Podcasts about Insulin

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Episode 156: Obesity, Fertility, and PregnancyFuture Dr. Hamilton defines obesity and explains the pathophysiology of obesity and its effects on fertility and pregnancy. Dr. Arreaza adds some input about the impact of epigenetics on newborn babies.  Written by Shelby Hamilton, MS3, American University of the Caribbean School of Medicine. Editing by 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.Definition of obesityObesity is a multifactorial chronic disease that is increasing in prevalence across the globe. It can be defined as a body mass index (or BMI) greater than 30 kg/m2. According to the CDC from 2017-March 2020, the prevalence of obesity in United States adults was 41.9%.Classification of obesity by BMI.Obesity can further be divided into three classes: class I which is a BMI between 30-34.9; class II which is a BMI between 35-39.5; and class III which is a BMI greater than 40. We recommend avoiding the term “morbid obesity” because of the negative connotation of the word “morbid.” Class III or severe are better terms in those cases. This classification is based on the individual risk of cardiovascular disease. One of the greatest health consequences affecting individuals with obesity is the cardiovascular effects including hypertension, dyslipidemia, and coronary artery disease. Other effects include insulin resistance and diabetes, cholelithiasis, non-alcoholic fatty liver disease, osteoarthritis, and even depression.How Does Obesity Affect Fertility?Obesity can have an extensive effect on the overall health of an individual. In addition to these commonly discussed effects, obesity can also influence a person's fertility. This is especially observed in women with polycystic Ovary Syndrome (PCOS) who have a greater BMI and also have symptoms of anovulation. Excess adipose tissue plays a role in the effects that obesity has on fertility. White adipose tissue can secrete a specific group of cytokines known as ‘adipokines'. These adipokines include leptin, ghrelin, resistin, visfatin, chemerin, omentin, and adiponectin. With a greater percentage of adipose tissue, there are higher rates of hypothalamic gonadotropin hormonal dysregulation, which can be combined with insulin-related disorders, low sex hormone binding proteins, and high levels of androgens. The combination of these factors can result in decreased ovarian follicle development and decreased progesterone levels.Hormonal changesObesity is an endocrine disorder. One specific adipokine that affects the hypothalamic-gonadotropin axis is chemerin. Chemerin impairs the release of follicle-stimulating hormone (FSH) from the pituitary gland. This reduction in FSH release consequently leads to anovulation, meaning that no egg will be released from an ovarian follicle, contributing to infertility. Shelby: Another adipokine affecting fertility is adiponectin. The receptors of adiponectin are predominantly expressed in reproductive tissues, including the ovaries and endometrium. In individuals with a greater BMI, a decrease in adiponectin secretion has been observed, resulting in decreased stimulation of its receptors, especially in the endometrium, which has been linked to recurrent implantation failure. Adiponectin has also been shown to affect glucose uptake in the liver. With reduced adiponectin levels, there is reduced hepatic glucose uptake, leading to insulin resistance. As tissues become less sensitive to insulin, the body compensates by secreting higher amounts of insulin, leading to hyperinsulinemia. Higher levels of circulating insulin have also been proven to cause hyperandrogenemia in women by blocking the hepatic production of sex hormone-binding globulin. Insulin can also act on the IGF-1 receptors in the theca cells, increasing steroidogenesis, and thus, increasing androgens. With hyperandrogenemia, there is also increased granulosa cell apoptosis as well as increased peripheral conversion of androgens into estrogen. This creates negative feedback to the hypothalamic-pituitary axis to decrease the release of gonadotropins such as FSH which are critical in ovulation.Leptin is another adipokine that is shown to be increased in obesity. Studies on mice have shown that leptin impairs the development of ovarian follicles, resulting in a decrease in ovulation. In these studies, it was also observed that leptin reduces the production of estriol by the granulosa cells in the ovarian follicles as well as increases the rate of apoptosis in granulosa cells, both of which affect ovulation. Leptin decreases hunger, but persons with obesity may be resistant to its effects and that's why they have higher levels than a person with normal weight. They have high levels of leptin but are still hungry because they have leptin resistance.Studies have also shown that the fatty acid composition of follicular fluid found in ovarian follicles also plays a role in fertility. In individuals with a high BMI, this fluid contains high levels of oleic acid, which can cause embryo fragmentation after fertilization occurs. Stearic acid is another fatty acid found in elevated levels in the follicular fluid of women with a greater BMI, which can also affect the quality of the embryo while in the blastomere stage.The bottom line is obesity decreases fertility. It does not mean that patients with obesity will not get pregnant, but it can make it harder to get pregnant. Female patients who are losing weight must be warned about their improved fertility once they start to lose weight.What effect does obesity have on pregnancy?While obesity may make it more difficult for a woman to get pregnant, it is not impossible. However, there are potential risks both to the mother's health as well as the baby's health. Therefore, it is very important to monitor these patients even more carefully.Women who have a greater BMI pre-pregnancy are at a greater risk of developing gestational hypertension. Gestational hypertension is defined as blood pressure greater than 140/90 on more than one reading in the second half of pregnancy. Hypertension during pregnancy can also have serious complications such as kidney failure, stroke, myocardial infarction, or even heart failure. Gestational hypertension can also result in preterm birth or low birth weight.Treatment of mild hypertension in pregnancyRecent studies published in the AFP Journal support the treatment of mild hypertension in pregnancy. It states that “evidence and expert opinion support treating mild chronic hypertension in pregnancy with approved antihypertensives, with a strength of recommendation: B”. There was a randomized control trial with about 2,000 women who were randomized to receive antihypertensive treatment vs no treatment. The treatment group had a lower incidence of preeclampsia with severe features, preterm birth, placental abruption, and neonatal or fetal death. There was not an increase in fetal growth restriction or maternal or neonatal complications. So, it is advisable to treat chronic, mild hypertension in pregnancy, according to the AFP Journal.PreeclampsiaPreeclampsia is another condition that is at a higher risk in women with obesity, which is a more serious manifestation of hypertension in the second half of pregnancy. Along with high blood pressure, there are also effects on the kidneys and liver. Hypertension accompanied by proteinuria is indicative of preeclampsia and should be taken seriously. Preeclampsia can become eclampsia, where the patient also experiences seizures. There is also the risk for stroke, HELLP syndrome, placenta abruption, preterm birth, and fetal growth restriction.Gestational diabetesAnother risk is gestational diabetes. Elevated blood glucose during pregnancy can result in a larger baby and delivery by cesarean. There may also be a greater risk of the mother and child developing diabetes mellitus later on in life.OSAWomen with a greater BMI may also be at risk of developing obstructive sleep apnea during pregnancy. Not only can this result in fatigue but can also contribute to the development of gestational hypertension and preeclampsia.Effect of obesity on the fetusAs mentioned, there are some risks to the fetus in women with a greater pre-pregnancy BMI. There is a greater risk for these babies to be born with birth defects such as congenital heart defects and neural tube defects. Another risk previously discussed is macrosomia, or large for gestational age. Larger babies are also at increased risk for shoulder dystocia during delivery as well as resulting clavicle fractures, brachial plexus injuries, and nerve palsies. Preterm birth is another risk, which also increases the risk of short-term and long-term health complications. Lastly, a higher BMI is directly correlated with the risk of spontaneous abortion or stillbirth.SummaryAs the prevalence of obesity increases, it is important to discuss the health risks that are associated with this disease. In our patients of childbearing age and who may be hoping to conceive, it is even more important to discuss how a higher BMI may affect fertility and pregnancy. While discussing these topics with patients, it is important to try our best to build rapport with the patient so that the discussion is seen more as one of concern and support rather than one of criticism regarding their weight. We may want to help by not only telling patients to “lose weight” or “diet”, but we can also provide them with resources regarding dietary adjustments and ways they can incorporate physical activity into their lives without just telling them to eat less and move more. Stay tuned for our episode on the management of obesity in pregnancy.ConclusionNow we conclude episode number 156, “Obesity, fertility, and pregnancy.” Future Dr. Hamilton explained how obesity affects the hormonal regulation of fertility. She also explained the obstetrical risks associated with obesity. Primary care professionals need to educate our patients about the benefits of preconception weight control. Dr. Arreaza explained that hypertension is a common condition in pregnant patients with obesity and mentioned the benefits of treating mild hypertension in pregnancy. We hope to bring you an episode on the management of obesity in pregnancy soon, so stay tuned! This week we thank Hector Arreaza and Shelby Hamilton. 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:Gautam, D., Purandare, N., Maxwell, C., Rosser, M., O'Brien, P., Mocanu, E., McKeown, C., Malhotra, J., & McAuliffe, F. (2023) The challenges of obesity for fertility: A FIGO literature review. International Journal of Gynecology & Obstetrics, 160(S1), 50-55. https://doi.org/10.1002/ijgo.14538Pandey, S., Pandey, S., Maheshwari, A., & Bhattacharya, S. (2010). The impact of female obesity on the outcome of fertility treatment. Journal of Human Reproductive Science, 3(2), 62-67. https://doi.org/10.4103/0974-1208.69332.Perreault L. Obesity in adults: Prevalence, screening, and evaluation. In: UpToDate, Pi Sunyer FX (Ed) Wolters Kluwer. https://www.uptodate.com (Accessed on October 6, 2023).Obesity and Pregnancy FAQ, The American College of Obstetricians and Gynecologists (ACOG), https://www.acog.org/womens-health/faqs/obesity-and-pregnancy, Accessed on October 10, 2023.Adult Obesity Facts, Centers for Disease Control and Prevention (CDC), https://www.cdc.gov/obesity/data/adult.html, Accessed on October 7, 2023. Dresang L, Vellardita L. Should Medication Be Prescribed for Mild Chronic Hypertension in Pregnancy?. Am Fam Physician. 2023;108(4):411-412. Royalty-free music used for this episode: "I Think We Have a Chance."  downloaded on November 11, 2023,  from https://www.videvo.net/.

Valter Longo is the director of the Longevity Institute at USC in Los Angeles, and of the Program on Longevity and Cancer at IFOM (Molecular Oncology FIRC Institute) in Milan. His studies focus on the fundamental mechanisms of aging in simple organisms and mice and on how they can be translated to humans. Dr. Longo received the 2010 Nathan Shock Lecture Award from the National Institute on Aging (NIA/NIH) and the 2013 Vincent Cristofalo "Rising Star" Award in Aging Research from the American Federation for Aging Research (AFAR).Dr. Longo is an author of The Longevity Diet: Discover the New Science Behind Stem Cell Activation and Regeneration to Slow Aging, Fight Disease, and Optimize Weight. Links:For more resources, please visit valterlongo.com and prolonlife.com

Can we have a little moment for Molly please?A burst of vitality, humility, candour and humour - achieving the dreams she once feared type 1 diabetes would prevent, AND keeping it @cutenchronic in the process!The TikTok account that Molly started in lockdown gave her a whole new sense of purpose, and allowed her to turn her lack of self-confidence around. Molly has had two lifelong dreams - to dance professionally and to live abroad - for as long as she can remember, and for a while type 1 diabetes threatened to take that away. Now she is doing both simultaneously, and her diabetes management is better than its ever been.In this episode we discuss the gruelling schedule of a dancer and how she manages her condition in the heat of Sharm El-Sheikh, the isolation she felt from her friends around the time of her diagnosis aged 12, the confidence she's developed from owning her type 1 diabetes throughout her dance training, what finding the right type of support has meant to her, keeping it real on TikTok, and her next dream of showcasing type 1 diabetes across stage and screen.It's impossible not to fall in love with Molly, enjoy the episode!SAY HI TO MOLLY:Molly's TikTokMolly's InstagramSPONSOR MESSAGE:Thanks to my episode sponsors Insulet, the founders of Pod Therapy - only found with Omnipod. Pod therapy uses a tubeless, wearable and waterproof Pod that continuously delivers insulin for up to three days. Controlled wirelessly by its handheld companion, it allows you to personalise your insulin doses according to your own daily needs - no multiple daily injections and no tubes. Head to https://www.omnipod.com/ to find out more.

Join Mawi, Shelly, and Ben (new Ben) for stories of ETT malfunctions, Aortas that can't be fixed, and the most insulin given in a case that we've EVER heard of. You'll laugh, you'll cry, and maybe hurl. Hopefully not the hurling part. 

BLOOD SUGAR MASTERY is my signature 8-week group coaching course that will give you all the tools to master your blood sugar so you can gain energy, sleep better, burn fat, crush cravings and feel amazing! It will help give you the clarity on what to change and why so you can ditch the confusion and start making changes that really help you feel better WITHOUT trying to change everything all at once! Enrollment is now open until Saturday, Dec 2nd! ON TODAY'S EPISODE...I dive into how different factors impact alcohol's absorptionHow alcohol impacts our blood sugar & blood sugar spikesHow alcohol impacts our insulin and insulin sensitivityAlcohol's impact on metabolismHow alcohol drives overnight wake-upsAlcohol's impact on fat loss How alcohol impacts our appetiteHow having sugar with alcohol leads to more issuesSTAY IN TOUCH WITH ME:You can find me:On Instagram @daniellehamiltonhealth On Facebook at Danielle Hamilton Health.My website is daniellehamiltonhealth.com (scroll down to sign up for my Newsletter!My *new program* SugarSavvy is your Complete Guide to Glucose Testing! Use the code SUGARFREE to get it absolutely free! Enroll hereThank you for subscribing, rating, reviewing, sharing and reposting the show! I appreciate each and every one of you! ⭐️⭐️⭐️⭐️⭐️ Fullscript online supplement dispensary --> Link: https://us.fullscript.com/welcome/daniellehamiltonhealth

Three Virginia counties have filed federal lawsuits claiming the country's biggest insulin manufacturers and the companies that work with them conspired to control the drug's price. The suits are inspiring one Democratic Virginia elected official to revisit healthcare costs during the next session. Brad Kutner has more.

Are you scared that carbs will make you fat and avoid them completely? Did you know that a balanced diet rich in carbohydrates is not just good but essential for building strength muscle, and shedding fat?Today, I will be going over all the reasons why, 9 reasons in particular, eating a moderate to high carb diet—or what I like to call a balanced and healthy amount of carbs—is absolutely essential if your goal is to build muscle, get stronger, improve your body composition, get leaner, and yes even make fat loss easier.Let's call this the “I love carbs, and you should too” episode. You'll definitely want to share this with a friend, especially if they're a low-carb or keto zealot who loves to brag about how they haven't looked at, let alone eaten a potato or bowl of oatmeal in a while. They are leaving massive gains on the table, and this is a very fast road not only to skinny fat but to a miserable existence in terms of enjoying your food.If I sound a bit sarcastically aggressive today, it's because I lived the low-carb delusion for an entire decade and paid the price. Now that my bloodstream is flooded with nature's sweet glycogen drug 24/7, I look back and feel sorry for my carb-deprived former self and want nothing more than for YOU to put that person in the rearview mirror, too.__________Click here to apply for coaching!__________Today you'll learn all about:[2:44] Carbs are beneficial to muscle growth[7:34] Energy for high-intensity workouts[8:52] Glycogen replenishment[10:16] Protein sparing and mTOR activation[11:56] Insulin release and hormone balance[15:45] Prevent muscle protein breakdown[18:05] Carbs optimizes testosterone to cortisol ratio[20:02] Reduce muscle soreness post-workout[21:18] Support muscle retention[23:58] Improve overall performance[27:13] OutroEpisode resources:Ep 124: How to Use Progressive Overload the RIGHT way to Build Strength and Muscle (Even in Fat Loss)FREE CHALLENGE STARTS DECEMBER 1, 2023:

For too long we've been obsessed with calorie-counting. It's high time we started counting nutrients instead. Dianne Koehler is the owner and Director of the Nutrition Therapy Institute (NTI) in Colorado. Today, Dianne helps us get a handle on what to look for when it comes to feeding ourselves and our families nutrient-dense food.   She goes over the building blocks of nutrition. She explains why we must carefully evaluate claims on packages and advice from governmental agencies about what to eat. She goes over how to determine which foods actually serve us best and how to identify foods that deserve the label “superfood”. (Hint: these are foods that offer the most nutrient-density and come from animal products that are well-sourced). In sum, she gives tips for making better choices in the day-to-day. And along the way she tells about the a-ha that led her to abandon her vegan diet for a more nutrient-rich one, for her and her family.   Go to Dianne's website: ntischool.com SIgn up for your first nutrition course: ntischool.com/wisetraditions Make the 50% pledge on our website: westonaprice.com - https://www.westonaprice.org/50-50-pledge/#gsc.tab=0 Check out our sponsors: Offally Good Cooking's Liver Lover Challenge - https://liverloverchallenge.com/masterclass and Optimal Carnivore - https://www.amazon.com/optimalcarnivore

Welcome back to the Happily Hormonal Podcast. I have Dr. Lisa Brown with me today and I'm super excited to talk to her because we have been getting so many questions about perimenopause lately. Lisa is a perimenopause expert so I'm going to get some good answers and resources for you. Lisa shares with us exactly what perimenopause is, how to know when you're in this phase of your life, what you can do to support yourself through it, and more!In this episode:[03:07] What is perimenopause and how to know if you're in this transition phase of life[08:28] What is happening with your hormones during perimenopause? [11:25] Normal vs. not normal symptoms in perimenopause and the difference between perimenopause and menopause[17:08] Supporting yourself and your adrenal health through perimenopause[21:32] Insulin resistance and how that can affect perimenopause[24:08] Changes in hormone advice and support as you go into perimenopauseResources- Nourish Your Hormones Course: use the code HHPODCAST for $50 OFF Nourish Your Hormones!- 3 secrets to balance your hormones workshop- Free hormone balance guideConnect with LeishaInstagram: @leishadrewsWebsite: www.leishadrews.comApply to work 1:1 with Leisha HEREConnect with LisaInstagram: @drlisabrown_erxFacebook: Dr. Lisa Brown & 40s-ish Hormone Fix Group Website: www.40shormonefix.comUse the code HHPODCAST for $50 off Nourish Your Hormones ...Disclaimer: Information shared on this podcast and any referenced websites are not to be taken as medical advice or to be used as a diagnosis or treatment plan for any medical condition. I'm sharing my educated opinions & experience but nothing shared here can be taken on a one size fits all basis and we always recommend you do your own research, talk to your own doctors and practitioners, and take full responsibility for any health & medical choices you make.

TRT Testosterone Replacement Therapy How Much Muscle Can You Keep - Bodybuilding Podcast Episode 65 ULTIMATE GUIDE TO ROIDS #1 BOOK ON TRUTH IN THE HISTORY OF BODYBUILDING Link -⁠ ⁠⁠ ⁠https://bodybuilderinthailand.com/ultimate-guide-to-roids/⁠ Daily Text Msg Training $99/month and 1 Hour Phone Call Consult $59 Send Email to inquire about personal training to steroidspodcast@gmail.com 0:00 Update on my Travels in Argentina Link to my other video podcast about my travel adventures and life "The Grab the Bull Podcast" https://youtu.be/X6SzfCrN4NY Link to my instagram @Bodybuilderinthailand https://www.instagram.com/bodybuilderinthailand/ 6:15 Mechanics of Bodybuilders utilizing insulin without gaining fat 9:30 Insulin resistance and behavior of the insulin receptor 14:30 Insulin and HGH are force multipliers on Anabolic Hormones 16:10 Retention of Dietary Proteins + Protein sparing effects of insulin 24:10 Hany Rambod the truth evogen #hanyrambod 26:50 Former user has fear of shutdown and wants to cycle again. My opinion on PCT and the real world results, Muscle Memory on GEAR 32:43 Fasting on Anabolics - Hormonal Mechanics of Fasting 36:53 Intra Workout Dextrose Protocol - concerns about blood sugars 42:20 Intermittent Fasting Bodybuilding Lifestyle 51:00 Mechanics of Reactive Hypoglycemia 52:54 How Much Muscle can You Keep on TRT 58:20 How much Arimidex Precontest #contestprepcoach 1:04:45 Pharma grade gear countries 1:07:20 Mr Olympia Chris Bumstead says he doesn't use Trenbolone #chrisbumstead This Podcast is for entertainment and conversational purposes only. Serious Injury and Death can occur from utilizing chemical performance enhancement. This author does not support the use of illegal performance enhancing drugs. If any substances mentioned in this video are illegal in your country do not use them. #gym #workout #muscle

‘2 hours after giving birth, it was insinuated that I was responsible for my son being in a special care unit.'Illustrator Suzie Byatt fell pregnant just months after being diagnosed with type 1 diabetes in 2022. Still reeling from a type 2 misdiagnosis in the middle of the pandemic, Suzie carefully nurtured her developing son within strict blood glucose parameters alongside getting to grips with type 1 diabetes amidst the fluctuating hormones that come with pregnancy.She also found herself repeatedly facing unhelpful and judgemental interactions with medical professionals, just when she needed help the most. Originally from London but now living in Melbourne, Australia with her husband Adam and her one year old son Desmond, Suzie recalls feeling like she didn't have a voice when it came to her condition, or her birth. Suzie's experiences have led to her launching the gorgeous Type 1 Writers global penpal club.Alongside her sister Zoe, who also lives with type 1, the pair are connecting people living with type 1 diabetes around the world through handwritten notes from carefully matched penpals - helping others connect while helping Suzie to process her experiences, one letter at a time.This episode is packed full of so much, so please do hit play and then immediately go and send Suzie some love, especially if you're looking for a penpal!CONNECT WITH SUZIESuzie's InstagramType 1 Writers InstagramType 1 Writers WebsiteSPONSOR MESSAGE: Thanks to my episode sponsors Dexcom.Pioneer and leader in Real-Time continuous glucose monitors, Dexcom's goal is to simplify and improve diabetes management for every possible person with diabetes.They have a choice of systems, so you can find the right one for your lifestyle at https://www.dexcom.com/

You won't hear this hot tip from doctors. I tried this hack a couple of years ago in an airplane bathroom, and I couldn't believe how effective it was at lowering my blood sugar. And when I shared it on Instagram, it took off, much to my surprise! This is why I'm dedicating a short and sweet episode all about it, especially for the holiday season. Let's learn how to work WITH our bodies to support our blood sugars! Time Stamps:  (04:24) Stacking insulin and “rage bolusing”(06:10) The story of how this strategy came to be(09:50) My hack catches on in the community(11:03) Addressing the haters and clearing up any confusion(13:07) Bonus tip: pay attention to what body part your pump is on (14:52) Your “homework” this week What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop for when new episodes drop.Learn more and apply for the January 2024 Decide and Conquer Bootcamp HERE. Disclaimer: Nothing you hear on the Reclaim your Rise podcast should be a substitute for personalized professional medical advice. Please always consult your physician or other medical professional before making any changes to your diet, insulin dosages, or healthcare plan. 

#208: Many women with PCOS  gain weight easily and struggle to keep it off—mainly due to elevated insulin levels. Ali Chappell, PHD, MS, RD, joins us to talk about the importance of a low insulin lifestyle for women with PCOS.  This episode is for you if: - You struggle with insulin resistance - You are looking for evidence-based tips for healthy insulin levels - Have struggled with PCOS weight gain With over 12 years of research and 3 human trials studying patients with PCOS, Ali Chappel is a leading expert in the field of PCOS and insulin resistance. She has created Lilli Health, an app dedicated to supporting patients with PCOS and insulin resistance based on her own research. To learn more about Lilli Health, head over to lillihealth.com. – Download The Cysterhood App, the largest community of PCOS women learning to lose weight & reverse symptoms with daily meals & workouts designed for PCOS! What's Your PCOS Type? - Take the quiz! Metabolism Plus - Our PCOS Supplement Line! Ovasitol: 15% OFF CONNECT WITH US: Website Instagram Tik Tok Pinterest While Tallene is a Registered Dietitian and Sirak a Personal Trainer, this podcast provides general information about PCOS. It is not meant to serve as fitness, nutrition or medical advice related to your individual needs. If you have questions, please talk to a medical professional. For our full privacy policy, please click on the following link: (bit.ly/PCOSPrivacyPolicy) Links included in this description may be affiliate links. If you purchase a product or service with the links that we provide, we may receive a small commission. There is no additional charge to you! Thank you for supporting our channel so we can continue to provide you with free content each week!

Have you found that midlife, with all its many transitions, has actually been creating a whole lot of stress for you, from becoming an empty nester to watching your parents age or perhaps dealing with the death of a parent? And then, on top of all this, we've got menopause and its effect on everything from our libido and energy levels to our metabolism and sleep. In this episode, Cam Allen, an expert on functional health and fitness for menopause joins me to share some information and tips you don't want to miss. We take a deep dive into the importance of maintaining fitness, particularly strength training, during this stage of life. Cam debunks a few myths about women and weightlifting and gives us the keys to balancing cardio and strength training as we age. We'll also be discussing hot topics like how stress and cortisol levels can affect your body during menopause and why self-care is so essential, rather than selfish. Join us as we explore this incredibly important aspect of women's health. In This Episode Cam Allen on Instagram - @HeyMomma_Cam Join the FREE 7-Day Strength Training Jumpstart Academy Listen to Midlife Mommas podcast Free Resources: Download the Free Excerpt of Amy's new book, Thoughts Are Habits Too Take my FREE Mini-Course: How To Lose Weight For The Last Time Join our private Facebook group, Moxie Club Meetup

A new study reveals that diet sodas sweetened with the artificial sweetener aspartame (also known as Equal) increase insulin levels the same as regular sugar-sweetened soft drinks. Listen in this week as Dee discusses the impact this has on weight gain, diabetes and overall health.Link to The Science of Skinny: https://amzn.to/3SOpLp3

Insuline: Die wichtigsten Kniffe und Fallstricke der Diabetestherapie

#MedicalScience: A short history of Diabetes and the miracle remedy of insulin. HenryMillerMD.org https://www.acsh.org/news/2023/10/26/tale-human-insulin-fda-and-bureaucrat%E2%80%99s-mindset-17393 1910 Mercy Hospital Hamilton Ontario

Join me for Part 2 of my conversation with Dr. Daryl Gioffre, where we're diving into some crucial health topics that affect us all plus- some surprising revelations! We'll be delving into protecting our loved ones (yes that includes our furry fiends!) from mold toxicity, exploring why insulin is hormone that ages us, and why healing the gut is the first step in healing and reversing any "dis-ease." And, hold onto your coffee mugs because Dr. Daryl has genius sugar swaps straight from a former sugar addict, along with some fantastic coffee alternatives that won't wreak havoc on your health. Ever experienced a morning after a night out that feels like you've been hit by a truck? Dr. Daryl's got a hangover hack too, just in time for the holidays - that believe me - I will be trying asap! Dr. Daryl Gioffre isn't your typical health expert. With over two decades of experience and his own battles fought—a lifelong sugar addiction and personal gut and mold challenges—he's a testament to resilience in the pursuit of perfect health. He's the man behind the brand, behind Get off Your Acid, a virtual hub for testing and coaching focused on tackling inflammation at its core by nurturing your microbiome. And, he's not just a gut health expert—he's a certified chiropractor, Reiki Master, raw food chef, and the author of the bestselling books "Get Off Your Acid" and the latest book, "Get Off Your Sugar: Burn the Fat, Crush Your Cravings, and Go From Stress Eating to Strength Eating." Save over $400 off your Customized Gut Lab Package and Get a Free Zoom Call with Dr. Daryl (exclusive to Food Heals listeners!) www.foodhealsnation.com/guttest Thank You to Our Sponsors! CURED Nutrition You deserve to take control of your mental and physical health. CURED Nutrition is trying to make it easier for you to do exactly that. Formulated with their trinity of ingredients – a blend of full-spectrum cannabinoids, functional mushrooms, and adaptogens – Cure is your answer to finding the calm in every storm. Go to Curednutrition.com/foodheals and use code foodheals for 20% off. Organifi Organifi, is a line of organic superfood blends that offers plant based nutrition made with high quality ingredients. Organifi takes pride in offering the best tasting superfood products on the market at a price that works out to less than $3 a day. Go to www.organifi.com/foodheals and use code foodheals for 20% off. Learn more about your ad choices. Visit megaphone.fm/adchoices

Diabetes is an increasing health concern globally. More than half a billion people already suffer from it, and their number is on the rise - many of them in low and middle income countries. Pharmaceutical companies have increased the price for insulin in many countries, which makes it even harder for patients with lower incomes to get treatment.

In this episode of Longevity By Design, Dr. Gil Blander and Ashley Reaver interview Dr. Sara Gottfried. Dr. Gottfried received her MD from Harvard Medical School and completed residency at UCSF, however she is more likely to prescribe a continuous glucose monitor and personalized nutrition plan to her patients than the latest pharmaceutical.This episode is a must listen for anyone trying to optimize their wellness plan. Dr. Gottfried discusses all the data she tracks and how that helps her practice precision medicine. This conversation also sheds light on how birth control pills impact women's health, how erectile dysfunction is an early warning sign for atherosclerosis, and gives advice for women seeking hormone replacement therapy.Episode timestamps: Introduction: (0:00–1:00) Dr. Gottfried's motivation for becoming a physician: (1:00–4:30)Dr. Gottfried's fascination with performance and healthspan: (4:30–5:30)How do we define “hormone balance”: (5:30–7:10)Is hormone balance more common in men or women? (7:10–9:30)Understanding heart disease trends in women: (9:30–12:07Why women should track their body composition over time: (12:07–16:23) Testosterone is the most abundant hormone in the female body: (16:23–19:19)Chronic stress can accelerate testosterone decline in women (19:19–20:20)How the birth control pill impacts women: (20:20–26:58) Cortisol is one of the most important hormones in the body: (26:58–32:50)Dr. Gottfried's recommendation for lowering cortisol?: (32:50–37:30)Insulin and avoiding diabetes: (37:30–38:45)Tracking your metrics over time (time-series): (38:45–40:30) DEXA scans and tracking body composition: (40:30–42:30)Cortisol in professional athletes: (42:30–45:43) The female athlete triad: (45:43–49:45) Understanding your health goals: (49:45–51:50)The importance of sleep: (51:50–59:11) Behavioral science: (59:11–1:03:10) Keto diets and the mediterranean diet: (1:03:10–1:07:30) Hormone replacement therapy: (1:07:30–1:15:35) Erectile dysfunction: (1:15:35–1:19:00) Dr. Gottfried's top tip for healthspan: (1:19:00–1:21:33) Check out all episodes of Longevity by Design at https://info.insidetracker.com/longevitybydesign 

In this information packed episode, Elizabeth explores the world of cancer prevention, detection, and treatment with Dr. Sanjay Juneja, a renowned hematologist and oncologist. Dr. Sanjay shares insights, such as the fact that just four minutes of daily strenuous activity can lower cancer risk by 20-25%. He stresses the role of lifestyle choices in cancer prevention, discusses new screening methods, the limited impact of genetics on cancer (10-15%), and the potential of dietary approaches like ketosis in treatment. The conversation also touches on the influence of glucose and insulin on cancer and the latest medical tech advancements. This episode inspires and informs on the importance of screenings and daily habits for better health. At the end of the episode, Dr. Sanjay also shares some of his wellness tips and why showing grace is a powerful ingredient of overall health. Episodes Here Say Hi To Elizabeth and Purely Elizabeth: Website | InstagramSanjay: IG | Target Cancer Podcast | TikTokMentioned: Blue ZoneDr. Jason Fung Radical RemissionPeter Attia

Sister Ladonna Woerdeman, certified diabetes educator with UnityPoint Clinic Diabetes Care, joins Dr. Arnold to discuss diabetes, management and treatment of the disease and much more.To learn more about diabetes care, visit https://www.unitypoint.org/locations/unitypoint-clinic--endocrinology-diabetes-care-healthy-living-clinicDo you have a question about a trending medical topic? Ask Dr. Arnold! Submit your question and it may be answered by Dr. Arnold on the podcast! Submit your questions at: https://www.unitypoint.org/cedarrapids/submit-a-question-for-the-mailbag.aspxIf you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.

A lot of disinformation exists concerning how to safely exercise while living with diabetes, particularly Type 1 diabetes. Ginger Vieira, athlete and author of "Exercise with Type 1 Diabetes: How to exercise without scary lows or frustrating highs", joins The Huddle to discuss how to help people with diabetes feel empowered to exercise while managing their potential high and lows.Resources:  Learn more about Ginger and her work on her website: https://www.gingervieira.com/Access Ginger's book on exercise and Type 1 diabetes here: https://www.amazon.com/Exercise-Type-Diabetes-exercise-frustrating/dp/B0BYGNFQ47/

In this insightful episode, join George in an eye-opening conversation with esteemed guest Dr. Robert Seik, Pharm MD, FMNM Together, they delve into the depths of health narratives, debunking prevalent myths surrounding insulin dependency, calcium intake, and proactive approaches to wellness.Dr. Seik, with his extensive expertise, sheds light on the misconceptions surrounding insulin dependency, offering a fresh perspective on managing this crucial aspect of health. The discussion challenges the prevailing narratives, encouraging a reevaluation of common beliefs and practices in the realm of insulin management.The conversation doesn't stop there—moving on to the often overlooked yet prevalent myths about calcium intake, the discussion unveils the false narratives that have directed health decisions for too long. Dr. Seik's insights present an alternative viewpoint, encouraging listeners to rethink their approach to this essential mineral.Furthermore, the podcast explores proactive strategies for embracing a healthier lifestyle. Dr. Seik and [Your Name] share insights, empowering listeners to take charge of their well-being, advocating for a proactive approach to health that transcends the traditional norms.This episode promises a wealth of information, challenging established health notions and guiding listeners toward a more informed and proactive path to wellness.Join us in this enlightening conversation as Dr. Robert Seik shares invaluable insights that may reshape your perspective on health and wellness.www.twc.health/pages/dr-robert-seikwww.meetmeforcoffee.co Hosted on Acast. See acast.com/privacy for more information.

Did you know that adding basal insulin to patients who remain above target despite an optimal guideline-recommended antidiabetes regimen can further reduce HbA1c levels by up to 3 percentage points? Credit available for this activity expires: 11/14/24 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/998367?ecd=bdc_podcast_libsyn_mscpedu

In this episode of Keeping 100 Radio, host Lissie and her guest Val discuss the impact of living with Type 1 Diabetes on relationships and intimacy. The conversation covers the importance of open conversations about diabetes management, strategies to handle blood sugar levels during sex, and how to create a healthy emotional environment around the disease. The episode also includes stories from listeners sharing their experiences with dating and intimacy while managing Type 1 Diabetes. Show notes: 00:00 - Introduction and Podcast Sponsor01:05 - Guest Introduction and Personal Life Update04:08 - Discussing the Impact of Diabetes on Relationships05:14 - Sharing Personal Experiences with Diabetes and Relationships17:25 - Addressing Community Questions: Diabetes and Intimacy23:15 - Understanding Intimacy and Safety in Relationships23:59 - Spontaneity and Planning in Intimate Moments25:00 - Factors Affecting Libido and Sex Drive25:59 - Dealing with Diabetes and Intimacy27:22 - Confidence and Comfort with Medical Devices32:58 - Community Stories: Navigating Relationships with Diabetes47:32 - Closing Thoughts and Future Conversations Reddit threads discussed: https://www.reddit.com/r/diabetes/comments/5jaa8h/t1_diabetes_and_sex/ https://www.reddit.com/r/diabetes/comments/ewbjw2/body_image_and_sex_with_a_medical_wearable/ Resources for this episode: Take our free quiz: http://needlesandspoons.com/quiz-optin Join us inside the Keeping it 100 Diabetes Coaching Experience: https://bit.ly/3E5TX5W Grab the Keeping it 100 Diabetes Journal: https://www.amazon.com/dp/B0BB5ZL6R8?ref_=pe_3052080_397514860 Check out our blog: https://bit.ly/3AkABcm Follow us on Instagram: https://bit.ly/3hMqhU9 Check out our free resource hub: https://bit.ly/3tF2tnC Try Skin Grip and use the code "LISSIE" at try.skingrip.com/podcast⁠ Check out our favorite products: https://www.amazon.com/shop/needlesandspoons_?ref=ac_inf_tb_vh *Disclaimer: Nothing inside of Keeping it 100 Radio or our resources is intended as medical advice. Always consult a physician before making changes to your insulin doses, diet or general wellness.

Managing canine diabetes Giving your dog a long, happy life Symptoms of diabetes  Excessive thirst (drinking water)  Increased urination Weight loss (even if eating well)  Decreased appetite  Cloudy eyes  Chronic or frequent infections, including skin and urinary infections  Learning your dog has diabetes can feel like a punch to your gut. Up to 1% of all dogs may develop diabetes during their lifetime. While this is a serious diagnosis, treatment options and management strategies can give your dog a long, quality life.  Diabetes mellitus revolves around a lack of insulin or a lack of the body's response to insulin. Insulin therapy is a mainstay of treatment. Understanding your dog's prognosis As with so many canine health problems, early diagnosis is key to your dog living a full life. Caught early, with treatment started right away and careful monitoring, many dogs with diabetes live full, active lives. The battle will be more difficult with dogs who have these issues:  Phosphate levels Dogs who have high levels of phosphate in their blood at the time of diagnosis tend to have a slightly less positive prognosis. The exact reason for this is unknown, but it emphasizes the need for a complete blood chemistry panel at the time of diagnosis.   Medical history Dogs who are more than 10-years-old, overweight, have a history of pancreatitis or are battling hyperadrenocorticism (Cushing's disease) are more likely to have problems.  Dogs with hypothyroidism have a slightly higher risk of becoming diabetic, and any dog who has required treatment with glucocorticoids for long periods of time is also at risk.   Breeding A study from the United Kingdom suggested that Border Terriers, West Highland White Terriers and Cocker Spaniels had lower survival times than Border Collies.  Tibetan Terriers, Cairn Terriers and Samoyeds are also considered high-risk breeds for diabetes.   Females  While female dogs have a higher risk of developing diabetes, if they are spayed, they can be managed quite well.  Starting therapy After your dog has been definitively diagnosed with diabetes, treatment with insulin will be the starting point. Dogs who are ill may need to be hospitalized and started with rapid-acting insulin injections. Most dogs will be feeling relatively well and can start treatment at home under veterinary guidance.  Customizing treatment for diabetics is essential. Individual dogs may respond to one type of insulin but not another. Some dogs become resistant to a certain type after time and need to change. Dosages can vary greatly among dogs, as can the timing of dosages. Typically, dogs will start off on insulin injections twice a day, around their feeding times. But be prepared for the experimentation necessary to find the ideal protocol for an individual dog.  Veterinary staff will explain how to handle and store insulin, and how to correctly use the syringes. Different strengths and types of insulin come in different units, and you need to carefully match the syringes you use with the insulin type. Insulin is sensitive and must be stored carefully, not too cold or too hot. Even shaking it too vigorously can harm this medication. Some insulins need to be rolled rather than shaken. Never use insulin past its expiration date.  Finally, you will learn how to give the injections. Some clinics have you practice on something like fruit until you are comfortable with doing the injections properly. Injections are given subcutaneously, reaching the fat between the surface skin and muscle below. The needles are a small diameter and very sharp, so most dogs handle the injections well. Needles and syringes need to be disposed of properly. You will need a sharps container and to learn how to dispose of the needles in your town.  Types of insulin There are many versions of insulin available for treating diabetic dogs, and your veterinarian will guide you to the best choice for your individual dog.  FDA-approved for use in dogs:  Porcine lente (Vetsulin)  Zinc insulin (ProZinc)  Used off-label with good results:  Detemir (Levemir)  Glargine (Lantus)  Isophane insulin, known as NPH (Novolin-N, Humulin-N)  All insulin drugs should only be used under the guidance of your veterinarian, with regular check-ups. Insulin costs will vary among products.  Insulin-glucose response curve Once you have the basics down, you will help fine-tune your dog's treatment. Trial and error is used to determine the best insulin, the ideal dose, timing and how to coordinate feedings with the dosing schedule. For the first week or two, while your dog's body adjusts to the insulin and you get your routine down, your veterinarian may have you monitor your dog via urine glucose strips. These give you a rough idea as to whether your dog is handling the insulin without getting their glucose levels too low. The ideal method for determining all these factors is to create a glucose response curve. Glucose is one of the main factors influenced by insulin. Tracking results of glucose in the blood is an easy way to know if your insulin dose is correct. Urine glucose monitoring can also help but is not as precise.  To create a glucose curve, blood glucose levels are checked about every two hours over a 12-hour period, if possible. That many blood tests can be expensive, but it is worth it to get your dog on the right track. Using the glucose curve, your veterinarian will see when the insulin starts to act, how long a single dose provides treatment, when the insulin is at its highest level of activity and when it fades out. While running the glucose curve, your dog's feeding (timing and portions) are carefully controlled. Based on the highs and lows of the curve, adjustments may be made in dose, timing of meals and amount fed.  Normal blood glucose levels in healthy dogs are 80-120 milligrams per decilitre (mg/dl). Most dogs can handle levels going as high as 250 with minimal side effects. Post mealtimes, some dogs may normally go up to 400 but that is a temporary effect. Once blood glucose levels go over 200, glucose will be detectable in the urine.  Factors influencing insulin dosing Because glucose is a basic nutrient, many factors can affect a dog's requirements. Obese dogs need to lose weight, so that should be factored in. If your dog has a successful weight-loss program, insulin amounts will decrease. Activity levels also require different amounts of insulin. A dog who is running agility trials will end up with a different dose than a dog who strolls sedately around the block once or twice a day. Female dogs who go into heat will often have different insulin needs than a spayed dog ( — it is generally recommended to spay an intact diabetic female to even out insulin requirements). If your dog is sick or becomes hypothyroid (low thyroid hormone production), their insulin needs will change. If your dog skips their morning meal and doesn't eat, you need to contact your veterinarian to discuss adjustments in the insulin dose. Insulin needs the “raw material” of the food to be effective.  Monitoring your diabetic dog  If your dog is not showing any clinical signs of hyperglycemia (high blood sugar or glucose levels), such as drinking more than usual, being extra hungry or urinating excessively, then your dosing should be in the right ballpark. Even so, periodic blood testing is recommended.  Having hypoglycemia (low blood sugar or glucose levels) is more serious. If your dog is very lethargic, sleeping more than usual and resisting activity, then they may have hypoglycemia. Some of these dogs will have tremors, difficulty walking and can collapse into a coma.  The brain is very dependent on glucose for its nutrition, so any changes in mental state could mean hypoglycemia. If you suspect this, you can put corn syrup or honey on your dog's gums. If they are alert, a meal of cooked pasta with some syrup or honey can help to quickly raise their blood sugar. The response should be fairly rapid. Contact your veterinarian if you suspect that your dog has high or low glucose levels. Fairly new on the scene are continuous or flash glucose-monitoring systems. These high-tech systems use an electrode inserted in the subcutaneous tissues of your dog. They give off a small current determined by the amount of glucose in the interstitial tissues. That charge is then converted to a glucose amount and displayed on a monitor.  Two systems have been used successfully in veterinary medicine: the MiniMed iPro2, a continuous monitoring system, and the Abbott Freestyle Libre, which is a flash system. These systems can provide a picture of your dog's daily blood glucose levels while they are at home and doing normal activities.  Best management practices The goal with your diabetic dog is to mimic a healthy dog's glucose status. You want a normal rhythm with no clinical signs of too high or too low. That means a steady routine, ideally feeding your dog the same diet, at the same time every day. Plan your dog's activity for each day. If you have an unusually active day planned, ask your veterinarian ahead of time about any recommended adjustments in insulin or food. A steady state minimizes long-term damage from diabetes to organ systems like the heart, liver and kidneys. Even dogs who are well-managed may eventually develop cataracts, but it takes longer in dogs who have relatively well-controlled glucose levels.  Once your dog is on a set schedule, costs and complications are minimal.  Side effect cataracts Cataracts are a common side effect of canine diabetes. These cataracts tend to mature quickly and may be associated with inflammation. A veterinary ophthalmologist can evaluate your dog's eyes to determine if cataract removal would improve vision.  If the ophthalmologist recommends removal, a well-regulated diabetic dog can have general anesthesia and surgery to remove the damaged lens. An artificial lens may be put in place at that time. If your dog is not a surgical candidate, don't despair. Blind dogs usually adjust well to their loss of vision.  Prognosis With careful monitoring, many dogs with diabetes live full, active lives. It is important for owners of diabetic dogs to keep a notebook charting daily dosage, diet, and activity. Doing so can alert you to any developing problems.  This article has been reprinted with permission from the Cornell University College of Veterinary Medicine's DogWatch newsletter, published by Belvoir Media Group.

DR. HEATHER STONE, is one of the leading functional medicine practitioners globally who is altering the ways we understand and treat both common and rare autoimmune diseases.   Dr. Heather was diagnosed with low thyroid and Hashimotos. No one could help her, so she became a doctor and figured it out on her own. She used this challenge to build her thyroid transformation blueprint that is now the foundation of her very successful clinical practice.  With over two decades of clinical experience and a reputation as one of the world's leading practitioners, Dr. Stone has dedicated her life's work to transforming the lives of thousands of women. She has a remarkable talent for unraveling the mysteries surrounding hypothyroidism and Hashimoto's thyroiditis, offering effective solutions that enable women to reclaim their happiness, health, and physical appearance.  In this episode we talk about getting to the root cause of autoimmmune dissease, the way in which insurance companies worik against patients, flaws in looking at testing results and the ways in which the pharmaceutical, food and agriculture businesses  put profits above health. Her functional approach offers solutions and hope to women who have been struggling with autoimmune issues.      

Diabetes? Pre diabetes? Insulin resistance? What's the difference and what is Diabetes Type III (3?) All of these terms are confusing but mean the difference in life and a slow terrible death. This disease process is the number one killer in heart, stroke, cancer, Alzheimer's and dementia, kidney and other inflammatory diseases and death. Listen in on why, the differences and what to do about it. See omnystudio.com/listener for privacy information.

Wondering why your hair is falling out? Could be: Hormonal issues like PCOS Not enough nutritious foods Digestion issues - IBS, celiac disease Insulin resistance Thyroid issues Stress Postpartum Trauma Medications Alopecia, androgenic alopecia Rapid weight gain or loss Inflammation in your scalp from psoriasis, fungal infection, seborrheic dermatitis, etc. Serious illness  Fad diets Heavy metal toxicity Parasites Connect with Alex: - Suggest new guests/topics for the podcast ⁠⁠here⁠⁠ - Currently accepting new clients! ⁠⁠⁠⁠Work with me here⁠⁠⁠⁠ - ⁠⁠⁠⁠Free resources⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠List of acne safe products⁠⁠⁠ - IG: ⁠⁠⁠⁠@nutritionmoderation⁠⁠⁠⁠ - TikTok: ⁠⁠⁠⁠@nutritionmoderation⁠⁠⁠⁠ - ⁠⁠⁠⁠nutritionmoderation.com⁠⁠⁠⁠ DISCOUNTS: - Discount on Canadian Supplements: ⁠⁠⁠⁠⁠https://ca.fullscript.com/welcome/aking⁠⁠⁠ - Discount on U.S. Supplements: ⁠⁠⁠⁠https://us.fullscript.com/welcome/aking1654616901⁠⁠

Shortcut to my thyroid program. The Case:  Lucy was experiencing symptoms that went back and forth She would experience heart palpitations, hot flashes, and anxiety and then she'd have periods of fatigue Her doctor suspected hyperthyroidism and tested her for Graves I knew that there was reason to investigate further because her symptoms weren't adding up. When it comes to hyperthyroidism, there's one person I often turn to - Dr. Eric Osansky, a chiropractor and host of the ‘Save My Thyroid' podcast.  His interest in hyperthyroidism comes from his personal Graves diagnosis in 2008. He is also the author of 2 thyroid books, ‘Natural Solutions for Hypothyroidism and Graves' Disease' and ‘Hashimoto's Triggers: Eliminate Your Thyroid Symptoms by Finding and Removing Your Triggers' On this show, we talk a lot about hypothyroidism and how Hashimoto's can be at play. Many don't think that Hashimoto's can also be present when someone has an overactive thyroid (Hyperthyroidism and sometimes Graves' Disease). It all starts by looking at and understanding TSH levels.  Reviewing the Basics of Thyroid-Stimulating Hormone (TSH) The thyroid gland is a critical component of our endocrine system, responsible for regulating our metabolism. When it comes to thyroid assessments, most practitioners start by examining the Thyroid-Stimulating Hormone (TSH). Dr. Osansky explained that TSH stands for "Thyroid Stimulation-Communicating Hormone" and is produced by the pituitary gland. This hormone plays a vital role in communicating with the thyroid and serves as a fundamental element of many thyroid evaluations. When it comes to hypothyroidism, including conditions like Hashimoto's, you'll often see elevated TSH levels. This is because the thyroid hormone in the body is on the lower side. It might be just within the lab's reference range, or it could be overtly low. In response, the pituitary gland sends a clear signal to the thyroid: "We need more thyroid hormone!" This signal takes the form of an increased TSH level, prompting the thyroid gland to produce more thyroid hormone. Conversely, in the case of hyperthyroidism, it's the complete opposite. With hyperthyroidism, there's an excess of thyroid hormone circulating in the bloodstream, mainly bound to proteins. In this scenario, the pituitary gland signals the thyroid to slow down production. As a result, you'll commonly observe not only low TSH but sometimes an undetectable TSH, especially in conditions like Graves' disease. This undetectable TSH indicates that the pituitary is working hard to halt the overproduction of thyroid hormone. So, while TSH levels can provide valuable insights, they're just one piece of the puzzle. We need to dig deeper into the thyroid hormones to get the full picture.  Comprehensive Thyroid Testing is Always Key According to Dr. Eric, to reach a proper diagnosis, we must also examine the thyroid hormones, particularly free T3 and free T4. These free hormones offer a more accurate representation of thyroid function. In hyperthyroidism, where the thyroid hormones are typically elevated, examining free T3 and free T4 alone is often sufficient because total hormones will also be elevated. On the other hand, in hypothyroidism, some practitioners prefer to assess not only free hormones but also total hormones to gauge production since a significant portion of thyroid hormone is bound to proteins. Let's not forget reverse T3, an inactive form of T3. It's a bit of a controversial character in the thyroid world. Some suggest that reverse T3 may act as a blocking agent, especially in hyperthyroidism. Elevated reverse T3 levels are common in this condition, further hinting at its role in dampening excessive thyroid hormone activity.  But the thyroid's complexity doesn't end here. We also need to consider antibodies, which play a crucial role in autoimmune thyroid conditions like Hashimoto's. Plus, keep in mind that it's not just the thyroid at play; the pituitary gland could be throwing a wrench in the works too. Pituitary issues, such as a pituitary adenoma, can also affect TSH levels and the overall thyroid regulation. So, always remember that a comprehensive view is essential when evaluating thyroid health. What is Hashi-Toxicosis?  Hashi-toxicosis is a fascinating term that combines "Hashimoto's" and "toxicosis." It essentially refers to Hashimoto's thyroiditis with intermittent episodes of hyperthyroidism. When someone has Hashimoto's, the autoimmune attack damages the thyroid gland, causing it to release excessive thyroid hormone into the bloodstream. Consequently, when you get a blood test during such an episode, it can appear as hyperthyroidism. However, it's different from Graves' disease, where specific antibodies continuously stimulate the thyroid gland. In Hashi-toxicosis, these episodes of hyperthyroidism are transient, meaning they come and go. The duration varies from person to person, some experiencing these episodes for a few hours, while others may have them for a few days. These fluctuations can be triggered by various factors. For some, hormonal changes, like those related to the menstrual cycle or stressful events, can lead to these episodes. It's important to note that the frequency of these flares varies among individuals. Some may experience them frequently, while others only encounter them occasionally. In my own journey, I've had a couple of Hashi-toxicosis flares, both linked to high-stress events – one after moving and the other postpartum. These personal experiences have taught me that hormonal changes can significantly influence the frequency of these episodes. For those who face occasional flares, it can be a bewildering experience.  When I had my first episode, nearly two decades ago, it looked a lot like Lucy's situation. The doctor ran tests during a flare, and my thyroid hormone levels were off the charts. Not just my TSH, but all my thyroid hormones were elevated, which was rather unusual. The doctor even suggested the possibility of thyroid removal. Thankfully, my knowledge about Hashimoto's helped me question this recommendation, as I knew there was more to the story than met the eye. Get Curious About Unusual Thyroid Results It's absolutely crucial to explore all the possibilities when dealing with thyroid issues and stop the attack on our thyroid gland. Now, consider a scenario where someone, like Lucy, has a low TSH and elevated hormone levels. If it's not clear whether this is a transient episode, it's essential to retest and, most importantly, assess the antibodies. But what if the antibodies turn out to be negative, including TSI? What else could be behind these hyperthyroid symptoms and unusual lab results?  Dr. Osasnsky introduced the possibility of subacute thyroiditis. This condition often arises from viral infections, such as cytomegalovirus or even, more recently, the effects of COVID. It triggers significant inflammation in the thyroid, resulting in excess thyroid hormone production. Strangely, the presentation mirrors Graves' disease, yet the antibodies are absent. However, in most cases, within two to four months, this hyper phase shifts to a hypo state, and often, the hypothyroidism is temporary, eventually returning to a normal thyroid balance. One more thing to consider is medication. For example, if someone is taking a high amount of natural or synthetic thyroid, (whether it's levothyroxine or desiccated thyroid hormone) it can cause too much thyroid hormone. Nodules on the Thyroid and What They Mean In the world of thyroid health, nodules are a hot topic, and I get a lot of questions about them. One common query is, "Can nodules ever cause hypothyroidism?"  Dr. Osansky, explains that nodules typically don't lead to hypothyroidism directly. In fact, most of the time, they don't cause either hyperthyroidism or hypothyroidism.  However, there's a bit of a gray area. In some cases, people with larger nodules, especially those over two centimeters, might experience changes in their TSH levels. Sometimes you'll see a depressed TSH with multinodular goiter, but the thyroid hormone levels will appear normal. So it's not exactly the nodules themselves causing hypothyroidism; it's more like a subtle alteration in the thyroid function. Of course, it's essential to consider that the interpretation can vary among healthcare professionals. Thyroid lab ranges can be quite wide, and what's considered "normal" in conventional medicine may not align with optimal thyroid health. It's always a good idea to work with a practitioner who understands the nuances of thyroid function. Nodules are surprisingly common, especially as we get older. About 50% of people over 50 have nodules, and the percentage increases with age. While you can't always completely prevent nodules, there are some factors to consider. Hormone imbalances, particularly issues with estrogen metabolism, can contribute to nodule development. So addressing this aspect can be essential.  Tests like the Dutch test can help evaluate estrogen metabolites, and you may need to consult a healthcare provider knowledgeable in thyroid health for this. Insulin resistance can also play a role, and keeping an eye on your hemoglobin A1C and fasting insulin levels can be informative. Iodine is another element that can be both a cause and a potential remedy for nodules. It's a bit of a gray area, and the research isn't entirely clear. However, it's wise to be cautious with iodine supplements, as they can worsen nodules in some cases.  There are some self-care practices like castor oil packs that some people swear by, although there's limited scientific evidence. Ultimately, it's a good idea to monitor nodules with follow-up ultrasounds. If you find that they're not growing or, even better, shrinking, then you're on the right track. But always consult with a healthcare provider who understands thyroid health to guide you on the best approach for your specific situation. Treatment Approaches and Medications for Hyperthyroidism Managing hyperthyroidism often involves a multi-pronged approach. Dr. Osansky pointed out that treatment can include medications like anti-thyroid drugs, radioactive iodine therapy, or even surgery in more severe cases. The choice of treatment depends on the individual's unique situation and the underlying cause of their hyperthyroidism. And, a holistic approach is key especially if treating the thyroid (and getting levels back into optimal range) doesn't cure the symptoms, other factors need to be explored.  Mystery Solved - Lucy's Case In order to get more info on Lucy's case, we did a few rounds of blood work so that we could really track what was happening. The tests showed low TSH and high thyroid hormones (generally interpreted as a hyper state). However, tests a few weeks later told a different story ; TSH was high and thyroid hormones were low. This swing left her feeling tired.  We tested for antibodies and found she was positive for Hashimoto's but not for Graves'.  We determined that the high TSH was likely due to a Hashimoto's flare up - and that these flare ups were frequent which explained why she could go from feeling very high energy to fatigue within days.  Next Steps  We needed to calm down her immune upregulation. We initiated an immune calming protocol and started to address her triggers. We discovered that she had a few infections that were adding to her triggers including H Pylori, SIBO, EBV. This was in addition to the other triggers that we all face including issues with her diet, environment, and stress.  We all have different triggers so it's important to determine your unique triggers - this is something I work through in my thyroid program. Happy Ending After 3 months of immune balancing nutrients and trigger support, Lucy noticed so much more balance. Her antibodies dropped and her TSH stabilized and she was no longer getting those up and down swings. Eliminating Health Mysteries For Lucy, we were able to find that missing piece of the health puzzle and help her regain her health. Could this be the missing clue for you or someone in your life?    Links: Resources mentioned Thanks to my guest Dr. Eric Osansky. You can connect with him through his website, Natural Endocrine Solutions, and check out his podcast Save My Thyroid. Suggested Products N-Acetyl Cysteine Reacted Zinc Selenium Quercetin FC Cidal Dysbiocide Pyloricil Mastica Related Podcast Episodes: 78 [Ask Inna] Your Thyroid and Hashimoto's Questions Answered 106 Why You Don't Want to Ignore Symptoms of a Hyperactive Thyroid 85 The Case of the Unnecessary Thyroid Medication Thanks for Listening If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information. Never miss an episode -  Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts and remember to rate and review the show! Find out more at http://healthmysteriessolved.com PLEASE NOTE All information, content, and material on this podcast is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Some of the links provided are affiliate links. This means we may make a very small amount of money should you choose to buy after clicking on them. This will in no way affect the price of the product but it helps us a tiny bit in covering our expenses.   

It's the thing no one really wants to think about, but what happens to your temperature sensitive insulin in a disaster emergency? Sure, the zombie apocalypse seems less likely, but a hurricane or earthquake? Or even simply traveling? Those are very real. I admit, I hadn't much thought about this, but after talking to Dan & Lisa Katzki about the Frio insulin cooling case, I've realized how important this conversation about disaster preparedness is. Dan has been a diabetic since 1986 and Lisa is an RN with a speciality in disasters. This episode is convicting in the best way to be prepared and have one less worry with T1D. Time Stamps:  (05:08) When Dan met Frio & the difficulties of traveling with T1D(08:24) Dan on the fear of “not having your oxygen” and Lauren admits her lack of disaster prep in the past(09:50) Lisa's incredible Frio story following Hurricane Maria in Puerto Rico and 11 months of no electricity (13:58) The temperature insulin needs to be stored at and educating ourselves(18:06) Peace of mind and temperature as one less thing to worry about with T1D(19:59) How Frio works as an evaporative cooler(23:36) The most common Frio sizes(24:42) Where to buy Frio(29:19) As a disaster specialist RN, what would Lisa say to people who don't think of worst case scenario?What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop for when new episodes drop.Learn more and apply for the January 2024 Decide and Conquer Bootcamp HERE. www.FRIOCase.com - this is where you can learn about and purchase the FRIO® Medication Cooling Case. Disaster Supplies Kit for PWDs - here's a valuable checklist to ensure a good outcome in a bad situation.Disclaimer: Nothing you hear on the Reclaim your Rise podcast should be a substitute for personalized professional medical advice. Please always consult your physician or other medical professional before making any changes to your diet, insulin dosages, or healthcare plan. 

A Pennsylvania nurse, Heather Pressdee, already facing multiple felony charges for alleged harm to patients under her care, now finds herself confronted with dozens of new criminal charges. These charges accuse her of intentionally administering excessive doses of insulin to 22 patients between 2020 and her arrest in May 2023. The allegations extend beyond her initial accusations of killing two patients and attempting to kill a third while working at Quality Life Services in Chicora, a small town in the western part of the state.    In a recent press release, Pennsylvania Attorney General Michelle Henry disclosed that Pressdee stands accused of poisoning an additional 19 patients, resulting in the alleged deaths of 17 of those patients while under her care. The charges assert that Pressdee administered substantial amounts of insulin, regardless of the patient's diabetic status. Some of these patients required insulin to manage diabetes, while others did not have diabetes at all.    "The allegations against Ms. Pressdee are disturbing," said Attorney General Henry in the press release. "It is hard to comprehend how a nurse, trusted to care for her patients, could choose to deliberately and systematically harm them. The damage done to the victims and their loved ones cannot be overstated. Every person in a medical or care facility should feel safe and cared for, and my office will work tirelessly to hold the defendant accountable for her crimes and protect care-dependent Pennsylvanians from future harm."    These alleged insulin poisoning incidents occurred while Pressdee worked as a registered nurse at several healthcare facilities, including Concordia at Rebecca Residence, Belair Healthcare and Rehabilitation (Guardian), Quality Life Services Chicora, Premier Armstrong Rehabilitation and Nursing Center, and Sunnyview Rehabilitation and Nursing Center. Authorities believe Pressdee often administered excessive insulin doses during her overnight shifts, when staffing levels were lower, and the resulting medical emergencies were less likely to lead to immediate hospitalization.    Pressdee had previously claimed to have admitted to some of the incidents, stating that she "felt bad for their quality of life and had hoped that they would just slip into a coma and pass away," as per the initial criminal complaint. However, prosecutors dismissed this explanation.    Investigators uncovered Pressdee's history of disciplinary actions for abusive behavior toward patients and staff dating back to 2018. These incidents ultimately led to her being fired or resigning from various healthcare facilities.    The victims involved in this case ranged from 43 to 104 years old.    Pressdee had previously faced charges including two counts of homicide, one count of attempted murder, one count of aggravated assault, three counts of neglect of a care-dependent person, and three counts of reckless endangerment. The recent charges, announced on Thursday, include two counts of first-degree murder, 17 additional counts of attempted murder, and 19 additional counts of neglect of a care-dependent person.    The attorney general's office clarified that the charging decisions were based on the availability of "physical evidence" to support the cause of death. "Attempted murder is charged in the cases where the victims either survived the excessive dosage of insulin, or the cause of death could not be determined," the press release explained.    This case serves as a chilling reminder of the importance of vigilant oversight and accountability in healthcare settings to ensure the safety and well-being of patients. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

A Pennsylvania nurse, Heather Pressdee, already facing multiple felony charges for alleged harm to patients under her care, now finds herself confronted with dozens of new criminal charges. These charges accuse her of intentionally administering excessive doses of insulin to 22 patients between 2020 and her arrest in May 2023. The allegations extend beyond her initial accusations of killing two patients and attempting to kill a third while working at Quality Life Services in Chicora, a small town in the western part of the state.    In a recent press release, Pennsylvania Attorney General Michelle Henry disclosed that Pressdee stands accused of poisoning an additional 19 patients, resulting in the alleged deaths of 17 of those patients while under her care. The charges assert that Pressdee administered substantial amounts of insulin, regardless of the patient's diabetic status. Some of these patients required insulin to manage diabetes, while others did not have diabetes at all.    "The allegations against Ms. Pressdee are disturbing," said Attorney General Henry in the press release. "It is hard to comprehend how a nurse, trusted to care for her patients, could choose to deliberately and systematically harm them. The damage done to the victims and their loved ones cannot be overstated. Every person in a medical or care facility should feel safe and cared for, and my office will work tirelessly to hold the defendant accountable for her crimes and protect care-dependent Pennsylvanians from future harm."    These alleged insulin poisoning incidents occurred while Pressdee worked as a registered nurse at several healthcare facilities, including Concordia at Rebecca Residence, Belair Healthcare and Rehabilitation (Guardian), Quality Life Services Chicora, Premier Armstrong Rehabilitation and Nursing Center, and Sunnyview Rehabilitation and Nursing Center. Authorities believe Pressdee often administered excessive insulin doses during her overnight shifts, when staffing levels were lower, and the resulting medical emergencies were less likely to lead to immediate hospitalization.    Pressdee had previously claimed to have admitted to some of the incidents, stating that she "felt bad for their quality of life and had hoped that they would just slip into a coma and pass away," as per the initial criminal complaint. However, prosecutors dismissed this explanation.    Investigators uncovered Pressdee's history of disciplinary actions for abusive behavior toward patients and staff dating back to 2018. These incidents ultimately led to her being fired or resigning from various healthcare facilities.    The victims involved in this case ranged from 43 to 104 years old.    Pressdee had previously faced charges including two counts of homicide, one count of attempted murder, one count of aggravated assault, three counts of neglect of a care-dependent person, and three counts of reckless endangerment. The recent charges, announced on Thursday, include two counts of first-degree murder, 17 additional counts of attempted murder, and 19 additional counts of neglect of a care-dependent person.    The attorney general's office clarified that the charging decisions were based on the availability of "physical evidence" to support the cause of death. "Attempted murder is charged in the cases where the victims either survived the excessive dosage of insulin, or the cause of death could not be determined," the press release explained.    This case serves as a chilling reminder of the importance of vigilant oversight and accountability in healthcare settings to ensure the safety and well-being of patients. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

A Pennsylvania nurse, Heather Pressdee, already facing multiple felony charges for alleged harm to patients under her care, now finds herself confronted with dozens of new criminal charges. These charges accuse her of intentionally administering excessive doses of insulin to 22 patients between 2020 and her arrest in May 2023. The allegations extend beyond her initial accusations of killing two patients and attempting to kill a third while working at Quality Life Services in Chicora, a small town in the western part of the state.    In a recent press release, Pennsylvania Attorney General Michelle Henry disclosed that Pressdee stands accused of poisoning an additional 19 patients, resulting in the alleged deaths of 17 of those patients while under her care. The charges assert that Pressdee administered substantial amounts of insulin, regardless of the patient's diabetic status. Some of these patients required insulin to manage diabetes, while others did not have diabetes at all.    "The allegations against Ms. Pressdee are disturbing," said Attorney General Henry in the press release. "It is hard to comprehend how a nurse, trusted to care for her patients, could choose to deliberately and systematically harm them. The damage done to the victims and their loved ones cannot be overstated. Every person in a medical or care facility should feel safe and cared for, and my office will work tirelessly to hold the defendant accountable for her crimes and protect care-dependent Pennsylvanians from future harm."    These alleged insulin poisoning incidents occurred while Pressdee worked as a registered nurse at several healthcare facilities, including Concordia at Rebecca Residence, Belair Healthcare and Rehabilitation (Guardian), Quality Life Services Chicora, Premier Armstrong Rehabilitation and Nursing Center, and Sunnyview Rehabilitation and Nursing Center. Authorities believe Pressdee often administered excessive insulin doses during her overnight shifts, when staffing levels were lower, and the resulting medical emergencies were less likely to lead to immediate hospitalization.    Pressdee had previously claimed to have admitted to some of the incidents, stating that she "felt bad for their quality of life and had hoped that they would just slip into a coma and pass away," as per the initial criminal complaint. However, prosecutors dismissed this explanation.    Investigators uncovered Pressdee's history of disciplinary actions for abusive behavior toward patients and staff dating back to 2018. These incidents ultimately led to her being fired or resigning from various healthcare facilities.    The victims involved in this case ranged from 43 to 104 years old.    Pressdee had previously faced charges including two counts of homicide, one count of attempted murder, one count of aggravated assault, three counts of neglect of a care-dependent person, and three counts of reckless endangerment. The recent charges, announced on Thursday, include two counts of first-degree murder, 17 additional counts of attempted murder, and 19 additional counts of neglect of a care-dependent person.    The attorney general's office clarified that the charging decisions were based on the availability of "physical evidence" to support the cause of death. "Attempted murder is charged in the cases where the victims either survived the excessive dosage of insulin, or the cause of death could not be determined," the press release explained.    This case serves as a chilling reminder of the importance of vigilant oversight and accountability in healthcare settings to ensure the safety and well-being of patients. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

Editor's Summary by Kristin Walter, MD, MS, Senior Editor of JAMA, the Journal of the American Medical Association, for the November 7, 2023, issue.

Nir Salomon is the director of integrative gastroenterology at Sheba Medical Center. Inflammatory Bowel Disease and Irritable Bowel Syndrome can be treated through both pharmaceuticals and nutraceuticals; in this episode we will discuss the latter. Nir and his research team have created CurQD, a supplement that heals the mucosal layer of the intestines. We cover the development of these nutraceuticals and who they are for. I wish I had known about CurQD when my son was struggling with ulcerative colitis, I truly believe it could have helped him heal so much more efficiently!  [11:29]- Nir Salomon's story of how he became passionate about IBS and IBD.  [15:26]- What is the difference between IBS and IBD?  [19:33]- The purpose behind Nir's work and who it is for.  [33:01]- How can one access the protocol Nir created?  [37:40]- What is the route of a colectomy?  [41:14]- Is CurQD a successful protocol for maintenance remission?  [45:55]- How does diet contribute to healing of IBS and IBD?  [49:29]- Can CurQD be taken in conjunction with pharmaceuticals like antibiotics or immunosuppressants?  Previous podcast episodes sharing my sons struggle with ulcerative colitis:  Episode 1: My Story and Why I'm Passionate About What I Teach!  Episode 24: My Sons Battle With Ulcerative Colitis and How He Ultimately Healed Episode 69: An Update On My Son's Battle With Ulcerative Colitis    FOR MORE INFORMATION FROM NIR SALOMON:  Website :https://evinature.com/  Instagram: @evinature Facebook: @evinature  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!

Here is the Part 2 of Misunderstood Insulin Topic for the Podcast. We explore the intricacies of insulin and the role they play in your overall well-being. Join us in this insightful journey towards a holistic understanding of high blood sugar and how it can be harnessed for your betterment. 

It's In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: a new study looks at pancreatic exocrine-endocrine “crosstalk,” weekly basal for T1D moves forward, a Chinese company gets European approval for its CGM, a look at air pollution as a cause of T2D, lots of info and advocacy for Diabetes Awareness Month including some movies and documentaries. Links and transcript below Find out more about Moms' Night Out  Please visit our Sponsors & Partners - they help make the show possible! Take Control with Afrezza  Omnipod - Simplify Life Learn about Dexcom  Edgepark Medical Supplies Check out VIVI Cap to protect your insulin from extreme temperatures Learn more about AG1 from Athletic Greens  Drive research that matters through the T1D Exchange The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Twitter Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Reach out with questions or comments: info@diabetes-connections.com Episode Transcript: Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and every other Friday I bring you a short episode with the top diabetes stories and headlines happening now. XX In the news is brought to you by Edgepark simplify your diabetes journey with Edgepark XX It's Diabetes Awareness Month so you're going to see a lot of advocacy posts and hear about all types of diabetes and technology and advances. It's always diabetes awareness month around here, so I'm not going to talk about each and every one of these campaigns.. but I'll share more on social. XX Our top story this week, In the largest study of its kind, researchers at Vanderbilt University Medical Center have identified unexpected alterations in the exocrine tissues of the pancreas that occur in the two major forms of diabetes, and with aging and obesity. They're calling this a report on pancreatic exocrine-endocrine “crosstalk.” I'm not going to do it justice, it's pretty complex, so please check out the show notes with all the links. They say their work, published in the journal Diabetes, represents a significant advance in understanding how Type 1 and Type 2 diabetes, alter the digestive enzyme-secreting exocrine portion of the pancreas. Not just the parts that make insulin. The pancreas has been very difficult to study because it is surrounded by other vital organs, hard to access, and it quickly deteriorates. Pancreas tissue for study must come from deceased donors or fragments of surgical specimens and those are hard to come by. This group says they were able to study an unprecedently large and well-preserved group of tissue samples from 119 donors. https://news.vumc.org/2023/11/01/pancreas-crosstalk-may-influence-course-of-type-1-and-type-2-diabetes/#:~:text=VUMC%20Reporter-,Pancreas%20%E2%80%9Ccrosstalk%E2%80%9D%20may%20influence%20course%20of%20Type,1%20and%20Type%202%20diabetes&text=In%20the%20largest%20study%20of,and%20with%20aging%20and%20obesity. XX Another promising study about Insulin icodec, a once-weekly basal injection – this time for type 1 diabetes. We've been following this for a while and the results of the year-long phase 3 clinical trial are in. After 26 weeks, once weekly basal looks just about the same as daily basal in terms of overall diabetes control. The group that received daily injections had their A1Cs go down to 7.1, the group that got the weekly basal was at 7.15. These researchers say it's very promising, but further analysis of CGM data and real world studies are needed to keep moving forward. https://www.technologynetworks.com/drug-discovery/news/weekly-insulin-for-type-1-diabetes-has-the-potential-to-be-as-effective-as-daily-regimens-trial-380487 XX air pollution raises risk of type 2 diabetes, says a landmark study out of India. This was a seven year study of 12,000 people and showed Inhaling polluted air increases the risk of type 2 diabetes, the first study of its kind in India has found. When inhaled, PM2.5 particles – which are 30 times thinner than a strand of hair – can enter the bloodstream and cause several respiratory and cardiovascular diseases. India is one of the worst countries in the world for air pollution. These researchers say “Until now, we had assumed that diet, obesity and physical exercise were some of the factors explaining why urban Indians had higher prevalence of diabetes than rural Indians,” said Dr V Mohan, chairman of the Madras Diabetes Research Foundation and one of the authors of the paper. “This study is an eye-opener because now we have found a new cause for diabetes that is pollution.” https://www.theguardian.com/global-development/2023/nov/01/air-pollution-raises-risk-of-type-2-diabetes-says-landmark-indian-study-acc XX Time-restricted eating, also known as intermittent fasting, can help people with Type 2 diabetes lose weight and control their blood sugar levels, according to a new study published in JAMA Network Open from researchers at the University of Illinois Chicago. Participants who ate only during an eight-hour window between noon and 8 p.m. each day actually lost more weight over six months than participants who were instructed to reduce their calorie intake by 25%. Both groups had similar reductions in long-term blood sugar levels, as measured by a test of hemoglobin A1C, which shows blood sugar levels over the past three months. Senior author Krista Varady said that participants in the time-restricted eating group had an easier time following the regime than those in the calorie-reducing group. The researchers believe this is partly because patients with diabetes are generally told to cut back on calories by their doctors as a first line of defense, so many of these participants likely had already tried — and struggled with — that form of dieting. And while the participants in the time-restricted eating group were not instructed to reduce their calorie intake, they ended up doing so by eating within a fixed window. Just over half the participants in the study were Black and another 40% were Hispanic. This is notable as diabetes is particularly prevalent among those groups, so having studies that document the success of time-restricted eating for them is particularly useful, the researchers said. The study was small a https://today.uic.edu/intermittent-fasting-diabetes-weight-loss/ XX XX New CGM approved in Europe. Sibionics CGM says they have more than 600-thousand users for their GS1 CGM, mostly in hospitals. It's a 14 day no calibration system with data sharing. They also make a Continuous Ketone Monitoring System(CKM). The company, based in China, says GS1 CGM products will gradually become available for pre-sales in EU countries, the UK, and other European countries. https://www.prnewswire.com/news-releases/sibionics-achieves-milestone-receiving-ce-mark-for-its-groundbreaking-gs1-continuous-glucose-monitoring-system-301974051.html XX XX Commercial – Edgepark XX Couple of movie updates for Diabetes Month! We've been following Pay or Die since it was in production, and it's now in selected theaters with a digital release on Paramont Plus coming Nov 14th. All about the high price of insulin – and the personal cost – this release means the movie is eligible for an Oscar nomination for best documentary. XX The short film Type 1 is also available to stream.. you may recall we talked to the writer behind this project is Noah Averbach-Katz, who appeared in Star Trek Discovery. His wife Mary Wiseman has a starring role and the whole Star Trek community got behind this project. The two star in the short movie which explores the barriers to insulin access put in place for diabetics through a Type 1 diabetic and his wife during their desperate search for insulin. It's presented in partnership with with T1 International and it's the film directorial debut of Anthony Rapp, the original Mark in RENT and current star of Star Trek: Discovery. https://playbill.com/article/watch-anthony-rapp-directed-short-film-type-1 XX This is where in the past I've talked about what's coming up next week on the show.. well now we have two shows! In the news will appear in both DC1 and DC2 feeds.. but the weekly interview shows will only occasionally cross over. I'll try this and see how it goes – next week on DC 1 – Dr. Mike Natter – he's an adult endo who lives with type 1, he's also an artist and has a huge following on social media. We'll find out why – he's also used the new Beta Bionics iLet pump and lets us know what he thinks about that. Next up for DC 2 – professional golfer Ken Duke talks about his diagnosis and how he manages diabetes on tour. Join us again soon!

"FOCUS ON WHAT MATTERS MOST FOR QUALITY OF LIFE & LONGEVITY" - Muscle-Centric Medicine by Dr. Lyon Articles discussed or mentioned: https://drgabriellelyon.com/muscle-centric-medicine/ https://shawnwells.com/2023/03/10-signs-that-you-are-shifting-from-burning-glucose-to-fat/ https://bradkearns.com/2022/10/20/the-new-carnivore-scores-chart/ https://debbiepotts.net/what-are-plant-toxins/ "Insulin resistance is also the predominant factor leading to type 2 diabetes and the link among a constellation of cardiometabolic risk factors known as metabolic syndrome, linking obesity, type 2 diabetes, and cardiovascular disease. Consequently, it's becoming clear that not only Impaired metabolic flexibility is associated with an increased risk of insulin resistance but that insulin resistance itself deteriorates metabolic flexibility as well; hence why most individuals with obesity and/or type 2 diabetes are metabolically inflexible." https://pnoe.com/blog/metabolic-health/metabolic-flexibility-a-valid-concept-or-a-catchy-term/ "Equally important as how much protein you eat is when you eat it. Your body responds best to an even protein distribution throughout the day. Pre-menopausal women should aim for 30 grams of high-quality protein within 30 to 45 minutes after exercise and regular doses of 30 to 40 grams of protein at each meal and 15 to 20 at your snacks. As you reach peri and postmenopause, your anabolic resistance increases, so you want to aim to have that post-exercise protein closer to 40 grams." https://www.drstacysims.com/blog/Why-Women-Need-to-Prioritize-Protein "Women even more so than men need protein post workout, and we need it fast. The sex hormone progesterone exacerbates muscle breakdown in women. It makes us more catabolic, especially during the luteal phase of our menstrual cycle. So, you need more protein to protect your muscles and come back stronger. Women recover faster with 25 to 30 grams of protein (with 5 to 7 grams of BCAAs) within 30 minutes of a hard workout.  Pair some carbohydrates with that protein. The two work in harmony to increase your glycogen storage rates. Research also shows that taking in carbohydrate and protein together postexercise helps to reduce inflammation and can boost immunity.  If you delay calorie intake, you stay in a breakdown state. Your body won't start repairing until you take in some food. Even if you eat enough in the rest of your day to meet what your body needs, not eating post-workout acts the same as not eating enough. And on days when maybe you're running around and not meeting your total energy needs, properly fueling before and after working out can help you prevent going into a state of low energy availability.  Finally, if you're planning to make diet adjustments, especially if you're doing any sort of calorie reduction, consider implementing them outside of your workout fueling - your body will thank you!" https://www.drstacysims.com/blog/nail-your-golden-recovery-window-for-optimum-health-and-performance

With the rise in diet fads such as fasting and ketogenic diets, it is crucial to understand the role that glucose plays in our bodies and how nourishing our cells at a metabolic level is the key to moving away from stress and burnout.Balancing your blood sugar appropriately on a cellular level is different from how social media trends tell you to manage your blood sugar. They almost want you to think of blood sugar and insulin as bad. But there are no bad hormones! Insulin is responsible for helping our cells use glucose for metabolic function - which is necessary for survival.Listen in today to hear more about the key to managing your low blood sugar and how it can help you manage your stress, step away from burnout, and get back to a place of healing!In this episode:[00:41] Welcome back to the Fully Nourished Podcast! [05:16] We are diving into blood sugar in this episode and how managing your blood sugar can help you manage your stress.[10:26] While low blood sugar is a large component to stress, it's not the only factor.[15:15] The physiology behind balancing your blood sugar and the actions that take place in your liver.[21:32] Glycogen storage in your muscles is not used for blood sugar metabolism.[22:37] The impact of fasting and exercise on glycogen stores. [24:51] Our Central Nervous System uses more glucose than any other system in our bodies, and the impact of low blood sugar on the brain.[28:18] This is what happens in your body when it has to make its own glucose in response to low blood sugar and why it's metabolically destructive.[35:13] How the keto diet actually impacts your physiology. [36:49] Insulin and glucose in your cells.[38:26] Our state of being impacts our utilization of food.[39:59] These are the factors that impact our carbohydrate tolerance. [41:23] Healing must occur both physically and spiritually because our structure and energy are intertwined.[44:42] Thanks for listening today! Join us in part 2, where we talk more about nourishment as we begin to balance our blood sugar.Links and Resources:Checkout Jigsaw Health and use code Jess10 for $10.00 of your order: https://www.jigsawhealth.com/?rfsn=5551016.9830c5&utm_source=refersion&utm_medium=affiliate&utm_campaign=5551016.9830c5  Episode 2: My Health Hourney & having a Meaningful Nutrition Philosophy:https://open.spotify.com/episode/7imvHxMvlx9pJhWCQwfnOc Episode 3: Energy is Everything: An Introduction to Bioenergetics:I'm launching my first membership!!! Check out Nourished Circle here: https://programs.jessicaashwellness.com/nourished-circle and leave doing your own research behind! PLUS during our Black Friday Sale you'll get a 50% off coupon for Fully Nourished. Connect with Jessica:Have Sunday tea with me! Sign-up for my Sunday newsletter where I share what's on my brain from the nutritional to spiritual: https://www.jessicaashwellness.com/email-subscribe. Ready to go deeper? Learn how to nourish yourself in a way that respects your unique female physiology in my signature Fully Nourished course: https://www.jessicaashwellness.com/fully-nourished Join the Fully Nourished community! Follow me @jessicaashwellness on Instagram: https://www.instagram.com/jessicaashwellness/

More than ½ of American adults either struggle with prediabetes or type 2 diabetes. As a result, many people struggle with glucose toxicity and are prescribed insulin. Let's discuss what we can do to teach the body how to burn fat and restore insulin sensitivity, ultimately to reverse metabolic illness and negate the need for endogenous insulin. [6:20]- What is the root cause of prediabetes and type 2 diabetes?  [15:07]- Type 2 diabetes and prediabetes is a lifestyle-induced illness. What can be done about this?  [22:28]- Nutritionally, how can you limit carbohydrate intake to heal? Take my CARB QUIZ to understand the right amount of carbs for you!  [24:37]- Muscle is our glucose sink! Why do you need to increase your skeletal muscle tissue?  [31:05]- Metabolic illness is reversible, here is how! Special thanks to L'BRI for sponsoring this episode. To order your free samples from this clean and purposeful skin care company, use the link here!  The next session of Low Insulin Academy LIVE will begin January, 2024! If you know you struggle with metabolic illness or are currently taking insulin and want to heal your body holistically, I highly encourage you to get on the waitlist for LIA! Doing so does not obligate you for enrollment, rather shares a discount code with you should you choose to enroll.  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!  

Watch the full video interview on YouTube here: https://youtu.be/HeX--GOnqRk Dr. Jason Fung (IG: @drjasonfung) is a physician, researcher, New York Times bestselling author and currently practices as a nephrologist (kidney specialist). He is the co-founder of The Fasting Method, which provides the education, tools and community needed to successfully implement intermittent fasting. Jason recently released The Diabetes Code Journal: The Official Workbook for Reversing Type 2 Diabetes Through Healthy Eating and Fasting. In this episode, we discuss: What causes type 2 diabetes? The insulin resistance - diabetes continuum What is hyperinsulinemia? The underlying problem with type 2 diabetes The 5 markers of metabolic syndrome Does prescribing insulin fix type 2 diabetes? Insulin resistance takes 10-15 years to turn into type 2 diabetes Early signs of diabetic kidney disease Cholesterol is not the main cause of heart disease Type 2 diabetes is reversible Body mass index (BMI) is deceiving The process called de novo lipogenesis (DNL) Type 1 diabetes needs insulin treatment 3 ways to lower insulin naturally Ketosis is an ultra-low-carbohydrate diet Reducing calories doesn't address the root cause of the problem Intermittent fasting is a powerful tool to control type 2 diabetes Does fasting impact the basal metabolic rate (BMR)? Fasting doesn't cause muscle loss Show sponsor: LMNT

Preeti Sudheendra, MD, is a breast cancer medical oncologist at Ohio State/The James Cancer Hospital and has been in practice for almost 15 years. She also has an expertise in seeing patients who may be at high risk for developing breast cancer in the future due to genetic or other predispositions. Dr. Sudheendra has been involved with the American College of Lifestyle Medicine since 2022 and is the incoming co-chair for the ACLM Breast Cancer Subcommittee. Links:Connect with Dr. Sudheendra on Twitter/X and LinkedIn