Look Who it Was Random video

"WHY IS MY DOC NEGLECTING MY DIABETES?" A1c goals pt 4 - FORD BREWER

3,150 views · Published 19 August 2018 · 12:32 · Indexed 27 September 2026

Channel: Dr. Ford Brewer MD MPH · 2018 · 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.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
https://www.nejm.org/doi/full/10.1056/NEJMoa0802743

https://www.nejm.org/doi/full/10.1056/NEJMoa0802987

https://www.nejm.org/doi/full/10.1056/NEJMe0804182

Docs do tend to be slow to diagnose and treat diabetes and insulin resistance. There are reasons. Research has shown risk in cropping the A1c goals. These were the ADVANCE, ACCORD, and UKPD trials. 

But these studies relied too much on drugs, and not enough on lifestyle, to manage the diabetes. In addition, basics like aspirin, bp lowering, smoking cessation, and statins are also neglected. 

This neglect occurs with patients as well as the ADA and doctors.

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