Primary Care Voice

Kulmeet Kundlas M.D.
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Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends

  1. 1d ago

    LIPFENDRA Explained: The First Oral PCSK9 Inhibitor for High(Bad) LDL Cholesterol

    FDA Approves First Oral PCSK9 Inhibitor: Lipfendra Explained (Who It’s For, Cost, Benefits, Myths) Dr. Kulmeet Kundlas discusses the FDA approval of the first oral PCSK9 inhibitor, Lipfendra, as a potential game changer for patients with high cholesterol who can’t reach LDL targets with current therapy. He explains how cholesterol and lipoproteins (LDL and HDL) work, why lowering LDL reduces heart attack, stroke, PAD, and death risk, and how statins and PCSK9-targeting therapy lower LDL through different mechanisms. Lipfendra is a 20 mg once-daily pill taken on an empty stomach, priced at about $310/month, and can lower LDL by roughly 56–59% with minimal side effects (e.g., diarrhea, dizziness). FDA-approved use is as add-on therapy for patients on statins not at goal, familial hypercholesterolemia, and established ASCVD; it is not a statin replacement. He addresses common myths, emphasizes lifestyle changes, and outlines likely insurance and prescribing steps. 00:00 The FDA Just Approved This — Why It Matters 01:00 From $1,400 Injection to a $310 Pill 02:04 How Cholesterol Actually Works in Your Body 03:46 Statins vs. PCSK9: Two Different Targets 04:23 Why Lowering LDL Saves Lives (The Numbers) 05:42 Why I'm Excited — and Why It's Add-On, Not Replacement 06:44 Who's a Candidate — the Three Approved Groups 08:41 How to Take It: 20mg, Empty Stomach, Wait 30 Minutes 08:59 The Molecular Redesign That Made a Pill Possible 09:32 How Much It Lowers LDL — Cost and Side Effects 10:04 5 Myths I Need to Clear Up 12:07 Your Next Steps: The 4 Hoops

  2. Jul 1

    Medicare GLP-1 Bridge: 7 Facts They Did not Tell You

    Medicare GLP-1 Bridge: 7 Facts They Did not Tell You Overview Start date: July 1, 2026 End date: December 31, 2027 (18-month CMS Innovation Fund demonstration) Purpose: Expand access to anti-obesity GLP-1 medications for Medicare beneficiaries Processing: Outside Part D, centrally administered via Humana Copay: Flat $50/month per medication Covered Medications Semaglutide (Wegovy) Tirzepatide (Zepbound) Liraglutide (Saxenda)

  3. Jun 19

    Medicare’s $50 GLP-1 Program: Who Actually Qualifies?

    Medicare GLP-1 Bridge Program Explained: $50 Wegovy/Zepbound, Eligibility, PA Rules, and What Happens in 2027 A board-certified primary care physician explains Medicare’s new GLP-1 “Bridge” pilot program covering weight-loss medications (Wegovy and Zepbound) with a $50 monthly copay. The program is separate from Medicare Part D coverage and will be administered by Humana.

  4. May 23

    Cardio vs Weights: Which Lowers Blood Sugar Faster And Which Lasts Longer?

    Best Exercise for Diabetes: When to Walk, Cardio vs Weights, and How to Lower Blood Sugar Spikes Dr. Kulmeet Kundlas explains how many diabetics exercise incorrectly and outlines science-based strategies to control blood sugar short term and long term. He emphasizes that “muscle is medicine,” noting muscle clears about 80% of carbohydrate load and that building 10% more muscle can reduce insulin resistance by 11%. He contrasts aerobic exercise (brisk walking, treadmill, swimming, jogging) which quickly lowers glucose by reducing insulin resistance, improving insulin sensitivity for 24 hours, using an insulin-independent pathway, and increasing blood flow, with resistance training that increases GLUT4 “doors” on muscle cells and keeps them active longer. He recommends at least 150 minutes/week of uncomfortable-paced cardio plus resistance training 2–3 times/week, walking 10 minutes after major meals to blunt spikes, timing walks immediately for non-diabetics, 15 minutes after meals for prediabetics, and 30 minutes after meals for diabetics, with late afternoon/early evening providing stronger effects.

  5. May 16

    Dining Out with Diabetes: What to Order at Restaurants

    Dining Out with Diabetes: Food Sequencing, Portions & Fast-Food Swaps to Reduce Blood Sugar Spikes This episode explains how people with diabetes can still dine out by using strategies around portion control, mindful eating, and food sequencing to reduce post-meal blood sugar spikes. It notes that typical restaurant meals average about 860 calories, 122 grams of carbs, near-zero fiber, and high sodium, and describes how high blood sugar damages blood vessels and contributes to plaque, heart attack, stroke, and limb loss. The script outlines how the food industry drives overeating through oversized portions, ultra-processing, backward sequencing (bread first), hidden sugars in sauces, unhealthy oils, additives, plastics, and high sodium, and offers counter-strategies: box half the meal, eat fiber/vegetables first then protein/fat then carbs, choose lower-sugar sauces, prioritize whole grains/legumes, avoid sugary drinks, use CGM feedback, and make fast-food swaps (e.g., lettuce wrap plus salad/apple wedges) to cut calories and carbs.

  6. May 9

    How to Reverse Diabetes With Diet — Why Fiber Is the Secre

    How to Reverse Diabetes With Diet — Why Fiber Is the Secret Fiber for Type 2 Diabetes Reversal: Lower A1C, Cholesterol & Heart Risk (Soluble vs Insoluble) Dr. Kulmeet Kundlas explains how increasing dietary fiber can help reverse type 2 diabetes, reduce post-meal glucose spikes, and protect blood vessels by preventing high-sugar damage to the glycocalyx that contributes to plaque, heart attack, and stroke. He contrasts a low-fiber Western diet (about 15 g/day) with recommended intake (~30–35 g/day) and describes soluble, viscous fibers (e.g., oats, barley) that slow gastric emptying, reduce spikes, and lower cholesterol by binding bile, and insoluble/fermentable fibers (e.g., beans, lentils, greens) that feed the microbiome to produce short-chain fatty acids linked to satiety, improved insulin resistance, colon health, and increased GLP-1 signaling. He offers practical targets and food examples, advises adding fiber gradually with hydration, notes medication timing concerns, and highlights fiber’s role in preventing constipation, including with GLP-1 drugs,

  7. May 2

    Living with Diabetes: A Simple Carb Counting Guide

    Carb Counting for Diabetes: Labels, Net Carbs, Plate Method, and the Rule of 500 In this live diabetes-series session, the host explains carbohydrate counting as a key survival skill for diabetes management, focusing on how carbs affect blood sugar, how to read nutrition labels (total carbs, fiber, and net carbs), and how glycemic index influences sugar spikes. The script reviews what food is made of, why carbohydrates are the body’s preferred fuel, and how insulin works in type 1 versus insulin resistance in type 2 diabetes. Practical guidance includes estimating daily calories (10/15/20 calories per pound based on activity), aiming for a balanced diet (about 50% carbs, 25% protein, 25% fat), typical carb targets per meal (women 45–60g, men 60–75g), and using the 9-inch plate/hand-portion method. It also covers common mistakes, using CGMs, and insulin dosing with the “rule of 500.”

  8. Apr 27

    Keto vs Mediterranean vs Intermittent Fasting: Which Reverses Diabetes?

    Type 2 diabetes reversal is no longer a hope — in 2026 it is evidence-based medicine. The latest ADA guidelines confirm that diabetes remission is achievable through diet, weight loss, exercise, sleep, and stress management. In this video, Dr. Kundlas walks you through the exact pillars that put insulin resistance into reverse, why simple carbohydrates (not all carbs) drive disease, and how losing 10–30% of body weight unlocks 34–86% remission rates. This is not about a fad low carb diet or a quick fix. It is a complete diabetes management framework rooted in physiology — the kind your doctor wishes they had time to explain.

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About

Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends

Information

  • Creator
    Kulmeet Kundlas M.D.
  • Years Active
    2023 - 2026
  • Episodes
    100
  • Rating
    Clean
  • Copyright
    © Copyright 2023 All rights reserved.
  • Show Website
    Primary Care Voice

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