Welcome to the Fat Emperor podcast. I'm your host, Ivor Cummins.

First of all, just before even talking about a blood test, just external measurement, waist-to-height ratio.

This is huge. If you measure your waist circumference, you know, first thing in the morning, at the belly button, abdomen totally relaxed.

You take your waist circumference, you divide it by your height.

That waist to height ratio correlates almost perfectly with insulin sensitivity, and it's huge.

And that would probably get you 80% to where you need to be in terms of knowing

what's going on with you so waste-to-height ratio great metric love it last time I

checked it was free so I like to start there that's in fact if there was one

thing anybody can be tracking, it's probably waist

to height ratio. And that, not to break in, but that much more powerful, of course, than general

BMI, general weight. I mean, the ratio is what really talks or speaks to insulin sensitivity.

Absolutely right. Well, weight is not the right thing to track

because I have tons of patients with normal weight obesity. They have such little muscle

mass that they're huge but they have no lean mass and so their weight is actually normal

but they're over fat really bad, really high insulin, very overfat, weight looks normal.

Right.

Then I have these power lifters who, you know, I have a 30 inch waist, but they're 240 pounds and they're completely perfect.

So yeah, weight is not, weight can mislead. BMI, of course, course is misleading but waist to height ratio is

fantastic so everybody needs to start there then blood tests well I you know

everyone should check their fasting glucose well which you can do now with a

glucometer for you know 10 cents but most people out there are going to have normal

glucose right up into the point where they're fully diabetic so that's not really telling you the

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