Taking Control Of Your Diabetes - The Podcast!: Recent Episodes

Taking Control Of Your Diabetes

Welcome to Taking Control Of Your Diabetes, an edutaining podcast all about highs and lows of living with diabetes. Hosted by Dr. Steve Edelman and Dr. Jeremy Pettus, both endocrinologists who have been living with diabetes themselves since they were 15, we’re discussing the important topics that people living with diabetes need to know—and no topic is off-limits.

From the latest advancements in diabetes medications and devices, to interviews with some of the best minds in diabetes, to personal stories about the ups and downs of dealing with this condition 24/7, we’re tackling what it means to live with diabetes in modern times. And we promise to make you laugh along the way, because sometimes we just need to laugh at the craziness that comes with living with diabetes.

Tune in for a new episode on the last Monday of every month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!

VISIT: tcoyd.org | FOLLOW: tcoyd.org/contact | EMAIL: Podcast@tcoyd.org

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Questions We’ll Cover in This Episode:

· Why are people with diabetes prone to hypoglycemia?

· How does the body combat hypoglycemia for people with diabetes vs.people without diabetes?

· What are the three stages of hypoglycemia?

· What are the different mindsets of people who prefer to be low and are scared to be high? What about those who prefer to be high and scared to get low?

· How common is a severe hypoglycemic event?

· Is A1c related to hypoglycemia?

· What are the risk factors for severe hypoglycemia?

· How can I prevent hypoglycemia?

· How can I treat hypoglycemia?

Show notes

Video Vault Hypoglycemia: https://tcoyd.org/vv-t1d-hypoglycemia/

Confessions of a Diabetic: Drs. E + P Tell All in this Reenactment of Their Worst Highs and Lows: https://www.youtube.com/watch?v=bJyVR-2na2k

Dr. Bill Polonsky at the Behavioral Diabetes Institute:https://behavioraldiabetes.org/

Staying in Range During and After Exercise: A Real Pain in the…https://www.youtube.com/watch?v=GMKD52ACIYQ

Alcohol and Diabetes: Do They Mix?: https://www.youtube.com/watch?v=oe6fZeLG6ds

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Did you know we have 10 original songs about living with diabetes? TCOYD songs have become an integral part of our programming and all the songs have been created in-house—written and performed by TCOYD faculty. In this episode, Dr. P is going behind the music with TCOYD resident song-writer Erik Berg to talk about how these TCOYD songs originated and the inspiration behind the different genres and funny diabetes lyrics.

  • Where did the TCOYD songs originate from?
  • Who on the TCOYD team creates these songs?
  • How are the music videos created?
  • Where did TCOYD get inspiration for the genres and lyrics?
  • How did original songs become such an important part of TCOYD programming?

Show notes

TCOYD Songs: https://tcoyd.org/vv-songs/https://tcoyd.org/vv-songs/

ONE Conference: https://events.blackthorn.io/en/36jDRT6/g/TCOYDCal/one-2023-in-person-august-18-20th-4a3cEY1N4n/overview

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We’re talking highlights from the ADA Scientific Sessions! As one of the biggest medical diabetes conferences of the the year, this event brings together thousands of experts, clinicians, and researchers to talk about the most exciting data and developments that have happened over the last year. And we’re breaking down what you need to know. Tune in to hear about the latest cutting-edge research in diabetes treatments and how they could affect your management.

Questions We’ll Cover in This Episode:

  • What is new with GLP-1 drugs?
  • Can you prevent type 1 diabetes?
  • What is going on with once-weekly basal insulin?
  • How should you set a target for LDL cholesterol? How have the targets changed over the years?
  • How do doctors measure and monitor kidney disease?
  • What is happening with non-insulin therapies for type 1 diabetes?

Show notesONE 2023 - https://events.blackthorn.io/en/36jDRT6/g/TCOYDCal/one-2023-in-person-august-18-20th-4a3cEY1N4n/overview

Diatribe - https://diatribe.org/

JEREMY PETTUS, MD
Associate Professor, University of California, San Diego Health Systems; Director, Type 1 Track & CME, TCOYD; Co-Creator of We Are One Diabetes

EUGENE WRIGHT, MD
Medical Director, Performance Improvement; Charlotte Area Health Education Center (AHEC)

JOHN B. BUSE, MD, PhD
Verne S. Caviness Distinguished Professor; Director, Diabetes Center; Director, NC Translational and Clinical Sciences Institute; Senior Associate Dean, Clinical Research; University of North Carolina School of Medicine

ATHENA PHILIS-TSIMIKAS, MD
Corporate VP, Scripps Whittier Diabetes Institute; Director of Community Engagement, Clinical Translational Science Award, Scripps Research Translational Institute; Co-Leader, Scripps Ambulatory Health Equity Council; Associate Clinical Professor of Medicine (voluntary), UCSD

JUAN PABLO FRIAS, MD
Medical Director and Principal Investigator, Velocity Clinical Research, Los Angeles; Assistant Clinical Professor of Medicine, UCSD

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Discussing a "diet for diabetes" is such a hot topic, but what does that even mean? Many individuals wonder if they need to completely cut out certain foods or if they can still enjoy their favorite dishes. We’re sitting down with nutrition expert Adriana Valencia to talk about balancing your diet when living with diabetes with topics such as moderation, carb counting, substitution, and artificial sweeteners. We’ll also talk about the importance of finding a dietitian that is right for you.Questions We’ll Cover in This Episode: Is there a specific diet for individuals with diabetes? * How can I find the right dietitian for me? * Is it possible to personalize a diet plan based on my lifestyle? * How important is it to involve my spouse, significant other, or family in my specific dietary plan? * Should I be concerned about choosing organic or non-organic foods? * What are the implications of following diets such as keto, low-carb, or intermittent fasting? * How important is carb counting in managing diabetes? * What is the deal with artificial sweeteners? * How effective are meal replacements?*

Show notes
App: Calorie King- https://apps.apple.com/us/app/calorieking-food-search/id454930992
Video Vault: Type 1 Nutrition- https://tcoyd.org/vv-t1d-nutrition/
Video Vault: Type 2 Nutrition- https://tcoyd.org/vv-t2d-nutrition/ ★ Support this podcast ★

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Discussing diabetes complications can be a scary conversation, but it really doesn’t have to be. We’re sitting down to straighten out the misconceptions about diabetes complications including the difference between severe and consistent hyperglycemia and occasional highs, and the stigma around having symptoms of complications. We’ll also discuss how a diabetes diagnosis can be an opportunity to improve your overall health and live a long, healthy life.

Questions We’ll Cover in This Episode:

  • What is the Diabetes Control and Complications Trial (DCCT) and why is it important?
  • What are misconceptions about diabetes and complications?
  • How long do my blood sugars have to be high before I get complications?
  • How can I see my diabetes as an opportunity for good health?
  • Why is there a stigma around diabetes complications?
  • What are the different types of diabetes complications?
  • Why is 7% the recommended A1c?
  • Am I doomed if I already have symptoms of complications?

Show notes
Type 1 Kidney and Heart Care: https://tcoyd.org/vv-t1d-cardio-kidney/
Type 1 Eye Care: https://tcoyd.org/vv-t1d-eye-health/
Type 2 Kidney and Heart Care: https://tcoyd.org/vv-t2d-cardio-kidney/
Type 2 Eye Care: https://tcoyd.org/vv-t2d-eye-health/
Donate: https://tcoyd.org/donate/

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Father’s Day is right around the corner and Dr. E is sitting down with John Mardikian, father of a daughter (Cici) who has been recently diagnosed with type 1 diabetes at age three. John tells the story of Cici’s type 1 diagnosis, how his family adjusted after her diagnosis, and his recommendations for parents of children who have been newly diagnosed with type 1 diabetes.

Questions We’ll Cover in This Episode:

· What is the story of Cici’s type 1 diabetes diagnosis?

· How was the first month after Cici was diagnosed with T1D?

· What was your experience with Cici’s sibling who does not have diabetes?

· How did Cici’s type 1 diagnosis affect your marriage?

· What systems are you using to help Cici manage her diabetes?

· What are your recommendations for parents of kids who have been newly diagnosed with type 1 diabetes?

· What should a parent look for in a pediatric endocrinologist?

Show notes

Episode 17: For Parents of Kids with Diabetes, with Pediatric Endocrinologist & CMO of ViaCyte, Dr. Manasi Jaiman

Dexcom Continuous Glucose Monitor: https://assistance.dexcom.com/pap_selfservice/

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Description: Diabetes is an overwhelming condition and emotional issues are extremely common for people dealing with diabetes day in and day out. So why is emotional health rarely discussed as it relates to diabetes? We’re sitting down with Clinical Psychologist Dr. Bill Polonsky to talk about the most common emotional issues people living with diabetes face, how to identify diabetes distress vs. depression, and what you can do if you’re feeling overwhelmed dealing with your diabetes.

Questions We’ll Cover in This Episode:

  • What are the most common emotional issues for people with type 1?
  • What are the most common emotional issues for people with type 2?
  • What are common barriers people face to seeking emotional support?
  • What is diabetes distress and how does it differ from depression?
  • What can I do if I’m feeling overwhelmed?
  • How can I help as a loved one of someone with diabetes?
  • What can I do if I don’t have access to a mental health professional who knows about diabetes?

Show notes
Video Vault: https://tcoyd.org/tcoyd-video-vault/

American Diabetes Association Mental Health Registry https://professional.diabetes.org/mhp_listing

TCOYD Diabetes Support Groups
Type 1 https://www.facebook.com/groups/524361121705572/
Type 2 https://www.facebook.com/groups/380141556250464/
Type 3 (Loved Ones) https://www.facebook.com/groups/375866213041029/

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We can all agree that insurance is the most confusing topic in healthcare. And with all the supplies we need to keep our diabetes in check, it’s important to make sure our health insurance plan is working for us, not against us. Dr. E is sitting down to talk all things insurance with Geroge Huntley who is a T1D, CEO of the Diabetes Leadership Council & Diabetes Patient Advocacy Coalition, and the Plan Administrator for his employer-based health plan (plus about a million other things). George will explain the different health insurance offerings and what people with diabetes need to look for to find the best plan for them.

Questions We’ll Cover in This Episode:

  • What is Open Enrollment, why is it important, and when is the Open Enrollment period?
  • What makes up the total cost of a health insurance plan?
  • What is a deductible? What is cost sharing?
  • When looking at plan offerings, what should people with diabetes be looking for?
  • What are your recommendations for individual coverage?
  • What is the difference between a PPO, HMO and EPO?
  • What is a High Deductible Health Plan?
  • Are there tax advantages to different plans?
  • What is a Health Savings Account (HSA)?
  • What is a Flexible Spending Account (FSA)?

Show notes
TCOYD Access Page: tcoyd.org/access
Geroge Huntley’s Articles
Demystifying Health Insurance, Part 1: How to Pick a Plan with the Lowest Total Cost: https://tcoyd.org/2022/08/demystifying-health-insurance-part-1-how-to-pick-a-plan-with-the-lowest-total-cost/
Demystifying Health Insurance, Part 2: The Three Ds of Selecting a Plan: https://tcoyd.org/2022/09/demystifying-health-insurance-part-2-the-three-ds-of-selecting-a-plan/
Demystifying Health Insurance, Part 3: Alphabet Soup
https://tcoyd.org/2022/10/demystifying-health-insurance-part-3-decoding-health-insurance-plans/
Diabetesleadership.org
JDRF Health Insurance Guide: https://www.jdrf.org/t1d-resources/living-with-t1d/insurance/
The Diabetes Link Health Insurance Hub: https://resourcehub.thediabeteslink.org/l/resource-hub?topic=Health%20Insurance

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We can all agree that insurance is the most confusing topic in healthcare. And with all the supplies we need to keep our diabetes in check, it’s important to make sure our health insurance plan is working for us, not against us. Dr. E is sitting down to talk all things insurance with Geroge Huntley who is a T1D, CEO of the Diabetes Leadership Council & Diabetes Patient Advocacy Coalition, and the Plan Administrator for his employer-based health plan (plus about a million other things). George will explain the different health insurance offerings and what people with diabetes need to look for to find the best plan for them.

Questions We’ll Cover in This Episode:

  • What is Open Enrollment, why is it important, and when is the Open Enrollment period?
  • What makes up the total cost of a health insurance plan?
  • What is a deductible? What is cost sharing?
  • When looking at plan offerings, what should people with diabetes be looking for?
  • What are your recommendations for individual coverage?
  • What is the difference between a PPO, HMO and EPO?
  • What is a High Deductible Health Plan?
  • Are there tax advantages to different plans?
  • What is a Health Savings Account (HSA)?
  • What is a Flexible Spending Account (FSA)?

Show notes
TCOYD Access Page: tcoyd.org/access
Geroge Huntley’s Articles
Demystifying Health Insurance, Part 1: How to Pick a Plan with the Lowest Total Cost: https://tcoyd.org/2022/08/demystifying-health-insurance-part-1-how-to-pick-a-plan-with-the-lowest-total-cost/
Demystifying Health Insurance, Part 2: The Three Ds of Selecting a Plan: https://tcoyd.org/2022/09/demystifying-health-insurance-part-2-the-three-ds-of-selecting-a-plan/
Demystifying Health Insurance, Part 3: Alphabet Soup
https://tcoyd.org/2022/10/demystifying-health-insurance-part-3-decoding-health-insurance-plans/
Diabetesleadership.org
JDRF Health Insurance Guide: https://www.jdrf.org/t1d-resources/living-with-t1d/insurance/
The Diabetes Link Health Insurance Hub: https://resourcehub.thediabeteslink.org/l/resource-hub?topic=Health%20Insurance

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TAKING CONTROL OF YOUR DIABETES – THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Questions We’ll Cover in This Episode:

  • What causes prediabetes?
  • What are the symptoms of prediabetes?
  • How do you diagnose prediabetes?
  • Who is at increased risk of developing prediabetes?
  • Is diabetes genetic?
  • What are the risks associated with prediabetes?
  • Are there any treatments for prediabetes?
  • Can you keep prediabetes from turning into type 2 diabetes?
  • What are our recommendations for someone diagnosed with prediabetes?

Medications Mentioned...

GLP 1 Receptor Agonists: Ozempic, Mounjaro, Trulicity

SGLT2 Inhibitors: Jardiance, Farxiga

*Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!***

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Drs. E and P are taking a trip down memory lane! They’re discussing what living with diabetes was like before Continuous Glucose Monitoring (CGM) from inaccurate urine testing to finger sticks and rogue test strips everywhere. They discuss the evolution of CGM leading up to the most current devices and what makes each system unique, and how hybrid closed loop systems have completely changed the game. Learn why it’s never too late to take control of your diabetes!

Questions We’ll Cover in This Episode:

  • What was it like living with diabetes before Continuous Glucose Monitoring (CGM)?
  • What is the evolution of devices from Blood Glucose Monitors (BGM) to Continuous Glucose Monitors (CGM)?
  • What was it like to get your first CGM?
  • What are the different measurements you can get with CGM?
  • What are the different options for CGMs?
  • How will the Dexcom G7 improve from the Dexcom G6?
  • How will the FreeStyle Libre 3 improve from the FreeStyle Libre 2?
  • Is CGM necessary for people with type 2 diabetes?
  • What are the different types of hybrid closed loop systems?

Show notes

Lecture Dr. P meeting Dr. E for the first time: https://www.youtube.com/watch?v=g0FOfBrVjaM&t=3s

Lecture on Alerts and alarms: https://www.youtube.com/watch?v=3sp-15o-QcA&t=2s

TCOYD Video Vault: https://tcoyd.org/tcoyd-video-vault/

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Drs. E and P are taking a trip down memory lane! They’re discussing what living with diabetes was like before Continuous Glucose Monitoring (CGM) from inaccurate urine testing to finger sticks and rogue test strips everywhere. They discuss the evolution of CGM leading up to the most current devices and what makes each system unique, and how hybrid closed loop systems have completely changed the game. Learn why it’s never too late to take control of your diabetes!

Questions We’ll Cover in This Episode:

  • What was it like living with diabetes before Continuous Glucose Monitoring (CGM)?
  • What is the evolution of devices from Blood Glucose Monitors (BGM) to Continuous Glucose Monitors (CGM)?
  • What was it like to get your first CGM?
  • What are the different measurements you can get with CGM?
  • What are the different options for CGMs?
  • How will the Dexcom G7 improve from the Dexcom G6?
  • How will the FreeStyle Libre 3 improve from the FreeStyle Libre 2?
  • Is CGM necessary for people with type 2 diabetes?
  • What are the different types of hybrid closed loop systems?

Show notes

Lecture Dr. P meeting Dr. E for the first time: https://www.youtube.com/watch?v=g0FOfBrVjaM&t=3s

Lecture on Alerts and alarms: https://www.youtube.com/watch?v=3sp-15o-QcA&t=2s

TCOYD Video Vault: https://tcoyd.org/tcoyd-video-vault/

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Description: As we transition into the post pandemic period, Telehealth is here to stay! We’re sitting down with Dr. Leslie Eiland, an endocrinologist living with type 1 who is also the Director of her Telehealth Program in Omaha, to talk about what Telehealth is, how it can be utilized for those living with diabetes, and how it addresses the needs of those who aren’t located near a provider. We’ll also go over how you can prepare for a Telehealth appointment and tips to get the most out of your visit.

Questions We’ll Cover in This Episode:

  • What is Telehealth?
  • Why weren’t we using Telehealth before the pandemic?
  • How well can diabetes be managed via Telehealth?
  • What are the benefits of Telehealth?
  • What are the struggles with Telehealth?
  • What does Telehealth look like post pandemic?
  • How should you prepare for a Telehealth visit?
  • How can you get the most out of your Telehealth visit?

Show notes

Lecture on Telehealth: https://www.youtube.com/watch?v=Qf7UkB54mVI

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Description: As we transition into the post pandemic period, Telehealth is here to stay! We’re sitting down with Dr. Leslie Eiland, an endocrinologist living with type 1 who is also the Director of her Telehealth Program in Omaha, to talk about what Telehealth is, how it can be utilized for those living with diabetes, and how it addresses the needs of those who aren’t located near a provider. We’ll also go over how you can prepare for a Telehealth appointment and tips to get the most out of your visit.

Questions We’ll Cover in This Episode:

  • What is Telehealth?
  • Why weren’t we using Telehealth before the pandemic?
  • How well can diabetes be managed via Telehealth?
  • What are the benefits of Telehealth?
  • What are the struggles with Telehealth?
  • What does Telehealth look like post pandemic?
  • How should you prepare for a Telehealth visit?
  • How can you get the most out of your Telehealth visit?

Show notes

Lecture on Telehealth: https://www.youtube.com/watch?v=Qf7UkB54mVI

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What do humans and cars have in common? No this is not the start of a lame joke, but it is an introduction to the Diabetes Warranty Program. Similar to your car, which comes with a warranty manual explaining when to take the car in for regular maintenance checks, Dr. E created the Diabetes Warranty Program to prevent, detect, and treat the complications related to diabetes as soon as possible. Learn when you should see your healthcare provider to keep your eyes, kidneys, feet, heart, and mouth running as smooth as your car—or at least as smooth as you’d like your car to run.

Questions We’ll Cover in This Episode:

· What is the Diabetes Warranty Program?

· What are the goals of the Diabetes Warranty Program?

· What are the medical recommendations for eye care for people with diabetes?

· What are the medical recommendations for kidney care for people with diabetes?

· What is the recommended blood pressure level for people with diabetes?

· What are the medical recommendations for foot care for people with diabetes?

· What are the medical recommendations for heart care for people with diabetes?

· What are the medical recommendations for oral care for people with diabetes?

Show notes

TCOYD live kidney care: https://youtu.be/F--YwkaJlTo

SGLT2 inhibitors: Jardiance, Invokana, Farxiga, Steglatro

GLP-1 receptor agonists: Bydureon, Trulicity, Ozempic, Victoza, Adlyxin, Rybelsus

Nutrition Videos for Type 1s: https://tcoyd.org/vv-t1d-nutrition/

Nutrition Videos for Type 2s: https://tcoyd.org/vv-t2d-nutrition/

Exercise Videos for Type 1s: https://tcoyd.org/vv-t1d-exercise/

Exercise Videos for Type 2s: https://tcoyd.org/vv-t2d-exercise/

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TAKING CONTROL OF YOUR DIABETES – THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Diabetes & Eye Health – Dr. Robert Miller (Ophthalmologist & Dr. E’s Med School Buddy)

Questions We’ll Cover in This Episode:

• What are the causes of diabetic eye disease?

• What are the risk factors for diabetic eye disease?

• How does blood pressure relate to eye disease?

• What is time in range and how does it relate to eye disease?

• Why is a routine eye exam so important?

• What happens at a routine eye exam?

• What are your recommendations for someone who is pregnant with diabetes?

• What is a low vision physician?

This video is in collaboration with the American Diabetes Association "Focus on Diabetes" Initiative. Focus on Diabetes™ is a multiyear initiative from the American Diabetes Association® (ADA) that brings together leading organizations in vision care to increase awareness of and help reduce, treat, and manage diabetes-related eye diseases. This podcast is made possible by an unrestricted educational grant from VSP® Vision Care and Regeneron Pharmaceuticals, Inc. For more resources related to diabetes and eye health please visit: diabetes.org/fod

Routine Eye Exam Video: https://youtu.be/nzFEbp5pPAI

Dr. E’s Eye Injection for Macular Edema Video: https://youtu.be/YdqOWFRhbL8

Special Guest Speaker - Robert B. Miller, MD. (“Dr. Miller”)• Completed Medical School in 1982, along with the most esteemed classmate, Dr. Edelman!

• Former Medical Director: Advanced Valley Eye Associates in Davis, CA

• Large, very busy, comprehensive ophthalmology practice in Davis.

• Practiced for > 35 years in Davis!

• Professor Emeritus of Ophthalmology: at Univ. of Calif, Davis, Eye Center

• Teaching medical and surgical ophthalmology to surgeons in training.

• Attending physician: Kaiser Permanente, Retinal Department, Sacramento, CA

• Currently working in Retinal Clinic, providing ongoing care for diabetics.

• Medical Director: San Blas Eye Clinic, Liga International

• Ongoing semi-annual volunteer charity trips to Mexico

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TAKING CONTROL OF YOUR DIABETES – THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

ADA Standards of Care Dr. Robert Gabbay (ADA Chief Scientific & Medical Officer)

Questions We’ll Cover in This Episode:

What are the ADA Standards of Care?

What have been the newest changes to the treatment algorithm type 2 diabetes? What new data from clinical trials lead to these changes?

What are the current guidelines for starting insulin and how have they changed for T2D?

What do these guidelines provide in terms of access?

What do these guidelines suggest for weight loss as a goal?

What is the first question your provider should ask when evaluating you?

What are the guidelines around pregnancy for women with type 1?

What factors go into deciding the right insulin regimen for someone with T1D?

ADA Standards of Care Resources: https://professional.diabetes.org/content-page/practice-guidelines-resources

*Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!***

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TAKING CONTROL OF YOUR DIABETES – THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Top Tips from Endos for T2Ds – Featuring Tricia Santos, MD, and Schafer Boeder, MD

Questions We’ll Cover in This Episode: What are things we’re always telling our patients with T2D?

What are our recommendations for weight management?

What are our recommendations for medications?

What are our recommendations for technology/devices?

What are our tips for avoiding diabetes burnout?

Medications Mentioned...

GLP1 Receptor Agonists: Trulicity, Ozempic

SGLT2 Inhibitors: Jardiance Farxiga

Free Dexcom CGM Trial: https://www.dexcom.com/en-CA/hello-dexcom-join-trial

Free Abbott FreeStyle Libre CGM Trial: https://www.freestyle.abbott/us-en/myfreestyle.html

TCOYD Type 2 Facebook Group: https://www.facebook.com/groups/380141556250464

Dr. Bill Polonsky and Behavioral Diabetes Institute: https://behavioraldiabetes.org/

*Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!***

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What are the most common questions we get from our type 1 patients? Our expert endos are sharing their answers to the most commonly asked questions from the T1D community, and divulging tips and tricks that they've learned through years of experience—and for Drs. E and P, through trial and error while managing their own type 1 diabetes. We’re going beyond the typical professional answer and getting into the nitty gritty of managing type 1 in the real world, pizza and all!

  • What are things we’re always telling our patients with T1D? carbs
  • What are your recommendations for diet? Cardio vs. weight lifting
  • What are your exercise recommendations for exercise?
  • What are your recommendations for technology/devices? Hybrid closed loop
  • What are your tips for bolusing?
  • How should you react to trend arrows?
  • What are your recommendations for CGM alerts?

Show Notes

Donut video: https://tcoyd.org/vv-t1d-nutrition/#yV-fZVFoZAI

Pizza challenge: https://tcoyd.org/vv-t1d-nutrition/#eaKnv3C5QxA
Alcohol challenge: https://tcoyd.org/vv-t1d-nutrition/#oe6fZeLG6ds

Exercise challenge: https://tcoyd.org/vv-t1d-exercise/#GMKD52ACIYQ

Irl hirsch hybrid closed loop: https://youtu.be/cILAWrV8zPA

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Insulin: everyone with type 1 needs it and a lot of people with type 2 use it as well. So why is it so hard to find a breakdown of the different kinds of insulins and their benefits? Drs. E and P are taking a deep dive into all things insulin from the different basal insulins, including long-acting, to the different types of bolus insulin, including fast-acting, and discussing tips for adjusting your doses to improve your time in range. We’ve got your need-to-know insulin guide!

  • How does the body operate when it makes insulin (someone without diabetes?) How does this differ from someone with diabetes?
  • How does injectable insulin differ from insulin produced in the body?
  • How do I titrate my insulin dose?
  • What is basal insulin and how does it work?
  • What has been the progression of developing new basal insulins from standard to long-acting?
  • How do I know if I need to adjust my basal insulin dose?
  • What is bolus insulin? What is prandial insulin?
  • What has been the progression of developing new bolus insulins from standard to fast-acting?
  • What’s going on with inhaled insulin?
  • How do I adjust insulin around meals? What are common patterns you, as doctors, see around glucose levels and meals?

Show notes

Long Acting Basal Insulins: Toujeo, Tresiba

Fast-Acting Bolus Insulins: Fiasp, Lyumjev

Inhaled Insulin: Afrezza

Lecture on inhaled and fast-acting insulins: https://tcoyd.org/vv-t1d-medications/#mVsSo9IpvS0

Free Dexcom CGM Trial: https://www.dexcom.com/en-CA/hello-dexcom-join-trial

Free Abbott FreeStyle Libre CGM Trial: https://www.freestyle.abbott/us-en/myfreestyle.html

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TAKING CONTROL OF YOUR DIABETES – THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Hardcore Cardiologist Incorporates "Integrative Medicine” to Treat the Whole Person–Featuring Mimi Guarneri, MD

Questions We’ll Cover in This Episode:

• What causes cardiovascular disease? Can you intervene to prevent a negative cardiac event?

• What is integrative medicine?

• How does nutrition relate to health? Give us a “what to eat in a day” example.

• What treatments can you introduce beyond medication to prevent cardiovascular disease?

• What causes inflammation and what are the signs of inflammation that go unnoticed?

• How does inflammation affect the body?

• What is the mind-body connection? How do the gut microbiome and hormone levels affect how you feel?

• What is an integrative approach to treating type 2 diabetes?

• How do you stay motivated to stay on a health program?

• What is important to know about a lipid panel?

To learn about the”Dirty Dozen” and then “Clean 15”: https://www.ewg.org/foodnews/

*Tune in for a new episode on the last Monday of every month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!***

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Type 1 diabetes is one of the most complicated conditions to understand (even for many doctors!) so Drs. E and P are breaking it all down in our newest podcast episode. They'll take you through what T1D is, to the process of developing type 1, to research going on to treat the different stages of developing type 1. And trust us when we say there is a LOT to be optimistic about!
Questions we’ll cover in this episode

  • What is type 1 diabetes and why is it so hard to cure?
  • What causes T1D?
  • What is the process of developing T1D?
  • Can you get tested for T1D even before you develop symptoms?
  • What research is going on for therapies to prevent T1D? (Stage 1 in the development of T1D)
  • What research is going on for therapies to preserve beta cells? (Stage 2 in the development of T1D)
  • What research is going on for beta cell replacement therapy? (Stage 3 in the development of T1D)
  • How do FDA panels work to approve a new therapy?
  • How can I get involved in clinical trials related to T1D research?

To get screened for T1D: https://www.type1tested.com/

To get involved in T1D Research (Trial Net): https://www.trialnet.org/

To get involved in T1D Research (JDRF): https://www.jdrf.org/impact/research/clinical-trials/

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In honor of Mother’s Day, our T1D Supermom Laura Dunn is sharing her story about being diagnosed with type 1 herself at age 4, meeting her husband who also has T1D, and now having a son diagnosed with type 1 diabetes too. From helping her son through screening, to diagnosis, to now managing type 1 diabetes, along with soccer, tee-ball and more, Laura shares what she's learned from her diabetes family.

Questions we’ll cover in this episode

  • What’s it like to be a mom living with type 1? What’s it like to have a child living with type 1?
  • What lessons did you learn as a kid with type 1 that affect how you do things with your kid?
  • How did you meet your husband who also has diabetes?
  • What were your initial thoughts on screening for T1D? Why did you ultimately decide to get your son tested? What was the process like?
  • What were your emotions when you found out he tested positive for the antibodies? Were you glad to have the info?
  • What was it like when your son was diagnosed with T1D?
  • What would you tell other parents who are considering getting their kids screened for T1D? What happens if a child tests positive for the antibodies? Is there anything the family can do?
  • How do you find a balance with your son between good control and not having to be perfect?

Information on T1D screening: type1tested.com

TCOYD June Conference: https://events.blackthorn.io/en/36jDRT6/g/TCOYDCal/tcoyd-virtual-diabetes-conference%E2%80%94june-18th-5a3c1Q1Ci4r/overview

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Questions we’ll cover in this episode:
• What are the reasons people gain weight?
• I’ve been told I just need more will power, is this my fault?
• My blood sugars and A1c are great, but I keep gaining weight. What can I do?
• What should I look for in a provider to help me with weight loss?
• How do I deal with the emotions around my struggles with weight?
• How has the approach to weight loss changed over the years?
• What are the most effective medications for weight loss? Are there other benefits to taking these meds like helping my diabetes, heart and kidneys?
• At the end of the day, is there hope for me to overcome my weight struggles?

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In this episode we introduce ourselves, giving you a quick peek into our world, and why we do what we do. We are in this together. Welcome to our diabetes community! Visit us anytime at tcoyd.org.

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