Podcasts about Diabetes

A shockingly high percentage of fish oil supplements are actually rancid–which means they may be doing more harm than good.Additional episodes mentioned in this episode:Fish oil and omega 3 fatsFish oil and prostate cancer riskIs it time to stop taking fish oil?Could fish oil actually increase your risk of cardiovascular events?Are omega-3 eggs as good as eating fish?Research mentioned in this episode: https://pubmed.ncbi.nlm.nih.gov/37712532/https://pmc.ncbi.nlm.nih.gov/articles/PMC3217043/https://jamanetwork.com/journals/jamacardiology/fullarticle/2670752  New to Nutrition Diva? Check out our special Spotify playlist for a collection of the best episodes curated by our team and Monica herself! We've also curated some great playlists on specific episode topics including Diabetes and Gut Health! Also, find a playlist of our bone health series, Stronger Bones at Every Age. Have a nutrition question? Send an email to nutrition@quickanddirtytips.com.Follow Nutrition Diva on Facebook and subscribe to the newsletter for more diet and nutrition tips. Find out about Monica's keynotes and other programs at WellnessWorksHere.comNutrition Diva is a part of the Quick and Dirty Tips podcast network. LINKS:Transcripts: https://nutrition-diva.simplecast.com/episodes/Facebook: https://www.facebook.com/QDTNutrition/Newsletter: https://www.quickanddirtytips.com/nutrition-diva-newsletterWellness Works Here: https://wellnessworkshere.comQuick and Dirty Tips: https://quickanddirtytips.com

Dr. Hoffman continues his conversation with pioneering integrative medicine practitioner Dr. Jacob Teibelbaum.

Dr. Jacob Teitelbaum, integrative medicine physician, researcher, and best-selling author, details preventive measures and treatments for cognitive decline, including dementia and Alzheimer's disease. He covers a wide range of topics, including the impact of conventional medications, natural supplement alternatives, dietary interventions, the role of exercise, and the importance of addressing underlying health issues like thyroid problems and metabolic syndrome. Dr. Teitelbaum emphasizes practical and low-cost approaches, and he offers listeners detailed resources and guidance.

Is your steak really a one-way ticket straight to Club Diabetes? This week, Aimee slices into the research behind those fear-mongering headlines blaming red meat for type 2 diabetes. We'll unpack the big studies (EPIC-InterAct, NHS, HPFS) and serve up the nuance your metabolic health actually needs — all with a side of sass. Grab your fork — this one might save your sanity (and your steak).Episodes Mentioned in this Podcast:Episode 10 - Lose Weight and Lower Blood Sugar by Asking These 2 Questions Before Each MealEpisode 43 - Must Have Nutrients to Balance Blood Sugar!Episode 51 - Can You Eat Too Much Protein?Find Research Citations and Transcript at Blasphemous Nutrition on SubstackWork with AimeePhotography by: Dai Ross PhotographyPodcast Cover Art: Lilly Kate CreativeCHAT ME UP: let me know what's on your mind by texting here! How to Leave a Review on Apple Podcasts Via iOS Device1. Open Apple Podcast App (purple app icon that says Podcasts).2. Go to the icons at the bottom of the screen and choose “search”3. Search for “Blasphemous Nutrition”4. Click on the SHOW, not the episode.5. Scroll all the way down to “Ratings and Reviews” section6. Click on “Write a Review” (if you don't see that option, click on “See All” first)7. Rate the show on a five-star scale (5 is highest rating) and write a review!8. Bask in the glow of doing a good deed that makes a difference!

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.    Orforglipron, an Oral Small-Molecule GLP-1 Receptor Agonist, in Early Type 2 Diabetes 2.    Weekly Fixed-Dose Insulin Efsitora in Type 2 Diabetes without Previous Insulin Therapy 3.     Risk of Thyroid Tumors With GLP-1 Receptor Agonists: A Retrospective Cohort Study 4.    Association of Patient Cost Sharing With Adherence to GLP-1RA and Adverse Health Outcomes 5.    Once-Monthly Maridebart Cafraglutide for the Treatment of Obesity — A Phase 2 Trial   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

Estás escuchando #JUNTOSRadio: ¿Por qué la diabetes puede afectar los riñones?, ¿cuáles son los primeros síntomas de daño renal en personas con diabetes?, ¿qué es la nefropatía diabética y cómo se puede prevenir? El Doctor Pablo Porrtocarrero nos responde a estas y otras preguntas. Sobre nuestro invitado: El Dr. Portocarrero tiene como área de práctica los pacientes que necesitan un trasplante de riñón o páncreas. Su trabajo incluye la evaluación pretrasplante, el manejo perioperatorio y la atención continua después del trasplante. También atiende a pacientes con trasplantes combinados de hígado y riñón. Además, tiene especial interés en los trasplantes en la comunidad latina. Recursos en español La enfermedad de los riñones causada por la diabetes: https://www.niddk.nih.gov/health- information/informacion-de-la-salud/diabetes/informacion-general/prevenir-problemas/rinones Facebook: @juntosKS Instagram: juntos_ks YouTube: Juntos KS Twitter: @juntosKS Página web: http://juntosks.org Suscríbete en cualquiera de nuestras plataformas de Podcast: Podbean, Spotify, Amazon Music y Apple Podcast - Juntos Radio Centro JUNTOS Para Mejorar La Salud Latina 4125 Rainbow Blvd. M.S. 1076, Kansas City, KS 66160 No tenemos los derechos de autor de la música que aparece en este video. Todos los derechos de la música pertenecen a sus respectivos creadores.

Think menopause means saying goodbye to a good night's sleep? Think again.In this episode, I unpack the real reasons why your sleep is suffering—and what you can do to start sleeping deeply again. These aren't just tips. They're game-changing strategies for your midlife brain and body.What to Listen For:[00:03:00] Why menopausal insomnia is not all in your head—it's hormonal.[00:04:00] How declining melatonin, estrogen, and progesterone hijack your sleep cycle.[00:07:00] The "wired but tired" feeling and why cortisol is to blame.[00:09:00] Why generic sleep advice fails during menopause—and what actually helps.[00:10:00] The non-negotiable habits to reset your circadian rhythm.[00:11:00] Affordable (and high-tech) cooling solutions to reduce night sweats.[00:14:00] How to create a “wind down system” that soothes your nervous system.[00:15:00] The power of morning sunlight and foods that support sleep hormones.[00:18:00] Smart movement tips: when and what kind of exercise actually supports sleep.[00:20:00] The truth about hormone therapy (MHT) and how it changed my life.Menopausal sleep disruption doesn't mean your body is in decline—it's a biological response to massive hormonal changes. The good news? There are science-backed strategies that can bring relief. If you're ready to move from “wired and tired” to well-rested and refreshed, this episode is your first step.Subscribe & Review in iTunesIf you like what you hear, please subscribe to my podcast.  I encourage you to do that today as I don't want you to miss an episode.  Click here to subscribe on iTunes!Now if you're feeling extra loving, I would be really grateful if you left me a review over on iTunes, too. Those reviews help other people find my podcast and they're also fun for me to go in and read. Just click here to review, select “Ratings and Reviews” and “Write a Review” and let me know what your favorite part of the podcast is.RESOURCES: Register for the FREE Masterclass: 5 Keys to Protecting Your Brain Health Book a FREE Discovery Call with Amy Lang Order Amy's book Thoughts Are Habits Too: Master Your Triggers, Free Yourself From Diet Culture, and Rediscover Joyful Eating. Follow Amy on Instagram @habitwhisperer

Dr. Jim Keany, Chief Medical Officer at Dignity Health St. Mary Medical Center in Long Beach, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about a study that has shown The Pandemic aged our brains faster, how many steps you need daily to combat diabetes, and prescription fluoride facing FDA scrutiny.

Dr. Carole Keim welcomes Dr. Lauren Kanner, MD, to The Baby Manual to discuss the wide-ranging field of pediatric endocrinology. Dr. Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics, and she shares how she got into the specialty before discussing the conditions she treats. She offers information and insights into thyroid disorders, growth hormone deficiency, early and delayed puberty, and Type 1 and Type 2 diabetes in children based on her knowledge and years of experience. Dr. Keim and Dr. Kanner talk about the signs and symptoms of diabetes in children, detailing what to look for, and Dr. Kanner explains how blood sugar testing and insulin therapy play crucial roles in treatment. Throughout the conversation, the doctors exchange practical insights for parents into childhood nutrition and normal growth patterns. Dr. Kanner addresses the challenges of toddlers with picky eating habits and emphasizes healthy routines such as reducing sugar-sweetened drinks and increasing physical activity, or ‘joyful movement' as she calls it. The emphasis is on fostering positive eating habits and imparting information on the variety of conditions a pediatric endocrinologist can diagnose and treat. Dr. Lauren Kanner, MD:Dr. Lauren Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics. Dr. Kanner completed her medical school at Rush Medical College of Rush University in Chicago, IL, before continuing her training in pediatrics at North Shore Long Island Jewish Health System Cohen Children's Hospital. Dr Kanner completed a pediatric endocrinology fellowship at the University of Wisconsin and is currently part of the University of Iowa Endocrinology and Diabetes team. Dr Kanner has interests in both diabetes and care of endocrine conditions, with a special interest in female, adolescent endocrinology and quality improvement. She has recently joined the Member Board of Directors for the North American Society of Pediatric and Adolescent Gynecology (NASPAG).__ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim MD:linktree | tiktok | instagram Contact Dr. Lauren Kanner, MD:linktree | website

“I'm a Barbie girl in the medical marketing world?”One year after rebranding from the Juvenile Diabetes Research Foundation to Breakthrough T1D, the healthcare advocacy organization made headlines earlier this month for its work on the latest Barbie doll.Breakthrough T1D collaborated with Mattel to create the first Barbie doll to feature a continuous glucose monitor (CGM) and an insulin pump.The doll has been well-received, particularly among patient advocates who say the partnership brings renewed attention to type 1 diabetes – a condition that affects an estimated 2 million Americans.MM+M summer intern Lola Offenback spoke with a pair of leaders from Breakthrough T1D about working with Mattel to bring a Barbie with type 1 diabetes to life, how the project elevates the experience of those living with the condition and the key marketing lessons for other health brands.-TRENDSFor the Trends segment, our reporter Heerea Rikhraj walks us through the Depo-Provera controversy affecting Pfizer and what medical marketers need to know about it. Step into the future of health media at the MM+M Media Summit on October 30th, 2025 live in NYC! Join top voices in pharma marketing for a full day of forward-thinking discussions on AI, streaming, retail media, and more. Explore the latest in omnichannel strategy, personalization, media trust, and data privacy—all under one roof. Don't wait—use promo code PODCAST for $100 off your individual ticket. Click here to register! AI Deciphered is back—live in New York City this November 13th.Join leaders from brands, agencies, and platforms for a future-focused conversation on how AI is transforming media, marketing, and the retail experience. Ready to future-proof your strategy? Secure your spot now at aidecipheredsummit.com. Use code POD at check out for $100 your ticket! Check us out at: mmm-online.com Follow us: YouTube: @MMM-onlineTikTok: @MMMnewsInstagram: @MMMnewsonlineTwitter/X: @MMMnewsLinkedIn: MM+M To read more of the most timely, balanced and original reporting in medical marketing, subscribe here.Music: “Deep Reflection” by DP and Triple Scoop Music.

In this episode of Prescribing Lifestyle, I sit down with Professor Peter Brukner — a pioneer in the low carb world, a mentor of mine, and one of the biggest influences on my own journey into lifestyle medicine. Professor Brukner is a world-renowned sports and exercise physician, co-founder of SugarByHalf, founder of Defeat Diabetes, author of A Fat Lot of Good and The Diabetes Plan, and recently awarded Senior Australian of the Year (Victoria) 2025

La dottoressa Sara Balzano, dal 2010 in servizio presso l'Ulss 7 Pedemontana, in quanto referente di branca garantirà il coordinamento tra l'attività territoriale e quella del Centro Anti-Diabete ospedaliero, che ha in carico 6 mila pazienti ed eroga ogni anno oltre 10.500 prestazioni l'anno

Today I sit down with Charmaine Ha Dominguez and dive into the healthy ways of reversing Diabetes. With the insanity of toxic food and massive stress Type 2 Diabetes has exploded in the U.S. When I was diagnosed with Type 2 I was scared and had no idea what to do. With people like Charmaine there is just a wealth of knowledge available now on how to improve your health without Big Pharma. Enjoy this episode and share it with someone that may be struggling with Type 2. Patreon -   / deandelray   My new comedy special    • Dean Delray: 5836 - Full Comedy Special   Like and Subscribe for more PODCASTS AND COMEDY VIDEOS from Dean Delray! Tour Dates at https://www.deandelray.com 

It's no secret in 2025 that stronger muscles lead to longer life. If you're a woman in perimenopause, postmenopause or anything in between, this is no surprise to you. I think we are very aware of it, but let's unpack how weight lifting treats and prevents chronic diseases. Women, at any age, need stronger muscles for a longer life. Not just for aesthetics, but for functionality and independence.   My Guest: A longtime Vanity Fair contributing editor, Michael Joseph Gross has published investigative reporting, essays, and books about culture, technology, politics, religion, and business. He was raised in rural Illinois and lives in New York City.   Questions We Answer in This Episode: [00:04:31] How did this become a topic of interest to you personally?  [00:07:54] Let's connect strength training to prevention and treatment of illnesses often associated - even accepted - with aging? [00:20:17] Weight training has been shown to decrease anxiety and to have positive effects on risk of Alzheimer's or type 3 diabetes, can you explain for the listeners?  [00:26:31] How has the work of Dr. Maria Fiatarone Singh showed that weight training may reduce the risk of Alzheimer's? [00:33:13] Why is lifting heavy important? Do you worry that leading with “lift heavy” intimidates women? What did you uncover as evidence that it is never too late to start progressive strength training?   Why Strength Training? Strength training changes more than just your body—it's internal too. It's not about looking stronger—it's about being stronger. Adolescence and menopause are both times when women feel their bodies are changing without their consent. Strength training gives back a sense of control, capability, and power.   Stronger Muscles Longer Life At Any Age   Strong Youth: Peak bone mass forms in youth—strength training in adolescence builds lifelong health. A 10% increase in bone mass reduces future fracture risk by more than 50%.   Strong in Midlife: Dr. Maria Fiatarone Singh, geriatrician and professor in Sydney, Australia, found that even 90+ year-olds can gain muscle mass with high-intensity training. Weight training can treat and prevent nearly all chronic diseases.   Stronger Muscles Through Weight Lifting Treats and Prevents These Diseases: Type 2 Diabetes Heart Disease Osteoporosis Depression and Anxiety Insomnia Osteoarthritis Frailty Dementia & Alzheimer's Blood Pressure and Cholesterol Fall Risk   Periodization & Smart Strength Training: Periodization: Cycles of high effort, deloading, and rest. Women (especially Type A) tend to push too hard—leading to burnout or injury. Strength training should energize you, not exhaust you. Part of lifting heavy is lifting light. The goal: Live better, not just lift more.   Ancient Greek Lesson: The Right Time to Train Greek word kairos = the “opportune moment” for action. Good training is about doing the right thing at the right time. Don't blindly follow a plan. Train for your body today.   Connect with Michael: Michael's Website Twitter - DuttonBooks   Other Episodes You Might Like: Previous Episode - 5 Things I Would Do If I Were Tired All the Time  More Like This - What's Best Total Body or Split Routine in Menopause   Resources: Tune in to the upcoming Flipping 50 Masterclass. Don't know where to start? Book your Discovery Call with Debra.  

Are you worried about…fruit? Growing up, you've always loved fruits like apples, peaches and berries and now you see so many delicious summertime fruits available. But you also have diabetes and want to eat plant-based to better your health. How is this all going to affect you? Maybe you're also wondering, “Will eating too much fruit be bad for a person like me with diabetes?”   If these are your questions, let's talk about them on today. In this episode, we'll look at this question of fruit and diabetes, whether you can eat it, and if eating too much fruit will be bad for your blood sugars. I'm excited to delve into this topic with you in this second episode of the Summer Series. Listen in!     Related Episode: Ep. 80: Should You Limit or Avoid Fruit if You Are Eating Plant-Based with Diabetes? https://www.plantnourished.com/blog/80-should-you-limit-or-avoid-fruit-if-you-are-eating-plant-based-with-diabetes   Contact -> healthnow@plantnourished.com Learn -> www.plantnourished.com Join -> Plant-Powered Life Transformation Course: www.plantnourished.com/ppltcourse Connect with Community -> www.facebook.com/groups/beginnerplantbaseddietsuccess Get Free 15-Minute Strategy Call -> www.plantnourished.com/strategycall Free Resource -> Quick Start Grocery Guide for Plant-Based Essentials: www.plantnourished.com/groceryguide     Have a question about plant-based diets that you would like answered on the Plant Based Eating Made Easy Podcast? Send it by email (healthnow@plantnourished.com) or submit it by a voice message here: www.speakpipe.com/plantnourished       [Plant Based, Blood Sugars, Plantbased Diet, Glucose, Plant Based Nutrition, Prediabetes, Diabetes, Blood Glucose Control, Fruits, Berries, Transition Tips, Carbs, Carbohydrates, Nutrition]

Resources for the Community:___________________________________________________________________https://linktr.ee/theplussidezpodcast Ro - Telehealth for GLP1 weight management https://ro.co/weight-loss/?utm_source=plussidez&utm_medium=partnership&utm_campaign=comms_yt&utm_content=45497&utm_term=55Find Your US Representatives https://www.usa.gov/elected-officials ______________________________________________________________________Continuing our vital conversation from GLP-1s & Men's Health: Jhon Henri's Weight Loss Story P1, we welcome Dr. Catherine Toomer an expert on weight management, who offers her insights on weight, health, and metabolic well-being. Building on Jhon Henri's powerful story and how GLP1s changed his life, Dr. Toomer unpacks the complexities of obesity as a disease, the limitations of BMI, and why the focus should shift from simple weight loss to metabolic correction.Discover why societal views on weight, particularly for men, contribute to healthcare disparities, and how GLP-1 medications work beyond "food noise" to address underlying metabolic issues. Dr. Toomer also sheds light on the often-misunderstood connection between rapid weight loss and gallstones, and candidly discusses the physiological changes women experience during perimenopause and menopause, including the role of estrogen decline in weight gain.This episode is a must-listen for anyone seeking a deeper understanding of chronic weight management, the importance of advocating for your health, and the journey toward holistic well-being.______________________________________________________________________⭐️Mounjaro Stanley⭐️griffintumblerco.Etsy.comUse code PODCAST10 for $ OFF______________________________________________________________________Join this channel to get access to perks:   / @theplussidez____________________________Send us Fan Mail!Diabetes dialogues podcastDiabetes insights for HCPs. Dexcom's expert-led podcast, Diabetes Dialogues.Listen on: Apple Podcasts SpotifySupport the showKim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==

Empowerment and Success Against the Odds: Kelsey Lewis' Journey with DiabetesIn this episode of The Pediatric Lounge podcast, hosts George and his co-host welcome Kelsey Lewis, a registered dietitian and certified diabetes care specialist. Diagnosed with type 1 diabetes at 17, Kelsey turned her personal challenges into a professional mission. She shares her journey from being told she couldn't be a collegiate athlete to proving her doubters wrong. After her clinic was shut down due to financial priorities, Kelsey established a thriving private practice that now serves 23 states through telemedicine. Her resilient story underlines the importance of not letting others define your limits, the transformative power of education, and the need for independent practices to prioritize patient outcomes over profitability.00:00 Introduction to The Pediatric Lounge00:37 Meet Kelsey Lewis: A Journey from Athlete to Diabetes Specialist01:28 Kelsey's Diagnosis and Early Challenges02:52 Overcoming Obstacles: From High School to College Athlete11:17 Transition to Professional Life and Systemic Challenges23:50 Establishing a Private Practice and Expanding Nationwide27:47 Telemedicine Success and Future Prospects28:53 Lessons in Resilience and Overcoming Adversity30:45 Partnering with Medical Practices for Better Outcomes35:26 Challenges and Advocacy in Pediatrics40:30 The Impact of Sugar and Salt on Health49:32 Final Thoughts and Advice for ParentsYou can connect with Kelsie here. Diabetes dialogues podcastDiabetes insights for HCPs. Dexcom's expert-led podcast, Diabetes Dialogues.Listen on: Apple Podcasts SpotifySupport the show

In this riveting conversation, Dr. Stephen Riggs shares his remarkable journey from conventional primary care physician to pioneering metabolic health specialist. After 30 years of traditional practice, everything changed when his wife handed him "The Obesity Code" by Dr. Jason Fung. Initially skeptical, Dr. Riggs tested the low-carb approach with his patients and witnessed transformations that defied his medical training: patients reversing type 2 diabetes, coming off insulin, and experiencing substantial weight loss in mere months.Dr. Riggs reveals how he built a comprehensive metabolic health clinic within a traditional healthcare system by meticulously tracking patient outcomes and demonstrating remarkable cost savings—over $550,000 annually in medication reductions from just 220 patients. He discusses his "Low Carb Bootcamp" program that achieves a 73% diabetes reversal rate and how his team approach incorporates health coaches, nutritionists, and food addiction specialists.Perhaps most fascinating is Dr. Riggs' observation that 95% of patients with food addiction see their addiction resolved within 8-12 weeks on a ketogenic diet—without specific addiction counseling. He offers practical insights on protein requirements, implementing lifestyle changes in America's heartland, and navigating resistance from colleagues and insurance companies.This conversation offers a powerful glimpse into how evidence-based nutritional interventions are quietly revolutionizing healthcare from within the system, bringing joy back to medicine by truly healing patients rather than merely managing their decline.BIG IDEA"Nutrition went from being basically irrelevant to me—I got almost zero nutritional training, what little I did was probably wrong—and now it's the biggest tool in my toolbox by far."Stephen Riggs, MD Contact InfoPersonal Website:www.livingbyDesignKetonutrition.com Metabolic Clinic Site:MercyOne.org/LivingbyDesign Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode.In today's episode, I sit down with Ross Mallen. Ross is a T1D and advocate cyclist. We discussed Ross's usual diagnosis story which lasted 6 months. We also discussed the challenges he's been able to overcome and the lessons he's learned living with T1D. Ross's Instagram:Simplifying Life With Diabetes Resources:Website: www.simplifyingdiabetes.comNewsletter Sign Up"More Than A1C" - My Signature Coaching ProgramThe Diabetes Nutrition Master CourseThe 5-Pillars Of Diabetes Success WorksheetSet Up a Free Call...Apparel StoreSupport & Donate To The PodcastThe T1D Exchange Registry is a research study, conducted over time, for individuals with type 1 diabetes and their supporters. Participants volunteer to provide their data for Diabetes research. Once enrolled, Registry participants have the opportunity to sign up for other studies on various topics related to type 1 diabetes.You can make an impact on the future of Diabetes now! Fill out an online  survey and gain access to tons of new research and the online portal. It only takes 10-15 minutes.Have a question, send me a DM or email. I'd love to connect and answer any questions you have.You can find the show  on any platform you listen to your podcasts!Don't forget to click on that subscribe button and leave a 5-star review, so you're notified when new episode drop every week.Questions about diabetes, don't hesitate to reach out:Instagram: @CoachK3NInstagram: @thehealthydiabeticpodFacebook: @Simplifying Life With DiabetesEmail: ken@simplifyingdiabetes.comPodcast Disclaimer: Nothing that you hear on The Healthy Diabetic Podcast should be considered medical advice or otherwise; please always consult your medical TEAM before making any changes to your Diabetes management.Support the show

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Send us a message with this link, we would love to hear from you. Standard message rates may apply.We break down the key differences between Tylenol (acetaminophen) and NSAIDs (ibuprofen, naproxen, aspirin) to help you make informed decisions about which pain reliever is right for you. This evidence-based discussion draws from top medical sources to explain how these common medications work differently in your body.• Tylenol works on perception of pain and fever in the brain but doesn't address inflammation• NSAIDs reduce pain, fever AND inflammation by blocking the prostaglandin cascade• Both medications are commonly used for everyday pain including headaches and general discomfort• NSAIDs are usually more effective for inflammatory conditions like sprains, arthritis, and period cramps• Tylenol's main risk is liver damage at high doses (max 4,000mg daily for most adults)• NSAIDs can cause stomach ulcers, GI bleeding, increased blood pressure, and kidney problems• Consider your medical history when choosing—liver issues (caution with Tylenol), stomach/heart/kidney problems (caution with NSAIDs)• Age is a factor—older adults generally face higher risks with NSAIDs• Taking NSAIDs with food can help reduce stomach problems• Always read labels and follow dosing instructions carefullyShare this episode with friends or family who take these medications regularly to help them understand what they're putting in their bodies.Diabetes dialogues podcastDiabetes insights for HCPs. Dexcom's expert-led podcast, Diabetes Dialogues.Listen on: Apple Podcasts SpotifySupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

State Superintendent Ryan Walters faces criticism over nude images on his office TV.Specialty agriculture producers worry about cuts under President Trump's Big, Beautiful Bill.Studies show the impact of diabetes on the Latino community.You can find the KOSU Daily wherever you get your podcasts, you can also subscribe, rate us and leave a comment.You can keep up to date on all the latest news throughout the day at KOSU.org and make sure to follow us on Facebook, Tik Tok and Instagram at KOSU Radio.This is The KOSU Daily, Oklahoma news, every weekday.

This week I'm joined by my friend Jen Pawlak, who's been living with type 1 for 30 years and works in the world of work accommodations. We're talking about what it actually looks like to navigate a job when you have diabetes. From knowing your rights to having honest conversations with your boss or HR, Jen breaks it all down in a way that's real, simple, and super helpful. If you've ever felt nervous about bringing up your diabetes at work or wondered what you're legally allowed to ask for, this one's for you! Know your rights at work with diabetes! Check out these links: https://askjan.org/info-by-role.cfm#for-individuals https://askjan.org/disabilities/Diabetes.cfm Follow Jen on Instagram: https://www.instagram.com/tigerlily0509/ Come see what the hype is all about! Your spot in the Blood Sugar Club is ready ➡️ https://www.yourdiabetesinsider.com/blood-sugar-club   Want the best blood sugars you've ever had while enjoying great food? Peep this: https://www.yourdiabetesinsider.com/coaching   RESOURCES: Download these FREE guides that will help you on your diabetes, nutrition, and exercise journey! https://www.yourdiabetesinsider.com/free-stuff Watch my food breakdowns here → https://www.youtube.com/@yourdiabetesinsider   LET'S TALK! Instagram: @manoftzeel Tiktok: @manoftzeel

John Plunkett As the published author of 52+ My Life with Diabetes, John Plunkett is in the business to “glorify God” and be an encourager to others dealing with diabetes. Diabetes? Is life turned upside down or business as usual? Read what 52+ years looks like for one living with type 1 diabetes. A refreshing […]

Send me a message - text me! Last night, a trip to a familiar venue for my weekly pool match brought back a memory I hadn't felt in years. I was ten years old, dancing in front of a mirror in the toilets, completely lost in joy. I wasn't worrying about my body. I wasn't thinking about food. I was just happy.In this episode, I share what it felt like to reconnect with that version of me, and how soon after diet culture crept in and began to change everything. This is a personal and emotional reflection on body image, childhood innocence, and the moment things started to shift.I talk about what I'd say to my younger self now, how we can all learn from those early memories, and what it means to heal the relationship with your body and reclaim the joy that was once yours.Whether you've lost touch with your younger self or you're working on healing your body image, this episode is a gentle reminder that she's still in there. She always was. Maybe she just needs a little coaxing back out.

John Plunkett As the published author of 52+ My Life with Diabetes, John Plunkett is in the business to “glorify God” and be an encourager to others dealing with diabetes. Diabetes? Is life turned upside down or business as usual? Read what 52+ years looks like for one living with type 1 diabetes. A refreshing […] The post John Plunkett, Author of 52+ My Life with Diabetes appeared first on Business RadioX ®.

School and Type 1 Diabetes don't always get along — but sometimes, they absolutely nail it.In this powerful episode, Mike and Jack dive into 20 real-life school stories from the T1D community — from horrifying mishandled hypos to the unsung heroes who made school feel safe. Expect chaos, compassion, and a whole lot of “WTF?!”

Send us a textMichelle Hurn is a returning guest on our show! Be sure to check out her first appearances on episodes 80, 150, and 550 of Boundless Body Radio!Michelle Hurn, RD is a registered and licensed dietitian with sixteen years of experience as a clinical, acute care dietitian, lead dietitian in psychiatric care, and outpatient dietitian. Michelle is an avid endurance athlete, she has qualified for the Boston Marathon 12 times, and on November 7th 2020, she won her first ultra marathon covering 44.63 miles in a 6 hour timed race.While practicing inpatient and outpatient care in the hospital setting, Michelle discovered a disheartening connection between the high carbohydrate, low fat, “sugar in moderation,” nutrition guidelines she was required to teach, and the rapidly declining health of her patients.In 2019, Michelle's health started to fall apart. She was experiencing severe muscle pain, spasms, and crippling anxiety. She decided to follow a low carbohydrate, high animal protein diet simply to see if it might alleviate the severe muscle pain she was experiencing. Not only was her muscle pain gone in a matter of weeks, her decades of anxiety began to fade.After reviewing the extensive clinical trials on a low carbohydrate diet, she knew she had to spread the word about this transformative way of eating. Michelle has written the book The Dietitian's Dilemma: What would you do if your health was restored by doing the opposite of everything you were taught?, detailing how the current nutrition guidelines came into existence and advocating a low-carbohydrate, animal-based way of eating as an option for individuals struggling with diabetes, mental disorders, eating disorders, sarcopenia, and heart disease.Find Michelle at-IG- runeatmeatrepeathttps://thedietitiansdilemma.net/TW- @michellehurnrdAmazon- The Dietitian's Dilemma: What would you do if your health was restored by doing the opposite of everything you were taught?Amazon- The Fox Family Food FightFind Boundless Body at- myboundlessbody.com Book a session with us here!

Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode.In today's episode, I sit down with Debra Anderson. Debra is a Type 1 diabetic, podcaster, and singer. This conversation was extra special for me because it again shows me how far we've come as a Diabetes community. Debra has had Diabetes since she was 6 years old (almost 50 years). We discussed at length the challenges of managing Diabetes before the advent of technology and how access to technology in today's world has saved her life. Debra's Podcast Page - Diabetic RealCoach Ken's Resources:Website: www.simplifyingdiabetes.comNewsletter Sign Up"More Than A1C" - My Signature Coaching ProgramThe Diabetes Nutrition Master CourseThe 5-Pillars Of Diabetes Success WorksheetSet Up a Free Call...Apparel StoreSupport & Donate To The PodcastThe T1D Exchange Registry is a research study, conducted over time, for individuals with type 1 diabetes and their supporters. Participants volunteer to provide their data for Diabetes research. Once enrolled, Registry participants have the opportunity to sign up for other studies on various topics related to type 1 diabetes.You can make an impact on the future of Diabetes now! Fill out an online  survey and gain access to tons of new research and the online portal. It only takes 10-15 minutes.Have a question, send me a DM or email. I'd love to connect and answer any questions you have.You can find the show  on any platform you listen to your podcasts!Don't forget to click on that subscribe button and leave a 5-star review, so you're notified when new episode drop every week.Questions about diabetes, don't hesitate to reach out:Instagram: @CoachK3NInstagram: @thehealthydiabeticpodFacebook: @Simplifying Life With DiabetesEmail: ken@simplifyingdiabetes.comPodcast Disclaimer: Nothing that you hear on The Healthy Diabetic Podcast should be considered medical advice or otherwise; please always consult your medical TEAM before making any changes to your Diabetes management.Support the show

In this episode, I sit down with Dr. Patrick DeHeer, who shares his incredible 33-year journey in podiatry, from treating NBA players with the Indiana Pacers to performing life-changing surgeries in Haiti and the Philippines. We talk about innovation in podiatry, global medical missions, and why teaching the next generation keeps him inspired. We also explore leadership, international outreach, his invention of the Aquinas Brace, and why he's more excited than ever to lead the profession forward. If you're a podiatrist or healthcare professional looking for a dose of purpose, passion, and perspective, this one's a must-listen. “My goal is to leave the profession better than I found it.” If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing.  If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS Do You Want A Little Business Guidance?  A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call.  Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you.  Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I offer three coaching options: Monthly Scheduled Calls. Hourly Ad Hoc Sessions. On-Site TEAM Training Days around communication, leadership and marketing.   But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club  Have you grabbed a copy of one of my books yet?  2014 – It's No Secret There's Money in Podiatry  2017 – It's No Secret There's Money in Small Business     (Un-Edited Podcast Transcript) Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. With me today is Dr. Patrick Deheer, DPM from Indianapolis, Indiana. Now, if you recognise the name, 'cause it wasn't that many episodes ago, episode 373 when Patrick was on here with Ben Pearl, and Patrick Agnew. We were talking about Podiatry, student recruitment, research, and unity. So if you missed that episode. You need to go back and listen to it. But I picked up pretty early, , when I was talking to Patrick that he's had a pretty amazing Podiatrist career, which is why I wanted to get him back on the podcast. And when I looked through his bio and I saw how much you have actually done, I started to question how many podiatry lifetimes have you actually had? It's I'm looking through your BIO and I've gone. Where, how, where did you find the time to do all this? It's amazing. Patrick Deheer: Thank you. I get asked that question a lot, but I think it's just, I really love what I do and I have a hard time saying no. Tyson E Franklin: It has [00:01:00] to be because I picked that up when we were, did the other episode and you said that towards the end you said, I just love being a Podiatrist. Mm-hmm. And it was actually refreshing to hear someone say that, especially. How many years have you been a Podiatrist for now? Patrick Deheer: So I graduated from Podiatrist school at the Shoal College in 1990. I did a one year residency back then I'm from Indiana. I wanted to come back. All the residencies in Indiana were just one year. And then I did a fellowship with, which there weren't even fellowships after at that point, but I did a fellowship for a year after that. So I had two years of training and so I've been in practice for 33 years in total. Tyson E Franklin: Okay. I've gotta ask a question. Why Podiatrist? How did you get into Podiatrist in the first place? Patrick Deheer: Yeah, that's interesting. I went to Indiana University and I went to school as a pre-dental major and I was gonna be a dentist. And somewhere in my second year, I visited my dentist and I realised that was not a good choice [00:02:00] and, there were several things that didn't resonate with me, and at that point I wasn't sure what I wanted to do. So I was considering marine biology and some other things, and my counselor at IU actually recommended Podiatrist and I didn't know anything about it. And I was, had a, I was talking on the phone with my dad who played golf with a Podiatrist, and he said, well, I know Dr. Ralph Gibney, and he would, I'm sure you could visit him. I did and he loved his job. His patients loved him. He did surgery, had a normal lifestyle. I saw patients leave his office happy, like immediately feeling better. Yeah. He was very successful, just kind and generous and I was like, I can do, I could do that. That looks like a great career and I think. Being really involved with student recruitment, the secret sauce for sure is when a prospective student visits a Podiatrist, just like my experience was so many years ago. They see people who are happy, who love what they do, whose patients appreciate them, who they can help immediately. Feel better. And then, you have the [00:03:00] whole gamut of things you can do within Podiatrist, from diabetic limb salvage to sports medicine to pediatrics to total ankle replacements. So it really gives you a wide range of subspecialties within the profession. So you said you Tyson E Franklin: went Patrick Deheer: to Indiana University, is that right? Yes. Okay. Did you play basketball there as well? I didn't, my dad did. My dad was a very well known basketball player. I love basketball and I'm six foot five, but he was six foot 10 and oh geez, I'm not, I'm not as athletic as he was, but I love basketball. Basketball's been a big part of my life. And that's one of the reasons I was really excited to work with Indiana Pacers, which I was there team podiatrist for 30 years. Tyson E Franklin: I saw that. So you finished in 1990 and from 92 to 2022. You were the Podiatrist for the Indiana Pacers. Yes. How did you score that gig? Patrick Deheer: Well, there's a couple things that happened that led to that. One my mentor was Rick Lde, who was a really big name in [00:04:00] Podiatrist at that point in time nationally and internationally for that fact. He brought arthroscopy into Podiatrist. He was doing it unofficially. And then my dad, like I mentioned, was a big time basketball player. He was actually drafted by the Indiana Pacers in the late 1960s. Oh. And so they knew the name and they worked with Rick Lde and they wanted somebody in more of an official capacity than he had been doing it. And I was in the right place at the right time and I got along really well with the trainer, David Craig. And it just was a great relationship for 30 years. And I take it, you still go to the games? Occasionally. So, they made a change on the orthopedic whole team back in 2022 and they're like, well, we're gonna change everything. And I was like, okay, that's fine. I've done it for 30 years. That was enough. And they had a really nice on the court celebration for me where they recognised me before a game and gave me, I have a couple different jerseys that they've given me, but they gave me one with the number 30 on it to celebrate my 30 years. Oh, that's cool. It was really cool and [00:05:00] it was really fun working with professional athletes. There's a whole sort of nuance to that that I, a lot of people unfortunately don't get experience, but it is it can be challenging. It can be very hectic at times. There's, there can be a lot of pressure involved with it also but it's also incredibly rewarding. Tyson E Franklin: So as, as the Podiatrist for like. Uh, a basketball team at that level. What was it? Was it a a, a daily contact you had with them or was it something once a week you caught up with the players or they only came into your clinic when there was an issue? Patrick Deheer: More the latter, I would say, but I usually would see them at the beginning of the season, help with our orthotic prescriptions and evaluate them, and then as needed. Oftentimes the trainer would call me and ask me to either come to a game or practice and then occasionally they'd have the players would need something more urgent and they would come to my office. But it varied from year to year quite a bit on how much I did on just based on how much they needed me. Tyson E Franklin: Did you go along to the games when you [00:06:00] were the team Podiatrist at the time? Patrick Deheer: Yeah. Not all of them, but definitely some of them. And, they would, the Pacers are such a great organization. They actually had. Every medical specialty as part of their healthcare team and including like, pediatrics for the players kids. And so at the beginning of every year, they would have a a sort of a team doctor reception dinner, and then we would, they'd have a lottery for tickets for us for the games. They would have usually the general managers there and the coach and a player too. And we gotta interact with them and talk with 'em and hang out with 'em. It was just always really fun and the Pacers are just a first class organization and they were great to work with. Tyson E Franklin: What made you decide it was time to. Hang up the boots and not do that. Honestly, Patrick Deheer: it wasn't my decision. It was theirs. They were changing the whole orthopedic team, and yeah, and that's, that happens in sports and especially high levels like that. And initially I was a little bit caught off guard. I can't lie about that, but once I came to terms like, I've done this for a long time Tyson E Franklin: it's okay. [00:07:00] Yeah, I know because we have the Cairns Taipans where I live in the National Basketball League, and it was interesting when they first kicked off 20 something years ago, I was the Podiatrist for the team. Did that first two years. Then all of a sudden there was a change of coach. And they dropped us and just went with another. Podiatrist and we went, well, what the, and we're talking to the team doctor go, what happened there? He goes, oh, I had no control over it. This person knew this person and they've made that decision. I went, oh, okay. Anyway, it only lasted about five months, I think, with the other person. The next minute the coach was ringing up saying, please, we need you to come back. And I'm like, ah, I don't wanna do it now. And they're going, please. So we did, and we did it for the next 15 years. It was a long period of time, but we had a really good arrangement with them. Same thing, doing screens at the beginning of the year and we end up having a, like a corporate box at the game. So we were at every home game and we did a bit of a deal with them to actually get that, [00:08:00] which would be a lot cheaper in the NBL than in the NBAI bet. Yeah. Their budget would be a lot, a lot smaller too in the NBL over here than the NBA. It's crazy sports money over there. Yes it is. Had you worked with other sporting teams as well, or basketball was Patrick Deheer: the main sport you were involved in? Basketball? I worked with the women's. We have A-A-W-N-B-A team also, so I worked with them for a few years, not nearly as long as the Pacers but I worked with them. And then we have a college in Indianapolis called Butler University. I worked with 'em for a few years, but it was again, the basketball team. But I will say. Because of working with professional athletes, I do tend to get athletes from all different types of sports coming to my private office but now official capacity with another team. Tyson E Franklin: So with your career after you graduated and then you did your residency, which was one year back when you did it and you decided you were gonna stay in Indiana, what was the next stage of your career? Patrick Deheer: I've had a [00:09:00] interesting employment history. I worked, went to work for a large group where Rick Lundine, who was my mentor, was one of the owners, and then he left the group after about three years and then went to work for a hospital. So then I followed him and went to work for a hospital for a few years, and then we formed a multi-specialty group. Then I worked in that for a few years and I was like, I think I can do better on my own. So then I was out in practice private practice by myself for several years. And then about four and a half years ago or so the private equity involvement in medicine in the United States has really taken off. And it started in other specialties in medicine, but it hit, it was ha happening in Podiatrist then and still is for that matter. And I was approached by three or four different private equity firms that wanted to buy my practice and have me be involved with their company. And I enjoy, I sold my practice to Upper Line Health back then, and I've been part of that group since. Tyson E Franklin: With um, that transition into private practice, did you, did your practice cover all aspects of [00:10:00] Podiatrist or did you specialize in particular area? Patrick Deheer: I've done everything and I really enjoy all components of Podiatrist. My the things that I'm probably most known for. I'm a big reconstructive surgeon, so I do a lot of reconstructive surgery and I do a lot of pediatrics. Those are probably the two biggest things that I'm most, known for I'm also a residency director in at Ascension St. Vincent's, Indianapolis. And, but I've worked with residents my whole career. I've been a residency director for about six or seven years now. And but I've enjoyed teaching residents for, 33 years basically. And also you go to Haiti and do reconstructive surgery there. So, international medicine has been a big part of my career. I've been on 30 trips total around the world. I've been to several countries. The first one was in 2002. I went to Honduras. One of my former residents that I became really close to he was practicing in Little Rock, Arkansas in a large group there, asked him to go with them and he asked me if I [00:11:00] would join him. And so we went to Trujillo and which is on the eastern coast of Honduras. And, that was in 2002. It was a really kind of small hospital. There was about a hundred people on the, in the group that went there. Not all medical, but most medical we would actually take over the whole hospital. And it was something that just like, I just knew that was like me, like that was so, I just loved it so much and I had such an amazing experience that. I went back there twice and the third time I went, I actually brought with my daughter is my oldest child. She was in high school at the time and watching her go through that experience was probably one of my most favorite international trips. She worked in the eye clinic and just seeing her, see her experience and doing international medicine was really rewarding. Then I wanted to start to go to some other places, and then I stumbled on Haiti. And I really got involved with Haiti. I've been there by far the most, and started working in Haiti, [00:12:00] primarily doing Clubfoot. And in Haiti. I met Kay Wilkins, who was a pediatric orthopedic surgeon from Texas, San Antonio. We started working together on the Haitian Clubfoot project. I also, through my experience in Haiti, my first trip with one particular young man who I did surgery on. Who had a really difficult postoperative course. He was about a 12, 13, or 12-year-old boy who I did clubfoot surgery on. And after that first trip when I came back home, about a week later, I called down to the orthopedic surgeon who was covering our cases and taking care of the patients postoperatively. And we did several cases. I had my good friend Mike Baker, who's a Podiatrist residency director in Indianapolis also. And then we had an anesthesiologist from the. Hospital and Steve Offit, who's a Podiatrist who was a resident at the time, we went down together. So I called and asked how everybody was doing. We did maybe 30 surgeries or something, and they said Everybody's fine except for the kid. He had a really bad wound, dehiscence and infection we're gonna have to amputate his leg. And I said, well, [00:13:00] how long can you wait? And yeah, they said Could maybe wait a week or so. This young man, his name is Wilkin. He lived in the middle of Haiti and he had no paperwork, nothing. I was fortunate. I was in a fraternity at Indiana University and two of my fraternity brothers, their dad was our state senator, one of our state senators, and working through his office. In the Haitian embassy in the US we were able to get him a passport and visa. Within a week. There happened to be a group called the Timmy Foundation from Indianapolis and Porter Prince. They brought him up to Indianapolis. I got the hospital where I worked at that time to admit him. And I got a whole team of doctors involved, pediatricians, infectious disease, plastic surgeons, and we got his wound stabilized. Then one night we were going to do this big massive surgery on him and I fixed his other foot and then the plastic surgeons came in and they did a rectus abdominis flap from his stomach and connected it to fill in. He had a big [00:14:00] wound on his medial sort of heel area, and then they did a split thickness skin graft over that. We had to wait until all the regular surgeries were done 'cause everybody was doing it for and then he stayed in the hospital for about a month after that. And then there were some other people from a church who went with us too here. And one of them brought him into his home with his family and they took care of him for about three months while he rehab. And he was on the news, the story was on the news and in the newspaper. And then he some he became a little celebrity and, then some local people helped put him through a private school in Port-au-Prince, and he ended up healing both feet really well and moving on and living his life. And it was a long journey, but through that I really thought there has to be a better way of dealing with Clubfoot. So I started going to the University of Iowa and met Dr. Ponseti and I went out there several times and I got to know Dr. Ponseti pretty well. And I just loved working with him and learning from him. And he was the kind most kind, gentle man I've ever met [00:15:00] in my life. He was in his like 92, 93, somewhere early nineties. Oh, right. At that time, seeing patients and. A quick story. One of the most surreal nights of my life, the last time I was there, he invited me to his house for dinner, and his wife was equally famous in her profession. She, they were from Spain and she was a Spanish literature teacher, a professor. And so I go to their house and I'm having beer and pizza with these two 90 year olds who are incredibly famous respective professions. And it was just, I was just like, I cannot believe this. And then he asked me if I wanted to go up to his office and look at his original Deco Dega paintings. I'm like. Yes, let's go do that. That's, I mean, I still kind of get goosebumps thinking about that because , he is the biggest name in pediatric orthopedics, and being able to learn from him and spend as much time as I did with him was really influential in my career. And to still be performing at that age is incredible. That is incredible. Yeah. [00:16:00] His hands were arthritic at that point, but they were almost in the shape of the way he would mold the cast, the clubfoot cast on children. Yeah. 'cause he had done, the thing I loved about him is, he started. His technique in the fifties and everybody thought he was crazy and nobody understood it, and he just kept putting out research and research. In the sixties it was kites method. In the seventies it was posterior release in the eighties. Everybody's like, we don't know what to do now because none of this stuff works. Maybe we should look at that guy in Iowa. And they started looking at it as research. He just kept putting out research and they're like, this may be the answer. And now it's the standard of care according to the World Health Organization. And his story is just really amazing. I have other colleagues here in the US who spent time with him, like Mitzi Williams and learned from him. He didn't care about the initials after your name, if he wanted to help children and put in the effort to learn his technique and he wanted to teach you. And, he was such a kind gentleman. Like I mentioned before, I've never seen a [00:17:00] 90-year-old man get kissed by so many women in my life. People would just be so, I mean, these moms would be just overwhelmed with their appreciation for him and what he did for so many kids. So Tyson E Franklin: the young boy you were talking about before, who went through all that surgery and eventually you saved his limbs, did you ever catch up with him Patrick Deheer: later years? Yeah. I did. I went back several times and to the school he was at, and then the earthquake happened in 20 10 I think it was. I was, uh, I was signed up for this international mission board and I got called about a week after the earthquake in Porter Prince. And they said, you have to be at the airport and you have to bring your own food, your own water and clothes, and we don't know how long you're gonna be here. And so I had my family meet me at the airport and brought as much to as I could, and I flew from Indianapolis to Fort Lauderdale. And then I was in a small airport in Fort Lauderdale and I got on a private plane with two NBA basketball players in a famous football player [00:18:00] who were going down for the earthquake literally a week after. Desmond Howard Alonzo Morning in Samuel Dallen Bear. And so we went, we were on the same flight together and got into Porter Prince and the, there is like a filled hospital at the UN and a big tent. And I get there and they ask me what I do and I say, I'm a Podiatrist, foot and ankle surgeon. And they're like, what else can you do? And I'm like. I go, I can do wound care. And they're like, okay, you're in charge of wound care for the whole hospital. And so, and they're like, and these guys are gonna help you. And they had these Portuguese EMS guys who were there, there were people from all over the world there helping, and everybody was staying in the airport property, which was adjacent to where the UN was. And, they didn't speak any English. I didn't speak Portuguese. And but we would every day go around and premedicate all the patients in the hospital because they had really the, painful wounds, severe crush injuries, massive wounds all over. And then we'd go back through and I would do [00:19:00] wound debridement and do their dressing changes. And these guys helped me. We developed our own sort of way to communicate with each other. And I ended up being there for about eight days and sleeping on a cot with, no bathrooms available that, we just had to makeshift and eventually they got things set up for all the volunteers. And then I went home and through that I met, and one of my other heroes in medicine was John McDonald and he was. Down really the day after the earthquake from Florida. He was a retired cardiothoracic surgeon who got into wound care and he set up the wound care clinic that I took over. And then after I got back, John asked me if I would work in the wound care clinic that he was starting in Porter Prince and if I'd be in charge of the diabetic limb salvage part. And I said that, I said I would. So then I started working with him in Porter Prince at this Bernard Mes Hospital wound care center. So. Tyson E Franklin: Doing this overseas aid work, you must get a lot of enjoyment outta doing it. Patrick Deheer: I love it. I love it. It's not easy. My last trip last late fall was to the Philippines [00:20:00] and I had some travel issues. My total travel time to get to Manila was about 32 hours or so. And but you know, it made it worth it. The it was such a great experience Tyson E Franklin: do you normally go with a team of podiatrists when you. Go and visit Haiti. Do you have a group of podiatrists you go down with? Patrick Deheer: It varies from trip to trip. The more recent trips I've been on to Kenya and to the Philippines, I've gone with steps to walk, which Mark Myerson, who's a orthopedic foot and ankle surgeon, I've gotten to know real well from lecturing together and teaching together. And he started this nonprofit. And I think there, there aren't many podiatrists that are involved with it. There are a few. But he and I have really bonded and gotten to know each other and he asked me if I'd participate in, I really love how they set up their program 'cause it's very much educational based. And one of the things I learned from Kay Wilkins who I went to Haiti with is it's more about. Teaching and sharing your knowledge and experience instead of just what I call parachute medicine, where you go [00:21:00] in and you do 20 or 30 surgeries. It's really about teaching the teachers, especially if you can teach the teachers. Then it's gonna have a mushrooming effect. So you're gonna help, thousands of people instead of 10 or 20 people. Tyson E Franklin: So you are teaching other surgeons down there how to perform these procedures the right way, or? Patrick Deheer: Yes. Well, just, it's not so much that it's my experience in a lot of developing countries is. So for like, reconstructive type stuff, it's gonna be orthopedic surgeons. If it's more wound stuff, it'll be general surgeons. But it's, they just don't get the specialized training that we have. And so that's one of the things that we can bring is we have this knowledge base that they just haven't been exposed to. There are great, like orthopedic surgeons and do a lot of trauma for example, but they maybe don't do a lot of reconstructive flatfoot surgery or Yeah. Or any, yeah. Sarco or something like that where we can give them the, our share, our experience and knowledge and with steps to walk. I really love it [00:22:00] because there's usually five or so faculty and it's mostly foot and ankle orthopedic surgeons, and then myself and from all over the world. And the first day is. And it's all the orthopedic surgeons and residents from pretty much the whole country come in for this program. And so the first day there's a conference where we as faculty present the next day, they line up these patients for us to evaluate. So we evaluate them. They're actually interviewing us. Why we're evaluating, we're telling them what we think and what we would recommend, and then. The so that's on Tuesday. Then Wednesday and Thursday there are surgeries. And then Friday it's either like a cadaver lab or review the surgeries and it's just really great there for the surgeries, there's two faculty nurse, there's a lead surgeon and an assistant surgeon, and then usually two of the orthopedic residents are also on the case too. So there's usually four people on the case. It's really interesting since I have a strong background in pediatrics this year when we were in Manila, there were a lot of pediatric cases. More than half the cases were pediatrics. And the foot and [00:23:00] ankle orthopedic surgeons really don't do a lot of pediatric stuff. They're usually adults. They, usually it's the pediatric orthopedic surgeons who are doing the kids. And so they made meet the lead surgeon on all those cases which was really interesting. Tyson E Franklin: So are they different groups and organizations reaching out to you or are you searching for areas that you feel may need help? When Patrick Deheer: I first started, I was more me searching and trying to find opportunities. Now that I, my name is known people will approach me. For example, I've been working with a colleague in Barbados. She's a she graduated from Podiatrist school in England, and there are seven podiatrists in Barbados who are all non-surgical. And the country actually has a really high amputation rate. And one of the things that they determined, despite everything else that they're doing to try to help reduce that amputation rate, they just needed surgical Podiatrist to be part of it. And we talked at one of the APMA national meetings a couple years ago, and she asked me if I would come down to Barbados. And so I took two of my residents down a CO about. That was [00:24:00] about a year and a half ago and met with her and went to the hospital and I, I was like, yeah, we could definitely help here. There this things like, if a patient has a bunion, a diabetic patient has a bunion that nobody is fixing that, that then leads to an ulcer because it's such a bad bunion that could have been prevented. And. The problem, and this is pretty common in a lot of countries, is they really don't recognise surgical Podiatrist from a credentialing standpoint. And much so in countries like that, were under the English system, they have to change the law. So the government has to change the laws and a force in of nature. Simone McConney is her name, and she's been working with the government to try to give me an exemption so I can start coming down and demonstrating that we can influence the amputation rate and hopefully reduce that significantly. On that Tyson E Franklin: first trip that you just did, was that more of a reconnaissance trip? It was more to go down there and evaluate the area and what is [00:25:00] actually needed. You couldn't actually go down there and perform surgery. Patrick Deheer: Correct. We did see some, we did see patients at a diabetic center and did some minor things like some and things like that. But yeah, it was more, it's more about, and one of the things I've learned is and people ask me about international medicine all the time. It's not going down and saying, here's what I can do. It's about going somewhere and saying, how can I help? What do you need? And then if you can help fulfill the need. Then great. And really, and especially if that can be centered around teaching the local doctors and working with them. And again, it's not that I know anything that I'm a better surgeon than anybody there. It's just I have this really super sub-specialized training that they haven't been exposed to. And then I can share that with them. Tyson E Franklin: Yeah. I've had a few Podiatrist on the podcast who have done some overseas work and there was one Australian Podiatrist and he's been traveling through South America for the last couple of years. Not doing surgery, but just making up inserts or whatever he can get his hands on. And just [00:26:00] doing general routine foot care on people. Mm-hmm. And educating 'em about footwear and protecting their feet. And he's been doing it for a couple of years now and absolutely loves it. Patrick Deheer: I I mean, I've made some maybe not the best decisions. Like I went to Iraq twice in the middle of the Gulf War, for example. Not this. Up in the world. But and Haiti, I've been in Haiti at times when Haiti was in total civil unrest. But I love it so much that the risk is worth it for me to be able to make a difference in people's lives, but also to share the knowledge and experience that I have accumulated over my 35 years and to pay it forward. Tyson E Franklin: So over this period of time you've done a lot of work overseas and, but you've been on a number of different boards and associations. How important is it is it for you to actually be involved in the profession in that way? Patrick Deheer: Well, when I [00:27:00] finished my residency I was at our state meeting and I was complaining about the quality of the meeting and they were like, okay, that's fine. You can be on the CE committee now, the continuing education committee. I'm like, okay, I'll do that. But don't ask me to get involved in politics 'cause I'm never gonna be doing that. I'm gonna be more in the educational stuff. Look at me now. I'm President elective, at APMA and I've had several board positions and i've been on a million committees. And I will o once I got on the board for our state association and went through all those stages or positions on the state board I really started to enjoy the leadership part of that. I liked trying to help direct where the profession is going and in. My whole thing is to leave it better than I found it. My father-in-law was also a Podiatrist and he passed away about a year and a half ago and is mid eighties. He worked in my office until he is like 82 or 83 and I loved Podiatrist, but he really loved Podiatrist and people like [00:28:00] him. My mentor, Rick Lde. I can, Teddy Clark, who was the a president of APMA from Indiana. He was the first African American president of APMA Earl Kaplan, Dalton Glary, who just recently passed away. All those people paved the way for us who are practicing now, and it's our responsibility to pay for pave the way for those people following us and to continue to advance the profession. And I can really do that at a high level. Being involved in a national organization like APMA. Tyson E Franklin: With the national board in the United States, do you connect with associations in other countries a lot or you don't have much to do with them? Patrick Deheer: N not a lot, somewhat, but I do think there's opportunity. It's been interesting to lecture internationally, like at the International Federation for Podiatrist meetings the global health or the global Podiatrist meetings. Yeah, I'm gonna be the speaker next year for it. And, seeing Podiatrist [00:29:00] grow all throughout the world in the different stages that it's in, in different countries is really encouraging. But I think that we need to first work on the lexicon so everybody's usually in the same. Terminology and then start to, to set some like qualifications to what those things mean. I really think they're, the two terms that need to be used, especially on the international platform, are podiatrists and podiatric surgeons, because yeah they're totally different. And you know what the qualifications are for those, I have my own opinions about, but I think the standards need to be set. And then all the countries who want to see Podiatrist flourish within their country need to figure out a way to meet those standards that have been set. Uh, Feel free to share your opinion, tell us what, what, how you think it should be. Yeah, I mean, I think that to be a Podiatrist, it should be a graduate degree, not my, not an undergraduate degree. And then I think to be a pediatric surgeon, you should have a postgraduate medical educational experience, like a residency program. [00:30:00] And I think those are the two qualifiers. I think board certification should be part of that too to be a pediatric surgeon. But the word, podology is used a lot. Chiropodist has still used some in some places. Yeah. And some of 'em are just like almost a technical degree versus a graduate degree. So I think if everybody could start to agree on some standards and some terminology, then everybody can work towards a common goal and help each other. Tyson E Franklin: , Some part of that I agree. And other parts I can see how other people be going. It's gonna be so confusing to try and get it standardised everywhere. Yeah. It's even the UK system they've started introducing. And if there's anyone from the UK listening this, and if I'm wrong please let me know. But they've introduced like apprenticeships where you don't have to be at the university for the whole four years. You can be doing a lot of your education in the clinic itself, and you go to university at different times and they're calling it like an apprenticeship program. Which [00:31:00] is a completely different pathway again. Patrick Deheer: Right. And in, I think in Canada it's more like an undergraduate degree too. I don't know the speci remember the specifics, but I've lectured in Canada and I've talked to a lot of Canadian podiatrists over the years. But again, not a lot of Canadian podiatrists are doing surgery. Kind of varies from province to Tyson E Franklin: province. Well, in Australia we pretty much finish high school and it's an undergraduate degree. We just go straight in, do Podiatrist. Four years later you come out and you start working. Patrick Deheer: Yeah and may maybe that some sort of hybrid model of that would be great. I just think that. It's an evolving profession and it's such an impactful profession on the healthcare system for all these countries that can improve patients' quality of life, keep people walking, keep people active and healthy dealing with problems like. Diabetes and obesity that are gonna lead to foot problems and reducing the complications associated with those [00:32:00] systemic diseases can really impact the overall healthcare system for countries. So I think it's so important for Podiatrist to be part of that equation, but we, we need to establish what the standards are to really have an impact in those healthcare systems. Tyson E Franklin: Yeah, and even if everybody got together, had a big meeting and you're all agreed, it would still be. Generations for, yeah, for it to roll out completely, because you'd have people that are just graduating now, so they've got a 30, 40 year career ahead of them. Patrick Deheer: For sure. And I think the US has set the standard and I think that, people, something along that line with Australia and England and what you've done and Spain now too, looking at all those models and trying to find something that is everybody can say, okay, this is what it means to be a Podiatrist and this is mean, what it means to be a pediatric surgeon. And then. Work with the support the country's podiatric associations to try to work with their [00:33:00] government to, to make that happen. Tyson E Franklin: This is what I found interesting doing the podcast and what I've enjoyed a lot is where I've had Podiatrist from India, from the UEA, from Mauritius, uk, Canada, South Africa, so many different parts of the world. When you talk to 'em and you go through the processes, everyone goes through. There's a lot of similarities between a lot of countries and then, America is on its own in the way that they actually do things. Patrick Deheer: For sure. I mentioned I graduated from Podiatrist school in 1990. To see the evolution of Podiatrist in the United States, even during my career is really amazing. I'm really proud of where we've. Gotten to, we still have things ways to go to really get to where the profession should be, but I'm really proud of the progress our profession has made during my career. Tyson E Franklin: What would you say has been the biggest change you've seen over your 30 years? Patrick Deheer: I really think [00:34:00] that the diabetic limb salvage has integrated Podiatrist into hospital healthcare systems. And then that has expanded, into things like trauma and into reconstructive surgery. Even more so, I think like in the 1970s here in Indiana, there was only one hospital in the whole state that would let podiatrists operate in the hospital. And that was here in Indianapolis. And now to think that, we can admit our own patients and do total ankle replacements or take trauma call or I'm doing pediatric surgery it's just an amazing how far it's come and, to see that progress. I think a lot of it was led by the diabetic limb salvage component of the profession and integrating that, and that helped to integrate Podiatrist into just the healthcare system and it became a key player and amputation prevention. Tyson E Franklin: So it wasn't one significant moment in time where things changed. It was progression over that period of time. [00:35:00] Patrick Deheer: I think guys like Larry Harless David Armstrong, Larry Lavery Robert Feinberg, Lee Rogers. Those people have really help from a diabetic limb salvage part, integrate the whole profession, I think. Tyson E Franklin: I wanna move ahead a little bit. You invented a thing called the Aquinas Brace. Patrick Deheer: Yeah. So I was running to try to lose weight and I got poster tibial tendonitis and I didn't wanna stop running. And I was wearing orthotics. I was taking some steroid pills but it still was really hurting. And so I realised I had Aquinas like everybody. I needed to stretch, so I was wearing a night splint at night to try to stretch out my calf, and I woke up at two in the morning because they're uncomfortable to sleep in. I looked down, I'm sleeping on my side with my knee bent, and I'm like, this is a complete waste of time. Has to go above your knee, or this is doing nothing. And so that was the genesis of it. I realised the brace needed to go above the knee, and then I also realised the foot position mattered too, that you need to have the foot [00:36:00] supinated so that you can lock them in tarsal joint. And then all the force is gonna be in the hind foot. But also when you supinate the foot, you externally rotate the tibia, which locks the knee. You can't lock your knee into full extension unless your tibia externally rotates via the screw home mechanism. So, that's where the idea came from. I had a friend who was a sales rep. I told him about it and he goes, I know the guy that can help us make this come to reality. So the three of us formed a company called IQ Medical Ricky Heath and John Moore. And I. And then we got brought the brace to market. It was really a learning experience for all three of us. It, like anything took much longer than we thought and cost a lot more money than we thought it would, but it's pretty amazing to see something that you dreamed up in your head, come to life into a real thing. Did you use it on yourself and did you get back running? So this was, it took us about five years from, it really took about five years to get it actually in production. I kept [00:37:00] running though. So Tyson E Franklin: did you end up, being one of your own patients testing this out on yourself. Patrick Deheer: Oh, yeah, I was testing all the sort of different versions of it coming up on myself for sure. I have a size 14 shoe, so it's really pushing the limits on the size of the brace, but I was able to try 'em out as we were going through different ideations of it. Tyson E Franklin: And this is what I was talking about when I did the introduction with you. Where you've had a very successful Podiatrist career. You've been on so many boards and associations and held so many different positions. You're gonna be the next president of the APMA. You've done all this volunteer work overseas, you've invented the Aquinas Brace . with all that going on, what's next? You must have other things in the pipeline you're going, I'm gonna do. I've got more to do. Yeah. Patrick Deheer: I, my favorite thing that I do in Podiatrist is being a residency director. I love it. Okay. I have we have [00:38:00] 12 residents at our program, so we have four per year, or it's a three year residency, and I've become really close to the residents. We have a great program and I just love teaching. I, I love watching the residents develop. We just had a new group start a week ago. So watching 'em develop from July 1st when they start over three years to the June 30th of their third year when they graduate, and I've seen them out. We always have our graduation party in kind of mid-June and it's a kind of a running joke at our residency program that. I cannot get through my speech at their graduation party without getting very emotional because they become like my kids. And yeah I'm so close to them and I'm so proud of them, and I can see what they have to offer to not only their patients but the professional also going forward. And just, it really, it's really something that I love doing and I feel honored to be able to teach them. Tyson E Franklin: So when somebody does Podiatrist in United States, they go to Podiatrist [00:39:00] school, they finish? They get their degree. They've done an undergraduate degree beforehand, haven't they? Then they, yeah. Go to Podiatrist school. If somebody doesn't do residency, they can't work as a Podiatrist. Patrick Deheer: Right. They can't get licensed in the Tyson E Franklin: states Patrick Deheer: any longer Tyson E Franklin: without doing a residency. Yeah. So they do the Podiatrist school. Are there enough positions around the country residencies for everybody who graduates? Patrick Deheer: Yes. There are actually more residency spots now than students. Okay. That's good. Because I'd Tyson E Franklin: heard years ago that sometimes it was a struggle. People would finish and then it was difficult to try and find a residency. I mean, when I was going through it, that was the case. Yeah. And I take it all residencies are not equal. Some are better Patrick Deheer: reputation. Tyson E Franklin: Well, Patrick Deheer: they're all standardised. They're all three year residencies and they're all hold all accountable to the same standards by our governing organization, the Council in Podiatric Medical Education. With that being said, yes, there are some residency [00:40:00] programs that are the leading residency programs for sure. So you Tyson E Franklin: have 12 residencies spots in your program. So there'd be a lot of podiatrists if they really wanted to work with you. Do they contact you while they're in Podiatrist school and start reaching out that way? How do you actually select. He does nce. Yeah. So in, Patrick Deheer: in the US the, and the students during their fourth year rotate through different hospitals. Some, most of the time they're for one month rotations, some are for three month rotations. And it's a little bit of a getting to know each other. It's also part of their educational experience. So they're getting that practical experience and getting out of just the book experience from learning. So we have probably, around 50 to 60 students through the year coming through our residency program as externs. Somewhere between four and or so a month. And then the interviews for residency are always in January, mid-January. And then you rank the students how you like them and they rank the residency programs, how they like them. [00:41:00] And then there's a match that comes out in mid-May and then you find out who you match with. Tyson E Franklin: Okay, so it's not your decision on who actually gets the position. So it doesn't come down to anyone's personal preference that it's an external body that puts them all together. Patrick Deheer: Well, it's not so much an external body it's just you rank your top students and the students rank their top programs. If you pick student, a number one and student a picture, residency, number one, then you're gonna match and they're gonna be one of your residents. Tyson E Franklin: I get It's good to get some insight on how that process actually works, and it's also good knowing there's more residency spots than there are students Patrick Deheer: graduating. Yeah. And while they're here for a month, we get to know them, they get to know us. And then the interviews are part of the mix too. But really, while they're rotating is probably the most important part of it. Because I've had students who were number one in their class who wanted to do our residency, but. It wasn't necessarily a good fit from a culture [00:42:00] standpoint. We are very protective of our culture and sometimes maybe the, top students aren't the be the best fit. I've also had students who were number one in their class who are a great fit, who have been residents at our program too. But we are very protective over the culture. So we wanna look at the the perspective resident global, from a global standpoint and looking at them in the entirety of how they fit in the program. Tyson E Franklin: I think there's a fantastic point that anyone listening to this, even when you were just employing a team member, is you've gotta make sure they fit the culture of your business. Doesn't matter how qualified they are, doesn't matter how many other boxes they tick if they don't fit. It's always gonna be difficult, long term to make it work. Patrick Deheer: Absolutely. I talk to other residency directors and they talk about their challenges with certain, with residents. I never really have any issues with our residents. I think. Part of that is the culture we've established. And part of it is I have two chief residents that are in their third year. The third year residents, two of 'em are [00:43:00] chiefs. I rely really heavily on them. We work very closely. And then I have a program coordinator her name's Carrie and the four of us run the program together. And we all work together. And but everybody is part of it though. We're all, all, so. It would be 12 plus the program coordinator plus me, and we have a clinic, a Podiatrist who runs a clinic. So the 15 of us are all working together, plus we have about 50 podiatrists who are attending surgeons, who our residents work with. So we have a really. Big group of people that we work with, but our residents I, nothing really ever escalates to my level where I've gotta intervene. They just, they all work hard. They all come as willing, eager learners, and I always ask the new residents the same thing to leave the residency program better than they found it. Tyson E Franklin: Have you had anyone that's done the residency that it, they've got halfway through it and just went, this is not working out. We made a mistake. You're not the right fit. Patrick Deheer: Nope. [00:44:00] I, it's interesting I'm known for not being a big fan of fellowships. I think fellowships in the United States have needs to be reigned in. That's another year after training, after residency program are doing, and I think unfortunately, a lot of 'em have become, almost like a fourth year of residency. And fellowships really should be for really specific specialized training. Like if you wanna do diabetic limb salvage or you want to do pediatrics or whatever. But I tell our residents, if you think you need a fellowship because you didn't get adequate surgical training while you were at our residency program, that is my fault. I failed you. And so, in the case that you brought up, that would've been my responsibility. Not the problem of the resident. Tyson E Franklin: So before we wrap up, is there anything else you would like to talk about ? Patrick Deheer: Well, I think one of the other things you asked me about, what excites me now is I started, I invented a surgical a kit for Aquinas surgery for the bowel and gut. And I started a company with three of my sons. [00:45:00] So that's been really fun working with my sons. One of my sons also has a brace company where he sells AFOs and sells the Aquinas brace that I invented. But starting this company with my sons and working with family has been really fun. It some of my most cherished memories were working with my father-in-law when he was still alive and practicing. Even if he was just doing routine care, just hanging out in the office with him and talking shop over dinner and was fun. But I just, i'm really excited about the profession. It's been really great to me and that's why I feel a responsibility to pay it forward and to try to see that it's in a better place than when I entered it. And so that's why I put so much effort into it. I've been in charge of the student recruitment, which we talked about last time, which is another big, yeah. I'm working on right now and I'm really excited about that. And we're looking at expanding that into a branding campaign for the entire profession and getting all the key stakeholders in Podiatrist in the United States involved in that. And it's interesting 'cause osteopathic [00:46:00] medicine to that about. 15 years ago, and it had a really significant impact on osteopathic medicine. I think we can have the same impact on Podiatrist with a national branding campaign where we just elevate the awareness of Podiatrist so people understand what we do and understand that as a potential career for people who are in high school or undergraduate trying to figure out what they want to get into. And it's interesting, we work at a big, our residency's at a big teaching hospital and still their residents in general surgery or neurosurgery who don't really understand what we as podiatrists do, and our residents are interacting with them and say, yeah, oh yeah, we can work on that. And trying to save that limb from being amputated. And they're like, wow, you guys really do that? Tyson E Franklin: And that doesn't surprise me. 'cause nearly anyone I ever talk to when I tell 'em I was a podiatrist and you just explain. What you do, and they go, well, I didn't know you did that. That sounds really interesting. Patrick Deheer: Sure. And I do all parts of Podiatrist and I like all of it. I'm [00:47:00] not above trimming a 90-year-old lady's toenails. I mean, if I can trim a 90-year-old lady's toenails in a corn on her little toe and she walks outta my office and feels immediately better that's an honor for me to be able to help somebody like that. And I take that very seriously. Tyson E Franklin: Okay. Well, on that note, Patrick, I wanna thank you for coming back on the Podiatry Legends Podcast. Sharing part, Oh geez. You sharing part of your story. It's gonna be a smidgen of what you've done. You have done so much. This has been it's been a pleasure having you on here, so thank you very much. Patrick Deheer: It's been awesome having a conversation with You're such a great interviewer. Thank you for having me on. Well, thank you. I'm gonna take that, I'm gonna take, that's a big compliment. Thank you very much. You're really good.

You're listening to Burnt Toast! Today, my guest isMara Gordon, MD. Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly. And she was previously on the podcast last November, answering your questions on how to take a weight inclusive approach to conditions like diabetes, acid reflux, and sleep apnea.Dr. Mara is back today to tackle all your questions about perimenopause and menopause! Actually, half your questions—there were so many, and the answers are so detailed, we're going to be breaking this one into a two parter. So stay tuned for the second half, coming in September! As we discussed in our recent episode with Cole Kazdin, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest. This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these: Episode 203 TranscriptVirginiaWhen I put up the call out for listener questions for this, we were immediately inundated with, like, 50 questions in an hour. People have thoughts and feelings and need information! So I'm very excited you're here. Before we dive into the listener questions, let's establish some big picture framing on how we are going to approach this conversation around perimenopause and menopause.MaraI should start just by introducing myself. I'm a family doctor and I have a very general practice, which means I take care of infants and I have a couple patients who are over 100. It's amazing. And families, which is such an honor, to care for multiple generations of families. So, perimenopause and menopause is one chunk of my practice, but it is not all of it.I come from the perspective of a generalist, right? Lots of my patients have questions about perimenopause and menopause. Many of my patients are women in that age group. And I have been learning a lot over the last couple of years. The science is emerging, and I think a lot of practice patterns amongst doctors have really changed, even in the time that I have been in practice, which is about 10 years. There has been a huge shift in the way we physicians think about menopause and think about perimenopause, which I think is mostly for the better, which is really exciting.There's an increased focus on doctors taking menopause seriously, approaching it with deep care and concern and professionalism. And that is excellent. But this menopause advocacy is taking place in a world that's really steeped in fatphobia and diet culture. Our culture is just so susceptible to corporate influence. There are tons of influencers who call themselves menopause experts selling supplements online, just selling stuff. Sort of cashing in on this. And I will note, a lot of them are medical doctors, too, so it can be really hard to sort through.VirginiaYour instinct is to trust, because you see the MD.MaraTotally. There's a lot of diet talk wrapped up in all of it, and there's a lot of fear-mongering, which I would argue often has fatphobia at its core. It's a fear of fatness, a fear of aging, a fear of our bodies not being ultra thin, ultra sexualized bodies of adolescents or women in their 20s, right? This is all to say that I think it's really exciting that there's an increased cultural focus on women's health, particularly health in midlife. But we also need to be careful about the ways that diet culture sneaks into some of this talk, and who might be profiting from it. So we do have some hearty skepticism, but also some enthusiasm for the culture moving towards taking women's concerns and midlife seriously.VirginiaThe cultural discourse around this is really tricky. Part of why I wanted you to come on to answer listener questions is because you approach healthcare from a weight inclusive lens, which is not every doctor. It is certainly not every doctor in the menopause space. And you're not selling us a supplement line or a weighted vest, so that's really helpful. So that's a good objective place for us to start! Here's our first question, from Julie: It's my understanding that the body naturally puts on weight in menopause, especially around the torso, and that this fat helps to replace declining estrogen, because fat produces estrogen. I don't know where I've heard this, but I think it's true? But I would like to know a doctor's explanation of this, just because I think it's just more evidence that our bodies know what they're doing and we can trust them, and that menopause and the possible related weight gain is nothing to fear or dread or fight.MaraOof, okay, so we are just diving right in. Thank you so much for this question. It's one I get from many of my patients, too. So I looked into some of the literature on this, and it is thought that declining estrogen—which happens in the menopausal transition—does contribute to what we call visceral adiposity, which is basically fatty tissue around the internal organs. And in clinical practice, we approximate this by assessing waist circumference. This is really spotty! But we tend to think of it as “belly fat,” which is a fatphobic term. I prefer the term “visceral adiposity” even though it sounds really medical, it gets more specifically at what the issue is, which is that this particular adipose tissue around internal organs can be pathologic. It can be associated with insulin resistance, increasing risk of cardiovascular disease, and risk of what we call metabolic—here's a mouthful—metabolic dysfunction associated steatotic liver disease, which is what fatty liver disease has been renamed.So I don't think we totally understand why this happens in the menopausal transition. There is a hypothesis that torso fatty tissue does help increase estrogen, and it's the body's response to declining estrogen and attempts to preserve estrogen. But in our modern lives, where people live much longer than midlife, it can create pathology. VirginiaI just want to pause there to make sure folks get it. So it could be that this extra fat in our torsos develops for a protective reason —possibly replacing estrogen levels—but because we now live longer, there's a scenario where it doesn't stay protective, or it has other impacts besides its initial protective purpose.MaraRight? And this is just a theory. It's kind of impossible to prove something like that, but many menopause researchers have this working theory about, quote—we've got to find a better term for it—belly fat. What should we call it, Virginia? Virginia. I mean, or can we reclaim belly fat? But that's like a whole project. There is a lot of great work reclaiming bellies, but we'll go with visceral adiposity right now.MaraAnyway, this is an active area of menopause research, and I'm not sure we totally understand the phenomenon. That being said, Julie asks, “Should we just trust our bodies?” Do our bodies know what they're doing? And I think that's a really philosophical question, and that is the heart of what you're asking, Julie, rather than what's the state of the research on visceral adiposity in the menopause transition.It's how much do we trust our bodies versus how much do we use modern medicine to intervene, to try to change the natural course of our bodies? And it's a question about the role that modern medicine plays in our lives. So obviously, I'm a fan of modern medicine, right? I'm a medical doctor. But I also have a lot of skepticism about it. I can see firsthand that we pathologize a lot of normal physiologic processes, and I see the way that our healthcare system profits off of this pathology.So this is all to say: Most people do tend to gain weight over time. That's been well-described in the literature. Both men and women gain weight with age, and women tend to gain mid-section weight specifically during the menopausal transition, which seems to be independent of age. So people who go through menopause earlier might see this happen earlier. This weight gain is happening in unique ways that are affected by the hormone changes in the menopausal transition, and I think it can be totally reasonable to want to prevent insulin resistance or prevent metabolic dysfunction in the liver using medications. Or can you decide that you don't want to use medications to do that; diet and exercise also absolutely play a role. But I think it's a deep question. I don't know, what do you think? Virginia, what's your take?VirginiaI think it can be a both/and. If everybody gains weight as we age, and particularly as we go through menopause transition, then we shouldn't be pathologizing that at baseline. Because if everybody does it, then it's a normal fact of having a human body. And why are we making that into something that we're so terrified of?And I think this is what we're going to get more into with these questions: It's also possible to say, can we improve quality of life? Can we extend life? Can we use medicine to help with those things in a way that makes it not about the weight gain, but about managing the symptoms that may or may not be caused by the weight gain? If the weight gain correlates with insulin resistance, of course you're going to treat the insulin resistance, because the insulin resistance is the concern. Does that mean weight loss is the thing we have to do? Not necessarily.MaraTotally. I define size inclusive medicine—which is the way that I practice medicine—as basically not yelling at my patients to lose weight. And it's quite revolutionary, even though it shouldn't be. I typically don't initiate conversations about weight loss with my patients. If my patients have evidence of metabolic dysfunction in the liver, if they have evidence of diabetes or pre-diabetes, if they have high blood pressure, we absolutely tackle those issues. There's good medications and non-medication treatments for those conditions.And if my patients want to talk about weight loss, I'm always willing to engage in those conversations. I do not practice from a framework of refusing to talk with my patients about weight loss because I feel that's not centering my patients' bodily autonomy. So let's talk about these more objective and less stigmatized medical conditions that we can quantify. Let's target those. And weight loss may be a side effect of targeting those. Weight loss may not be a side effect of targeting those. And there are ways to target those conditions that often don't result in dramatic or clinically significant weight loss, and that's okay.One other thing I'll note that it's not totally clear that menopausal weight gain is causing those sort of metabolic dysfunctions. This is a really interesting area of research. Again, I'm not a researcher, but I follow it with interest, because as a size-inclusive doctor, this is important to the way that I practice. So there's some school of thought that the metabolic dysfunction causes the weight gain, rather than the weight gain causing the metabolic dysfunction. And this is important because of the way we blame people for weight gain. We think if you gain weight, you've caused diabetes or whatever. This flips thta narrative on its head. Diabetes is a really complex disease with many, many factors affecting it. It's possible that having a genetic predisposition to cardiometabolic disease may end up causing weight gain, and specifically this visceral adiposity. So this is all to say there's a lot we don't understand. And I think at the core is trying to center my patients values, and de-stigmatize all of these conversations.VirginiaI love how Julie phrased it: “The possible related weight gain in menopause is maybe nothing to fear, dread, or fight.” I think anytime we can approach health without a mindset of fear and dread and not be fighting our bodies, that seems like it's going to be more health promoting than if we're going in like, “Oh my God, this is happening. It's terrible. I have to stop it.”And this is every life stage we go through, especially as women. Our bodies change, and usually our bodies get bigger. And we're always told we have to fight through puberty. You have a baby, you have to get your body back as quickly as possible. I do think there's something really powerful in saying: “I am going through a big life change right now so my body is supposed to change. I can focus on managing the health conditions that might come along with that, and I can also let my body do what it needs to do.” I think we can have both.MaraYeah, that's so beautifully said. And Julie, thank you for saying it that way.VirginiaOkay, so now let's get into some related weight questions.I was just told by my OB/GYN that excess abdominal weight can contribute to urinary incontinence in menopause. How true is this, and how much of a factor do you think weight is in this situation? And I think the you know, the unsaid question in this and in so many of these questions, is, so do I have to lose weight to solve this issue?MaraYes. So this is a very common refrain I hear from patients about the relationship between BMI and sort of different processes in the body, right? I think what the listeners' OB/GYN is getting at is the idea that mass in the abdomen and torso might put pressure on the pelvic floor. And more mass in the torso, more pressure on the pelvic floor.But urinary incontinence is extremely complicated and it can be caused by lots of different things. So I think what the OB/GYN is alluding to is pelvic floor weakness, which is one common cause. The muscles in the pelvic floor, which is all those muscles that basically hold up your uterus, your bladder, your rectum—all of those muscles can get weak over time. But other things can cause urinary incontinence, too. Neurological changes, hormonal changes in menopause, can contribute.Part of my size inclusive approach to primary care is I often ask myself: How would I treat a thin person with this condition? Because we always have other treatment options other than weight loss, and thin people have urinary incontinence all the time.VirginiaA lot of skinny grandmas are buying Depends. No shame!MaraTotally, right? And so we have treatments for urinary incontinence. And urinary incontinence often requires a multifactorial treatment approach.I will often recommend my patients do pelvic floor physical therapy. What that does is strengthen the pelvic floor muscles particularly if the person has been pregnant and had a vaginal delivery, those muscles can really weaken, and people might be having what we call genitourinary symptoms of menopause. Basically, as estrogen declines in the tissue of the vulva, it can make the tissue what we call friable.VirginiaI don't want a friable vulva! All of the language is bad.MaraI know, isn't it? I just get so used to it. And then when I talk to non-medical people, I'm like, whoa. Where did we come up with this term? It just means sort of like irritable.VirginiaOk, I'm fine having an irritable vulva. I'm frequently irritable.MaraAnd so that can cause a sensation of having to pee all the time. And that we can treat with topical estrogen, which is an estrogen cream that goes inside the vagina and is an amazing, underutilized treatment that is extremely low risk. I just prescribe it with glee and abandon to all of my patients, because it can really help with urinary symptoms. It can help with discomfort during sex in the menopausal transition. It is great treatment.VirginiaItchiness, dryness…MaraExactly, yeah! So I was doing a list of causes of urinary incontinence: Another one is overactive bladder, which we often use oral medications to treat. That helps decrease bladder spasticity. So this is all to say that it's multifactorial. It's rare that there's sort of one specific issue. And it is possible that for some people, weight loss might help decrease symptoms. If somebody loses weight in their abdomen, it might put less pressure on the pelvic floor, and that might ease up. But it's not the only treatment. So since we know that weight loss can be really challenging to maintain over time for many, many reasons, I think it's important to offer our patients other treatment options. But I don't want to discount the idea that it's inherently unrelated. It's possible that it's one factor of many that contributes to urinary incontinence.VirginiaThis is, like, the drumbeat I want us to keep coming back to with all these issues. As you said, how would I treat this in a thin person? It is much easier to start using an estrogen cream—like you said, low risk, easy to use—and see if that helps, before you put yourself through some draconian diet plan to try to lose weight.So for the doctor to start from this place of, “well, you've got excess abdominal fat, and that's why you're having this problem,” that's such a shaming place to start when that's very unlikely to be the full story or the full solution.MaraTotally. And pelvic PT is also underutilized and amazing. Everyone should get it after childbirth, but many people who've never had children might benefit from it, too.VirginiaOkay, another weight related question. This is from Ellen, who wrote in our thread in response to Julie's question. So in related to Julie's question about the role of declining estrogen in gaining abdominal fat:If that's the case, why does hormone replacement therapy not mitigate that weight gain? I take estrogen largely to support my bone health due to having a genetic disorder leading to fragile bones, but to be honest I had hoped that the estrogen would also help address the weight I've put on over the past five years despite stable eating and exercise habits. That hasn't happened, and I understand that it generally doesn't happen with HRT, but I don't understand why. I guess I'd just like to understand better why we tend to gain abdominal fat in menopause and what if anything can help mitigate that weight gain. I'm working on self acceptance for the body I have now, and I get frustrated when clothes I love no longer fit, or when my doctor tells me one minute to watch portion sizes to avoid weight gain, and the next tells me to ingest 1000 milligrams of calcium per day, which would account for about half of the calories I'm supposed to eat daily in order to lose weight or not gain more weight. It just feels like a lot of competing messages! Eat more protein and calcium, but have a calorie deficit. And it's all about your changing hormones, but hormone replacement therapy won't change anything.Ellen, relatable. So many mixed messages. Dr. Mara, you spoke to what we do and don't know about the abdominal fat piece a little bit already in Julie's question, so I think we can set that aside. But yes, if estrogen is playing a role, why does hormone replacement therapy not necessarily impact weight? And what do we do with the protein of it all? Because, let me tell you, we got like 50 other questions about protein.MaraI will answer the first part first: I don't think we know why menopausal hormone therapy does not affect abdominal fat. You're totally right. It makes intuitive sense, but that's not what we see clinically. There's some evidence that menopausal hormone therapy can decrease the rate of muscle mass loss. But we consider it a weight neutral treatment. Lots of researchers are studying these questions. But I don't think anybody knows.So those messages feel like they're competing because they are competing. And I don't think we understand why all these things go on in the human body and how to approach them. So maybe I'll turn the question back to you, Virginia. How do you think about it when you are seeking expertise and you get not a clear answer?VirginiaI mean, I'm an irritable vulva when it happens, that's for sure. My vulva and I are very irritated by conflicting messages. And I think we're right to be. I think Ellen is articulating a real frustration point.The other thing Ellen is articulating is how vulnerable we are in these moments. Because, as she's saying, she's working on self-acceptance for the body she has. And I think a lot of us are like, “We don't want weight loss to be the prescription. We don't want to feel pressured to go in that direction.” And then the doctor comes in and says, “1000 milligrams of calcium a day, an infinity number of protein grams a day. Also lose weight.” And then you do find yourself on that roller coaster or hamster wheel—choose your metaphor. Again, because we're so programmed to think “well, the only option I have is to try to control my weight, control my weight, control my weight.” And you get back in that space.What I usually try to do is phone a friend, have a plan to step myself out of that. Whether it's texting my best friend or texting Corinne, so they can be that voice of reason. And I would do this for them, too! You need help remembering: You don't want to pursue intentional weight loss. You're doing all this work on self-acceptance. Dieting is not going to be helpful. So what can you take from this advice that does feel doable and useful? And maybe it's not 1000 milligrams of calcium a day, but maybe it's like, a little more yogurt in your week. Is there a way you can translate this to your life that feels manageable? I think it's what you do a great job of. But I think in general, doctors don't do a great job with that part.MaraYeah, I bet you Ellen's doctor had 15 minutes with her. And was like, “Well, eat all this calcium and definitely try to lose weight,” right? And then was rushing out the door because she has 30 other patients to see that day.I think doctors are trying to offer what maybe they think patients want to hear, which is certainty and one correct answer. And it can feel hard to find the space to sort of sit in the uncertainty of medicine and health and the uncertainty of like our bodies. And corporate medicine is not conducive to that, let's put it that way.VirginiaBut so how much protein do we need to be eating?MaraI have no idea. Virginia, I don't think anybody knows. I think exercise is good for you. It's not good for every single body at every single moment in time. If you just broke your foot, running is not a healthy activity, right? If you're recovering from a disordered relationship with exercise, it's not healthy.But, movement in general prolongs our health span. And I'm reluctant to even say this, but, the Mediterranean diet—I hate even calling it a diet, right? But vegetables, protein—I don't even want to call them healthy fats, it's just so ambiguous what that means. But olive oil. All those things seem to be good for you. With the caveat that it's really hard to study the effects of diet. And this is general diet, not meaning a restrictive diet, but your diet over time. But I don't think we know how much, how much protein one needs to eat. It is unknowable.VirginiaAnd that's why, I think what we've been saying about figure out how to translate this into something that feels doable in your life. It's not like, Oh, olive oil forever. Never butter again. MaraOf course not. I love butter. Oh, my God. Extra butter!VirginiaRight. Butter is core to the Burnt Toast philosophy. I know you wouldn't be coming here with an anti-butter agenda.MaraOh, of course not. Kerry Gold forever.VirginiaBut it's, how can you take this and think about what makes sense in your life and would add value and not feel restrictive? And that's hard to do that when you're feeling vulnerable and worried and menopause feels like this big, scary unknown. But you still have the right to do that, because it's still your body.MaraBeautifully said.ButterVirginiaWell, this has all been incredibly helpful. Let's chat about things that are bringing us joy. Dr Mara, do you have some Butter for us? MaraI had to think about this a lot. The Butter question is obviously the most important question of the whole conversation.We have been in a heat wave in Philly, where I live, and it's really, really hot, and we have a public pool that is four blocks from our house. Philly actually has tons of public pools. Don't quote me on this, but I've heard through the grapevine—I have not fact-checked this—that it is one of the highest per capita free public pools in the country. I don't know where I heard that from. I know I should probably look that up, but anyway, we've got a lot of pools in Philly. And there's one four blocks from my house.So I used to think of pool time as a full day, like a Saturday activity. Like you bring snacks, you bring a book, you lounge for hours. But our city pool is very bare bones. There's no shade. And so, I have come to approach it as an after work palate cleanser. We rush there after I get my kid from daycare, and just pop in, pop out. It's so nice. And pools are so democratic. Everybody is there cooling off. There's no body shame. I mean, I feel like it's actually been quite freeing for my experience of a body shame in a bathing suit, because there's no opportunity to even contemplate it. Like you have to hustle in there to get there before it closes. There's no place to put your stuff. So you can't do all those body shielding techniques. You have to leave your stuff outside of the pool. So you have to go in in a bathing suit. And it's just like, all shapes and sizes there. I love it. So public pools are my Butter.VirginiaWe don't have a good public pool in my area, and I wish we did. I'm so jealous. That's magical. Since we're talking about being in midlife, I'm going to recommend the memoir, Actress of a Certain Age: My Twenty-Year Trail to Overnight Success by Jeff Hiller, which I just listened to on audiobook. Definitely listen to it on audiobook. Obviously, Jeff Hiller is a man and not in menopause, but he is in his late 40s, possibly turned 50. He's an actress of a certain age, as he says. If you watched “Somebody Somewhere” with Bridget Everett, he plays her best friend Joel. And the show was wonderful. Everyone needs to watch that.But Jeff Hiller is someone who had his big breakout role on an HBO show at the age of, like, 47 or something. And so it's his memoir of growing up as a closeted gay kid in Texas, in the church, and then moving to New York and pursuing acting and all that. It's hilarious. It's really moving. It made me teary several times. He is a beautiful writer, and it just makes you realize the potential of this life stage. And one of his frequent refrains in the book, and it's a quote from Bridget Everett, is Dreams Don't have Deadlines, and realizing what potential there is in the second half of our lives, or however you want to define it. Oh my gosh, I loved it so much. There's also a great, great interview with Jeff on Sam Sanders podcast that I'll link to as well. That's just like a great entry point, and it will definitely make you want to go listen to the whole book.MaraI love it.I will briefly say one thing I've been thinking about during this whole conversation is a piece by the amazing Anne Helen Petersen who writes Culture Study, which is one of my favorites of course, in addition to Burnt Toast. She wrote a piece about going through the portal. That was what she calls it. And she writes about how she's talking with her mom, I think, who says, “Oh, you're starting to portal!” to Anne. And I just love it.What she's getting at is this sort of surge of creativity and self confidence and self actualization that happens in midlife for women in particular. And I just love that image. Whenever I think of doing something that would have scared me a few years ago, or acting confident, appropriately confident in situations. I'm like, I'm going into the portal. I just, I love it, it's so powerful, and I think about it all the time.VirginiaWell, thank you so much for doing this. This was really wonderful. Tell folks where they can find you and how we can support your work.MaraThank you so much, Virginia. I'm such a fan of your work. It has been so meaningful, meaningful to me, both personally and professionally. So it's such an honor to be here again. You can find me on Substack. I write Your Doctor Friend by Mara Gordon . And I'm on Instagram at Mara Gordon MD, too. And you can find a lot of my writing on NPR as well. And I'm writing a book called, tentatively, How to Take Up Space, and it's about body shame and health care and the pursuit of health and wellness. So lots of issues like we touched on today, and hopefully that will be coming into the world in a couple of years. But yeah, thanks so much for having me, Virginia.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

The relentless, boring everyday that comes with living with type 1 diabetes can sometimes be overlooked in the stories we see online. While I think any and all achievements should be celebrated, there are days where just making it through without falling over IS the marathon. In this chatty episode, my guest Philippa Robilliard and I have an unboring conversation about the continual demands of the condition - from not realising you've run out of hypo treats until the next time you're having a hypo, to putting your children's needs before your drastically dropping glucose levels, and building a career with type 1 diabetes while being silently, consistently exhausted.Philippa also opens up about taking time off work to focus on her health, and 'relearning' type 1 diabetes 20 years into the condition, after she was diagnosed in 1988 at the age of 5.'I'm not surprised by what my diabetes is capable of anymore,' she tells me. 'I just want diabetes to be nothing. That's what I'm aiming for.'If you're grinding through the everyday of type 1 diabetes while juggling career, friendships, relationships and family, wondering where the time goes, how you're going to do the weekly shop and willing your glucose to behave through that important presentation... this episode is for you!JOIN THE TYPE 1 ON 1 COMMUNITY Come and say hi @studiotype1on1 on Instagram.Visit the Type 1 on 1 website.Subscribe to the Type 1 on 1 newsletter.DISCLAIMER Nothing you hear on Type 1 on 1 should be taken as medical advice. Please consult your healthcare team before making any changes to your diabetes or health management.SPONSOR MESSAGE This episode of Type 1 on 1 is sponsored by Dexcom. Using Dexcom CGM has given me so much confidence to make informed diabetes treatment decisions in the moment.You can choose to wear it on your arm or your abdomen, and all Dexcom CGMs have the share and follow feature even when connected to an insulin pump, so family and friends can see your glucose levels and get alerts, giving that extra bit of support when needed.Head to Dexcom.com to request a free Dexcom ONE+ sample.Always read the user manual for important product aspects and limitations. Talk to your doctor for diabetes management terms and conditions and terms of use. 

A new meta-analysis evaluates the potential benefits of this muscle-building supplement. Can it make a significant difference? Find our new Staying Strong as We Age playlist on these topics.References from this episode:Cross-sectional and longitudinal associations between body flexibility and sarcopenia - PubMedEffects of protein supplementation on muscle mass, muscle strength, and physical performance in older adults with physical inactivity: a systematic review and meta-analysis - PubMed New to Nutrition Diva? Check out our special Spotify playlist for a collection of the best episodes curated by our team and Monica herself! We've also curated some great playlists on specific episode topics including Diabetes and Gut Health! Also, find a playlist of our bone health series, Stronger Bones at Every Age. Have a nutrition question? Send an email to nutrition@quickanddirtytips.com.Follow Nutrition Diva on Facebook and subscribe to the newsletter for more diet and nutrition tips. Find out about Monica's keynotes and other programs at WellnessWorksHere.comNutrition Diva is a part of the Quick and Dirty Tips podcast network. LINKS:Transcripts: https://nutrition-diva.simplecast.com/episodes/Facebook: https://www.facebook.com/QDTNutrition/Newsletter: https://www.quickanddirtytips.com/nutrition-diva-newsletterWellness Works Here: https://wellnessworkshere.comQuick and Dirty Tips: https://quickanddirtytips.com

ESPN Senior NFL Insider - Adam Schefter - joins the show for the latest on today's injury to Artie Burns at Dolphins camp. Plus, more notes from around the Dolphins and training camps around the NFL. Schefter also promotes awareness surround Type 1 Diabetes. For more info, check out: https://www.screenfortype1.com/

Behind the staggering statistics on global diabetes prevalence are millions of individuals with different stories, struggles, and solutions. In this episode, we explore how diabetes affects your brain, body, and cognition, and how it can be prevented, managed, and (in many cases) reversed. We share some powerful personal stories from the clinic, bust some persistent food myths, and learn why diabetes is as much a neurological emergency as a metabolic one. Plus, we speak to three leading experts who are changing the way we treat diabetes: BRENDA DAVIS, RD: renowned dietitian and global authority on plant-based nutrition. DR. MICHELLE MCMACKEN, MD: Executive Director of Nutrition and Lifestyle Medicine at NYC Health + Hospitals, Associate Professor at NYU, and public health leader. DR. THEODORE FRIEDMAN: Professor and Chair of Internal Medicine at Charles Drew University. In this episode, we discuss: • The difference between Type 1, Type 2, and prediabetes • How diabetes can contribute to cognitive decline • The role of lipotoxicity and intramuscular fat in insulin resistance • Why “cutting carbs” isn't the full story (and how to focus on food quality) • How public health systems are evolving to make prevention accessible and equitable • The real science behind CGMs (and why glucose spikes shouldn't cause a panic) • How new drugs like Ozempic can support (but not replace) lifestyle change This is... Your Brain On Diabetes. SUPPORTED BY: NEURO World. Help your brain thrive, now and into the future: https://neuro.world/  ‘Your Brain On' is hosted by neurologists, scientists, and public health advocates Ayesha and Dean Sherzai.  ‘Your Brain On... Diabetes' • SEASON 5 • EPISODE 10 [FINALE] Season 6, coming soon! LINKS Brenda Davis' website: https://brendadavisrd.com/ Dr. McMacken at NYC Health: https://med.nyu.edu/faculty/michelle-mcmacken Dr. Theodore Friedman at CDU: https://www.cdrewu.edu/directory/friedman-md-phd-theodore/

Send us a textDr. Evelyne Bourdua-Roy is a returning guest on our show! Be sure to check out her first appearance on episode 329 of our show, titled Passion in Low-Carb Healthcare with Dr. Evelyne Bourdua-Roy!Dr. Evelyne Bourdua-Roy is a family medicine physician who graduated from the University of Montreal in 2015 and from LaValle University in 2012. She is also board certified in obesity medicine by the American Board of Obesity Medicine.Additionally, she trained with world-renowned fasting experts Dr. Jason Fung and Megan Ramos in Toronto in 2016 and 2019 at their Intensive Dietary Management Clinic. She has also trained with Dr. Georgia Ede on the ketogenic diet and mental health, and with Bitten Johnson on food addiction (both former guests on our show), and on hormone replacement therapy with Dr. Neal Rosier and Dr. Sylvie Demeris.Dr. Roy has co-authored several best-selling books in French on the topics of low carb and ketogenic diets, fasting, metabolic health, and reversing lifestyle related chronic conditions, such as obesity, fatty liver disease, and type 2 diabetes. Her first book was translated into English, under the title Eat Fat to Lose Weight with the Keto and Low-Carb Diet.In January of 2017, Dr. Bourdua-Roy founded Clinique Reversa, which is a not-for-profit metabolic program that aims to help patients reverse their lifestyle-related chronic diseases. This program is led by a multidisciplinary team made up of several medical professionals, under Dr. Bourdua-Roy's supervision.Find Dr. Evelyne Bourdua-Roy at-Clinique Reversa Dr. Evelyne Bourdua-Roy's Books (Mostly in French)! TW- @CliniqueReversaFind Boundless Body at- myboundlessbody.com Book a session with us here!

Carl and Mike open up the show being joined by Adam Schefter as they discuss the latest NFL headlines with camps now underway and his support of getting tested for Type 1 Diabetes.

What does it really mean to live a healthy, full life with type 2 diabetes? Listen to this special interview with Dr. Victoria Bouhairie, a board-certified endocrinologist specializing in Endocrinology, Obesity, and Lifestyle Medicine. She shares expert advice on how to manage blood sugar, protect your heart, and build lasting habits that support your overall health and your numbers. Whether you're newly diagnosed or have been living with diabetes for years, this conversation will leave you informed, empowered, and inspired.This episode is brought to you by ReliOn Community, an amazing program available exclusively for Walmart customers with a ReliOn Premier meter. Get free diabetes tips, recipes and support sent right to your phone– visit ReliOnBGM.com/community to learn more. The medical information in this podcast is provided as an information resource only. It is not in any way intended to be nor should you rely on it as a substitute for professional medical evaluation, diagnosis, advice and treatment.

Los expertos en salud instan una acción más temprana para prevenir la séptima causa de muerte más común en Australia: la diabetes. Piden a los australianos a visitar a un médico para hacerse una prueba de detección y a adoptar hábitos saludables ahora para prevenir problemas de salud en el futuro.

Michelle Hurn recovered from an eating disorder to become both a dietician and an ultra runner. Now she helps people recover from disease states and obesity, especially Type 2 Diabetes. Find her @runeatmeatrepeat on Instagram or at www.thedieticiansdilemma.net.

¿Diabetes, obesidad o cáncer? La clave está en bajar la glucosa. Descubre la dieta de alimentos amigos y cómo puede ayudarte a recuperar tu salud.

For more exclusive content on metabolic health, including additional videos with Dr. Andrew Koutnik, check out our membership platform for free here!Despite incredible advances in diabetes technology, blood sugar control in people with Type 1 diabetes hasn't meaningfully improved in over a decade. In this eye-opening episode recorded live at Metabolic Health Summit, Dr. Andrew Koutnik - a scientist, patient, and advocate - dives into the science behind this paradox.Dr. Koutnik shares groundbreaking data from the largest-ever analysis of carbohydrate intake in people with Type 1 diabetes, explores the limitations of current technology, and presents a rare 10-year case study examining the long-term safety and efficacy of carbohydrate restriction.From CGMs to closed-loop systems, from meal composition to insulin dosing, this episode challenges conventional assumptions and offers a compelling case for nutrition as a powerful - yet underutilized - tool in diabetes care.Special thanks to the sponsors of this episode:Genova Connect – Get 15% off any test kit with code METABOLICLINK hereSelectQuote - Save more than 50% on term life insurance hereiRestore - Get a huge discount on the iRestore Illumina Face Mask with code METABOLICLINK hereIn every episode of The Metabolic Link, we'll uncover the very latest research on metabolic health and therapy. If you like this episode, please share it, subscribe, follow, and leave us a comment or review on whichever platform you use to tune in!You can find us on all your major podcast players here and full episodes are also up on our Metabolic Health Summit YouTube channel!Find us on social: Instagram Facebook YouTube LinkedIn Please keep in mind: The Metabolic Link does not provide medical or health advice, but rather general information that does not serve as a substitute for a licensed healthcare professional. Never delay in seeking medical advice from an appropriately licensed medical provider for any health condition that you may have.

Ever workout and go low or high? Yes, duh. Type 1 diabetes, right?But over the years with thousands of type 1 clients (and competing in Ironman), I've identified 3 KILLERS of blood sugars when exercising.>> ENJOY!Grab your free ticket to this advanced T1D training here:https://diabetesinaction.com/Purchase your copy of "The Blood Sugar Freedom Formula" book TODAY!https://www.amazon.com/dp/1964811880?psc=1&smid=ATVPDKIKX0DER&ref_=chk_typ_quicklook_imgToDpFree 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. 

Hey Diabuddy thank you for listening to show, send me some positive vibes with your favorite part of this episode.In today's episode I sit down with my good friend and Diabuddy Graham Hubbard. If you're new to the podcast, Graham started the show with me back in 2020 and then had to leave due to changes in life. This is a special episode because we get into a heavy discussion and debate about CGM and if the technology is superior to Glucose Monitors. You will not believe the perspective that Graham and I have on this topic. You definitely don't want to miss this one...Coach Ken's Resources:Website: www.simplifyingdiabetes.comNewsletter Sign Up"More Than A1C" - My Signature Coaching ProgramThe Diabetes Nutrition Master CourseThe 5-Pillars Of Diabetes Success WorksheetDecember (2024) Stronger Together With T1D Get-TogetherWhat This Episode on YouTube:Support & Donate To The PodcastHave a question, send me a DM or email. I'd love to connect and answer any questions you have.You can find the show  on any platform you listen to your podcasts!Don't forget to click on that subscribe button and leave a 5-star review, so you're notified when new episode drop every week.Questions about diabetes, don't hesitate to reach out:Instagram: @CoachK3NInstagram: @thehealthydiabeticpodFacebook: @Simplifying Life With DiabetesEmail: ken@simplifyingdiabetes.comPodcast Disclaimer: Nothing that you hear on The Healthy Diabetic Podcast should be considered medical advice or otherwise; please always consult your medical TEAM before making any changes to your Diabetes management.Support the show

Richard Shear is Founding Partner and Chief Creative Officer of Invōk Brands and a founding faculty member of SVA's Master's in Branding program. With a five-decade design career and a passion for visual history, he explores how global consumer culture shapes today's brands in his new book A History of Brands. This week on On Brand, he joins me to discuss the evolution of retail, the enduring impact of packaging, and why the future of branding begins with the past. About Richard Shear Richard is a founding faculty member of the Master's in Branding program at New York's School of Visual Arts and a Founding Partner and Chief Creative Officer of Invōk Brands. His 50-year design career has been influenced by a fascination with visual history, driven by a curiosity for the culture of consumer brands, and guided by rich experience in brand identity and package design. Richard's SVA course focuses on the origins, evolution, and current status of retail brands, building awareness of the rich legacy and growth of global consumer culture and its intrinsic connection to the evolution of visual history. What brand has made Richard smile recently? “That's easy,” Richard shared. “Barbie.” Specifically, Richard points to their newly released Barbie with Type 1 Diabetes. Connect with Richard on LinkedIn as well as the Invōk Brands and Branding at SVA websites. And check out Richard's new book A History of Brands wherever you like to shop. Listen and subscribe at  Apple Podcasts, Spotify, Amazon/Audible, Google Play, Stitcher, TuneIn, iHeart, YouTube, and RSS. Rate and review the show—If you like what you're hearing, be sure to head over to Apple Podcasts and click the 5-star button to rate the show. And, if you have a few extra seconds, write a couple of sentences and submit a review to help others find the show. Did you hear something you liked on this episode or another? Do you have a question you'd like our guests to answer? Let me know on Twitter using the hashtag #OnBrandPodcast and you may just hear your thoughts here on the show. On Brand is a part of the Marketing Podcast Network. Until next week, I'll see you on the Internet! Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a message with this link, we would love to hear from you. Standard message rates may apply.PCOS affects approximately one in ten women of reproductive age, creating a cascade of symptoms from irregular periods to fertility challenges. This common hormonal and metabolic condition has implications for long-term health beyond just reproductive concerns, including increased risk for diabetes, heart disease, and mental health issues.• PCOS is characterized by elevated androgens and insulin resistance• Symptoms include irregular periods, acne, unwanted hair growth, and weight management challenges• Diagnosis requires meeting at least two of three Rotterdam criteria: irregular periods, high androgens, and polycystic ovaries• Having ovarian cysts alone does not mean someone has PCOS• PCOS increases risk for type 2 diabetes, high blood pressure, sleep apnea, and even endometrial cancer• First-line treatment involves lifestyle modifications including diet and regular exercise• Even modest weight loss (5-10%) can significantly improve symptoms• Mental health support is crucial as PCOS is associated with higher rates of anxiety and depression• Medication options include birth control pills, metformin, fertility medications, and anti-androgen treatments• Free resources like the Ask PCOS app and online support groups can provide additional helpShare this episode with someone who might benefit from understanding PCOS better. Send us your thoughts at yourcheckuppod@gmail.com.Diabetes dialogues podcastDiabetes insights for HCPs. Dexcom's expert-led podcast, Diabetes Dialogues.Listen on: Apple Podcasts SpotifySupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

07/20/25The Healthy Matters PodcastS04_E20 - Sweet Talk:  Decoding DiabetesWith Special Guest:  Dr. Allison Estrada, MDWe're open to your comments or ideas for future shows!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Get a preview of upcoming shows on social media and find out more about our show at www.healthymatters.org.

Welcome to a New Episode of Next Level Pros! Today, Chris Lee shares his powerful origin story. From humble beginnings in a small town to early business ventures, overcoming personal challenges, and finding his true path in entrepreneurship. Originally recorded for his first podcast, “The Founder Podcast,” this replay dives deep into Chris's childhood, his work ethic shaped by necessity, how he found confidence through Cutco sales, and the pivotal decision to walk away from medical school and build something on his own.Apply to be on the show:https://forms.gle/hwDijQPFyKCEtHNs8 Highlights:"Sales is the root of every successful business. Learn it or lose.""Diabetes didn't define me. It disciplined me.""I was making $65,000 in three months while my dad worked all year for that.""You don't need to be the quarterback to win the championship."Timestamps:00:00 – Why This Episode Matters00:38 – Meet Chris Lee: Early Retirement & Entrepreneurial Lessons02:00 – Growing Up in Connell, Washington05:10 – Childhood Jobs & Early Financial Discipline 08:10 – Discovering Sales Through Cutco at 1813:00 – Lessons from Sports & Being Benched18:00 – Diabetes Diagnosis & Life-Changing Identity Shift21:00 – Serving a Mission & Developing Deeper Resilience27:11 – Marriage, Fatherhood & That First $65K Summer31:30 – Pivoting from Medicine to EntrepreneurshipLooking to scale your business? Want to learn directly from the same team that helped me sell my last business for 9 figures? Click this link below to check out how you can work with us. https://nextlevelhomepros.com/grow-home-service-vsl Join my community - Founder Acceleration ⁠https://www.founderacceleration.com  ⁠Apply for our next Mastermind: h⁠ttps://www.thefoundermastermind.com ⁠ Golf with Chris: h⁠ttps://www.golfwithchris.com ⁠ Watch my latest PodcastApple- Next Level Pros Podcast - Apple PodcastsSpotify- ⁠https://open.spotify.com/show/1e0cL2vI1JAtQrojSOA7D2 ⁠YouTube - @christhefounder 

J Gulinello (PerpetualHealthCo on Rumble & Instagram) is in Studio A and we'll, be starting with some thoughts from the last week or so, including Mattel's brand new Type 1 Diabetes Barbie Doll; I thought that would be a good reason to introduce everyone to Natalie, creator of Dulsa (https://dulsalife.com/) a fantastic sugar alternative. Natalie has a great story, and is sponsoring the September Jamboree, so it'll make for a great segment. Afterward we'll be opening the lines for calls, reading about why "sleeping" is better in Japan, and God knows what else. Unleash Your Brain w/ Keto Brainz Nootropic Promo code FRANKLY: https://tinyurl.com/2cess6y7 Sponsor The Show and Get VIP Perks: https://www.quitefrankly.tv/sponsor One-Time Tip: http://www.paypal.me/QuiteFranklyLive Read July Newsletter: https://tinyurl.com/y4yvuxff Elevation Blend Coffee & Official QF Mugs: https://www.coffeerevolution.shop/category/quite-frankly Official QF Apparel: https://tinyurl.com/f3kbkr4s Send Holiday cards, Letters, and other small gifts, to the Quite Frankly P.O. Box! Quite Frankly 222 Purchase Street, #105 Rye, NY, 10580 Send Crypto: BTC: 1EafWUDPHY6y6HQNBjZ4kLWzQJFnE5k9PK Leave a Voice Mail: https://www.speakpipe.com/QuiteFrankly Quite Frankly Socials: Twitter/X: @QuiteFranklyTV Instagram: @QuiteFranklyOfficial Discord Chat: https://discord.gg/KCdh92Fn GUILDED Chat: https://tinyurl.com/kzrk6nxa Official Forum: https://tinyurl.com/k89p88s8 Telegram: https://t.me/quitefranklytv Truth: https://tinyurl.com/5n8x9s6f GETTR: https://tinyurl.com/2fprkyn4 MINDS: https://tinyurl.com/4p84d3cx Gab: https://tinyurl.com/mr42m2au Streaming Live On: QuiteFrankly.tv (Powered by Foxhole) Youtube: https://tinyurl.com/yc2cn395 BitChute: https://tinyurl.com/46dfca5c Rumble: https://tinyurl.com/yeytwwyz Kick: https://kick.com/quitefranklytv Audio On Demand: Spotify: https://spoti.fi/301gcES iTunes: http://apple.co/2dMURMq Amazon: https://amzn.to/3afgEXZ SoundCloud: https://tinyurl.com/yc44m474