managing your health data over time is a powerful tool.

Optimizing Consumer Health Technology with Heads Up Health

Heads Up Health is designed to help you leverage technology to manage your health in two ways:

  1. Centralizing the data

For all the promise of consumer health technology, one of the major challenges is integrating all of the data in one place. Scales, activity trackers, mobile apps, glucometers and other health devices each maintain a portion of your data in a different location. What’s needed is an integrated health dashboard that can manage all this information in one place.

Heads Up Health solves this problem.

The software integrates data from all the leading consumer health technologies. Connecting your devices and apps into your Heads Up account is as simple as signing into your online bank. For devices and apps that don’t have a supported connection, we support uploading data through CSV files or simply entering the data manually.

Heads Up dashboard

Heads Up Dashboard

  1. Integrating the data with your medical records

In addition to centralizing healthcare analytics, it’s equally important to see that data alongside your medical records. Are my nutritional changes really lowering my cholesterol? Is exercise really lowering my blood sugar? Are my lifestyle changes improving my thyroid function? The only way to answer these questions is if we compare our lifestyle data (which we collect from consumer health technology) with the data in our medical records.

There are solutions on the market to help aggregate lifestyle data from health devices and apps. There are other solutions on the market that can help you centralize your medical records. However, at Heads Up we believe the complete solution needs to include both.

Tracking blood sugar in Heads Up Health

Tracking blood sugar in Heads Up Health

Get Started!

Consumer health devices are quickly becoming highly sophisticated and clinically relevant. The data is also becoming increasingly easy to collect. Heads Up Health is here to help you manage that data, and transform your health. If you’re interested in seeing all your healthcare analytics in one spot, sign up for the beta version of Health Up Health. Or, if you want to stay up-to-date with the latest healthcare, fitness and wellness trends, follow us on Twitter or find us on Facebook.

Photo source