Glucose Archives | Surrey Cardiovascular Clinic

The SCVC Blog

Cardiovascular care news and articles from our expert team

Exercise and Digital Tools Should Be the First Line in Reducing Visceral Fat in Cardiac Patients

We use waist-to-height ratio (WHtR) as a screening tool, followed by low-dose CT to measure VAT index (VATI) against gender- and ethnicity-specific thresholds. Where VATI is high, patients enter a six-month digital lifestyle programme using tools like the Dr Shape food app, CGM, and body composition scales. Pharmacological therapy, including GLP-1 receptor agonists, is reserved for non-responders—making this a precise, cost-effective, and highly personalised pathway for VAT reduction.

Why the Mediterranean Diet Works: It’s More Than Just What You Eat

For years, the Mediterranean diet has been praised as one of the healthiest ways to eat. Rich in vegetables, olive oil, fish, nuts, and whole grains, it’s been linked to lower rates of heart disease, diabetes, and obesity. But why does it work so well?

The GLP-1 Mimetic Clinic

GLP-1 therapy is most effective when paired with sustainable lifestyle improvements. That’s why our clinic operates on a shared care agreement—we commit to providing access to these powerful medications, while you commit to making meaningful changes in diet, exercise, sleep, and stress management.

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Glucose: A Matter of Life and Death

Recent scientific discoveries have aligned much like planets, leading to an inescapable conclusion among many physicians that glucose metabolism may be even more important than LDL cholesterol in the genesis of many modern diseases.

My glucose spikes: so what?

There is a wealth of evidence linking pre-diabetes, raised HbA1c, and full-blown type 2 diabetes to increasing cardiovascular risk. Lesser degrees of a pre diabetic metabolism could therefore have an important role in causing long-term atherosclerosis.

Metabolic Health Assessment

Is is increasingly obvious that not everyone with raised coronary inflammation and elevated risk of heart attack simply has a raised LDL Cholesterol- in fact there appears to be a mixed bag of risk factors associated with high coronary artery inflammation, including raised LDL, raised LP (a), raised Homocysteine, hypertension and dysregulated glucose. Our metabolic health assessment is therefore designed to offer a comprehensive dive into known contributory causes, the latest and most controversial of which is 'glucose dysregulation', the principle topic of this article.

How to manage a dysregulated glucose?

In the absence of strong evidence, a pragmatic approach involves educating patients about the current knowledge gaps while encouraging lifestyle changes that are generally beneficial. These include reducing carbohydrate intake, choosing lower glycemic index foods, increasing physical activity, and improving sleep quality. Such measures are unlikely to be harmful and could potentially lead to improved overall health and well-being

Three game changing technologies in 2023

As we begin 2024, I want to highlight three groundbreaking developments from 2023 that promise a brighter future for healthcare, two of which leverage the power of artificial intelligence (AI).