Diacast - a diabetes podcast

Hello Diacast fans! As I'm sure you've noticed, Amy and Liz have been missing for a few months and there have been no new episodes. Our lives have become quite complicated over the summer, and we have not been able to put the time, energy, and heart into creating content for y'all. Unfortunately it looks like this is going to be our new normal, at least for a little while, so we have made the difficult decision to break our promise of monthly episodes and go on hiatus for a while to recharge our batteries and hopefully find new time and motivation to bring you more great episodes. We do have a couple projects in the works, and as those are finished we will be releasing them here to our wonderful subscribers.For our patrons, thank you from the bottom of our hearts for your support. We will be disabling continued donations for the time being as we are not delivering new content. Liz has been working her way through the backlog of episodes to re-cut and deliver bloopers and behind-the-scenes audio, and when those are finished we will still make them available on our Patreon.Once again, thank you all for all of your support, and hopefully talk to you soon!

This episode is basically a family therapy session about growing up with diabetes (all parties consented to the recording). Clinical psychologist Dr. Mike Fulop returns to lead a discussion with Amy and her parents about overcoming some of the challenges of raising a child with diabetes and what they did to pull it off. Hear about some of the challenges with (lack) of local support networks and diabetes care providers, as well as steps taken to facilitate an adventurous life.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksBehavioral Diabetes institute Institute https://behavioraldiabetes.org/

With insulin and other diabetes med shortages on the rise, Liz, Amy, and Evan dive in to some of stated (and hypothetical) reasons for the shortages. While official explanations for insulin shortages are sparse, changes in the supply chain and manufacturing demands (and probably some good old fashioned corporate greed) are all at play. There's no clear answer, but there are steps we can take to plan ahead and mitigate how insulin shortages impact us.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksInsulin assistance programs (through manufacturers)https://diabetes.org/tools-resources/affordable-insulinPress releases:https://www.jdrf.org/press-releases/jdrf-statement-and-update-on-insulin-shortage/https://www.lilly.com/our-medicines/humalog-and-lisproArticles on Insulin and Med Shortageshttps://www.aljazeera.com/economy/2024/5/2/what-is-behind-the-insulin-shortage-in-the-ushttps://www.cnn.com/2024/03/22/health/insulin-shortage-eli-lilly/index.htmlhttps://nabp.pharmacy/news/blog/diabetes-drug-shortages-and-fake-ozempic/

Liz and Amy dive into the basics and talk about treating hypos and their favorite low snacks. Not all treatments are created equal. And remember, the best low snack is the one you have on you - so stash them and carry them!Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacast

Diabetes management is all about finding what works for you - and then implementing it. This month we dig into self-management and self-advocacy. Join Liz, Amy, and Kelly to discuss choosing the management methods that work best for you, benefits of MDI vs insulin pumps, use of medications for T2 management, and tips for getting what you want from your care team.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksT2 Diabetes and CGM Usage https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957379/Flexible vs Rigid Dieting https://europepmc.org/article/MED/10349584Flexible vs Rigid Dieting and Disordered Behavior https://pubmed.ncbi.nlm.nih.gov/10336790/https://pubmed.ncbi.nlm.nih.gov/11883916/Diabetes Etiquette Card https://behavioraldiabetes.org/product/diabetes-etiquette-card-for-people-who-dont-have-diabetes/Diabetes Etiquette Card for Parents of Teens https://behavioraldiabetes.org/product/teen-etiquette-card-diabetes-etiquette-for-parents-of-teens/Behavioral Diabetes Institute https://behavioraldiabetes.org/

Season 3 kicks off with a back-to-the-basics look at carbs. This being the Diacast, the basics include a discussion of different types of carbs, how they absorb, and why they're important. Also a discussion on the link between low carb diets and increased insulin resistance. Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: [discord.gg/diabetes](https://discord.gg/diabetes)Patreon (help us stop losing money - plus early access, bloopers, and more!)[https://patreon.com/diacast](https://patreon.com/diacast?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_fan)**Reference Links**American Heart Association - Carbohydrates https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/carbohydratesAmerican Diabetes Association - Types of Carbs https://diabetes.org/food-nutrition/understanding-carbs/types-carbohydratesMayo Clinic - Carbs and Nutrition https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/carbohydrates/art-20045705Cleveland Clinic - Carbohydrates https://my.clevelandclinic.org/health/articles/15416-carbohydratesStudy on low-carb diets and insulin resistance https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061153/Dietary Carb Intake and Mortality https://pubmed.ncbi.nlm.nih.gov/30122560/Harvard Health - Carbs and GI https://www.hsph.harvard.edu/nutritionsource/carbohydrates/carbohydrates-and-blood-sugar/

Ever wondered how accurate your CGM and meter really are? Join Amy, Liz, DJ, and Paul as they discuss how accuracy is determined for blood glucose measurements, how CGM placement impacts readings, and how to restart different sensors. Plus what meters are the most accurate and other nifty tips.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksFDA reporting form: https://www.safetyreporting.hhs.gov/SRP2/en/Home.aspx?sid=9c514b5e-a059-4c6c-b3fd-2b3c4957e2d1Flash Glucose Sensor Alternative Placement https://diabetesonthenet.com/diabetes-digest/accuracy-and-tolerability-of-alternative-sites-for-flash-placement/Libre Placement on Alternate Sites https://www.researchgate.net/publication/357225781_Where_can_you_wear_your_libre_Using_the_FreeStyle_Libre_Continuous_Glucose_Monitor_on_Alternative_Siteshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444490/#:~:text=In 1987%2C the ADA suggested,30 and 400 mg%2FdL.&text=Today's CGMs allow frequent glucose,between 3 and 14 daysMeasures of CGM and Glucose Meter Accuracy https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501529/Discussion of International Organization for Standardization revised quality standards for blood glucose meters https://jdrf.org.uk/information-support/treatments-technologies/continuous-glucose-monitors/how-accurate-is-my-blood-glucose-monitor/Investigation of Accuracy of 18 blood glucose monitors  https://www.diabetestechnology.org/surveillance.shtml

Use of diabetes medications in non-approved (aka off-label) ways is increasingly common. This month, Amy and Liz dig into common off-label usage of Type 2 medications in insulin-deficient diabetes. Meds like GLP-1s, SLGT2's, and metformin have an established history as a treatment for improving insulin sensitivity in T1's. Ever wonder how that works and what the potential down sides are? While they're on the topic of medications used for non-FDA-approved purposes, stay for the second half of the episode where they delve into use of supplements (cinnamon and turmeric) for diabetes management and if/how it works (the answer may surprise you) (or not).Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference Linkshttps://diatribe.org/how-people-diabetes-are-getting-during-ozempic-shortageOff-Label Medication in T1D https://www.utsouthwestern.edu/newsroom/articles/year-2023/february-type-1-diabetes.htmlGLP-1s in T1D https://www.endocrinologyadvisor.com/home/topics/diabetes/type-1-diabetes/type-1-diabetes-adjunct-insulin-therapy-glucagon-like-peptide-1-receptor-agonists-glp-1-ra/Current and Therapeutic Use of Metformin https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7915435/Metformin in T1D [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771191/#:~:text=Metformin reduces hepatic glucose production,20%2C 21%2C 26]](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771191/#:~:text=Metformin reduces hepatic glucose production,20%2C 21%2C 26])https://www.sciencedirect.com/science/article/pii/S2589936821000049Metformin as an anti-cancer med https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497052/#:~:text=Based on recent analyses and,prostate%2C colon%2C pancreas%2C andTZDs in Diabetic Children and Beta Cell Preservation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890222/TZDs Info https://dtc.ucsf.edu/types-of-diabetes/type2/treatment-of-type-2-diabetes/medications-and-therapies/type-2-non-insulin-therapies/insulin-sensitizers/TZDs in T2 Treatment

Liz and Amy are joined by friends-of-the-Diacast DJ and Evan to discuss the day-to-day decisions that go into living with diabetes. From the small habits and snack-stashing to timing of meds and decision fatigue, they talk about some of the multitude of things that they do every day. Just because diabetes is an invisible disability doesn't mean it doesn't significantly impact every aspect of our lives. Bonus content: an in-depth (and on-topic) conversation about warm butt skittles (totally safe for work).Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastLinks:What is Decision Fatigue https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-decision-fatigueBehavioral Diabetes Institute resources for those experience decision fatigue and diabetes distress: https://behavioraldiabetes.org/resources/

It's officially summer and that means time for Liz and Amy to sit down and talk about diabetes management during those fun summer parties, BBQ's, and events. While they're at it, they discuss how dehydration can increase your blood glucose levels (but maybe not the way you think it does) and how diabetes impacts our body's ability to handle thermal stresses. Grab your sunscreen and drink with an umbrella and enjoy!Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksDehydration effects on blood glucose https://beyondtype1.org/dehydration-blood-sugar/?gclid=CjwKCAjwo7iiBhAEEiwAsIxQEU7aaXtKP2rO5uZ0F4UluPlgwpch0p_Sjx-kE4ny0jUIf9g4ClR1nBoCAOYQAvD_BwEBody Temperature Regulation in Diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861190/

So many types of diabetes, so little time and so much confusion. This episode is those who have been confused by insulin resistance vs. insulin deficiency, what Type 3 diabetes actually is, and why Amy gets cranky when people claim you can have “double diabetes” (spoiler: it's not a real thing). Join Amy and Liz as they provide a high-level rundown on the different types of diabetes, their causes, and treatments. Then save the episode to send to your friends and family who are confused.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksDiagnosis and Classification of Diabetes https://diabetesjournals.org/care/article/26/suppl_1/s5/21693/Report-of-the-Expert-Committee-on-the-DiagnosisThyroid hormone T3 and attenuation of insulin resistance in mice https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041250/T3c Diabetes https://pancreaticcanceraction.org/help-and-support/living-with-pancreatic-cancer/type-3c-diabetes/Diagnosis and Treatment of T3d in Patients with Chronic Pancreatitis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831209/LADA https://www.ncbi.nlm.nih.gov/books/NBK557897/Articles on T1b https://academic.oup.com/jcem/article/92/1/88/2598079 and https://pubmed.ncbi.nlm.nih.gov/33712367/Covid-induced Diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355745/ andhttps://www.nature.com/articles/s41598-022-24185-7Alzheimers as T3 Diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769828/Link between T2 diabetes and Alzheimers https://newsnetwork.mayoclinic.org/discussion/researchers-link-alzheimers-gene-to-type-iii-diabetes/ and full paper https://www.cell.com/neuron/fulltext/S0896-6273(17)30791-21

While Liz was away, Amy sat down with Dr. Irl Hirsch, an endocrinologist, researcher, and outspoken diabetes advocate (as well as an absolute legend). Join us for a discussion about the merits of A1C, access vs. cures, and the power of misinformation and well-placed ranting.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksDCCT and EDIC studies on diabetes complications https://www.niddk.nih.gov/about-niddk/research-areas/diabetes/blood-glucose-control-studies-type-1-diabetes-dcct-edicGWave glucose sensor article by James Hirsch https://diatribe.org/wave-future-new-glucose-technology-could-revolutionize-care2022 Rant https://www.liebertpub.com/doi/abs/10.1089/dia.2022.0004Seattle Times article (a little rant-y) https://www.seattletimes.com/opinion/high-insulin-prices-betray-spirit-in-which-the-lifesaver-was-created/

Diabetes in a hospital setting is an experience unto itself. Ever wonder why your blood glucose levels spike when you visit the doctor? Turns out there's a name for that phenomenon. What about glycemic control leading up to and after a procedure? Did you know that CGM's have limitations when under anesthesia, and insulin resistance does things that actually have a physiological reason. Join Amy and Liz as they delve into the wonderful world of diabetes management in and out of the hospital, pre- and post-op.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook: Diacast (https://www.facebook.com/diacastpodcast)Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference LinksStress hyperglycemia https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975368/Management of Diabetes in Surgical Patients https://diabetesjournals.org/spectrum/article/15/1/44/890/Management-of-Diabetes-Mellitus-in-SurgicalClinical trial on CGM Monitoring during and after surgery https://clinicaltrials.gov/ct2/show/NCT02572856managing diabetes under anesthesia https://www.sciencedirect.com/science/article/pii/S0104001417300623Anesthesia for patients with diabetes https://www.uptodate.com/contents/anesthesia-for-patients-with-diabetes-mellitusInsulin Pump Therapy in the Perioperative Period https://academic.oup.com/bja/article/116/1/18/2566071CGM use in the operating room https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896262/

Diabetes management has come a long way from being a wasting sickness/death sentence and tasting urine to measure blood glucose. This month, Liz, Amy, and Evan (an actual teacher) take a walk down history lane to talk about how diabetes management has evolved over the years. From the advent of home glucose monitoring, metformin, and insulin to CGMs and automated insulin delivery systems, things have changed a lot over the years.Instagram @diacastpodcast (https://www.instagram.com/diacastpodcast/)Facebook Diacast (https://www.facebook.com/diacastpodcast)Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!)https://patreon.com/diacastReference Linkshttps://www.medicalnewstoday.com/articles/317484https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707300/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749019/History of Glucose Monitoring https://diabetesjournals.org/compendia/article/2018/1/1/144616/Introduction-History-of-Glucose-Monitoring100 Years of Insulin https://www.fda.gov/about-fda/fda-history-exhibits/100-years-insulinBrief History of Diabetes Meds https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522877/History of T2 Meds https://blog.profil.com/blog/medications-for-type-2-diabetes-a-short-historical-perspectiveDovc, K., & Battelino, T. (2020). Evolution of Diabetes Technology. Endocrinology and metabolism clinics of North America, 49 (1), 1–18. https://doi.org/10.1016/j.ecl.2019.10.009'Mill Hill Infuser', the first portable insulin infusion pump, London, England, 1976 | Science Museum Group CollectionPickup, J. C., Keen, H., Parsons, J. A., & Alberti, K. G. (1978). Continuous subcutaneous insulin infusion: an approach to achieving normoglycaemia. Br Med J, 1 (6107), 204-207.Tadej Battelino et. al.; Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care  1 August 2019; 42 (8): 1593–1603. https://doi.org/10.2337/dci19-0028

It finally happened - Amy and DJ sat down to talk (in detail) about diabetes-related complications and comorbidities. For starters, what's the difference between them (hint: they are not the same), how can you reduce your chances of getting them (you can't always), and how do you manage/treat them. The good news is management and treatment options have improved dramatically over the past 30 years. Unfortunately, our pun game has not. So grab your glucose meter and hold on tight for an hour and a half of Amy being unable to pronounce words.Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: discord.gg/diabetesPatreon (help us stop losing money - plus early access, bloopers, and more!) https://patreon.com/diacastReference Links (many!)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2713155/Incidence of complications for different types of diabeteshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3870323/Calculating A1Chttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771657/Limitations/Pitfalls of A1C https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912281/A1C and Mortality https://academic.oup.com/jcem/article/104/8/3345/5393288A1C and cardiovascular outcomes https://cardiab.biomedcentral.com/articles/10.1186/s12933-021-01413-4Epidemeology of neuropathy https://research.monash.edu/en/publications/the-epidemiology-of-diabetic-neuropathyVascular Complications and Neuropathy https://www.nejm.org/doi/full/10.1056/NEJMoa032782T2 and Preventative Care https://acsjournals.onlinelibrary.wiley.com/doi/abs/10.1002/1097-0142(19930801)72:3+3.0.CO;2-AEstimated Glomerular Filtration Rate (eGFR)https://www.kidney.org/atoz/content/gfrT1, Hashimotos, and Glycemic Controlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314392/Cardiovascular Complications in Diabetes https://jamanetwork.com/journals/jama/article-abstract/199831Trends in Cardiovascular Complications and Diabetes https://diabetesjournals.org/care/article/29/1/32/24455/Recent-Trends-in-Cardiovascular-ComplicationsDiabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579903/Behavioral Diabetes Institute https://behavioraldiabetes.org/“Variations in comorbidity burden in people with type 2 diabetes over disease duration: A population-based analysis of real world evidence”, Jonathan Pearson-Stuttard, Sara Holloway, Rosie Polya, Rebecca Sloan, Linxuan Zhang, Edward W. Gregg, Katy Harrison, Jamie Elvidge, Pall Jonsson, and Thomas Porter

Boundaries around diabetes are tricky but necessary. Be it family, friends, medical providers, or complete strangers, establishing healthy, sustainable boundaries is hard. Liz and Amy are joined by clinical psychologist Dr Mike Fulop to talk about what makes self-efficacy so challenging and the components of healthy communication (nothing productive happens in the heat of the moment, avoid using absolute words like “never” and always”) for young, old, and every diabetic in-between. For parents of diabetic kids, we talk about the struggle between encouraging diabetes management and good control, and teaching self-management and empowerment. Facilitative Parenting is a powerful thing. Shaming and scaring techniques never work (regardless of who they're coming from!), and interactions conveying love and acceptance without undermining a person's sense of freedom and autonomy predicts good diabetes-management across the life span. This episode is for everyone who has a diabetic in their life.Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreonhttps://patreon.com/diacastLinksDiabetes Etiquette Card https://behavioraldiabetes.org/product/diabetes-etiquette-card-for-people-who-dont-have-diabetes/Diabetes Etiquette Card for Parents of Teens https://behavioraldiabetes.org/product/teen-etiquette-card-diabetes-etiquette-for-parents-of-teens/Behavioral Diabetes Institute https://behavioraldiabetes.org/Social Determinants of Health and Diabetes: A Scientific Review Felicia Hill-Briggs; Nancy E. Adler; Seth A. Berkowitz; Marshall H. Chin; Tiffany L. Gary-Webb; Ana Navas-Acien; Pamela L. Thornton; Debra Haire-Joshu  Diabetes Care 2021; 44(1) p258–279 https://doi.org/10.2337/dci20-0053Fisher, Lawrence: Family Relationships and diabetes care during the adult years. 0071. Diabetes Spectrum Volume 19, Number 2, 2006Learn to listen: The art of empathic understanding William R Miller, Ph.D [2018]M de Wit, PM Trief, JW HUber, I Wiilaing: State of the art: understanding and integration of the social context in diabetes care:  DIABETICMedicine DOI: 10.1111/dme.14226  https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.14226 [2020]Wiebe, D; Helgeson, V; Berg, C [2016] The social context of managing diabetes across the life span. American Psychologist. V71[7] p 526-538. http://dx.doi.org/10.1037/a0040355

Traveling with medical supplies, regardless of if they're for diabetes or not, can be a daunting prospect. We often find ourselves asking what extra steps we need to take to make sure our insulin doesn't lose potency during road trips or long plane rides, how do you take supplies through airport security, and what the heck do you do if you run out of something? Amy and Liz talk about general tips for traveling with diabetes and then dig into extra tips for flying, driving, hiking, and generally existing on the move.Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetesPatreonhttps://patreon.com/diacastLinks:Insulin effectiveness after sun, heat, and cold exposure https://www.bmj.com/content/338/bmj.a2218.long and https://go.gale.com/ps/i.do?id=GALE|A235631421&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=15209156&p=AONE&sw=w&userGroupName=anon~695c9ea3Insulin storage study https://www.sciencedirect.com/science/article/abs/pii/S1544319118301924ISPAD Clinical Practice Consensus Guidelines 2018 https://onlinelibrary.wiley.com/doi/10.1111/pedi.12718GLP-1 storage and life-span https://www.researchgate.net/figure/Formulations-and-storage-conditions-for-GLP-1-RA-products_tbl1_326447155TSA recommendations https://www.tsa.gov/blog/2020/11/13/travel-tip-traveling-diabetes andTraveling with an insulin pump and cgm https://www.diabetesadvocacy.com/traveling-with-an-insulin-pump-and-cgm/Airplane cabin pressure and unintentional insulin delivery https://medicalxpress.com/news/2012-11-airport-x-rays-diabetes-devices.htmlGeneral insulin pump screening recs https://medicalxpress.com/news/2012-11-airport-x-rays-diabetes-devices.htmlT-Slim screening recs https://www.tandemdiabetes.com/docs/default-source/general-guides/ml-1000524_a_print_info_card_tsa.pdf?sfvrsn=2Medtronic screening recs https://www.medtronicdiabetes.com/loop-blog/tsa-screenings-update-for-people-with-diabetes/

One day, in a fit of time-zones and sleep deprivation, Liz, Amy, and Cas sat down to talk about automated insulin delivery (AID), also known as looping. They talk about the commercially available systems and then dig in to the DIY looping systems and algorithms. It's a throw-back to the original Diacast in celebration of the reboot's 1 year anniversary.https://beyondtype1.org/the-guide-to-diy-looping/iLet bionic pancreas https://www.betabionics.com/our-technology/DGLB1 Hybrid Closed Loop ****https://www.accu-chek.nl/insight-loopDIY loop compatible pumps https://loopkit.github.io/loopdocs/build/step3/Video about DynISF https://youtu.be/oL49FhOts3cTweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: discord.gg/diabetes

Liz and Amy sit down with diabetes advocate, 2-time World Record Holder, and 10-time Olympic medalist Gary Hall Jr to talk about his experiences swimming at an elite level with a new T1 diabetes diagnosis, the mental stresses of diabetes, training, and competition, and his advocacy efforts since retirement. The moral of this episode? Meet your heroes because they can be incredibly inspirational in real life (plus, Gary was really cool about Amy being weird and fan-girling hard).For additional information on the micro-gel coated, stem-cell driven pancreatic islet cell implantation discussed in this episode please check out https://itolerance.com/.Tweet us at @diacastInstagram @diacastpodcastFacebook https://www.facebook.com/diacastpodcast/ Email us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit:https://www.reddit.com/r/diabetes/r/Diabetes discord:discord.gg/diabetes

An unexpected hiatus due to (drumroll please) covid. But don't worry, we have some exciting content in the works! We'll see you in August with a super awesome episode with a very special guest (spoiler: Amy is way too excited for her own good).

Liz and Amy talk with Dr. Charles Steiner about how he diagnosed and managed diabetes in patients, what lab tests he used (and why), and what kind of management methods he recommended. Learn about glucose toxicity (which can occur in all types of diabetics) and what is considered a red flag by a medical provider. Finally, we talk about what he wishes he'd known when he was first exposed to diabetes, and what he tells patients. It's all about being empowered to self-manage. Links: Article on Standard Practice for Diagnosing Diabetes https://diabetesjournals.org/care/article/41/Supplement_1/S13/30088/2-Classification-and-Diagnosis-of-Diabetes Behavioral Diabetes Institute https://behavioraldiabetes.org/programs/ American Diabetes Association Mental Health Provider Directory: https://professional.diabetes.org/mhp_listing Tweet us at @diacast Email us at contact@diacast.com Please feel free to join the wonderful diabetes communities on Reddit and Discord. r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: discord.gg/diabetes

Liz and Amy dive into the Americans with Disabilities Act (and other international laws as they pertain to diabetes) and discuss what is and isn't protected during the hiring and employment onboarding process. Disclosing diabetes is only necessary if you require (or desire) reasonable accommodations, and you have a lot more legal protection than you may think when it comes to what you are and aren't entitled to. Protip (ok, fine, Amy's tip): if someone tries to shame you into injecting insulin in the bathroom, make eye contact and slowly spin the needle while it's inserted next time you dose.Links:United Nations list of Disability Laws and Acts by Country/Area https://www.un.org/development/desa/disabilities/disability-laws-and-acts-by-country-area.htmlUS Guidance on Diabetes in the Workplace under the ADA https://www.eeoc.gov/laws/guidance/diabetes-workplace-and-adaPre-Employment Questioners and Medical Exemptions (USA) https://www.eeoc.gov/pre-employment-inquiries-and-medical-questions-examinationsInformation regarding diabetic commercial airline pilot regulations https://www.faa.gov/newsroom/new-protocols-diabetics-seeking-air-transport-and-commercial-pilots-medical-certificationhttps://blueskypit.com/2019/11/15/faa-eases-restrictions-on-pilots-with-type-1-diabetes/Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

No, not the drugs we take to manage our diabetes. The rest of the drugs. You know, NSAIDs, pain meds, opioids, steroids, antidepressants, ADHD meds... and the less-than-legal ones, too. Liz, Amy, DJ, Sanne, and Greg dive into how different medications and drugs affect diabetes and share some personal anecdotes so others can learn from their experiences. Taking drugs of any variety is extra tricky with diabetes, and while many common medications don't significantly impact blood glucose levels, some have unexpected side-effects. The more you know!Contact us:Twitter @diacastEmail contact@diacast.comOther Communities:r/diabetes: https://www.reddit.com/r/diabetes/r/diabetes discord: https://discord.gg/diabetesLinks: Behavioral Diabetes Institute  American Diabetes Association Mental Health Provider DirectorySteroidsPrednisone and diabetes Steroids and diabetes fact sheet Steroids and blood sugarSteroid-induced diabetes Pain MedsCommon pain meds influence on diabetesTramadol's link to hyposHigh BG and decreased opioid effectivenessOpioids as DPN treatmentAntidepressantsAntidepressants and T2Antidepressants and improved T2 outcomesDepression treatment and diabetesAnesthesiaAnesthesia and diabetesOther DrugsMost of the drug science mentioned in this episode came from this NDSS booklet - T1 and drugsManaging T1 and “rave” drugs

Liz and Amy are joined by diabetic and pediatric nurse Paige to talk about their experiences interacting with other people when it comes to talking about diabetes. Dispelling misinformation, combined with the (perceived) need to educate others about diabetes can be exhausting and frustrating. The gang shares how they deal with other people's misguided “helpfulness” and discuss the misinformation rampant within the medical and diabetes communities.We'd love to hear your stories and tips for dealing with other people!Tweet us at @diacastEmail us at contact@diacast.comPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

Liz and Amy are joined by Sanne and DJ to talk about how contraceptives and hormones impact diabetes, junk-related complications, and how exactly to have sex with an insulin pump. You'll get to hear about the direct impact of contraceptives on diabetes (there really aren't any), get the scoop on metformin and sperm, tales of ED from poor management, plus maybe the worst diabetes sex story of all time (you'll have to decide which one it is). Sex is inherently weird, and diabetes doesn't need to stop you.Links:Contraceptives and diabetes management outcomes: https://pubmed.ncbi.nlm.nih.gov/12282829/Comparative study of different contraceptives in diabetic women: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683149/Metformin as a PCOS treatment: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4200661/Study on links between metformin and sperm count: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5296448/Study showing sperm count rebound after diabetes diagnoses: https://www.endocrinologyadvisor.com/home/topics/diabetes/type-2-diabetes/five-day-spike-on-metformin-ends-in-lower-testosterone-after-30-days/Please feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

Diabetes is hard, and the mental stresses of managing it is often under-acknowledged. Liz and Amy are joined by fellow diabetic and clinical psychologist Dr. Mike Fulop to talk about mental health and diabetes. Ever wonder what the difference between burnout, diabetes distress, diabetes depression, and depression are? Did you even know those were all things? Dr. Fulop discusses the importance of having a vocabulary to describe your mental health struggles and offers some general suggestions for reframing them. Self-compassion and setting achievable goals is key, and sometimes “good enough” is the absolute goal. And don't forget to treat yourself with the same grace and compassion we show others who are struggling.Links:Link to the diabetes distress test discussed: https://diabetesdistress.org/t1-dds-questionsDescription of different types of diabetes distress: https://diabetesdistress.org/t1-dds-outroBehavioral Diabetes Institute https://behavioraldiabetes.org/Self-compassion resources:Section 10 of this paper https://care.diabetesjournals.org/content/44/11/2589Definition of Self Compassion: https://self-compassion.org/the-three-elements-of-self-compassion-2/Here is a test people can take to look at their level of self-compassion: https://self-compassion.org/self-compassion-test/Please feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

Liz and Amy are joined by fellow diabetics DJ and Evan for an alcohol-driven episode on managing diabetes and the people around you during the party-season. Tips on ways to get people to not push food on you, and how not to punch those who tell you what you can and can't eat, including taking the opportunity to educate them on diabetes. Then Dr. DJ (not a real doctor) takes us on a Magic School Bus-esq dive on the science behind drinking as a diabetic and how to mitigate and manage it. Anecdotes, personal tips, and some rules to live (well, drink) by, including the reason to run higher when consuming. And yes, Amy suggests you eat a Snickers. Happy holiday season, and be safe!Links:https://en.wikipedia.org/wiki/Alcohol_(drug)#Pharmacologyhttps://en.wikipedia.org/wiki/Alcohol_(drug)#Kineticshttps://en.wikipedia.org/wiki/Alcohol_dehydrogenaseEthanol metabolism https://www.sciencedirect.com/topics/neuroscience/ethanol-metabolismhttps://www.sciencedirect.com/topics/neuroscience/alcohol-dehydrogenasehttps://www.sciencedirect.com/topics/neuroscience/cytochrome-p450-2e1Please feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

Wait, exercise has benefits?! And it's not unusual to spike after strength training, or plummet on a walk? Chris and Amy dig into the benefits of using exercise for diabetes management and the differences in how they exercise (Beat Saber, anyone?). Like everything else with this pesky disease, it's all about making small changes and building habits. Tips on preventing mid-workout hypos and post-workout spikes, keeping CGMs on while sweaty, as well as the obligatory Snickers-plug (seriously, Amy is obsessed) and ideas for adjusting insulin-dosing and oral meds to help keep things level (time of day matters). Learn from Amy's many mistakes. Don't forget to read the nutrition labels on your post-workout recovery drinks, and remember that we can't outrun the kitchen. And while we're at it, the promised picture of Chris's puppy!Jigsaw! https://diacast.com/img/jigsaw-lei.png (7MB PNG)Jargon:IM = intramuscular, aka stab a needle straight into muscleLinks:Study on weight-loss as a T1: https://beyondtype1.org/lose-weight-with-type-1-diabetes/Harvard Health study: https://www.health.harvard.edu/staying-healthy/the-importance-of-exercise-when-you-have-diabetesMayo Clinic study: https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-and-exercise/art-20045697Aerobic and Anaerobic exercise examples: https://www.medicalnewstoday.com/articles/aerobic-vs-anaerobic-exercises#definitionsPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/ZfgADveR

Chris and Amy talk about food and their relationships with it. No food is off limits, and carbs are not the enemy! From low-carb to keto to intermittent fasting, they discuss the pros and cons of some common diets used by diabetics, the mechanisms of food absorption and conversion into energy, and their favorite snacks (hint: Amy is obsessed with Snickers). They also discuss different types of sugars, the effect of protein and fiber, metformin and artificial sweetener poops, and how to optimize low treatments.Corrections: The liver secretes glycogen (not glucagon). Amy got excited and misspoke.Links:The Haribo Sugar Free Gummy Bears reviews (collected for maximum enjoyment): https://slightlyviral.com/beware-sugarless-gummy-bears-on-amazon-com/Carb/Food Tracking Apps that we like: Cronometer*:* https://cronometer.com/ MyFitnessPal: https://www.myfitnesspal.com/Intermittent fasting (IF) in Diabetics: https://www.healthline.com/health/type-2-diabetes/intermittent-fasting-and-diabetes-safe#is-it-safeIntermittent fasting links to weight loss in diabetics: https://www.health.harvard.edu/blog/intermittent-fasting-surprising-update-2018062914156Glycemic Index (more info cuz we skimmed past it): https://www.healthline.com/nutrition/glycemic-indexDisordered eating:National Eating Disorder Hotline: https://www.nationaleatingdisorders.org/help-support/contact-helplineDiabulimia: https://www.nationaleatingdisorders.org/diabulimia-5Eating Disorders and Diabetes: https://www.diabetes.org.uk/guide-to-diabetes/emotions/eating-disordersPlease feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/r/Diabetes discord: https://discord.gg/diabetes

Welcome to the first episode of the Diacast reboot, with your hosts Chris and Amy. In this episode, they discuss their motivations (Chris is a T2 diabetic, Amy is T1), histories and treatment, and their hopes for this reboot. They discuss similarities and differences between their treatment regiments (both use exercise extensively) and how the similar treatment methods have different results depending on the type of diabetes and a multitude of other factors. Links:Please feel free to join the wonderful diabetes communities on Reddit and Discord.r/diabetes subreddit: https://www.reddit.com/r/diabetes/ r/Diabetes discord: https://discord.gg/diabetesSupport resources: https://diacast.com/resources

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