POPULARITY
In this thought-provoking episode of Metabolic Matters, Dr. Nasha Winters sits down with Dr. Robert Lustig, a pioneer in neuroendocrinology and metabolic research, to challenge the most deeply held assumptions about health, nutrition, and chronic disease.Dr. Lustig shares the personal journey and clinical breakthroughs that led him to uncover how our modern food system, misinformed science, and biochemical dysfunction have hijacked not just our bodies, but our brains. From leptin resistance and childhood obesity to mitochondrial failure and insulin overload, this conversation is packed with powerful insights for anyone seeking to understand the true roots of metabolic dysfunction.Why obesity is not a result of gluttony or sloth — but a hormonal and neurological responseHow mitochondrial dysfunction underlies chronic disease, from cancer to diabetesThe critical difference between food science, nutrition, and metabolic healthWhat happens when insulin levels rise — and how to bring them downThe story behind Freeing the Hostage Brain, Dr. Lustig's upcoming bookMetabolic health, mitochondria, insulin resistance, fructose, leptin, obesity, chronic disease, Dr. Robert Lustig, ultra-processed food, root cause medicine, neuroendocrinology, nutrition, energy balance, brain health.Dr. Robert Lustig is Professor Emeritus of Pediatrics in the Division of Endocrinology at the University of California, San Francisco (UCSF). A globally recognized expert in neuroendocrinology and nutrition, he has spent decades researching childhood obesity, insulin resistance, and the food industry's role in modern disease. His books include Fat Chance, Sugar: The Bitter Truth, Metabolical, and the upcoming Freeing the Hostage Brain.Dr. Lustig's books: Metabolical, Sugar: The Bitter Truth, Fat ChanceUpcoming book: Freeing the Hostage Brain (Fall 2025)How Sugar & Processed Foods Impact your Health: https://www.youtube.com/watch?v=n28W4AmvMDEConnect with Dr. Lustig:
In this episode of Reclaim Your Rise, Abby is back for a heartfelt conversation with the Smith family. We met Tyler and Callie after their son Wally's T1D diagnosis at age 4. They came to us feeling lost trying to function as their child's pancreas and needing more support than they were getting from their doctor. While Callie and Tyler's experience will especially resonate with other parents, this episode is for everyone who wants to understand what T1D parents are really going through. Quick Takeaways:Importance of knowing the signs & symptoms of type 1 diabetesThe mental & physical toll a T1D diagnosis takes on the entire family How family dynamics play a significant role in managing & finding a balance in parenting roles Maintaining your relationship as parents while still caring for your T1D child The need for better communication with healthcare providers about care expectationsTimestamps:[01:45] Meet the Smith Family [02:30] Wally's diagnosis [07:07] Emotions post-diagnosis & learning their new life [09:24] The standard of diabetes care [11:00] Deciding they needed more support [15:27] “You can't pour from an empty cup.” [16:43] Balancing parenting roles & dynamics: Knowing when to ‘tap out' [18:00] Self care: The key to family well being [20:00] Finding Risely [27:05] “We were sick of just getting a pat on the back and a gold star, every time we went to the endo…we weren't getting what we needed.” [29:40] Words of encouragement for T1D parents What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.Apply for coaching and talk to our team so you can reclaim the life you deserve.
Send us a textPre-diabetes is more than just a warning—it's an opportunity to take control of your health before it's too late. In this episode of The Beating Diabetes Lifestyle Podcast, I share the critical steps you can take to stop pre-diabetes from turning into full-blown type 2 diabetes.You'll learn:The key risk factors that could lead you down the path to diabetesThe turning point in my own health journey—what I wish I had done soonerA practical, battle-tested plan to reverse pre-diabetes and reclaim your well-beingIgnoring the warning signs could cost you, but the good news is that change is within your reach. Stick around, because this episode might just change your future!_____________________Connect With MeTo submit a question or join my mailing list, use the information below to connect with me. Join My Facebook Group - https://www.facebook.com/groups/beatingdiabeteslifestyle Web - www.beatingdiabeteslifestyle.com Email - hello@beatingdiabeteslifestyle.com Instagram - @beatingdiabeteslifestyle _____________________ ©2025 Oscar Camejo - The Beating Diabetes Lifestyle
Exam Room Nutrition: Nutrition Education for Health Professionals
Patients are overwhelmed with nutrition misinformation—“toxic foods", hormone imbalances, and glucose spikes. In this episode, I sit down with Barbie Boules, a Registered Dietitian who specializes in brain health and metabolic wellness, to bust the biggest myths your patients are hearing—and what you can say to set the record straight. Here's what you'll learn:Why “toxic” and “chemical” food fears are misleadingThe truth about hormones and weight lossWhether CGMs are useful for patients without diabetesThe biggest nutrition priorities for midlife womenConnect with Barbie:https://www.barbieboules.com/Episode 11 | Be Radiant: Overcoming Nutrition Challenges for Women Over 40Episode 67 | Is Your Patient Noncompliant or Just Struggling?Any Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for the Nutrition Wrap-Up Newsletter - Nutrition hot-topics and professional growth strategies delivered to your inbox each week. Support the show!If you love the show and want to help me make it even better, buy me a coffee to help me keep going! ☕️Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
Testosterone Matters for EveryoneIn this episode of The Dr. Gabrielle Lyon Show, Dr. Lyon sits down with Shalin Shah, CEO of Marius Pharmaceuticals, to explore the science, benefits, and future of testosterone therapy. Shalin has been a driving force behind bringing Kyzatrex, an FDA-approved oral testosterone, to market—making testosterone therapy more accessible and effective for both men and women. From breaking down misconceptions to advocating for better access to hormone therapy, this conversation sheds light on how testosterone plays a crucial role in overall health and wellness.Shalin shares his journey, discussing how his background in investments and his drive to bring valuable but overlooked health solutions to the mainstream led him to develop Kyzatrex. They dive into the challenges he faced in bringing this groundbreaking therapy to market, and how Marius Pharmaceuticals is striving to change the narrative around testosterone through education and advocacy.We dive into:The common myths about testosterone and its true role in healthWhy oral testosterone is a game-changer, providing a convenient and safe alternative to injectionsThe importance of testosterone for women's health, from muscle mass to mood and cognitive functionHow testosterone therapy can positively impact mental health and metabolic conditions, including diabetesThe mission behind The Testosterone Project and efforts to make testosterone testing standard practiceTune in to hear Shalin's insights into the future of hormone therapy and the steps his team is taking to improve access and education around testosterone. This episode is a must-listen for anyone interested in health optimization, longevity, or understanding how testosterone therapy can impact overall quality of life.Who is Shalin Shah?Shalin Shah is a distinguished leader in the field of metabolic health, specializing in testosterone replacement therapy. As the Chief Executive Officer of Marius Pharmaceuticals, he was instrumental in the development and FDA approval of KYZATREX® (testosterone undecanoate) CIII Capsules, an oral testosterone treatment for adult men with low or no testosterone levels due to certain medical conditions.With a global investment background, Shalin transitioned into healthcare with a mission to revolutionize the industry through metabolic health. His leadership at Marius Pharmaceuticals is marked by innovative strategies that prioritize consumer access and education. Under his guidance, KYZATREX has been launched via consumer-focused channels that include preeminent national healthcare institutions, private-equity backed medical practices, and national telemedicine platforms.Shalin's expertise extends beyond corporate leadership; he is an influential voice in longevity medicine and an advocate for reevaluating testosterone medication regulations. His efforts aim to reshape public perception and education on testosterone therapy and its significance for global health. He believes that oral testosterone replacement therapy has created a much-awaited paradigm shift which is critical for addressing the worldwide men's (and women's) health crisis, marked by declining testosterone levels and lower life expectancies. His message is that testosterone replacement therapy is not just about adding years to life, but also about adding life to years. Apply to become a patient - https://drgabriellelyon.com/new-patient-inquiry/Join my weekly newsletter - https://institute-for-muscle-centric-medicine.ck.page/2ed23e2860Get my book - https://drgabriellelyon.com/forever-strong/Read More -...
The views expressed are not intended to be used for medical diagnosis or treatment or as a substitute for professional medical advice. Patients should consult their physician or qualified health provider regarding their condition and appropriate medical treatment. Individual symptoms, situations and circumstances may vary.In this bonus episode Emma speaks to Dawn Adams, a midwife and menopause advocate who has type 1 diabetes, about how the menopause can affect people with diabetes - based on her professional and personal experience.Dawn explains the overlapping symptoms of diabetes and menopause and the impact these can have on women, highlighting what GPs and other healthcare professionals need to consider when speaking with women with diabetes who are experiencing menopause symptoms.She also discusses how diabetes technology has helped her manage her own diabetes alongside the menopause, how to tackle stigma around both diabetes and menopause and what GPs can do to support patients and ensure they have a positive experience.Dawn Adams received a fee for this podcast. Views are her own and not necessarily those of Abbott.ADC-96979 (v1.0) 09/2024ADC-96980 (v1.0) 09/2024Useful linksAbbott FreeStyle LibreDiabetes UK – Menopause and diabetesThe following are links to resources that Dawn mentioned during this interview:TREND Diabetes – Diabetes and the menopauseEvidently Cochrane – Menopause and type 1 diabetes: why didn't they tell me?About AbbottThis bonus episode of Talking General Practice has been supported by global healthcare company Abbott.Abbott is a global healthcare leader that helps people live more fully at all stages of life. Focused on making breakthrough technology accessible and approachable for all, Abbott's sensing technology is revolutionising how people monitor glucose and providing doctors with more data for better informed treatment decisions.More information at https://pro.freestyle.abbott/uk-en/home.html. Hosted on Acast. See acast.com/privacy for more information.
Islet Cell Replacement Therapy – Featuring Manasi Jaiman, MD, MPH, Pediatric Endocrinologist and Diabetes Researcher with expertise in both drug and device developments in type 1 diabetes.TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy PettusIslet cell replacement therapy represents a promising advancement to cure type 1 diabetes. In this episode of the Taking Control of Your Diabetes podcast, our special guest, Dr. Manasi Jaiman, MD, MPH, a leading pediatric endocrinologist and diabetes researcher, joins hosts Dr. Jeremy Pettus and Dr. Steve Edelman to delve into the intricacies of stem cell research and its potential to transform diabetes treatments. Dr. Manasi Jaiman discusses her journey into diabetes research, the significance of islet and beta cells, and the advancements in programming stem cells for therapeutic purposes. She also explains the current methods for delivering these designed cells to patients, the importance of immunosuppression in cell therapy, and the progress made in encapsulation techniques. In this episode, we will talk about:The role of beta and islet cells in glucagon productionHow close we are to a cure for type 1 diabetesThe sources of islet cells and their importanceDifferent types of stem cells and their applicationsHow new stem cells are delivered to diabetes patientsThe importance of immunosuppression in cell therapyRecent advancements in cell therapy, including cell infusion and encapsulationThe challenges and timelines in finding a cure for type 1 diabetesHow to find and participate in clinical trials for diabetesThe importance of volunteering in clinical research**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!** ★ Support this podcast ★
Cancer, addiction, diabetes - having emerged from all these struggles throughout his life, nothing can hold Nick Klingensmith down.It's not enough simply to survive, Nick decided to truly live, and since making that mindset switch has embarked on over 100 Spartan races, marathons and ultra marathons, and so many more.His story is the epitome of determination, and a testament to the power of the human spirit, and one which we share on this week's episode of Extrology.Lee and Nick discuss:The early stages of alcoholism and when Nick knew it'd be a problemLearning to live with Type 1 DiabetesNick's approach to his cancer diagnoses being different to that of DiabetesThe moment of Nick's first obstacle race turning his life aroundDefining yourself not by adversity, but by your response to itExtrology: https://www.extrology.com/https://www.instagram.com/extrologypodcast/https://www.tiktok.com/@extrologyLee Cooper: https://www.linkedin.com/in/leecooperrecruiter/Nick Klingensmith: https://www.stridemotivation.com/https://www.linkedin.com/in/nklingensmith/https://www.instagram.com/stridemotivation/Get in touch: lee@extrology.com
This week's GameChangers explores the transformative impact of continuous glucose monitors (CGMs) on diabetes care. Discover the latest advancements in CGM technology, current ADA recommendations, and practical tips for patient education. The GameChangerCGM technology is constantly changing. The devices are smaller, more user-friendly, and easier to integrate into daily life, thereby improving patient adherence and outcomes. HostJen Moulton, BSPharmPresident, CEimpactGuestJennifer Clements, PharmD, FCCP, FADCES, BCPS, CDCES, BCACP, BC-ADMClinical Professor and Director of Pharmacy EducationUniversity of South Carolina College of PharmacyReferenceADA Info on CGMsAACE Guidelines Update on CGMs Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE InformationLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the principles and applications of continuous glucose monitors (CGMs) and summarize current recommendations for their use in diabetes management.2. Discuss how to educate patients on CGM use, including device placement, data interpretation, and troubleshooting common issues.0.05 CEU/0.5 HrUAN: 0107-0000-24-189-H01-PInitial release date: 06/10/2024Expiration date: 06/10/2025Additional CPE details can be found here.Interested in additional Diabetes and CGM pharmacy education?Guardian of the Glucose Galaxy: The Rise of CGMsDuring this 1-hour CE, we will cover hot topics such as:The evolution of Continuous Glucose Monitors (CGMs)The impact of CGMs in improving health, clinical outcomes, and quality of life for persons with diabetesThe use of CGMs to manage diabetes across patient populationsThe role of pharmacy teams in managing people with diabetesThe opportunity to integrate CGM devices into practicePharmacists Enroll HerePharmacy and Continuous Glucose Monitoring: The Sweetest Pairing [Pharmacist]This 6.5-hour advanced training includes six comprehensive modules designed to equip pharmacists with essential skills and knowledge to successfully integrate CGM services into their pharmacy. Content includes an in-depth understanding of CGM technology and its benefits, ways to tailor management of suitable candidates for CGM use, practical steps for integrating a CGM service into pharmacy practice, tools and techniques for managing CGM patients remotely, and how CGMs can monitor the impact of nutrition, weight management, physical activity, and wellness activities. Pharmacists will be empowered to develop a sustainable service to improve health outcomes for patients with and without diabetes. Pharmacists Enroll Here
This week's GameChangers explores the transformative impact of continuous glucose monitors (CGMs) on diabetes care. Discover the latest advancements in CGM technology, current ADA recommendations, and practical tips for patient education. The GameChangerCGM technology is constantly changing. The devices are smaller, more user-friendly, and easier to integrate into daily life, thereby improving patient adherence and outcomes. GuestJennifer Clements, PharmD, FCCP, FADCES, BCPS, CDCES, BCACP, BC-ADMClinical Professor and Director of Pharmacy EducationUniversity of South Carolina College of Pharmacy ReferenceADA Info on CGMsAACE Guidelines Update on CGMs Interested in additional Diabetes and CGM pharmacy education?Save the date and join us – June 13 @ 7pmCT – registration details below!During this 1-hour Live CGM CE, we will cover hot topics such as:The evolution of Continuous Glucose Monitors (CGMs)The impact of CGMs in improving health, clinical outcomes, and quality of life for persons with diabetesThe use of CGMs to manage diabetes across patient populationsThe role of pharmacy teams in managing people with diabetesThe opportunity to integrate CGM devices into practiceExcited to see you next week!Pharmacists Enroll HereTechnicians Enroll HerePharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the principles and applications of continuous glucose monitors (CGMs) and summarize current recommendations for their use in diabetes management.2. Discuss how to educate patients on CGM use, including device placement, data interpretation, and troubleshooting common issues.0.05 CEU/0.5 HrUAN: 0107-0000-24-189-H01-PInitial release date: 06/10/2024Expiration date: 06/10/2025Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram
The Filtrate:Joel TopfSwapnil HiremathJosh WaitzmanNayan AroraSophia AmbrusoWith Special Guest:Brendon Neuen Super smart guy and clinical trialistVlado Perkovic Lead author of FLOW and friend of NephJCEditor Joel TopfShow NotesThe manuscript (NEJM): Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 DiabetesThe acronym FLOW from the title: evaluate renal Function with semagLutide Once Weekly (Twitter)Joel wrote a blog post prior to the FLOW publication to try to set the table: Peeking Inside Schrödinger's BoxBrendon's Neuen's tweet about total versus chronic slope (X | Twitter)Modification of Association of Cystatin C With Kidney and Cardiovascular Outcomes by Obesity (Science Direct)Semaglutide and Diabetic Retinopathy Risk in Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials (PubMed)The Efficacy and Safety of the Combination Therapy With GLP-1 Receptor Agonists and SGLT-2 Inhibitors in Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis (Frontiers in Pharmacology)Statistical considerations for testing multiple endpoints in group sequential or adaptive clinical trials (PubMed)Proteinuria Thresholds Are Irrational: A Call for Proteinuria Indexing (Nephron Clinical Practice)Frank Harrel on why the NNT sucks (data methods)Regulation of Na+/H+ exchanger NHE3 by glucagon-like peptide 1 receptor agonist exendin-4 in renal proximal tubule cells (PubMed)Switching Between Glucagon-Like Peptide-1 Receptor Agonists: Rationale and Practical Guidance (PubMed)Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial (PubMed)Doctors are like the pyromaniac fireman (PBFluids)Suggest topics for NephMadness (Twitter)Design of the COmbinatioN effect of FInerenone anD EmpaglifloziN in participants with chronic kidney disease and type 2 diabetes using a UACR Endpoint study (CONFIDENCE) (PubMed)Albuminuria-Lowering Effect of Dapagliflozin, Eplerenone, and Their Combination in Patients with Chronic Kidney Disease: A Randomized Crossover Clinical Trial (PubMed)Spitzer's involvement in revolutionizing nephrology is part of this lecture I did at the University of Nebraska Diabetes Symposium. (Dropbox: Start on slide 29)Spitzer Resigns, Citing Personal Failings (New York Times)Tubular Secretions Swap: Dumb Money on NetFlix (Wikipedia)Josh: Hiking Zion National Park (National Park Service)Sophia: Lost in Space 2018 TV series on NetFlix (Wikipedia)Nayan: Pelican Hill resort (Website)Joel: BodkinNephJC Summer Book Club: Covenant of Water by Abraham Verghese (Amazon)
This week, I sat down with Accredited Practising Dietitian and Credentialed Diabetes Educator, Charlene Shoneye, to discuss gestational diabetes. We chat about the misleading and sometimes harmful narratives around sugar, carbohydrates and diabetes, and Charlene shares some tips for reducing and managing your risk of developing diabetes. If you're a parent who's worried about feeding your child sugar, or you or someone you know has diabetes, this one's for you!Listen in and discover:What sparked Charlene's passion to become a diabetes educatorMy personal experience with gestational diabetesThe stereotypes and stigmas around a diabetes diagnosisUnderstanding and lowering your risk of developing gestational diabetesFiltering out the misinformation around sugar and carbohydratesCharlene's thoughts on continuous glucose monitoringIs there any evidence based on the links between sugar and diabetes?Charlene's approach to discussing sugar with her children and having it in her homeMaking informed choices if you are at risk of diabetesReducing the risks for you and your child if you have gestational diabetesFind Charlene on Instagram @dr_charlene_dietitian.Connect with me (Dr Kyla) on Instagram and Facebook!Do you want to easily understand what's in the food you buy without any fear mongering or misinformation? Check out my weekly Chewsday Reviews.Join my online membership programs today! Baby Mealtimes for parents introducing solids, Toddler Mealtimes to navigate fussy eating, Family Mealtimes for guidance when packing school lunches and feeding the whole family, or School Mealtimes to change the way we talk about food in schools.
In this week's minipod I cover quite a lot in a shirt space of time including:My search for the ultimate, hydrating undereye concealer that doesn't settle in lines and stays putThe glowy base of my dreamsHow I'm taking advice from The Glucose Goddess in my bid to sort out my pre-diabetesThe questios we all need to be asking skincare influencersand more...Enjoy Outspoken Beauties xx
Morley is back for round 4, and this time we are diving into ageing, and how we can age more healthfully when we have sufficient copper.But first, Morley gets into some fascinating information around glucose tolerance and copper status, cell changes and excess iron accumulation and more.Every time I interview Morley I learn something new thanks to his persistent and dedicated focus on the research that constantly comes up with a bigger picture.If you aren't familiar with his work, then please listen to episodes # 59, 60 and 63 to get a good grasp of the information that Morley shares with the world.Here is what Morley talks about today:Copper's role in Type 1 diabetesThe relationship between iron accumulation and Type 2 diabetesMenkes disease and the relationship between copper loading and glucose intoleranceThe fact that it takes 2x as much insulin today to clear the same amount of glucose 30 years agoHow beta cells were able to recover their energy production in an animal study when animals were given copper (see show notes for link)How the methylation process depends on copper statusHow the inverse relationship of iron with low copper impacts the ageing process negativelyIn Morley's words: "Iron causes ageing, copper causes longevity"How high iron harms enzymes enzyme function, increases oxidative stress, increases corrosion and moreRed blood cell health in the presence of excess ironMorley's theory that newborns are being born 'old' due to mineral depletionThe importance of the colours of the organs inside of and how they have changed, therefore the frequency has changed as each colour has a different frequencyCopper and genetic expressionCopper and methylation (it doesn't work without it!)Gene defects and copper deficiencyHemochromatosis and copper deficiencyRecuperate IQ - Morley's productEMF protection and copper statusCopper, iron and the lymphatic systemCopper status and body compositionLow copper status, insulin and iron uptake into fat cellsThe deficiencies associated with fatty liver diseaseAnd much more!This interview is packed with such great, eye-opening information. Be sure to share it with your friends and family. There is a good chance that iron accumulation due to bioavailable copper deficiency is affecting them or you in some way.I'll say it again, we are electrical beings and our capacity to properly house our spirit and have a healthy physical form requires proper mineralization!Check out my store page for discounts on various products at: https://www.sovereigncollective.org/shop/Learn more about Morley and The Root Cause Protocol:https://www.facebook.com/groups/388392151228860https://www.instagram.com/therootcauseprotocol/http://gotmag.orghttp://therootcauseprotocol.comGet Morley's book:https://therootcauseprotocol.com/book/Activate FIQ Supplements;https://activatefiq.com/Get trained on the RCP:Learn the protocol for yourselfIf you like what you heard here then please share! This podcast is being censored so it depends on people like you to spread the word.----------------------------------------------------------Are you concerned about the future of our children?The world needs more conscious parents. Stop raising children who need to recover from their childhoods! Get your online program chock full of interviews with world renowned experts here:http://www.sovereigncollective.org/gettheguideEmail me: sascha at sovereigncollective dot org
Episode 109 of the Fit Mother Project Podcast is all about tracking macros — not counting calories — to create a sustainable health plan.In this episode, you'll meet Amy K. Wilson, the ‘Nutrition Coach Pharmacist' and a Board Certified Geriatric Pharmacist, a certified fitness professional, and a certified nutrition coach, who is disrupting the diet industry and helping her clients take their health back.Amy's mission is to empower and equip her clients to take charge of their health and find balance in their lives. With over 30 years of experience, Amy specializes in developing individualized health plans that navigate her client's barriers, allowing them to succeed in their efforts.Amy is passionate about helping people prevent and reverse diseases with nutrition and fitness. Through her personal and professional experience, she has seen firsthand how diet and exercise can change a person's life and how the right nutritional program can improve their health and fitness.She has seen her clients reverse their pre-diabetes, diabetes, high cholesterol, and more. She is driven to help her clients feel in control of their bodies and minds while no longer feeling enslaved by their scales.If you want to create a sustainable health plan that works, you must listen to this episode!In this episode, you'll learn about: What leads to midlife menopausal weight gain and how to prevent it.Reversing pre-diabetes and type 2 diabetesThe relationship between blood sugar spikes and aging.Understanding chronic inflammation.Balancing blood sugar.Why you shouldn't take Ozempic for weight loss.And more!So, to get the most from your health and fitness efforts, listen to this episode on tracking macros, take some notes, and check out FM30X! More From AmyWebsiteInstagramFacebookYouTubeTikTokLinkedInWhat is FM30X?FM30X is a simple, sustainable, specific weight loss program designed especially for busy women over 40. With short metabolic training workouts, an easy-to-follow meal plan, and an accountability team there for you at every step, FM30X can help you lose 30, 40, or even 50+ pounds!Click here to see what you get when you join the FM30X program today!If you loved what you heard on the Fit Mother Project Podcast, please follow, rate, and review it on Apple Podcasts.You can also listen to the show on:Spotify
I spoke with Mo who is a key member of The Diabetes Football CommunityWe talk about Mo's life with type 1 and:his diagnosis storyHow he educates people about diabetesThe power of communityAnd much more!Useful links:Mo on TwitterDaniel on InstagramSound from Zapsplat.comA bit about the show and hostThe Talking Type 1 podcast is a diabetes podcast by Daniel Newman. Daniel brings to you interviews with members of the diabetes community sharing their journeys of the ups and downs of living with type 1 diabetes. You'll hear from those who live with type 1 diabetes, provide care to those living with type 1, healthcare professionals and experts in their field. The interviews will be an open and honest insight into life with type 1 diabetes that you can relate to and also provide the opportunity to learn more about the condition. Daniel will share his insights into his life living with type 1 diabetes. Daniel has lived with the condition for over 27 years. He also lives with diabetic retinopathy and received a kidney transplant in 2018. Information shared on the podcast is not medical information or advice. Please consult your medical team for specialist information and advice.
What a dilemma! To stay or to go? In this episode, I talked to a lovely mother who is debating whether she should move to live near her family who she knows can and will support her and her newly diagnosed daughter. The sticking point is that she also loves her job, feeling like she won the “career lottery” – and she isn't sure she wants to give that up. Since her daughter is still in the first year after diagnosis, she came onto the podcast to better understand what will change with her relationship with diabetes. Will it get easier? And in what ways? Ultimately, she wants to know if diabetes will ever feel easy enough that she doesn't need to make the move. But she also names how much she wants people to lean on who care about her daughter enough to learn about managing diabetes. Along the way in this rich conversation, we explore the loneliness she feels and her understandable need to have people in her life who can support her more with the day-to-day of diabetes.Listen to hear more about:The ways that things change with diabetes after the first yearThe loneliness and sense of isolation when living with diabetesThe challenges of building a diabetes communityHow people turn inward after diagnosis and how to shift that over time to build connectionThe profound sense of relief you can have when a connection does happen around T1DMentioned in this episode:Need help getting your kid the right snacks?That's why I've created the Sweet Talk Snack Course. It's a free mini-course to give you 6 snack sized lessons on making sure you're giving your kid the right foods to keep them nourished and their blood sugar in check. Get it at https://diabetessweettalk.com
Nearly half of Americans have a family member or close friend who's been addicted to drugs. And most are not getting the help they need. The US has a 94 percent treatment gap for substance use disorders. Treatments are expensive, ineffective, or they're simply not available. Corbin Petro is on a mission to close this gap. She is the CEO and Co-Founder of Eleanor Health, providing evidence-based whole person care for people with substance use disorders and mental health needs. We discuss: That addiction is a treatable chronic disorder just like DiabetesThe negative consequences of separating the brain and the body in healthcare delivery and policyWhy she's fired up about closing health equity gapsHow Medicaid founders can get paid for outcomes and pick the right marketsCorbin reminds us that we need to lean more on community health workers and other non-licensed experts:"One of the challenges with workforce is the belief that care needs to be delivered at all times by … a very expensive specialty clinician. And I think we need as a society to more embrace non-licensed people ... [such as] community health workers, peers, others who can really support and deliver great outcomes."Relevant LinksEleanor Health websiteIn Recovery with Eleanor Health (podcast with co-founder Dr. Nzinga Harrison) Highlights from the 2021 National Survey on Drug Use and Health from SAMSHA [PDF]About Our GuestCorbin Petro is an experienced CEO, industry leader, and entrepreneur with a mission-driven, analytic approach to innovation. She is the CEO and co-founder of Eleanor Health, providing evidence-based, whole person care specializing in addressing the unique complexities of individuals and populations with substance use disorders and mental health needs. Eleanor Health leverages proprietary technology and data-driven insights, compassionate teams, and value-based payment to deliver superior clinical and financial outcomes. Prior to Eleanor Health, Corbin was the founding CEO of Benevera Health, a payer-provider JV and population health company. Corbin has an extensive background in healthcare including working on state Medicaid, advising a US Senator and in management consulting. She was honored as one of fifteen healthcare executives under 40 named a 2018 Up and Comer by Modern Healthcare. She received a BA from Yale University and an MBA from the Wharton School at the University of Pennsylvania. Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn.
Dr. Elana Dumont is here with us on the podcast today to discuss navigating ADHD and T1D. This is Elana's second time on the show (she was on episode 4!) and we're super excited to welcome her back.Elana is a NY State licensed clinical psychologist specializing in working with children, teens, and adults with mood and anxiety disorders. She was diagnosed with Type 1 Diabetes when she was 23 years old and is a passionate member of Risely's Advisory Board.In this episode, we talk about...The parts of executive functioning that people with ADHD experience and how they show up when paired with diabetesThe specific challenges and solutions around hyper-fixation on blood sugars The steps for getting yourself motivated to complete tasks, emotional regulation, staying organized…and much more!Hit the subscribe button and rate and review to help this podcast rise! Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop for when new episodes drop.Send me a DM to introduce yourself with any feedback, questions, or suggestions on topics you'd like us to cover in future episodes.RESOURCES FOR YOU: A FREE guide to lowering your A1C HERE For Newly Diagnosed T1Ds HEREFor T1D nutrition strategies and 7 day meal plan HEREDisclaimer: Nothing you hear on the Reclaim your Rise podcast should be a substitute for personalized professional medical advice. Please always consult your physician or other medical professional before making any changes to your diet, insulin dosages, or healthcare plan.
Dr. Amy Shah is back to talk about her new book, I Am So Effing Hungry, and her five step method for conquering cravings, boosting your mood, and making peace with your body. Dr. Amy Shah is a double board-certified MD with training from Cornell, Columbia, and Harvard, nutritionist, and best-selling author. Dr. Shah focuses on gut health, inflammation, and intermittent fasting.In today's episode, we'll talk about how today's food system is hijacking your brain and your cravings. You'll learn about how the gut microbiome impacts your hunger and what exactly psychobiotics are. She'll explain the psychology and neuroscience behind hunger and cravings, and she'll give us some hacks and small changes we can make every day to calm our cravings and take control over our health.We also cover…00:01:00 — Why We Feel Out of Control When Eating Processed FoodsHow being an Indian immigrant led Amy to learn about nutritionContributors to chronic lifestyle diseases like diabetesThe impacts of feeding kids processed foodsFeeling a lack of control when eating processed foodsThe difference between hunger vs cravingsBreaking a food/dopamine addiction and self-soothing with food 00:19:00 — How to Improve Your Gut MicrobiomeHow the gut microbiome impacts our hungerThe mental health connection to gut healthHow quickly we can remedy our microbiome What changes to expect when you move to a whole food diet & where to startHigh dopamine foods The biggest thing you can do to improve your gut health00:33:00 — Hunger Hacks & Cravings CrushersHow to tame cravingsThe importance of circadian rhythmsDay in the life of Dr. Amy and how she takes control of her hungerDr. Amy Shah's favorite breakfast foods for curbing cravingsKelly's pregnancy cravingResources:Website: amymdwellness.comInstagram: @fastingmd Twitter: @amyshahmdRead: I'm So Effing Hungry by Dr. Amy Shah Read: I'm So Effing Tired by Dr. Amy ShahPodcast: 16. Intermittent Fasting for Women with Dr. Amy ShahConnect with Kelly:kellyleveque.comInstagram: @bewellbykellyFacebook: www.facebook.com/bewellbykellyBe Well By Kelly is produced by Crate Media.Mentioned in this episode:Athletic Greens | Take ownership over your health with Athletic Greens! Get 1 FREE year of Vitamin D immune support along with 5 FREE travel packs at AthleticGreens.com/BeWell.BWBK Protein Powder | Grass-fed protein powder OR vegan chocho protein powder with organic monk fruit has exactly what you...
TODAY'S SPONSORSGOOD IDEA is my new favorite blood sugar-stabilizing sparkling water that combines a blend of amino acids, chromium and electrolytes to help reduce the blood sugar responses at meals. I love having one in my car or bringing one with me to events and social gatherings where I can't control the menu or I know I'm going to eat something with carbs. (Much tastier, more portable and socially acceptable than Apple Cider Vinegar!
Diabetes is one of the most important public health issues of our time. Currently, more than 530 million people around the world are living with diabetes, and many more are at risk. Unfortunately, the disease's impact often goes unrecognized. We have an opportunity to change this by raising awareness about the following needs and concerns:The needs of people with diabetesThe rapidly increasing number of all types of diabetes diagnosesThe serious health risks associated with the diseaseThe value of healthy lifestyle habitsThe importance of getting tested and beginning treatment_____________________Connect With MeTo submit a question or join my mailing list, use the information below to connect with me.Join My Facebook Group - https://www.facebook.com/groups/beatingdiabeteslifestyle Web - www.beatingdiabeteslifestyle.comEmail - hello@beatingdiabeteslifestyle.comInstagram - @beatingdiabeteslifestyleHiHo - https://hiho.link/g/beatingdiabeteslife_____________________©2022 Oscar Camejo - The Beating Diabetes Lifestyle
We protect your nervous and skeletal systems. We provide storage space for carbs and increase your metabolic rate so you won't get as fat. We are a great indication of your bone density since the same activities that build us build your bones. Those activities are also like all-natural hormone therapy. We help you move, give you strength, so you don't fall as easily, and when you do fall or get in an accident, we tense up, protecting the tissues beneath us. Oh, and we make you look healthier too. Unfortunately, most of the medical community talks little about us. They've forgotten how essential we are for your health. Maybe they never really knew. Sadly, many "fitness professionals" don't even make us a priority in their programming. We are muscles. Make us bigger and stronger as long as you can. When you reach old age, hold onto us as long as possible. If you do, you'll look and feel younger than most people half your age, and according to the research, you'll live longer as well. This systematic review and meta-analysis of cohort studies found that muscle-strengthening activities were inversely associated with the risk of CVD, total cancer, diabetes, lung cancer and all-cause mortality independent of aerobic activities among adults aged ≥18 years without severe health conditions.Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies The Health Benefits of Muscle Mass I've written about the health benefits of muscle mass for years. As I've reached middle age and seen so many men and women my age getting weaker, gaining body fat, and becoming more sedentary, I've become more and more outspoken about building muscle. My recent bike accident only reinforced my drive to push men and women to build muscle. Here's why I believe building muscle is the most important thing you can do for your longevity, health, and quality of life. Building muscle... Adds to your quality of life savings account At some point, you'll likely face a significant injury, illness, other trauma, or age-related muscle loss. At that point, your body will use up a significant portion of your available muscle mass. The more you have when this process begins, the more you'll be able to lose before really bad things start happening. The stressed state, such as that associated with sepsis, advanced cancer, and traumatic injury, imposes greater demands for amino acids from muscle protein breakdown than does fasting.The underappreciated role of muscle in health and disease Stores carbs, keeping blood sugar levels in check The more muscle you have, the more carbs you can eat without dealing with insulin resistance, diabetes, or metabolic syndrome. Muscle-building exercise not only increases the storage space you have for carbs in your diet, it also makes your muscles more sensitive to insulin. You end up secreting less insulin to shuttle carbs, or glucose, into your muscle cells. If you produce less insulin, you can rely on fat more for energy. If you burn more fat during the day, you'll tap into the fat on your arms, legs, and belly. alterations in the metabolic function of muscle are central to the development of insulin resistance and ultimately diabetesThe underappreciated role of muscle in health and disease Protects your joints Muscles move bones around your joints. When they get weak, or you lose muscle mass, you make your joints more vulnerable to injury and the effects of degeneration. I'm all about using nutrition and supplements to support your joint health (for example, I use AgilEase from Young Living regularly), but I'd never expect a supplement to solve all my joint aches and pains without building muscle size and strength around that joint. I believe wholeheartedly that the muscle mass I developed around my neck kept me from experiencing an injury and outcome m...
048-Charles Mattocks: Reversing Type 2 DiabetesThe message that metabolic disease can be treated and even reversed with lifestyle must extend beyond scientific meetings and reach the individuals who can directly benefit. Today's guest is using the reality TV show format to show that the archetypical metabolic disease, type 2 diabetes, can be reversed with lifestyle. The series ReverseD is the brain child of Charles Mattocks, an award winning film producer, as well as, an international diabetes advocate. Charles has made appearances on major talks shows around the country from CNN to Dr. Oz. He was diagnosed with Type 2 diabetes in 2011 at the age of 38. He started a global mission for not only his life, but also for the millions struggling with diabetes.https://yurhealthnetwork.com/ https://yurhealthnetwork.com/watch-video/?video_id=11535&title=%5C%27REVERSED%5C%27%20Season2%20Episode%201 https://www.bellaandellemedia.com/https://www.charlesmattocks.com/ #longevity #wellness #Ketones #lifestylemedicine #younger #ketosis #biohacking #acetone #RobertLufkinMD #rapamycin #metabolic #metabolism #REVERSED #charlesmattocks ***Rapamycin Longevity Registry***https://www.rapamycin.io/*** CONNECT WITH ROBERT LUFKIN MD ON SOCIAL MEDIA ***Web: https://robertlufkinmd.com/ Twitter:https://twitter.com/robertlufkinmdYoutube: https://www.youtube.com/RobertLufkinMD*** MEMBERSHIP ***https://robert-lufkin.mykajabi.com/membership *** SPONSORSHIPS & BRANDS ***We do work with sponsors and brands. If you are interested in working with us for your health industry product or service, please contact us at: https://robertlufkinmd.com/contact NOTE: This is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have. Never disregard professional medical advice or delay in seeking it because of something you have seen here. Robert Lufkin MD may at any time and at its sole discretion change or replace the information available on this channel. To the extent permitted by mandatory law, Robert Lufkin MD shall not be liable for any direct, incidental, consequential, indirect or punitive damages arising out of access to or use of any content available on this channel, including viruses, regardless of the accuracy or completeness of any such content.Disclaimer: We are ambassadors or affiliates for many of the brands we reference on the channel.Support the show (https://robert-lufkin.mykajabi.com/membership)
The Intuitive Diabetic Podcast: Intuitive Eating, Diabetes, Non Diet, HAES
Pregnancy, type 1 diabetes, and balancing blood sugars without restriction - can it be done??? Yes!!!!! Join Lemma Brown, RDN and I as we discuss how we can approach pregnancy without falling back into restrictive eating patterns. Lemma also shares her pregnancy journeys and what she learned along the way through the lens of a dietitian living with type 1 diabetes.What you 'll learn by listening:What inspired Lemma to become a registered dietitianHow her relationship with food has evolved since diagnosis to nowLemma's pregnancy experiences, and the differences between her first and second pregnancyThe pitfalls of restriction and the value of understanding one's body, and how foods and insulin work within your bodyWhy she is so passionate about helping women who are pregnant or planning to get pregnant with type 1 diabetesThe importance of community in your diabetes journey and with pregnancyMore about Lemma:Lemma Brown is a registered dietitian and person living with Type 1 Diabetes. Her diagnosis at age 19 inspired her to choose nutrition as her field of study in college because she realized almost immediately in her diagnosis how crucial how and what we eat can impact our blood sugar living with Type 1 Diabetes. She also knew that she wanted to support many others with Type 1 Diabetes and help them learn how to enjoy all foods without feeling deprived or restricted living with Type 1 Diabetes. This is why she started her virtual diabetes coaching practice about 1.5 years ago.How to connect with Lemma:Website: https://www.lemmabrownnutrition.comFacebook: https://www.facebook.com/groups/1143722949376806Instagram: https://www.instagram.com/type1diabetes.nutritionist How to connect with Lindsay:Website: https://www.lindsaysarson.comInstagram: https://instagram.com/theintuitivediabetic/Show ideas or questions you'd like me to answer email me at: lindsay@lindsaysarson.comWork with me (diabetes and non diabetes support available): https://www.lindsaysarson.com/work-with-me
In this short WFO Life Podcast Health Episode, Dr. Curtis reviews some strategies for overcoming the lingering effects of COVID 19 LONG HAUL syndrome. Topics CoveredDescription of Long Haul Covid Low Oxygen, Fatigue, Shortness of breath, foggy thinking, poor sleepIncidence and practical experienceInflammation = free-radical damage or activityRole of Anti-oxidantsKey Anti-OxidantsVitamin C 3-4 gm dailyVitamin E B1, B2, B12, B5 (B complex)Green TeaQuercetinCoenzyme Q10PQQEliminate SugarSugar increases inflammation and oxidative radicals, LDL, Cancer, Alzheimers, DiabetesThe ketogenic diet recommended (High fat, very low carb)Improve SleepExercise --Light, low intensityPranayama Breathing Anti-oxidant run downMillennium Supplement (What I am taking)Preview Dr. Yass InterviewPreview Terry McDougall InterviewJoin the Discussion WFO Life Podcast Tribe
Mer has been living with type 1 diabetes for 4 years. Mer was initially mis-diagnosed and then correctly diagnosed with type 1 diabetes at 39 years old. We also discuss:How education allowed Mer to learn to thrive with diabetesThe importance of Mer's support network after she was diagnosed with type 1Self-advocacy Why having the choice of treatment to manage type 1 is importantUseful informationMer on InstagramDaniel on InstagramA bit about the show and hostThe Talking Type 1 podcast is a diabetes podcast by Daniel Newman. Daniel brings to you interviews from members of the diabetes community sharing their journeys of the ups and downs of living with type 1 diabetes. You'll hear from those who live with type 1 diabetes, provide care to those living with type 1, healthcare professionals and experts in their field. The interviews will be an open and honest insight into life with type 1 diabetes that you can relate to and also provide the opportunity to learn more about the condition. Daniel will share his insights into his life living with type 1 diabetes. Daniel has lived with the condition along with for over 24 years. He also lives with diabetic retinopathy and received a kidney transplant in 2018. Remember to hit the follow button.
The Intuitive Diabetic Podcast: Intuitive Eating, Diabetes, Non Diet, HAES
Are you interested in intuitive eating, but are cautious about moving forward because you are unsure of what you may experience throughout this process? You are not alone! This is one of the queries I receive often and is why I wanted to create today's show.On today's show, I will be presenting the 5 stages of awakening your intuitive eater using a diabetes lens. I have modified these stages from the work of Evelyn Tribole, and Elyse Resch, authors of Intuitive Eating.In this episode you'll learn:How to know if you are ready to begin the process of becoming an Intuitive EaterThe 5 stages of awakening the Intuitive Eater with a focus on food, body, and diabetesThe unique aspects experienced within each stage when living with diabetesMentioned in the show:Tribole, E & Resch, E (2020). Intuitive Eating: A Revolutionary Anti-Diet Approach. St. Martins Publishing Group, New York.Lindsay's Instagram:https://instagram.com/theintuitivediabetic/Lindsay's Website:https://www.lindsaysarson.comIntuitive Eating with Diabetes 1:1 Coaching Program:https://www.lindsaysarson.com/intuitive-eating-programWork with Lindsay:https://www.lindsaysarson.com/work-with-me
The Intuitive Diabetic Podcast: Intuitive Eating, Diabetes, Non Diet, HAES
Welcome to episode 10 of the Intuitive Diabetic Podcast where we are continuing our series on intuitive eating with diabetes.On this episode we look at principle number 8 of intuitive eating- respect your body. It is in this principle that we've hit a huge turning point in our journey to becoming an intuitive eater. Realizing that our body is not our fault, and neither is our diabetes (no matter the type!!!). In doing so we are able to begin treating our body with dignity, while holding the intention of meeting its basic needs. Things that when dieting, or working to manipulate its size are impeded.In this episode you'll learn: What is body respectThe impact of diet culture, weight stigma, and medical bias on body image, and our relationship to diabetesThe concept of genetically determined weight5 ways to begin creating more body respect Mentioned in the show:Holiday Giveaway: Chance to win a scholarship to the 9 week 1:1 Intuitive Eating with Diabetes Program (open for Type 1s and Type 2s). To enter, leave a rating and review, take a picture and DM on Instagram. Giveaway ends January 1, 2021.Lindsay's Instagram:https://instagram.com/theintuitivediabetic/Intuitive Eating with Diabetes 1:1 Coaching Program:https://www.lindsaysarson.com/intuitive-eating-programWork with Lindsay:https://www.lindsaysarson.com/work-with-me
Do you or someone you know live with a chronic condition? In this powerful episode I have a conversation with Jennie Park. ⠀⠀Having a chronic condition such as diabetes, specifically type 1, is difficult because there are no outward symptoms or signs....unless someone asks her about her insulin pump or sees her taking a blood test. No one realizes the daily investment that this condition takes.⠀⠀Jennie was diagnosed with T1D at 7, and is on a mission to help people connect and not feel alone.⠀⠀Empowering others through community and connection. Jennie launched a group called, Wine about diabetes....⠀⠀If you know someone living with a chronic condition, or has been diagnosed with Diabetes...please tag them and share this episode.Episode Highlights:How Jenny was diagnosed with type 1 diabetesPerimenopause and its effect on blood sugarHer journey as a mom with diabetesThe Wine About Diabetes communityHow her group started out and its visionCommon symptoms of type 1 diabetesThe importance of early diagnosisThe difference between type 1 and type 2 diabetesThe role of genetics in type 1 diabetes Why you don’t need family history to be diagnosed Misconceptions with type 1 diabetesThe value of having a strong support systemAdvice she would give to her 30-year-old selfConnect with Jennie:Website Wine About DiabetesLinkedInFacebookInstagramResources mentioned:My book Cannonball!: Fearlessly Facing Midlife and Beyond---Enjoy 50% off your purchase from Genev’s Products by entering CANNONBALL50 and build a stronger and healthier you!Click here to see Gennev’s products! You can also check their website to know more!---Thank you for listening! Let me know what you think of this episode by leaving a rating and review here!Don’t forget to follow Fearlessly Facing Fifty on Instagram and Subscribe to my website Fearlessly Facing Fifty to get all the updates, news, and giveaways!Purchase a copy of my book: Cannonball! Fearlessly Facing Midlife and BeyondThis episode is sponsored by our friends at Gennev – learn more about making your health a priority. Built for women, by women.
Episode 22 Salty and Sweet: Hypertension and DiabetesThe sun rises over the San Joaquin Valley, California, today is August 7, 2020.Have you heard any news about COVID-19? You surely have, who hasn’t? But above all the negativity surrounding this disease, including political issues, there is hope for the future. Have you heard of, for example, mRNA 1273?(1) Could this be the vaccine we have been waiting for? We don’t know yet, but there are more than 21 vaccines being tested right now around the world. If an effective vaccine is found, you’ll certainly hear about it in this podcast.Welcome to Rio Bravo qWeek, the podcast of the Rio Bravo Family Medicine Residency Program, recorded weekly from Bakersfield, California, the land where growing is happening everywhere.The Rio Bravo Family Medicine Residency Program trains residents and students to prevent illnesses and bring health and hope to our community. Our mission: To Seek, Teach and Serve. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care to patients throughout Kern and Fresno counties since 1971. “Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.”― Viktor E. Frankl Part I: Primary Aldosteronism with Roberto Velazquez Amador, MD, Rio Bravo Family Medicine Residency Program Who are you?I am Dr Velazquez Amador, I am originally from Jalisco, Mexico where I was born and race. I completed my medical studies at the Universidad of Guadalajara, and now I on the third year of FM residency.What did you learn this week?I learned about a patient whom had an incomplete work up for adrenal insufficiency but still treated. He ended up showing signs of Cushing’s syndrome and resistant hypertension. I want to talk about secondary hypertension and Primary Aldosteronism.Why that knowledge important for you and your patients?It is important because it reminds me that secondary causes of hypertension are often under diagnosed. How did you get that knowledge?Reading upon new cases, specially from the inpatient population, it often leads me to find new differentials and new testing modalities. Where did that knowledge come from?First line review data place for me is Uptodate now that I am in residency. But the initial knowledge came while on Medical school. Reading physiology and physiopathology books. The book that I like to consult a lot is Kelly’s Essentials for Internal Medicine, this book chapters encompass anatomy, physiology and the pathology aspect beside diagnoses and treatment. It is very complete. While in residency, also my reference is the AAFM articles. DisorderSuggestive clinical featuresGeneralSevere or resistant hypertension An acute rise in blood pressure over a previously stable value Proven age of onset before puberty Age less than 30 years with no family history of hypertension and no obesity Renovascular diseaseUnexplained creatinine elevation and/or acute and persistent elevation in serum creatinine of at least 50% after administration of ACE inhibitor, ARB, or renin inhibitor Moderate to severe hypertension in a patient with diffuse atherosclerosis, a unilateral small kidney, or asymmetry in kidney size of more than 1.5 cm that cannot be explained by another reason Moderate to severe hypertension in patients with recurrent episodes of flash pulmonary edema Onset of hypertension with blood pressure >160/100 mmHg after age 55 years Systolic or diastolic abdominal bruit (not very sensitive) Primary kidney diseaseElevated serum creatinine concentration Abnormal urinalysis Drug-induced hypertension: Oral contraceptives Anabolic steroids NSAIDs Chemotherapeutic agents (eg, tyrosine kinase inhibitors/VEGF blockade) Stimulants (eg, cocaine, methylphenidate) Calcineurin inhibitors (eg, cyclosporine) Antidepressants (eg, venlafaxine) New elevation or progression in blood pressure temporally related to exposure PheochromocytomaParoxysmal elevations in blood pressure Triad of headache (usually pounding), palpitations, and sweating Primary aldosteronismUnexplained hypokalemia with urinary potassium wasting; however, more than one-half of patients are normokalemic Cushing's syndromeCushingoid facies, central obesity, proximal muscle weakness, and ecchymoses May have a history of glucocorticoid use Sleep apnea syndromeCommon in patients with resistant hypertension, particularly if overweight or obese Loud snoring or witnessed apneic episodes Daytime somnolence, fatigue, and morning confusion Coarctation of the aortaHypertension in the arms with diminished or delayed femoral pulses and low or unobtainable blood pressures in the legs Left brachial pulse is diminished and equal to the femoral pulse if origin of the left subclavian artery is distal to the coarct HypothyroidismSymptoms of hypothyroidism Elevated serum thyroid stimulating hormone Primary hyperparathyroidismElevated serum calcium Primary AldosteronismThe evaluation of a patient with hypertension depends upon the likely cause and the degree of difficulty in achieving acceptable blood pressure control since many forms of secondary hypertension lead to "treatment-resistant" hypertension. Because it is not cost effective to perform a complete evaluation for secondary hypertension in every hypertensive patient, it is important to be aware of the clinical clues that suggest secondary hypertension. There are a number of general clinical clues that, in isolation or in combination, are suggestive of secondary hypertension. Primary aldosteronism is a hormonal disorder that leads to high blood pressure. It occurs when your adrenal glands produce too much of a hormone called aldosterone. The classic presenting signs of primary aldosteronism are hypertension and hypokalemia, but potassium levels are frequently normal in modern-day series of primary aldosteronism. The presence of primary mineralocorticoid excess should be suspected in any patient with the triad of hypertension, unexplained hypokalemia, and metabolic alkalosis. However, most patients with primary mineralocorticoid excess are normokalemic and, rarely, some are hypokalemic but normotensive (primarily in young adult females).The most common subtypes of primary aldosteronism are:Aldosterone-producing adenomas (APA)Bilateral idiopathic hyperaldosteronism (IHA; bilateral adrenal hyperplasia)The presence of primary mineralocorticoid excess should be suspected in any patient with the triad of hypertension, unexplained hypokalemia, and metabolic alkalosis. In patients diagnosed with primary aldosteronism, treatment of the mineralocorticoid excess results in reversal or improvement of the hypertension and resolution of the increased cardiovascular risk.Who should be tested?Test for primary aldosteronism in the following patients: ●Hypertension and spontaneous or low-dose, diuretic-induced hypokalemiaThe following patients should undergo testing even if they are normokalemic:●Severe hypertension (>150 mmHg systolic or >100 mmHg diastolic) or drug-resistant hypertension (defined as suboptimally controlled hypertension on a three-drug program that includes an adrenergic inhibitor, vasodilator, and diuretic)●Hypertension with adrenal incidentaloma●Hypertension with sleep apnea●Hypertension and a family history of early-onset hypertension or cerebrovascular accident at a young age (15 ng/dL (416 pmol/L), but may be as low as 10 ng/dL (277 pmol/L).Some clinicians calculate a PAC/PRA ratio as part of the case detection strategy, but we prefer to use the paired random PAC and PRA (or PRC). The mean value for the PAC/PRA ratio in normal subjects and patients with primary hypertension (formerly called "essential" hypertension) is 4 to 10, compared with more than 30 to 50 in most patients with primary aldosteronism In general, a PAC/PRA ratio greater than 20 (depending upon the laboratory normals) is considered suspicious for primary aldosteronism, although others use a cutoff criterion of 30. Part II: Continuous Glucose Monitoring with Denise Le DeWhitt, MS3, Ross University School of Medicine What is a CGM?A continuous glucose monitor is a special type of device that allows for continuous measurement of glucose levels from the interstitial fluid rather than the blood. Depending upon the device, glucose levels are measured every 5-15 minutes. CGM allows for a measurement of a trend in a patient’s glucose levels as compared to a measurement of a glucose level at a single point in time, commonly known as traditional finger prick testing. How is it used?A CGM works by placing a small sensor under the patient’s skin, commonly located on the abdomen or under the arm. The glucose readings are sent to a monitor via a transmitter. Depending upon which CGM brand is used, the monitor maybe attached to an insulin pump, which can be easily placed in a patient’s pocket or purse for convenience. Alternatively, some CGM devices may even send the glucose readings directly to a smartphone, or other smart device, if the patient has the app. Why should we prescribe CGM instead of traditional glucometer?Allows patients to take active control of their Diabetes.It gives patients a better idea on how their sugar levels can fluctuate in a day (visually can see hypoglycemic and hyperglycemic level trends).Decreased incidence of having hypoglycemic emergencies.Some devices come with an alarm that can alert the patient when their glucose levels are too high or too low.Reduced finger stick pricks. Most popular brand names, or just focus on Free Style Libre (cheapest)Free Style Libre (APPROVED by Medicare lowest cost and widest inaccuracy in low glucose range)It is a CGM system that automatically measures the blood glucose levels of the person wearing it.Apply the sensor with the provided applicator, and a glucose sensing filament is inserted just below the skin. The sensor measures glucose in the interstitial fluid.By waving the digital reader above the sensor, it records the amount of glucose in the wearer’s system at the moment and stores the data in the digital reader.It allows for immediate access to glucose levels and to trend hypoglycemia and hyperglycemia. It allows for ease of checking glucose in public discreetly. The system makes it easy for health care providers to have access to the stored glucose logs by connecting the reader to a computer.Dexcom G6: (Medicare approved, costly sensors and transmitters)Senseonics Eversense CGM (NOT approved by Medicare)Medtronic Guardian 3: Impacted by Acetaminophen use, provides real time alerts for highs and lows Medi-Cal and Medicare Coverage Medicare covers therapeutic continuous glucose monitors (CGMs) and related supplies instead of blood sugar monitors for making diabetes treatment decisions, like changes in diet and insulin dosage. For these individuals, coverage of diabetes drugs and technology dramatically increases their chances of living a life free of complications. Despite this, however, continuous glucose monitors (CGM) are not covered by Medi-Cal. CGMs are covered under California Children’s Services (CCS), a state program for children with certain diseases or health problems, this is limited only to children with multiple co-morbidities and children who are disabled.Not currently covered under Medi-cal insurance. How to set up for patient and for our officeFalls under the category of Durable Medical Equipment covered under MedicareIn order to be eligible these are the conditions that must be met:Physician must prescribe the equipment for home use, and it must be medically necessary.Physician prescribing the monitoring system, as well as the supplier, must be enrolled in Medicare and accept Medicare assignment.Medicare recipient must have diabetes and must be using a blood glucose monitor to test levels 4 or more times daily. They must also be taking 3 or more daily insulin injections.With Medicare Part B, Medicare covers 80 percent of the approved amount. Medicare recipients are responsible for paying 20 percent of the final, approved cost, and the Part B deductible will apply. ______________________________Speaking Medical: Xanthochromiaby Isabelo Bustamante, MS3Have you seen the word xanthochromia in a Cerebrospinal Fluid (CSF) study result? Xanthochromia has a Greek origin combining “yellow” (xantho) and “color” (chromia). Xanthochromia basically meansyellowish-colored CSF that can be seen with the naked eye. CSF is normally crystal clear. Xanthochromia can be found after several hours of bleeding into the subarachnoid space. This is because of the degradation of red blood cells after Subarachnoid Hemorrhage or SAH. Now you know the medical word of the week, xathochromia. Have a nice week. ____________________________Espanish Por Favor: Azúcarby Dr Claudia CarranzaHi this is Dr Carranza on our section Espanish Por Favor. This week’s word is azúcar. The word azúcar was made popular by the famous Cuban singer Celia Cruz; she used it as an expression of happiness and joy “AZÚCAR!” Azúcar is a sweet crystalline substance derived from many plants such as sugar cane and sugar beet. You guessed it! Azúcar means sugar in Spanish. Azúcar is a substance that is part of us as humans and it literally runs through our veins. Azúcar comes from the Hispanic Arabic assúkkar. Azúcar is a vital word to use when talking to patients with diabetes and obesity. Most people will understand blood glucose if you say just azúcar, but if you see a weird look in your patient you may be more specific with the phrase azúcar en la sangre. Azúcar alta means high sugar (hyperglycemia), and azúcar baja means low sugar (hypoglycemia). Now you know the Espanish word of the week, “AZÚCAR”, I hope you have a sweet day full of joy and happiness! Until next time! ____________________________Now we conclude our episode number 22 “Salty and Sweet: Hypertension and Diabetes”. We covered the basics on Primary Aldosteronism with Dr Velazquez, the salty part: sodium and potassium; and Continuous Glucose Monitoring with Denise, the sweet part: sugar. Isabello explained xanthochromia, which is yellowish cerebrospinal fluid, and, to put the cherry on this salty and sweet cake, Dr Carranza taught that sugar in Spanish is azúcar.This is the end of Rio Bravo qWeek. We say good bye from Bakersfield, a special place in the beautiful Central Valley of California, United States, a land where growing is happening everywhere.If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. Our podcast team is Hector Arreaza, Gina Cha, Claudia Carranza, Roberto Velazquez, and the special participation of our medical students Isabelo Lucho Bustamante and Denise Le DeWhitt. Audio edition: Suraj Amrutia. See you soon! _____________________References:mRNA-1273 Approval Status, Reviewed by Judith Stewart, BPharm. Last updated on Jul 27, 2020. https://www.drugs.com/history/mrna-1273.htmlUniversity of Southern California - Health Sciences. “Significantly less addictive opioid may slow progression of osteoarthritis while easing pain.” ScienceDaily, 13 July 2020. www.sciencedaily.com/releases/2020/07/200713120014.htm, accessed on Jul 30, 2020.
This mini-PAUSE highlights the link to insulin resistance and type 1 diabetesThe cheeky relationship between the hormones, insulin and cortisol
The Vital Veda Podcast: Ayurveda | Holistic Health | Cosmic and Natural Law
There is a pandemic in today's world of high blood sugar and insulin resistance, thus, understanding diabetes, blood sugar/glucose and insulin is essential for EVERYONE, whether you have type 1 or type 2 diabetes, where your'e pre-diabetic, or whether you are not even on the spectrum!For example, in USA, 1 in 3 people, that's 100 million people, are pre-diabetic! And the crazy thing? 90% of them don't even know it! and even worse, they think they are healthy and living a healthy diet.This episode with Drew helps you understand blood sugar, how to PREVENT the prevalent issue, as well as manage or even reverse some of these imbalances.ABOUT DREW HARRISBERGDrew is an exercise physiologist, sports scientist, diabetes educator, and most importantly, a happy and healthy guy thriving with type 1 diabetes. His instagram@drew.daily.dose inspires many.IN THIS EPISODE WE DISCUSSThe Diabetes Pandemic of TodayDrews Story - Diabetes creeping up - Drew falling asleep in an important job interview and worse, while driving!What Is Type 1 DiabetesQuantum healing to cure the incurable. The Ayurvedic view and approach to Auto-immune diseases and DiabetesThe role of gut health in diabetes and auto-immune diseases.Type 2 DiabetesBreaking down What Is Insulin ResistanceControlling your health and control in general is overrated.Loosing the war mentality against disease. Create synergy.High Fat Ketogenic Diet and Blood SugarInsulin Therapy - The potential dangers of insulin and the importance of accurate dosing.Role of exercise in insulin resistance.- Profound management tool that can reduce the requirements of exogenous insulin.Diet, Nutrition and Blood SugarMetabolic FlexibilityThe blessing a chronic disease diagnosis and adversity. HELP SUPPORT THIS SHOW!Starting and growing a podcast requires a lot of time, energy, and money.Do you appreciate this information, and want to support my intention to deliver as much life enriching knowledge as possible to as many people as possible?The easiest, and most effective way you can help is to do this:Subscribe to the show by clicking “subscribe” in iTunes.Write us a review in iTunes and your podcast appShare this show/episode with 1 friend right nowYou'd be amazed how much these three simple steps do to help us grow!Here's the magic link for reviews: https://itunes.apple.com/au/podcast/vital-veda-podcast-ayurveda-holistic-health-cosmic/id1402499244In addition, share this episode with every friend that you think will benefit from this knowledge.Thank you from the bottom of my heart for listening, and joining me on this evolutionary journey.Support the show (https://www.paypal.com/donate/?token=y_kaqK9wLLV2hJsCYl7mFwBcEPNGyuzRIZuHMW5dxoRj2vyQJPvcov1xOO9ZUsn_lG-6Km&country.x=AU&locale.x=AU)
We can reverse Type 2 diabetes. In Episode 58 I sit down with Dr Neal Barnard, one of the pioneers of lifestyle medicine, and break down the process by which people become insulin resistant and how we can eat to avoid or even reverse Type 2 Diabetes.In this episode we cover:Neal's journey into medicineHis family connection to farming and animal slaughterHis personal transition to a plant based dietHis clinical experience with Type 2 DiabetesThe clinical trials on Type 2 Diabetes and Nutrition he has run and published (low fat plant based diet versus the conventional recommended Diabetes diet)The idea of reversing Type 2 DiabetesCheese and diseaseCarbohydrates and sugar (thermic effect)Intramyocellular LipidsCoconut & Palm OilNutrition to manage & reverse insulin resistanceLifespan of people with Type 2 Diabetes and complicationsAtkins/Ketogenic/Low carb diet and Type 2 DiabetesCalcium as a nutrient of importanceSupplementsMediterranean Diet - Ancel KeysAdded OilsTransitioning patients to a low fat plant based diet & monitoring their medicationsand much moreResources:Does Sugar cause diabetes?Diabetes MythsVegetarian & vegan diets protect against Obesity & Type 2 DiabetesDr Neal Barnard's 74 week Randomised Controlled Trial with Type 2 diabetics and a low at plant based dietAncel Keys & the Mediterranean DietDoctor's For Nutrition websiteIf you enjoyed the episode and have a spare 1-2 minutes please leave a review on iTunes so the Plant Proof podcast ranks higher and becomes more discoverable for other listeners. And if you have any friends that you think will benefit from listening to this episode or any of the other Plant Proof episodes please share the link – together we can make this world a healthier place.Currently, the Plant Proof podcast can be listened to on iTunes, Google Podcasts (note: use the google podcast app not google play), Spotify, Stitcher, Soundcloud or on the Plantproof.com directly. If you listen on iTunes be sure to hit ‘subscribe’or ‘follow’ on Spotifyso you are instantly notified when I release new episodes each week.Hope you enjoy the episode friends.Simon HillCreator of Plantproof.com - your FREE resource for plant based nutrition information
Polycystic ovary syndrome (PCOS) is one of the most ancient disorders (around 50-60,000 years old) and affects up to one in five women regardless of race, nationality or ethnicity. For many women, diagnosis involves a long, enigmatic process including numerous physician visits. Its symptoms are not always clear, the condition has many nuances, and the healthcare system as a whole has a long way to go to be able to provide optimal care for PCOS patients.In this episode, Ricardo Azziz, M.D., M.P.H., M.B.A., renowned physician, researcher, scientist, and Chief Officer of Academic Health and Hospital Affairs, State University of New York (SUNY), joins host Mark P. Trolice, M.D., to break down what PCOS is, why it can be so challenging to diagnose, and the different treatment options available to patients.Tune in to discover:The three main criteria for diagnosing PCOSThe link between PCOS and diabetesThe role of metformin and letrozole in the management of PCOSWhy ovarian drilling gets a bad rap and how it can be an effective treatment for many PCOS patientsAbout Ricardo Azziz, M.D., M.P.H., M.B.A.Ricardo Azziz is an internationally recognized physician, scientist and executive who currently serves as Chief Officer, Academic Health & Hospital Affairs, the State University of New York (SUNY), the largest university system in the nation. Dr. Azziz's biomedical research focuses on the study of reproductive endocrinology and androgen excess disorders. He has published over 500 original peer-reviewed articles, book chapters and reviews and is consistently ranked one of America's Top Doctors. He has received, among other recognitions, the 2000 President's Achievement Award of the Society for Gynecologic Investigation, and was elected member of the Association of American Physicians.He previously served as deputy director of the Clinical & Translational Sciences Institute and assistant dean for Clinical and Translational Sciences at UCLA, and director of the Center for Androgen-Related Disorders at Cedars-Sinai Medical Center, Los Angeles. He is the founder and serves as senior executive director of the Androgen Excess & PCOS Society.Among other advisory capacities, he served on multiple NIH committees, chaired the U.S. FDA Advisory Board on Reproductive Health Drugs and served on the oversight committee for the California Institute for Regenerative Medicine. Dr. Azziz previously also served as president of Georgia Health Sciences University and then founding president of Georgia Regents University, one of Georgia's four comprehensive research-level universities. He also served as founding CEO of the Georgia Regents Health System, the state's only public academic health center.About Mark P. Trolice, M.D.Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health. He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the&
Diabetes Problems and Solutions: Breakthrough medical research could offer a new treatment option for diabetecs with foot sores. Dr. Gere S. diZerega a professor at the KECK School of Medicine at USC in Los Angeles, is leading a new approach to wound healing that he developed from studying how women’s bodies heal after ovulation. This new Phase III clinical trial is called STRIDE, and your viewers may be eligible to enroll for free evaluation and treatment. How diabetic foot ulcers impact everyday life for people with diabetesThe current state of Americans living with diabetic foot ulcers and the unmet need for this conditionWhy seeking treatment for foot ulcers can help those living with diabetes put their best foot forwardWhy diabetics with chronic foot ulcers are needed to help evaluate an investigational topical gel’s ability to heal these ulcers More than 100 research centers nationwide are involved in Dr. diZerega’s research efforts. If your viewers would like to learn more or find a local research center in your area go to www.gotfootsores.com for additional information. Participants in this research study will be seen by a doctor weekly and will receive the topical study gel and laboratory services at no cost.
This week George discusses:Vitamin K levels and diabetesThe benefits of yoga for kidsA healthy lymphatic systemPotassium levels and blood pressureGeorge answers a question on vegetarianismSupport the show (https://www.patreon.com/wellnesstalk?fan_landing=true)Support the showDisclaimer: The Wellness Talk podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.