WWL>Topics>>11-12-13 2:10pm Angela: on diabetes

11-12-13 2:10pm Angela: on diabetes

Nov 12, 2013|

Angela discusses diabetes with Dr. Karen Friday of the LSU Health Sciences Center, author Darryl Ewing of the American Council on Fitness, and diabetes patients Lloyd Young and Jessie Eisner-Kleyle.

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Automatically Generated Transcript (may not be 100% accurate)

I have breast cancer and aids combined. It is a disease that is claiming more and more people it is a complex disease but one we can take charge up. We are joined by Jesse Eisner client -- and Lloyd young. Both have been diabetic for over twenty years. And doctor Karen Friday the associate professor of the clinical section of endocrinology. Diabetes and metabolism. At the LSU Health Science Center. And there early healing. A consultant with the American Council on Exercise fitness and author of back in the saddle to affect love that title. We're -- first ball. I think. My grandmother died died estimates that in my family and I have been very sensitive to it. But I still think people minimize it that they don't look at how serious it really is as a disease. So I want this to have a very clear picture of that and so doctor Friday I'm looking you. It isn't just go -- too much sugar as I often hear. No it's certainly not to see you have to moisture although we know that's what kind of finds the all the that all the diagnoses we have. People with type one diabetes which is quite happened diabetes it's. Quietly -- -- and Phelps in the use and then type two diabetes which quite often develops and adults and to state journal diabetes which happens when you're pregnant. And then a few other very odd forms of diabetes but the one thing that -- -- together is that they have a high sugar. But certainly we know that there are many. Things can happen if you don't take care venture. And in it in but it didn't keep pressure in your blood pressure and cholesterol under control we know that people can do very very very well. But put that we know that it's one of the leading causes of blindness went -- leading causes of kidney failure. And it causes the it's one of them who have. When that contributes to a leg amputations. And so there are a lot of things can happen if you don't take care of yourself and work with your health professionals. Of the week but we do know I have many many successful patients that do common get regular care. Have beautiful Pletcher control have beautiful approach control and be beautiful cholesterol control. And they do quite well. And and him beautiful life. -- Let -- talk to -- -- patients with Jessica -- -- when we I was ten years old so that was 28 years ago actually on the Friday coming up after this Thanksgiving will be my 28. Year anniversary. And so what -- the symptoms. I. I was an active little child and I was I was a regular little child drink lots of cool aid and -- and you know -- -- all day long. And I'm not saying that that caused anything but suddenly I went in the space of a week to warning water. To drinking every cold bottle of water in my grandmother's refrigerator. And then all my long I was back and forth to the bathroom. To the point that you know it it was Thanksgiving vacation that week I was staying with my grandparents and they called my parents and they said something is going home with her and you pretend I was ten. And they thought that it was you know my parents had a pretty good guess they thought that there may be something going home with my kidneys or that it may be diabetes. Our member than he I remember hearing them talk about that. Kind of in hushed -- and I thought. I don't want something wrong with my kidneys. Please let it be diabetes because I had no idea they'll want it. What it was but I we went to the doctor the day after Thanksgiving and he sent me home to pack a bag sent me in my family home to pack a bag and put me in the hospital for a week for training and to kind of pull everything back together this type one diabetes. Acts so it's as. You're born with others. But -- on you know Arnold that EU it's it's -- autoimmune disease where your body's detector anchor it's been OK and a pancreas can't function but she also has little bit more complicated that she has a father who is who has type two diabetes. So she has I think it she's she is a little bit of both forms. Okay -- now viewers was diagnosed as an adult years says no and what were your symptoms leading up to it. My symptom was. When I went to deduct that just wasn't feeling right. And into tomorrow as borderline. And for a few years that stated border lines into. And then across though. And at that point did you say you can't really got to watch your diet you've got to exercise and you can fight this. No -- as it was a few years before I decided that I really wanted to fight you know just night she seems to. He's just taken for granted you know it's dissident diabetes and which is -- this is subnet Iran and young family and friends online. So did you immediately go on insulin. -- -- immensely you're not uninstall among them. Medication but -- now against. When somebody doctor Friday. Like. Lloyd is told. Over purity fears your borderline. What should one do. Well you know a lot of lot of patients hear that word borderline and they think it's it but they probably iron -- probably really do you have diabetes according to. Diagnostic criteria set by a number of organizations including the American Diabetes Association. So they may have -- and they may have relatively mild diabetes but they do have diabetes. In most in most cases -- and less and less he we did a category where if you're fasting glucose is between a 10025. We call that glucose intolerance. And in I I usually explained patients that your very high risk of developing type thing developing diabetes. But usually these these borderline are usually. People that actually have. -- have to have an official classification diabetes the navy. In their doctors may have told them to watch your diet eat less to lose some weight. But they probably actually have the class that took classification. Did you or did you lose some weight. Did you say OK I'm gonna take some laid off from just gonna do the medication. Well I think I don't I mean there was no way to steer around about 218. Green to fifteen to one has supplanted in. He's such a magical word that it's in the young fan and it can't have that where it's in the family. Absolutely type two diabetes is has very strong genetic component to it. And so we know that if you have a family member with type two diabetes you're very Europe. You yourself -- higher risk of developing type two diabetes and I you know I can of -- that type two diabetes Simon a category two. And and to combat that it would be done. Singing your mind OK I'm going to cut back on my -- on and eat better and I'm going to exercise and there are four I won't get it. I. I'm not -- you can't let you know if you're if you're committed towards preventing a certain disease. I you'll feel like you you can't -- successful not in a 100% of the time but but a lot but in many times. And we do have very good evidence from the national institutes help. Which is our major research organization in the United States that is shown that you can reduce. The development of type two diabetes by about 60%. Through exercise and weight loss. OK stay with this -- we're going to be talking again to the people who are living with -- this but also to a man who's helping to. I think it's the numbers it can be very frightening 26 million American men women and children have died Venus. Seven million of those are supposedly undiagnosed. Which is is scary to me that. That that could happen because clearly doctor Friday but the longer you have something on diagnosed at the worst case scenario. Certainly we know a lot of patients with type two diabetes and we we've seen that they've had a hurt the -- they've been undiagnosed for a period of time. Most type ones are usually symptomatic enough they don't go too long without getting diagnosed but the tight tees. If they can have. You know mildly or sometimes very tight -- -- And just think that their little thirsty. Well as Jesse was telling us earlier ten years old -- you're drinking quarts water and your grandparents. The red flag goes up and what happened after that. We you know like I said we were sent home directly from the pediatricians office they did a blood sugar. Which I never knew what the number was in my mom I asked her just on the phone the other day accent yet. Do you idea what. My sugar was and she immediately said 694 she said it was burned in my brain and this is 28 years ago. And this woman who's this very kind I know and this I mean she knows this number and I I was stunned and so no it -- a hundred and a couple of or is higher if you're not casting blame Clinton but that certainly 600. And dry it's very it's it's a very very high number rights and -- massive like today I did anyone Heidi you know of course I said -- -- like we -- drink -- and we -- Kool -- kids -- it -- and -- would also drink out of the garden -- I mean. We are you know but we weren't we weren't candy family we work a sugary cereal family. So that aspect of things was not that hard my dad was always the cook at home. -- -- my grandparents were always cooking. You know so that was okay it was really the the hardest thing -- into the hospital like -- for a week. Which was great because I got another week off a fifth grade. And then it will be you know I had to learn how to give myself injections because insulin pump was not. Think even in yet but even -- thing then. And I learn had to learn how to check my sugar and had to learn how to deal with the low bullet shows that are actually doing right now check your sugar every yes multiple times lawyer sent. So all that long you're checking in trying to keep -- level bright if it starts despite what do you do. I'm on insulin pump so I have a meter that communicates with my pomp and my pump does the math for me and it says oh your lectures this. This is how much insulin unique and it can be anywhere from. A fraction of a unit you know depending on if it's just a little bit higher than what it needs to be up to. You know you know it and it's lovely it does the math form. And now Lloyd you are not on insulin which -- on another medication that teachers pretty level yes I am. So you have not had any. Issues with your kidneys -- other things like that no no no no problem okay. One of the one of the areas of great importance in enough fighting this is exercise and that's why we can't. This wonderful young man -- Ewing here who is a consultant with the American Council on Exercise fitness and so clearly this is. As important as other aspects of fighting it. Well absolutely and the doctor just mentioned a moment ago the National Institutes of Health study and it shows that. Research is that the effects of diabetes can be lessened. War even in pre diabetic patience stopped altogether through proper exercise and nutrition. And so you know most people when they hear exercise -- taking you know what I have to spend all day -- him. But really an exercise program that takes only 4% of your week. Is really what's necessary to achieve significant health benefits and that's my recommendation. So. You know I recommend one hour. -- exercised. For five days a week. And as good exercise program includes both cardiovascular training as well as for his resistance string training but it is about this is that the Centers for Disease Control. Says that even -- significant health benefits can be attained with even less exercise natsios. The CDC recommends. Thirty -- minutes -- -- activity for five days a week plus two or three days that I've -- strict training so. Not spending all day in the DM it's just had you one of the things I tell my clients as you really have to focus. First on just how little that a -- he is in your entire week. And you know that is looking at it from the right perspective absolutely you know I know that there are correct me from wrong not different but there are more and more young people. Getting -- too. Correct so younger people even children getting. Adult on about half the children that are diagnosed with diabetes now have type two diabetes so. That says volumes perhaps about lifestyle and things that might be controlled correct. And I keep hearing about we don't have recess as we did when I was growing up centers that are. And they are sitting in front of the computer screen so how do you take that kid. Who doesn't wanna get off that couch. Well you know aid that that's their difficulties particularly when parents aren't necessarily role modeling now. You know land as budgets get cut unfortunately one of the first things that he you -- one of the first thing goes our our fitness programs and so. One of the things that I'm always doing in my work is really counseling parents on the importance of setting the example. And you know even supporting their children. And things like cheerleading I mean it doesn't necessarily have to be do jumping jacks for twenty minutes it could be cheerleading it could be dance. In in back in Texas there's a group that I work went. Not necessarily kids but older adults and the -- -- there they called -- Rubin -- theaters so they'll exercise you really have to have fun. And if you can make exercise fun for kids as well as for. Adults teens is our -- gonna stick with little bit more Jesse do you exercise I do. I I work out I've been working out at curves. For awhile. My husband I had just recently about two years ago moved back here -- back home were both from southwest Louisiana com we were up in Madison Wisconsin. And came home and kind of had to find our footing again and find medical care that's how I got in to see doctor Friday and started doing that then we just bought our first house and -- tree and have been I haven't been working out at the gym as I should be but I've been painting and carrying ladders and getting -- house put together so I've been neglecting official working out but. Painting a bathroom and. Hundred degree weather to -- is. I think -- it -- that. Yes I walked to ma. Were in here on work on and gone. To -- is yes you know he's if money is tired. He already said that he was mustard and yesterday you pick it up and strengthening -- month there is no use for exactly what she's. Making time -- Absolutely and and today it's interesting you know whether it's gardening you a lot of people always ask me symbol which is better is it is that walking is -- running and you know I -- say don't get fixated on the modalities I'm really while we wanted to use Whitney what an exercise program is making sure. At the hardest working were sweating a little bit so we were doing brisk walking. Basically we should be able to have a conversation but we're not able to seeing. But we also should start to build a business where we need to just be exerting herself so whether that's gardening when it -- in whatever it is. Workout partner always says you know it's dark inside the body. The heart doesn't know why it's beating heart it just it's just beating heart so that's who -- what we really have to focus on not exceeding on the modalities which is getting moved. Which you say to your patients. I I try to counsel and define an activity that they like the so you know they I don't care if -- walking biking swimming. Gardening. He's playing with their children dancing. But the united it's -- just give me much more successful to something that you enjoy and submit fits in your life. Any nine and other things like dislike you know. Parking your car further away from the store or -- his -- worth taking stares at work there's lots of different ways and -- it. And that and I think there's you know more in that the more -- I mean I also don't get fixated that enhanced to be an hour -- day. That you know it I think there's evidence that shows if you can do thirty minutes today or you know five. Five minute bits multiple times a day you know -- did you just need to be try to get more activity in your life. And and it it in it will make a difference. Stay with -- we're talking about diabetes and how to fight it I'm Angela under the to do well now let's go to -- -- Just wanted to repeat our very first line that more people die of diabetes than die of breast cancer and aids combined. This is a disease I think that we all know someone who hasn't. And one that if one doctor Friday we should be checked every year your blood sugar should be checked every year. Early if you are it -- if your high risk yes and and you can do there's American Diabetes Association. As a risk profile that you can. Get online. And it nasty things like unity of family member DN are you an -- a and that the ethnicity that as a high. Higher risk of diabetes. Answer aged -- if you whether you're sedentary not centric and I'll give you risk category of you know whether your low risk moderates -- high risk and and you you know it in those people probably should gets checked more for example once a year -- let's -- or are you gain weight. Hello welcome to background. But let's. Let's talk about exercise. And food. Let's get down then. Yeah -- you know. -- convinced. In mine workers of that mystery that. For people who work out regularly and folks who I see in the gym regularly I think that people do more than enough sometimes in the gym. But what happens is they do that our work out and then they leave that -- -- and they go home and sabotage all the good work that they've done in the -- and by eating the wrong foods and so. You know we can't forget the nutritional piece of the equation one of the things that I write about in the book is. Really focusing in on when I called in nutritional -- two hours excessive salt excessive sugar and obviously fat. In one of the things that I did in terms of challenging my FaceBook group. And and and some of -- some of my clients was using American diabetes awareness month the month of November. It takes to pretty simple steps one it would be. The thirty minutes. Walking. For all all of the days of November 5 days five days a week. -- the other a simple step that people can do is to reduce their sugary drink consumption. By 50%. During the month of November and then if you can if that feels OK for you the and you reduce it a little bit more one of the things that -- Generally won't recommends that people do things cold Turkey that and particularly with food we work our way into an exercise program. I think we also went wean people off of things because when we say quit cold Turkey. What happens is that people go in and they cheat under the cover of night and we're not trying to set people up for for failure were trying to set them up for success. So we can eliminate. -- drink reduce that by 50% I think that goes a long way not only toward. Better health as it relates to diabetes but also just -- to wanna lose weight. To me that's their that in the number Wednesday and again it is an effort to link and I think that's sort of the essence of your book as well. L one of the major themes throughout the book is getting people past the notion on its tools and I'm -- you don't want to older and it's too late and one of the things I write in the book is really it's it's too late when Richard funeral. But if it's not your funeral. And you woke up this morning and it's in new day AT season for. So getting people. Getting their their minds in the right place. I was I'll also say that you know he -- really matters only if -- fine wine and cheese but at the last you know. And now. I actually I don't Amy we've been vegetarian since 2005 my husband. And we occasionally eat seafood. We are in south Louisiana -- what exactly. Cannot yeah. But we you know firm for a very short time I'd say maybe six months we -- -- get home. But we were still eating you know seafood earned you know just vegetarian -- we would go out to restaurants. Were very conscious about -- we don't do dairy. We don't but you know at the same time. -- fantastic talks you know so we can do anything with a pile of intervals and some Great Britain on I mean like seriously. We all hooked up you get in front. Absolutely absolutely and that's something that -- that we do have to watch -- particularly when we first decided to make that dietary change. There was a lot of concern especially with my doctor that I had at that time in my dietitian. And again that was up in Wisconsin but they were. You know make sure that you're doing this and watch a protein and make sure you know. And and we took care that person yelling do you restrict anything in your giant. It is. Why you do -- presidency Clinton and into. You may imagine -- right that's gonna -- and aren't there some you know very very important but it is. We live in a fabulous food tent and it's just it's easy it's so easy to slide back. No I admire Richardson. Also if you if it's exodus Tyson can't have Eminem's. You know what's the big. So it's so psychological. Absolutely and yet again I wanted it thinks that I I recommend is that people gradually. Wean themselves off and when things I also recommend particularly if you're in no restraints now war in -- Others vending machines you know it's 3 o'clock in the afternoon and then hunger gremlins targetted. To surface one of the things I was very minute people do is -- -- to -- your own healthy -- I'm so that is having some apples. Some microwave popcorn. Some theories in the refrigerator. At work so. You're not. Attempted to succumb to that bad choices that generally are in those vending machines. Stay with us we're gonna continue our discussion of diabetes right after this. We are talking to people who either one have -- be this and have been fighting the fight. Or two people who work in the field to help people fight it. It is a dreaded disease really because it does have such. Difficult aspects whether it be it could affect your site. It could affect your you could be anti various amputate parts of the body and it isn't just living with it can have some pretty bad effects. And eat in there and that there that there can enhance those can happen and unfortunately they happen too often and but. Once again that people. Work with they're professionals in and get diagnosed in a timely manner worked with the professionals they can avoid many of those. Nasty complications of diabetes and you don't have to lose you know you don't have to lose a part of your leg. You don't have to go blind you don't have to -- kidney problems you don't have to have a heart attack. He EEP but you do -- To prevent those complications and keep your sugar blood pressure cluster on the pro -- -- -- Death of when it -- as a likely got a guy he's really dying of heart or stroke. Traditionally -- they've mostly been dying of heart disease or or kidney or heart you know you have to die of he don't usually die of diabetes unless you have really wildly out of control diabetes. And -- something called Q massive doses usually -- die of a complication of diabetes quite often that may be heart disease or. It quite happened yet and yet in the and so -- two meetings and action kill you but but. The there are a lot of complications that can make your life very mr. Back to keeping moving. The importance of that coupled with. Cutting back a lot of things just 50% cut your. You're sugary drinks by 50% that is not unrealistic it it's not unrealistic at all and you know I think none of us would really I mean we began to what if we sat down at a table and put sixteen sugar keeps on a -- and -- eating him but that's what happens with the twelve counts helmet cancel drink and use put it whatever brand. Name on it you want. The soft drinks in -- Generally sixteen sugar -- we being gassed at someone's head on the started eating thirty teacher keeps the that's what happens when we drinking can Coke and so. Making it simple step as a -- goes a long way. Not only for health and diabetes but also just for people -- who say you know and it I need to get some of this extra extra weight. How do you both feel now. That you do have it under control. -- feel great. And an -- problem. Very energetic. As soon as loyal to my knowledge we're going across the -- doesn't look -- the I am in pretty good shape I think you -- it common and it. This isn't disease in your fans in other people handle it as well as you do. -- loss assists it would written and she she was important way to allow us to line and -- in order and toward -- my father he died with him. He and I don't think he worked with him so meaning that. He didn't watch what he -- -- doing exercise now in -- -- so it's just very very important here. I. I feel fantastic. I you know and again like I said. We had moved we were kind of out of our normal schedule and of course like finding our footing and not a new town but at town you know and a state we've been away from for nine years com and getting back and getting back with. Could medical care and a doctor that that listens to you and that you can work with. I'm excited. I am you know and and win win everything went all the numbers are right everything. Is perfect you you feel old. Fantastic. You know and there's always like we were talking earlier like there's always a little reminder sometimes diabetes sneak up and can tap on the shoulder pull the rug out from under -- It just kind of remind you that is there you'll get a low blood sugar and be like and doing everything right so. Com but it's. It's it's a workable disease it. It takes a team and it takes a family. That's on that team and it takes knowledge and for you to be proactive but it's something -- -- that some workable disease it is. Get ready coming up shortly we'll announce the code -- in the 1000 dollar. Nationwide holiday cash contest on WW well we are talking about diabetes and we have a caller Marcel from the West Bank. Marcel. -- at dinner time. I don't -- were doing great. Court -- And kick ever com and committed. Didn't dot aren't thinking years. And -- normally are part of it these. -- her. Every now and I eat something no question. I feel like -- on being anchored ticket out on it's -- it's an act. I'll. -- here at ago at an education. But are rightly put on. And I watched it a little more sense that it happened because. Stress that I and not taking care right now. Call -- our operations -- her. I'd like to encourage anyone. Who can't this -- They're free. Get them -- and there'll chronology. Don't -- it sort of special. All sports that area are regular and it's in element is that it be to -- to help a lot more. There's just -- personally there and I'd like to ask the orchard to hear -- and. Thank you Marcel very very much and that's the -- you need to hear about it Friday that it is a very specialized area. Some summit and -- many internists in many nurse practitioners can't actually do a very good job taking care type two diabetes. But you know you need to EU as patients need to evaluate your health care team to make sure they're doing the right thing. And so one of the things are often recommend that patients do -- at the am either. Join American Diabetes Association is -- individual. Or go to their web site if you -- a -- individual they'll send you monthly magazine which keep you abreast of the latest scare that needs be done. What your team needs he doing Clinton good nutrition exercise tips. How to prevent complications or you go to the web say we choose. And diabetes dot orgy. Or you can call the American Diabetes Association and they'll send information that's 1800. Diabetes I think and I think. The bottom line is if you can live well you can eat well. But you just have to know all about it and send -- -- your responsibility. I cannot thank you all enough for being really mean it it's been educational and fun and your delight. All -- It's the 1000 dollar holiday cash contest the code word this hour is spend ST END. Enter that code word at WWL dot com slash cash. Or click on the contest link on our web site for your chance to win 1000 dollars nationwide. And it's just assembled and -- you're -- office computer surfing at home or on your Smartphone or tablet. You can win anywhere listen for the next code word right before the top our news. At 6 PM. Good luck from Smart radio Entercom and WW well.