Podcasts about Hyperglycemia

Yi-Chun Chen is taking a close-up look at some of the body's hardest-working cells — the ones often processing an overabundance of modern-day food and nutrients. “From an evolutionary point of view, our cells are not designed to deal with that,” said Dr. Chen, who joined the department of Anatomy, Physiology, and Pharmacology at the University of Saskatchewan last year as an assistant professor. She said our bodies are pushed into churning out large amounts of insulin rapidly after snacks and meals, “which makes the beta cells work extra hard.” Raised in Taiwan and inspired by her grandfather—a retired elementary school science teacher—Chen's fascination with biology first led her to work as a medical laboratory technologist, then to the world of cellular research. Using both rodent and human models, Chen is studying pancreatic beta cells: the way they process peptide hormones like insulin and how their behaviour and function is affected by an excess of nutrients. Using high-resolution imaging, she and her team are examining how both humans and mice synthesize, process, and clear peptide hormones. “There are a lot of things we still don't know about peptide hormones, not just in the pancreas, but in the brain, in the gut,” she said. “Those are fascinating.” Last year, Chen was the recipient of a Canadian Institutes of Health Research Early Career Transition Award. After moving from UBC to Saskatchewan, Dr. Chen said she's thankful to see so much support already from her established and mid-career prairie colleagues. “They can mentor us and guide us, and we also have a group of five or six young scientists,” she said. “I can envision myself working on many, many interesting projects with them.” Her goal today is to identify biomarkers that could predict diabetes far earlier. She hopes to develop biochemical assays that measure proinsulin levels to serve as an early warning system. This could enable interventions months or even years before a traditional diagnosis based on blood glucose levels. “We want to be able to predict the development of, for example, type 1 or type 2 diabetes before they are diagnosed,” said Chen. In the long term, Chen envisions both preventative strategies and regenerative therapies to fight diabetes. Stem cell-derived beta cells may be a future solution, she said. “We are making really good progress in Canada, actually. We have clinical trials. We're putting the stem cell–derived beta cells into patients with type 1 diabetes.” She hopes this will one day reduce the need for constant insulin injections, even helping curb  obesity. “Don't give up,” Chen said. “We are passionate and we want to work on many, many things.” “If you like it, keep going.”

Episode description: is a simple case of hyperglycemia hiding something sinister? Elena presents a rich teaching case on a common, but complex, chief complaint. Featuring: Valeria RoldanJasdeep BajwaElena StorzMukund Raguram SchemasDiabetes – CausesHypokalemia Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Howard W. Levitin, MD, FACEP, and Evan Springer, DO, about hyperglycemia management. Insulin supplies_resources (1) ED Glycemic Mngt v9 04_24_25 Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Today's sponsor is Freed AI! Freed's AI medical scribe listens, transcribes, and writes notes for you. Over 15,000 healthcare professionals use Freed and you should too! Learn more here! Prednisone is a commonly used medication for its antiinflammatory and immunosuppressive action. On this episode I discuss prednisone pharmacology, ADRs, and much more. In the episode, I discuss how prednisone affects the HPA system in the body. Cortisol production can be greatly impacted by long term use of prednisone. GI adverse effects can be problematic with oral prednisone which is why we often give this medication with food or milk. Hyperglycemia is a complication from the use of prednisone. I've commonly seen blood sugar spike by 50-100+ mg/dL due to this medication. Osteoporosis is a long term risk with the use of prednisone. Prednisone can also impact the benefits of vaccination. I discuss this in greater depth in the drug interactions portion of the podcast.

A YouTube video transcript from "Metabolism Made Easy" explains insulin's key actions within the liver. The video details how insulin promotes glucose storage and utilization by stimulating glycogen creation and glucose breakdown. Furthermore, the transcript highlights that insulin actively suppresses the liver's production and release of glucose through the inhibition of glycogen breakdown and new glucose synthesis. Essentially, the content describes insulin's role in lowering blood glucose levels by influencing crucial metabolic pathways in the liver. When insulin resistance develops, these effects of insulin on the liver's consumption and production of glucose may become impaired, thus resulting in hyperglycemia. In addition, insulin-mediated glucose uptake by GLUt-4 transporters in muscle and adipose tissue is likely to be decreased, thus contributing further to hyperglycemia.

We brought an expert in for this episode, Dr. Katie Lee, dentist and author of Saved by the Mouth, to tell us everything we need to know about the connection between oral health and diabetes. Dr. Lee breaks down how conditions like Type 1 diabetes can lead to issues like gum disease, dry mouth, and slower healing due to a heightened inflammatory response. We also explore how blood sugar fluctuations—both highs and lows—can affect your mouth, promoting plaque buildup and increasing the risk of infections. Beyond just oral health, Dr. Lee reveals the surprising gut-mouth-brain link, showing how inflammation in the mouth can impact brain function, and what you can do to level up your oral health. There aren't enough dentists making these critical connections, so EVERY person living with T1D needs to hear this episode!Quick Takeaways:Oral health has a bigger impact on our overall health, wellness, and longevity than most of us even know Why taking care of our teeth and mouth is so important for lowering inflammation in our bodyThe connection between diabetes & dental health  How blood sugar fluctuations—both highs and lows—can affect your mouth, promoting plaque buildup and increasing the risk of infectionsA dentist's take on current oral health trends: do's and don'tsTime Stamps: [00:00] The traumatic event that led Katie to her career path [09:13] The power of the mouth-body connection [15:20] Implications of gum inflammation and diabetes [17:14] A closer look at cavities [20:25] “Dentists are not making the connection.” [22:58] Hyperglycemia vs. hypoglycemia: How they impact your oral health [27:00] What to do when your blood sugar goes low after you brush your teeth (the million dollar question) [31:21] Reducing inflammation: 2 most important things to do[35:00] How often you should be seeing your dentist [39:43] Oral health trends: do's and dont's[46:47] Find out where to hear more from Dr. Lee Have you heard any of this information from your dentist before? If not, it's time to start making these crucial connections! Let us know what experts you'd love to hear from next, and be sure to share this episode with anyone who could benefit from this game-changing knowledge.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. Download the first chapter of Dr. Lee's book for free here: https://katieleedds.com/saved-by-the-mouth Dr. Lee's #1 recommendation to improve your dental health: Using salivary testing to discover inflammatory genes and bacteria--  https://portal.access-genetics.com/agenetics/login/RemoteOrder.do?orgOid=27626#nb-buttonFollow Dr. Lee on Instagram (@katieleedds) and Facebook 

Hyperglycemia in hospitalized patients is a common yet often underestimated challenge, affecting both known diabetics and those with stress-induced glucose elevation. Poor glycemic control can lead to increased complications, prolonged hospital stays, and worse outcomes. In this insightful episode of MedPOD AFMC, Maj Harikrishnan hosts Brig (Dr) J Muthukrishnan, SM, VSM, a distinguished professor of medicine and an endocrinologist of national repute, to explore the key aspects of inpatient hyperglycemia management.Topics discussed include:✅ The prevalence and significance of hyperglycemia in hospital settings✅ Ideal glucose targets and treatment approaches✅ Managing hyperglycemia in non-diabetics, surgical patients, and those on enteral or parenteral nutrition✅ Special considerations for steroid-induced hyperglycemia✅ Transitioning patients safely at dischargeJoin us as we delve into evidence-based strategies to optimize inpatient diabetes care. Tune in now!

Prednisolone is a corticosteroid that is often used in pediatrics. Hyperglycemia, insomnia, and GI upset are relatively common adverse effects. Ibuprofen is a commonly used OTC pain reliever. It is classified as an NSAID and can increase GI bleed risk and exacerbate heart failure. Aceon is the brand name for perindopril. ACE inhibitors are well known to cause drug induced cough and will cause hyperkalemia. Trazodone is classified as an antidepressant but is frequently used to treat insomnia because of its sedative properties. Pioglitazone is an oral anti-diabetes medication that should be avoided in patients with heart failure.

This episode of Kiwi Birth Tales is proudly brought to you by Your Birth Project, if you are pregnant you need YBP in your life!In this episode of Kiwi Birth Tales, I speak to Gennady (@gennadylacey). Some of the topics we cover:TTC for 2 years Pregnancy + Missed Miscarriage 12 week scan no heartbeatPregnancy LossAnxiety after pregnancy loss Pregnant again Bleeding in the first trimester Hypnobirthing and Antenatal classesRaspberry leaf teaColostrum Planning to birth in Dunedin, but lives in WanakaTracking contractions with appPoor care from Midwife in HospitalSent home from Hospital Birth on front door step at home without Midwife (unplanned homebirth)Umbilical cord rupture Emergency services arrive to take them to Hospital2.7kg at birth Low blood sugars NICU stay Your Birth Project Online Hypnobirthing CoursePlease seek support for any mental health concerns, some helpful links are below:Mental Health in PregnancyPerinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

Join endocrine experts Vin Tangpricha, MD, PhD, FACE, Editor-in-Chief of Endocrine Practice (EP) and Professor of Medicine at Emory University School of Medicine, and Rifka C. Schulman-Rosenbaum, MD, FACE, FACP, Director of Inpatient Diabetes at Long Island Jewish Medical Center, Professor of Medicine at the Donald and Barbara Zucker School of Medicine at Northwell Health, and Chair Elect for the AACE 2025 Annual Meeting, as they discuss Dr. Schulman-Rosenbaum's EP article, “Sodium-Glucose Cotransporter 2 Inhibitors Should Be Avoided for the Inpatient Management of Hyperglycemia.” Tune in as they explore the complexities of managing inpatient hyperglycemia, the risks of SGLT-2 inhibitors in hospitalized patients, and who might be good candidates for safer alternatives like DPP-4 inhibitors and insulin. Packed with valuable insights and practical strategies, this discussion is essential for optimizing hospital-based diabetes care. Read the full article in the April 2024 issue of EP here.

Send us a textBen and Daphna sit down with Dr. Rakesh Rao and Dr. Mary Revenis from the CHNC Endocrinology Focus Group to discuss their recent survey on managing hyperglycemia in extremely low birth weight (ELBW) infants. They explore the wide variation in practices, from defining hyperglycemia to insulin use and glucose reduction strategies. With perspectives from both neonatologists and endocrinologists, they highlight the challenges and next steps, including real-time glucose monitoring and upcoming projects on steroid use. Tune in for insights into this complex aspect of neonatal care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode of The Metabolic Classroom, Dr. Ben Bikman explores the metabolic implications of hyperglycemia, the condition of elevated blood glucose levels. He focuses on both the chronic effects, like those seen in diabetes, and the acute effects of glucose spikes, even from short-term dietary indulgences. Hyperglycemia, while often linked to insulin resistance and diabetes, also has a range of other negative consequences that can manifest even with occasional spikes.One of the key points Dr. Bikman discusses is the relationship between hyperglycemia and insulin. As glucose levels rise, insulin levels rise as well, which can lead to insulin resistance over time, forming a vicious cycle. He highlights studies showing that even a short-term increase in carbohydrate intake can significantly raise fasting insulin levels and triglycerides. These changes have direct consequences on metabolic health, including an increased risk for cardiovascular disease.Dr. Bikman also explains how hyperglycemia leads to oxidative stress, causing the overproduction of reactive oxygen species (ROS). This oxidative stress can damage proteins, lipids, and even DNA within cells. It also contributes to the formation of advanced glycation end products (AGEs), which are harmful compounds formed when glucose binds irreversibly to proteins, fats, or DNA. These AGEs are linked to various diseases such as retinopathy, kidney disease, and atherosclerosis.The lecture further explores how hyperglycemia damages the endothelium (the inner lining of blood vessels) and degrades the glycocalyx, a protective gel-like layer on the endothelium. This damage increases the risk of cardiovascular disease by making blood vessels more prone to atherosclerosis. Additionally, high blood glucose levels lead to the glycation and oxidation of LDL cholesterol, making it more dangerous and likely to contribute to plaque formation in arteries.Ben's favorite meal-replacement shake: https://gethlth.com (discount: BEN10)Ben's favorite electrolytes (and more): https://redmond.life (discount: BEN15)Ben's favorite allulose source: https://rxsugar.com (discount: BEN20)Ben's favorite health check-up for women: https://choosejoi.co/drben15 (discount: DRBEN15)Ben's favorite health check-up for men: https://blokes.co/drben15 (discount: DRBEN15)Ben's favorite exogenous ketone: https://www.americanketone.com (discount: Ben10)visit: https://www.insuliniq.comReferences:Due to character length constraints, references are not posted here. However, for a complete list, we respond quickly. Please email: support@insuliniq.com with your request, and be sure to mention which Metabolic Classroom episode you are referring to. Hosted on Acast. See acast.com/privacy for more information.

Meredith Mann, also known as The Peachie Spoon, is the author of two cookbooks and recently created her own line of protein powder. Meredith focuses on eating protein focused meals that are quick and easy to make. She is well known for her Instagram account, @thepeachiespoon, where she shares her famous nourishing and filling go-to meals. In today's episode our conversation was focused around getting enough high quality protein, natural fats, and complex carbohydrates through fiber-rich, whole foods.  WHAT WE DISCUSSED: [7:59]- How did Meredith's experience with hypoglycemia fuel her passion for protein-centric eating?  [15:25]- How to create a filling and nourishing meal.  [22:26]- Why did Meredith choose whey protein isolate as the base for her new protein powder?  [26:51]- What is in Meredith's loaded protein smoothie?  [31:54]- How does Meredith meal prep for her family?  [37:32]- What is included in Meredith's new cookbook, The Blood Sugar Balance Cookbook? [43:48]- Thoughts on monk fruit, stevia, and allulose.  [45:50]- Bread substitute recommendations.  [47:45]- Final thoughts from Meredith about her cookbook, protein powder, and Well Made Academy.  LINKS MENTIONED IN THIS EPISODE: L'Bri is offering October specials! Two products to pamper your feet and body, Rejuvenating Foot Cream and Intense Body Butter, are on sale this month only. Try before you buy by using this link to order free samples!  My new course, Cortisol Calm, is open for enrollment NOW through October 10, 2024! The same strategies I used to bring my cortisol back into normal range in just a few short months are exactly what will be discussed in this LIVE course! Enroll here! I am offering a live and free webinar, Cortisol Crisis! How Did We Get Here? tomorrow! Sign up here to find out exactly what causes adrenal imbalances and cortisol dysregulation. If you are unable to attend the live session, I still encourage you to sign up to receive a recording of the webinar sent to your email to watch at a time most convenient for you.  FOR MORE INFORMATION FROM MEREDITH MANN: Website: https://thepeachiespoon.com/   Instagram: @thepeachiespoon LET'S GET IN TOUCH:  Instagram: @shana.hussin.rdn Facebook: Fast To Heal With Shana Hussin Website: https://www.fasttoheal.info/ MY FREEBIES AND PROGRAMS: ENROLL in Low Insulin Academy ON-DEMAND HERE! My specialty course decoding everything about reversing metabolic illness!  If you want to work with me directly check out my coaching community! Find all my product recommendations and discount codes HERE. My FREE Starting Guides, a great place to learn more about the strategies I teach!  Register for my FREE webinar, You've Got Insulin Resistance and Blood Sugar Issues... NOW WHAT?!  Grab my metabolic testing guide!  Metabolic Makeover Starter Course teaches you how to transition from a sugar burner to a fat burner!  BE ON THE PODCAST by emailing support@fasttoheal.info and sharing your story of how Fast to Heal Services have changed your life!

Free book is here at https://www.memorizingpharm.com/books In this episode we return to turning the open educational nursing resource for nursing pharmacology into audio, we'll start with the 1st edition antimicrobials then move on to the new second edition with the next topic.  Summary Chapter 3.5 Penicillins  Chapter 3.5 of the Nursing Pharmacology guide focuses on penicillins, detailing their discovery, mechanism of action, indications, administration considerations, potential side effects, and patient education. Penicillins work by interfering with bacterial cell wall synthesis, and they treat infections like Streptococcal and Staphylococcal. Nurses should monitor for allergic reactions, superinfections, and drug interactions. Proper patient teaching includes medication adherence and monitoring symptoms. Multiple Choice Questions What is the primary mechanism of action for penicillins? a) Blocking protein synthesis b) Disrupting cell wall synthesis c) Inhibiting DNA replication d) Preventing RNA transcription Which condition is penicillin commonly used to treat? a) Hypertension b) Streptococcal infections c) Diabetes d) Migraine headaches What is a common side effect of high doses of penicillin? a) Hyperglycemia b) Coagulation abnormalities c) Increased heart rate d) Dry skin Why should patients avoid taking penicillin with citrus-based products? a) It increases absorption b) It reduces absorption c) It causes stomach pain d) It increases side effects What should a patient do if they develop diarrhea while taking penicillin? a) Stop taking the medication immediately b) Treat it with over-the-counter medicine c) Contact their healthcare provider d) Drink more fluids Answer Key b) Disrupting cell wall synthesis b) Streptococcal infections b) Coagulation abnormalities b) It reduces absorption c) Contact their healthcare provider ```

The episode highlights Jack's success in managing a tricky meal, and addresses challenges like coping with hypos in the summer heat. Mike and Jack discuss culinary adventures and practical tips, from adjusting Lantus dosage to staying hydrated. Mike is off work this week and he has been busy!! Find out in this episode! Also about a free access card to places like Merlin's Thorpe Park. Listener stories, including better time-in-range percentages and switching to insulin pumps, demonstrate the diabetes community's resilience. Upcoming plans, like a trip to Thorpe Park, show their proactive approach to managing diabetes. This episode emphasizes community support and valuable insights into the highs and lows of living with type 1 diabetes. 00:00 - Intro 01:13 - Chit chat 01:25 - Jack's Wins and Struggles 06:40 - Mike's Wins and Struggles 08:16 - Get a free access pass for Merlin 09:35 - Come see us in London 12:31 - Whats your average 14:32 - Did somebody say Just Food? 25:39 - Listener Wins Join the conversation and share your stories with the T1D community. Don't forget to rate, review, and subscribe to help others find the podcast. Follow The Podcast https://www.instagram.com/wearet1d Follow Mike https://www.instagram.com/t1d_mike Follow Jack https://www.instagram.com/t1d_jack Share your stories at https://wearet1d.com New episodes are released every Sunday & Wednesday PS. If you would like to be a guest on the podcast, please go to the website https://wearet1d.com/guest-booking and fill out the form.    

Mike and Jack kick off with some classic banter, including a surprise intro from Mike's son, Riley, who hilariously takes over his dad's hosting duties. The episode dives straight into their weekly wins and struggles. Jack shares his triumphant hospital appointment, where his dietitian praised his tight glucose control and even noted the podcast's global success in his medical records. Mike, on the other hand, celebrates no more early shifts at work, allowing him to live a more "normal" life with fewer hypos. They also discuss their food adventures, including Jack's homemade burgers and Mike's bacon sandwich feast on Father's Day. Jack even gets inspired to try a fried slice and egg for the first time since diagnosis. The lads share some laughs over their quirky eating habits, like Jack's love for sausages without the roll. The episode takes a deeper turn as they discuss the importance of sleep for diabetes management and Jack's struggle with insomnia. They also touch on the significance of maintaining a positive mindset and how it affects their diabetes control. Also spoke about is James Norton's CBeebies Story and Inside Out 2 mishaps lol. Listener engagement is at an all-time high, with shoutouts to Barnaby for making the Great Britain baseball team and Last of the Diabenders for managing hypo-induced anger. The lads read out more listener wins, including Melissa Lindstead's fearless pizza indulgence and Megan's love for the bonus episodes. As always, the episode is filled with laughs, relatable moments, and valuable insights into living with Type 1 Diabetes. Join the conversation and share your stories with the T1D community. Don't forget to rate, review, and subscribe to help others find the podcast. Follow The Podcast https://www.instagram.com/wearet1d Follow Mike https://www.instagram.com/t1d_mike Follow Jack https://www.instagram.com/t1d_jack Share your stories at https://wearet1d.com New episodes are released every Sunday & Wednesday   PS. If you would like to be a Guest on the podcast, please go to the website https://wearet1d.com and fill out the form.  

In this episode, we'll explore the delicate balance of utilizing steroids for treatment while navigating the potential side effect of hyperglycemia. Our conversation pivots on understanding the mechanisms behind steroid induced hyperglycemia, emphasizing the importance of early detection, and effective management strategies. Our goal is to equip you with valuable insights and practical tips that would contribute to improved quality of health care delivery. Listen now and be part of this vital conversation.

Show IntroductionWelcome to PICU Doc On Call, a podcast dedicated to current and aspiring intensivists.Hosted by Dr. Pradip Kamat and Dr. Rahul DamaniaCase PresentationA 14-year-old female with a history of depression and oppositional defiant disorder presents with dizziness, slurring speech, and is pale appearance.The mother noticed symptoms of dizziness, stumbling, and sleepiness.The patient had a prior suicide attempt.Vital signs: HR 50 bpm, BP 75/40, GCS 10.The initial workup reveals hyperglycemia, and she is stabilized and admitted to the PICU.Key Aspects of Ingestion Work-upHistory and physical exam are crucial.Stratify acute or chronic ingestions.Consider baseline medications and coingestants.Perform initial screening examination to identify immediate measures for stabilization.Diagnostic StudiesPulse oximetry, continuous cardiac monitoring, ECG, capillary glucose measurement.Serum acetaminophen, ASA levelsConsider extended toxicology screen.Differentiating CCB vs. Beta-Blocker OverdoseECG findings: PR interval prolongation and Bradydysrhythmia suggest CCB poisoning.Hyperglycemia in non-diabetic patients may indicate CCB overdoseApproach to CCB OverdoseInitial resuscitation and stabilizationABC approachConsult Poison Control CenterEmpiric use of glucagon, IV fluids, and vasopressorsConsideration of orogastric lavage and activated charcoalSpecific Medical TherapiesVasopressors: norepinephrine/epinephrine infusionAtropine for bradycardiaIV calcium salts to overcome cardiovascular effectsHigh-dose insulin and dextrose for myocardial functionInvestigational therapies: methylene blue, lipid emulsionProceduresTransvenous pacemaker placement if neededECMO in refractory...

Glycemic Control in the Critically Ill: Part I Special Guest: Traci Grucz, PharmD, BCCCP @tmgrucz   04:50 – ICU hyperglycemia mechanism 09:52 – Background/landmark research 27:00 – Current recommendations 30:25 – Hyperglycemia and hypoglycemia tips/tricks 46:30 – Treatment considerations 54:50 – Take-home points   Reference List: https://pharmacytodose.files.wordpress.com/2024/02/glycemic-control-in-the-icu-part-i-references.pdf   PharmacyToDose.Com @PharmacyToDose PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

  As we delve into understanding and managing this issue, we also highlight Gut, a powerful gut health supplement by MSW, designed to aid in balancing your microbiome and enhancing overall gut health.  https://www.mswnutrition.com/products/gut Show Notes: Understanding Candida: Candida's role in our microbiome: CDC Overview of Candidiasis Dietary Changes to Combat Candida: Impact of sugar on Candida growth: Study on Hyperglycemia and Candida Beneficial Supplements for Candida: Coconut oil's antifungal properties (caprylic acid and lauric acid): Caprylic Acid Study and Lauric Acid Study Apple cider vinegar's effects on Candida: ACV and Candida Study Turmeric's potential against Candida: Curcumin Study and Curcumin and Drug Resistance Gut Health and Candida: Link between Candida overgrowth and gut health issues: Functional Medicine Candida Overgrowth Protocol   Wrapping up our discussion on Candida overgrowth, remember the importance of gut health in this battle. Gut, our featured gut health supplement, is specially designed to support a healthy gut microbiome, a crucial ally in managing Candida. Explore how Gut can be part of your wellness toolkit. https://www.mswnutrition.com/products/gut

CME credits: 1.00 Valid until: 25-01-2025 Claim your CME credit at https://reachmd.com/programs/cme/managing-traes-and-minimizing-hyperglycemia/16569/ Elevate your clinical expertise in acromegaly by delving into the latest advances in diagnosis, treatment modalities, and patient-centered care to foster a deeper understanding of optimal management strategies. Join us to enhance your skills and contribute to improved outcomes for patients with acromegaly.

Dr Glenn McConell chats with Dr Nicola Guess from Oxford University, England and Professor Jonathan Little from the University of British Columbia, Canada. Nicola is a dietitian researcher with many years of expertise including the importance or otherwise of glucose “spikes” or excursions and the pros and cons of continuous glucose monitor use. Jonathan is an expert on exercise metabolism who is coming onto the podcast for the second time after speaking previously about keto diets and exercise. A major point is the difference between having chronically elevated blood glucose levels such as in diabetes (pathology) versus having normal increases in glucose ("spikes") in response to a meal. Also increases in glucose before and during very intense exercise is normal physiology and not a concern. There was also a clear message that the use of continuous glucose monitors (CGMs) have both pros and cons and that need to be considered. A very interesting chat. Twitter: @DrJonLittle0:00. Introduction and welcome3:20. What are glucose “spikes”/excursions4:45. Hyperglycemia in diabetes is very different to “spikes”6:20. Glucose spikes in type 2 diabetes7:19. Why is chronically elevated glucose a problem?12:20. Confusion about glucose levels 2hrs after a meal15:29. Underlying insulin resistance the problem not spikes19:08. Fasting glucose and insulin measures21:10. Meal tests and oral glucose tolerance tests24:55. Be careful not to make the underlying pathology worse26:15. Keto diets: T2D, weight loss, exercise32:10. Glucose even in diabetes is not as important as we think35:00. Are CGMs useful?38:30. Too much focus on glucose than more important things41:00. CGMs very important for people with T1D42:05. CGMs and anxiety43:25. CGMs and higher cholesterol44:00. Misunderstanding of pre-diabetes re CGMs46:00. Metabolic flexibility47:40. “Nervous normals”49:42. Is how loses weight important?53:41. What about CGMs in type 1 diabetes?54:15. CGMs, diabetes, diet, behaviour change and exercise57:40. Glucose metabolism during exercise59:55. Exercise and insulin sensitivity1:02:15. Effect of exercise on glucose spikes from a meal1:04:10. Intense exercise can increase blood glucose levels1:07:10. Normal to have elevated glucose after intense exercise1:09:50. Influencers misinterpreting data re glucose spikes etc1:12:10. Misunderstanding glucose cut offs1:13:10. Takeaway messages etc1:14:00. Weight loss diet strategies1:17:50. Amino acids and insulin secretion1:24:40. Should everyone use CGMs?1:26:30. Keep it simple re diet and exercise1:27:40. OutroInside Exercise brings to you the who's who of research in exercise metabolism, exercise physiology and exercise's effects on health. With scientific rigor, these researchers discuss popular exercise topics while providing practical strategies for all.The interviewer, Emeritus Professor Glenn McConell, has an international research profile following 30 years of Exercise Metabolism research experience while at The University of Melbourne, Ball State University, Monash University, the University of Copenhagen and Victoria University.He has published over 120 peer reviewed journal articles and recently edited an Exercise Metabolism eBook written by world experts on 17 different topics (https://link.springer.com/book/10.1007/978-3-030-94305-9).Connect with Inside Exercise and Glenn McConell at:Twitter: @Inside_exercise and @GlennMcConell1Instagram: insideexerciseFacebook: Glenn McConellLinkedIn: Glenn McConell https://www.linkedin.com/in/glenn-mcconell-83475460ResearchGate: Glenn McConellEmail: glenn.mcconell@gmail.comSubscribe to Inside exercise:Spotify: shorturl.at/tyGHLApple Podcasts: shorturl.at/oFQRUYouTube: https://www.youtube.com/@insideexerciseAnchor: https://anchor.fm/insideexerciseGoogle Podcasts: shorturl.at/bfhHIAnchor: https://anchor.fm/insideexercisePodcast Addict: https://podcastaddict.com/podcast/4025218Not medical advice

Today, I am blessed to have Dani Hamilton here with me for the second time. Dani Hamilton is a functional nutritional therapy practitioner and restorative wellness practitioner who specializes in blood sugar regulation and digestion. She became interested in blood sugar issues when she learned that insulin resistance was at the root of her PCOS. Her mission has been to help others uncover their blood sugar and insulin issues to improve their health and reject the feeling that your body hates you. From immediate symptoms to long-term health consequences, Dani breaks down the intricate relationship between blood sugar levels and our body's delicate equilibrium. Discover the feedback systems at play, the role of insulin in the balancing act, and the significance of prioritizing protein consumption for satiety and tissue repair. Dive into the world of continuous glucose monitors, exploring how individual responses to various factors necessitate a personalized approach to blood sugar management. As a bonus, Dani introduces her comprehensive mini-course, providing essential insights and tools for mastering blood sugar. Don't miss the chance to elevate your understanding of blood sugar health and take control of your well-being. Download your FREE seed oil allergy card here: http://www.seedoilcard.com  Join Ben Azadi's 90 day heavy metal detox program (12 spots available): https://ketokamp.clickfunnels.com/order-page-a  / / E P I S O D E   S P ON S O R S  Wild Pastures: $20 OFF per Box for Life + Free Shipping for Life + $15 OFF your 1st Box! https://wildpastures.com/promos/save-20-for-life-lf?oid=6&affid=132&source_id=podcast&sub1=ad BonCharge: Blue light Blocking Glasses, Red Light Therapy, Sauna Blankets & More. Visit https://boncharge.com/pages/ketokamp and use the coupon code KETOKAMP for 15% off your order.  Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. *Some Links Are Affiliates* [07:45] The Impact of Blood Sugar: From Immediate Symptoms to Long-Term Health Consequences -       Blood sugar levels have both short-term and long-term effects on our health. -       Immediate symptoms can result from blood sugar spikes, leading to crashes due to insulin overshooting. -       Long-term impacts can affect various aspects of health, including the brain, eyes, teeth, stomach, pancreas, liver, gut, fertility, and more. -       Symptoms of blood sugar issues include lightheadedness, shakiness, difficulty concentrating, brain fog, anxiety, irritability, hunger signals, heart palpitations, nausea, headaches, sweating, and fatigue. [17:30] Feedback Systems, Prolonged Insulin Levels, and the Balancing Act of Blood Sugar Regulation -       The body has feedback systems to stabilize blood sugar, such as the release of stored sugar (glycogen) from the liver and the ability to burn body fat for energy. -       High insulin levels, which may persist longer than elevated blood sugar, can go undetected for an extended period. -       Elevated insulin levels over time can lead to a buildup in the blood. -       High insulin levels interfere with the body's ability to utilize stored sugar from the liver, preventing it from entering the system for energy use. -       The continuous presence of insulin signals the body to store fat instead of burning it. [23:30] Protein First: A Blueprint for Satiety, Tissue Repair, and Blood Sugar Stability -       Eating protein first is recommended as it helps the body reach its protein threshold, crucial for rebuilding tissues with amino acids. -       Prioritizing protein ensures that the body receives the necessary amount of this essential macronutrient. -       When protein is consumed first, it naturally regulates appetite, making it easier to recognize satiety. -       By reaching the protein threshold, the body signals fullness, preventing overconsumption of other items on the plate. -       Protein is the most satiating macronutrient and contributes to stabilizing blood sugar levels. [33:10] Navigating Individual Responses with Continuous Glucose Monitors and Personalization -       Continuous glucose monitors are valuable tools, but individual responses to various factors must be considered. -       Personal factors such as sleep quality, exercise intensity, hormonal fluctuations, stress levels, and mineral balance can significantly impact blood sugar responses. -       The key is recognizing the need for personalization and understanding that what works for one person may not work the same way for another. -       General starting points for blood sugar management are helpful, but there is a need for more granularity and personalization. [38:50] Blood Sugar Spikes and the Silent Impact -       Some individuals may experience blood sugar spikes without feeling noticeable symptoms. -       The absence of symptoms doesn't necessarily indicate a lack of impact, and CGM helps reveal these invisible fluctuations, emphasizing the importance of monitoring beyond subjective feelings. -       Blood sugar responses vary among individuals due to factors such as sleep quality, exercise intensity, hormonal fluctuations, stress levels, and mineral balance. -       The key to effective blood sugar management lies in recognizing the need for personalization, understanding individual responses, and avoiding one-size-fits-all approaches. [57:50] Mastering Blood Sugar: A Mini-Course by Dani Hamilton for Comprehensive Management Strategies -       Dani is offering ​​a comprehensive program presented as a mini-course. It covers essential aspects of blood sugar management. -       The program delves into critical tests to request from healthcare providers, including A1c and fasting insulin. -       Also, the course explores holistic and functional approaches to interpreting test results, emphasizing the importance of considering ranges beyond mainstream medical standards. Understanding these ranges is crucial for a more nuanced view of blood sugar health. -       Get the mini-course! (use code: ketokamp): https://www.daniellehamiltonhealth.com/offers/6xnXHTas/checkout AND MUCH MORE! Resources from this episode: ●      Website: https://www.daniellehamiltonhealth.com ●      Unlock the Sugar Shackles Podcast: https://www.daniellehamiltonhealth.com/podcast ●      Mini-Course (use code: ketokamp): https://www.daniellehamiltonhealth.com/offers/6xnXHTas/checkout ●      Danielle Hamilton | Fix Your Gut, Regulate Your Blood Sugar & Allow Your Body to Heal KKP: 283: https://ketokamp.libsyn.com/danielle-hamilton-fix-your-gut-regulate-your-blood-sugar-allow-your-body-to-heal-kkp-283 ●      Why we should intentionally flex in & out of Ketosis with Ben Azadi: https://www.youtube.com/watch?v=E5ix_I-J2UY&list=PLaGTgnoiwzQbNXXusDu0pT8KbgbnWzgmq&index=32 ●      Follow Dani ●      Instagram: https://www.instagram.com/daniellehamiltonhealth/ ●      Facebook: https://www.facebook.com/https://facebook.com/daniellehamiltonhealth ●      X: https://twitter.com/danihamiltonntp   Download your FREE seed oil allergy card here: http://www.seedoilcard.com  Join Ben Azadi's 90 day heavy metal detox program (12 spots available): https://ketokamp.clickfunnels.com/order-page-a  / / E P I S O D E   S P ON S O R S  Wild Pastures: $20 OFF per Box for Life + Free Shipping for Life + $15 OFF your 1st Box! https://wildpastures.com/promos/save-20-for-life-lf?oid=6&affid=132&source_id=podcast&sub1=ad BonCharge: Blue light Blocking Glasses, Red Light Therapy, Sauna Blankets & More. Visit https://boncharge.com/pages/ketokamp and use the coupon code KETOKAMP for 15% off your order.  Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. Some Links Are Affiliates // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

I recently received a message from one of my followers expressing frustration over an increase in her fasting insulin levels, when her HbA1C and fasting blood glucose levels have come down into healthy ranges. This can be so frustrating! In this episode I discuss why this may be and shared the timeline of reversing insulin resistance. Normalizing fasting insulin requires time, strategic lifestyle change, and patience. [1:25]- If you missed a deal from my 12 Days of Christmas offer and are still hoping to access it at a discounted rate, I will unlock all of the offers tomorrow, December 13th for 24 hours! Make sure you receive my emails to gain access to all these amazing offers!  [5:47]- What are the optimal ranges for fasting insulin, HbA1C, and fasting blood glucose levels?  [17:26]- What happens to cells that are no longer insulin sensitive? [19:38]- What is the timeline of reversing insulin resistance?  [21:12]- How can HbA1C give insight into possible blood sugar roller coasters?  Special thanks to Theia Health for sponsoring this episode. CGM's provide incredible information for understanding your blood sugar levels- find out if using a CGM is for you! FOLLOW ME ON: Instagram: @shana.hussin.rdn Facebook: Fast To Heal With Shana Hussin Website: https://www.fasttoheal.info/ ADDITIONAL LINKS: ENROLL in LIA ON-DEMAND HERE! FREE Starting Guides 10-Day Low-Insulin Jumpstart  Metabolic Makeover Starter Course Low Insulin Academy On-Demand Course Low Insulin Academy Live WAITLIST BE ON THE PODCAST by emailing support@fasttoheal.info and sharing your story of how Fast to Heal Services have changed your life!  

In this episode of Hart2Heart with host Dr. Mike Hart. Dr. Hart discusses how to optimize your immune system to avoid getting sick. He also gives his best remedies for getting over common cold symptoms faster, including sore throat, cough, congestion, ear pain, and more! Show Notes: [0:00] Welcome back to the Hart2Heart Podcast with Dr. Mike Hart. Today is a solo episode where Dr. Hart discusses how to optimize your immune system.    [0:45] Basics of general immunity [1:10] Benefits of vitamin D [3:15] Value in sleeping 7-8 hours  [4:00] Avoid ultra-processed foods [6:00] Role of Zinc in Immunity [7:00] Benefits of exercise in immunity [8:00] Vitamin C's Effectiveness [9:00] Quercetin and what it does [11:00] Sore throat remedies  [12:50] Bee Propolis Throat Spray [14:45] Mike's “ABBC” method for relieving sore throat symptoms [15:30] Cough remedies   [18:00] Umckaloabo [22:00] Nasal Decongestants [24:15] Spirulina for Allergic Rhinitis and congestion  [28:30] Ear pain remedies   [32:45] Wrap up and summary of takeaways  --- Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap which exists in the medical community.  Connect on social with Dr. Mike Hart: Social Links: Instagram: @drmikehart Twitter: @drmikehart Facebook: @drmikehart

Wendy presents with a recent diagnosis of Addison's disease and has. been referred to physical therapy. During exercise, the therapist should expectant of which of the following symptoms? A. Hypertension and tachycardia B. Hyperglycemia and diaphoresis C. Hypotension and fatigue D. Hypoglycemia and hyperreflexia LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Podcast summary of articles from the September 2023 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include EMS cardiac rhythms, vasopressors, naloxone, hyperglycemia, DKA protocols, and spider bites.  Guest speaker is Dr. James O'Hora.

Download for FREE today -  special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down:  bit.ly/nursing-memory   Outline Hyper Dry & Hot = Sugar High Hypo  Cold & Clammy = Needs Candy Description During hyperglycemia, a patient is dehydrated with elevated blood sugars. You can also remember “High and Dry”   During hypoglycemia , patient is cold and clammy and they need carb source to bring their sugar back up 

Podcast summary of articles from the July 2023 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include pediatric missed diagnoses, resistant urinary tract infections, syncope, tidal volume calculations, difficult IV access, and hyperglycemia.  Guest speaker is Dr. James O'Hora.

Get your FREE BOX OF LMNT hydration support for the perfect electrolyte balance for your fasting lifestyle with your first purchase here!   FREE RESOURCE - DOWNLOAD THE NEW  BLUEPRINT TO FASTING FOR FAT LOSS! Learn how to RAMP UP into longer fasting windows! Gain insights into the non-weight loss benefits of fasting! Personalize your own fasting schedule and consistent FAT LOSS results! Get answers to what breaks a fast, how to break a fast, and tips and tricks to accelerate your fasting wins!   THE BLUEPRINT TO FASTING FOR FAT LOSS DOWNLOAD   In today's episode, Dr. Scott and Tommy discuss why fasting is a sustainable and viable approach to improve your health dramatically, the optimal time for physical activity around food intake, physical activities and exercise in relationship to diabetes, fasting and exercise recommendation and so much more.   Show Transcript: www.thefastingforlife.com/blog   Nutrisense CGM LINK to Discount  [target url = https://bit.ly/44H6IQc] - Get $30 off and one-month free dietician support with the PROMO CODE “FASTINGFORLIFE” www.nutrisense.io/fastingforlife [target url = https://bit.ly/44H6IQc] Get 30% off a Keto-Mojo blood glucose and ketone monitor (discount shown at checkout)! Click here!   Let's continue the conversation. Click the link below to JOIN the Fasting For Life Community, a group of like-minded, new, and experienced fasters! The first two rules of fasting need not apply!   Fasting For Life Community - Join HERE   New to the podcast and wondering where to start? Head to the website and download our  Fast Start Guide, 6 simple steps to put One Meal a Day Fasting (OMAD) into practice!   Get our NEW sleep guide here! SLEEP GUIDE DIRECT DOWNLOAD   If you enjoy the podcast, would you please tap on the stars below and consider leaving a short review on Apple Podcasts/iTunes? It takes less than 60 seconds, and it helps bring you the best original content each week. We also enjoy reading them Article Links https://pubmed.ncbi.nlm.nih.gov/27926890/ https://pubmed.ncbi.nlm.nih.gov/22780564/ https://pubmed.ncbi.nlm.nih.gov/15505129/ https://www.medicalnewstoday.com/articles/317536#blood-sugar-charts  

Read our recent blog, Three Heads Are Better Than One: The Effect of New CMS Measures on Nurses, Dietitians, and Certified Diabetes Care and Education SpecialistsWant to learn more about Glytec's eGlycemic Management System®? Get additional resources for diabetes care and education specialists here.See the next evolution of GlucoMetrics® in action and check out our latest enhancements.Visit the Glytec at Booth #1915 at ADCES23 to meet the team and get your questions answered.

In this week's episode Mike and Jack talk about the Abbots Freestyle Libre 2 Update on both android and iphone! (sorry apple users - you have to wait). Mike finally got his sugars right after dinner, but he struggles with always falling asleep if his sugars are high.  Jack has taken back control of his type 1 diabetes but is struggling to feel motivated.  Mike's wife Amber also comes on this podcast to talk about dinner and flying ants! (we found out later that we recorded on national flying ant day in the UK HAHA!).  This episode has the usual jokes and jiggles, including Jack's official title as Mr. Ketchup. Other things covered are Jack's Discovery, Listener Wins, Time In Range, Can you guess the carbs game (which you can win an Amazon Voucher in) and more.

In this Journal Club episode, The Metabolic Link Hosts Dr. Dominic D'Agostino, Dr. Angela Poff, and Victoria Field review recent research uncovering the potential impact of high blood glucose on stroke outcomes and the positive influence of exercise on Alzheimer's disease.An ischemic stroke happens when a blood vessel in the brain is occluded. This prevents oxygen and nutrients from reaching a region of the brain, ultimately causing some of that tissue to die. A hemorrhagic stroke occurs when a blood vessel bursts and causes bleeding into the brain, and is a less common but often more dangerous type of stroke. Hyperglycemia following an acute ischemic stroke is known as a predictor of poor clinical outcomes. In the first research paper discussed, researchers set out to explore whether this also holds true for intracerebral hemorrhage.The group also dives into a fascinating paper investigating the potential functional benefits of aerobic exercise in early Alzheimer's disease. Researchers investigated memory performance, executive function, and functional ability in association with exercise-related gains in cardiorespiratory fitness.Please find all research references below:Aerobic exercise for Alzheimer's disease: A randomized controlled pilot trialHigher fasting blood glucose was associated with worse in-hospital clinical outcomes in patients with primary intracerebral hemorrhage: From a large-scale nationwide longitudinal registryIn every episode of The Metabolic Link, we'll uncover the very latest research on metabolic health and therapy. If you like this episode, please share it, subscribe, follow, and leave us a comment or review on whichever platform you use to tune in!You can find us on all your major podcast players here and full episodes are also up on our Metabolic Health Summit YouTube channel, Apple, Google, Spotify, Amazon Music, and Buzzsprout.Thanks for listening! Follow us on social media @metabolichealthsummit for the latest science on metabolic health and therapy. Please keep in mind: The Metabolic Link does not provide medical or health advice, but rather general information that does not serve as a substitute for a licensed healthcare professional. Never delay in seeking medical advice from an appropriately licensed medical provider for any health condition that you may have.

In this episode, Marta Boffito, MD, PhD, FRCP, and Michelle Cespedes, MD, MS, discuss initial ART options, including:Recommended first-line ART options for most PWH according to DHHS, IAS-USA, EACS, BHIVA, and WHO guidelines Data for weight gain after ART initiation with different ARV classes and drugsWeight gain disparities by race and gender after ART initiationData from the RESPOND study including risk factors for weight gain and CV event risk with INSTI vs non-INSTI–based ART The impact of INSTIs on CV events in the Swiss HIV Cohort study Recommendations for ART and contraception for PWH of childbearing potential Drug–drug interactions between first-line ART and contraceptive options Guideline-recommended first-line ART options in pregnancy with a discussion of how these regimens differ from those recommended for most PWH Marta Boffito, MD, PhD, FRCP Consultant Physician Clinical Director, HIV, Sexual and Gender Health, Dermatology Chelsea and Westminster Hospital NHS Foundation Trust Imperial College London London, United Kingdom Michelle Cespedes, MD, MS Professor of Medicine Division of Infectious Disease Department of Medicine Icahn School of Medicine at Mount Sinai New York, New York Link to full program: bit.ly/3HPu4Lk

In this bonus Q&A episode Buck Joffrey dives a little deaper into one of the key Episode 2 topics - blood glucose and how it affects your body with Sapio Executive Producer Ben Hyatt. Shownotes: 0:01:36 Understanding Glucose and Insulin Interaction 0:06:19 Food Combinations and Blood Sugar 0:10:56 Understanding Diabetes and Glycation 0:16:13 Diabetes and Testing

This week, Dr. Michael Paddock answers some common insulin and diabetes management questions we have all had. Don't miss out! Follow HERE!Support the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

In this episode, Patrick W. G. Mallon, MB, BCh, PhD, FRACP, FRCPI, discusses new data on COVID-19 presented at ECCMID 2023, including:Treatment in special populationsREDPINE: remdesivir in people with renal impairment hospitalized for COVID-19 pneumoniaRemdesivir and readmission for COVID-19 in immunocompromised patientsMolnupiravir vs nirmatrelvir plus ritonavir for COVID-19 with hematologic malignancyManagement of patients with severe diseaseRECOVERY: higher-dose vs standard-dose corticosteroids for hospitalized patients with COVID-19Real-world study of tocilizumab vs baricitinib for severe COVID-19Novel antiviralsEnsitrelvirBemnifosbuvir Novel vaccinesNB2155AZD2816/AZD1222qNIV/CoV2373GRT-R910NVX-CoV2373 in people with HIVFaculty:  Patrick W. G. Mallon, MB, BCh, PhD, FRACP, FRCPIProfessor of Microbial DiseasesCentre for Experimental Pathogen Host ResearchUniversity College DublinDublin, IrelandContent based on an online CME/CE program supported by independent educational grants from Gilead Sciences, Inc. and Novavax.  Link to full program: bit.ly/3niXGJ6Link to downloadable slides: bit.ly/3LUFejG

Listen to this live podcast from the 2023 Oncology Nursing Society (ONS) Congress with Janie Metsker, RN!

Overview Glucose Normal Value Range Pathophysiology Special considerations Hyperglycemia Hypoglycemia Nursing Points General Normal value 70-115 mg/dL Pathophysiology Consumed via diet Carbohydrates Glycolysis Creates net positive energy sources Insulin Produced in pancreas Required to force glucose into cell Deficiency in insulin causes high glucose in blood Increase in insulin resistance causes high glucose in blood Special considerations Lab Green or gray tube Bedside CBG (Capillary blood glucose) Use glucometer Use gauze and alcohol Hyperglycemia (high levels of glucose) Diabetes Absent or inefficient insulin Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS) Stress Increases cortisol production Pancreatitis Disrupts insulin production Renal failure Cushing's syndrome Steroid use Increases insulin resistance Hypoglycemia (low levels of glucose) Insulinoma Hypothyroidism Hypopituitarism Addison's Disease Insulin overdose Malnutrition Nursing Concepts Lab Values Glucose Metabolism

Episode 135: Exercise in Diabetes    Kishan and Princess explain how exercise lowers or raises blood glucose levels in diabetes. Dr. Arreaza adds some comments about insulin resistance.  Written by Kishan Ghadiya, MSIV, Ross University School of Medicine. Comments by Princess Enuka, MSIV, Ross University School of Medicine; and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Today is April 7, 2023. Ep. 135.Intro:It is widely known exercise is paramount for all individuals. The American Heart Association recommends at least 150 minutes of moderate-intensity exercise weekly for general health. Exercise is particularly important in patients with diabetes, who require extensive lifestyle modification to manage their sugar levels. However, it is not well known how glucose metabolism changes when patients with diabetes exercise.My patient in the clinic.I recently saw in the clinic a young patient newly diagnosed with type 2 diabetes who asked about how his exercise was helping his sugar levels. He was confused because he heard that exercising allows for better glucose control but complained that his sugar levels were higher after exercising.To understand what is going on in this patient, it is important to understand the underlying pathophysiology of diabetes. First off, the two most common types of diabetes are type 1 and type 2. Type 1 occurs when the pancreas stops producing insulin altogether. Type 2 occurs when the insulin secreted by the pancreas is no longer effective in normalizing blood sugar levels; the body is not able to utilize glucose efficiently, the number of calories consumed exceeds the body's demands, and thus increasing body weight, which leads to insulin resistance and eventually pancreatic beta-cell exhaustion. Diabetes is thus a disease state of prolonged hyperglycemia and confers many long-term complications such as accelerated cardiovascular disease, neuropathy, nephropathy, and retinopathy.How does exercise lower blood glucose? Once patients are diagnosed with diabetes, management is lifelong, and it takes considerable mental and physical effort to manage this change in health. Exercise is a key metric in diabetic management because lowering blood sugar is as simple as using excess glucose to create energy in our muscles. There are two main mechanisms in how exercise has a positive effect on diabetes. The first mechanism is that exercise directly increases insulin sensitivity by enhancing the muscles' ability to effectively respond to insulin, thus allowing for better use of insulin on board (IOB). This benefit is not only seen during exercise itself but also up to 24 hours after exercise is complete. This means many patients with controlled diabetes can see a euglycemic effect up to 1 day after exercise.The second mechanism is that increased glucose uptake into muscle does not require insulin secretion. In other words, active muscle use during exercise allows for glucose uptake even without the use of any insulin and is very effective in lowering blood sugar levels. Muscles have a higher metabolic rate than fat tissue. It means that even without exercising, a person with a higher muscle mass has a higher basal metabolic rate.What type of exercise would be the most effective in controlling blood sugar? The data is very clear that there is no relationship between exercise technique and glucose level, but there is a relationship between exercise intensity and glucose levels. In other words, patients wanting better blood sugar outcomes may choose whatever exercise regimen as long as they are able to do high-intensity exercise (i.e., resistance training, strength training, High-intensity interval training, HIIT).Anaerobic vs. aerobicBlood sugar levels during exercise will be different based on the types of exercise patients choose. For example, high-intensity anaerobic exercise (such as weightlifting) causes large spikes of blood sugar because the liver creates large amounts of glucose for anaerobic glycolysis. On the other hand, high-intensity aerobic exercise (such as running) confers lower blood glucose. Keep in mind both types of exercise confer excellent long-term patient outcomes, but the disparity in blood sugar is important to note as it can lead to confusion in patients that are very actively monitoring their sugar levels.Hyperglycemia after anaerobic exercise.So, returning to my patient mentioned above, further history revealed that he does weightlifting two or three times a week. Hyperglycemia would therefore be expected during and immediately after anaerobic exercise due to large amounts of glycolysis requiring the liver to create sugar. This patient's increased blood sugar seen after exercising would not be a cause for concern as this is part of normal human body physiology.___________________________________Conclusion:  Now we conclude episode number 135, “Exercise in Diabetes.” Kishan explained that exercise improves insulin sensitivity and promotes muscle growth for improved glucose metabolism. Princess explained that anaerobic exercise may cause a transient rise in glucose while aerobic exercise causes glucose control over a longer period. Dr. Arreaza explained that insulin sensitivity is lost when we give frequent “high shots of sugar” to our body.This week we thank Hector Arreaza, Kishan Ghadiya, and Princess Enuka. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Kirwan JP, Sacks J, Nieuwoudt S. The essential role of exercise in the management of type 2 diabetes. Cleve Clin J Med. 2017 Jul;84(7 Suppl 1):S15-S21. doi: 10.3949/ccjm.84.s1.03. PMID: 28708479; PMCID: PMC5846677. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846677/Riddell M, Perkins BA. Exercise and glucose metabolism in persons with diabetes mellitus: perspectives on the role for continuous glucose monitoring. J Diabetes Sci Technol. 2009 Jul 1;3(4):914-23. doi: 10.1177/193229680900300439. PMID: 20144341; PMCID: PMC2769951. https://pubmed.ncbi.nlm.nih.gov/20144341/Zahalka SJ, Abushamat LA, Scalzo RL, et al. The Role of Exercise in Diabetes. [Updated 2023 Jan 6]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from  https://www.ncbi.nlm.nih.gov/books/NBK549946/Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

In this episode of Hey Coach Radio, your host William Grazione visits with Andrew Koutnik, Ph.D. Type-1 Diabetic and Research Scientist. The two go over Andrew's personal story about learning he has diabetes and how he's lived with it and turned his disease into his passion for helping others live with it the best they can. This is Part One of a two-part episode.

Let's discuss how how different macronutrients and blood sugar issues can regulate aging and the induction of cellular senescence. We also discuss how various dietary interventions can achieve prevention of disease and extension of lifespan by modulating senescence. Sponsored Message: Support your Intermittent Fasting lifestyle with the updated Berberine HCl Fasting Accelerator by MYOXCIENCE: Use code podcast to save 12% Link to Articles & Images: https://bit.ly/42kjEen Show Notes: 00:25 Cellular senescence accelerates biologic ageing. 02:00 Senescent cells are enlarged, have dysfunctional mitochondria, and release pro-inflammatory signaling molecules. 02:30 Senescence manifests as wrinkles, memory loss, muscle loss, gray hair, fatty liver, excessive visceral adipose tissue. 03:45 Senescence occurs in response to stressors or developmental signals and behave similar to cancer cells. 05:45 Dysfunctional mitochondria influences glycolysis in cells. 06:15 Give your cells less fuel, glucose, for the proliferation of inflammation. 07:45 Hyperglycemia decreases nitric oxide, which helps prevent cellular senescence. 08:00 Sirtuins can inhibit the formation of senescent cells. 08:55  Berberine, Metformin, and low dose rapamycin, have been used to mitigate hyperglycemia. 10:30 Hyperglycemia also impacts your cardiovascular system and endothelial cells. 12:00 Fat cells can become senescent. 13:00 Ketones (BHB) can help inhibit cellular senescence. 13:25 Optimized omega 3 to omega 6 ratio can help. 14:00 Exercise counters age-related accumulation of senescent cells. 14:40 Senescence within your immune cells is linked with cancer and poor response to infection.

In this episode of Curbside Consults, we examine the Endocrine Society's 2022 Clinical Practice Guideline on management of hyperglycemia in hospitalized adults in non-critical care settings. We are joined by Dr. Mary Korytkowski, Emeritus Professor of Medicine at the University of Pittsburgh and one of the guideline authors.

Indian television actress Megha Gupta's life took a 360 turn after she was diagnosed with Type 1 Diabetes. What happened after that, proved the actress accepted the challenge thrown at her by this uninvited guest and rose as a winner. Megha in conversation with Ashdin Doctor on The Habit Coach shared about her journey after she was diagnosed with diabetes and how she took control of it. Thus, helping her lead a healthier life in Goa now.Find Megha Gupta on Instagram  Check out Ashdin's Book: Change your Habits, Change your Life  Send your questions to Ashdin Doctor for The Habit Coach Hot Seat/ Know Your Coach on this link: (Habit Coach Hot Seat ) You can watch the full video episodes of The Habit Coach Podcast with Ashdin Doctor on the YouTube channel. You can also check out Ashdin's Linktree Page here: (https://linktr.ee/awesome180) Check out the Awesome180 website: (http://awesome180.com/) You can follow Ashdin Doctor on Twitter | Linkedin | Instagram | Facebook Find the show across audio streaming apps:Spotify | Apple Podcasts | Google Podcasts | JioSaavn |  Amazon Music Do follow IVM Podcasts on social media.We are @ivmpodcasts on Facebook, Twitter, & Instagram.See omnystudio.com/listener for privacy information.

One of the most relaxing feelings for a person with diabetes is checking your blood sugar and seeing the numbers right in line. For a diabetic patient, controlling blood sugar isn't just a short-term goal. It helps prevent diabetes complications like heart disease, vision loss, and kidney and nerve diseases.  Diabetic people must try and manage their blood sugars through key lifestyle changes as much as possible.  What is blood sugar? Blood sugar, also known as glucose, is the main sugar found in human blood. It comes from the food you eat and gives your body energy.  High blood sugar levels cause diabetes, a disease associated with severe problems. A low blood sugar level is also common, and therefore, it is important to manage your blood sugar levels within the target range.  Lifestyle Habits that Naturally Help Manage Blood Sugar Levels Manage your Carb Intake  Carb intake greatly influences blood sugar levels. The body breaks carbs down into sugars, mainly glucose. Insulin then helps the body use and store it for energy. Eating too many carbs makes this process fail, and blood glucose levels can rise.  A low-carb diet helps reduce blood sugar levels and prevent blood sugar spikes. Prioritizing whole grains over processed ones and refined carbs offers greater nutritional value while helping manage your blood sugar levels.  Eat More Fiber A high-fiber diet helps improve the body's ability to regulate blood sugar and minimize blood sugar lows.  Foods that are high in fiber include; vegetables, whole grains, fruits, and legumes.   Observe Quantity Eating Control  One way to regulate calorie intake and maintain a moderate weight is by eating in moderation.  Healthy feeding with monitored serving sizes helps regulate blood sugar levels and prevents highs and lows.  Some helpful tips for managing portion sizes include;  Serving on smaller plates Measuring and weighing food portions Keeping a food journal Reading food labels and adhering to recommended serving sizes Exercise Regularly Regular exercise helps increase insulin sensitivity and the body's ability to use glucose as energy effectively.  The right amount of activity and timing should always be observed. Some health-recommended exercises include light walking and simple resistance exercises like squats or leg raises. Other helpful exercises include running, biking, swimming, dancing, and brisk walking.     Drink Water and Stay Hydrated Staying hydrated helps control blood sugar levels. Water helps kidneys flush out any excess sugar through urine.  Drinking water regularly helps rehydrate the blood, lower blood sugar levels, and reduce diabetes risk. Water and zero-calorie drinks are recommended. It would be best to avoid sugar-sweetened options since they can raise blood glucose, drive weight gain, and increase diabetes risk.  Manage your Stress Levels When you are stressed, your blood sugar tends to rise. When stressed, the body secretes hormones called glucagon and cortisol, which cause blood sugar levels to rise.  Exercise and mindfulness-based relaxation methods like yoga help to significantly reduce stress and lower blood sugar levels.  Get Enough Quality Sleep Adequate sleep and rest help with blood sugar control. Adequate sleep involves both quantity and quality.  Health experts recommend that adults get at least 7-8 hours of high-quality sleep per night.  Some useful tips to improve the quality of your sleep include; Follow a suitable sleep schedule by creating a bedtime routine Ensure your bedroom is cool Avoid taking caffeine and alcohol in the hours before bed Reduce screen time before bed, including TV, Computers, tablets, and cell phones.  Maintain a Moderate Weight Maintaining a moderate weight promotes healthy blood sugar levels and reduces your risk of developing diabetes.  Weight-loss goals don't have to be enormous. Research has proven that a 5% to 10% weight loss has helped improve insulin sensitivity and glucose tolerance.  There are many health-recommended ways to naturally manage your blood sugar levels. The main improvements are associated with dietary choices. Lifestyle changes like weight management, exercising, handling stress, staying hydrated and quality sleep are also key in controlling blood sugar levels.   You may consult Dr. Jason Jones at our Chiropractic office in Elizabeth City, NC, to learn more natural measures to control your blood sugar.                                         

Christie Schumacher PharmD, BCPS, BCACP, BCCP, BC-ADM, CDCES, FCCP, joins The Huddle to talk through the use of GLP-1 and GIP/GLP-1 receptor agonists for your people with type 2 diabetes.  You'll learn what medications fall into the class of GLP-1 and GIP/GLP-1 receptor agonists, how they work and the benefits they can offer people with type 2 diabetes. These medications can be a useful tool in the therapeutic toolkit as highlighted in the recently updated ADA/EASD consensus statement, so this episode will offer practical considerations when initiating GLP-1 and GIP/GLP-1 receptor agonists in patients and managing possible side effects.We want to thank our sponsor, Lilly Diabetes, for their support of this episode.VV-MED-128766 ©2022 Lilly USA, LLC.  All rights reservedResources:ADA and EASD Consensus Report for the Management of Hyperglycemia in Type 2 Diabetes, 2022:  Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) | Diabetes Care | American Diabetes Association (diabetesjournals.org)ADCES Incretin-Based therapies tip sheet: DiabetesEducator.org/docs/default-source/living-with-diabetes/tip-sheets/medication-taking/incretin-based_therapies_tip_sheet_1006202291a90b03-fff9-4b81-98c9-42ef98f0c501.pdfEpisode Transcript: DiabetesEducator.org/docs/default-source/podcast-docs/incretin-full-show.docxMedication Taking Resources from ADCES: 1) For healthcare professionals: DiabetesEducator.org/MedicationTaking 2) For people with diabetes:  DiabetesEducator.org/TakingMedication

Blood sugar levels can directly impact our sleep and vice versa. Sleep deprivation can lead to insulin resistance and other health problems.In this episode, Danielle Hamilton, a Holistic Nutritionist specializing in blood sugar regulation, joins us to help demystify this connection between blood sugar and sleep! She is also the creator of the Blood Sugar Mastery Program and the host of the very successful, Unlock Your Sugar Shackles Podcast! For years, Danielle suffered from PCOS and the symptoms that come along with it. She tried many healthy options to regulate her hormonal imbalance, but these were not enough. That is until she learned about the connection between blood sugar & PCOS — not to mention her other health problems!Danielle discusses blood sugar management, what causes an increase in blood sugar levels and how it can affect our health and sleep. We also talk about ways to support stabilizing blood sugar with the help of continuous glucose monitoring, sleep trackers, food diet, and lifestyle change.It's essential to monitor your blood sugar regularly. Whether you have diabetes, insulin resistance, PCOS, cravings, or the many other symptoms that can come with blood sugar dysregulation. This will allow you to track your progress and make any needed adjustments.Listen now and learn how to restore your insulin sensitivity and overall health. GUEST BIO: Danielle Hamilton is a Functional Nutritional Therapy Practitioner & Restorative Wellness Practitioner who specializes in blood sugar regulation & digestion. She became interested in blood sugar issues when she learned that Insulin Resistance was at the root of her PCOS. She was able to reverse her PCOS, cystic acne, PMS & weight loss resistance by reversing Insulin Resistance. Her mission is to help others uncover their blood sugar & insulin issues (as most people don't know the early signs), as well as help them optimize digestion for low-carb diets. Dani promotes a holistic approach to reversing Insulin Resistance which goes beyond just changing macros. She is the host of the Unlock the Sugar Shackles Podcast and the creator of the Blood Sugar Mastery Program.SHOW NOTES: 

I talk about the role of insulin a lot on this show but after wearing a continuous glucose monitor again for another round, I learned a lot more and I wanted to share. We'll discuss the confusion around glucose and health, the difference between hyperglycemia vs hypoglycemia, why there's potential for caution around tracking, and more!   Time Stamps:   (0:00) Wearing a Continuous Glucose Monitor (1:20) What to Expect in Today's Episode (2:10) Confusion Around Glucose and Health (3:20) Hyper vs Hypoglycemia (7:15) Caution Around Tracking (14:25) “I Feel Great” Myth (18:32) Mitochondrial Dysfunction (27:35) Snacking (36:55) My PTSD Diagnosis (40:28) More Carbs Than I'm Used To (42:00) Diagnosing (49:48) Few Announcements (52:00) My Free Challenge -------------------- Use My Link for Beauty Counter to Receive 20% Off -------------------- Join My Free 5 Day Midlife Metcon Challenge -------------------- Download My Free Hormone Healthy Recipe Guide -------------------- Follow my Facebook Page where I go Live Every Week with New Educational Information to Help You Live Your Best Life - https://www.facebook.com/covinofitness -------------------- Follow me on Instagram! - https://www.instagram.com/carolcovinofitness/

Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here! Prior diabetes episodes:  #330 & #331 Inpatient Diabetes with Dr. Dave Lieb #309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening #296 Diabetes FAQ with Dr. Jeff Colburn #243 Diabetes Triple Distilled #168 Diabetes Update with Jeff Colburn MD #96: Diabetes: A1C targets & ACP guidelines controversy #51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro Rapid fire questions Definitions and classification of diabetes DKA in type 2 diabetes? Pathophysiology of DKA Severe hyperglycemia mislabeled as DKA Which type 2 diabetics get DKA? The cardinal issue is dehydration Starvation ketosis vs DKA vs other How to handle severe hyperglycemia in outpatients Sick day management in type 1 diabetes Initial testing for diagnosis of DKA Subcutaneous or IV insulin for DKA Initial evaluation and management in ER Fluids and electrolyte management SGLT2 inhibitors and euglycemic DKA Credits Writer, Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Jeffrey Colburn MD, FACP, FACE Sponsor: Better Help Visit BetterHelp.com/curb to get 10% off your first month.  Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. 

Videos: 1. What Do We Do With Useless People? - Yuval Harari    2. $26.000.000 For Lying About The Test   Being in nature: Good for mind, body and nutrition Researchers from Drexel University investigated how feeling connected with the natural world benefits dietary diversity and fruit and vegetable intake. Drexel University, April 25, 2022 In late 2020, Canadian doctors made headlines for “prescribing nature,” or recommended time outdoors based on research that suggests people who spent two or more hours in nature per week improved their health and wellbeing. Knowing this, transdisciplinary researchers from Drexel University investigated how nature relatedness – simply feeling connected with the natural world – benefits dietary diversity and fruit and vegetable intake, in a study recently published the American Journal of Health Promotion. “Nature relatedness has been associated with better cognitive, psychological and physical health and greater levels of environmental stewardship. Our findings extend this list of benefits to include dietary intake,” said Brandy-Joe Milliron, PhD, at Drexel's College of Nursing and Health Professions and lead author of the publication. “We found people with higher nature relatedness were more likely to report healthful dietary intake, including greater dietary variety and higher fruit and vegetable consumption.” The research team surveyed over 300 adults in Philadelphia to measure their self-reported connection to nature, including their experience with and perspective of nature, and the foods and beverages they had consumed the previous day to assess their dietary diversity and estimate their daily fruit and vegetable consumption. (NEXT) Overnight fasting may reduce breast cancer risk in women  University of California at San Diego, April 20, 2022 A decrease in the amount of time spent eating and an increase in overnight fasting reduces glucose levels and may reduce the risk of breast cancer among women, report University of California, San Diego School of Medicine researchers in the journal Cancer Epidemiology, Biomarkers & Prevention. "Increasing the duration of overnight fasting could be a novel strategy to reduce the risk of developing breast cancer. This is a simple dietary change that we believe most women can understand and adopt. It may have a big impact on public health without requiring complicated counting of calories or nutrients." Women who fasted for longer periods of time overnight had significantly better control over blood glucose concentrations. The data shows that each three hour increase in nighttime fasting was associated with a 4 percent lower postprandial glucose level, regardless of how much women ate. Women in the study reported eating five times per day with a mean nighttime fasting of 12 hours. Those who reported longer fast durations also indicated they consumed fewer calories per day, ate fewer calories after 10 p.m. and had fewer eating episodes. (NEXT) Micronutrients (vitamins + minerals) show benefit for children with ADHD and emotional dysregulation Evidence from a randomized clinical trial shows broad-spectrum micronutrient supplementation with all known vitamins and essential minerals resulted in global improvement of attention and mood based on blinded clinician ratings Oregon Health & Science University, April 26, 2022   A study in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP) reports that children with ADHD and emotional regulation randomized to take a micronutrient formula were three times more likely to show symptomatic improvement on blinded clinician ratings, compared to those in the placebo group (54% versus 18%). The micronutrient formula, consisting of all known vitamins and essential minerals, was administered for eight weeks. (NEXT) Raspberry, a Promising Alternative in the Treatment of Hyperglycemia and Dyslipidemias University of Guadajara (Mexico), 11 April 2022 Raspberry production and consumption have increased in recent years due to its polyphenol content such as anthocyanins and ketones, bioactive compounds that have been studied to reduce blood glucose levels and stabilize the blood lipid profile. Original articles from in vitro and in vivo enzyme inhibition studies, animal models, and human clinical studies were compiled in PubMed, Web of Science, and Science Direct databases. Studies showed satisfactory results regarding blood glucose level reduction after consumption of frozen or lyophilized raspberry, infusion of raspberry leaves, seed oil, as well as compounds, extracted from the fruit by inhibiting enzymes such as α-glucosidase and dipeptidyl peptidase-4 (DPP-4) and other mechanisms that increase insulin production and insulin sensitivity. A reduction in cholesterol and low-density lipoprotein levels is reported, as well as an increase in high-density lipoproteins. A According to the results, raspberry can be included in the nonpharmacological treatment of hyperglycemia and dyslipidemias; however, further research is considered necessary.