Primary Care Voice

Can’t Control Blood Sugar on Multiple Meds? 24% May Not Be Type 2 Diabetes Hypercortisolism, LADA, Dawn vs Somogyi This episode explains that some people with persistently high blood sugar and A1C despite exercising, eating well, and taking two to three diabetes medications may have conditions that mimic type 2 diabetes, with an estimated 24% chance in difficult-to-control cases. It highlights hypercortisolism autonomous adre...

CGRP Migraine Medication Revolution (2026): Prevention, Abortive Options & Avoiding Medication Overuse Dr. Kulmeet Kundlas explains that migraine is a neurological event affecting 1.2 billion people and often leads to pain, disability, and medication overuse headache when treated repeatedly with NSAIDs, triptans, or opioids. He describes migraine biology involving the trigeminal nerve and CGRP release causing blood vessel dilat...

GLP-1 Medication Denials Explained: Wegovy, Zepbound, Ozempic & Mounjaro | Appeals, Medicare Bridge & Next Steps Dr. Kulmeet Kundlas explains why GLP-1 agonist prescriptions (Wegovy, Zepbound, Ozempic, Mounjaro) are frequently denied and how patients can navigate the process. He distinguishes denials based on whether the drug is prescribed for weight loss versus metabolic health conditions such as diabetes, sleep apnea, and...

FDA Expands Mounjaro Approval for Heart Protection (Aug 28, 2026): What the SURPASE Trial Means for Type 2 Diabetes Dr. Kulmeet Kundlas explains the FDA’s August 28, 2026 approval change for Mounjaro (tirzepatide), stating it is now officially approved to reduce the risk of future heart attack and stroke in addition to lowering A1C, supporting weight loss, and improving related metabolic factors. He reviews the SURPASE trial,...

pre-diabetes explained by a primary care physician. Learn about common dietary mistakes that may hinder managing pre-diabetes effectively. 00:00 Important Update 01:27 Common Mistakes to Avoid 03:28 What the Evidence Shows 05:22 Red Flags to Watch For 06:54 Final Takeaway 07:18 What You Should Do Next 08:05 What Changed and Why This video discusses common dietary errors made by individuals with pre-diabetes, emphasizing the importa...

Prediabetes Diet: 7-Step Eating Plan to Lower Blood Sugar Without Cutting Carbs Dr. Kulmeet Kundlas explains that prediabetes doesn’t require eliminating carbohydrates or following one specific diet; sustainable, culturally acceptable patterns like Mediterranean, plant-based, or DASH can reduce progression to diabetes. He emphasizes that food quality, portion size, consistency, and overall lifestyle (exercise, sleep, stress, ...

type 2 diabetes treatment explained by a primary care physician. Dr. Kundlas discusses the evolution of type 2 diabetes treatment, highlighting the importance of individualized care and updated guidelines. 0:00 The Evolution of Diabetes Care 1:12 The Dangers of High Blood Sugar 2:08 Tailoring Treatment to the Individual 6:08 Revolutionizing Heart and Kidney Health 8:49 The Power of Continuous Glucose Monitoring Dr. Kundlas explains...

Why Seeing More Specialists Can Be Dangerous: The 3-Step Primary Care Prescription The script argues that modern healthcare is dangerously fragmented when patients rely on multiple specialists without a dedicated primary care doctor coordinating care, contributing to diagnostic errors that drive 32% of U.S. medical practice claims. It warns that this fragmentation is colliding with an aging “silver tsunami,” with adults...

FDA Approves First Oral PCSK9 Inhibitor: Lipfendra Explained (Who It’s For, Cost, Benefits, Myths) Dr. Kulmeet Kundlas discusses the FDA approval of the first oral PCSK9 inhibitor, Lipfendra, as a potential game changer for patients with high cholesterol who can’t reach LDL targets with current therapy. He explains how cholesterol and lipoproteins (LDL and HDL) work, why lowering LDL reduces heart attack, stroke, PAD, a...

How to Reverse Diabetes With Diet — Why Fiber Is the Secret Fiber for Type 2 Diabetes Reversal: Lower A1C, Cholesterol & Heart Risk (Soluble vs Insoluble) Dr. Kulmeet Kundlas explains how increasing dietary fiber can help reverse type 2 diabetes, reduce post-meal glucose spikes, and protect blood vessels by preventing high-sugar damage to the glycocalyx that contributes to plaque, heart attack, and stroke. He contrasts a ...

Carb Counting for Diabetes: Labels, Net Carbs, Plate Method, and the Rule of 500 In this live diabetes-series session, the host explains carbohydrate counting as a key survival skill for diabetes management, focusing on how carbs affect blood sugar, how to read nutrition labels (total carbs, fiber, and net carbs), and how glycemic index influences sugar spikes. The script reviews what food is made of, why carbohydrates are the body...

Type 2 diabetes reversal is no longer a hope — in 2026 it is evidence-based medicine. The latest ADA guidelines confirm that diabetes remission is achievable through diet, weight loss, exercise, sleep, and stress management. In this video, Dr. Kundlas walks you through the exact pillars that put insulin resistance into reverse, why simple carbohydrates (not all carbs) drive disease, and how losing 10–30% of body weight ...

Best Diet for Diabetes (and Metabolic Disease): Calories, Macros, Mediterranean, Low-Carb, and 5:2 Fasting Explained In this live masterclass, Dr. Kulmeet Kundlas explains how diet and daily micro-habits drive metabolic disease (diabetes, hypertension, high cholesterol, sleep apnea, coronary disease, stroke, peripheral artery disease) through visceral fat, insulin resistance, and beta-cell failure, emphasizing obesity as hormone-me...

7 Early Warning Signs of Throat Cancer (Don’t Ignore These Symptoms for 2–3 Weeks) The script challenges common stereotypes about throat cancer and explains seven early warning signs that should not be ignored: persistent sore throat, hoarseness, trouble swallowing, unexplained weight loss, one-sided ear pain without other illness symptoms, a neck lump, and coughing up blood. It outlines key risk factors including smoki...

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