diabetes doctor austin, tx

Don’t Just Treat Symptoms: Reverse Type 2 Diabetes with Functional Medicine

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How Functional Medicine Doctors Reverse Type 2 Diabetes

Many people believe that Type 2 diabetes is a chronic condition requiring lifelong medication management. However, emerging research and clinical experience tell a different story – one of hope and possibility. Type 2 diabetes is reversible! Experienced Austin, TX diabetes doctor Ruthie Harper, MD takes a comprehensive, whole-person approach to address the underlying causes of Type 2 diabetes, rather than merely treating symptoms.

Research published in prestigious medical journals, including The Lancet and Diabetes Care, now confirms what functional medicine practitioners have observed for years: Type 2 diabetes reversal is achievable through targeted interventions that restore metabolic balance. These studies demonstrate that significant improvements in insulin sensitivity and glycemic control can lead to remission of diabetes in many patients.

Unlike conventional approaches that focus primarily on medication to control blood sugar, Dr. Harper’s functional medicine methodology addresses and treats the root causes of Type 2 diabetes. This includes examining factors such as inflammation, gut health, hormonal balance, nutritional status, and lifestyle factors that collectively contribute to insulin resistance and elevated blood sugar.

In the Austin, TX area, diabetes doctor Ruthie Harper, MD has helped hundreds of patients achieve remarkable improvements in their metabolic health, often reducing or eliminating their need for diabetes medications. Her personalized protocols evaluate each patient’s unique underlying health considerations, biochemistry and lifestyle factors to create a targeted Type 2 Diabetes treatment plan, that can restore proper metabolic function so you may no longer need diabetes medication or insulin injections.

Symptoms, Causes & Dangers of Type 2 Diabetes

Type 2 diabetes develops when the body becomes resistant to insulin or when the pancreas cannot produce sufficient insulin to maintain normal blood glucose levels. Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, slow-healing wounds, and recurrent infections. However, many people with type 2 diabetes remain undiagnosed because symptoms develop gradually and may not be recognized. Comprehensive testing by diabetes doctor Ruthie Harper, MD often reveals metabolic dysfunction before traditional diagnostics catch the condition, allowing for earlier intervention.

The underlying causes of type 2 diabetes extend far beyond the simplistic view of “too much sugar” in one’s diet. Contributing factors include genetic predisposition, excess visceral fat accumulation, chronic inflammation, mitochondrial dysfunction, hormonal imbalances, gut microbiome disruption, environmental toxin exposure, chronic stress, and nutritional deficiencies. This complex interplay of factors explains why conventional approaches focusing solely on blood sugar control often fail to address the condition comprehensively.

The dangers of unmanaged type 2 diabetes cannot be overstated. Chronic elevation of blood glucose damages blood vessels and nerves throughout the body, potentially leading to heart disease, stroke, kidney failure, neuropathy, retinopathy, and even amputation. Less discussed but equally concerning are the connections between diabetes and increased risk of Alzheimer’s disease, depression, and certain cancers. These risks underscore the importance of addressing diabetes at its roots rather than simply managing symptoms.

In the Austin, TX area, patients working with experienced diabetes doctor Ruthie Harper, MD benefit from her thorough approach to identifying personal risk factors, underlying health issues,  and metabolic imbalances. By recognizing and addressing these factors early, Dr. Harper helps patients not only reduce their diabetes risk – but also potentially reverses existing type 2 diabetes progression through targeted interventions tailored to their specific needs.

Weight Management to Reverse Diabetes

Achieving healthy weight is often a cornerstone of type 2 diabetes reversal, as excess adipose (fat) tissue – particularly visceral fat surrounding abdominal organs – directly contributes to insulin resistance. Research demonstrates that even modest weight loss of 5-10% of body weight can significantly improve insulin sensitivity and glycemic control. For many patients, weight management becomes the catalyst that initiates other positive metabolic changes. In the Austin, TX area, diabetes doctor Ruthie Harper, MD develops comprehensive weight management strategies tailored to each patient’s unique metabolic profile, genetic factors, and lifestyle considerations.

The relationship between weight and diabetes goes both ways: insulin resistance makes weight loss more difficult, while excess weight worsens insulin resistance. This challenging cycle requires sophisticated intervention strategies that address multiple aspects of metabolism simultaneously. Dr. Harper’s multi-faceted approach breaks this cycle by improving metabolic function while supporting healthy body composition, enabling sustainable weight management that contributes directly to diabetes reversal.

Many patients struggling with type 2 diabetes discover that conventional weight loss approaches prove ineffective due to underlying hormonal imbalances, inflammation, or metabolic adaptations. This explains why personalized, medically supervised weight management under the guidance of diabetes doctor Ruthie Harper, MD often succeeds where generic approaches fail. Her protocols evaluate and address the specific factors impeding each patient’s progress, creating pathways to sustainable weight management and improved metabolic health.

  • GLP-1 Semaglutide Weight Loss Drugs

GLP-1 receptor agonists like semaglutide (Ozempic, Wegovy) represent a breakthrough in medical weight management, particularly for patients with type 2 diabetes or insulin resistance. These medications mimic the action of GLP-1, a hormone naturally produced in the intestines that regulates appetite, slows gastric emptying, and improves insulin sensitivity. Research demonstrates that appropriate patients typically achieve 15-20% body weight reduction while simultaneously experiencing significant improvements in glycemic control. In the Austin, TX area, diabetes doctor Ruthie Harper, MD incorporates these medications into comprehensive treatment protocols when appropriate, helping patients overcome metabolic obstacles to weight loss.

What distinguishes Dr. Harper’s approach is the integration of GLP-1 medications within a complete metabolic restoration program. Rather than relying solely on medication, she combines medication along with nutritional guidance, gut health optimization, and lifestyle modifications to address the underlying factors contributing to weight gain and insulin resistance. This comprehensive strategy maximizes the benefits of medication while establishing foundations for long-term metabolic health.

As with any medical intervention, patient selection and monitoring are crucial for optimal results and safety. Diabetes doctor Ruthie Harper, MD conducts thorough evaluations before recommending GLP-1 medications, considering factors like medical history, current medications, and specific metabolic markers. Throughout treatment, regular monitoring ensures appropriate response while addressing any potential side effects, creating a supported journey toward improved metabolic health and diabetes reversal.

  • Hormone Balancing

Hormone balance can also play a critical role in both weight management and blood sugar regulation. Insulin resistance often occurs alongside imbalances in other hormones, including cortisol, thyroid hormones, estrogen, progesterone, and testosterone. These interactions create complex feedback loops that can perpetuate weight gain and metabolic dysfunction. Diabetes doctor Ruthie Harper, MD conducts comprehensive hormonal assessments to identify specific imbalances that may be contributing to a patient’s weight management challenges and diabetes progression.

Thyroid dysfunction, even when subtle or subclinical, can significantly impact metabolism and weight management efforts. Many patients with type 2 diabetes have undiagnosed hypothyroidism or thyroid resistance that undermines their weight loss efforts and worsens insulin resistance. Similarly, cortisol dysregulation from chronic stress creates a biochemical environment that promotes abdominal fat storage and increases blood sugar levels. Dr. Harper’s protocols address these hormonal factors with precision, removing obstacles to successful weight management.

For many patients in the Austin, TX area, hormonal optimization becomes the missing link that enables successful weight management after years of frustrated efforts. By restoring proper balance to the endocrine system, diabetes doctor Ruthie Harper, MD helps patients establish the metabolic function necessary for both weight loss and diabetes reversal.

  • Dietary Changes

Diet and nutritional intervention forms a crucial component of successful weight management for diabetes reversal. Beyond simply reducing calories, the composition of the diet significantly impacts both insulin sensitivity and body composition. Diabetes doctor Ruthie Harper, MD typically recommends increased protein intake to preserve lean muscle mass while promoting satiety and supporting metabolic health. This protein-forward approach helps maintain metabolically active tissue during weight loss, preventing the metabolic slowdown that often sabotages long-term success.

Carbohydrate quality and quantity require individualized assessment based on each patient’s metabolic response. While some patients benefit from very low carbohydrate approaches, others achieve optimal results with moderate carbohydrate intake focused on nutrient-dense, low-glycemic sources. The key distinction in Dr. Harper’s approach is personalization—using tools like continuous glucose monitoring to determine each patient’s unique carbohydrate tolerance rather than applying one-size-fits-all dietary recommendations.

Equally important is the emphasis on nutritional density rather than just macronutrient ratios. Patients in the Austin, TX area working with diabetes doctor Ruthie Harper, MD learn to incorporate foods rich in fiber, phytonutrients, and essential micronutrients that support metabolic health while minimizing processed foods, industrial seed oils, and artificial additives that may promote inflammation and insulin resistance. This focus on food quality supports not only weight management but overall health restoration, addressing diabetes at its fundamental roots.

Lifestyle Changes to Reverse Type 2 Diabetes

Structured physical activity, particularly strength training, provides substantial benefits for patients working to reverse type 2 diabetes. Beyond calorie expenditure, resistance exercise improves insulin sensitivity by increasing glucose uptake in muscle tissue, enhances mitochondrial function, and helps maintain metabolically active lean mass during weight loss. Diabetes doctor Ruthie Harper, MD typically recommends 2-3 weekly strength training sessions complemented by regular moderate-intensity cardiovascular activity tailored to each patient’s current fitness level and preferences.

Sleep quality and stress management also represent equally important aspects of lifestyle intervention for diabetes reversal. Research demonstrates that sleep deprivation directly impairs insulin sensitivity, increases hunger hormones, and promotes inflammation—all factors that worsen diabetes and complicate weight management. Similarly, chronic stress triggers physiological responses that raise blood sugar, promote abdominal fat storage, and interfere with healthy metabolic function. Dr. Harper’s comprehensive protocols address these crucial lifestyle factors alongside nutrition and exercise.

In the Austin, TX area, patients working with diabetes doctor Ruthie Harper, MD receive guidance on implementing sustainable lifestyle modifications that support long-term metabolic health. Rather than promoting extreme or unsustainable approaches, Dr. Harper helps patients identify and implement realistic changes that gradually transform their health trajectory. This balanced approach leads to lasting results by addressing the behavioral and environmental factors that contribute to diabetes development and progression.

Blood Sugar Control to Reverse Diabetes

Achieving stable blood sugar levels represents a critical step in reversing type 2 diabetes, as glucose fluctuations directly damage blood vessels, nerves, and cellular function throughout the body. However, diabetes doctor Ruthie Harper, MD approaches blood sugar control not as the ultimate goal but as a measurable indicator of improving metabolic health. By addressing the upstream factors that contribute to glucose dysregulation, her protocols work to restore the body’s natural ability to maintain healthy blood sugar levels without dependency on medications.

The conventional approach to diabetes management often relies heavily on medications that force blood sugar down – without addressing why it’s elevated in the first place. While medications play an important role for many patients, particularly during the initial phases of treatment, Dr. Harper’s approach simultaneously implements strategies to improve the body’s inherent glucose regulation mechanisms. This dual approach often allows for gradual reduction of medication as metabolic function improves, moving patients toward true physiological health rather than medicated management.

Clinical experience and research demonstrate that when the underlying causes of insulin resistance are systematically addressed, many patients experience significant improvements in glycemic control that can lead to disease remission. In the Austin, TX area, diabetes doctor Ruthie Harper, MD has helped numerous patients reduce or eliminate diabetes medications while achieving healthy HbA1c levels through comprehensive functional medicine protocols. This evidence-based approach offers hope for millions seeking alternatives to lifelong medication dependency.

  • Diet

A strategic nutritional approach forms the foundation of effective blood sugar management and diabetes reversal. Diabetes doctor Ruthie Harper, MD recommends a low-glycemic, nutrient-dense diet that emphasizes whole foods to improve insulin sensitivity and stabilize blood glucose levels. Patients typically eliminate processed foods, refined sugars, and inflammatory industrial seed oils while increasing their intake of non-starchy vegetables, high-quality proteins, and beneficial fats like omega-3 fatty acids and extra virgin olive oil.

Rather than focusing solely on carbohydrate restriction, Dr. Harper’s nutritional protocols emphasize meal composition and timing to optimize glycemic response. Research demonstrates that consuming protein and fiber before carbohydrates significantly blunts glucose spikes, while proper meal spacing supports healthy insulin sensitivity patterns. These strategic approaches allow for more flexible and sustainable dietary patterns while effectively supporting blood sugar control.

For patients in the Austin, TX area, diabetes doctor Ruthie Harper, MD provides personalized nutritional guidance based on individual metabolic responses rather than generic recommendations. Using tools like continuous glucose monitoring, Dr. Harper helps patients identify their unique dietary triggers and develop eating patterns that maintain stable blood glucose while providing satisfaction and nutritional adequacy. This personalized approach leads to better adherence and more effective results than one-size-fits-all dietary prescriptions.

  • Continuous Glucose Monitor (CGM)

Continuous glucose monitoring technology has revolutionized the approach to diabetes management and reversal by providing unprecedented insights into individual blood sugar patterns. These small sensors, worn on the arm or abdomen, measure glucose levels throughout the day and night, revealing how different foods, activities, stress levels, and sleep patterns affect blood sugar. Diabetes doctor Ruthie Harper, MD frequently recommends CGM use for patients working to reverse type 2 diabetes, as the real-time feedback creates powerful opportunities for personalized intervention.

Unlike traditional finger-stick measurements that provide only isolated snapshots of glucose levels, CGM data reveals the complete picture of glycemic variability—including the magnitude and duration of glucose fluctuations, overnight patterns, and the body’s response to various interventions. This comprehensive data helps identify specific triggers and effective management strategies unique to each individual, moving beyond generic recommendations to truly personalized medicine.

For patients in the Austin, TX area, working with diabetes doctor Ruthie Harper, MD provides the added benefit of expert interpretation of CGM data within the context of a comprehensive metabolic health plan. Dr. Harper helps patients understand their glucose patterns, identify actionable insights, and implement targeted changes that progressively improve metabolic function. This data-driven approach accelerates the path to diabetes reversal by providing clear feedback on which interventions most effectively restore healthy glucose regulation.

  • Diagnostic Testing

Comprehensive diagnostic testing forms a cornerstone of effective diabetes reversal, identifying the specific physiological imbalances contributing to each patient’s condition. Beyond standard glucose and HbA1c measurements, diabetes doctor Ruthie Harper, MD utilizes advanced testing to evaluate insulin levels, inflammatory markers, hormonal status, nutritional deficiencies, gut function, and metabolic efficiency. This thorough assessment reveals the unique combination of factors driving each patient’s insulin resistance and glucose dysregulation.

Many patients with type 2 diabetes also have undiagnosed nutrient deficiencies that directly impact glucose metabolism. Deficiencies in magnesium, chromium, vitamin D, B vitamins, and zinc are particularly common and significantly affect insulin sensitivity and glucose regulation. Through specialized nutrient testing, Dr. Harper identifies these specific deficiencies and implements targeted supplementation protocols that support improved metabolic function at the cellular level.

In the Austin, TX area, patients benefit from diabetes doctor Ruthie Harper, MD’s expertise in interpreting complex test results and developing integrated treatment plans based on the findings. This data-driven approach ensures that interventions address each patient’s specific metabolic challenges rather than applying generic protocols. By systematically correcting the identified imbalances through personalized interventions, Dr. Harper helps patients restore the physiological conditions necessary for normal glucose metabolism and diabetes reversal.

Reduce Inflammation to Reverse Diabetes

Chronic inflammation represents a critical underlying factor in the development and progression of type 2 diabetes. Research clearly demonstrates that inflammatory processes directly interfere with insulin signaling, damage pancreatic beta cells, and promote insulin resistance throughout the body. This inflammatory state often begins in the gut with increased intestinal permeability (leaky gut) that allows bacterial components and undigested food particles to trigger immune responses. Diabetes doctor Ruthie Harper, MD evaluates multiple inflammatory markers to assess each patient’s inflammatory status and develop targeted anti-inflammatory strategies.

Modern lifestyle factors significantly contribute to chronic inflammation, including processed food consumption, environmental toxin exposure, chronic stress, sleep deprivation, sedentary behavior, and disrupted gut microbiomes. These factors create a perfect inflammatory storm that directly promotes insulin resistance and metabolic dysfunction. Addressing these root causes, rather than simply suppressing inflammation with medications, creates the foundation for sustainable diabetes reversal.

Reducing inflammation produces cascading benefits throughout the body, extending far beyond improved glucose metabolism. Patients typically report enhanced energy, reduced pain, improved cognitive function, better mood, and improved cardiovascular health as inflammatory burdens decrease. In the Austin, TX area, diabetes doctor Ruthie Harper, MD implements comprehensive anti-inflammatory protocols that address multiple inflammatory drivers simultaneously, creating synergistic health improvements that support diabetes reversal.

  • Non-inflammatory Diet

Dietary choices profoundly impact inflammatory status, with certain foods either promoting or reducing inflammatory processes throughout the body. Diabetes doctor Ruthie Harper, MD typically recommends an anti-inflammatory nutritional approach that eliminates common inflammatory triggers including refined carbohydrates, industrial seed oils (corn, soybean, canola), ultra-processed foods, added sugars, and artificial additives. For many patients, temporarily eliminating potential inflammatory foods like gluten, dairy, or nightshades helps identify individual sensitivity patterns that contribute to their inflammatory burden.

Equally important is the incorporation of naturally anti-inflammatory foods rich in polyphenols, antioxidants, and omega-3 fatty acids. Colorful vegetables and fruits, olive oil, fatty fish, nuts, seeds, and herbs and spices like turmeric and ginger provide compounds that actively reduce inflammatory signaling pathways. Dr. Harper’s nutritional protocols emphasize these beneficial foods while guiding patients to create sustainable eating patterns that support long-term inflammatory balance.

For patients in the Austin, TX area working with diabetes doctor Ruthie Harper, MD, nutritional anti-inflammatory approaches are personalized based on individual biochemistry, food sensitivities, and lifestyle considerations. This customized approach proves far more effective than generic anti-inflammatory diets, as it addresses each patient’s unique inflammatory triggers while supporting overall nutritional adequacy and satisfaction.

  • Supplementation

Strategic supplementation provides valuable support for reducing inflammation and restoring metabolic balance. Diabetes doctor Ruthie Harper, MD utilizes targeted supplements based on each patient’s specific needs, often including omega-3 fatty acids, curcumin, resveratrol, quercetin, and specialized botanical compounds with demonstrated anti-inflammatory properties. These evidence-based supplements help interrupt inflammatory cascades while supporting the body’s natural anti-inflammatory mechanisms.

Certain nutrients play crucial roles in glucose metabolism and insulin sensitivity. Alpha-lipoic acid improves insulin signaling and provides antioxidant protection, berberine enhances glucose uptake in cells, magnesium supports proper insulin function, and chromium improves insulin sensitivity. Dr. Harper’s supplementation protocols typically include these key nutrients in forms and dosages appropriate for each patient’s specific metabolic needs.

For patients in the Austin, TX area, diabetes doctor Ruthie Harper, MD provides carefully curated supplementation regimens using professional-grade products with verified potency and purity. This quality control ensures therapeutic effectiveness while avoiding the inconsistency and potential contamination issues common in over-the-counter supplements. When properly implemented as part of a comprehensive approach, these targeted supplements significantly accelerate progress toward reduced inflammation and improved metabolic function.

Hormone Balancing to Reverse Type 2 Diabetes

Hormonal balance plays a central role in glucose regulation and insulin sensitivity throughout the body. Beyond insulin itself, numerous hormones including cortisol, thyroid hormones, estrogen, progesterone, and testosterone significantly impact metabolic function. Imbalances in any of these hormonal systems can contribute to insulin resistance and impaired glucose metabolism. Diabetes doctor Ruthie Harper, MD conducts thorough hormonal assessments to identify specific imbalances that may be driving or exacerbating diabetic conditions.

Thyroid function particularly impacts metabolic rate, insulin sensitivity, and glucose metabolism. Even subtle thyroid imbalances can significantly worsen insulin resistance and complicate diabetes management. Unfortunately, standard thyroid testing often misses mild or functional thyroid imbalances that affect metabolic health. Dr. Harper utilizes comprehensive thyroid assessment, including free T3, free T4, reverse T3, and thyroid antibodies, to identify these often-overlooked issues and implement appropriate support strategies.

Adrenal hormone imbalances, particularly elevated or dysregulated cortisol patterns, directly promote insulin resistance, increase blood glucose levels, and stimulate abdominal fat accumulation. Chronic stress, poor sleep, inflammation, and glycemic fluctuations can all disrupt healthy cortisol patterns, creating a vicious cycle that worsens metabolic function. In the Austin, TX area, patients working with diabetes doctor Ruthie Harper, MD benefit from comprehensive adrenal assessment and personalized protocols that restore healthy cortisol rhythms and improve metabolic resilience.

Sex hormone imbalances significantly impact insulin sensitivity and body composition for both men and women. In women, estrogen dominance or progesterone deficiency can worsen insulin resistance, while the hormonal shifts of perimenopause and menopause often trigger metabolic changes that increase diabetes risk. For men, declining testosterone levels with age directly correlate with increased insulin resistance and abdominal fat accumulation. Dr. Harper’s hormone balancing protocols address these sex hormone imbalances with precision, helping restore the hormonal environment necessary for optimal metabolic function and diabetes reversal.

Reverse Type 2 Diabetes | Austin, TX Area

Type 2 diabetes reversal represents one of the most significant opportunities for patients to reclaim their health and vitality through a functional medicine approach. By addressing the root causes of metabolic problems – including inflammation, hormonal imbalances, nutritional deficiencies, and lifestyle factors – many patients can achieve substantial improvements in glucose control and insulin sensitivity that lead to clinical remission of their type 2 diabetes.

The journey to diabetes reversal requires comprehensive, personalized care that addresses each patient’s unique metabolic challenges. Through advanced testing, targeted interventions, and ongoing support, diabetes doctor Ruthie Harper, MD guides patients through this transformation process with expertise and compassion. Her integrated approach combines the best of scientific advancement with time-tested healing principles to restore metabolic health.

In the Austin, TX area, patients seeking alternatives to conventional diabetes management can partner with Dr. Harper to develop personalized reversal strategies based on their specific needs and goals. This collaborative approach empowers patients with both the knowledge and tools necessary to transform their metabolic health and potentially free themselves from the progressive nature of type 2 diabetes.

If you’re ready to explore the possibility of reversing your type 2 diabetes rather than simply managing its progression, contact diabetes doctor Ruthie Harper, MD to schedule a consultation. Discover how her comprehensive functional medicine approach can help you restore metabolic balance and reclaim your health.

Diabetes Doctor | Austin, TX: 512.343.9355

cgm doctor austin tx

Non-Diabetics Can Improve Blood Sugar Control with a CGM for Better Health

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How to Use a Continuous Glucose Monitor (CGM) for Optimal Blood Sugar

Blood sugar, or the amount of glucose in one’s blood, plays a crucial role in nearly every aspect of our body’s functioning. As the primary source of energy for our cells, glucose affects everything from our brain function and mood to our physical energy levels and long-term health outcomes.

So, regulating blood sugar is essential for overall health and well-being in everyone – not just diabetics!

Dr. Ruthie Harper is a renowned functional medicine doctor in Austin, TX who is at the forefront of using advanced technology to optimize health. One such tool she frequently recommends to her patients is the Continuous Glucose Monitor (CGM) – for monitoring blood sugar levels to optimize health, even for individuals without diabetes.

In this comprehensive guide, Dr. Harper explores the use of CGMs, defines target glucose ranges based on research, and provides steps for maintaining optimal blood sugar levels – so you can not only feel better now, but help prevent disease, and live with vitality for decades to come.

Why Blood Sugar Matters for Non-Diabetics

When blood sugar levels are well-controlled, our bodies operate efficiently, maintaining stable energy, clear cognition, and balanced hormones. However, when blood sugar fluctuates excessively or remains consistently high, it can lead to a cascade of negative effects throughout the body, even in individuals without diabetes.

Chronic high blood sugar can damage blood vessels, nerves, and organs, potentially leading to complications such as cardiovascular disease, kidney problems, and impaired vision. It can also contribute to inflammation, oxidative stress, and accelerated aging. Moreover, poor blood sugar control can affect weight management, mood stability, and sleep quality.

By maintaining stable blood sugar levels through diet, exercise, and lifestyle choices, everyone – not just those with diabetes – can optimize their health, reduce the risk of chronic diseases, and enhance their overall quality of life. This is why understanding and managing blood sugar is a fundamental aspect of preventive health care and longevity.

Dr. Ruthie Harper explains that while finding clear guidelines for what constitutes “normal” or “optimal” glucose levels can be challenging, CGMs provide valuable insights that can help individuals make informed decisions about their health. At her practice in Austin, she guides patients on how to use CGMs to gain a more detailed and dynamic understanding of their glucose fluctuations throughout the day.

What is a Continuous Glucose Monitor (CGM)?

A Continuous Glucose Monitor – usually called a CGM – is a small, wearable device that continuously tracks glucose levels in the interstitial fluid, which is the fluid between cells. Unlike traditional blood glucose tests like “finger sticks” that only capture glucose levels at specific moments, CGMs provide real-time data on glucose trends. This continuous monitoring, offers a 24-hour profile of glucose levels, giving insights into glycemic variability, fasting glucose levels, post-meal glucose spikes, and overnight trends.

This data can be incredibly valuable for optimizing diet, exercise, and lifestyle habits to improve metabolic health. Well managed, stable blood sugar levels are crucial for maintaining energy balance, cognitive function, and overall metabolic health. However, frequent spikes and dips in glucose levels, even within the normal range, can lead to inflammation, weight gain, insulin resistance, and increased risk for conditions like cardiovascular disease, type 2 diabetes, Alzheimer’s disease, and more.

What are “Normal” Glucose Levels?

As a functional medicine doctor in Austin, TX, Dr. Ruthie Harper stresses the importance of understanding one’s glucose levels. Finding clear guidelines for what constitutes “normal” or “optimal” glucose levels can be challenging, but CGMs provide valuable insights that can help individuals make informed decisions about their own blood sugar levels and fluctuations.

According to the American Diabetes Association (ADA), normal fasting glucose levels for a nondiabetic person should be below 100 mg/dL, while post-meal glucose should not exceed 140 mg/dL. However, Dr. Harper points out that continuous glucose monitoring offers more detailed data than these one-time measures.

Below, Austin, TX functional medicine doctor Ruthie Harper, MD guides you through a step-by-step process to use a continuous glucose monitor for effectively for optimal glucose control.

Step-by-Step Guide to Using a Continuous Glucose Monitor for Optimal Blood Sugar

Step 1: Set Up Your Continuous Glucose Monitor

We will provide you with a prescription for your CGM. The device consists of a sensor, typically inserted just under the skin, and a transmitter that sends glucose readings to your smartphone or monitoring device.

Once the CGM is installed, you can start tracking your glucose levels throughout the day and night.

Step 2: Understand Your Baseline Glucose Levels with a CGM

After wearing the CGM for a few days, you will review your data to understand your baseline glucose levels. Key points to focus on include:

• Fasting Glucose: This is your glucose level after not eating for at least 8 hours. Optimal fasting glucose for most people falls in the 90mg/dL range or below.
•Post-Meal Glucose Peaks: These are the highest glucose levels observed within 1-2 hours after eating. Aim for post-meal glucose peaks below 140 mg/dL which falls back to your baseline 90mg/dL within 90 minutes post meal.

Step 3: Set Your Glucose Targets on Your Phone

One of the most convenient aspects of the CGM is that it can be managed on your smartphone – without the need for a separate device!
Target glucose levels for continuous glucose monitor (CGM) usage are personalized ranges that individuals aim to maintain for optimal health. These targets can vary based on individual factors such as age, overall health, and specific health goals.

Dr. Harper or your personal doctor will work with you to establish your personal glucose target ranges, which help them make informed decisions about diet, exercise, and lifestyle to maintain stable blood sugar levels and promote long-term health.

Step 4: Monitor Post-Meal Glucose Responses

One of the most valuable insights from using a CGM is how your body responds to different foods. For example:

• Carbohydrate-heavy meals tend to spike glucose levels more than meals high in fiber, protein, and healthy fats.
• High-glycemic index foods like white bread and sugary snacks can cause rapid glucose spikes followed by sharp drops (reactive hypoglycemia), which may lead to fatigue.
• Foods high in fiber, however, or foods containing “healthy” fats can slow the absorption of glucose into the blood and keep blood glucose levels more stable.

Using your CGM continuous glucose monitor, you can experiment with different types of meals, combine different “macronutrients” together during meals (carbohydrate, fat and protein), and track your glucose responses.

By keeping track of what you eat and its effect on your blood glucose readings on your CGM, you can learn to avoid significant glucose spikes and dips.

Step 5: Adjust Your Diet & Lifestyle Based on CGM Readings

Based on your CGM data, the next step is to make adjustments to your diet and lifestyle to keep your glucose levels stable.

Here are some tips for making adjustments that avoid significant glucose spikes and dips:

• Choose Low-Glycemic Foods: Focus on low glycemic fruits and vegetables, whole grains, vegetables, and legumes, which have a gentler effect on blood glucose and combine carbohydrates with protein to balance blood sugar effects.
• Increase Fiber Intake: Fiber slows down glucose absorption and helps prevent spikes.
• Exercise Regularly: Physical activity helps improve insulin sensitivity, which can lower your glucose levels after meals.
• Time Your Meals Wisely: Avoid late-night eating, which can lead to higher nighttime glucose levels.

Step 6: Track Trends with your CGM & Make Continuous Adjustments

Remember, glucose levels fluctuate due to a variety of factors in addition to diet, including sleep, stress, and exercise. Over time, your CGM data will help you identify trends in your glucose levels and adjust your diet and lifestyle accordingly.

• Nighttime Glucose Levels: If you notice higher glucose levels at night, consider avoiding late meals and increasing physical activity during the day.
• Post-Meal Spikes: If you frequently experience post-meal spikes above 140 mg/dL, experiment with lowering your carbohydrate intake and increasing protein and fat to stabilize glucose levels.

Step 7: Share Your CGM Data with Your Healthcare Provider

Regularly review your CGM data with Dr. Harper or your healthcare provider, to discuss trends, make adjustments, and ensure you’re on track with your health goals. Always consult with your doctor to ensure that your glucose targets and strategies are appropriate for your specific needs.

With improved blood sugar management, many patients may begin to see reduced belly fat, less fatigue after meals, weight loss, less sugar cravings, and even an improved sex drive. Blood sugar management can also lower high triglycerides & improve low HDL cholesterol in some individuals.

Austin, TX functional medicine doctor Ruthie Harper, MD provides patients with a functional, integrative, and personalized approach and will incorporate your blood glucose readings into your individualized treatment and lifestyle plan, to help you feel better and live a longer, healthier life.

CGM Blood Sugar Management | Austin, TX

Continuous glucose monitoring is a powerful tool for optimizing your blood sugar levels and improving metabolic health. By setting personalized glucose targets and making data-driven changes to your diet and lifestyle, you can reduce glycemic variability, lower the risk of chronic diseases, lose weight, increase energy, and enhance overall well-being.

If you’re in the greater Austin, TX area, and you are interested in optimizing your blood sugar levels with continuous glucose monitoring for better health, schedule an appointment with Dr. Ruthie Harper. As a leading functional medicine doctor, she can prescribe a CGM for you and guide you through the process of using a continuous glucose monitor to gain valuable insights into your metabolic health.

Dr. Harper’s expertise in interpreting CGM data and providing personalized recommendations can help you make informed decisions about your diet, exercise, and lifestyle habits. Whether you’re managing a chronic condition, trying to feel better day-to-day, or simply aiming for optimal health, understanding your glucose patterns is a crucial step towards achieving your goals.

Don’t let fluctuating blood sugar levels impact your health and well-being. Contact Dr. Ruthie Harper’s office in Austin, TX today to learn more about how CGM technology can be a game-changer in your health journey. Take control of your metabolic health today with the guidance of one of Austin’s top functional medicine experts.

CGM Blood Sugar Management | Austin, TX: 512.343.9355

reverse diabetes austin tx

The Diabesity Epidemic: How to Reverse Type 2 Diabetes

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How Functional Medicine Can Reverse Type 2 Diabetes

Type 2 diabetes, a chronic condition characterized by high blood sugar levels, has become a rapidly growing epidemic in recent years. Though type 2 diabetes has traditionally been viewed as a lifelong disease that can only be ‘managed’, advancements in functional medicine have shown that type 2 diabetes can be effectively reversed in most people.

Through a combination of blood sugar management, nutritional adjustments – and in some cases weight loss medications and hormone balancing – functional medicine doctor Ruthie Harper, MD offers a comprehensive approach to reversing type 2 diabetes.

Ruthie Harper, MD, is a functional medicine doctor in Austin, TX, who specializes in personalized treatment plans that address the root causes of type 2 diabetes. In this article she discusses how a functional medicine approach can provide a pathway to better health and reversal of this debilitating disease.

What is “Diabesity”?

“Diabesity” is a term that combines diabetes and obesity, reflecting the interconnected nature of these two conditions. Type 2 diabetes is primarily a metabolic disorder where the body becomes resistant to insulin, the hormone responsible for regulating blood sugar. This insulin resistance leads to elevated blood glucose levels, which, over time, can result in various serious and even life-threating health complications.

Obesity significantly increases the risk of developing insulin resistance due to the excess fatty tissue, particularly visceral fat, which interferes with the body’s ability to utilize insulin effectively. Several factors contribute to the development of Diabesity, including poor diet, sedentary lifestyle, genetic predisposition, and hormonal imbalances.

A diet high in refined carbohydrates, sugars, and unhealthy fats can lead to weight gain and increase the body’s demand for insulin. Coupled with a lack of physical activity, this can exacerbate insulin resistance. Genetics also play a role, as individuals with a family history of type 2 diabetes are more susceptible to the condition. Additionally, hormonal imbalances such as elevated cortisol levels from chronic stress can further impair insulin sensitivity and promote fat accumulation.

Understanding the root causes of Diabesity is crucial for effective intervention and reversal of type 2 diabetes. Functional medicine focuses on addressing these underlying factors through a holistic approach that includes dietary modifications, exercise, and targeted therapies. By treating the root causes rather than just the symptoms, Austin, TX functional medicine doctor Ruthie Harper, MD can help patients reverse the progression of type 2 diabetes, restoring normal blood sugar levels, and reducing the risk of many dangerous related diseases.

Diabesity Statistics

The prevalence of Diabesity has reached alarming levels globally, making it a significant public health concern. According to the International Diabetes Federation (IDF), over 463 million adults were living with diabetes worldwide in 2019, and this number is projected to rise to 700 million by 2045. In the United States alone, the Centers for Disease Control and Prevention (CDC) reports that over 34 million people have diabetes, with type 2 diabetes accounting for approximately 90-95% of all cases. (Note: type 1 diabetes is a hereditary autoimmune disorder that typically presents during childhood and is not weight related).

The link between obesity and type 2 diabetes is well-documented. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) states that more than 85% of individuals with type 2 diabetes are overweight or obese. This association underscores the importance of addressing weight management as a critical component of diabetes treatment. Obesity not only increases the risk of developing diabetes but also exacerbates its complications, leading to higher rates of cardiovascular disease, stroke, and kidney failure among diabetic patients.

The economic impact of Diabesity is substantial as well. The American Diabetes Association (ADA) estimates that the total cost of diagnosed type 2 diabetes in the U.S. was $327 billion in 2017, including $237 billion in direct medical costs and $90 billion in reduced productivity. These statistics highlight the urgent need for effective prevention and treatment strategies to combat the rising tide of Diabesity and its associated health and economic burdens.

Symptoms of Type 2 Diabetes

Type 2 diabetes often develops gradually, and its symptoms may be mild or easily overlooked in the early stages. Common symptoms include increased thirst and frequent urination, as high blood sugar levels cause the kidneys to work harder to filter and absorb excess glucose. As a result, excess glucose is excreted in urine, leading to dehydration and a persistent feeling of thirst.

Fatigue is another prevalent symptom of type 2 diabetes, as the body struggles to utilize glucose for energy due to insulin resistance. This lack of efficient energy use can leave individuals feeling unusually tired or sluggish. Additional symptoms include blurred vision, slow-healing sores, and frequent infections.

High blood sugar levels can damage the blood vessels in the eyes, leading to vision problems. Similarly, elevated glucose can impair immune function and circulation, making it harder for the body to heal wounds and fight off infections. Recognizing these symptoms and seeking medical evaluation is crucial for early diagnosis and effective management of type 2 diabetes.

Dangers of Type 2 Diabetes

If left untreated or poorly managed, type 2 diabetes can lead to a range of serious health complications. Cardiovascular disease is one of the most significant risks, as type 2 diabetes increases the likelihood of developing conditions such as coronary artery disease, heart attack, and stroke. High blood sugar levels can damage blood vessels and nerves that control the heart, leading to increased cardiovascular risk.

Type 2 diabetes also poses a threat to kidney health, with diabetic nephropathy being a common complication. Over time, high glucose levels can damage the delicate filtering system in the kidneys, leading to chronic kidney disease or kidney failure. This condition may require dialysis or a kidney transplant in severe cases.

Neuropathy, or nerve damage, is another potential complication of diabesity. High blood sugar levels can injure nerves throughout the body, causing pain, tingling, or loss of sensation, particularly in the extremities. Diabetic neuropathy can also affect the digestive system, urinary tract, and other bodily functions, leading to a range of health issues. Additionally, diabetes increases the risk of developing skin conditions, infections, and complications such as diabetic foot ulcers, which can lead to serious infections and even amputation if not properly managed.

How Functional Medicine Reverses Type 2 Diabetes

Functional medicine offers a comprehensive approach to reversing type 2 diabetes by focusing on the root causes of the condition rather than just managing symptoms. This personalized approach involves addressing insulin resistance, inflammation, hormonal imbalances, and other underlying factors that contribute to type 2 diabetes.

One of the key strategies in functional medicine is dietary modification. By adopting a low-glycemic, nutrient-dense diet that emphasizes whole foods, patients can improve insulin sensitivity and stabilize blood sugar levels. Functional medicine practitioners often recommend eliminating processed foods, refined sugars, and unhealthy fats while increasing intake of vegetables, lean proteins, and healthy fats like omega-3 fatty acids. This dietary approach helps reduce inflammation and support overall metabolic health.

Functional medicine also incorporates advanced diagnostic testing to identify specific nutrient deficiencies, food sensitivities, and hormonal imbalances. This comprehensive testing allows for targeted interventions, such as personalized supplementation, gut health optimization, and lifestyle changes. By addressing these underlying issues, functional medicine aims to restore balance and improve the body’s natural ability to regulate blood sugar.

Weight Loss to Reverse Type 2 Diabetes

Weight loss is a critical component of reversing type 2 diabetes, as excess weight contributes to insulin resistance and metabolic dysfunction. Functional medicine approaches weight loss through a combination of dietary adjustments, exercise, and, when appropriate, hormonal balancing and/or weight loss medications.

The new generation of medications such as Ozempic, Wegovy, Semaglutide, Tirzepatide, and Mounjaro have shown promise in improving blood sugar control, as well as aiding in weight loss. These medications work by mimicking hormones that regulate appetite and insulin secretion, helping patients achieve better glucose control and reduced body weight.

Ozempic and Wegovy, for instance, are GLP-1 receptor agonists that promote satiety and slow gastric emptying, leading to reduced calorie intake and weight loss. Tirzepatide and Mounjaro offer dual action on GLP-1 and GIP receptors, providing enhanced benefits for weight loss and glycemic control.

In addition to medications, functional medicine emphasizes individualized diet plans tailored to each patient’s needs and preferences. These plans often include balanced macronutrient ratios, controlled portions, and meal timing strategies to optimize metabolic function and support sustainable weight loss. Regular physical activity is also encouraged to enhance insulin sensitivity, promote cardiovascular health, and aid in weight management.

Blood Sugar Control to Reverse Type 2 Diabetes

Effective blood sugar control is essential for reversing type 2 diabetes and preventing serious health complications. In addition to medications, functional medicine focuses on stabilizing blood glucose levels through a combination of dietary strategies, lifestyle modifications, and natural supplements.

A key dietary strategy involves choosing low-glycemic foods that have minimal impact on blood sugar levels. These foods include non-starchy vegetables, whole grains, legumes, and lean proteins. Functional medicine practitioners often recommend reducing or eliminating high-glycemic foods such as refined sugars, white bread, and sugary beverages, which can cause rapid spikes in blood glucose. Incorporating fiber-rich foods helps slow the absorption of glucose into the bloodstream, further aiding in blood sugar management.

In addition to dietary changes, functional medicine may incorporate natural supplements known to support blood sugar regulation. These can include berberine, chromium, alpha-lipoic acid, cinnamon extract, and others. These supplements can enhance insulin sensitivity, improve glucose metabolism, and reduce oxidative stress, contributing to better blood sugar control. Regular monitoring of blood glucose levels and continuous education on carbohydrate counting, portion control, and meal planning are integral parts of the functional medicine approach to managing diabetes.

Hormone Balancing to Reverse Type 2 Diabetes

Hormonal imbalances can significantly impact insulin sensitivity and contribute to the development and progression of type 2 diabetes. Functional medicine addresses these imbalances through comprehensive hormone evaluation and targeted interventions, including bioidentical hormone replacement therapy (BHRT).

BHRT uses hormones that are chemically identical to those produced by the body to restore hormonal balance. For patients with metabolic syndrome or hormonal imbalances such as low testosterone or thyroid dysfunction, BHRT can improve insulin sensitivity, support weight loss, and enhance overall metabolic function. This approach helps address the root causes of insulin resistance and supports the body’s natural ability to regulate blood sugar.

In addition to BHRT, functional medicine practitioners may recommend lifestyle changes to support hormonal balance. These can include stress management techniques, adequate sleep, regular physical activity, and dietary modifications. Addressing hormonal imbalances through a holistic approach helps improve metabolic health and supports the reversal of type 2 diabetes.

Reverse Type 2 Diabetes | Austin, TX

Reversing type 2 diabetes requires a comprehensive and personalized approach that addresses the underlying causes of the condition. At Prosperity Health in Austin, TX, Dr. Ruthie Harper utilizes functional medicine principles to provide customized treatment plans that focus on weight loss, blood sugar control, and hormone balancing.

By targeting the root causes of type 2 diabetes and incorporating advanced diagnostic testing, functional medicine offers a pathway to better health and disease reversal. Schedule a consultation today to learn more about how Dr. Harper’s functional medicine approach can help you achieve optimal metabolic health and effectively reverse type 2 diabetes – to live a longer, healthier, happier life!

Austin, TX Type 2 Diabetes Doctor: 512.343.9355