All the shops in my area didn't have any red coins. Seriously, I've got red coins at home, but I don't like red coins.  J-Red, what's your favourite colour? Is it red? Alright, so J-Red, on that note, what came first? When I say everyone, I'm not really thinking about it so long. No one else has asked me at all. What came first? Did you start wearing red and then start rapping? Or did you call yourself J-Red and then be like, I'm a wear red? Which one did you go around with? Obviously I was called J-Red first and then... Well, not obviously, that's why I asked the question.  So I just thought, yeah, I might as well. J-Red, do you want to wear Bambalam's jacket? I think the song will adapt well to the bigger stage.   I don't get as nervous battling as I do just doing like poetry stuff. Oh, really? Why is that? Because I think that the stuff I write for poetry is a lot more serious and personal, whereas this is kind of a lot more like higher, so I don't really worry too much, I'm not really worried about choking or doing anything.    That's why I've got you all up here at the same time, because you're all new, it's a really, really big event, it's a big part of our year, and you can tell obviously that the staff are rating all you three if they put you in a card, so have you prepared any differently with your bars, have you stuck to what you've done normally, or how have you approached this thing? You know what, to be honest, I've been following Don't Plop for a while, even though obviously a long time before it's all getting bold, this is one of the biggest UK vs UK cards I've seen. It's obviously an honour to be part of it, and for me it's just like, I don't want to change too much, it's a stage, and I like that it's a stage event, I'm not sure if it's a pit, either way it's a pit or a stage, it's a load of people, and it's like, same, not in battle rap, through spoken word, that kind of stuff, I'm used to that environment as well, of being on a stage mic'd up, and that kind of shit, and I'm actually looking forward to trying it like that, I think there's more you can add performance-wise, and you've got the space, I've seen a lot of guys at the last event, the checkpoint event, you think of Willsy, those kind of guys, who were using the stage well, and kind of performing, and I'm kind of looking forward to that side a bit, bar-wise, probably not too much different, but performance-wise, it adds a lot of potential, I think. More about you, right? Yeah, like, I've been following Dora Flock, that craft said, and it's a good accomplishment that they've achieved as well, and us being able to perform on a big stage, I plan to keep things similar to how I've been doing, stick to the script in terms of the battle, and only thing differently will be using the space, that's what I consider as well, being able to maneuver in that space and engaging with the crowd. What about you, Will? I'm basically just trying to do what I'm doing, but better, really. I mean, obviously it is the biggest event I've done, the biggest opponent I've had, but while on the day it matters, and because the crowd is there, when it's happening, it matters, as far as most people watching about battles are watching online, and it's almost more about the progression and the rewatchability and stuff. So I'm basically, I mean, I feel like I've got my strengths in some of the angles I take, the clowning kind of stuff. I'm trying to make my punchlines more of my serious bars kind of hit harder and be a bit clever and stuff, but really it's just kind of building what I've done already. I feel fairly comfortable, whatever kind of room I'm in, so it's more about just making sure that not only can I do that, but just make it sort of rewatchable and entertaining for wherever it's being watched. What is it about on these first round? She's so glad you asked! What was your first round about? What was it about? So anyone who hasn't seen the battle? Well, in the context of a battle, it was sort of a breakdown on what feminism is, what I think it represents, and what liberals represent it, in my opinion, and that it was obviously in the context of... Let's go, that's it! Well done, Danny! In the context of a battle as well, it's an extended version as well. It was sort of about using that and then saying, actually being a female can be advantageous, so just getting Pedro in your first battle. So I was trying to use that a bit and do a little bit of an interesting... You need to be honest with me, it came off, it got into top five rounds in a month, but I got a lot of critical acclaim, got more like... All the top comments are about that. I think you've got to stop and say, actually, that's a bad opinion, but... A lot of people reach, you get me? Is Danny correct in saying that you found it offensive or what? Because I'm not really sure I put this in. Is he right in saying that or...?   Let's go, let's go, let's go, let's go! Let's go, let's go, let's go, let's go! I was going to say it back, and I don't want to get this add-in there, so some burn too, press call, but I'll go on to it a little bit, what I say, after the battle, we were hanging out, it was fine, people sort of agreed in my first round, more kind of got to you, and I think if I'm honest back, you've got a sort of, it comes to a point where you've got to just sort of let it go like, you know what I'm saying? You've got J-Red to folk, it's like... I expect that in my first round, right? I expect in my first round. It's good, it's very well read, it's just shit! So the question everyone gives is, are you going to do a two on two? I'd be up for it, but I don't think I'd live with it.  You know what, personally, I'm just a competitive person, if I do something, I want to be good at it, and better than who I'm facing it, you know what I mean? It's just like the way I am, I think me and J-Short are going to get this battle judged, just going to be both, you know what I mean? I like the fact that, I know it's not like, I like non-judge battles as much, but personally, as a fan, before that, I always loved watching judge battles, seeing how people's records, that kind of stuff, and that song was on the land, so as a battle, I sort of want to battle the way I would like watching it, and so I kind of want to get mine judged, for the reason, but... And how about you, Russ, your opinion? Yeah, I'll just step into the ring with the mindset to win, regardless of, like, what the event is, and it's like, the same thing, same thing goes, like, we're just going there to do our thing, but like, looking to come out and win regardless, but, depending on what I've got Jay did, and he's really, really, really good at what he does as well, so, I'm skeptical going into it, knowing that it's not going to be a clean streak, like... Okay. Because he's won a shitload of battles. Exactly, sir. But, Liv, I wanted to ask, because this is going to be your third battle, and this is going to be your third dude, you've got a battle. I was going to like to ask you, would you ever have an interest in battling a girl, and then Jay Redd, I'd like to ask you, how much have you, have you felt any different about writing for a girl as you would for a dude? So Liv first, yeah. Would you, do you have an interest in, but not, I don't mean Harriet, I mean, anybody else in time, would you battle a girl or not, or what have you got? I think in the moment, I definitely wouldn't, because it's hard enough to do it, because there's no girls here. So, like, I wouldn't necessarily then want to, and also I don't know what I would write about a girl, I don't really want to be mean about someone else, who's trying to do what I'm trying to do, and I'm not going to slag off someone's appearance and all that shit, so I don't think that I would be particularly good at writing for a girl, because I kind of think that's pretty cool. So yeah. Cool. And Jay, and yeah, I mean, because we specifically set this battle up, because of your style and her style, we think it's such a hilarious clash. So have you approached it, just like it's any opponent, writing jokes, and we approached it like it's a girl, you're back. No, there's parts, there's parts that I'm just doing it, like, as if she's just anyone, but there are like, specific parts. No, there's specific parts, that I like. Obviously, I've tabled other than that, obviously, I don't want to give, like, I think probably everybody watching this would probably be slightly disappointed if you didn't have one bar about her being a girl. It would probably be quite a surprise if Jay Redd vs. Liv Wynner was all just about bars, bars, bars, bars.  Anyway, well, I think we're done. Give up.


Hello everyone, this is Dr. Ahmet Ergin from Sugar MDs. Today the topic is what is my blood sugar goal? Again, this is a common question we get and we are going to address it today. Now before we jump into the video, please subscribe to us, please like us. If you want to test us, definitely watch more videos, understand more about diabetes and then subscribe. And once we get to 30,000 subscribers, we are going to start making patient cases from real life, then it's going to be really really interesting. So we really need to get to 30,000 subscribers, get us there and let's move on for the real deal now. So what is my blood sugar goal? Common question.  The problem with that, when you say my, when you say mine, then everything changes. The general guidelines are there and I'll talk to you about general guidelines and I'll tell you how your situation can be different and I will divide patient groups according to certain characteristics. Now you can decide what characteristics you have and what goal you should have for you as a person because I'm not going to give one single number that can fit everyone that never happens, right? So let's get started. Now the general guideline is 7% A1C. So if you do not know what an A1C is, please click above so that you can actually understand what an A1C is and come back to this video. Now A1C less than 7% is the goal. In this case, you know, majority of the people think that they have to go below 7, but your goal may be different. And then to get to 7% A1C, let's talk about this. How do you really get to 7% A1C, that magic number that everybody wants? Although as I said, your goal could be 6% or even 8%, depending on what type of person or patient you are, but for 7%, this is the rule of thumb. If you are less than 130 before meals consistently and you are less than 180, one to two hours after meals, then you are going to be at 7%. Why do I say that? Because 7%, like we discussed in the A1C video, that percentage, 7% equals to an average blood sugar number. So 7% in this case is 150 milligram per deciliter. And to achieve 150 milligram per deciliter, without having severe fluctuations, less than 130 before eating, less than 180 after eating, you can get to 7%. So or below. Now A1C is not the greatest tool because it doesn't really tell you highs and lows. It just tells you the average. So you can still get to 7%.  That doesn't mean that you're doing really well. But the bottom line is 7% is a common goal. Less than 130 before meals, less than 180 is a common goal for most patients. Now, of course, another thing you have to pay attention to is the patient characteristics. What we look at is how young is a patient and how healthy is a patient. The younger and healthier you are, and the more strict we can be with you. So and then how willing are you to actually bring your A1C down? How willing are you to do diet and exercise? How willing do you to take medications? And so forth. A lot of factors play into it. Medications costs are there and this and that. But the bottom line is for a motivated patient, a young individual, you can easily go below 6%. I have a lot of patients down to 5.5 or even down to 5%. With or without medications, depending on the individual. But that's very achievable. So I always say as low as reasonably achievable. So why do I say reasonably? Because you don't want to go there by causing a lot of low blood sugars, like blood sugars down to 50, 40. You don't want to do that. You don't want to go below 70. You want to stay above 70. But you want to stay less than 130 as well. So if your blood sugars are ranging from 90 to 130, some days you're behaving. You're good. Your blood sugar is 90 to 100 before meals. Next day, it's a weekend.  And then you go to 120, that's okay.  As long as you keep that upper threshold below 180 and you keep most numbers down to 90-100 range, you can still get your A1C down to 6.5 or less than 6.5. So again, it's all about the average numbers. And then your blood sugar, how much you spike, also determines it. So I generally recommend checking blood sugars after meals sometimes as well to make sure that you are staying below 180. Now, if you want to really go down to 6.5 or 6 percent or below, you want to go below 160 or 150 after meals, then you are really going to be able to achieve that A1C level. So like, for example, another question is what should my blood sugar be at bedtime? Now, that depends on what medication you're on, typically. But I would suggest being below 150 is a general rule of thumb, because bedtime is not necessarily after dinner. So even if after dinner you're let's say 170 or so, you should be able to go down to 150 before bedtime. So what ends up happening is a lot of people start eating snacks and fruits and stuff like that while watching TV, God knows. And then their blood sugar starts climbing. So although they didn't have a big dinner, but these snacks carry them up to 200 at night. And then sometimes if they're having fatty snacks, that may affect the morning blood sugars as well. And then that becomes a constant problem.  Let's talk about older individuals or individuals with more problems, such as people with chronic kidney disease, people with liver disease. We are more careful with them just because they tend to have more susceptibility to low blood sugars. And these people are typically have been diabetic for 15, 20 or more years.  And they're more on the older age, you know, especially if somebody is like 75 plus 80 plus, you know, they do not respond well to low blood sugar problem. And they may be alone. They may not fix it themselves. So they're more at risk. So for those people, we relax the blood sugar goals. And we tell them, look, you know, basically, yes, you have a chronic kidney disease. But you have a lot of other problems. We actually look at the patient, you know, what do we, what are we looking here, how many years this patient may have, you know, let's say five, 10 years, all those chronic problems. And we don't foresee any major problems from a slightly high blood sugars. But we see more harm from a very strict blood sugar control. And there have been a lot of studies about this, you know, when they try to bring as older frail patients down to a very tight blood sugar control, they actually end up dying more typically. So that's why we are easy on them. We tell them, okay, your blood sugar goal is not let's say 8% A1c. We can live with that. If your blood sugar is less than 115 in the morning, I can live with that. You can live with that. Especially if they didn't have, you know, major complications so far. Some people are resistant to complications of diabetes for an unknown reason. You know, they have been let's say 7%, 8% in their entire life for 20 years. And now they don't really have much of anything going on. They have a good kidney function, you know, that's another factor, you know, when we look at people. So they haven't died for 20 years. And they don't have any eye disease, no kidney disease, no heart disease. Obviously, some people are reacting differently to high blood sugars. And I look at them, look, you're already 75, you don't have any complications, you haven't died for 20 years.  So it is an art. We look at our patient, we look at, you know, what's the best thing for them? What is best thing for a patient can be different from the patient standpoint because the doctors go to school for that. So the same thing when I take my car to a mechanic, what I think best for my car is totally different than what a mechanic thinks is best for my car, you know. So as a result, you sometimes, you know, try to trust a professional opinion to save yourself some time and harm. So as I said, older people less stringent, 8% A1c, less than 150 in the morning is fine, less than I would say 200 at bad time is okay for those older people. But for younger people who have been newly diagnosed, go as low as you can, 4.5% A1c, go for it. It's just that you have to be careful about what you're doing to get there. You know, if you're doing this with diet and lifestyle, great. But sometimes people will come to me and they say, oh, my blood sugar is 120, that's horrible, what am I going to do? I'm like, look, 120 is not bad, you know, and you're dieting and exercising, you're doing everything. You know, the next thing we have to do is put you on a medication. And they say, yeah, that's the medication, no worries. I'm like, well, that's okay. But the thing is with the medications, you know, everything has a possible side effect. So the thing is sometimes you have to really understand what side effect you're looking for in the short term and long term and what your goals are in the short term and long term and what's the benefits in the short term and long term. These are the things that a lot of patients don't understand, they just get stuck on their number, whatever they think is best in their mind. But I think you should really provide good sorts of information and have a good discussion with your doctor. Now at SugarMDs, you provide you all that, we're always staying in touch with you with texting, emailing, so you don't have to make a decision on the spot. We do virtual appointments, so we can see on the video, we can talk to you, we can text with you. That's a different way of managing diabetes. We have cellular communication where basically we can even get your meter, send us data through a cellular towers. We are using AT&T to collect blood sugar data without having the patient to enter blood sugar anywhere, or keep logs or anything like that. So all this data comes to us and we manage our patients that way. So we become very proactive instead of reactive.  Good luck if you can reach out to them.   And then by the time you get to the doctor, the doctor will say, okay, where's your blood sugars? Are they going to start screaming at you because you're too high or too low? None of that we want to do. So in our practice, things are very modern, very simple, even for older patients. So let's say you're a 75-year-old, it may sound intimidating, but it's very simple.  If you're from a Florida or New York resident, make sure you give us a call and learn more about our services.  Very soon, we are going to start making patient cases, real patient cases without giving names, of course. And we are going to make these presentations of patients and their outcomes, etc., which will be a lot of fun. We will do that once we achieve the 30,000 subscribers and have a wonderful day.