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Post Exercise Hypoglycemia - my recent episode. And how to avoid it.

3,629 views · Published 18 October 2017 · 10:49 · Indexed 1 November 2026

Channel: Dr. Ford Brewer MD MPH · 2017 · Science & Technology

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ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor.  After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine.  While there, he went on the run the post-graduate training program (residency) in Preventive Medicine.  From there, he made a career of practicing and managing preventive medicine and primary care clinics.  His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics.  He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline.  We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event.  Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area.  We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance.  Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

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Ford Brewer MD MPH   PrevMedHeartRisk.com
Post Exercise Hypoglycemia is the most common type of low blood sugar. Exercising muscles pull in sugar from the blood to use as fuel. For the first 15 minutes, most energy comes from blood sugar and muscle glycogen. 
For minutes 15-30, more energy comes from liver glycogen. 
Beyond 30 minutes, most energy comes from free fatty acids (fat). 

Metformin helps us control high blood sugar. Many people think it causes hypoglycemia. It doesn't. Other meds can, such as insulins and sulfonylureas. However, metformin does decrease the liver's ability to raise the blood sugar by breaking down glycogen. Alcohol can also stop the liver's ability to replace burned out blood sugar.
The Joslin Clinic at Harvard is a world leader diabetes control and research center. They give several instructions on how to predict, prevent, detect and manage post-exercise hypoglycemic.

About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic.

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