The Diabuddies -Holistic Diabetes Management and Functional Medicine

#49 Managing Stress and Blood Sugar

In this episode, Dr. Grady and Dr. Garrett discuss stress, cortisol, and the potential nightmare of managing your blood sugar through it all. 

 

Topics Discussed:

- What is the Dawn Phenomenon? 
- How does stress affect it?
- What stressors affect cortisol and the Dawn phenomenon?
- How does stress affect your blood sugar throughout the day?
- The adrenals are not the problem!
- How to reduce stress
- The importance of having plenty of data to successfully manage blood sugar through stress
- Steroid medicine and high blood sugar
- How does stress and blood sugar affect the brain
- How does stress and blood sugar affect your hormones
- How to reduce stress
- The importance of long-term stress management and good blood sugar control.

 

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#48 The Power of Intermittent Fasting and How To Do As A Type 1 Diabetic

In this episode, Dr. Grady and Dr. Garrett discuss the benefits and problems with intermittent fasting and how to do it as a T1D (type 1 diabetic).

 

Topics Discussed:

- Do we do Intermittent Fasting?
- Importance of checking your blood sugar frequently while intermittent fasting
- What diet makes it easier to fast?
- What is intermittent fasting?
- What can you consume during a fast without breaking it?
- Should you ride out a low blood sugar or consume sugar during a fast
- The importance of changing your basal rate and insulin dosage
- Types of fasting
- Importance of protein and blood sugar stability
- Exercising in a fasted state and its effect on blood sugar and the rest of the body
- Benefits of intermittent fasting 
- Who should not do intermittent fasting?
- How long or how frequent should you do intermittent fasting?

 

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#47 The Link Between Diabetes, Thyroid Function and Other Autoimmune Conditions

In this episode, Dr. Grady and Dr. Garrett discuss functional medicine and holistic concepts about the thyroid, blood sugar regulation, and how diabetes can impact it. 

 

Topics Discussed:

- What does the thyroid do and why it is important?
- How to assess thyroid function (What blood work to get)
- What impacts your thyroid function?
- Link between T1D and Autoimmune Thyroid disease 
- How does blood sugar and stress affect thyroid function
- Blood sugar, sex hormones, and thyroid hormone
- How does thyroid function affect blood sugar
- What are the things that cause or promote autoimmune diseases?
- The importance of sleep

 

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#46 Mastering Running As A Type 1 Diabetic

In this episode, Dr. Grady and Dr. Garrett go through everything you should know, think about, and do to successfully be a runner as a T1D (type 1 diabetic).

 

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Topics Discussed:

- Fear of Running as a Type 1 Diabetic
- Preparation: Carrying sugar, tester, phone, etc
- Start Slow and check your blood sugar often (Get Data!)
- Don't be afraid to stop
- False High Blood Sugars (sugar on the finger)
- Signs of low blood sugar while running
- Checking Blood Sugar while running or CGM
- Rewards/Benefits of running
- What happens to your blood sugar during the running
- Strategies for managing your blood sugar before, during, and after the run (short, mid, and long-distance runs)
- Running with severe high blood sugar
- Different correction factors for severe highs vs moderately high blood sugar
- How to track and utilize data to better manage your blood sugar, especially for longer runs (Dr. Garrett gives a real-life example)
- How stress and sleep affects your blood sugar differently during a run
- How the time of day affects your blood sugar during a run

#45 The Diabuddies Are Back!!

The Diabuddies are back for a limited season. In this episode, Dr. Grady and Dr. Garrett talk about what they have been up to since last year and the new diabetic struggles that they have been dealing with. 

 

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Topics Discussed:

1:53 - Podcast start
4:45 - Catching up with the Diabuddies
-Dario Blood Sugar Monitoring System
- Slacking on blood sugar monitoring
- Weather Effecting Blood sugar management 
- Tinkering with basal rates
- Managing Blood sugar without a CGM (continuous glucose monitor)
- Freestyle Libre CGM
- Good Rx for more affordable prescriptions
- Workouts, running marathons

 

#44 Boxes Up #4 - Checking In With The Diabuddies

In this episode, Grady and Garrett talk about some of the diabetic obstacles that they have been working through in the last few months. And we announce the end of season one. 

 

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Time Stamps

0:25 - Introduction: Checking in with Grady (Handling the AZ heat, inconsistent schedule, HIIT workouts

 

17:31 - Checking in with Garrett (training for a marathon in the heat, connecting with more Diabuddies 

 

34:06 - Big Announcement

#43 Boxes Up #3 - The Mental/Emotional Struggle of Living With Diabetes

In this episode, Dr. Grady and Dr. Garrett discuss the daily mental and emotional burden that a type 1 diabetic goes through. This is a great episode to have your non-diabetic friends and family member listen to to get an idea of what you go through on a daily basis.

 

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Time Stamps

0:25 - Introduction: Being Called A “Bad Diabetic”

11:11 - The Mental Burden of constantly thinking about your diabetes

17:40 - The Struggle of venting to a Non-diabetic

22:25 - The Fear of Life (foods, exercise, daily activities)

25:17 - The Emotional Tax of Diabetes

40:02 - You are not your number/Chasing Perfection

47:10 - Our Mindset to Take on Diabetes

58:25 - Diabetic WIN

 

#42 Alzheimer’s And Insulin: What’s A Diabetic To Do?

In this episode, Dr. Donohoe and Dr. Panno review a research paper that summarizes insulin's role in the brain and the connection between insulin resistance and Alzheimer's disease. Guess what? INSULIN IS NOT ONLY FOR GETTING GLUCOSE INTO THE CELLS!! 

The Paper Discussed in this Podcast:

Blazquez, E., Velazquez, E., Hurtado-Carneiro, V., & Ruiz-Albusac, JM., (2014). Insulin in the Brain: it’s pathophysiological implications for states related to central insulin resistance, type 2 diabetes, and Alzheimer’s disease. Frontiers in Endocrinology; 5(151). Doi: 10.3389/fendo.2015.00161.

 

 

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Time Stamps

0:25 - Introduction: Big takeaways and Major questions that this paper addresses and generates

8:18 - Glut Transporters in the brain

12:22 - Functions of Insulin in the Brain: Memory and learning

20:47 - Functions of Insulin in the Brain: Neuroprotection

28:13 - Production and Regulation of Insulin in the Brain

42:36 - Why are these things not being talked about more in the medical community?

48:23 - Alzheimer's and Diabetes Connection

58:42 - Burst My Beta Cells

 

#41 Usefulness of CGMS for Type 2 Diabetics and NON-Diabetic

In this episode, Dr. Grady and Dr. Garrett discuss the benefits of having the plethora of data that a CGM can give you, but not just for T1Ds but also for Type 2 Diabetics and NON-diabetics as well. We also get into what the costs of these devices cost and what that might look like in a healthcare setting for a type 2 diabetic or a non-diabetic looking to optimize their metabolic health. 

 

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Time Stamps

0:25 - Introduction: Why Are CGMs Useful?

5:05 - Why would a type 2 diabetic want to use a CGM?

15:35 - Who needs a CGM and who should get a CGM

23:25 - Using the CGM to tailor your care more specifically to what works for you

25:43 - How expensive are CGMs

38:21 - Are CGMs useful for non-diabetics?

 

#40 T1D Running from Disney Land to Disney World, and then some - Don Muchow

In this episode, Dr. Grady and Dr. Garrett have the pleasure of interviewing a truly inspiring T1D Don Muchow. Don recently completed a run across America (Disneyland to Disney World)!! We dive deep into the nitty-gritty of how he was able to accomplish such a journey as a diabetic. What challenges he faced and how he overcame them and his passion for helping T1Ds overcome the fear of exercising for fear of lows. 

If you would like to learn more about Don's run you can visit his website which has a detailed account of the entire journey. 

https://t1determined.org/

If you would like to contact Don you can email him at: donsolo@t1determined.org

 

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 Time Stamps

0:25 - Introduction: How Did You Decide To Run From Disneyland To Disney World?

3:47 - How and why did you start running in your 40s?

11:16 - How Don handles “stress” high blood sugars

14:20 - What diabetic tech do you use to accomplish and ultra run successfully

20:44 - Glucagon (The Liquid Wall) - Don’s Experience with glucagon during a long run

29:38 - What is it like to run across the country?

42:27 - Having ZERO scary lows while running across country and safely managing highs

50:30 - Overcoming the fear of exercise as a diabetic and living with diabetes, not against it.

1:00:42 - What was it like growing up with diabetes in the 70s?

1:07:03 - The tough job of managing diabetes despite having today’s technology

1:12:06 - The specifics of setting a transcontinental record

1:18:13 - What is next for Don? And closing remarks.