Podcast appearances and mentions of Erin Phillips

Another nailbiting Showdown saw the Crows hang on - and take bragging rights in South Australia. Join Chris Dittmar, Brenton Yates, Bernie Vince, Erin Phillips, and Rhett Biglands for every massive moment.See omnystudio.com/listener for privacy information.

See omnystudio.com/listener for privacy information.

Erin Phillips, Matthew Richardson, Jack Hombsch, Zach Clough, Clayton Douglas, Terry McAuliffeSee omnystudio.com/listener for privacy information.

AFLW icon and Australian basketball great Erin Phillips joins Graham Cornes. Erin’s memoir is called 'Inside and Out: A Story of Family, Self and Sport'. Listen live on the FIVEAA Player. Follow us on Facebook, X and Instagram. Subscribe on YouTubeSee omnystudio.com/listener for privacy information.

JB and Billy look back at another week of gold, including a chat two-sport superstar Erin Phillips, a tribute to the late Andrew Krakouer, Sheffield Shield winner Alex Carey, weird phobias, a Hump Day Quiz where both contestants had the same name, Billy's enormous Idiot File, and a VERY fruity joke.See omnystudio.com/listener for privacy information.

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Erin Phillips, Jimmy Bartel, 'Where Are They Now?' with Tony Giles, Georgie Horjus, Phil ReadSee omnystudio.com/listener for privacy information.

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JB is down the coast AGAIN, and Billy isn't pleased - but he starts things off with the All Sports Report. Damian Barrett is in studio with a full wrap up of round 3 - with pressure mounting on the Dees and Blues. JB is claiming SA's Sheffield Shield victory for Monday Brag Artist, then the boys pay tribute to Andrew Krakouer - who sadly passed away yesterday aged just 42. Billy has a brand new segment celebrating some great moments in sport across the weekend, we're giving away an epic Gather Round prize, and Alex Carey randomly rings JB while we're on air! Erin Phillips calls in to talk about her new book, and Billy has a VERY fruity joke to finish the show.See omnystudio.com/listener for privacy information.

See omnystudio.com/listener for privacy information.

Every year on Purim, Jews around the world stage shpiels, or plays, that not only feature people in costumes, but cross-dressing as well. These Purim events have allowed Jews to participate in drag throughout history, and have opened the door for other traditions like cross-casting in theater.  In this episode, we'll hear from scholars Golan Moskowitz and Naomi Seidman, former drag queen Rabbi Amichai Lau-Lavie, and host Erin Phillips about Jewish historical examples of drag, Jewish contributions to the art and culture of drag, and how Jews have used drag to explore trauma, identity, and belonging.  

In this episode of the Triple Point Training Podcast, Erin Phillips, a helicopter pilot for the Alaska Air National Guard, shares insights from his extensive experience in wilderness risk management and rescue missions. Phillips discusses operational risk mitigation, effective mission planning, and the importance of preparation and training for handling unforeseen conditions in outdoor activities. He emphasizes the value of team input, stress management, and the use of essential equipment such as two-way communication devices and medical kits. Phillips also provides guidance on how recreational adventurers can adapt professional risk management practices to their own outings.

Overnight news Top 5 Green Team at Schoolies Triple Emmys Blind Guess Rumour Mill Longest Time in setup Erin Phillips Worlds most Boring Man Roos Tip Mike Hussey Sport See omnystudio.com/listener for privacy information.

In this episode, host Erin Phillips and guest scholars Zachary Baker, Philip Keisman, and Devin E. Naar discuss four Jewish newspapers from across the 19th and 20th centuries. Every detail in their pages provides clues about Jewish life in a particular time and place - from the advertisements in their margins, to letters to the editor, to even the news articles they chose to excerpt from other publications, these newspapers provide scholars with a valuable window into a historical, geographical, and linguistic cross-section of Jewish history.

Listen live on the FIVEAA Player. Follow us on Facebook, X and Instagram. Subscribe on YouTubeSee omnystudio.com/listener for privacy information.

Kerry Hancock, Mark McGill, Phil Coorey, Trial by Jury, Breaking at 8 with Andrew Pruszinski - Director of Operations from the EPA, Erin Phillips and Stephen Mullighan. See omnystudio.com/listener for privacy information.

We're broadcasting live from the Legends Lunch! With Special guests, Tex Walker, Erin Phillips, Gavin Wanganeen and Darrn Lehmann. We take a trip down Rush Hour's Memory Lane - Caravan Locked Up and have our final "Highlight" Tapes of the year.See omnystudio.com/listener for privacy information.

Tex Walker joins us live in studio after re-signing with the Crows yesterday and Erin Phillips joins us to preview the AFLW season that kicks off tomorrow night.See omnystudio.com/listener for privacy information.

You cannot cause diabetes by eating sugar and carbs. And if that sounds wild to you, please tune in. Because today we're debunking common myths about diabetes to give you a deeper understanding of this condition, its connection to disordered eating, how to spot misinformation about nutrition for diabetes management, and ways to care for yourself without diet culture tactics. Erin and Abbie discuss the foundation of a weight-inclusive approach, and address rampant weight stigma and anti-fat bias in the diabetes space.  Topics discussed include... Diabetes and insulin resistance (physiology) Risk factors for diabetes How diabetes is diagnosed Should you be concerned about prediabetes? Why dieting and weight loss are not treatments for diabetes The connection between diabetes and disordered eating Shame and self-blame in diagnoses Medication for diabetes management The role of sugar and carbohydrates Whether you can prevent or reverse diabetes ...and much more   Erin is a registered dietitian, diabetes specialist, and private practice owner based in Seattle WA. Her work focuses on the intersection of diabetes and eating disorders, and she supports people living with diabetes in both 1-on-1 and group settings. She is super passionate about increasing access to weight-inclusive diabetes care, so also supports clinicians looking to increase their knowledge in this intersection through clinical supervision. When she's not working, she's creating a co-housing community in the heart of Seattle and listening to Taylor Swift. Find Erin on instagram: @erinphillipsnutrition, @glucoseriot, and on her website: www.erinphillipsnutrition.com   Support the show: Enjoying this podcast? Please support the show on Patreon for bonus episodes, community engagement, and access to "Ask Abbie" at Patreon.com/fullplate   Group program: Looking for more support and concrete steps to take to heal your relationship with food and your body? Apply for Abbie's next 10-week group program: https://www.abbieattwoodwellness.com/group-coaching   Group membership: Already been at this anti-diet culture thing for a while, but want community and continued learning? Apply for Abbie's monthly membership: https://www.abbieattwoodwellness.com/circle-monthly-group   Social media: Find the show on Instagram: @fullplate.podcast Find Abbie on Instagram: @abbieattwoodwellness   Transcripts: If you're looking for transcripts, you can find those on Abbie's website, www.abbieattwoodwellness.com/podcast   Podcast Cover Photography by Anya McInroy Podcast Editing by Brian Walters This podcast is ad-free and support comes from our Patrons on Patreon: Patreon.com/fullplate

Plus, former Olympic silver medallist, our own Erin Phillips joins us live in the studio.  See omnystudio.com/listener for privacy information.

Amelia, mom of two toddlers, shares the reality, joys, and challenges of navigating pregnancy and motherhood as a person with diabetes. We talk about how shame, misinformation, and the fantasy of of an unmedicated pregnancy can contribute to being unprepared for the reality- and openly talking about it breaks down a lot of these barriers. Resources we mentioned or that are related to the topic of diabetes and pregnancy:Insulin needs during pregnancy - see Figure 1 (TW for weight stigmatizing language)Fat & Fertile by Nicola Salmon - a super comprehensive book on pregnancy for fat folksBig Fat Pregnancy - fat positive mentoring, birth and postpartum doula servicesResources recommended byy Amelia!Dr. Ali Lewis - OBGYN Katie Rohs, doula Negin Ebrahimifard, dietitian specializing in diabetes and pregnancyABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

Rachel, a fellow diabetes educator and diabetic, spends some time with us to share her take on the diabetes management world. We talk about real-life diabetes management, how ableism shows up in standardized recommendations, and diabetes tech!Resources mentioned: "How to Keep House While Drowning" by KC Davis. KC also has amazing resources on her website: https://www.strugglecare.com/ "How to Be Sick" by Toni Bernhard ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

On this episode, we sit with Diane who talks us through mobility devices, staying strong in the decision to only accept weight inclusive care, and how to build a self care plan that authentically works for your own personal needs.Some things we referenced in this episode:More info about the term "superfat" and other "fategories"Studies about epigenetics: https://pubmed.ncbi.nlm.nih.gov/28273478/https://pubmed.ncbi.nlm.nih.gov/24832930/ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

West Coast champion Andrew Embley joins us for his thoughts on Adam Simpson's departure today, we check the Rush Hour voicemail and Erin Phillips joins us in studio following her footy comeback with ‘The Carlton Draft' over the weekend.See omnystudio.com/listener for privacy information.

Calling audiobook junkies! In perhaps our most unique episode to date, we had the thrill of sitting down with insanely talented narrator + musical artist Talon David! With 90+ audiobook credits to her name, Talon knows the ins, outs, ups, and downs of voiceover work like you've never heard it before! She performs books of all genres, including titles by three of our Booked Solid author guests so far: Bethany Turner, Erin Phillips, and Melissa Ferguson. We were already dazzled by Talon's voice + portfolio, but this conversation took our fandom to whole-new heights! Join us for this fascinating discussion of: - Talon's journey, process, and dynamo heart - A day-in-the-life of an audiobook narrator - Vocal health: what does it mean and what should we know? - AI's impact on the audio world: the good, the bad, and the medium …and more! Thank you for listening, bookish besties! We can't wait to hear what you think! Find Talon on Instagram (@talondavidvoices), her website (www.talondavid.com), Spotify, and all over Audible! Find us on Instagram (@bookedsolidpod, @hannahbooksit, @stephanienmack)! TODAY'S SOLID BOOKS: Cole and Laila Are Just Friends by Bethany Turner Brynn and Sebastian Hate Each Other A Crown of Chains by Erin Phillips Famous for a Living by Melissa Ferguson Meet Me in the Margins by Melissa Ferguson Suing Cinderella by Stephanie Mack

Today's episode is an interview of our very own podcast co-host, Kelly Six. We talk about using personal values to guide the balancing act of managing diabetes and food, how diabetes and your relationship to food can get easily entangled, and what makes a space safe when it comes to diabetes (and what makes it less helpful). ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

AFLW legend Erin Phillips joins us live in the commentary box. She is going down the Big Freeze at the G on Monday! and the Premier joins us following the release of the state budget this afternoon.See omnystudio.com/listener for privacy information.

We're live from Adelaide Oval ahead of Port Adelaide v Carlton, AFLW legend Erin Phillips joins us live in the commentary box and Blew takes a look into all the bets that Jars hasn't unfulfilled.See omnystudio.com/listener for privacy information.

Brittney shares her story of her own eating disorder recovery has shifted from before her diabetes diagnosis until now. She talks about how caring for her body has meant acceptance of all of it's pieces- eating disorder, diabetes, and all. ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

In this episode we talk to Molly who helps us break down some diabetes myths and science, and explains how anti-fat bias plays into how research is conducted and interpreted. We also talk though her own relationship with diabetes, how it played into the development of her ed, and how she has learned to thrive ("lol mostly!" -Molly) in recovery and life despite the diagnosis.ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!STUFF WE MENTIONED ON THE EPISODE: Find Molly on Instagram: @drmollyinprogressDr. Gregory Dodell, a size-inclusive endocrinologist in NYC: https://www.centralparkendocrinology.com/ (and on IG @everything_endocrine)Articles about the "social contagion of o**sity" (HUUUGE content warnings for weight stigmatizing language). https://www.nejm.org/doi/full/10.1056/nejmsa066082#article_letters https://news.harvard.edu/gazette/story/2007/07/obesity-is-contagious/https://www.nytimes.com/2007/07/25/health/25cnd-fat.htmlLINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

This week on Dyl & Friends I'm joined by the AFLW GOAT, Erin Phillips. From multiple WNBA championships to 3x AFLW flags, including a couple of league BnF's, Erin has one of the most impressive resumes you'll come across. We spoke about growing up with the dream of playing AFL to being told she can no longer play after u13's. We covered the business of the WNBA and how it differs to sport in Australia, plus the emotional rollercoaster of going through IVF and how it impacts both males and females on all levels. Instagram: @erinphillips131 This episode of Dyl & Friends is brought to you by Carlton Draught. For the first time ever in the Carlton Draft, one lucky Victorian Women's community club will get to draft the AFLW GOAT, Erin Phillips, to play as a Wildcard for their club. Enter now at www.thecarltondraught.com.au 18+ If you liked this episode, have a listen to this: #219 Joel Selwood Contact Email - mailbag@dylandfriends.com Instagram - @dylbuckley @dylandfriends Youtube - @clubbysports Facebook - dylandfriends Tiktok - @dylandfriends Dyl & Friends is produced by Darcy Parkinson Video and audio production by Producey. ILY xx

Hosted by dietitians and diabetes experts Erin Phillips, MPH, RD, CDCES and Kelly Six, MS, RD, CDCES Glucose Riot features stories of ordinary humans living joyful and peaceful lives with diabetes without restrictive eating, dieting or intentional weight loss. If you've been feeling alone living with diabetes, we hope these interviews bring you that feeling of "I'm not alone after all." In this trailer, you get to meet us, hear more about our values and our why, and laugh along a little if you want. ABOUT US: We are two dietitians who specialize in diabetes care and eating disorders:Kelly Six, MS, RD, CDCES, who really likes working in diabetes care because we get to have one foot in the nerdy side of diabetes and the other foot in the emotional side of living in the world with diabetes.Erin Phillips, MPH, RD, CDCES, who really agrees with Kelly and couldn't have said it better herself. We both love cats, snacks, and laughing too loud in Seattle coffee shops.Learn more about us and the podcast here!LINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

On today's episode, we are back with Erin Phillips, a registered dietitian and diabetes expert for part two of our discussion on Ozempic. Erin talks on the possibility of using Ozempic for prediabetes and the challenges that arise when its demand is influenced by weight loss trends. She discusses how she handles patient requests regarding the use of Ozempic for weight loss without diabetes, its clinical effectiveness, and its impact on the body image movement. Plus, we talk about our thoughts on the Oprah special! In This Episode We'll Cover:  The effectiveness of Ozempic for prediabetes or impaired fasting glucose compared to diabetes. Advocacy challenges in securing Ozempic for individuals who genuinely need it, amidst demand for weight loss purposes  Thoughts on Oprah's special Responding to patient requests on the use of Ozempic for weight loss in the absence of diabetes. Ozempic's clinical efficacy and its implications for the body image movement Key takeaways which emphasize the need for  personalized care in diabetes management + MUCH MORE!  Our two simple asks to help us continue a free weekly show: Rate on iTunes or Spotify -  it literally takes two seconds Review - if you love the show, please leave a review on iTunes Diabetes & Prediabetes Nutrition Counseling Are you living with diabetes or prediabetes and seeking support from a Registered Dietitian Nutritionist covered by insurance? Visit diabetesdigital.co to sign up for personalized, one-on-one nutrition counseling with one of our culturally aware and weight-inclusive Diabetes Dietitians today! For additional resources and shownotes, visit diabetesdigital.co/podcast

In this episode of our podcast, we explore Ozempic and other GLP-1 agonist medications, tracing their journey from diabetes treatments to popular weight loss solutions. We'll examine their effectiveness, differences in dosages, and typical side effects. Our discussion will also cover their impact on diabetes management, specifically how Ozempic influences A1c levels. Joining us is Erin Phillips, a registered dietitian and diabetes expert from Seattle, WA, who specializes in diabetes and eating disorders. Erin advocates for weight-inclusive care and provides clinical consultations to healthcare professionals. Through our conversation, we aim to provide clarity on Ozempic's role in diabetes care and its implications for patients and providers alike. In This Episode We'll Cover: What Ozempic is and why it's currently making headlines The initial purpose of Ozempic for diabetes management and its shift in use Erin's perspective on recommending Ozempic for people with diabetes Dosing disparities between weight loss and diabetes treatment, addressing concerns about potential side effects Outcomes observed in diabetes management with Ozempic and its typical impact on A1c levels Common side effects encountered in clinical practice and their potential impact on patients' quality of life + MUCH MORE! Our 2 simple asks to help us continue a free weekly show: Rate on iTunes or Spotify -  it literally takes two seconds Review - if you love the show, please leave a review on iTunes Erin's Podcast: https://www.erinphillipsnutrition.com/podcast Informed consent for GLP-1s: https://sizeinclusivemedicine.org/glp1/ Are you living with diabetes or prediabetes and seeking support from a Registered Dietitian Nutritionist covered by insurance? Visit DiabetesDigital.co to sign up for personalized, one-on-one nutrition counseling with one of our culturally aware and weight-inclusive Diabetes Dietitians today! For additional resources and shownotes, visit diabetesdigital.co/podcast.

Join Hannah + Steph for a deep-dive with bestselling Christian YA fantasy author Erin Phillips. Learn from Erin's incredible success, marketing savvy, ministry mindset, writing approach, indie publishing tips, and more. She writes “dark stories that shine the light” (swoon) and trust us—she glows in this jam-packed episode! We hope you love the conversation as much as we did! Find Erin on Instagram: @erinphillipsauthor Find us on Instagram: @bookedsolidpod TODAY'S SOLID BOOKS: Crown of Chains by Erin Phillips Bond of Briars by Erin Phillips Walking on Water by Madeleine L'Engle The Count of Monte Cristo by Alexandre Dumas Twilight by Stephanie Meyer

Erin is a Registered Dietitian and CDCES based in Seattle, WA. Erin's work is grounded in health and she focuses on what she calls body liberation with her clients. She has spent most of her career working with people living with all types of Diabetes. She has a private practice that focuses primarily on the intersection of Diabetes and Eating Disorders. She works with people living with Diabetes through individual counseling, as well as providing consultation to clinicians looking to be more grounded and confident in supporting their clients and patients with co-occurring diagnoses of diabetes and eating disorders. Erin Phillips Resources: Instagram:Website:The Glucose Riot Podcast - Coming Soon My Diabetes Resources:Website: www.simplifyingdiabetes.comNewsletter Sign Up"More Than A1C" - My Signature Coaching ProgramThe Diabetes Nutrition Master CourseThe Diabetes Performance JournalThe 5-Pillars Of Diabetes Success WorksheetDon't forget to check out Ancient Bliss an herbal supplement company.Use Discount Code KEN20 for 20% off at check out.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: @thehealthydiabeticpodTwitter: @thehealthydpodTik Tok: @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.

JB is at the Gabba for Brisbane and Carlton, but the boys also talk about last night's game between the Swans and Dees. Plus heaps more in Billy's Sports Report. Then Aussie Boxer Michael Zerafa joins us ahead of his World Title fight in Las Vegas, and we do Friday Brag Artist. Billy thinks JB has red hair, and Miles has a crack at $10k in Guernsey Cash.  Erin Phillips joins the boys after becoming Triple M Footy's newest recruit, Billy has some predictions for the rest of Round Zero, we break out a classic Swedish band for Billy's Idiot Song, and Billy has a Fruity Friday JokeSee omnystudio.com/listener for privacy information.

While Congress and the Wisconsin Legislature are currently incapable of doing anything to save children from the national epidemic of gun violence, others are trying to do their part through home-based initiatives. We'll learn more from our friends at Motherhood for Good. Also: Terry Bell with 3 Things You Need to Know to start the week. Guests: Kate Duffy, Erin Phillips, Emily Tyne, Salina Heller, Danielle Linn

Hey and welcome to the Can I Have Another Snack? Podcast. This week I'm talking to specialist diabetes dietitian Erin Phillips about all things insulin resistance and type 2 diabetes. Erin shares some background on what happens in the body that leads to type 2 diabetes, why ‘prediabetes' is a dubious diagnosis and the things the keto-bros often leave out this conversation. We talk about why sugar and higher weight aren't the cause of type 2 diabetes, and how there is so much more we can do to care for diabetes outside of cutting carbs and losing weight, especially if you have a background of an ED or disordered eating. Lots of you have requested more content around this topic - let me know what questions you still have after listening to this episode!Find out more about Erin's work here.Follow her on Instagram here.Follow Laura on Instagram here.Subscribe to Laura's newsletter here.Enrol in the Raising Embodied Eaters course here.Here's the transcript in full:INTROErin: I think sometimes a diagnosis of prediabetes or type 2 diabetes can be a traumatic event, especially when it's not in the presence of someone caring and that you trust. Or especially if you have a family history of diabetes where you've seen…maybe some scary things. Which I will – now that I said that – I will add that it's, that's not a definite outcome either, those scary things, yeah.But it can be, that can be really stressful, and that's the opposite of what is helpful for blood sugars.Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? newsletter.Today's guest is registered dietitian Erin Phillips. Erin's work is grounded in health at every size and fat positive nutrition. She has an advanced certification as a diabetes specialist and has spent most of her career working with people living with all types of diabetes. She has a private practice that focuses primarily on the intersection of diabetes and eating disorders. She works with people living with diabetes through individual counselling, as well as providing consultation to clinicians looking to be more grounded and confident in supporting their clients and patients with co-occurring diagnoses of diabetes and eating disorders. So I've had a lot of feedback from newsletter readers and people who listen to the podcast saying that you'd like more information about weight-inclusive approaches to so-called prediabetes – which we'll get into in a minute – insulin resistance and elevated glucose levels as well as type 2 diabetes. Most of the advice out there centers on carbs. So I was excited to talk to Erin about why these approaches are not only unhelpful for a lot of folks, but how they can be harmful. And why you don't need to get sucked into diet culture to care for yourself. In this episode, we discuss why type 2 diabetes isn't caused by too much sugar or having a bigger body, why pre-diabetes is a fake diagnosis, and why you don't need to cut out carbs to manage your blood sugar. I'm so excited for you to hear this episode. But before we get to Erin, I want to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year. And as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter, have a say in the work that we do here and help ensure I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app, and the deep dive on folic acid and folate that I just did recently.All of those you can read at laurathomas.substack.com if you haven't already. And if you're not totally sold yet then maybe this lovely review that I got recently will help convince you. So one reader wrote: “I feel so lucky that I found your work around the same time I started feeding my kid real food. It saved me so much angst and has allowed me to relax and really enjoy seeing him explore eating. Your essays on sugar especially was a game changer. I'm sure it won't always be plain sailing, but I feel so much more prepared to ride the waves of his changing appetite. and tastes as he grows, accepting them as a feature and not a bug.So hopefully he can have a much more relaxed relationship to food than I had for a long time. And I pay my £5 a month because I so value the work you put into your writing and think it's worth paying for. There's a lot of free advice out there, but I never know what I can trust. This is such a safe haven.”So yeah, it's £5 a month or £50 for the year. You can sign up at laurathomas.substack.com or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription. No questions asked. You don't need to justify yourself. Just put ‘Snacks' in the subject line. This is actually going to be our last podcast of the year. I'll be back in your ears in January with brand new guests. Paid subscribers will continue to hear from me in your inboxes and in the group chat, where I'm going to be holding space for all the venting and screaming at diet culture shit that gets dredged up over the holidays and into January. If you'd like to join us, you can sign up at LauraThomas.substack.com. Otherwise I'll speak to you in January. Okay, team. Over to Erin. MAIN EPISODE:Alright, Erin. Can you please start by telling us a bit more about you and the work that you do?Erin: Yeah. I am a registered dietitian. Well, in the United States, based in, um, the Seattle, Washington…I was gonna say, the ‘state of Washington'! And I'm also a certified diabetes care and education specialist. It used to be a certified diabetes educator and they wanted to add more letters. So I'm in private practice and I focus on working with people with diabetes and eating disorders at the same time, or people who had a history of an eating disorder and then were recently diagnosed with diabetes but don't want like It wouldn't be helpful or safe for them to go to just any diabetes educator.So those are the folks that I work with.Laura: Okay, so you're kind of working at that intersection between eating disorder care and diabetes care. And I think, like, what's important to highlight, which people might not be...aware of or familiar with is the idea that people who have type 2 diabetes, I would say in particular, but all forms of diabetes are at a heightened risk of disordered eating and eating disorders. And does that relationship…? No, it doesn't go the other way, does it?Erin: I think it does.Laura: You think it does?Erin: I think it does. There isn't a lot of research on it, but clinically, I absolutely see that.Laura: Okay. That's interesting. Erin: And eating disorders and gestational diabetes. I was talking with a colleague about this, that we see people with a history of, of an eating disorder, it feels like are at much higher risk of gestational diabetes.But the research…I don't, I haven't looked into the research on that, but we definitely see it clinically.Laura: Yeah, that's an interesting observation that you've noticed. So, you use this term diabetes educator. We don't have that here so it might be helpful to just kind of explain a little bit about what that is and then maybe we can unpack what exactly we're talking about here when we talk about diabetes and sort of associated terms.Erin: Yeah, yeah, yeah. Thanks for clarifying that. I love talking to people in other countries to learn about like, what do things look like there? So, a diabetes educator, I know they have them in the States and in Canada, maybe Australia, but basically what it is, is...Laura: Just to clarify, like, okay, in case my, like...dietetics colleagues are all like yelling at me right now. We do have dieticians that specialise in diabetes, but it's like the diabetes educator title is kind of a, like a bolt on right to your, your like baseline nutrition training. Is that right?Erin: Yes. Yeah. Yeah. Yeah. So here to become a. a certified diabetes care and education specialist – that's such a mouthful! You, yeah, you need, I think it's 2000 hours of working with people with diabetes after you've become, become a dietitian or you can be a social worker, you can be a pharmacist, you can be a nurse. There's lots of nurses that are diabetes educators. So you get those practice hours, you get continuing, I don't know how many hours of continuing education a lot. And then you take an exam, right? Then it's like, well, at least here, like the dietitian renewal where every five years you renew by getting enough continuing education credits.Laura: Okay, so it's safe to say you know a lot of stuff about diabetes.Erin: Yes, I think so, yeah.Laura: It's kind of your thing. So, I really wanted to talk to you specifically about type 2 diabetes today because, 1) there seems to be a lot of confusion about it. 2) It kind of gets bundled up with a lot of anti-fat bias and carb-phobia and diet culture. And then 3), it's something that listeners of the podcast and readers of the newsletter have requested that we talk about. Would you mind starting by just telling us what exactly type 2 diabetes is, and how it relates to concepts like prediabetes and insulin resistance? So that's a big question. Where feels like the best place to start?Erin: I think actually starting with insulin resistance, because I think of that as kind of an umbrella and then prediabetes and type 2 diabetes fall underneath that umbrella. Yeah. So, insulin resistance is a term that means…so all humans have glucose floating around in their blood at all times. That is the main source of fuel. It's so funny to look at you while I'm talking about this because I'm like, you know this! But anyway, all humans have glucose floating around in the blood. It's our main source of fuel for the body. And then for glucose to get into our cells, we need insulin. And I always use the analogy of: insulin is the key that unlocks the cell to let the glucose in. And so insulin resistance is where that key gets a little, like, sticky or…kind of like the key to my car right now that I have to wriggle it the just the right way. So it can take a little bit longer for the glucose to get into the cell. It still happens but it just takes a little bit longer.So that is insulin resistance and that is one of the key features of both ‘prediabetes' and type 2 diabetes. Often, when I say ‘prediabetes', I do bunny ears or air quotes because it's a misunderstood term and we can totally get into that later. But so type 2 diabetes is where a body has either lived with insulin resistance long enough or something else has happened that has made, in addition to insulin resistance, glucose levels get high enough in the blood to meet this diagnostic criteria.And we've actually…this is something I love sharing with people because often type 2 diabetes is just like, all we focus on is insulin resistance, but there's actually at least 10 other changes in the body that lead to elevated glucose levels that are going on in addition to insulin resistance.Laura: Okay, before we go on, I want to actually reverse and back up a little bit here, because…so you talked about how we have glucose in our bloodstreams that needs to get into our cells all the time.That's like everybody, always – even if you're like a keto bro. What I just wanted to make really clear for anyone who's totally new to these conversations is that glucose…it gets into our bloodstream from the food that we eat and it's a sugar, right? So I think those are two important points to clarify, that we consume food, it gets broken down and digested and absorbed across the gut lumen. And that's what raises our blood glucose levels. And then insulin is the hormone that's secreted by the pancreas that unlocks the door to the cell, to let glucose move into the cell, so we have energy, so we can do things, so we can go about our business as being humans. Sometimes what can happen is that the door gets a little rusty, or the key gets a little rusty, and it's harder for that insulin to get into the cell. Is that like a fair summary of... Wow. What's going on? Erin: That was beautiful. I was nodding furiously.Laura: Yeah. Yeah. Yeah. It's almost like I know something about this! Right. So then can you tell us a little, like – I think you alluded to this – but maybe speak to it a little more to how the kind of the cells get rusty and how it's harder to shift insulin into the cells.Can you talk to us about what happens next? Maybe some of the symptoms people might experience and then what's going on physiologically as well.Erin: Yeah. So when a body is experiencing those like rusty cell doors, there's a lot of different hormones that are actually involved in not only glucose regulation or blood sugar regulation, but just metabolism.So glucose regulation is just one part of metabolism. And when I say metabolism, I mean using energy from food and turning that energy into energy for the body and then using energy to the body.Laura: Yeah, thank you for clarifying that because this is something I come up against a lot where like metabolism is used as this kind of catch-all phrase to mean how quickly your body burns energy or it's like this really diet culture-y kind of thing.But when you and I are talking about it... I think we're talking about all the biochemical processes that are going on inside your body, all these cascades of reactions and like how a nutrient that we ingest in food or in a supplement winds its way into our body and becomes part of these chemical reactions that are going on, like, deep inside our tissues.Erin: Yep. Yeah, that good old Krebs cycle. So when the cell door gets rusty, that's a big kind of flag for the body, I guess you could say, for the metabolic process. So, I think you mentioned the pancreas already. So the pancreas is the organ in the body that produces the hormone insulin, along with other hormones. When the pancreas notices the cell doors getting rusty, the pancreas will say, Oh, that's cool. I got this. And we'll start producing more and more insulin because the signal that the pancreas is getting is from the cells. The cells are saying, we're not getting the glucose that we're wanting, that we need, that we need to survive or not getting it as quickly or as much. And so then the pancreas starts producing more and more insulin.Laura: So it's trying to, it's getting the message that there's not enough insulin to, to get the glucose from the bloodstream into the cell so it starts to produce more. And can you maybe speak to the impact that this can have on the pancreas? Is it helpful to explain that a little bit?Erin: Yeah, yeah, I think so, because I think that's also something that people don't think about or aren't explained. Yeah. So the beta cells are the cells in the pancreas that produce insulin, and as they produce more and more insulin, they start to, after... I should say after decades of producing more and more insulin, those beta cells start to kind of poop out.Laura: Yeah, they get exhausted.Erin: Yeah. That's a better word.Laura: Crap out, poop out, exhaustion. Yeah, like ultimately they're working really hard for a really long time and that takes a toll, I think is what we're saying.Erin: Yeah, they start to go on strike, like they're doing the work of more…Laura: Like the teachers and the nurses and the doctors and the train drivers and yeah, we're having a lot of strikes here at the moment.So yeah, it's almost as though governments are failing globally, right? Almost.Erin: Yeah, you have to laugh because otherwise you cry! So the pancreas starts to get exhausted, in the research that's called beta cell exhaustion or beta cell failure. So the pancreas isn't able to produce quite as much insulin anymore.And after decades and decades and decades, the pancreas will not be able to produce enough insulin to meet the needs of the body. And that's when I say, store bought insulin works really well for that.Laura: Store bought! I love it. I love it because to me that just feels like a much kinder non-judgmental framing of what I think is…often a condition that is attached with a lot of shame and judgment. Like, yeah, there's, there's a real narrative that if you get to the point where you need the store bought insulin, that that's a failure.And there's a lot of research and a lot of conversations at the moment about this idea around ‘remission' and, you know, ‘reversing diabetes' and, and all of those kinds of things, which we're going to speak to a little bit in a minute, but I think that just adds so much to the shame of needing the store bought insulin. So yeah, that just feels like a really kind kind of framing around that. So let's see, we've talked a little bit about the mechanisms whereby we find it harder to get glucose into the cells over a long, long, long period of time that can kind of exhaust the pancreas, which means that we might need to get that store bought insulin. But there's kind of a wide spectrum between, like, the cells starting to get rusty and getting to the point where you might need insulin...endogenous? Exogenous! Exogenous insulin.Erin: That's why I say store bought!Laura: Store bought, yes. And I think that's where maybe this idea of like prediabetes comes in. And we've, you've talked about how that's maybe not the most helpful label.I suppose what I'm trying to say is that there's a period where somebody might have some insulin resistance, might have elevated blood glucose levels. But it's not considered high enough for a type 2 diabetes diagnosis. So could you explain what's going on there and why that's a contested term?Erin: Yeah, yeah. So if we think about a timeline of a body experiencing insulin resistance, the first thing that will happen is the insulin resistance And then the next thing that will happen…I shouldn't say will, that's the biggest thing that I don't like about the term pr diabetes is this, that it, it makes us think that it will happen.So what could happen, a body experiences insulin resistance. What could happen is that their glucose levels start to increase to a level where they meet the prediabetes diagnostic criteria. And then, the assumption with the term prediabetes is that that means eventually, unless you do something, like in big, bold, scary letters, that eventually, your body will meet the diagnostic criteria for type 2 diabetes.But what research shows is that that's not, that's not the case. I'm maybe I'm getting ahead of myself.Laura: No, I know. That's absolutely…I think it's a really important point. And so I have, and Erin, you can tell me if this isn't quite right, but my understanding is that progression from prediabetes to type 2 diabetes is less than 2% per year or less than 10% in 5 years.And I also have another statistic that 59% of people with prediabetes return to normal blood glucose values between 1 and 11 years with no treatment at all. Does that corroborate with your understanding? .Erin: Yeah, yeah, I recently was looking into this research and that sounds like exactly what I found. And it really depends on where you look and what study you look at and what population they were looking at. But the, the biggest takeaway for me was that it's not…Laura: It's not a done deal.Erin: Yeah, someone's body can just be in that prediabetes range forever or um, either forever or they can go back to below the prediabetes range that it…by focusing on the blood glucose values, we're looking at a symptom and we're not really looking at what's going on underneath.And so it's, I find that less, less helpful for that reason.Laura: Yeah, absolutely. So I think what we're saying is that prediabetes is somewhat of a dubious diagnosis, and I'd be interested to hear your thoughts on this too, but my sense is that like, giving that label can create a lot of shame and create stigma.It freaks people out, is my... experience of working with clients who their doctors have flagged that they have elevated blood sugar levels, let's say, and then….we know that stress and anxiety is not great for blood sugar management, so like, I mean, yeah, do you have anything to add to that? Like, what are your thoughts on that?Erin: That's exactly what I see in my practice and what I saw when I worked in a GP's office as well, that people are freaked out by either, either one of those labels and…yeah, stress and worry and anxiety and trauma. I think sometimes a diagnosis of prediabetes or type 2 diabetes can be a traumatic event, especially when it's not in the presence of someone caring and that you trust, or especially if you have a family history of diabetes where you've seen maybe some scary things, which I will – now that I said that – I will add that it's, that's not a, what's the word? That's not like a definite outcome either of those scary things. But it can be, yeah, it can be really stressful and that's the opposite of what is helpful for blood sugars.Laura: Yeah. Tell us a little about what the difference between a ‘prediabetes' diagnosis is versus a type 2 diabetes diagnosis? Is it just a difference of the level of sugar in the blood?Is it, is there a factor of time or like, is time factored into that? Like how long it's elevated for? Can you maybe speak to how, you know, you go from ‘prediabetes' as it were to type 2 diabetes?Erin: Yeah, that's a really good question. The way that I think about it is just in the diagnostic criteria, which is for a type 2 diabetes diagnosis, your blood sugar needs to get so high in the States, we usually diagnose it based on an A1c.So an A1c is usually what we use in the States to diagnose both prediabetes and type 2 diabetes. And here a type 2 diabetes is diagnosed at 6.5 and prediabetes is diagnosed at 5.7 up to 6.4. So ours is actually lower than yours in the UK and lower than Canada and lower than the rest of the world, basically.Laura: I feel like that's probably a really important and intentional thing, and we could probably go off on some conspiracy theories there. Erin: I have many. Yeah. Laura: Yeah, maybe it would be helpful to just briefly explain what HbA1c is, or A1c, and how it's measured and, like, what, what it's measuring. Erin: Yeah. A1c, I call it A1c, but you guys call it HbA1c. Should I say HbA1c?Laura: No, it's, it's fine. And I don't, I don't know why I call it that because I did my dietetics training in the US but I, I dunno, who knows, who knows?Erin: I've noticed everybody calls it something a little bit different.Laura: So, because I guess the HB refers to it being the hemoglobin is the hemoglobin one. But it's the same thing. A1c is easier, so let's just go with that. Erin: Okay, okay, cool. So A1c is a measurement of average glucose levels over the past two to three months. And the reason that it's average and two to three months is that as hemoglobin, so hemoglobin A1c is the full name of the lab value.As hemoglobin is part of our red blood cells, so in our veins and arteries, our red blood cells are floating around and glucose is also floating around. And so as glucose is bumping up against those red blood cells, it leaves a little bit of stickiness of glucose on the red blood cells. And then red blood cells live for 60 to 90 days, so that's 2 to 3 months.So then when they draw blood to check an A1C, they measure what percentage of the red blood cells are…kind of have this glucose levels on them or glucose on them. And then they can give us that A1C measurement in percentage form. So like 5.7 means... That according to the United States, we're classifying that as prediabetes and then 6.5 is type 2 diabetes. And the reason that we diagnose type 2 diabetes or all diabetes at a 6.5 is that long, long, long term research…or we followed, not we, I'm not part of it, the fancy researchers have followed thousands of people for decades and found that if blood sugar stays kind of in that 6.5 to 6.9 range, risk of those scary things like blindness or kidney disease or circulation problems is very, very, very, very, very, very low, basically the same as people without diabetes. So that's why we diagnose it at that, what I think of as like a pretty conservative level, because we want to keep people from experiencing those scary things.Laura: Absolutely. HbA1c is a sort of medium-ish term measurement of your average blood glucose levels, whereas if we were to just do a blood test randomly at any point in the day, there are like a bajillion different factors that could influence, you know, whether it's a high reading or a low reading, like how recently you ate, it can, you know, it can vary according to a whole bunch of different things.So a better way of measuring blood glucose is to look at that value over a slightly longer period of time and get that average, even though there are still some issues with looking at that number, but it's, it's a better number than, than just doing a random blood glucose test. So we've talked a little bit about insulin resistances, what prediabetes is and what type 2 diabetes is. There is this really pervasive myth that type 2 diabetes is caused by eating too much sugar. What do we know about that? Is that true?Erin: Absolutely not. Absolutely not.Laura: That was such a leading question, right?Erin: Is that true? Tell us! The way I think of that is that it's a real, just a misunderstanding of, of the complicated nature of type 2 diabetes – and when I say complicated, I mean, like referring back to those 11 different changes in the body that I mentioned earlier.Laura: Oh, so tell us about that because you, we said we were going to come back to this. What are the different changes?Erin: I can't even remember them all off the top of my head, but some of them are…the insulin resistance is one, the kidneys are responsible for filtering out our glucose when there's too much. And in type 2 diabetes, the kidneys start holding on to more glucose than we would want them to.Another is a decreased level of incretin hormones. So, GLP 1 is an incretin hormone. GIP is another incretin hormone, and those hormones are responsible for helping regulate glucose levels. And, and many people with type 2 diabetes and someone with prediabetes, they have a decreased level of those hormones.Laura: Okay, so I guess what, what you're saying here is that we often just focus on the changes to the pancreas and insulin, which is what I was asking you about before, but actually there are systemic changes that are going on throughout the whole body, right? Is that what we're saying? Erin: Yeah. Laura: Okay.Erin: Yeah. And those are absolutely not caused by eating, quote, too much sugar or eating sugar.Laura: Right, right, right, but because what we're dealing with is elevated blood glucose levels, the sort of obvious, or what people think of is the obvious pathway, as well…it's too much sugar in the diet, therefore your blood sugar level is too high. But what I'm hearing you say is it's just not as straightforward as that.Erin: Absolutely, yeah.Laura: Okay. Anything else that you wanted to add about, like, that particular myth, or?Erin: I wish I had more, like, definitive, like, it, that is not true because X, Y, Z, but you can't disprove a myth with research, you know what I mean?Laura: Yeah, yeah.Erin: Like, if somebody was like, yeah, unicorns exist, I'd be like, I don't know how to prove that to you. Because I can't show you, like, there is not a unicorn here.Laura: Yeah. Yeah. Yeah. No, I hear you. But I guess, like, what I would want people to take away from this and understand is that, like, you didn't cause your type 2 diabetes, like, you're not to blame. And, you know, similarly to how there are all different changes in the body that take place when somebody has type 2 diabetes, there are all sorts of factors that contribute to and help explain why somebody might develop type 2 diabetes. And they are everything from, you know, stress and sleep and things that, you know, often get called like lifestyle variables, even though that in and of itself is problematic, all the way through to experiencing racism, homophobia, transphobia, anti fat bias, you know, all of these like discrimination and prejudiceracism, homophobia, transphobia, anti fat bias, you know, all of these like discrimination and prejudice. Those things are also going to play a part in our blood glucose regulation, but we don't think of that. We don't think about the social determinants of health. We just think about like, well, you ate too many carbs. Therefore you need to cut out carbs. And this is the advice that people are given, we hear this idea that like carbohydrates cause, in inverted commas, type 2 diabetes, but we've…we also hear that it's caused by being a higher body weight.So, I'd love to hear you unpack that a little bit and, and kind of…yeah, is it a similar thing to what I just said about carbohydrates or is there anything else that you would add to that?Erin: So the thing that I go back to a lot with that, I guess, argument is that there's a really big difference between a correlation and a causation.So the example that I give with that is that as soon as ice cream sales go up, there's also an increase in shark attacks. Like, those things are correlated, but we can't say, we can't draw from that that correlation.Laura: Yeah, that ice cream causes shark attacks.Erin: Shark attacks, yeah. Right. And with that one, there's a really obvious, you know, third factor, which is weather, that contributes to both of those things going up, and it's not quite so clear with weight and, and type 2 diabetes.But there's one theory, which is that weight gain can be a symptom of type 2 diabetes. Another problem with that argument is that it really ignores just the natural body diversity that exists and occurs in the world. There are plenty, plenty of people in higher weight bodies who don't have diabetes and If it were true that higher weight causes type 2 diabetes, then all people in larger bodies would, would have type 2 diabetes, and that is...absolutely not true at all and the research shows thatLaura: And I guess the inverse is also true, right, that people who have a lower body weight, a lower BMI also get type 2 diabetes. And so it's, it's again, not looking at the, the correlation and drawing kind of the cause and effect conclusion, but also thinking about, okay, what other factors are going on that we're not seeing?And I think, to my mind, at least, it goes back to some of the things that I talked about before, some of the things that are, well, a lot of things that are outside of our control, like again, how we are treated in society, and how that, you know, that has been shown to like..even things like the Whitehall studies.Are you familiar with the Whitehall studies? Erin: No.Laura: So the Whitehall studies are kind of what I think Michael Marmot's work on the social determinants of health are based on, whereby they studied like civil servants who worked in Whitehall, which is like part of the government in the UK. And basically they stratified, I think it was mostly on men. Whitehall 1 was mostly done on men, because, of course, we need to know more about men, but this was, this was, these studies were done, done a while back and they have since added women. But effectively they stratified people by like their pay grade essentially, and they found that people who were in a lower pay grade, you know, they all worked in the same place. There was a lot of factors that were very similar about these men. But one of the key aspects was how much like autonomy they had in their job and what their income was. And they found that the people who hadl ess autonomy, so they were like a lower pay grade, basically, even though they had sort of overall similar working conditions, that the people in the lower pay grades had, I think, higher risk of cardiovascular disease compared to upper management and that kind of thing.And so it's a similar sort of effect here. And we also see it with like racism and anti-fat bias that there are all these structural things that contribute to our health in really, really complex ways. So I feel like that is a big part of what happens with type 2 diabetes that again, like kind of just seems to get overlooked by the keto bros.Hopefully some of that rambling made sense, but I'd like to maybe now think about...For anyone who has received this prediabetes diagnosis or a type 2 diabetes diagnosis, like, one of the first line pieces of advice that a GP or even a dietitian might give is around weight loss and around limiting carbohydrates in the diet.Where to start, really, Erin? Like, in terms of both of those. But basically, I would be interested to hear from you. Is that where you would start with someone? Or like, even putting it another way, are those helpful places to start? I mean, again, a leading question.Erin: The short answer is no, I do not find that to be a helpful place to start.You know, I'm really looking at this from the perspective of the population that I work with, who are people who have, who have restricted their eating many, many, many times throughout their life, or engaged in intentional weight loss many, many, many times in their life.Laura: Sorry, I just wanted to clarify as well for anyone who's like newer to the podcast that you say intentional weight loss and when you say that someone who has restricted their food for whatever, like, who has restricted their food, that doesn't necessarily mean someone who has an eating disorder, right? Like, like, what I'm trying to get at that people might not immediately realise is that that applies to people who have been chronic dieters, like people who have been dieting their whole life, right? That also kind of falls under that umbrella, right?Erin: Yeah, absolutely. And most people fall under that umbrella versus the, like, the full eating disorder umbrella. So yeah, it really applies to…most people who have been socialised as female, I would be so bold as to say that most, most people who have been socialised as female and many others have, have restricted their eating or dieted or gone on a lifestyle change, many, many times.And. So, because…I'm trying to think of how to say this without getting too into the weeds of, of, um, like clinical weeds…but because the body is hardwired against famine, what will happen if someone tries this again or says like, okay, I've been told to lose weight and restrict carbs or eat less carbs because I've had this diagnosis of prediabetes or type 2 diabetes, what will happen is things will look, quote, better for a little while. And so that's why, that's why the research shows like, oh, yeah, that's the thing that we need to do is because for 12 to 24 months, things are gonna get better. And when I say better, I mean, glucose levels will go lower.Laura: I was just gonna say because research in this area is generally done over like a fairly short term period where maybe If you're really, like, persistent, you can diet for that length of time, but yeah, so that's kind of, I guess what I'm trying to say is that over that shorter time frame, people, especially if they're given lots of support, like in a research study setting, might be able to continue with a restrictive diet for a bit longer, right? But then what happens?Erin: Yeah, but then the body…since the body's hardwired against famine, the body will start to engage in all of these compensatory mechanisms. Yeah. Basically like that, that carb restriction or yeah, any kind of caloric restriction, but especially carb restriction will kind of start the spring loading effect for the body to protect against that famine at all costs, which means that glucose levels will go up higher than they were before, and weight does the same thing, insulin level, same thing. So If we follow people longer than that 12 to 24 months, what we see is that these metabolic health markers are worse than they were at the beginning.Laura: Interesting. Yeah. So, I guess what, what you're saying is... And I see this in practice as well, is that people, yeah, in the shorter term, they might be able to restrict their eating, they may even lose a little bit of weight, or maybe even a lot of weight in some instances, and then in the short term, those biomarkers might seem as though they're improving.But then, because the body is, as you said, hardwired to, yeah, to protect itself, to move, like, protect itself against starvation, and the body can't really tell the difference between, you know, famine. And self imposed or medically imposed dieting and restriction, it eventually fights back against that in the form of like, it dials up cravings for these foods.It might also…like your metabolism, like all of that, those metabolic functions that we talked about right at the beginning, they start to slow down, which means that you start to maintain your weight or, or even put weight on. And what I see – and I'm, I'm curious if you see this as well – is that that degree of restriction that is often asked of people in these very low carb diets that sometimes get prescribed, certainly here in the UK on the NHS or that a lot that are sort of endorsed by a lot of diabetes organizations even, they cause people to fall into a binge restrict cycle. So rather than having kind of a more…moderate's not the right word, but like having a healthier relationship with food where you maybe are eating more regularly, but maybe in a way that feels more attuned to your body and also caring for yourself in all of these other ways that are really important. I don't want to just put that emphasis on food, but we're talking about food here. That what you end up happening is people restrict, restrict, restrict, but then they can't maintain that restriction forever. And so they end up in a blowout, right? Like where they're eating past the point of comfortable fullness, which can send their blood glucose levels sky fucking high, and I don't mean that in like a shaming way. I'm not blaming any individual person who has been caught in this cycle because it's not your fault. But just to illustrate like how kind of messed up that advice is that it can send people sort of, yeah, into this, this downward spiral of binge restrict, binge restrict.And I think what's kind of important to note here is that you could have someone who has what looks like on paper, perfect A1C, right? But they are binging and restricting, binging and restricting, and that the average blood glucose level over time looks like…you know, on paper, it looks great. But if you were to actually look at what was happening to that person and their relationship with food and how they were feeling, you might see a different picture.Erin: Mm hmm. Mm hmm. Yeah, that's a really good point. A really good point. And to add on to what you were saying about it not being someone's fault, that binge restrict cycle is, is a very predictable result of the exact recommendations that people are being given. People are being given these recommendations to restrict calories, restrict carbs, and that is…the most predictable outcome of that is weight gain, higher glucose, and that binge restrict cycle when we look at the long, in the long term.Laura: Yeah, and I think that there's, there's something kind of psychological that goes on here as well when we ask people to really focus on the minutiae of detail around carbohydrates, around what they're eating, that that in and of itself, like that mental restriction can create, like, what I call the fuck it effect, like, or, yeah, just even the threat of restriction and deprivation can kind of trip a switch for people who have had an experience or had a history of disordered eating or chronic dieting or, you know, even, even people who have just tried to maintain a quote, a healthy lifestyle or wellness lifestyle and it really lead to problems for them.So, Erin, for anyone who's listening to this, who is like, well, my doctor has told me to lose weight. My doctor has told me that I need to cut out carbs or my diabetes nurse or my dietitian. But you're telling me, and actually my lived experience is that that's not a great option for me. Where can people start? Like, or more specifically, like, where do you start with people who come to you with this exact?Erin: The first place I start is by repeating over and over that you did not cause your diabetes. This is absolutely not your fault. You did all the things right, quote, right. Like there's nothing that you could have done differently to make this different, to make this not happen. Because like you were saying, Laura, that's most of the, the biggest factors here are stress, trauma, marginalisation. Those, those are the biggest factors and you don't, those are things are completely out of – and genetics! I didn't, we haven't even mentioned…Laura: Yeah, there's the genetic thing too.Erin: So, I think that's really hard for people to believe because it's the opposite of what they've been told for so long. There's so much of like, if you don't blah blah blah, you're gonna get diabetes. And so I repeat that over and over, that you did not cause your diabetes, it's not your fault. And then the next thing that we talk about is actually eating enough. So making sure that you're nourishing your body enough. Mm hmm. There's a lot of, like, biochemical metabolic processes that we can talk about about the why behind that. But I think we've, we've talked a lot about that today so we can take our words for it. That eating enough is just really, really important.Laura: Yeah, I think there's something there about sort of, you know, if it's available to you, like doing some work maybe around figuring out what your hunger and fullness cues look like, feel like. Because, again, just purely anecdotally, I've noticed that people who are, you know, not so attuned to those signals might, you know, put off, not eat enough throughout the day, so that then it does leave them feeling a bit more vulnerable to bingeing or, you know, like eating in a way that that feels like out of control or chaotic.Not that eating has to be this like super controlled thing, but also just recognising how unsettling and disturbing it can feel, if it feels like you have no say in what's going on as well. So yeah, I love that that's kind of like your, your starting point is like, hold up, are you actually eating enough?Erin: Mm hmm. And I say this in, you know, in this blanket way, talking to you today, because way more often than not, I see that people are not eating enough. And people are shocked at like, wait, I eat that much?Laura: Yeah. And, and I just want to, like, underscore that point. Especially for my clients who are fat or in bigger bodies, plus size, whatever language you feel comfortable using there. When I've said to clients in bigger bodies before, like, I don't think you're eating enough. There is just like a…I don't know, like, just this complete disbelief because it's so counter to what they've always been told, which is like you're eating too much. So, yeah, I just wanted to like flag that as well that like this is not just a thin people thing. That's for everyone.Erin: Absolutely. Yeah. Thank you for highlighting that.Laura: Are there any other like, kind of like, I suppose what I'm thinking of is like low hanging fruit, like things that are like, maybe not easy for people, but like, that might feel more accessible. That's maybe the right word.Erin: Yeah. Yeah, yeah. I think it, you know, really, really depends on the person and their, their experiences with food and movement and the medical system and their body, but some other things that may or may not be low hanging fruit are finding a doctor or a, or a medical team that you really vibe with, or at least that you hate less, we can say, like that feels less terrible. Because one of the biggest, most helpful things you can do with any type of diabetes is monitoring. And when I say monitoring, that can be anything from, well, mostly that's just like checking in with your medical team like quarterly or a few times a year, depending on what's going on for you. And if, if you absolutely dread it, that's not going to happen, right? Like you're not going to be able to be monitored.So finding somewhere that is less terrible, or maybe even someone you vibe with is really important.Laura: Yeah. That's really good advice. And I'm just…I'm thinking about the pathways that we have here in the UK and as far as I know, and it will probably depend slightly on different NHS trusts, but as far as I know you get an annual diabetes review for type 2 diabetes and I'm just thinking like about that in relation to the point that you're making which is that, yeah, having that check in that support just…you know not necessarily like a full review but like just to, yeah, see how things are going and, and see like what you might need, like that might not be available to everyone, certainly in this country. And I'm sure it depends on things like insurance and stuff in other countries, but I guess what I'm learning is just how fucking atrocious a lot of medical…or like not atrocious, that's not what I mean. But like, how under-resourced a lot of medical systems are in terms of like giving people the things that would be most useful, which is again why we're like, here's a diet sheet off you go, and that's not helpful.Erin: Yeah. No. Yeah. Not helpful at all. Gosh, that's, that's so maddening. t's really easy for us here in the U. S. to be like, uh, everywhere else has it better with healthcare, but it's really grounding to hear that not everybody's figured it out.Laura: It's like, what, 13 years of a Tory government? So. It's not surprising that our healthcare system has been absolutely obliterated.And again, it will depend on the area that you're in as to how good that care is. And that's not a reflection on any, like, individual practitioner within that system. Like, we all know how hard they are working and how kind of up against it they are. But what I'm hearing you say, really, Erin, is that, like, the going in hard with, like, weight loss and restricting carbohydrates, that is probably counterproductive to the overall aim of, like, caring for yourself, and that there are some other things that we can, like, think about and incorporate that might…Okay, they're maybe not such a like, go hard or go home approach, but that maybe they're more sustainable. Maybe they're like, kinder and gentler. And I think that reminds me of something that I will say to people if they come to me and they're like, you know, my doctor has flagged this, I'm feeling really stressed is…this is not an emergency. Right, like this is your arm is not hanging off or whatever it is. We can take a beat. And if there's other stuff that you just need to like, get a handle on, like life stuff or whatever it is, like, maybe this isn't your top top priority right now. Like, what are some like, small things that we can do to help you feel like you're caring for yourself or are being cared for that don't sort of, are maybe not going like full throttle, like, you know, what the common narrative is that we should be like cutting out carbs and losing all of this weight. But what are maybe some like softer things that we can start with? Yeah. Oh, well, Erin, thank you so much. This has been really helpful. And I know that you have a ton of resources on your website, on your Instagram that people can dig into. And I'll link to all of that in, in the show notes. I also want to mention that a while back at LCIE, we produced a guide, a weight inclusive guide to insulin resistance, and it has some more information about things like medication, supplementation, and again, some of those like lower hanging fruit things that might be helpful if this is something you're navigating and it has, you know, information about what we talked about today, Erin, the lock and key thing and like the how ‘prediabetes' is a dubious diagnosis. So I'll also link to that for anyone who's interested in the show notes. Okay, Erin, before I let you go, At the end of every episode, my guest and I share what they've been snacking on. So it can be anything, you know, a show, a podcast, a literal snack, whatever it is. I'd love to hear what recommendation you have for the listeners.Erin: Can I share a couple? Laura: Of course! Yeah. Erin: Okay, cool. Well, I'm literally snacking on all things peanut butter, which I don't know if you guys like peanut butter, but I. Just had some peanut butter pretzels again recently and I was like, gosh… Laura: Whoa, whoa, whoa, whoa, are they the Trader Joe's ones? Erin: Yes. Laura: Okay. So last Christmas, my brother sent me like a huge ass box of stuff 'cause he lives in Oklahoma. From Trader Joe's. And it had those peanut butter pretzels in them and I hadn't had them before. And we don't have good snacks here. I'm just gonna say like the snack game in the States is just like…it's so much better than it is here, but I know those pretzels and they're so good. They're so good, yeah.We're gonna do a, like a snack box exchange again this year. So I sent him like, he loves chocolate, so I sent him like a ton of like Dairy Milk and like chocolates from... the UK and he sends me stuff from the US. So like, that's, that's fun. But I'm going to add them to the list because they are so good.Erin: They are so good. And you can, if you're in the States, you can also get them at Costco. Very similar ones.Laura: Okay.Erin: In bulk. Yeah. Big ol thing. So that's what I'm snacking on. My other thing is the podcast Normal Gossip.Laura: Oh yeah! I have heard a couple of episodes of that. And like, for anyone who hasn't heard it, can you explain the premise?Erin: Yeah, they get a story sent in from someone, like a true story, and then they share the story, like they're gossiping with a guest on, and they'll pause a lot in the story where they're like, okay, so this is what's going on, what would you do next? And so there's a little bit of like, choose your own adventure that I think is really fun.And then it's just so silly, but it's really nice to like, have some silliness.Laura: Oh, 100%. In the mess of everything. Do you have, like, a favourite episode that you would... Is there like a standout?Erin: Well, I just listened to one that was a live episode that I think it was like the plant story or something like that.And it was fun because they had a guest where they would ask them what they'd do. And then they'd have people raise their hands if they like absolutely disagreed in the audience. And then. So you just got a lot…there was even more choose your own adventure.Laura: There's like, yeah, more back and forth. Okay. Yeah. Like the plant story. I'm going to get you to send me the link and I will include it in the show notes because yeah, I am deep down a research rabbit hole at the moment looking at folic acid and folate and I'm like digesting all this biochemistry and I find that that happens a lot that I listen to a lot of like podcasts that are related to my work in some way and I forget the podcast can be fun.Erin: Uh huh!Laura: Yeah, I need to get back into that. All right, real quick, mine. So this is just like a fun, festive thing that I came across the other day, which I was looking for some new shoes and I came across gold sparkly converse high tops. Erin: Oh my God. Laura: And they are so cool. So I bought a pair. I don't know if I'm going to…they haven't arrived yet. I'm gonna try them on, but I feel like gold is a neutral, right? Like, it will go with everything.Erin: Oh, that's true. When I first heard you said neutral, I was like, are they? Is gold neutral? But it does go with anything.Laura: Yeah, so I'm gonna try them on, see what they're like, but I will, I will include a link in the show notes because, yeah, from the picture, I haven't seen them in real life yet, but from the picture, they don't look like they're too over the top and I feel like…if you know if like depending on what you're wearing like you probably get away with them at the playground, right?Erin: Totally. Totally. Laura: This is what I'm telling myself anyway. I kind of text them to all of my friends. I was like, what do you think of this? And there was like a lukewarm reception, but I think, I think I need new friends is really…with better taste is what, is kind of where I've come down on it! Maybe I'll put them on my Instagram stories and see what people think. Erin: There you go. Laura: All right, Erin. This was…uh, I was gonna say this was really fun, that little bit at the end was really fun. Like, all the bullshit around weight loss and low carb diets, not so fun, but I'm glad that we got to unpack, unpack that a little bit.For anyone who wants to dig into your work and your resources a little bit more, where can they find you and more about your work?Erin: My website is a good place. I have some free resources there and I try to update my blog with some kind of my push, my pushing back beliefs on kind of diabetes diet culture. And that is ErinPhillips.com. No, erinphillipsnutrition.com. Laura: Should we fact check your website?! Erin: I tried to buy erinphillips.com, but it wasn't available. So, erinphillipsnutrition.com. And then my Instagram, I think it's @ErinPhillipsNutrition.Laura: Okay, well we…just make sure you click on the link in the show notes because Erin's not a reliable resource on her own social media! So we'll make sure people get there in the end.All right, thank you so much, I really appreciate it Erin. Erin: Yeah, thank you, Laura. Thanks so much for having me.OUTRO:Laura: Thanks so much for listening to the Can I Have Another Snack? podcast. You can support the show by subscribing in your podcast player and leaving a rating and review. And if you want to support the show further and get full access to the Can I Have Another Snack? universe, you can become a paid subscriber.It's just £5 a month or £50 for the year. As well as getting tons of cool perks you help make this work sustainable and we couldn't do it without the support of paying subscribers. Head to laurathomas.substack.com to learn more and sign up today.  Can I Have Another Snack? is hosted by me, Laura Thomas. Our sound engineer is Lucy Dearlove. Fiona Bray formats and schedules all of our posts and makes sure that they're out on time every week. Our funky artwork is by Caitlin Preyser, and the music is by Jason Barkhouse. Thanks so much for listening. ICYMI this week: Gift Concierge + Mini Gift Guide* Fundamentals: Helping Kids build a Good Relationship with Sugar* Here's Why You Might Want to Pass On Getting Your Kid Weighed in School* The One-upMUMship of Kid Food Instagram This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit laurathomas.substack.com/subscribe

Swans make finals! Congratulations to the Swans who have made finals in their second season, having been winless in their first. Surely the most improved team in Season 10! They play Suns in the first week of finals, which is the first time these 2 teams meet this season! Giants went down to Port Adelaide as we say farewell to champion Erin Phillips. (Come on AFLW! Name that award after her!) Lozz and Fi cover Rising Stars and tip their hats to the tied leading goal kickers for Season 10: Eden Zanker and Kate Hore. Finally the wait is over and the winner of the Coathanger Tipping Comp is announced along with some familiar names sharing 3rd place.

Sarah Black, Gemma Bastiani and Lucy Watkin take a look at the most important games that will shape the final 8 in the final round of the home and away season. Melbourne and Brisbane will do battle in the Grand Final rematch, the Demons aiming for minor premiers, Brisbane to finish with a double chance. Erin Phillips has announced her retirement, her final game will be this weekend at Alberton. And, which coaches should be considered for the Coach of the Year in 2023? Subscribe to Credit to the Girls wherever you get your podcasts.See omnystudio.com/listener for privacy information.

The boys discussed the potential expansion of the VFL to a national competition, the SEN greyhound and horse, Joel Smith, who was driving the golf cart when Maxwell fell off, 'Bazball' in the dictionary, the AFLW not reaching their crowd target, recognition for Erin Phillips, and more! Learn more about your ad choices. Visit megaphone.fm/adchoices

Damian Barrett and Sarah Olle bring you all the latest footy news on AFL Daily. Subscribe to AFL Daily and never miss an episode. Rate and review wherever you listen to podcasts.See omnystudio.com/listener for privacy information.

On this episode, we're talking with Biblical fantasy author, Erin Phillips. Erin brings us fresh takes on the familiar Bible stories and dives deep into scriptural truth. If you're looking for a fast-paced intriguing read, be sure to give this spoiler-free episode a listen! Books Mentioned:  A Crown of Chains by Erin Phillips A Bond of Briars Connect with Erin: Website: ⁠⁠⁠⁠⁠⁠⁠⁠ https://erin-phillips.com/ Instagram: ⁠⁠⁠⁠⁠⁠⁠ https://instagram.com/erinphillipsauthor Let's connect! Instagram: ⁠⁠⁠⁠⁠http://instagram.com/faithandfables/⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠http://facebook.com/faithandfablespodcast⁠⁠⁠

This episode of Adventures in Jewish Studies explores the lives of Ashkenazi and Sephardic Jews who settled in what are now the states of Georgia, New York, Pennsylvania, Rhode Island, and South Carolina as far back as the late seventeenth century. These early settlers, who came escaping religious persecution and seeking trade opportunities, reflect how entwined Jews have been in shaping American history. Guest scholars Shari Rabin and Toni Pitock, along with host Erin Phillips, discuss what we know about these early Jewish settlers, why information is limited, and how researchers are working to learn more.

Sponsors: Find peace of mind about your prenatal nutrition with the Genate Test by SNP Therapeutics. Learn more at genate.com and Use code BIRTHHOUR15 for 15% off your order. The Birth Hour Links: Know Your Options Online Childbirth Course Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon!

This week, we talk with Erin Phillips, president of Power2Parent, an organization uniting parents who want to advocate for their children's education. Power2Parent is based in Nevada, but maintains chapters in many states. Erin tells us about recent challenges to parents rights in Nevada that her organization has faced, plus victories in Nevada and across the country. Support the show

Maya Wiley, president and CEO of The Leadership Conference on Civil and Human Rights, joins the show to discuss the March on Washington, the need for economic justice and voting rights, and the recent indictments of former President Donald Trump and his allies. Colin and lead producer Erin Phillips also talk about the wildfires in Maui with Center for American Progress Action Fund Senior Fellow Angelo Villagomez, as well as about the extreme policies discussed during the first Republican presidential debate.

In this episode,  I'm joined by Casey and Erin Phillips from the Bapticatholic Podcast to talk about their journeys out of their fervent Baptist roots into full communion with the Catholic Church.Strongly evangelical from the beginning of their journeys, Casey and Erin explain exactly what drew them to Catholicism – and it's an amazing story!From miraculous experiences of beauty to asking the tough questions to converting in spite of being in the incredible minority of Catholics in their area, this is a story of grace, of Christ calling His own back to Himself, and of exactly why a Baptist couple, on fire for their faith, would ever consider becoming something as crazy as Catholic. For more from Casey and Erin check out their podcast The BaptiCatholic Show everywhere podcasts are found.  You can also visit their website and find them on YouTube where you should subscribe to their channel immediately.Send your feedback to cordialcatholic@gmail.com. Sign up for our newsletter for my reflections on  episodes, behind-the-scenes content, and exclusive contests.To watch this and other episodes please visit (and subscribe to!) our YouTube channel.Please consider financially supporting this show! For more information visit the Patreon page.  All patrons receive access to exclusive content and if you can give $5/mo or more you'll also be entered into monthly draws for fantastic books hand-picked by me.If you'd like to give a one-time donation to The Cordial Catholic, you can visit the PayPal page.Thank you to those already supporting the show! This podcast is brought to you in a special way by our Patreon Co-Producers Gina, Eyram, Elli and Tom, Kelvin and Susan, Stephen, James, Jon, Jordan, Michelle, Nicole, Phil, and Susanne.Support the showFind and follow The Cordial Catholic on social media:Instagram: @cordialcatholicTwitter: @cordialcatholicYouTube: /thecordialcatholicFacebook: The Cordial CatholicTikTok: @cordialcatholic