Podcasts about A1C

In this episode, Pearl shares a very personal tale about her blood sugar and the unexpected turn it took as she entered menopause. For years, her numbers looked great while living the Trim Healthy Mama lifestyle. But as time went on, something began to change. Even though she was still eating well and doing what had always worked for her, her A1C kept moving in the wrong direction. A doctor gave her two pieces of advice. One she took. The other sent her down a completely different path. We're talking about blood sugar, muscle, protein, carbohydrates, aging, and why sometimes the answer isn't simply eating less or cutting out another food group. Pearl also shares what this journey taught her about strength training, starting imperfectly, and refusing to let intimidation keep you from building a healthier future. If you've ever wondered why your body seems to respond differently as you get older or felt like you're doing everything “right” and still not seeing the results you expect this is one you'll want to hear. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode of Diabetes Connections In the news… The FDA approves a new indication and health benefit for Mounjaro, lots of CGM news including an update on Medicare coverage for people who don't use insulin and a new study about using CGM when you don't have diabetes, metformin and aging, statins and type 2, and did you know there was a Dolly Parton diabetes connections? That and much more... Check out all of our events like Moms' Night Out and Club 1921 here. Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  On this episode of Diabetes Connections In the news… The FDA approves a new indication and health benefit for Mounjaro, lots of CGM news including an update on Medicare coverage for people who don't use insulin and a new study about using CGM when you don't have diabetes, metformin and aging, statins and type 2, and did you know there was a Dolly Parton diabetes connections? That and much more.. that's coming up right after this. (AD BREAK) Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bring you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. Welcome to September! Want to let you know about a webinar I'm doing with Abbott later this month. That's Sept 23 at 7pm ET. We'll be talking about ketones, DKA and learn more about their dual CGM/ketone monitor that was just approved – more on that coming up. But please register – the link is in the show notes. So much going on over here – tomorrow night we have our Club 1921 in Charlotte, later this month Moms' Night Out Detroit/Bloomfield and in October we're going to Seattle. Please join us. More at d-c dot com slash events. Okay.. our top story this week: XX Another indication for Mounjaro – the FDA approved it to lower the risk of major adverse cardiovascular (CV) events (MACE), including CV death, non-fatal heart attack, or non-fatal stroke in adults with type 2 diabetes who are at high risk for these events. Mounjaro – the brand name of tirzepatide - is already approved as an adjunct to diet and exercise to improve blood sugar in adults and children 10 years of age and older with type 2 diabetes. The approval was based on results from the largest and longest tirzepatide study to date, enrolling more than 13,000 participants across 30 countries over more than four and a half years. In the trial, Mounjaro demonstrated non-inferiority to Trulicity (dulaglutide), a GLP-1 treatment with established cardiovascular benefit, with an 8% lower rate of cardiovascular death, heart attack or stroke (MACE-3). The estimated hazard ratio for time to first MACE was 0.92 (95.3% CI: 0.83, 1.01) for Mounjaro compared to Trulicity (dulaglutide). https://www.prnewswire.com/news-releases/fda-approves-lillys-mounjaro-tirzepatide-to-reduce-cardiovascular-risk-in-adults-with-type-2-diabetes-302862415.html XX The FDA approves the Libre Duo – the first device designed to continuously monitor both blood sugar levels and ketone levels in people with diabetes. The Libre Duo 10-Day Continuous Dual Glucose Ketone Monitoring System is now approved for those ages 2 and older. Until now, the agency said, people had to monitor ketone levels with separate tests that only provided a single measurement at one point in time. The new system combines blood sugar and ketone tests and monitors them continuously. Readings -- and alerts in case of dangerous trends -- are sent wirelessly to a smartphone app. The FDA previously granted "breakthrough device" status to the system, which is meant to expedite the device's development and review. https://www.upi.com/Top_News/US/2026/08/25/fda-oks-blood-sugar-ketone-monitor/5521787688375/ XX Diabetes tech firms Dexcom and Abbott are watching closely for a Medicare coverage expansion that could significantly broaden access to their glucose sensors. The Centers for Medicare and Medicaid Services is expected to expand Medicare coverage of continuous glucose monitors to people with diabetes who do not take insulin. Currently, coverage is limited to people with Type 1 or Type 2 diabetes who take insulin or have a history of problematic low blood sugar. Dexcom CEO Jake Leach told investors in a late July earnings call that the company expects to hear back from the CMS before the end of the year, with coverage going into effect in mid-2027.     Dexcom presented results of a randomized, controlled trial earlier this summer at the American Diabetes Association's Scientific Sessions that it expects will support the CMS' decision. The 26-week study found that people who used a CGM had a larger hemoglobin A1C reduction than the control group and spent five more hours per day in a normal glucose range than the control group. https://www.medtechdive.com/news/dexcom-abbott-await-medicare-coverage-expansion-for-cgms/828775/ XX A new study suggests continuous glucose monitors (CGMs) may offer benefits for people with type 1 diabetes that go beyond improving blood sugar and reducing hypoglycemia.   Researchers analyzed health records from more than 8,400 adults with type 1 diabetes receiving care through the Veterans Health Administration. Over one to four years of follow-up, people who started using a CGM had a 10% to 16% lower risk of death from any cause compared with those who did not use one.   The association appeared strongest among people over age 65 and those who were not using insulin pumps. Researchers did not find meaningful differences based on A1C, race or ethnicity, or frailty.   Importantly, this was an observational study using medical records, not a randomized clinical trial, so it cannot prove that CGM use directly caused the lower death rate. But the findings suggest CGM may have important long-term health benefits beyond glucose management.https://visualize.jove.com/42319755-continuous-glucose-monitoring-initiation-is-associated-with-reduced-mortality-in-older-onset-type-1-diabetes-patients-a-target-trial-emulation-study-within-the-veterans-health-administration XX We've been talking about people without diabetes using CGMs for a long time.. now a new study weighs in. Research published in JAMA finds that this wellness trend isn't helpful for people without a diabetes diagnosis. They found that the strongest evidence for CGM use is for people who are already living with diabetes, but not for those without the condition who use them for wellness purposes. It's also worth noting, though, that this new study is a narrative review. This means that the researchers drew their conclusions from the findings reported in several other studies. More randomized controlled trials would be necessary to see whether there are any meaningful health benefits of using a CGM if you don't have diabetes.   Dower also warned that constantly monitoring your blood sugar when you don't have diabetes could lead to unintended health anxiety. In some cases, you may even make accidental lifestyle changes that could be harmful. "[Blood sugar] spikes may occur after meals, but if this leads someone to replace healthy food such as fruit with unhealthy food such as something high in fat but low in carbohydrate, the glucose information has done more harm than good," Dower said. https://www.verywellhealth.com/blood-sugar-monitor-for-people-without-diabetes-12058575   XX   Could metformin somehow influence the biological processes that drive aging? A new review found evidence that metformin may affect several key features of aging, including how cells use energy, inflammation, cellular damage and even some changes in gene activity. Animal studies have shown longer lifespans or improvements in markers of biological aging, while some human studies have also found promising results.   But researchers say there's still no proof that metformin actually slows aging or helps healthy people live longer. Most human research has involved people with diabetes or other health conditions, and one large trial found that while metformin helped prevent type 2 diabetes, it did not reduce cancer, cardiovascular disease or deaths.   Researchers say larger clinical trials in people without diabetes are needed to determine whether metformin can truly extend healthy lifespan—or whether its benefits are primarily related to preventing and treating specific diseases. https://www.technologynetworks.com/drug-discovery/news/metformin-may-influence-longevity-through-the-gut-microbiome-and-epigenetic-changes-416035 XX More to come including more research on a spice thought to help diabetes, predictions about the number of people who may be living with type 1 in the years to come around the world, and a connection I didn't know about between diabetes and Dolly Parton.   XX A compound found in turmeric may help protect blood vessels from some of the damage caused by Type 1 diabetes. In rats, curcumin reduced inflammation, improved cellular signaling, and restored vascular health to levels resembling those of nondiabetic animals. The results hint at a possible new way to reduce the long-term cardiovascular risks of diabetes, but human trials are still needed. Curcumin, the natural compound responsible for turmeric's vivid yellow color, is widely studied for its anti-inflammatory and antioxidant properties. https://www.sciencedaily.com/releases/2026/08/260824065543.htm XX New research estimates the number of people living with type 1 diabetes (T1D) worldwide will increase by 29% from 9.4 million in 2025 to 12.1 million in 2049. This will be presented at EASD, the Annual Meeting of The European Association for the Study of Diabetes (EASD) in Milan, Italy (Sept 28 – Oct 2 The USA will see an increase of over half a million, going from 1,492,825 to 2,055,235. The authors suggest that the reasons for the predicted high incidence and prevalence in 2049 in countries such as Australia, US, UK are likely to be a combination of genetics, environmental triggers and also high case detection rates (due to the good health care infrastructure here and in other HIC). Unlike previous estimates, the DIAMOND-T1D model takes historical patterns of insulin availability into account and aims to provide global, regional and country-specific estimates of T1D incidence, prevalence and mortality from 1900 to 2050. Although the majority of people with T1D live in high-income countries (HIC) and middle-income countries (MIC), the largest relative increase in the T1D prevalence is expected to occur in LIC as access to insulin, glucose monitoring and survival all improve in those countries. https://www.news-medical.net/news/20260828/Type-1-diabetes-cases-projected-to-increase-worldwide-by-2049.aspx XX Early initiation of statins after a diagnosis of type 2 diabetes was associated with a lower risk of dementia, according to a study published in The Lancet Regional Health – Europe. According to the Lancet Commission, nearly half of dementia cases could theoretically be prevented by eliminating 14 risk factors. "Detecting and treating high levels of low-density lipoprotein cholesterol (LDL-C) from midlife is one such highlighted risk factor," From Danish registers, researchers identified 132,585 statin-naive individuals who developed type 2 diabetes from 2006 through 2019, with follow-up until the end of 2021.   Medical records were searched for diagnoses of all-cause dementia. A clone-censor-weight design was used to analyze dementia incidence in patients with no statin initiation within five years after diagnosis, in those with early statin initiation within one year and in those with late statin initiation between one and five years after diagnosis.   https://medicalxpress.com/news/2026-08-early-statins-diagnosis-diabetes-dementia.html   XX We are heartbroken over the loss of our friend Dolly Parton. Dolly was a beloved icon whose extraordinary generosity, warmth, and compassion touched countless lives, including those of the Children's Diabetes Foundation and the Barbara Davis Center for Diabetes. Her support of The Carousel Ball and Carousel of Hope Ball reflected her deep commitment to helping children and families affected by type 1 diabetes. Beyond her remarkable talent, Dolly will be remembered for the kindness and joy she shared so generously with others. Our hearts are with her family, friends, and all who loved her as we celebrate her extraordinary life and lasting legacy. She will be deeply missed.    

In this episode of the Rest, Eat, Move Podcast, Matt explores the growing popularity of GLP-1 medications, peptides, hormone replacement therapy, TRT, and other “optimization” technologies through the lens of Limitless. The central message is to “know your numbers” and ask better health questions before reaching for an easy button—including understanding cholesterol/lipids, glucose and A1C, triglyceride-to-HDL ratio, homocysteine, inflammation, thyroid, vitamin D, kidney function, and hormone levels. The episode argues that while medications and emerging therapies can be powerful medical tools, long-term health should also focus on the fundamentals: rest, eat, move, lifestyle, sleep, exercise, nutrition, stress management, and establishing personal health baselines over time.#GLP1#Longevity#HormoneHealth#MetabolicHealth#HealthyAgingontargetliving.com

Independent pharmacy owners Richard Stryker, RPh., (Bayshore Pharmacy) and Theresa Tolle, BPharm, FAPhA,  (Bay Street Pharmacy) join PQS host Rosalyn Otting, PharmD, to break down how performance-based care is reshaping pharmacy revenue. They cover the three keys to getting paid for clinical programs: prioritizing opportunities, fitting them into daily workflow, and scaling them for growth. Topics include MedSync as the anchor for clinical billing, quarterly check-ins and on-time-fill bonuses, point-of-care testing (blood pressure, A1c), pay-for-performance networks tied to Medicare Star measures, and staff buy-in strategies for rolling out new programs. The episode closes with a look ahead to 2027 Star Rating changes, including a new depression screening measure, and where pharmacists see the biggest opportunities over the next 3-5 years, from cardiovascular screenings to maternal health and community-based care.

Neurologist David Perlmutter MD says the beta-amyloid theory of Alzheimer's is wrong — and the real culprit is your brain's own immune cells. In this episode of Health Longevity Secrets, Robert Lufkin MD sits down with the #1 New York Times bestselling author to unpack his new book Brain Defenders: how diet, blood sugar, and metabolic health flip the brain's microglia from protective to destructive, why anti-amyloid drugs offer "trivial" benefit, and which biomarkers actually predict your brain's future.Chapters:00:00 — Introduction01:38 — Why He Left Mainstream Neurology to Prevent Brain Decline05:24 — Building the World's Largest Integrative Neurology Practice06:55 — The Common Pathway From Metabolism to Brain Degeneration08:25 — Why the Beta-Amyloid Theory of Alzheimer's Is Wrong09:11 — What Are Microglia? The Brain's Immune Cells (M1 vs M2)12:13 — From Brain "Glue" to Master Regulators of Your Synapses16:00 — How Body Inflammation and Cytokines Reach the Brain18:15 — Leaky Gut, the Microbiome, and Brain Degeneration19:46 — Ultra-Processed Foods Raise Alzheimer's Risk Up to 270%25:02 — Synaptic Pruning: The Link Between Autism, ADHD and Alzheimer's29:36 — Why Diabetics Recover Worse From Head Trauma31:51 — Anti-Amyloid Drugs: "Trivial" Benefit, Serious Harm35:37 — The Biomarkers to Track: Fasting Glucose, Insulin, A1C40:09 — On the Horizon: Mitochondrial Therapies and Microglial Transplants45:26 — Glyphosate, Air Pollution and 40Hz Light Therapy47:00 — Brain Defenders Releases August 18 — Final TakeawaysKey takeaways:Alzheimer's is increasingly understood as a "synaptopathy" — a disease of lost synapses driven by the brain's own immune cells (microglia), not simply beta-amyloid plaque.Microglia shift from supportive (M2) to destructive (M1) in response to metabolic signals: high blood sugar, insulin resistance, elevated blood pressure, excess body fat, and inflammation.A long-term cohort found each daily serving of ultra-processed food raised Alzheimer's risk ~13%, with 10+ servings/day linked to a 2.7-fold (270%) increase.A Cochrane review of anti-amyloid antibodies found "trivial" cognitive benefit alongside meaningful harm, including brain swelling and microbleeds (ARIA).The most actionable brain biomarkers are cheap and accessible: fasting glucose, fasting insulin, A1c, waist circumference, and a continuous glucose monitor — aim for optimal, not just "normal."Emerging frontiers target the mitochondria inside microglia — metformin, CoQ10, urolithin A, exercise, fasting, ketones, and 40Hz gamma light therapy.Studies & sources:Weinstein et al., J Prev Alzheimers Dis — ultra-processed food and Alzheimer's riskCochrane Review (2026) — anti-amyloid monoclonal antibodies for Alzheimer'sIaccarino, Tsai et al. (Tsai Lab, MIT) — 40Hz gamma light and microgliaDr. Lufkin's book "Lies I Taught in Medical School": https://robertlufkinmd.com/lies/⭐ Enjoying the show? Please leave a 5-star review on Apple Podcasts — it takes 30 seconds and helps more people discover the science of health and longevity. Thank you!New episodes every other Tuesday. Subscribe so you don't miss one.Continue this conversation on Substack: https://robertlufkinmd.substack.comLies I Taught In Medical School — Free sample chapter: https://www.robertlufkinmd.com/lies/Web: https://www.robertlufkinmd.comYouTube: https://www.youtube.com/robertlufkinmdX: https://x.com/robertlufkinmdInstagram: https://www.instagram.com/robertlufkinmd/TikTok: https://www.tiktok.com/@robertlufkinLinkedIn: https://www.linkedin.com/in/robertlufkinmd/

Oliver is an engineer who spent fifteen years being told his A1c was fine. Then he pointed an AI model at his own loop data and found out what his settings had really been doing. twiist - A different type of insulin pump has arrived ABLEnow save for today's needs or invest for tomorrow Eversense CGM MiniMed Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Dr. Mohammad Ashori is a board-certified family medicine physician, health coach, and rock climber. We talked about the importance of putting on muscle, how much rest we need between training sessions, nutrition and metabolic health, zone 2 cardio, key metrics and blood markers to track, different levels of data, why some data can be misleading or harmful, relative vs. absolute risk, and much more. Want to work with Dr. Ashori? Get 15% off your 1st health assessment with Dr. Ashori. Book your schedule here and use the code: NUGGET15 Want climbing or nutrition coaching? Free Masterclass (Learn more about Climb Accelerator)

The FDA just expanded Mounjaro's label to include reducing the risk of major adverse cardiovascular events, and the headline is easy to love and easy to misunderstand. We slow it down and translate what the approval actually means for people living with type 2 diabetes, especially those worried about heart attack, stroke, and cardiovascular death.We unpack the exact endpoint behind the claim: MACE, which combines cardiovascular death, non-fatal heart attack, and non-fatal stroke, and we clarify what it is not saying (no, it is not “erasing plaque” or curing atherosclerotic cardiovascular disease). We also explain the real-world nuance around branding and indications: Mounjaro and Zepbound are both tirzepatide, but FDA labels are population-specific, and that can affect clinical decisions and insurance coverage.Then we walk through the Surpass-CVOT cardiovascular outcomes trial in plain English. The key twist is the comparator: tirzepatide was tested against Trulicity (dulaglutide), an active GLP-1 medication with known heart benefit, not placebo. That's why understanding noninferiority vs superiority matters so much. We talk hazard ratios, absolute vs relative risk, and the surprising finding that bigger weight loss and a larger A1C drop did not translate into statistically superior cardiovascular outcomes during the study window.We close with practical guidance and a list of questions you can bring to your own checkup, including whether you have established cardiovascular disease, what makes you “high risk,” whether other cardioprotective meds are already doing the job, how dose changes could affect insulin or blood pressure meds, and what it will actually cost. If you found this helpful, subscribe, share the show with someone managing diabetes risk, and leave us a review so more people can find clear medical context.Send us a (voice ) message with this link, we would love to hear from you. Standard message rates may apply.Support the showProduction and Content: Edward Delesky, MD, DABOM & Nicole Aruffo, RNArtwork Rebrand and Avatars:Vantage Design Works (Vanessa Jones) Website: https://www.vantagedesignworks.com/Instagram: https://www.instagram.com/vantagedesignworks?igsh=aHRuOW93dmxuOG9m&utm_source=qrOriginal Artwork Concept: Olivia Pawlowski

Forget the scale - it doesn't tell you what actually predicts longevity. In this episode, Dr. Barrett walks through a 5-part scorecard you can start tracking from home: waist-to-height ratio, grip strength, metabolic markers (glucose, insulin, A1C), VO2 max, and sleep quality. He breaks down the research behind each one and why these fundamentals matter more than any supplement stack, peptide, or hormone protocol - plus simple, practical ways to start improving your score today.. . . Watch the episode on YouTube here! Click here to view the episode transcript! Podcast Team Dr. Barrett Deubert - Host Grant Crenshaw - Editor (00:00) - Intro (02:04) - #1: Processed Foods (04:42) - #2: Indoor Air Quality (08:03) - #3: Plastics & Endocrine Disruptors (11:27) - #4: Light & Circadian Rhythm (13:09) - #5: Noise & Stimulation (16:34) - Recap (17:53) - Closing Thoughts DISCLAIMERThis content is strictly the opinion of Dr. Barrett Deubert and is for informational and educational purposes only. It is not intended to provide medical advice or to replace medical advice or treatment from a physician. All viewers of this content are advised to consult their doctors or qualified health professionals regarding health questions and concerns. Neither Dr. Deubert nor the Real Health Co. takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All audience members, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement, or lifestyle program.

Elizabeth Elder knows what it means to carry a lot as a mother. Her two oldest children were born with a rare genetic condition, and in 2021, she lost her daughter Annabelle to complications of that condition at just eleven years old. About a year later, her son Clark, her third child, was diagnosed with Type 1 diabetes at age five. For Elizabeth, who had already spent years navigating the world of medically complex parenting and had even founded a nonprofit to support other moms walking similar roads, the diagnosis felt like one more heavy thing to hold.In this episode, Elizabeth sits down with Risely's Director of Coaching, Abby Cooper, to talk honestly about T1D motherhood: the mom guilt, the pressure to get everything right, and the quiet weight of feeling like your child's numbers are a reflection of you. She shares what shifted when she joined our T1D Mom Coaching Program, from learning that you can't get an A in diabetes, to letting herself receive support for once instead of being the one who always gives it, to the community of moms who are still showing up for each other long after the program ended. It's a moving conversation about grief, grace, and finding a way to carry T1D that leaves room for you to actually live.WHAT WE COVER:Why a stomach bug with no fever was the clue that led to Clark's T1D diagnosis at 5, almost exactly one year after Elizabeth lost her daughterWhat her 5-year-old said to comfort her in the hospital, in the middle of the scariest moment of her yearThe number 1 belief that helped to reduce mom guiltWhy you can't get an A in diabetes, and the reframe that finally freed Elizabeth from treating every A1C like a report cardHow "time in happiness" became just as important as time in range, and the pediatric psychologist who introduced her to itBeing the mom who holds everyone else together, and what it took for her to finally let herself be the one supportedClark's first-ever sleepover 3.5 years after diagnosis, the exact blood sugars Elizabeth watched from home, and how she let him go anywayWHAT'S NEXT:

In today's episode, I sat down with Matt Schreiber — diagnosed with Type 1 diabetes in March of 2025 with a blood sugar of 480 and an A1C of 13.1 — and walked away from this conversation genuinely inspired.Matt spent months feeling exhausted, losing weight, constantly thirsty, and running out of steam ten minutes into a workout. It took his girlfriend finally saying enough is enough and dragging him to urgent care for everything to come to a head. He walked out of the ER with a Type 1 diagnosis, a crash course in insulin, and a choice to make about how he was going to live with this condition.Eighteen months later, his A1C is 5.9. He's playing ice hockey. He completed his first 10K. And he's managing Type 1 with MDI and a CGM while continuing to train the way he always has — without letting diabetes set the boundaries for what he can and can't do.We get into what his diagnosis actually looked like, why urgent care initially gave him metformin instead of insulin, how he navigated exercise and blood sugar management as a competitive athlete, what his experience with a GLP-1 medication was like, and the three pieces of advice he'd give every person with Type 1 diabetes right now — whether they were diagnosed last week or twenty years ago.This episode is proof that you are bigger than Type 1 diabetes.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com You got eggs. After everything, that part finally went right. Then day one, this many fertilized. Day three, this many are still growing. Then the call where someone tells you none of them made it. And what comes next, almost word for word on call after call, is you going back through your twenties. The years when maybe you weren't taking the best care of yourself. Maybe you drank more, were under a lot of stress, or simply weren't thinking about your fertility yet. And you start wondering, Did I cause this? Is that why this happened? But then you come back to the same thing: I'm healthy now. I'm active. I take care of myself. So what am I missing? Your age is real, and we are not going to ignore it. It usually is not the only thing on the table. In this episode, I walk through the three questions I want answered before you go again. What that cycle actually told us, and what it could not tell us about the 90 days before the injections started. What was investigated and what was not, including the full thyroid panel, triglycerides and insulin rather than A1C alone, hs-CRP, vitamin D absorption, the gut and vaginal microbiome, food sensitivity, and his side beyond a count. And if you do another retrieval, what specifically is changing and why. Preparing is not the same as being evaluated. CHAPTERS 00:00 None of them made it 01:00 About Sarah and the team 01:20 Question 1. What did that cycle actually tell us 02:00 The 90 days before stimulation started 02:30 Preparing is not the same as being evaluated 03:00 Where the nervous system fits 03:30 Question 2. What was investigated and what was not 03:50 Full blood chemistry, thyroid and triglycerides 04:20 hs-CRP, vitamin D absorption and gut infections 04:40 The vaginal and gut microbiome 05:00 Clean eating that may still be driving inflammation 06:00 His side. DNA fragmentation and bloodwork 06:30 The body is not a silo 07:10 What Your Clinic Missed 07:30 Question 3. If you go again, what will actually be different 08:10 Book a Second Opinion with your partner WHAT YOUR CLINIC MISSED If you are not sure what can be investigated or which way to go next, we have a guide called What Your Clinic Missed. It gives you the patterns and themes to look at before you consider your next move. Email hello@fabfertile.ca with MISSED in the subject line. FUNCTIONAL FERTILITY SECOND OPINION Book with your partner and load your labs into the secure portal. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth digging into before another IVF cycle. It is not IVF or your health. It is both. Book your call with your partner here. If you want to know whether the call is right for you first, email hello@fabfertile.ca with FERTILE in the subject line and tell me a little about your situation. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review. It is how other women find this work.

Insulin-resistant patients with type 2 diabetes who require high-dose therapy have long lacked a rapid-acting option concentrated enough for compact insulin pumps. New pharmacokinetic data on an ultra-rapid U-500 insulin aspart, alongside additional phase 3 results for a combined once-weekly insulin icodec-semaglutide regimen, both aim to close persistent gaps in insulin delivery for this population. In this episode of Diabetes Dialogue, hosts Diana Isaacs, PharmD, and Natalie Bellini, DNP, reviewed two studies addressing unmet needs in insulin therapy for type 2 diabetes.The investigational agent AT278 is a highly concentrated insulin aspart formulated at 500 units/mL, distinct from existing U-500 regular human insulin, which behaves more like an intermediate-acting product. In a single-center, randomized, double-blind, crossover euglycemic clamp study spanning body mass index from 25 to 38 kg/m², AT278 produced significantly faster absorption and a greater glucose-lowering effect within the first hour versus both standard U-100 insulin aspart and U-500 regular human insulin. The ultra-rapid pharmacokinetic and pharmacodynamic profile held consistent across the BMI range studied.Current U-500 regular insulin requires dosing 30 minutes before meals while simultaneously serving as basal and prandial coverage, complicating use in automated insulin delivery systems and limiting compatibility with smaller-volume pumps. A concentrated, rapid-onset formulation could allow patients with high insulin requirements to use compact pumps and extended-wear infusion sets without the absorption problems tied to large-volume subcutaneous depots. Drawn from an early-phase study, the findings position AT278 as a potential first ultra-rapid option for prandial dosing in this population, though regulatory approval for pump use remains undefined.Separately, the phase 3 COMBINE 4 trial evaluated a fixed combination of once-weekly insulin icodec (Awiqli) and semaglutide, known as IcoSema, against once-daily insulin glargine U-100 in 485 adults with type 2 diabetes and baseline A1C above 8%. Over 40 weeks, IcoSema reduced A1C by 3.32 percentage points versus 2.44 points with glargine, a between-group difference of 0.88 percentage points, while producing a 0.79 kg weight reduction compared with a 3.81 kg gain with glargine. Time in range reached 79.8% with IcoSema versus 64.5% with glargine, consistent with the mechanistic rationale of pairing glucagon-like peptide-1 receptor agonism with basal insulin to limit postprandial excursions.These results build on earlier COMBINE 1 through 3 data, which showed IcoSema achieving noninferior or superior A1C reduction, superior weight outcomes, and lower hypoglycemia rates versus comparators. A single weekly injection combining basal insulin with a GLP-1 receptor agonist could reduce treatment burden and consolidate pharmacy copays, though semaglutide exposure remains capped by concurrent insulin titration, averaging 0.66 mg in COMBINE 4. Whether either agent reaches United States practice, including reported uncertainty around a domestic IcoSema launch, will determine their eventual role in managing insulin-resistant type 2 diabetes.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Anonymous: Good day Dr.Cabral, your doing great work! Can't imagine how proud your family and team are to have you. My question is regarding elevated CRP (didn't do HS-CRP) just did bloodwork for CRP. Which was 13. Also Lip (a) is 180.. which is high due to genetics. In combination.. A1C is creeping up at 6.1.. I know your not giving health advice however, what foods, products help? Berberine? Omega 3s? Thanks!       Matthew: Hi Dr Cabral-thanks for everything you do. My question is on turmeric. I have seen posts that turmeric supplements, especially those that also contain black pepper, are harmful to the liver. Do you agree? If so, what about turmeric that do not include the black pepper? If turmeric supplement's harm to the liver is higher than the benefit, do you have suggestions on a replacement? Thank you     Jasmine: I think my daughter has Lipedema, I've watched a few of your videos and have researched this topic but have never had this topic addressed: she drinks about a liter and a half of water a day, but doesn't urinate that much, never gets up at night, can go the whole day without. Is this affecting her Lipedema and any info you can share, your ideas/opinions would be appreciated. We do things holistically, no drugs unless absolutely necessary (emergency situations), and I don't think diuretics are the way to go. Thanks for any info, Jasmine       Andrea: Hi Dr. Cabral, What is your opinion of the laser therapy for the brain for improved cognition, lymphatic flow? I was made aware of PBM would love to know your opinion. Thanks for everything, grateful for you!       Anonymous: Good morning Dr.Cabral, How would you go about supporting the body naturally dealing with Hepatitis B (chronic).. This has unfortunately been undetected for years due to being born in East Africa. In turn, this long-term Hep B has lead to Hepatocellular caricoma.. However, after a lot of research, the root cause was the Chronic Hep B.. want to deal with this then support the body to shrink the liver mass. Thoughts? Not asking for medical advice. did the HTMA (was unremarkable) but noticing a bit of itching and upper abdominal pain.         Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3851 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Most people with type 2 diabetes are told it's a forever sentence. Chris Reade was one of them. In 2017, his A1C hit 9.1 with zero warning. He refused medication, did the research, and built a food system around the science of soluble fiber. Six months later, his A1C was 5.5. Seven years later, it has never gone back up. In this episode, entrepreneur and author Chris Reade explains how he reversed a shocking diabetes diagnosis using soluble fiber instead of medication, and why simple, sustainable habits beat extreme diets every time.   RESOURCES: Learn more about Chris Reade here: https://www.beatingdiabetes.us/ Instagram: @beatingdiabetesus Get 10% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara   CHAPTERS: 00:00 Intro: meet Chris Reade, author of Beating Diabetes 01:13 Sponsor: Peluva Shoes ad 02:59 Chris's diabetes story 03:35 Insurance renewal reveals an A1C of 9.3 06:00 Doctor's grim prognosis and hunting for the cause 09:07 Cancer scare leads to a surprisingly simple fix 11:13 The research: soluble fiber studies since the 1970s 12:19 How soluble fiber controls sugar, weight, and health 17:52 Writing the book: family history and friend Tim's scare 19:41 Frustration with "pills-only" medicine 22:03 Habit stacking, forgiveness, and small daily habits 28:04 Segment: Tara's coaching, app, and retreats 33:00 Soluble vs. insoluble fiber, explained simply 36:34 Continuous glucose monitors: benefits and pitfalls 43:46 His current routine, and "the warranty ends at 30" 44:49 Soapbox: the vegan/carb-fear myth 51:27 Morocco motorcycle trip: eating simply on the road 54:58 Success story: Tim's A1C drops from 13 to normal 56:57 Next-level challenge: cooked-and-cooled resistant starch   WORK WITH TARA: Are You Looking for Help on Your Wellness Journey? Here's how Tara can help you: TRY TARA'S APP FOR FREE: http://taragarrison.com/app INDIVIDUAL ONLINE COACHING: https://www.taragarrison.com/work-with-me CHECK OUT HIGHER RETREATS: https://www.taragarrison.com/retreats   SOCIAL MEDIA:  Instagram @coachtaragarrison TikTok @coachtaragarrison Facebook @coachtaragarrison Pinterest @coachtaragarrison   INSIDE OUT HEALTH PODCAST SPECIAL OFFERS: ☑️ Upgraded Formulas Hair Test Kit Special Offer: https://bit.ly/3YdMn4Z ☑️ Upgraded Formulas - Get 15% OFF Everything with Coupon Code INSIDEOUT15: https://upgradedformulas.com/INSIDEOUT15 ☑️ Rep Provisions: Vote for the future of food with your dollar! And enjoy a 15% discount while you're at it with Coupon Code COACHTARA: https://bit.ly/3dD4ZSv   If you loved this episode, please leave a review! Here's how to do it on Apple Podcasts: Go to Inside Out Health Podcast page: https://podcasts.apple.com/us/podcast/inside-out-health-with-coach-tara-garrison/id1468368093 Scroll down to the 'Ratings & Reviews' section. Tap 'Write a Review' (you may be prompted to log in with your Apple ID). Thank you!

GLP-1 receptor agonists have transformed weight loss and metabolic health—but what are we overlooking? In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald is joined by Dr. Sanjay Bhojraj and Dr. Alexis Gonzales to explore the clinical tradeoffs of GLP-1 therapy, including lean muscle preservation, nutrient status, weight regain, and long-term metabolic health. The conversation also examines SiPore, an engineered silica-based intervention that works locally in the GI tract to slow the breakdown and absorption of carbohydrates and fats. Dr. Fitzgerald and her guests discuss findings from the randomized, double-blind, placebo-controlled SHINE trial, including outcomes related to A1c, visceral fat, waist circumference, cholesterol, and lean mass. They also explore how CGMs can reveal post-meal glucose patterns, why muscle preservation matters during weight loss, and how clinicians can support patients transitioning off GLP-1 medications—including those preparing for pregnancy, IVF, or surgery. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/ GUEST DETAILS Sanjay Bhojraj, MD, FACC is an interventional cardiologist and Fellow of the American Academy of Anti-Aging Medicine specializing in cardiometabolic health, longevity medicine, and precision cardiovascular prevention. He's the founder of the Laguna Institute of Functional Medicine. His programs focus on reversing metabolic dysfunction, improving resilience, and reducing cardiovascular risk through lifestyle optimization and advanced diagnostic testing. Dr. Alexis Gonzales ("Dr. G") is OvationLab's Senior Clinical Implementation and AI Specialist, translating breakthrough research into practical clinical workflows, and holds advanced degrees in biochemistry (Saint Mary's), biotechnology (Johns Hopkins), and naturopathic medicine (Bastyr). She provides concierge functional-medicine care at her private practice in California—focusing on endometriosis, fertility, PCOS, and menopause—while distilling emerging research into practical frameworks at conferences to make integrative solutions accessible. http://sigridpro.com/DRKF THANK YOU TO OUR SPONSOR SIGRID http://sigridpro.com/DRKF *CONNECT with DrKF* Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You Practitioner Training Program: https://www.drkarafitzgerald.com/trainingyyi/ Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw

Can you reverse type 2 diabetes without drugs? Chris Reade did, and it came down to one nutrient most people never think about. He took his A1C from a diabetic 9.3 back to normal, no medication, no extreme dieting. In this episode he breaks down the soluble-fiber approach and the simple habits that made it stick for almost a decade. Meet our guest Chris Reade is a former software CEO with no medical background who reversed his own type 2 diabetes after an accidental blood test caught his blood sugar sky-high. He now shares a science-first, practical plan built on soluble fiber, walking, sleep, and stress control in his book Beating Diabetes. Thank you to our partners Outliyr Biohacker's Peak Performance Shop: get exclusive discounts on cutting-edge health, wellness, & performance gear Ultimate Health Optimization Deals: a database of of all the current best biohacking deals on technology, supplements, systems and more Latest Summits, Conferences, Masterclasses, and Health Optimization Events: join me at the top events around the world FREE Outliyr Nootropics Mini-Course: gain mental clarity, energy, motivation, and focus Key takeaways Soluble fiber (edamame, chickpeas, beans, broccoli, oats) slows digestion and blunts glucose spikes. Starting a meal with edamame keeps blood sugar flat and curbs your appetite. Chris dropped nearly 25 pounds in 6 months with no portion control. A short post-meal walk lowers blood sugar as much as a supplement. Berberine matched metformin for him; cinnamon and apple cider vinegar were busts. 1 gram of visceral fat on the pancreas can trigger type 2 diabetes, and losing it can reverse it. Use a CGM short-term to learn, then avoid the long-term analysis paralysis.   Episode highlights 0:00 The accidental blood test 4:06 The one nutrient: soluble fiber 6:09 Edamame before sushi 21:24 Berberine vs cinnamon 7:44 The post-meal walk 43:35 One gram of fat 49:24 Where to find Chris Links Watch it on YouTube: https://youtu.be/LRT8c3T09Ko  Full episode show notes: https://outliyr.com/274 Connect with Nick on social media Instagram Twitter (X) YouTube LinkedIn Easy ways to support Subscribe Leave an Apple Podcast review Suggest a guest Do you have questions, thoughts, or feedback for us? Let me know in the show notes above and one of us will get back to you! Be an Outliyr, Nick

Two orthopedic surgeons told a 69 year old patient there was no other option left for his knees. He tried something else first, and ten years later he's still walking four miles a day.Dr. Joy Kong is a triple board certified physician specializing in regenerative and anti-aging medicine, and the founder of Chara Health in Los Angeles. In this live audience Q&A, she explains why she uses non-expanded, umbilical cord derived mesenchymal stem cells instead of autologous or bone marrow sources, how IV delivery interacts with the immune system through the spleen, and why exosome products claiming trillions of particles per dose are not biologically realistic. She walks through real patient outcomes, including a 69 year old who avoided bilateral knee replacement, a patient whose hemoglobin A1C improved after years of failed interventions, and a peripheral neuropathy patient who regained the ability to write after three treatment sessions.She also gets into the questions people ask most: how many sessions it actually takes to see results, what she's seen go wrong in over 40 treatments on herself, and how to spot inflated claims from clinics that don't test their products the way she does.If you've ever wondered whether a second opinion is worth chasing down, or what actually happens inside your body after a stem cell infusion, this one covers more ground than most.Dr. Joy talks about:00:00 Why some patients feel change in days05:19 The three pillars of stem cell therapy08:31 Why the FDA restricts stem cell language13:31 The five Ps of regenerative medicine14:23 Why umbilical cord cells beat your own20:54 Why expanded cells trigger FDA drug rules22:11 How delivery route decides where cells go26:53 The peptides in every stem cell protocol31:24 What peptides are and how many exist40:19 The ten-year knee replacement study57:33 The real risks of stem cell therapyAdditional ResourcesVisit My Clinic: Chara Health

What does “body positivity” mean to you? To Kelvin Davis, it began as a gap in the market. Women's clothing advertising was leaning, more and more, into diversity in their models, while menswear seemed content to maintain the status quo of ultra-ripped or ultra-thin. Kelvin launched his body-positive menswear blog, Notoriously Dapper, to address this lack in the fashion industry. Since then, he has published two books and modeled for big names, including Lululemon and Gap. When his Type II Diabetes diagnosis came in 2021, Kelvin had a new crossroads to face: the intersection between loving his body and initiating positive changes for the sake of his health.  In this episode of Major Pain, Jesse and Kelvin discuss the mechanisms and symptoms of this challenging disease and the medication and lifestyle change approaches that can improve its outcomes. Since enrolling in a diabetes education course, Kelvin has a strong grasp of what his symptoms—like high A1C levels and nerve pain in his hands and feet—mean for his well-being and longevity. Today, he manages his condition with movement and nutrition habits, but the  process wasn't easy. Particularly in Black communities, where access to health care, food, and education is all too often scarce, recognizing and acting on the healthier choices can be daunting and expensive. With a heartfelt combination of tough love and empathy, Kelvin discusses the importance of “choosing hard now and easy later” rather than “easy now and hard later,” and how this tradeoff plays into his new book, “Be a Good Man, Not a Nice Guy.” Body positivity must go beyond just accepting and showcasing larger bodies. Kelvin calls for taking accountability for your shortcomings and ownership in the pursuit of long-term health. For the sake of the future—his own and that of his two young daughters—he's living that journey every day.  Learn more about Kelvin and Notoriously Dapper: https://notoriouslydapper.com/  Buy Kelvin's book, Be a Good Man, Not a Nice Guy: https://bookshop.org/p/books/be-a-good-man-not-a-nice-guy-a-guide-to-true-masculinity-kelvin-davis/923e9e4fd6fcc492 https://www.youtube.com/watch?v=0roefciyJ6Q Watch the episode on YouTube or Spotify, listen here on our website or on your favorite podcast platform. PODCAST LINKSWEBSITE: https://majorpainpodcast.comEMAIL: majorpainpodcast@gmail.comSUBSCRIBE: https://majorpainpodcast.com/subscribeSPOTIFY: https://open.spotify.com/show/5NDoD07WJmICdfdRKq0TyNAPPLE PODCASTS: https://podcasts.apple.com/us/podcast/major-pain/id1562947550?mt=2&ls=1 SOCIAL MEDIAINSTAGRAM: https://www.instagram.com/majorpainpodcastTIKTOK: https://www.tiktok.com/@majorpainpodcastYOUTUBE: https://www.youtube.com/@MajorPainPodcastFACEBOOK: https://www.facebook.com/majorpainpodcast AFFILIATE LINKSRARE PATIENT VOICE: https://rarepatientvoice.com/MajorPainPodcastAMAZON SHOP: https://www.amazon.com/shop/majorpainpodcastNEURAHEALTH: https://www.neurahealth.co/majorpain

What Pediatricians Do Every Day That's Great—and Nobody Knows About (with Dr. Lisa Cronin)On The Pediatric Lounge, hosts interview Dr. Lisa Cronin, a general pediatrician and chief marketing officer at Children's Medical Center, a 17-physician independent practice in the Tampa Bay area with four locations and about 50,000 patients, 40% Medicaid, open 362 days a year with extensive after-hours access and an integrated behavioral health component in Pinellas County through a Juvenile Welfare Board partnership. Cronin describes her path from intending emergency medicine to pediatrics, briefly training in anesthesiology, and choosing primary care for continuity and relationships, while discussing why general pediatrics can be more challenging than controlled inpatient settings. The conversation covers maintaining culture across offices, generational communication, marketing and digital presence, business education, efficiency as reducing pain points without sacrificing quality, and resisting private equity consolidation. Cronin shares how a conference talk on early type 1 diabetes screening led her to identify a 10-year-old with abnormal A1c/glucose and positive antibodies, refer to endocrinology, and confront family reluctance about further testing and treatment.00:00 Podcast Intro00:39 Meet Dr Lisa Cronin01:12 Why Pediatrics02:10 Inside Her Practice04:28 Hospitals And Coverage07:41 Detour Into Anesthesia10:44 Why General Peds Is Hard14:37 Culture Across Offices17:35 Information Overload And Trust25:01 Chief Marketing Officer Role31:40 Marketing Meets Modern Pediatrics34:04 Hiring Accountability And Work Ethic36:00 Part Time Scheduling Wins37:20 Flexibility Beats Rigidity38:47 Weekend Coverage Reality39:34 Motivating Future Partners43:02 Leadership Explaining The Why46:58 Private Equity Misconceptions49:16 Efficiency Without Volume54:13 OP Engage Diabetes Screening56:03 Case Finding Early Type 101:04:10 Why Screening Matters01:06:25 Conference Hook And Hope01:07:55 Wrap Up And FarewellSupport the show

Elias is 10, pre-boluses like a pro, runs a 6.2 A1c, and mentors other kids as a youth ambassador. A bright, funny catch-up a year after his first visit, plus a word with his mom. twiist - A different type of insulin pump has arrived ABLEnow save for today's needs or invest for tomorrow Eversense CGM MiniMed Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!

Have you been feeling grayed out lately? Numbed up? Like you're going through the motions of your own life but no longer quite feel like yourself? What if that slow, quiet malaise isn't something you have to live with, and what if healing it doesn't require years of work, but simply showing up in the right room, at the right frequency, with the right people? Michael steps outside his usual format to do something he's never done on air before: bring the audience directly into a live group energy healing experience, the same kind of work that's produced what participants are calling miraculous results in his Come Back to Life summer program. From a guided "wall" visualization for shattering limiting beliefs to a full live attunement, this episode is part teaching, part experiential healing session, and part invitation into a small, intimate fall program built entirely around this same energy. This isn't about hoping for a slow, gradual improvement someday. This is about stepping directly into a healing bubble together, right now, and discovering just how much can shift in a single sacred hour. Key Topics: Why the most overlooked kind of healing isn't physical; it's the slow, gray malaise of feeling numbed out and disconnected from your own aliveness. The science behind group healing: Lynne McTaggart's research in The Power of Eight, showing that when a group prays or sets intention for one person, spontaneous healings ripple outward to others in the circle as well. A live group healing circle at Michael's Vermont "mirror pool," setting both a collective healing intention and a deeply personal one for each listener. Why it's essential to ask boldly for what you truly want - not the small, safe version, but the real desire sitting underneath, whether that's physical healing, freedom, abundance, or a life partner. The "wall" visualization: carving your intention into an immovable wall with a magic pen of golden light, then leaping, springs on your feet and all, to the other side, into the life already realized. Why a single anchor word (Michael uses "yes") can instantly return you to a felt sense of your desired future, the same way scent or a hotel key code unlocks something instantly. The origin story of Come Back to Life: how Michael's summer experiment in group energetic healing led to reported miracles - including reduced A1C, resolved back pain, phantom limb pain disappearing, and people coming off pain medication entirely. You don't need to wait for permission to come back to life. The wall you think is holding you back - the diagnosis, the doubt, the "you're too old" or "you'll never", was never as solid as it seemed. Carve your intention into it, leap to the other side, and remember: you are not broken and waiting to be fixed. You are a divine being already whole, simply waiting to reconnect with your own true, healed essence.

Can ketogenic therapy improve symptoms, cognition, and metabolic health in people living with serious mental illness?In this episode of Metabolic Mind, Dr. Bret Scher speaks with Dr. Judy Ford, Juliette Kyner (previously Juliette Ward), and Dr. Shebani Sethi about the first-ever randomized controlled trial of a ketogenic diet intervention in individuals living with schizophrenia spectrum disorder or bipolar I disorder with psychotic features.The conversation explores what made this trial possible, from prepared meals and coaching to the structured support that helped participants stay engaged. It also highlights encouraging four-month findings across metabolic health, cognition, depressive symptoms, and both positive and negative psychiatric symptoms.They discuss:Why this trial is an important step for metabolic psychiatryHow participants adhered to a ketogenic diet with structured supportWhat changed in metabolic health markers like BMI, A1C, and HOMA-IRWhy cognitive improvements were especially meaningfulHow positive symptoms, negative symptoms, and depressive symptoms changed over timeWhat family members noticed as participants re-engaged with daily lifeWhy future studies may need to be longer, larger, and more mechanisticThis trial marks an important step for metabolic psychiatry and points to the need for larger, longer, fully controlled studies that can better clarify how ketogenic interventions may affect metabolic, cognitive, and psychiatric outcomes.

Dr. Daniel Chong has spent years helping patients understand their true cardiovascular risk and take meaningful action to prevent heart attacks and strokes.In this episode, Rip and Dr. Chong dig into the confusing, often polarizing world of cholesterol and heart disease. Is LDL cholesterol really important? How low should it go? Is ApoB a better marker? What about calcium scores, lipoprotein(a), statins, saturated fat, and the growing noise around keto and carnivore diets?Dr. Chong offers a grounded, practical, and highly nuanced perspective. He explains why standard LDL cholesterol is only part of the picture, why ApoB and LDL particle number may provide a clearer view of risk, and why cardiovascular disease is never about one single factor. Instead, it is about the full internal environment: inflammation, endothelial function, blood flow, plaque stability, lifestyle, and diet.Rip and Dr. Chong also explore the limits of coronary artery calcium scores, the risks of relying on a “zero” score too early in life, and why soft plaque can still pose a serious threat even when calcified plaque is not detected.They also discuss saturated fat, heme iron, blood viscosity, hydration, testosterone therapy's potential effect on red blood cell count, and the fascinating protective layer inside our blood vessels known as the glycocalyx.This conversation is a reminder that cardiovascular prevention is about building a body that supports vitality from the inside out.You'll Learn:LDL cholesterol matters, but ApoB and LDL particle number may offer a more precise picture of cardiovascular risk.The longer LDL particles remain elevated, the greater the potential risk over time.Saturated fat can interfere with the body's ability to clear LDL particles from the bloodstream.Coronary artery calcium scores can be useful, but they do not detect soft, non-calcified plaque.A calcium score of zero does not always mean “clean arteries,” especially in younger people.Lipoprotein(a), or Lp(a), is an important marker to test at least once.Dr. Chong recommends looking at a broader cardiovascular panel, including lipids, ApoB, Lp(a), A1C, and hs-CRP.Heme iron from red meat is absorbed differently than non-heme iron from plants and may contribute to oxidative stress when elevated.Blood viscosity — or how “thick” your blood is — can influence endothelial function and plaque formation.Hydration, plant foods, and, in some cases, blood donation may help support healthier blood viscosity.The glycocalyx is a delicate, hair-like protective layer that supports endothelial function.A whole food, plant-based lifestyle remains one of the most powerful foundations for vascular health.Learn More About our 2026 Live PLANTSTRONG Events: https://plantstrongevents.com/ Let Us Help Your PLANTSTRONG JourneyLearn More About Our Corporate Wellness Program: https://liveplantstrong.com/corporate-wellness/ COMPLEMENT: Use code PLANTSTRONG for 30% off at https://lovecomplement.com/pages/plantstrong-special-offer Follow PLANTSTRONG and Rip Esselstynhttps://plantstrong.com/ https://www.facebook.com/GoPlantstrong https://www.instagram.com/goplantstrong/https://www.instagram.com/ripesselstyn/ Follow the PLANTSTRONG Podcast and Give the Show a 5-star RatingApple PodcastsSpotifyWatch on YouTubeEpisode Webpage

Disclaimer: This episode and article are for educational purposes only and are not a substitute for individualized medical advice. Always consult your physician before making changes to your diet, exercise routine, or medications.TL;DR* The CDC's top 10 causes of death account for roughly 74% of all deaths in the US each year, and up to 80% of chronic disease is estimated to be driven by lifestyle factors — diet, movement, sleep, stress, and toxin exposure. * This episode goes cause by cause (heart disease, cancer, COVID/respiratory disease, accidents, stroke, Alzheimer's, diabetes, kidney disease, flu/pneumonia, and suicide) and lays out what the peer-reviewed research says about preventing, slowing, or reversing each one.* Ready to build your own plan? Book a free Metabolic Blueprint Session →The List, and the Number That Should Keep You Up at NightAccording to the CDC, ten conditions account for about 74% of all deaths in the United States every year:* Heart disease* Cancer* COVID-19 / chronic lower respiratory diseases* Accidents (unintentional injuries)* Stroke* Alzheimer's disease* Diabetes* Kidney disease* Influenza and pneumonia* SuicideHere's the part that doesn't get said enough: research estimates that up to 80% of chronic disease is driven by lifestyle factors — diet, movement, sleep, stress, and toxin exposure. Those aren't destinies. They're decisions, and decisions can change.A landmark paper in the Journal of the American Medical Association found that poor diet alone accounts for more deaths in the US than tobacco use. The fork may be more dangerous than the cigarette. And yet, most patients who end up on four to six medications were never once asked what they eat, how they sleep, or whether they move their bodies before those prescriptions were written. That's the difference between a sick care system and a healthcare system.Heart Disease and Stroke: The Most Reversible Disease We KnowHeart disease kills one American every 34 seconds and has held the #1 spot for over a century. But it's also one of the most reversible conditions in medicine.In 1990, Dr. Dean Ornish's landmark Lifestyle Heart Trial showed that intensive lifestyle changes — diet, exercise, stress management, and social support — could reverse coronary artery disease without drugs or surgery. Arterial plaques reduced. Blood flow improved. Chest pain decreased. A 2019 study in the Journal of the American College of Cardiology confirmed it: a plant-predominant diet, regular aerobic exercise, not smoking, and a healthy weight reduced cardiovascular risk by over 80%.What that looks like in practice:* A Mediterranean or whole-food, plant-based diet rich in omega-3s and antioxidants (this isn't the only diet that works — it's the broadest evidence-backed baseline)* Zone 2 cardio (low-intensity aerobic work, three to five times a week — a brisk walk counts)* Managing chronic inflammation, the real driver of arterial plaque formation* Reducing refined sugar and seed oils, which damage the endothelial lining of the arteries* Prioritizing sleep, since poor sleep spikes cortisol and directly harms the heartStroke follows the same playbook: control blood pressure through diet, exercise, and stress reduction. The DASH diet in particular has been shown in multiple studies to lower blood pressure as effectively as medication in many patients.Cancer: 30–50% Preventable, and Possibly More Metabolic Than GeneticTo be clear, this isn't a claim about curing cancer — it's about how much prevention research is available and underused. The World Health Organization estimates that 30–50% of cancers are preventable. The American Institute for Cancer Research has identified lifestyle factors that dramatically reduce risk across multiple cancer types:* Diet. A 2022 meta-analysis in The Lancet linked poor dietary patterns — low fiber, low fruit/vegetable intake, high processed meat — to one in five cancer deaths globally.* Obesity. Excess weight is now the second-leading risk factor for cancer after smoking, because fat tissue is metabolically active and produces hormones like estrogen and inflammatory cytokines that fuel cancer growth.* Exercise. A 2019 study of over 1.4 million people found higher physical activity was associated with lower risk across 13 cancer types, including breast, colon, and endometrial cancer.* Fasting and metabolic health. Emerging research on intermittent fasting and time-restricted eating shows it can lower insulin-like growth factor, a key promoter of cancer cell proliferation.* Toxin reduction. Chronic low-grade exposure to pesticides, plastics (BPA, phthalates), and environmental pollutants has been linked to increased cancer risk. Choosing organic where possible, filtering water and air, and reducing plastic in cookware and storage all matter.There's also a deeper shift happening in how researchers understand cancer itself. It's long been treated primarily as a genetic disease, but the evidence is increasingly pointing toward cancer as a metabolic disease. Dr. Thomas Seyfried at Boston College has done groundbreaking work showing that cancer cells overwhelmingly rely on glucose and glutamine fermentation for energy — which is why a ketogenic or low-glycemic approach may help starve cancer cells while protecting healthy ones. The research is still evolving, but it's compelling.Think of your body like a garden. You can water it, enrich the soil, and pull the weeds — or you can dump sugar and chemicals on it and wonder why nothing grows right. Disease doesn't happen to you. It grows in an environment you create, consciously or not. The good news: you can change that environment starting today.Alzheimer's: “Type 3 Diabetes”Alzheimer's is rising, and it's terrifying to watch someone go through it. But emerging science shows it has a strong lifestyle and metabolic component — researchers now sometimes call it “type 3 diabetes” because of the profound link between insulin resistance and neurodegeneration.Dr. Dale Bredesen's ReCODE Protocol, published in the Journal of Aging, showed that a multimodal lifestyle intervention — diet, exercise, sleep optimization, hormone balancing, and stress reduction — reversed early cognitive decline in the majority of patients treated. In his 2014 case series, 9 of 10 patients with early Alzheimer's or mild cognitive impairment showed measurable improvement, with several returning to work.Key strategies from the research:* Sleep is non-negotiable. The brain's glymphatic (waste clearance) system activates primarily during sleep, flushing out amyloid beta plaque. Poor sleep means plaque buildup.* Exercise. A 2020 study showed aerobic exercise increases BDNF (brain-derived neurotrophic factor) — essentially fertilizer for neurons — and reduces dementia risk by up to 35%.* Mediterranean-MIND diet. Shown to slow cognitive aging by an estimated 7.5 years in adherent individuals.* Blood sugar management. Insulin resistance in the brain disrupts its ability to use glucose for energy, effectively starving neurons.* Social connection. Harvard's 80-year longitudinal study found relationship quality was the single strongest predictor of cognitive health and longevity in old age.Type 2 Diabetes and Kidney Disease: One Disease Driving AnotherOver 37 million Americans have type 2 diabetes, and another 96 million are pre-diabetic. Here's the part that surprises people: type 2 diabetes is reversible in the majority of cases, and this isn't controversial — the science is overwhelming.The 2019 DiRECT trial, published in The Lancet, found that nearly half of type 2 diabetics achieved full remission through an intensive dietary intervention alone, with no medication. Other studies using low-carbohydrate and very-low-calorie diets have replicated these results consistently.Diabetic nephropathy — kidney damage from chronically high blood sugar — is the leading cause of kidney failure in the US. Control the upstream issue (blood sugar and metabolic dysfunction) and you protect the downstream organ.The diabetes reversal framework from the research:* Dramatically reduce refined carbohydrates and added sugars to blunt insulin spikes and reduce fat storage in the liver and pancreas* Practice time-restricted eating or intermittent fasting to improve insulin sensitivity* Add resistance training — muscle is your biggest glucose sink, so more muscle means better blood sugar control* Reduce visceral fat (the fat around and inside your organs), a key driver of insulin resistance and inflammationIf this list feels like a lot, that's fair. But it's not about blame — it's about empowerment. You have more control over your health outcomes than the medical system has typically told you.Respiratory Disease, Flu, and PneumoniaChronic lower respiratory diseases like COPD and emphysema are largely driven by smoking and air quality. Quitting smoking remains the single most impactful intervention here, full stop.For flu and pneumonia risk, immune resilience matters: vitamin D optimization, zinc and elderberry, and gut microbiome health (roughly 70% of your immune system lives in your gut). Even mild sleep deprivation has been shown to quadruple susceptibility to viral infection.Suicide and Mental HealthThis is the cause of death nobody wants to talk about, but it's in the top 10 — and it's the leading cause of death for men under 50, and the second-leading cause of death for people ages 10–34.While this is complex and deeply personal, research points to several lifestyle levers:* Exercise functions as an effective antidepressant, largely through endorphin release* The gut-brain axis matters more than most people realize — over 75% of the body's serotonin is produced in the gut, so gut health directly shapes brain chemistry* Social connection and purpose. Viktor Frankl's Man's Search for Meaning, written while he was in a Nazi concentration camp, captured this: meaning and connection to purpose are essential for survival, and perspective shapes both physiology and outcome* Reducing alcohol, a central nervous system depressant that worsens anxiety and depression despite short-term reliefIf you or someone you love is struggling, crisis hotlines are available 24/7. There's often a reason it's happening, and there's often a way through it.The Common ThreadAcross every single one of these conditions — heart disease, stroke, cancer, Alzheimer's, diabetes, kidney disease, respiratory disease, immune function, mental health — the same five levers keep showing up: diet, exercise, sleep, toxin reduction, and blood sugar balance.Your daily habits are either building disease or building resilience. Every meal, every walk, every night of good sleep compounds — just like interest in a bank account.This Week's Action Plan* Do a food audit. For the next three days, write down everything you eat. No judgment, just awareness — you can't change what you can't see.* Walk 30 minutes a day. It lowers blood pressure, improves insulin sensitivity, boosts BDNF, and reduces cortisol. Simple, not easy — do it anyway.* Optimize your sleep. Consistent bedtime, dark room, cool temperature, no screens.* Get your labs done. Know your fasting glucose, A1C, CRP, vitamin D, triglycerides, and LDL — these are your early warning systems.* Address one stress source this week. A conversation you need to have, a boundary you need to set, or ten minutes of breathwork. Chronic stress is silently killing you — take action on it.Ready for a Real Plan?If you're ready to take your health seriously and want a clear roadmap instead of guesswork, book a Metabolic Blueprint Session. In 30–45 minutes, we'll walk through your top three priority areas and how programs like the Metabolic Momentum Accelerator, the Cellular Reboot Accelerator, and the Total Health Restore Protocols can help.Schedule your complimentary consult →Know someone this could help? Share this episode with them — it might change or even save their life.If this episode was valuable, leaving a review on Spotify or Apple Podcasts helps this show reach more people.ReferencesStudies and sources cited in this episode:* CDC — Leading Causes of Death data* Journal of the American Medical Association (JAMA) — poor diet and US mortality* Ornish, D. et al. (1990) — The Lifestyle Heart Trial* Journal of the American College of Cardiology (2019) — plant-predominant diet, exercise, and cardiovascular risk reduction* DASH diet research on blood pressure control* World Health Organization (WHO) — cancer preventability estimates* American Institute for Cancer Research — lifestyle and cancer risk* The Lancet (2022 meta-analysis) — dietary patterns and cancer deaths* Physical activity and cancer risk study (2019, ~1.4 million participants)* Seyfried, T., Boston College — cancer as a metabolic disease* Bredesen, D., Journal of Aging — the ReCODE Protocol; 2014 case series* BDNF and exercise study (2020) — dementia risk reduction* Mediterranean-MIND diet and cognitive aging research* Harvard Study of Adult Development (80-year longitudinal study) — relationships and longevity* DiRECT Trial, The Lancet (2019) — type 2 diabetes remission through dietary intervention* Frankl, V. — Man's Search for MeaningThis article summarizes claims and studies as presented in the podcast episode. Listeners are encouraged to review primary sources directly and consult their own physician before making health decisions. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

nside today's episode, I break down the emerging research on how high blood sugar affects the gut barrier and why hyperglycemia and leaky gut are more connected than most coaches and clinicians appreciate. I walk through the Danish observational study of 69,000 people with type 2 diabetes tracked over more than a decade, why cumulative A1C exposure predicted a 64% higher risk of hospitalization for infection while a single snapshot at diagnosis did not, and what that tells us about the difference between one lab value and a trajectory. Topics discussed: - Blood Sugar and Gut Health as One Conversation- The Danish Diabetes and Infection Study- Why Cumulative A1C Beats a Single Snapshot- The Weizmann Institute Human Study- What Cell Culture Studies Reveal- Separating Blood Sugar From Obesity as the Driver- The GLUT2 Transporter Mechanism- Tight Junctions and Gut Barrier Architecture- The Feed-Forward Loop Between Blood Sugar and Gut Health---------- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Live Program for Coaches: The Functional Nutrition and Metabolism Specialization ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.metabolismschool.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---------- [Free] Metabolism School 101: The Video Series⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.metabolismschool.com/metabolism-101⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------Subscribe to My Youtube Channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/@sammillerscience?si=s1jcR6Im4GDHbw_1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Grab a Copy of My New Book - Metabolism Made Simple⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---------- Stay Connected: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: @sammillerscience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Youtube: SamMillerScience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: The Nutrition Coaching Collaborative Community⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok: @sammillerscience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------“This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast and the show notes or the reliance on the information provided is to be done at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment and is for educational purposes only. Always consult your physician before beginning any exercise program and users should not disregard, or delay in obtaining, medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. By accessing this Podcast, the listener acknowledges that the entire contents and design of this Podcast, are the property of Oracle Athletic Science LLC, or used by Oracle Athletic Science LLC with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of Oracle Athletic Science LLC, which may be requested by contacting the Oracle Athletic Science LLC by email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠operations⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@sammillerscience.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. By accessing this Podcast, the listener acknowledges that Oracle Athletic Science LLC makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this Podcast."

¿Estamos realmente más saludables porque ahora todo el mundo habla de wellness, proteína, ejercicio y salud mental?En este episodio de Café en Mano Podcast me siento con la Dra. Zilka Ríos, nutricionista, y la Dra. María Velasco, psicóloga clínica de Japi Clinic, para hablar sobre la realidad de la salud física y mental de los jóvenes en Puerto Rico.Un estudio realizado con más de 2,700 jóvenes de 18 a 35 años encontró datos preocupantes: 42% no había visitado un médico en los últimos dos años y aproximadamente 3 de cada 20 presentaron azúcar elevada o diabetes. CEM Melody TRANSCRIPT.pdfHablamos de por qué queremos resultados inmediatos, la obsesión con las dietas y el wellness, comer por ansiedad o aburrimiento, depresión y ansiedad en jóvenes, la epidemia de soledad, nuestra relación con las redes sociales y la importancia de conocer números como presión arterial, A1C, colesterol y triglicéridos.También rompemos varios mitos: ¿la proteína es realmente lo más importante? ¿Las frutas tienen demasiada azúcar? ¿Todos tus ex son narcisistas? ¿Ir a terapia significa que algo está mal contigo? Además hablamos de Melody Matters y su campaña Chequea Tus Números, creada para hacer que la prevención y el cuidado de la salud sean más accesibles para los jóvenes en Puerto Rico. CEM Melody TRANSCRIPT.pdf

¿Cuándo fue la última vez que te hiciste un examen de la vista?En este episodio de Café en Mano Podcast me siento con el Dr. Ernesto Collazo, oftalmólogo y cirujano especializado en cataratas, para hablar de algo que va mucho más allá de los ojos.Hablamos de cómo un examen oftalmológico puede detectar diabetes, hipertensión, colesterol elevado e incluso señales tempranas de Alzheimer, años antes de que aparezcan síntomas. También conversamos sobre cataratas, cirugía láser, luz azul, sueño, inteligencia artificial, Neuralink, el futuro de la medicina y por qué Puerto Rico sigue perdiendo médicos especialistas.Si quieres vivir más años, prevenir enfermedades y entender cómo cuidar tu salud antes de que sea demasiado tarde, este episodio es para ti.En este episodio hablamos sobre:* Cómo detectar Alzheimer mirando la retina.* La prueba de sangre que todo adulto debería pedir una vez al año (A1C).* Diabetes silenciosa y retinopatía diabética.* Cataratas: causas, prevención y cirugía.* ¿La luz azul realmente afecta el sueño?* Mitos sobre espejuelos, miopía y cirugía láser.* Inteligencia Artificial, Neuralink y el futuro de la oftalmología.* La escasez de médicos en Puerto Rico.☕ Este episodio es traído por Café Dos CaminosEl café 100% puertorriqueño que llega directo a tu casa.cafedoscaminos.comUsa el código CAFÉENMANO para obtener un 10% de descuento.⚡ Gracias también a FUSE Telecom por mantenernos conectados episodio tras episodio.Suscríbete, comparte este episodio y activa las notificaciones para más conversaciones con expertos en salud, negocios y desarrollo personal.00:00 Introducción e IV Liv02:20 ¿Qué hace realmente un oftalmólogo?04:00 El 70% descubre su enfermedad cuando ya es demasiado tarde07:15 La prueba A1C que todo el mundo debería hacerse10:22 Miopía, astigmatismo y cómo funciona el ojo14:40 Luz azul, pantallas y calidad del sueño18:30 Los problemas más comunes que llegan al oftalmólogo20:50 Cirugía láser: ¿vale la pena?24:38 Cómo un examen de los ojos puede detectar Alzheimer27:30 Diabetes, hipertensión y colesterol vistos desde la retina30:40 Cataratas: causas, prevención y cirugía36:00 Mitos sobre la vista y la nutrición41:30 ¿Por qué hacen falta tantos oftalmólogos en Puerto Rico?48:30 Inteligencia Artificial, Neuralink y el futuro de la medicina58:30 ¿Cómo será la medicina dentro de 10 años?1:07:00 Reflexión final y consejos para cuidar tu salud

Plant-based diets offer rapid and sustainable improvements in blood sugar, A1C, and overall health. Brenda Davis shares the most effective strategies—and her final call to action. #ReverseDiabetes #NutritionMedicine #PlantBasedPower

At 13, Evan runs his own bike YouTube channel, manages type 1 and celiac himself with a 6.6 A1c, and just did three weeks in Spain solo. He named this episode. ABLEnow save for today's needs or invest for tomorrow Eversense CGM Medtronic Diabetes Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Lowering A1C in Prediabetes and Using Less Insulin on a Low-Carb Diet: Leyla Muedin, a registered dietitian nutritionist, answers listener questions about blood sugar and insulin. Responding to Rita, whose hemoglobin A1C rose from 5.6 to 5.8, Layla says “glucose hacks” to blunt carb absorption aren't appropriate at that level and recommends a strict very low-carb/keto approach (under 25 grams of total carbs per day), avoiding sugar, starchy vegetables, fruit (except avocado), sweetened beverages, and even alternative sweeteners and low-carb processed products; she suggests retesting A1C after three months and avoiding testing during illness or inflammation. She also addresses Joy, a type 1 diabetic, affirming low-carb eating to reduce insulin needs and weight gain, criticizing an insurance pricing structure that charges more when insulin is used more slowly, and expressing concern about doctors prescribing insulin too quickly for type 2 diabetes instead of dietary intervention.

Graham asked Ken one question that stopped him in his tracks - is there a right or wrong way to manage Type 1 diabetes? The wrong way to manage Type 1 diabetes has nothing to do with your numbers. Nothing to do with your A1C, your TIR, pre-bolusing, carb counting, or CGM numbers. For Ken, the one non-negotiable your mental health. Because if your mental health isn't in alignment with your diabetes, none of the other stuff works the way it should. Fear, resentment, burnout, avoidance - will run your decisions and move you towards distrust in yourself. 

Could you please comment on the new study that finds protein restriction could slow aging?Considerations for protein intake across the lifespanMy bone mineral density has improved with strontium. Should I stop taking it?  What about vitamin K2?

You're eating less. Working out harder. Doing everything that used to work. So why won't the belly fat move? In this solo episode of Harder Than Life, Kelly Siegel explores why losing belly fat after 40 and 50 can feel completely different—and why the strategies that worked in your 20s and 30s may no longer produce the same results. Kelly shares his own experience of hitting 40, struggling with body changes and low testosterone, and realizing that more willpower wasn't solving the problem. A decade later, another extreme push taught him a second lesson: training harder without enough recovery can leave you depleted instead of progressing. This episode explores the relationship between visceral fat, testosterone, insulin, cortisol, estrogen, muscle loss, sleep, stress, and metabolic health. Kelly also breaks down the four practical levers he focuses on: building muscle, managing blood sugar, prioritizing sleep and recovery, and measuring meaningful health markers. If you're over 40 or 50 and frustrated that your old diet and workout strategies no longer seem to work, this episode offers a practical framework for rethinking your approach. Key Topics:

Kenna Porter was diagnosed with Type 1 diabetes at 13, and for years she did everything she thought she was supposed to. She followed a strict paleo diet, worked out consistently, and built her life around healthy habits. But every time she went to the endocrinologist, she still couldn't seem to get her A1C below 7%.Together, they talk about the frustration of feeling like nothing was working despite doing everything "right,", learning to let go of control, navigating pregnancy and motherhood with Type 1 diabetes, and the tangible shifts that helped diabetes finally feel lighter to live with.WHAT WE COVER:Why doing everything "right" still wasn't enough to get her A1C below 7% and what she had to do instead The shifts that helped Kenna stop chasing perfection and find a more sustainable approach to diabetesThe role comparison played in keeping her stuck, and how she finally broke free from itWhy Kenna avoided connecting with other people with Type 1 diabetes for nearly a decadeThe realities of pregnancy, postpartum, and emergency C-sections with Type 1 diabetesKenna's experience navigating miscarriage with Type 1 diabetes and the message she wants other women to hearWHAT'S NEXT:

Bella was diagnosed at four and spent two decades at an A1C near ten, with an endocrinologist whose method was yelling. She also bet Scott he couldn't guess what state she's from. ABLEnow save for today's needs or invest for tomorrow Eversense CGM Medtronic Diabetes Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Fitz Koehler sits down with celebrity doctor (you saw him in the Liquid Death SUPER BOWL ad) Dr. Darshan Shah, founder of Next Health, to explore his powerhouse journey from surgery to building a 25-location longevity empire blending functional medicine, biomarker-driven care, and cutting-edge biohacking. They tackle the wellness wheel, practical health-tracking tests like hemoglobin A1c, safe peptide use, sleep, strength, and high-tech recovery tools—including saunas, cryotherapy, and hyperbaric oxygen. This episode combines big-picture prevention and personalized medicine with tips you can actually use: monitoring metabolic health, protecting precious muscle while losing weight, and creating daily habits that supercharge your health span and performance. Thanks for keeping The Fitzness Show in the top 3% of all podcasts worldwide. Please subscribe, share, and leave a review.  Order signed copies of You. Supercharged! The Healthy Cancer Comeback Series books at Fitzness.com are on sale now! Join the Hottie Body Fitzness Challenge group on Facebook!  

What happens if you take berberine for 30 days? Does berberine really mimic Ozempic? Discover the berberine benefits beyond weight loss, the connection between berberine and blood sugar, and why some consider it a natural Metformin. 0:00 30 days on berberine 0:20 Is berberine a Metformin alternative1:55 Berberine and Ozempic2:19 What is insulin resistance?3:15 Berberine vs. Metformin4:18 Metformin side effects5:36 Berberine benefits 6:02 Berberine dosage

A 42-year-old man walked into my office.Blood pressure: 165 over 100.His doctor had already written the prescription. He was sitting across from me, looked me in the eye, and said:“I don't want to just manage this. I want to fix it.”Four weeks later, his blood pressure was completely normal. No medication change. No direct blood pressure treatment.Because here's the thing — we never once directly treated his blood pressure.We treated the system that was producing it.That's what this episode is about.The Reframe That Changes EverythingMost people — and most conventional medical appointments — treat blood pressure like it is the problem. The number is high, so we lower the number. Done.But blood pressure is not the problem. It's a report card. It's your body's way of showing you — in a very measurable, very undeniable way — that something upstream has gone wrong.Think of it like the check engine light in your car. You don't put tape over it and drive off. You open the hood.So today, we're opening the hood.Before we do — let's make sure we're speaking the same language. Blood pressure is two numbers:* Systolic (top number): pressure when your heart contracts and pushes blood out* Diastolic (bottom number): pressure when your heart is relaxing between beatsConventionally, 130/80 or above is classified as Stage 1 hypertension. A lot of people are sitting in that zone, being told to “keep an eye on it.”That advice isn't enough. Something created that pressure. And until we find out what, we're managing a symptom — not solving a problem.The 6 Root Drivers of High Blood PressureFrom a functional and metabolic medicine standpoint, there are six primary root drivers I look at when someone walks in with elevated blood pressure. Almost every time, it's not one of these in isolation — it's a combination.1. Insulin ResistanceThis is the big one. And it is criminally underdiagnosed.Here's the mechanism: when insulin is chronically elevated — from too much processed food, too much sugar, not enough movement — the kidneys start holding onto sodium. More sodium means more water in the bloodstream. More volume means more pressure. Basic physics.On top of that, high insulin activates your sympathetic nervous system — your fight-or-flight response — which causes blood vessels to constrict. Less room for the same amount of blood? Pressure goes up.Here's what makes this especially tricky: your blood sugar can look completely normal on a standard lab panel, and you can still have significant insulin resistance. That's why I don't just check fasting glucose. I look at fasting insulin, hemoglobin A1C, and when needed, a glucose tolerance test with insulin levels drawn at multiple time points.2. Chronic InflammationInflammation damages the endothelium — the delicate inner lining of your blood vessels. When it's damaged, vessels lose their flexibility. They can't dilate and constrict properly.And a key molecule called nitric oxide — your body's natural blood vessel relaxer — drops off significantly when the endothelium is inflamed.Less nitric oxide, stiffer vessels, higher pressure. Every time.I test this with high-sensitivity CRP, homocysteine, and sometimes oxidized LDL. These aren't on a standard panel, but they tell me everything about what's happening inside those vessels.3. HPA Axis Dysregulation (Chronic Stress)Your hypothalamic-pituitary-adrenal axis — your stress response system — when chronically activated, keeps you pumping out cortisol and adrenaline. Both cause vasoconstriction. Both tell your kidneys to hold onto sodium. Both keep your heart rate elevated.Your body was designed to activate this system in short bursts — run from a predator, deal with a crisis. It was never designed to do this 24 hours a day in response to emails, traffic, and financial pressure.But that's the world most of us are living in. And for a lot of people, their blood pressure reflects it.4. Mineral DeficienciesMagnesium is the most important mineral almost nobody talks about in the context of blood pressure.It's a natural calcium channel blocker — and calcium channel blockers are literally one of the most prescribed blood pressure medications on the market.Magnesium helps blood vessels relax. It regulates the sodium-potassium pump in your cells. When it's low — and estimates suggest 60 to 80% of Americans are suboptimal — vessels stay tight.Potassium works hand-in-hand with magnesium and sodium to regulate fluid balance and vascular tone. I look at sodium-to-potassium ratios, not just absolute numbers, because that ratio matters enormously for cardiovascular regulation.5. Sleep Deprivation & Circadian DisruptionYour blood pressure is supposed to dip 10 to 20 percent during sleep. This is called nocturnal dipping, and it's when your cardiovascular system gets its nightly repair window.When you're not sleeping enough — or sleep quality is poor — that dip doesn't happen. Your heart works overtime, around the clock. Over weeks and months and years, that creates a chronically elevated baseline.Obstructive sleep apnea is a massive, underdiagnosed contributor here. If you wake up tired, snore loudly, or wake with morning headaches, please get tested. The connection between sleep apnea and hypertension is direct and well-established.Poor sleep also elevates cortisol and inflammatory markers — feeding every other driver on this list simultaneously.6. Mitochondrial DysfunctionThis one is underappreciated even in functional medicine circles.Your mitochondria — the energy factories inside every cell — are responsible for generating the ATP that powers your heart muscle, your vascular smooth muscle, everything. When they're dysfunctional — from chronic stress, poor nutrition, environmental toxins, or oxidative damage — cellular energy production drops.Your cardiovascular system then has to compensate by working harder. Blood pressure creeps up as a downstream consequence of your cells simply not having enough energy to function efficiently.We'll come back to this when we get to the quantum biology piece — because this is where it gets really interesting.This is the part most people have never heard anywhere. Lean in.Quantum biology examines the role of light, water, electrons, and quantum mechanical processes inside living cells. When it comes to blood pressure specifically, three things stand out.Light and the MitochondriaYour mitochondria are not just calorie-burning machines. They are fundamentally light-responsive.Near-infrared light — the kind emitted by the sun in the morning and evening, and also by incandescent and red light sources — directly stimulates cytochrome c oxidase, a key enzyme in the mitochondrial electron transport chain.When properly stimulated by light, mitochondria produce more ATP, more structured water, and more nitric oxide. There's that word again — nitric oxide. The natural vasodilator. The thing that keeps blood vessels relaxed and flexible.When people stop getting morning sunlight and spend their entire day under blue-shifted artificial light, mitochondrial function degrades. Nitric oxide drops. Blood vessels stiffen. Pressure rises.This isn't fringe science. There is solid, published research connecting light exposure — particularly morning sunlight — to cardiovascular and blood pressure outcomes.Circadian BiologyYour body has a master clock in a region of the brain called the suprachiasmatic nucleus. Nearly every cell in the body has its own peripheral clock synchronized to it.Blood pressure has a natural circadian rhythm. It should be lower at night, begin rising about an hour before waking, peak in the late morning, and modulate through the day. When circadian rhythm is disrupted — by artificial light at night, irregular eating, shift work, or poor sleep — that rhythm breaks down.A disrupted circadian clock is directly linked to hypertension. The mechanisms involve cortisol timing, aldosterone regulation, and inflammatory gene expression — all of which influence vascular tone.This is why I ask every patient about their light environment. When do you go outside? What does your bedroom look like at night? What time do you eat your last meal? These feel like lifestyle questions. They are cardiovascular questions.Structured Water and Vascular FunctionResearcher Gerald Pollack at the University of Washington has done groundbreaking work on what he calls the fourth phase of water — EZ water, or exclusion zone water. This is a gel-like, structured form of water that forms at hydrophilic surfaces, including the inner lining of blood vessels.EZ water is negatively charged and creates a kind of biological battery that powers cellular function and supports smooth, low-friction blood flow — essentially a lubrication layer inside your vascular system.What builds EZ water? Sunlight (particularly infrared), movement, grounding, and proper hydration with mineralized water.What degrades it? Dehydration, toxic load, poor light environment, chronic EMF exposure.When the vascular lining is not properly hydrated at this structured level, blood viscosity changes, endothelial function suffers, and blood pressure goes up.The bottom line: your blood pressure is not just a plumbing problem. It's a biological energy problem. And the inputs that drive cellular energy — light, water, minerals, sleep, movement, stress — are the same inputs that drive blood pressure.What This All Means: A Quick RecapHere's the picture pulled together:* Blood pressure is a symptom, not the root problem* The six root drivers are: insulin resistance, chronic inflammation, HPA axis dysregulation, mineral deficiencies (especially magnesium and potassium), sleep deprivation and circadian disruption, and mitochondrial dysfunction* Applied kinesiology provides a way to assess how structural and neurological interference contributes to sympathetic dominance and vascular dysregulation* From a quantum biology perspective, your light environment, your circadian rhythm, and the quality of structured water in your vascular system directly influence how your vessels function and how your cells produce energy* When you address these upstream drivers — as we did with Marcus — the blood pressure number takes care of itself5 Things You Can Do TodayThese are not theoretical. Start here.1. Get morning sunlight — today. Within 30 to 60 minutes of waking, get outside and get natural light in your eyes and on your skin for at least 10 to 20 minutes. No sunglasses. This sets your circadian clock, starts stimulating mitochondrial function, and triggers nitric oxide production in the skin. It costs nothing.2. Cut refined carbohydrates and added sugars for two weeks. Not forever — just try it. This single change drops fasting insulin in most people within days. Lower insulin means less sodium retention, less sympathetic nervous system activation, and lower blood pressure. No prescription required.3. Start magnesium supplementation. Magnesium glycinate or magnesium malate — 300 to 400 mg in the evening. This is one of the safest, most evidence-backed interventions for vascular health. It supports vessel relaxation, improves sleep quality, and aids mitochondrial energy production. Ask your practitioner about your specific dose.4. Treat sleep like a clinical intervention. Because it is. Target 7 to 9 hours. Create a dark, cool sleeping environment. Eliminate screens 60 to 90 minutes before bed. Blue light at night suppresses melatonin, disrupts circadian rhythm, and keeps your nervous system in sympathetic mode. If you have signs of sleep apnea — waking up tired, loud snoring, morning headaches — get tested. This is non-negotiable.5. Prioritize resistance training. 30 minutes, three to four times a week. Strength training improves insulin sensitivity, builds mitochondrial density, supports nitric oxide production, and reduces arterial stiffness. Muscle is metabolic medicine.Ready to Go Deeper?If you read this and thought “this sounds like me” — or you've been told your blood pressure is borderline and you're not sure what to do about it — the next step is a conversation.I offer a free 45-minute Metabolic Audit Call where we look at what's actually driving your numbers — your symptoms, your history, your labs — and map out the highest-leverage moves for your specific situation.Spots are limited each week.Until next time — Be well. And Aloha.

Can you spend over $100,000 a year on your health and still get worse? That's exactly what happened to a patient of Dr. Robert Todd Hurst, board-certified preventive cardiologist and founder of HealthspanMD. In his 60s, elite fitness, 16% body fat, 100th percentile muscle mass, an A1C of 5.0 by every visible measure, this man was doing everything right. But a repeat CT angiogram with plaque composition analysis told a different story: his soft plaque volume increased from 259 to 290 cubic millimeters in a single year. The dangerous, reversible kind of plaque was growing. In this mini Healthspan Podcast episode, Dr. Hurst breaks down why even the most expensive, cutting-edge care can fail… no genetic testing to uncover root causes, no adjustments based on feedback, and a regimen built on the latest treatments instead of the proven foundations that actually stop and reverse artery disease. Heart disease reversal isn't about spending more. It's about knowing your root causes, personalizing your plan, and adjusting based on real data. If you've been diagnosed with heart disease, have a high calcium score, or want to know whether your current plan is actually working, this one is worth your time. About the Guest Dr. Robert Todd Hurst, MD, FACC, FASE, is a board-certified preventive cardiologist, former Mayo Clinic physician, and founder of HealthspanMD. His mission is simple: no one should die of a heart attack, ever. Through a proactive, precision-medicine approach, he helps patients identify hidden risks, address root causes, and prevent or reverse heart disease while extending healthspan and quality of life. Learn more: Join.HealthspanMD.com Key Timestamps 00:03 – The patient spends over $100,000 per year on health optimization 00:45 – Elite fitness, low body fat, and excellent metabolic markers 01:20 – Understanding CT angiograms and plaque composition analysis 02:05 – Why soft plaque matters more than calcified plaque 03:00 – The shocking discovery that artery disease was getting worse 03:55 – Why increasing soft plaque volume is unacceptable 04:45 – The missing pieces: genetics, cholesterol, insulin resistance, and inflammation 05:40 – Why expensive treatments failed to address the root causes 06:20 – The difference between leading-edge care and effective care 07:05 – Why healthcare is failing despite more spending 07:40 – The three biggest problems with modern healthcare 08:05 – Why HealthspanMD focuses on proactive, personalized, healthspan-focused care 08:50 – The mission to transform healthcare and add healthy years to life   This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.   *Connect* *with* *HealthspanMD* :

 Real progress isn't about perfection—it's about consistency.- A1C: 7.4 → 6.7- Time in Range: 62% → 80%More importantly? More confidence, fewer lows, and the freedom to enjoy life again.Small, sustainable changes really do add up. >> ENJOY!Join The Tribe: https://thewarriorstribe.comPurchase your copy of "The Blood Sugar Freedom Formula" book TODAY!https://www.amazon.com/dp/1964811880?psc=1&smid=ATVPDKIKX0DER&ref_=chk_typ_quicklook_imgToDpGrab your free ticket to this advanced T1D training here:https://diabetesinaction.comFree T1D Support Group Here: https://diabetesinaction.com/join-group-1---------Welcome to the Pardon My Pancreas podcast!! This show is all about REAL life with type 1 diabetes, understanding fluctuations, and how to stabilize your blood sugar for good. Your host is Matt Vande Vegte is a certified personal trainer, nutritionist, and type 1 diabetic whose biggest goal in life is to help people with diabetes around the world live their lives fearlessly. Looking for an online health coaching program to help you live your best life? Go to https://www.ftfwarrior.com to learn more about his program for diabetics only that is focused on helping you reach your goals while living a happier and healthier life. Join the Tribe today!This podcast is sponsored by FTF Warrior - An online health and fitness coaching company for type 1 diabetics dedicated to helping them master their blood sugars through any activity, exercise, or meal!https://www.ftfwarrior.comFollow Matt here:Instagram: https://www.instagram.com/ftfwarrior/Facebook: https://www.facebook.com/ftfwarrior/YouTube: https://www.youtube.com/c/ftfwarrior------------------------------------------------------Disclaimer: While we share our experiences with diabetes, nothing we discuss should be taken as medical advice. Please consult your doctor or medical professional for your health and diabetes management. 

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Becca: Hi Dr. Cabral! My husband is challenged by a "cobalt conundrum". Several years back he was overexposed to wet cement, spending hours mixing it with his hands. (Big mistake) Shortly after he developed a severe body rash along with painful cramps and diarrhea. After many tests, they found an allergy to cobalt via a skin test, and we assume it relates to the cement mixing incident. Severely limiting cobalt both topically and in diet has helped, but he still struggles with GI issues. Functional medicine tests showed leaky gut. He attempted treatment but even one basic supplement (dairy free igg) caused severe stomach issues. Meanwhile he's missing vital nutrients from avoiding b12 (cobalt) etc. How can he address leaky gut and allergies when he's so sensitive to treatments? Signed, Your Fan       Ally: Hi Dr. Cabral, I am a new Level 2 graduate and I have a new client who is 20-years old with a history of anorexia. she is 5-years post treatment. She complains of bloating, constipation, and just having trouble eating. She is of normal weight, and is looking for relief. I was thinking of doing the Big 3 labs and the CBO protocol.. Any recommendations would be very appreciated. I do not want to recommend the wrong plan of care for her. Warmest regards, Ally :)      Tommy: Hey Dr. C, I'm an IHP, 36. Had a birth defect, 3 operations by the age of 8 including tonsillectomy. Sleep issues began at 9, insomnia by 12, eczema, fainting, 14 years of steroid creams and thousands of antibiotics. I've got high heavy metals and Citrabacter freundi. I can't tolerate any protocols even at a lower dose, they make my existing problems worse. On days where I train intensely I struggle to shut off. I feel like my body is always stuck in a low level of stress. I've cut down my training a lot but I'm not sure what else I can do. I'm tolerating zinc Carnosine which helps but I still always have red skin on my face. Still struggle to tolerate stress. If only I could do a heavy metal protocol.       Sarah: Hi! Hope you are well and love tuning in daily to learn from you! I have been trying to heal leaky gut and chronic hives for over a decade now. Because I am very reactive I stop and start a lot. However, I recently gave in and started a low dose prednisone and over a couple weeks lost 10lbs of inflammation, hives gone, that I couldn't break with any diet (restriction), exercise etc. I would like to do some testing and do the CBO protocol as this started after antibiotics. My question is, will this skew the results of cortisol/A1C and will it be okay to continue on to keep symptoms calm while getting to the root and going through some protocols? Thanks! (BTW) I have tried all the natural stabilizers and didn't help calm symptoms. (Quercetin, Vit C, Mag, etc)       Sienna: Hi Dr. Cabral, this is a follow up to my question on 3782 re testing for perimenopause please. Thank you for your guidance and if I could run EL labs I would. I have NO access to Saliva Testing in my country (and EL don't ship here). So I know about SMM & Fertility Labs but can't run them so I am *specifically* asking IF estrogen & progesterone tested by an endocrinologist (BLOOD) have ANY value as a way to look at levels? LH, FSH & AMH are great as I can get these from bloods, can you please provide the healthy ranges vs. perimenopause? Would really appreciate it as this is the only option I have to look deeper & PCP here don't have a functional approach so really value your guidance on anything you can share to help me support my body. Thank-you, Sienna     Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3817 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Diagnosed at ten, Kaitlyn runs most of her own care a year later with an A1C in the fives. She and mom Jen show what calm, informed type 1 looks like. ABLEnow save for today's needs or invest for tomorrow Eversense CGM Medtronic Diabetes Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Kate Makinson has lived with Type 1 diabetes since 7th grade and has spent the last 33 years building a life of absolute adventure. She's a PE teacher, runner, mountain biker, and someone who has always found a way to figure it out, whether that meant finishing a half marathon with a failing CGM or managing nine days in Europe after her insulin pump broke with nothing but short-acting insulin.After 12 years away from the diabetes community, raising two kids and focusing on her career, things started changing. When perimenopause hit, the symptoms looked so much like long-term diabetes complications that Kate convinced herself that was exactly what they were. That fear, after three decades of managing T1D with confidence, sent her looking for a T1D community she'd never thought she needed. She found it in Risely's group coaching program, where her average blood sugar dropped from 171 to 155, her time in range climbed from 61% to 75%, and her A1C improved from 7.5 to 6.9. But more than the numbers, Kate walked away with a mindset she hadn't had in years: that no matter what diabetes throws at you, you've got this.WHAT WE COVER:The specific habit that helped drop her average blood sugar from 171 to 155 and bring her time in range from 61% to 75%What it was like to spend nine days in Europe after her insulin pump broke with nothing but short-acting insulin, and how she managed to keep adventuring anywayHow a failing CGM in the first mile of a half marathon forced her to run 13 miles on instinct, gels, and sheer determinationWhy perimenopause symptoms convinced her she had long-term diabetes complicationsWhat brought her to Risely coaching after 33 years of managing T1D largely on her own, and why she says it was the support she didn't know she neededHer best travel tips for flying, international trips, and staying prepared without letting diabetes overthink the adventureWHAT'S NEXT:

In this Mailbag episode, Dr. Fox answers listener questions covering uterine dehiscence versus uterine rupture, including how they're diagnosed, managed, and what they mean for future pregnancies. He also addresses a listener's recovery and subsequent pregnancy planning after a complete uterine rupture, the effects of maternal sepsis on a fetus, and why many women with gestational diabetes have normal A1C levels outside of pregnancy. As always, Dr. Fox draws on clinical experience and research to give nuanced, reassuring answers to these complex questions.

Chimezie is performing an initial examination of a patient with type 2 diabetes mellitus. The patient's most recent hemoglobin A1C is 6.7%. During inspection of the right foot, the therapist observes a small ulcer on the plantar surface beneath the fifth metatarsal head. The patient reports progressively limiting walking activities because of discomfort in the involved foot. Which of the following examination procedures is MOST important for the therapist to perform?A) Measure the patient's maximum ambulation distanceB) Inspect the medial ankle for additional ulcerationC) Test protective sensation using a 10-g monofilamentD) Measure capillary blood glucose before continuing the examinationText our team the word COACH for a free diagnostic: (727) 732-4573

Barbara Court is almost 75 years old, full of humor, full of heart, and living proof that it is never too late to get Plant Strong.After joining PlantStrong's free Real30 Challenge, Barbara committed to eating 30 different whole plant-based foods each week and moving her body for 30 minutes a day. In just a few months, she lost nearly 15 pounds, brought her A1C out of the pre-diabetic range, increased her daily steps, and found a renewed sense of motivation.In this conversation, Rip and Barbara talk about weight loss, calorie density, plant diversity, arthritis, movement, simple meals, social temptations, community support, and why perseverance and humor matters more than perfection.Barbara's message is simple and powerful: you do not have to be perfect. You just have to keep going.In this episode:How Barbara found success with the Real30 ChallengeWhy she tracks her weekly plant diversityHow she lost nearly 15 poundsWhat helped her improve her A1CWhy calorie density finally clickedHow she handles tempting foods and social eventsWhy daily movement is non-negotiableThe power of online community and encouragementWhy it is never too late to change your healthWatch on YouTubeLearn More About our 2026 Live PLANTSTRONG Events: https://plantstrongevents.com/ Let Us Help Your PLANTSTRONG JourneyLearn More About Our Corporate Wellness Program: https://liveplantstrong.com/corporate-wellness/ COMPLEMENT: Use code PLANTSTRONG for 30% off at https://lovecomplement.com/pages/plantstrong-special-offer Follow PLANTSTRONG and Rip Esselstynhttps://plantstrong.com/ https://www.facebook.com/GoPlantstrong https://www.instagram.com/goplantstrong/https://www.instagram.com/ripesselstyn/ Follow the PLANTSTRONG Podcast and Give the Show a 5-star RatingApple PodcastsSpotify

Therapist Erika Forsyth on the emotional weight of diabetes: trusting your settings, hypervigilance and cortisol, the pre-bolus wait, identity and grief, and the self-compassion shown to lower stress and A1C. Go tubeless with Omnipod 5 or Omnipod DASH * Dexcom G7 CONTOUR NextGen smart meter and CONTOUR DIABETES app Get your supplies from US MED  or call 888-721-1514 Tandem Mobi  ABLEnow save for today's needs or invest for tomorrow Type 1 Diabetes Pro Tips - THE PODCAST Eversense CGM Medtronic Diabetes Touched By Type 1 Take the T1DExchange survey Use code JUICEBOX to save 20% at Cozy Earth  Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! The Pod has an IP28 rating for up to 25 feet for 60 minutes. The PDM is not waterproof. Brown et al. Diabetes Care (2021). Sherr et al. Diabetes Care (2022). Pasquel FJ, et al. JAMA Network Open (2025). Single-arm studies comparing 3 months of Omnipod 5 use to standard therapy in 240 people aged 6-70 years and 80 people aged 2-5.9 years with type 1 diabetes and 305 people aged 18-75 years with type 2 diabetes. Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.Hosts: Dr. Maggie Bosley - @MBosleyMD Dr. Sean Orenstein - @OrensteinSean Dr. Amber Sandoval Dr. Peter Ferrin Institution: Oregon Health & Science UniversityReferences:Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complicationshttps://pubmed.ncbi.nlm.nih.gov/26206646/Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repairhttps://pubmed.ncbi.nlm.nih.gov/24030572/lack of association between glycated hemoglobin and adverse outcomes in diabetic patients undergoing ventral hernia repair: an ACHQC studyhttps://pubmed.ncbi.nlm.nih.gov/35969297/Impact of preoperative haemoglobin A1c levels on postoperative outcomes in adults undergoing major noncardiac surgery: A systematic reviewhttps://pubmed.ncbi.nlm.nih.gov/38853752/Does active smoking really matter before ventral hernia repair? An AHSQC analysishttps://pubmed.ncbi.nlm.nih.gov/30220485/Abstinence from smoking reduces incisional wound infection: a randomized controlled trialhttps://pubmed.ncbi.nlm.nih.gov/12832959/The Association of Nicotine Replacement Therapy With Outcomes Among Smokers Hospitalized for a Major Surgical Procedurehttps://pubmed.ncbi.nlm.nih.gov/31790653/Is weight trajectory a better marker of wound complication risk than BMI in hernia patients with obesity?https://pubmed.ncbi.nlm.nih.gov/38082008/Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repairhttps://pubmed.ncbi.nlm.nih.gov/37658198/Limited or Lasting: Is Preoperative Weight Loss as Part of Prehabilitation Maintained after Open Ventral Hernia Repair?https://pubmed.ncbi.nlm.nih.gov/39907236/The impact of preoperative optimization for abdominal wall reconstruction on long-term glucose control and smoking cessationhttps://pubmed.ncbi.nlm.nih.gov/40739418/Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safehttps://pubmed.ncbi.nlm.nih.gov/26838293/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US