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Join Dr. Grady and Garrett, both Type 1 Diabetics, as they talk about a holistic approach to blood sugar management, overall health, and how to take control of your health to gain the freedom to live the life you deserve.
Episodes
Monday Jun 29, 2020
Monday Jun 29, 2020
In this episode Dr. Donohoe and Dr. Panno discuss digestion, post-prandial (post-meal) glucose, and how they each affect one another. We go over several studies that assess gastric emptying time (rate of digestion) and its impact on post-prandial glucose spikes and stability. We cover the various things that can change gastric emptying time and how you can use this information to better control your blood sugar.
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Time Stamps
- 2:11 - Why Carbs are not the only factor for dosing a meal?
- 4:20 - Defining Post-Prandial Glucose and Gastric Emptying (GE)
- 6:05 - Common Symptoms for Digestive Issues for Non-Diabetics, Type 1’s and Type 2’s
- 9:52 - The 3 Main Factors that affect the Postprandial response
- 14:40 - You can get Neuropathy on your stomach? Autonomic Neuropathy and Digestion
- 22:25 - More Accurate (Nerdy) Definition of Gastric Emptying
- 23:45 - The 3 Main Factors of Macronutrients and their Impact on Gastric Emptying
- 27:00 - Blood Sugar’s Impact on the Motility of Food in Non Diabetics and Diabetics
- 34:51 - Meal Characteristics with the macronutrients (Carb/Protein/Fat)
- 43:16 - Cholecystectomy (Removal of Gallbladder), and its impact on Digestion and therefore Blood Sugar
- 50:03 - Different Insulin Dosage Strategies for different macronutrients
- 57:56 - SO WHAT? How can we use GE in the future to manage blood sugar?
- 1:10:41 - Applying GE to specific diets (Keto/Vegan/Low Carb, etc) and other health conditions
- 1:14:39 - Bursts My Beta cells
Resources/Links Discussed in the episode:
Lupoli, Roberta, et al. “Gastric Emptying Impacts the Timing of Meal Glucose Peak in Subjects With Uncomplicated Type 1 Diabetes.” The Journal of Clinical Endocrinology & Metabolism, vol. 103, no. 6, 2018, pp. 2269–2276., doi:10.1210/jc.2017-02811.
Lupoli, Roberta, et al. “Postprandial Glucose Control in Type 1 Diabetes: Importance of the Gastric Emptying Rate.” Nutrients, vol. 11, no. 7, 2019, p. 1559., doi:10.3390/nu11071559.
Marathe, Chinmay S., et al. “Hypoglycaemia and Gastric Emptying.” Diabetes, Obesity and Metabolism, vol. 21, no. 3, 2018, pp. 491–498., doi:10.1111/dom.13570.
Smart, C. E. M., et al. “Both Dietary Protein and Fat Increase Postprandial Glucose Excursions in Children With Type 1 Diabetes, and the Effect Is Additive.” Diabetes Care, vol. 36, no. 12, 2013, pp. 3897–3902., doi:10.2337/dc13-1195.
Monday Jun 08, 2020
Monday Jun 08, 2020
In this episode Dr. Grady Donohoe outlines one of the greatest advancements in blood sugar management. With CGMs, both diabetics (type 1 and 2) and non-diabetics can so much data from these little devices that they can use to master the balancing act of staying "in range" and lowering HbA1c. He talks about the difference of CGMs and finger stick glucometers, the 3 available CGM systems, and how to use them to make less guesses and more educated decisions when it comes to managing your blood sugar (whether you are diabetic or not).
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Twitter: @TheDiabuddies
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You can email us at TheDiabuddiesPodcast@gmail.com
Resources/Links Discussed in the episode:
Beck, Roy W., et al. “Effect of Continuous Glucose Monitoring on Glycemic Control in Adults With Type 1 Diabetes Using Insulin Injections.” Jama, vol. 317, no. 4, 2017, p. 371., doi:10.1001/jama.2016.19975.
Lind, Marcus, et al. “Continuous Glucose Monitoring vs Conventional Therapy for Glycemic Control in Adults With Type 1 Diabetes Treated With Multiple Daily Insulin Injections.” Jama, vol. 317, no. 4, 2017, p. 379., doi:10.1001/jama.2016.19976.
Shah, Viral N, et al. “Continuous Glucose Monitoring Profiles in Healthy Nondiabetic Participants: A Multicenter Prospective Study.” The Journal of Clinical Endocrinology & Metabolism, vol. 104, no. 10, 2019, pp. 4356–4364., doi:10.1210/jc.2018-02763.
Monday May 25, 2020
Monday May 25, 2020
In this episode we interview the Kash Family (Connor, Elizabeth, and Bryan). Their whole world changed when Connor was diagnosed at the age of 4. There are a lot of challenges that come with having a young one with T1D. We had a great time talking with Connor, who is now 12, and his parents and hearing how they have overcome those challenges. It was also inspiring to hear their attitude and mindset in regards to owning diabetes and not letting it stop Connor from living his life.
This is a great podcast for families going through a similar situation or anyone looking for a positive uplifting conversation that will make their day brighter.
Episode Contents:
1:55 - Connor's Diagnosis from his parent's point of view
10:45 - Adaptations and Carb Counting as a Family
19:05 - T1D and Starting School
22:45 - First Experiences with CGMs
29:00 - Using CGMs as a kid in school
33:44 - Involvement in the Diabetic Community
43:35 - Experiences with injecting insulin as a family
46:00 - Empowering Connor to take control of his diabetes
51:14 - Placement of diabetes Tech for an active kid
54:25 - Connor's challenges of self management
1:03:10 - Parenting Experiences
108:58 - Not allowing diabetes to stop you
1:14:03 - If others could only know...
1:29:14 - "Burst My Beta Cells" and wrap up
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
Instagram: @thediabuddiespodcast
You can email us at TheDiabuddiesPodcast@gmail.com
Monday May 11, 2020
Monday May 11, 2020
In this episode we have the pleasure of interviewing Rodney Miller who is a Type 1 diabetic with a passion for strength training. Rodney is the founder of Bolus and Barbells, a non-profit organization that hosts events that provides lectures and hands-on education about resistance training as a type 1 diabetic. He also does one-on-one coaching for diabetics that are looking to maximize their performance while controlling their blood sugar. Rodney takes us through the challenges that many diabetics face when strength training and strategies to successfully navigate them.
To find out more about Rodney and his organization:
- bolusandbarbells.org
- Follow Bolus and Barbells on Facebook and Instagram
- You can also follow him on Instagram at @StrongLikeTroll
PLEASE SUBSCRIBE TO THE PODCAST
For more Diabuddies content follow us on The Diabuddies Podcast Facebook page.
Twitter: @TheDiabuddies
Instagram: @thediabuddiespodcast
You can email us at TheDiabuddiesPodcast@gmail.com
Monday Apr 27, 2020
Monday Apr 27, 2020
In this episode Dr. Grady Donohoe and Dr. Garrett Panno discuss several strategies to support the various systems in your body that play a role in how your body fights off disease. Also, Garrett has some big news to share with us!!
Episode Contents:
2:05 - Wholistic Mindset To Fighting Off Disease
3:45 - Barrier Systems (Skin, GI Tract, Lungs)
7:50 - The Gut and Probiotics
17:00 - High Carbs, Insulin Resistance and Immune System
20:45 - Stress Responses and the HPA Axis
24:05 - Sleep Strategies
27:30 - Posture and the Lymphatic System
30:03 - Circulation, Detoxification, and Elimination Considerations
39:04 - Vitamin D - Immune Modulator
42:23 - Vitamin A and C
47:50 - Garrett's Big Announcement!
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
Instagram: @thediabuddiespodcast
You can email us at TheDiabuddiesPodcast@gmail.com
Resources/Links Discussed in the episode:
Immunomodulatory and anti-inflammatory effects of probiotics in multiple sclerosis: a systematic review (2019): https://www.ncbi.nlm.nih.gov/pubmed/31752913
- Influence of Resveratrol on the Immune Response (2019): https://www.ncbi.nlm.nih.gov/pubmed/31035454
- Modulation of immunity and inflammatory gene expression in the gut in Inflammatory diseases of the gut and in the liver by probiotics. https://www.ncbi.nlm.nih.gov/pubmed/25400447
- Resveratrol therapeutic combines both antimicrobial and immunomodulatory properties against respiratory infection by nontypeable Haemophilus influenzae (2017): https://www.ncbi.nlm.nih.gov/pubmed/29038519
- Resveratrol reduces liver endoplasmic stress and improves insulin sensitivity in vivo and in vitro (2019): https://www-ncbi-nlm-nih-gov.uws.idm.oclc.org/pmc/articles/PMC6505469/
- Role of immune cells in obesity induced low grade inflammation and insulin resistance (2017): https://www.ncbi.nlm.nih.gov/pubmed/28285710
- Vitamin D as an Immunomodulator: Risks with Deficiencies and Benefits of Supplementation (2015): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939543/
- Vitamin D Nutrient, Hormone and Immunomodulator (2018): https://www.ncbi.nlm.nih.gov/pubmed/30400332
Monday Apr 20, 2020
Monday Apr 20, 2020
In this episode, Dr. Grady and Garrett attempt to clear up the question, "what does it mean to be "immune compromised"? As diabetics we are often told that we are immune compromised or immune deficient, but is it that simple? Simply diabetic, does automatically mean we are immune compromised? We address these questions and attempt to provide a more complete picture of the immune system in relation to fighting off disease, and the many body systems that work with your immune system to get the job done. They also talk about various factors that can suppress the immune system and its ability to fight infections.
Table of Contents:
3:07 - What is immunocompromised/immune deficient?
6:35 - CBC w/ diff break down
12:40 - Lymphatic system and the immune system
22:25 - What does immune compromised mean for diabetics?
26:35 - Diabetics' general infection and complication risk
30:00 - How the immune system of a diabetic is different
35:00 - The type of infection that diabetics are at greater risk for
36:20 - High blood sugar while you are sick
39:00 - Lymphocytopenia with COVID-19 and diabetes
41:44 - Do you need to have additional fear as a diabetic specifically?
45:10 - Co-morbidities and considerations for overall health
57:03 - Cardiovascular system, hypertension and Sars-CoV-2
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
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You can email us at TheDiabuddiesPodcast@gmail.com
Resources/Links Discussed in the episode:
Holt, R.I.G., Cockram, C.S., Flyvbjerg, A., Goldstein, B.J., (2017). Chapter 55, p799, Diabetes and Infections. Textbook of Diabetes, Fifth Edition. Wiley Blackwell publishing.
Knipe, H., & Bell, DJ., (April 2020). COVID-19. Radiopedia. https://radiopaedia.org/articles/covid-19-3?lang=us
Hawryluk, M., (April 6 2020). Mysterious Heart Damage, Not Lung Troubles, Befalling COVID-19 Patients. Kaiser Health News. https://khn.org/news/mysterious-heart-damage-not-just-lung-troubles-befalling-covid-19-patients/
(March 2020). Here’s the Damage Coronavirus (COVID-19) Can do to Your Lungs. Cleveland Clinic, Health Essentials. https://health.clevelandclinic.org/heres-the-damage-coronavirus-covid-19-can-do-to-your-lungs/
Life with T1D, (March 24, 2020). Your Coronavirus Questions Answered. JDRF. https://www.jdrf.org/blog/2020/03/24/answering-your-questions-coronavirus/
Wang, D., Hu, B., Hu, C., et al., (2020). Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus Infected Pneumonia in Wuhan, Chian. JAMA; 323(11): 1061-1069. https://jamanetwork.com/journals/jama/fullarticle/2761044
Patel, PS., Buras, ED., & Balasubramanyam, A., (2013). The Role of the Immune System in Obesity and Insulin Resistance. Journal of Obesity; 616193: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618935/
Monday Apr 06, 2020
Monday Apr 06, 2020
In this episode we invite a good "Diabuddy" of ours to come on and share his diabetic story and how he has navigated the many obstacles and obligations in his life. Chuck takes us through his childhood growing up loving to play hockey, a passion which then lead into coaching, and how he was able to continue to do what he loves despite being a diabetic. He then talks about being hit with another autoimmune diagnosis of psoriatic arthritis and how that opened his eyes to the importance of developing healthier habits. He also talks about being a husband and becoming a father as a type one diabetic. We appreciate Chuck coming on and sharing with us.
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
Instagram: @thediabuddiespodcast
You can email us at TheDiabuddiesPodcast@gmail.com
Monday Mar 23, 2020
Monday Mar 23, 2020
In this episode, Dr. Grady and Garrett discuss a research article “Comparison of low- and high-carbohydrate diets for type 2 diabetes management: a randomized trial.” We go over what we like and don’t like about the study as well as what the results mean for people trying to manage their type 2 diabetes.
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
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You can email us at TheDiabuddiesPodcast@gmail.com
Resources/Links Discussed in the episode:
Tay, Jeannie, et al. “Comparison of Low- and High-Carbohydrate Diets for Type 2 Diabetes Management: a Randomized Trial.” The American Journal of Clinical Nutrition, vol. 102, no. 4, 2015, pp. 780–790., doi:10.3945/ajcn.115.112581.
Monday Mar 09, 2020
Monday Mar 09, 2020
In this episode, Dr. Grady and Garrett discuss running with type 1 diabetes. We talk about some of our experiences with running and strategies that we use to manage our blood sugar levels before, during, and after the run.
PLEASE SUBSCRIBE TO THE PODCAST
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Twitter: @TheDiabuddies
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You can email us at TheDiabuddiesPodcast@gmail.com
Monday Feb 24, 2020
Monday Feb 24, 2020
In this episode, Dr. Grady and Garrett discuss something that is not talked about a lot in diabetes education, PROTEIN!! That’s right, carbs are not the only thing you need to think about when managing blood sugar levels. We talk about how it can affect blood sugar in both type 1 and type 2 diabetes. We also go over various sources of protein and the advantages and disadvantages of each.
PLEASE SUBSCRIBE TO THE PODCAST
For more Diabuddies content follow us on The Diabuddies Podcast Facebook page.
Twitter: @TheDiabuddies
Instagram: @thediabuddiespodcast
You can email us at TheDiabuddiesPodcast@gmail.com
Resources/Links Discussed in the episode:
- Evans, M., et al. “Dietary Protein Affects Both the Dose and Pattern of Insulin Delivery Required to Achieve Postprandial Euglycaemia in Type 1 Diabetes: a Randomized Trial.” Diabetic Medicine, 2018, doi:10.1111/dme.13875.
- Editor, (2019, January). Type 1 Diabetes study shows dietary protein is linked with additional insulin needs. Retrieved at: https://www.diabetes.co.uk/news/2019/jan/type-1-diabetes-study-shows-dietary-protein-is-linked-with-additional-insulin-need-94221545.html
- Huang, Z., Wang, Y., Shafer, R., Winn, NC., Kanaley, JA., Vardhanabhuti, B., (2019). Glycemic effects following the consumption of mixed soy protein isolate and alginate beverages in healthy adults. Food and Function; 10(3): 1718-1725. doi: 10.1039/c8fo01627e.
- Natarajan Sulochana, K., Lakshmi, S., Punitham, R., Arokiasamy, T., Sukumar, B., & Ramakrishnan, S., (2002). Effects of oral supplementation of free amino acids in type 2 diabetic patients – a pilot clinical trail. Med Sci Monit; 8(3): CR131-7. Pubmed ID: 11887024.
- Srinivasan, V., Radhakrishnan, S., Angayarkanni, N, & Sulochana, KN., (2019). Antidiabetic effect of free amino acids supplementation in human visceral adipocytes through adiponecting dependent mechanism. Indian J Med Res; 149(1): 41-46. doi: 10.4103/ijmr.IJMR_1782_16.