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Diabetes can hide in plain sight, especially when the usual red flags do not show up on the scale. We talk with Dr. Jonar de Guzman, a dual board-certified internal medicine and lifestyle medicine physician and the founder of For Truth Health, about why prediabetes and type 2 diabetes hit Asian and Pacific Islander communities so hard, even at lower BMI levels. 

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During the interview, Dr. Jonar explains visceral fat, missed screening, and the cultural patterns that can make diabetes feel “normal” or inevitable in families.

We also get specific about what diabetes reversal actually means: improving insulin resistance so your cells respond to insulin again, which can lead to remission of diabetes for many people. 

Dr. de Guzman breaks down silent warning signs, what to do in the first 48 to 96 hours after a diagnosis, and the biggest levers to pull right away with lifestyle medicine: nutrition and movement. We dig into processed foods, inflammatory fats, and why fiber matters so much for blood sugar, gut health, and even your body’s natural GLP-1 production.

Then we go where standard care often stops: real life and real feelings. If rice, noodles, bread, and shared meals are part of your identity, “just cut carbs” is not only unhelpful, it can feel like losing your culture. We share practical tactics like preloading before parties, bringing healthier alternatives, sequence eating, portion awareness, and post-meal walks. We also cover stress, grief, cortisol, and simple tools such as mindfulness meditation and qigong that can help steady blood sugar over time.

If this conversation helps you, subscribe, share it with someone who needs it, and leave us a review. 

What part of your diabetes journey feels hardest right now?

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