PODCAST · health
The Diabetes Podcast®
by Empowered Diabetes
Welcome to The Diabetes Podcast®, where we cut through the noise and bring you real talk about Type 2 diabetes, prediabetes, and the path to remission. Each week, we share expert insights, inspiring stories, and practical strategies to help you lower blood sugar, lose weight, regain energy, and reduce or even eliminate medications. While our focus is on Type 2 diabetes, we also explore Type 1, chronic disease, and overall health; because managing diabetes is about more than numbers, it’s about reclaiming your life and thriving. If you’re ready to move past myths, take control of your health, and find freedom on your diabetes journey, this podcast is for you.
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63
Stop Beta Cell Burnout: How to Reverse Type 2 Diabetes
Are your insulin-producing cells gone forever, or just taking a nap? In Episode 63 of The Diabetes Podcast®, Amber and Richie explore the fascinating science of pancreatic beta cells. If you have Type 2 diabetes or prediabetes, you may have been told that your pancreas is broken and that diabetes is a one-way street. We are here to tell you that is not the whole story! We break down how beta cells get exhausted from years of insulin resistance and why many of them go dormant rather than dying off completely. You'll learn how reducing visceral fat, adding fiber, and even using medications like insulin as a temporary "scaffolding" can give your pancreas the vacation it desperately needs to recover. Remember, it's not your fault, but it can be your fight! Need help NOW? Reach out to our support email at [email protected]. Follow the podcast and visit our blog at thediabetespodcast.net for more resources. Chapters: 00:00 - Understanding Pancreatic Beta Cells 03:08 - The Role of the Pancreas in Digestion and Hormones 07:07 - The Glucose and Insulin Feedback Loop 16:06 - Insulin Resistance and Beta Cell Overproduction 18:39 - Beta Cell Stress and High Blood Sugar Spikes 23:36 - Exhaustion and Dormant Beta Cells 25:18 - Dedifferentiation: Waking Up Sleeping Beta Cells 30:52 - Root Causes of Beta Cell Burnout 33:29 - Can Beta Cells Regrow or Recover? 38:35 - Beta Cell Function at Diagnosis 41:16 - Why Insulin Therapy is a Tool, Not a Failure 49:13 - Lifestyle Habits to Heal Your Pancreas 53:38 - How Diabetes Medications Impact Beta Cells 58:40 - Take Courage and Start Healing Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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62
The 2 "Forgotten Organs" Driving Type 2 Diabetes (And How to Fix Them)
Are you eating well, taking your medications, and moving your body, but your blood sugar numbers still won't budge? The missing puzzle pieces might be your body's two "forgotten organs": your fat and your gut microbiome. In this episode of The Diabetes Podcast®, Amber (RD, CDCES) and Richie dive deep into the biology of why your body fat is not just a storage unit, but a massive, highly active hormone factory. We break down the critical differences between harmless subcutaneous fat and dangerous, inflammatory visceral fat. You'll also learn why "leptin resistance" makes you feel hungry all the time, and why the "don't eat fruit" myth is completely backwards. Then, we travel to the gut to explore how your microbiome directly impacts your blood sugar. Discover how eating fiber and fermented foods can actually help your body produce its own natural GLP-1 hormones! Remember, this disease is not a failure of willpower; it's biology. Take courage! You can do this, and we can help. Need help NOW? Reach out to our support email at [email protected]. Follow the podcast for more evidence-based, shame-free diabetes education! Chapters: 00:00 - The Forgotten Organs of Diabetes 02:50 - Why Body Fat is an Endocrine Organ 09:15 - Subcutaneous vs. Visceral Fat 19:00 - Adiponectin and Insulin Sensitivity 24:40 - Leptin Resistance and Constant Hunger 30:00 - Fructose, Fruit, and the Liver 34:30 - The Gut Microbiome's Role in Blood Sugar 42:40 - Understanding Intestinal Permeability 46:30 - How the Gut Produces Natural GLP-1 50:40 - Feeding Your Gut: Fiber and Fermented Foods Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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61
How to Lower A1C Without Obsessive Calorie Counting (Expert Tips)
Are you tired of obsessing over every calorie, carb, and number on the scale? In this episode of The Diabetes Podcast, Amber and Richie sit down with Terri Chrisman, a board-certified nutritionist with the American College of Lifestyle Medicine. Terri breaks down the 6 Pillars of a Healthy Lifestyle and explains why daily habits matter far more than a single snapshot of your lab results. We discuss how to transition to a plant-forward diet without giving up the foods you love, why the scale is lying to you about your health, and how to start exercising even if you've been on the couch for years. We also dive into the nuance of processed foods and how to navigate social situations and restaurants when you are trying to change your eating habits. Remember, it's not your fault, but it can be your fight! Follow the podcast so you never miss an episode! Need help NOW? Reach out to our support email at [email protected] Find out more about our guest Terri Chrisman at fabuloushealth.net Chapters: 00:00 - Intro & Meet Terri Chrisman 01:37 - Terri’s Journey to Lifestyle Medicine 04:05 - The 6 Pillars of a Healthy Lifestyle 06:09 - Why Nutrition is the #1 Pillar 09:05 - When Doing "Everything Right" Still Requires Medication 13:54 - Focus on Daily Habits, Not Just Lab Results 18:24 - Simple Ways to Track Your Health (No Calorie Counting!) 22:09 - Weight vs. Body Composition (Why the Scale Lies) 28:21 - The 3-Step Process to Changing Your Diet 30:34 - Why You Shouldn't Go From 0 to 100 (CrossFit Story) 35:20 - How to Start Exercising If You've Never Been Active 45:29 - Navigating Plant-Based Eating & Ultra-Processed Foods 51:26 - The Science on Red Meat & Heart Disease 01:01:00 - How to Eat Out on a Plant-Based Diet (The Happy Cow App) 01:08:31 - Where to Find Terri's Book "Fabulous Health" Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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60
4 Hidden Causes of High Blood Sugar (It’s NOT Your Fault) | 12 Core Defects of Diabetes Revisited
Are you doing everything right but your blood sugar is still high? You are not crazy, and you are not being gaslit by your body. In this episode of The Diabetes Podcast, Amber (RD, CDCES) and Richie break down 4 of the 12 core defects of diabetes to help you understand exactly what is happening behind the scenes. We explain why your blood sugar spikes overnight (The Dawn Phenomenon), how stress and cortisol create stubborn visceral fat, and why your brain might be ignoring the "I'm full" signal. We also dive deep into how prescription steroids like prednisone cause massive blood sugar spikes and share our "Steroid Sandwich" strategy to keep your numbers safe. Remember, it’s not your fault, but it can be your fight! Follow the podcast so you never miss an episode! Need help NOW? Reach out to our support email at [email protected] Chapters: 00:00 - The 42 Factors That Affect Blood Sugar 02:00 - Why You Feel Gaslit By Your Blood Sugar 06:40 - The Dawn Phenomenon Explained 10:50 - How Cortisol & Stress Spike Blood Sugar 16:20 - Your Liver: The Sugar Bank (Hepatic Glucose Production) 19:10 - Glucagon & Alpha Cell Dysfunction (The Broken Thermostat) 24:20 - Brain Insulin Resistance (Why You Never Feel Full) 30:30 - Stress Belly & Visceral Fat 37:25 - How Steroids (Prednisone) Affect Blood Sugar 48:10 - The "Steroid Sandwich" Strategy 53:30 - Free Cortisol Bingo Card 55:20 - 7 Habits to Lower Cortisol and A1C Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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59
How to Lower A1C Naturally - "The Grift" Part 4
Are you tired of spending money on diabetes supplements that don't work? In the final episode of our series on "The Grift," Amber and Richie reveal the 5 actual levers that move the needle for Type 2 Diabetes and Prediabetes. We break down the science of visceral fat, skeletal muscle, liver sensitivity, fiber, and sleep—and show you exactly how to lower your A1C without falling for expensive scams. Take courage! You can do this, and we can help. 👇 Need help NOW? Reach out to our team via our support email: [email protected] Read the full blog post for this episode: thediabetespodcast.net The Diabetes Podcast® now has video! Watch along on YouTube and Spotify. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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58
Eat Foods That Love You Back: Mindfulness for Diabetes
Are you letting a "bum knee" or a stiff back keep you from moving your body? Today, Amber and Richie sit down with intuitive movement guide and yoga instructor Veronique Ory to completely reframe how we think about exercise, posture, and mindfulness. We’re ditching the hyper-flexible Instagram yoga stereotypes and focusing on practical, everyday movements—like the "kitchen sink stretch" and the 5-minute wall test—that anyone can do to improve balance, reduce pain, and lower stress hormones. Plus, we discuss the life-changing magic of "eating foods that love you back" and why you should enforce a strict "no talking before 8 AM" rule in your house! 👇 WE WANT TO HEAR FROM YOU! 👇 What is your biggest daily struggle when it comes to movement or morning stress? Leave a comment below so we can support you! And don't forget to hit SUBSCRIBE so you never miss an episode. Connect with Us: Need help NOW? Email us at [email protected] Blog: thediabetespodcast.net Connect with Veronique Ory: Website: yogawithveronique.com Instagram: @veroniqueory Book: Shine On and Off the Mat Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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57
The Truth About Dr. Oz, Dr. Gundry & Celebrity Diabetes Supplements
Welcome to The Diabetes Podcast®, where we share real stories, real science, and a little fun along the way. Today is part three of our four-part series, "The Grift: The Rise of Celebrity Medicine." In this episode, Richie and Amber unpack why big medical credentials feel so convincing and how authority bias works against us when we are looking for health answers. We break down the empires of Dr. Oz and Dr. Gundry as two versions of the exact same playbook. How do highly trained surgeons end up pushing unproven supplements and creating fear around healthy foods like beans and lectins? We explain why Type 2 diabetes cannot be cured by a single "miracle" ingredient. It’s not one broken thing; it’s a whole lot of things working together—involving your liver, muscles, pancreas, fat tissue, gut, and brain. Elevated blood sugar is the output, not the disease itself. It's the fever. That is why any one single intervention or expensive supplement protocol rarely moves the needle on your A1C, weight, or energy. Listen in as we give you five essential questions to vet any health pitch and explain what actually works to put Type 2 diabetes into remission. If this episode helps you spot the playbook and protect your time, health, and wallet, please Follow the podcast and leave us a review! Need help NOW? Reach out to our support email at [email protected]. Episode Chapters: 00:00 - The Rise of Celebrity Medicine & Authority Bias 03:00 - Why We Trust Doctors Selling Supplements 08:45 - The Truth About Dr. Oz & Miracle Weight Loss Pills 15:50 - Dr. Oz’s Senate Hearing on Fake Health Claims 25:35 - Dr. Gundry, The Plant Paradox, & The Lectin Myth 32:30 - Are Beans and Lectins Actually Bad For Diabetes? 38:45 - How to Spot a Celebrity Doctor Scam 43:50 - The Danger of Natural Supplements vs. Diabetes Medication 51:00 - 5 Questions to Ask Before Buying a Health Supplement 01:00:00 - Why Real Diabetes Reversal Takes More Than a Pill 01:07:00 - Why You Should Trust Your Real Doctor Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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56
Reversing Aging & Type 2 Diabetes? The Plant-Powered Longevity Secret
In today's episode of The Diabetes Podcast®, hosts Amber (RD/LD/CDCES) and Richie sit down with 84-year-old investigative author, health coach, and longevity advocate, Michael J. Dorfman. Michael transitioned to a plant-powered lifestyle decades ago and is now thriving, playing competitive pickleball, and helping others reframe what it means to age gracefully. If you are struggling with insulin resistance, pre-diabetes, or Type 2 diabetes, this conversation is a must-listen. We explore the reality that elevated blood sugar is the output—much like a fever—not the disease itself. Type 2 diabetes isn't just one broken thing; it’s a whole lot of things happening across a complex network involving your liver, muscles, pancreas, fat tissue, gut, and brain. Michael explains how dietary fat buildup in the muscle and liver cells can block insulin from doing its job, and how shifting toward a fiber-rich, whole-food nutritional approach can help address these root causes. We also explore the fascinating longevity data from the global Blue Zones, the addictive nature of dairy (the "cheese trap"), and the profound impact that community, purpose, and stress reduction have on our long-term health. Need help NOW? Reach out to our support email at [email protected]. Follow the podcast so you never miss an episode, and please leave us a review to help more people find real, science-backed help for their diabetes journey! Connect with Michael J. Dorfman: Website & Books (The Thriving Vegan, The Longevity Wellness Revolution): https://michaeljdorfman.com/books/ Substack: https://michaeljdorfman.substack.com Episode Chapters: 00:00 - Welcome Michael J Dorfman: Thriving at 84 02:00 - From Meat-Eating Football Player to Plant-Powered 05:15 - The China Study & Beating Yearly Illnesses 08:45 - A Shocking 6-Month Prognosis & Reversing Heart Disease 15:45 - The Real Root Cause of Type 2 Diabetes (It's Not Just Sugar!) 18:15 - The Blue Zones: Secrets of the World's Longest-Living People 22:30 - Where Do You Get Your Protein? (The Fiber Connection) 29:45 - The Cheese Trap: Why We Are Addicted to Dairy 37:15 - Mindset Shifts for Aging: Don't Just Survive, Thrive 46:45 - Lessons from Mexico: Community, Stress, and Pickleball 52:45 - Why Chronic Diseases Start Decades Before Diagnosis 01:00:15 - How to Connect with Michael & Final Thoughts Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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55
7 Sneaky Tricks Diabetes Supplement Ads Use to Scam You
Have you ever wondered why diabetes supplement ads are so convincing, even when they fail to deliver real results? In Part 2 of our series on "The Grift," Amber and Richie expose the hidden marketing tactics used by the wellness industry to sell fake cures for Type 2 diabetes and insulin resistance. By breaking down a viral advertisement for an "aged garlic parasite cleanse," we reveal the 7-step psychological formula designed to lower your defenses. From casting a wide "symptom net" to creating a "hidden villain" and using out-of-context scientific language, these companies know exactly how to manipulate exhausted patients looking for answers. Type 2 diabetes is a complex network issue. It is not one broken thing; it is a whole lot of things interacting across your liver, muscles, pancreas, fat tissue, gut, and brain. Elevated blood sugar is simply the output—the fever—not the disease itself. Because of this complexity, no single pill, cleanse, or miracle ingredient can fix the root cause. We explain why relying on these supplements not only costs you thousands of dollars but also delays the crucial, evidence-based lifestyle interventions needed to protect your remaining beta cells and lower your A1C. Follow the podcast to make sure you never miss an episode of our ongoing series on the diabetes grift, and join us next time as we explore the world of celebrity medicine. Need help NOW? Reach out to our support email at [email protected] Chapters: 00:00 Welcome to The Diabetes Podcast: Exposing the Supplement Grift 01:45 The Late-Night Scroll: How Supplement Ads Hook You 05:00 Do Diabetes Supplements Actually Work? 10:50 The 7-Step Formula of a Scam: The Symptom Net 14:15 The Hidden Villain: Are Parasites Causing Your Symptoms? 17:40 Emotional Release: Why It's Not Your Fault 21:10 Authority Disruption: Why Ads Tell You Not to Trust Doctors 23:30 Science Washing: Using Real Terms to Sell Fake Cures 29:20 The Miracle Ingredient: Aged Garlic Extract Exposed 31:00 The Real Biology of Type 2 Diabetes (It's Not Just One Broken Thing) 35:40 The Psychology of Scams: Why Smart People Buy Fake Cures 45:40 The Real Cost of Supplements: Money, Time, and Blame 53:30 A Better Way to Manage Type 2 Diabetes and Lower A1C 01:00:20 Next Time: Celebrity Doctors and the Medical Grift Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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54
Managing Type 1 Diabetes in Kids: A Parent's Guide to Tech, Food & Freedom
Welcome to The Diabetes Podcast®, where real stories meet real science. In this episode, hosts Richie and Amber are joined by Dr. Patrick Rowe, a professor of Health Sciences who brings a unique, 360-degree perspective to diabetes management. Living with Type 1 diabetes for nearly 40 years and raising two children who also live with T1D, Dr. Rowe offers an honest look at the daily balancing act of managing blood sugars while ensuring kids still get to be kids. Throughout our conversation, we explore the critical differences between Type 1 and Type 2 diabetes, emphasizing that elevated blood sugar is the output of complex system changes, not just a single broken mechanism. Dr. Rowe breaks down the concept of homeostasis using a brilliant "cockpit" analogy and explains why insulin should be understood as a powerful hormone rather than just a medication. Listeners will also get practical, actionable advice on utilizing Automated Insulin Delivery (AID) systems, managing insulin during sports and endurance exercises, and the importance of removing shame from childhood food choices. We discuss why a curious mindset and connecting with a strong diabetes community can drastically shorten the learning curve for newly diagnosed families. Follow the podcast so you never miss an episode of real life diabetes management and science-backed strategies. Need help NOW? Reach out to our support email at [email protected]. Episode Chapters: 00:00 Welcome Dr. Patrick Rowe: T1D Dad & Anatomy Professor 01:45 The Reality of Managing Type 1 Diabetes in Kids 04:30 Avoiding Food Shame and Building Healthy Habits 09:30 The "Cockpit" Analogy: Understanding Homeostasis 16:00 Type 1 vs. Type 2 Diabetes: Key Differences Explained 26:45 Why Insulin is a Hormone, Not Just a Medication 33:30 Automated Insulin Delivery (AID) Systems & Family Life 43:20 Making Good Health Choices Easier for Kids 51:45 Pro Tips for Exercise and Sports with Type 1 Diabetes 57:20 Essential Advice for Newly Diagnosed T1D Parents 01:06:00 The Power of Curiosity in Chronic Disease Management 01:10:55 Episode Takeaways & Outro Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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53
Do Blood Sugar Supplements Actually Work? The Truth About Berberine & Cinnamon
Welcome to Year Two of The Diabetes Podcast! To kick off our second year, we are starting a four-part series called "The Grift," where we tackle modern health marketing and separate metabolic science from snake oil. If you live with Type 2 diabetes or are trying to lose weight, you’ve probably been targeted by ads promising a natural, effortless fix for your metabolism. But do weight loss and blood sugar supplements actually work in the real world? In this episode, Amber (RD/LD/CDCES) and Richie dive deep into the biology of diabetes to explain why no single capsule can fix a multi-system condition. Elevated blood sugar is the output—not the disease itself. Blood sugar is the fever. Type 2 diabetes is a complex network issue involving your liver, muscles, pancreas, fat tissue, gut, and brain. Because it’s not one broken thing, but a whole lot of things, any one single intervention from the supplement aisle often can't break the cycle. We break down the real science behind your liver's overnight glucose production, how your skeletal muscle acts as your body's biggest glucose sink, the inflammatory nature of visceral fat, and why your gut microbiome needs to be fed with diverse fiber rather than "detoxed." We also review the actual clinical evidence behind popular supplements. Does cinnamon or chromium actually lower A1C? Is berberine truly "nature's metformin"? And what is the truth behind green tea extract, garcinia cambogia, and apple cider vinegar? Finally, we discuss the "scale of effect." You'll learn how small supplement changes compare to the massive, compounding impact of movement, fiber, sleep optimization, stress management, and, when appropriate, real pharmacotherapy. Follow the podcast so you never miss an episode of our series on "The Grift" and other deep dives into metabolic health! Need help NOW? Reach out to our support email at [email protected]. Episode Chapters: 00:00 Welcome to Year 2 & The Diabetes Grift Series 00:04:45 Why We Fall for Supplement Marketing 00:10:00 The $60 Billion Unregulated Supplement Industry 00:13:30 The Biology of Type 2 Diabetes: It's a System Issue 00:15:50 Muscle: Your Body's Biggest Glucose Sink 00:18:40 Visceral Fat & Chronic Inflammation 00:26:00 The Gut Microbiome: Feed It, Don't Detox It 00:29:30 Do Cinnamon and Chromium Lower Blood Sugar? 00:33:30 The Truth About Berberine vs. Metformin 00:38:00 Supportive Supplements: Magnesium & Omega-3s 00:42:50 Weight Loss Supplements That Don't Work 00:48:00 The Scale of Effect: Lifestyle vs. Medication vs. Supplements Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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How to Lose 200+ lbs WITHOUT Surgery: Stanley Bronstein’s Weight Loss Journey
In this episode of The Diabetes Podcast, Richie and Amber sit down with Stanley Bronstein, founder of the Million Pound Weight Loss Challenge, to discuss his life-changing transformation. Stanley shares how he successfully lost over 200 pounds—dropping from 367 pounds to 145 pounds—without the use of weight loss surgery or medication. Throughout the conversation, Stanley opens up about overcoming the emotional hurdles of obesity, breaking the habit of late-night eating, and shifting his identity to prioritize long-term health. Listeners will discover actionable strategies for weight loss and Type 2 diabetes management, including the power of visualization to curb cravings and why abstinence from certain trigger foods can sometimes be easier than moderation. When managing Type 2 diabetes, it is crucial to understand that it is not just one broken thing; it is a whole lot of things. It is a complex system involving the liver, muscles, pancreas, fat tissue, gut, and brain. Elevated blood sugar is simply the output—the fever—not the disease itself. Stanley’s holistic approach to daily movement and whole-food nutrition perfectly illustrates how addressing the entire system can lead to lasting wellness and better blood sugar control. Whether you are trying to lower your A1C, stop emotional eating, or simply find the motivation to start exercising, Stanley’s "beat yesterday" philosophy proves that small, consistent actions compound over time. Follow the podcast so you never miss an episode filled with real stories and real science to help you take charge of your health. Need help NOW? Reach out to our support email at [email protected]. Resources: Way of Excellence (free books/videos): thewayofexcellence.com Million Pound Weight Loss Challenge: millionpoundweightlosschallenge.com Chapters: [00:00] Welcome Stanley Bronstein: Losing 200+ lbs Without Surgery [02:11] The Emotional Roots of Obesity & Food as Comfort [06:28] How to Stop Late-Night Binge Eating with Visualization [12:15] The True Purpose of Food vs. Emotional Eating [16:47] The Turning Point at Age 50: Stopping "Slow Suicide" [24:41] Setting Boundaries & The Power of "Healthy Selfishness" [32:15] The "Beat Yesterday" Mindset: Progress Over Perfection [38:15] Walking Across the Country: Discovering Your True Potential [44:48] The "Walk 20" Rule & Simple Daily Habits for Health [48:47] Why Fruit Doesn't Have to Spike Your Blood Sugar [56:56] Abstinence vs. Moderation for Addictive Personalities [01:04:30] Genetics vs. Lifestyle: Taking Control of Your Health [01:10:48] Episode Takeaways & Action Steps Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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The 100-Year Diabetes Mystery: How Our Environment Made Us Sick
Are you tired of the narrative that a diabetes diagnosis is simply a failure of willpower? Join Richie and Amber, a registered dietitian and certified diabetes care and education specialist, as they investigate the systemic roots of the modern diabetes epidemic. A century ago, diabetes was a rare condition. Today, impaired glucose metabolism affects nearly half of the adult population in the United States. In this comprehensive episode of The Diabetes Podcast, we break down the environmental shifts that caused this massive health crisis. We explore the historical timeline, starting with the loss of incidental daily movement and the collapse of dietary fiber intake. We uncover how the dietary fat panic of the 1970s led to a surge in ultra-processed foods and high fructose corn syrup, fundamentally altering human gut microbiomes and driving chronic inflammation. Type 2 diabetes is a complex, multi-system condition. It’s not one broken thing… it’s a whole lot of things affecting a vast network that includes the liver, muscles, pancreas, fat tissue, gut, and brain. Elevated blood sugar is simply the output—it is the fever, not the disease itself. By understanding how chronic stress, sleep deprivation, and a lack of physical education in schools act as environmental triggers, we can remove the shame associated with metabolic disease and start advocating for real change. We encourage you to advocate for systemic health policy changes by contacting your local, state, and federal representatives. You can find their contact information at https://www.usa.gov/elected-officials. Follow the podcast to ensure you never miss an episode as we continue to translate clinical science into actionable, everyday strategies for metabolic health. Need help NOW? Reach out to our support email at [email protected]. Episode Chapters: 00:00 - The 100-Year Diabetes Mystery Begins 01:50 - 1926: When Diabetes Was a Rare Footnote 04:00 - Framing the Epidemic: A Metabolic Murder Mystery 08:45 - Act 1 (1926-1945): Whole Foods and Constant Movement 14:35 - Act 2 (1945-1970): Suburbs, Cars, and Processed Foods 19:40 - The Collapse of Dietary Fiber Intake 27:35 - Act 3 (1970-1995): The Dietary Fat Panic & Sugar Boom 32:15 - Debunking the "Calories In, Calories Out" Myth 38:00 - The Rise of High Fructose Corn Syrup 40:15 - The Devastating Loss of Physical Education in Schools 50:30 - Act 4 (1995-2015): Sleep Disruption and Chronic Stress 01:01:40 - Act 5: The Gut Microbiome and Chronic Inflammation 01:09:50 - Act 6: Genetics vs. Environment in Type 2 Diabetes 01:15:10 - Act 7: Why is Type 1 Diabetes Increasing? 01:18:50 - Act 8: A Century in Review (1926 to 2026) 01:23:45 - Act 9: How We Fix the Diabetes Epidemic 01:35:45 - Take Action: Stop the Blame and Contact Your Representatives Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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How I Lowered My A1C From 18 to 6.6 After 20 Years | Type 2 Diabetes Success Story
Welcome to The Diabetes Podcast, where real stories meet real science to help you take charge of your health. In this episode, Richie and Amber sit down with Cheryl Coleman, a mother, grandmother, and lifelong caregiver who spent nearly 20 years living with uncontrolled Type 2 diabetes. Cheryl shares her powerful journey from feeling "fine" with an A1C of 18, to battling severe complications like neuropathy, life-threatening infections, vision changes, and a terrifying mini-stroke. Throughout the conversation, Amber provides expert clinical insights into why Type 2 diabetes is a complex network issue. It is not just one broken thing; it is a whole lot of things affecting the liver, muscles, pancreas, fat tissue, gut, and brain. Because elevated blood sugar is simply the output—the fever of the disease—it requires comprehensive management. We explore the pitfalls of outdated sliding scale insulin regimens and how Cheryl’s transition to an insulin pump, combined with a profound mindset shift, helped her lower her A1C to 6.6 and restore her body's ability to heal. If you have ever put yourself last or felt overwhelmed by diabetes burnout, Cheryl’s story proves that it is never too late to take control. Follow the podcast to hear more inspiring stories and clinical deep-dives that empower you to live your healthiest life. Need help NOW? Reach out to our support email at [email protected]. Episode Chapters: 00:00 - Welcome to The Diabetes Podcast: Cheryl's Success Story 01:50 - Life Before Diagnosis: Unexplained Weight Loss and Ignoring the Signs 04:00 - The Shocking Diagnosis: Discovering an A1C of 18 07:30 - The Metformin Struggle and High Blood Sugar Denial 14:00 - The Caregiver Mindset: Why We Put Ourselves Last 19:00 - Insulin Resistance and the Flaws of Sliding Scale Insulin 24:00 - Severe Neuropathy: The Needle Incident and Hospitalization 35:00 - The Mini-Stroke Alert: A Terrifying Wake-Up Call 42:00 - Getting an Insulin Pump and Taking Back Control 44:30 - Healing the Body: Lowering A1C to 6.6 and Reversing Complications 51:00 - The Ultimate Mindset Shift: Why Self-Care Isn't Selfish 01:00:00 - Key Takeaways and How to Get Help for Type 2 Diabetes Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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The Insulin Playbook: Basal vs. Bolus & How to Fix Your Dosing
Welcome to The Diabetes Podcast! If you or a loved one takes insulin for type 2 diabetes, this episode is your ultimate masterclass. Amber and Richie dive deep into the mechanics of insulin dosing, moving beyond the basics to explain how insulin truly works as a medication within your body's complex system. Remember, elevated blood sugar is the output—the fever—not the disease itself. In this episode, we explore why simply increasing your long-acting insulin might be the wrong move and how the "over-basalization trap" keeps you frustrated. We break down the critical difference between basal (background) and bolus (mealtime) insulin, and why relying on a reactive sliding scale often leaves you chasing high blood sugars. You'll also learn the essential math your doctor might not have taught you, including your Total Daily Insulin (TDI), the 1700 rule, and the 450 rule, so you can walk into your next appointment informed and confident. Follow the podcast so you never miss an episode! Need help NOW? Reach out to our support email at [email protected] Episode Chapters: 00:00 - Welcome to the Insulin Playbook 01:00 - Why Your Insulin Doesn't Feel Like It's Working 04:00 - The Logic and Math Behind Insulin Dosing 07:00 - Job #1: Basal Insulin & Your Liver's Glucose Factory 11:45 - Job #2: Bolus Insulin for Mealtime Coverage 14:50 - What is Total Daily Insulin (TDI)? 18:30 - Weight-Based Dosing for Beginners 25:40 - The Over-Basalization Trap Explained 34:30 - The Military Analogy: Basal vs. Bolus 41:40 - Why Sliding Scales Keep You Chasing Highs 44:20 - Insulin Math: The 1700 Rule (Correction Factor) 49:30 - Insulin Math: The 450 Rule (Carb Ratio) 58:30 - The Airplane Analogy: Understanding Insulin Resistance 01:08:45 - 5 Red Flags Your Insulin Plan Isn't Working 01:16:15 - Real-World Insulin Options and Managing Costs 01:20:45 - The Diabetes Management Ladder 01:24:30 - Your 3-Day Total Daily Insulin Challenge Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 48: An Interview with Dr. Marshall Runge
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blog In this episode, we talk with Dr. Marshall Runge, CEO of Michigan Medicine and Dean of the University of Michigan Medical School. He shares his own weight story, two hip replacements, and how a GLP‑1 helped him lose 40+ pounds and keep it off. We explain how GLP‑1 and GIP drugs work on appetite and reward pathways, why they lower A1C, and how they cut heart attacks and strokes. We also cover why compounded GLP‑1s are not the same as FDA‑approved meds. Dr. Marshall Runge talks muscle health, strength training, and protein. We dig into prevention, food environments, PBMs, drug costs, and why a trusted primary care provider matters. Clear, candid, and full of hope. Books: The Great Healthcare Distruption and Coded to Kill LinkedIn: https://www.linkedin.com/in/marschallsrunge/ Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 47: Pre Diabetes IS Diabetes
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blog In this episode, we say it plain: pre diabetes is diabetes. It’s the same process, just earlier. We explain what A1C 5.7–6.4 means, why waiting a year is risky, and how insulin resistance starts before diagnosis. You’ll hear the key labs to ask for (A1C, fasting glucose, fasting insulin), why muscle is your “glucose sponge,” and how 150 minutes of brisk movement plus two strength days can change your numbers. We share simple food wins: more fiber (25–35g), beans, whole fruits, intact grains, and fewer ultra‑processed foods. We cover sleep, realistic weight loss (5–10%), and a 7‑day action plan you can start now. This is your most reversible stage. Small steps, done often, lead to remission. Share this with someone who needs hope and a clear plan. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 46: An Interview with David Jeter, PT
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we talk with Dave Jeter, PT, about physical therapy and diabetes. We bust the myth that pain always means damage. Dave explains why a good physical exam often beats an MRI. We dig into knee pain and why hips and ankles matter. We cover frozen shoulder in diabetes and why flexibility is key. Dave shares a simple plan: train mobility, strength, endurance, and balance—especially balance after 60. We discuss neuropathy, why gadgets don’t cure it, and how cardio can help. You’ll learn when to try PT first, when surgery may help, and how small steps now protect your future. Action tips: add a balance snack, plan a weekly flexibility session, and walk most days. PT can help you move better, hurt less, and stay independent.You can find more information about Dave's clinics at https://accelerationphysicaltherapy.com and on Facebook at https://www.facebook.com/StartwithPT/ Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 45: Sexual Dysfunction and Diabetes
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogWe talk straight about erectile dysfunction and sexual changes in diabetes. This is not about desire. It’s about circulation. ED and reduced arousal/lubrication are often the first sign of endothelial dysfunction—sometimes years before other problems. We cover how nitric oxide works, why diabetes turns that signal down, and why PDE5 drugs help but don’t repair vessels. Good news: blood vessels are living tissue and respond fast. In days to weeks, movement and better glucose habits improve function. We share real steps: a 2–10 minute walk after meals, steady “zone 2” cardio, simple resistance work, and foods that boost nitric oxide (arugula, spinach, beets, berries, olive oil, omega‑3s, seeds). We cover men’s and women’s symptoms, the shame spiral, and why open talk matters. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 44: An Interview with Dr. Cheri Ogwo, MD
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, Richie and Amber talk with diabetes doctor Dr. Cheri Ogwo. She shares a simple, strong plan: listen first, act fast, and tailor care to you. We go beyond A1C to look at urine protein, creatinine, GFR, cholesterol, and after-meal spikes. We dig into insulin resistance, inflammation, and how low-carb steps can help without going extreme. We cover CGMs (Dexcom, Libre), pump pros and cons, alarm anxiety, and real costs. We talk stress, sleep, and morning highs. We discuss metformin facts, prior authorizations, and how to handle insurance hurdles. Dr. Ogwo explains why two people with the same A1C can have very different risks, and why time-in-range matters. You’ll hear clear wins you can start today: one food swap, one 10-minute walk, and using your data to guide change. Diabetes is not a death sentence. With the right plan and team, you can feel better fast.You can find Dr. Ogwo on TikTok @cheri.o.mdor her practice at SugarPros.com Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 43: Focus on Healing
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode of The Diabetes Podcast®, we focus on healing when life is loud and stressful. Amber opens up about feeling shaken by the world and how chronic stress impacts blood sugar, insulin resistance, cravings, sleep, and mood. We share simple anchors to protect focus: shrink the frame (one meal, one walk, one early bedtime), remove decision fatigue (same breakfast, same grocery list, same movement window), regulate before you learn (protein and fiber first meal, morning light, gentle movement, slow breathing), and treat focus as an act of resistance. We also use the Eisenhower Matrix to redirect time from “urgent but not important” to what truly heals. Whether you’re aiming for type 2 diabetes remission or managing type 1 or other diabetes, you are not alone. Healing is possible—one day at a time. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 42: An Interview with Philip Pape of the Wits and Weights Podcast
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we talk with Philip Pape of the Wits and Weights podcast about diabetes strength training and how muscle changes blood sugar. We cover why lifting boosts insulin sensitivity for up to 72 hours, how walking after meals lowers spikes, and how to start safely with chair squats, goblet squats, and deadlifts. We dig into reps in reserve, progressive overload, and bracing. We talk pain, past injuries, and why movement is medicine. We unpack carbs, protein, GLUT4, CGMs, and why context matters. We share our simple system: one big lever at a time and three plans—optimal, minimum, and bailout—so you never hit zero. Sleep and stress? Huge. Results come faster when you stack walking, lifting, and sleep.Listen to the Wits and Weights Podcast hereThe Diabetes Podcast® listeners can get 20% off the Wits and Weights App here Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 41: Lymphatic System Function and Diabetes
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we unpack lymphatic system function and why it matters for diabetes. Lymph moves when you move. We cover how calves act like a second heart, why posture and deep breathing boost flow, and how post-meal walks lower glucose and clear inflammation. No pill or detox can replace daily movement.What you’ll learn:Why the lymphatic system is your “third heart”How lymph, blood vessels, and lymph nodes work togetherCalves as a pump to move fluid against gravityThe river vs. pond analogy: movement vs. stagnationHow lymph flow helps insulin resistance and glucose controlThe impact of visceral fat and high glucose on lymph vesselsSimple habits: hydrate, break up sitting, walk after meals, breathe deeper, do toe raisesAction plan:Move every 30–60 minutesWalk 10–15 minutes after mealsUse your calves dailyPractice slow, full rib breathsAim for a movement-rich day, not just one workout Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 40: An Interview with Dr. Pavi Kundhal MD, author of Shift Your Mind to Shift Your Weight
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we dig into the weight loss mindset with Dr. Pavi Kundhal, author of “Shift Your Mind to Shift Your Weight.” We talk about bariatric surgery and GLP‑1s as tools—not magic—and why habits, mindfulness, and environment design drive long-term results. Learn simple steps: protein first, veggies next, carbs last; cut liquid calories; start with 5–10 minute walks; and collect small, daily wins. We cover weight gain enablers (delivery apps, screens, ultra‑processed foods), how to handle plateaus, and building trust with your care team. We also share non‑scale victories and a 7‑day starter plan. If you’ve ever said “I know what to do, I just can’t do it,” this talk gives you clear, simple actions to get unstuck and support type 2 or prediabetes goals.Website: https://www.peelweightlossclinic.comBook: Amazon Barnes and NobleInstagram: https://www.instagram.com/peelweightlossclinic/ Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 39: What Produces High Cholesterol
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogWhat produces high cholesterol? In this episode, we break down the real drivers: insulin resistance, fatty liver, visceral fat, stress, poor sleep, and ultra-processed foods. We explain why your liver makes most cholesterol, how LDL, HDL, VLDL, and ApoB shape risk, and why triglycerides and a high TG:HDL ratio are early warning lights—often years before diabetes. We share family stories, why low HDL is a red flag, and how stress can tip stable plaque into a heart attack. We also clear up myths about eggs and seed oils. Tools that work: fiber (25–50g/day), daily movement, strength training, weight loss when needed, better sleep, stress care, and meds when needed (statins, ezetimibe, PCSK9s, bempedoic acid). Meds are scaffolding—lifestyle builds the house. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 38: An Interview with Fitz Koehler, Author of You-Supercharged
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogHigh-energy episode with Fitz Koehler, author of You – Supercharged. We dig into simple fitness for diabetes: strength, cardio, flexibility, and balance—done your way, starting today. Fitz calls out diet scams, explains why muscle is “free medicine,” and shows how 1% daily gains beat every crash plan. We talk Morning Mile in 400+ schools, GLP‑1 pros/cons, starting from a chair or bed, and how races welcome walkers too. Plus: sleep, mindset, and why intramural sports can change schools and lives.What you’ll learn:Four pillars: strength, cardio, flexibility, balanceWhy muscle boosts metabolism and protects bonesThe truth about diets, supplements, and GLP‑1 side effectsHow to start: chair/bed moves, walking, simple strengthMorning Mile impact and how to bring it to your schoolCommunity wins: walk a 1‑mile or 5K at your paceMinimum system: nutrition, exercise, sleepLinks:Book: You. Supercharged! at fitzness.com (autographed) or AmazonMorning Mile: morningmile.com Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 37: Lipids and Diabetes
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we break down lipids function in diabetes in plain language. We explain the “boats” (lipoproteins) that carry fat: chylomicrons, VLDL, IDL, LDL, and HDL. We share why LDL can look “okay” while risk stays high, and why ApoB particle number matters more than LDL-C. We cover the triglyceride-to-HDL ratio as a simple insulin resistance marker, fatty liver without alcohol, and how insulin resistance rewires lipid metabolism. We talk about ceramides as “danger signals,” adiponectin, and diabetes dyslipidemia. Then we give practical steps: move daily, eat more fiber, choose a Mediterranean-style pattern, reduce saturated fat and simple sugars, sleep better, and consider testing ApoB and Lp(a). Small changes can lower VLDL, remnants, ApoB, and raise HDL. Lipid overload is reversible. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 36: Childhood Obesity with Dr. Evan Nadler, MD, MBA
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogDr. Evan Nadler:Website: https://www.obesityexplained.com https://www.procaretelehealth.comYouTube: https://www.youtube.com/@obesityexplainedInstagram: https://www.instagram.com/obesity_explainedChildhood obesity levels are rising, but there is hope. In this episode, Dr. Evan P. Nadler, a pioneer in pediatric obesity care, explains why words matter (“child with obesity”), how genetics and epigenetics shape risk, and why two teens at the same BMI can have very different health. We cover people-first language, type 1 vs. type 2 diabetes in kids, monogenic vs. polygenic obesity, and the power of removing sugar-sweetened drinks at home. Learn how to build an “in‑home biodome,” why family support beats blame, when medicines or surgery help, and how schools, SNAP policy, and walkable spaces fit in. Dr. Nadler shares clear, practical steps for parents, pediatricians, and young adults planning a family. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 35: Neuropathies in Diabetes
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we break down neuropathies in diabetes in clear, real-life terms. We cover what nerves need to stay healthy, why high and unstable blood sugar hurts nerves, and the four types: peripheral, autonomic, proximal, and focal. We talk real symptoms—burning feet, numb toes, pins and needles—and the emotional side, too.You’ll learn simple, proven steps to slow nerve damage: daily foot checks, shoes that fit, high fiber meals (yes, beans!), Mediterranean-style eating, plant omega-3s, and short walks after meals. We explain how movement snacks, strength training, and good sleep help nerves heal. We also discuss meds that reduce pain and meds that improve metabolism, and how to pair them with lifestyle for better results.Takeaway: smoother glucose curves = calmer nerves. Early action can improve symptoms. Later stages can be slowed. You’re not alone—and there is real hope.How to Row Video: https://youtu.be/4zWu1yuJ0_g?si=xkVQeZ7RwN45w2Zo Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 34: An Interview with Lynne Bowman, Author of Brownies for Breakfast
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogLooking for diabetes dessert recipes easy enough for busy nights? In this episode, we talk with Lynne Bowman, author of Brownies for Breakfast. Lynne shares her journey from gestational diabetes to joyful habits that last. We cover greens three times a day, simple swaps to cut sugar, and why allulose shines for pies and brownies. Learn Lynne’s Genius Soup method to clean your fridge and feed your family all week, a 2‑ingredient tahini balsamic dressing, and “popcorn of the gods” with truffle salt and nutritional yeast. We talk inflammation, ultra‑processed foods, metformin and longevity, and why strong muscles protect aging bones. Plus, holiday help: silken tofu pumpkin pie and sugar‑free apple pie the whole family will love. No separate “diabetic” meals—eat together and make it fun. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 33: Post-Meal Blood Glucose Levels
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogWe dig into diabetes after meal blood glucose levels and what “normal” looks like on a CGM. Learn why a healthy peak is usually under 140 mg/dL and back down by 2 hours, and why repeated 160–200 spikes point to early insulin resistance or a meal–metabolism mismatch. We break down the big levers: muscle mass (your #1 glucose sink), mixed meals (protein, fiber, healthy fats), non-starchy veggies first, and simple walks after eating. We also cover sleep, stress, hormones, and genetics, plus the waist-to-hip ratio to spot hidden visceral fat. Get clear, simple steps to flatten spikes fast: pair carbs with protein, add fiber, choose intact whole grains, walk 10 minutes after meals, strength train 2–3x/week, sleep 7+ hours, and limit refined carbs. Real talk, real science—take action now to lower postprandial glucose and protect your health. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 32: An Interview with Dr. Sajid Khan, MD, MPH
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we talk with Dr. Sajid Khan about insulin therapy for type 2 diabetes and why tech matters. We cover automated insulin delivery, tubeless pumps like Omnipod, and CGMs that turn numbers into daily choices. Dr. Khan shares why many patients are moving from multiple daily shots to pumps, how to talk about insulin without shame, and what truly prevents complications in the heart, kidneys, eyes, and feet.We dig into GLP-1s and SGLT2s for cardiorenal protection, when insulin is the right move, and how pumps cut dosing errors and stress. We also discuss remission—what helps, what gets in the way, and how motivation and environment play a role. Plus: inhaled insulin options, ADA guidance on AID for insulin users, and practical tips for access and referrals. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 31: The Law of 80/20 for Diabetes Remission
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogMost people do diabetes backwards. They pour energy into tiny things that don’t matter. In this episode, we break down the law of 80/20 (Pareto principle) for type 2 diabetes remission. We call out common traps—organic hype, cutting all fruit, berberine over metformin, seed oils, and fancy salts. Then we show the real 20%: balanced meals built on protein, fiber, color, and smart carbs; walking after meals; lifting when you can; better sleep; and simple stress tools. We explain refined vs whole grains, why fruit helps (hello, fiber and phytonutrients), and why walking is a daily superpower. No detox. No miracle pill. Just proven habits you can repeat. Start small: a 10–20 minute walk after dinner, one more veggie and bean serving, or 30 minutes more sleep. Consistency beats intensity. That’s how you lower A1C, steady blood sugar, and build real health that lasts. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 30: An Interview with Danielle Batiste, Author of Diabetes Made Better
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we talk with Danielle Batiste—mom, veteran, and author of the book on diabetes, Diabetes Made Better. Danielle opens up about fear, denial, and the moment her hands shook and she said, “Not me. Not today.” She shares how walking daily, reading labels, and tracking labs helped her lose 40+ pounds and lower her A1C—from 8.6 down to 4.0, and now at a strong 5.7. We cover real tools: understanding highs and lows, foot care (get a monofilament test), not putting lotion between toes, and why follow-up visits should be more than numbers. We talk family risk, stress, and how schools and doctors can teach earlier and better. Danielle’s workbook and planner make care simple and doable. Her message: diabetes is not a death sentence. With the right plan—and a good book on diabetes—you can take control.Links:Danielle’s website and books can be found at https://www.daniellebatiste.comFollow her on Instagram: @DiabetesMadeBetter Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 29 - Natural Hunger Suppressants: Work With Your Body, Not Against It
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we break down hunger in plain talk. Hunger isn’t a flaw—it’s biology. We explain ghrelin and leptin, and how sleep, stress, and hydration change cravings. You’ll learn why soda fails and veggie soup wins, and how GLP-1, PYY, and CCK help you feel full for hours. We share easy plate tips: half non-starchy veggies, solid protein, high fiber, and healthy fats. Start with water or soup, eat slowly, chew more, and wait before seconds. Try beans daily, chia, oats, and omega-3s. Use a hunger–fullness scale, don’t eat from the bag, and shop when you’re not hungry. We cover diabetes-friendly swaps and introduce “The Incredible Bulk” idea for busy days. Simple, natural, and proven. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 28 CORRECTED - Symptoms of Type 2 Diabetes: Your Wake-Up Call to Remission
Sorry for this publishing hiccup. This is the correct episode. Hope you enjoy!Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogFeeling tired, thirsty, hungry, gaining weight, or just “off”? In this episode, we unpack the early symptoms of type 2 diabetes symptoms and what they really mean. Richie and Amber explain why these warning lights—fatigue, thirst, blurry vision, frequent peeing—happen when insulin resistance keeps sugar in your blood and out of your cells.We walk through the emotions after diagnosis (fear, shame, denial) and give hope: type 2 diabetes remission is possible. You’ll learn our 5-step Empowered Remission Algorithm:Awareness: Understand the real problemAudit: Gather simple daily dataAction: Think cellular repair—fiber, protein, walking, strengthAccountability: Support without shameAdaptation: Keep improving as numbers get betterWe cover movement after meals, sleep and stress basics, and why fiber and balanced meals calm spikes. This is your roadmap—simple, clear, and science-based—to turn symptoms into healing. You’re not broken. Your body can heal. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 27 - Sliding Scale Insulin: Why It Feels Like You’re Chasing Sugar (And What To Do Instead)
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we break down insulin sliding scale in real life. Why does it feel like you’re always chasing your sugar? We explain basal vs. bolus, why timing matters, and what over basalization is. Learn how to move from a reactive sliding scale to a proactive plan: basal for fasting, bolus for meals and corrections, and prebolus 15–20 minutes before you eat. We share simple wins like short walks after meals, how correction factors work, and when to talk to your doctor about adding mealtime insulin. We also cover common long- and rapid-acting insulins and a safety tip if you can’t get your prescription. Small changes can steady your day and lower A1C. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 26 - Latent Autoimmune Diabetes in Adults
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode of The Diabetes Podcast, Richie and Amber dig into Diabetes 1.5, also called LADA (latent autoimmune diabetes in adults). If you were told you have type 2 but meds aren’t working, this is for you. We explain why LADA looks like type 2 at first, why it’s often missed, and how to get the right tests and treatment fast.What we cover:What Diabetes 1.5 (LADA) is: an autoimmune diabetes that starts in adults and moves slower than classic type 1.Why it’s misdiagnosed: normal BMI, younger age, and “type 2” meds that don’t work.Red flags to watch: rising A1C, thirst, fatigue, frequent peeing, weight loss, normal BMI, autoimmune family history.The tests to ask for: GAD65 antibodies and a C‑peptide test to check insulin production.Why early insulin matters: protects beta cells, lowers A1C sooner, and helps prevent DKA.Tools that help: CGMs (Dexcom, Libre) and automated insulin delivery systems, including tubeless options.Insurance basics: some pumps are pharmacy benefit, others are DME and may require a C‑peptide level.What to do if your plan isn’t working: after 3–6 months of real effort, ask for LADA testing and an endocrinology referral.Mindset and support: drop the shame, build your care team, and find your people.Key takeaway: About 10% of adults labeled “type 2” actually have Diabetes 1.5 (LADA). If lifestyle and meds aren’t moving the needle, ask for GAD and C‑peptide tests. Early, correct care can protect your pancreas and your peace of mind.Questions? Email [email protected]. Share and subscribe for more real‑world diabetes guidance. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 25 - The Case for Carbohydrates
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogCarbs aren’t the villain. In this episode, we make the case for whole, fiber-rich carbs—especially for people living with diabetes. We break down keto history, why it can “work” short-term, and why most people aren’t actually in ketosis. We explain metabolic flexibility, the difference between ketosis and dangerous ketoacidosis (DKA), and why carbs from whole plants bring nutrients you can’t get anywhere else. We close with the three best-researched eating patterns for long-term health: Mediterranean, DASH, and Whole Food Plant-Based. Takeaway: Don’t avoid carbs. Reclaim them—by choosing whole, colorful, fiber-rich foods.What You’ll LearnKeto’s origin: a medical therapy for childhood epilepsy—not a weight loss plan.Why early “keto weight loss” is often water, not fat (glycogen holds water).Most “keto” diets aren’t true ketosis (and why that matters).DKA vs nutritional ketosis: warning signs and when to seek care.Metabolic flexibility: how to switch smoothly between fat and glucose for energy.Why long-term low carb can reduce your ability to handle carbs later.Fiber boosts natural GLP-1 for fullness and steady blood sugar.90% of protective phytochemicals come from carb-rich plant foods.Why high saturated fat, animal-heavy low carb can raise LDL and heart risk.The best evidence-based diets for diabetes and longevity include carbs:MediterraneanDASH (great if you also have high blood pressure)Whole Food Plant-BasedKey TakeawaysCarbs are not the problem. Ultra-processed foods are.Whole carbs deliver fiber, vitamins (B, folate), minerals (magnesium, potassium), and powerful phytochemicals.For insulin users: long-term carb restriction can raise insulin per gram when carbs return—this is an adaptation, not failure.Build metabolic flexibility with balanced meals and mixed exercise (aerobic + anaerobic).Simple Action This WeekStep 1: Spot one ultra-processed food you eat daily (soda, pastry, chips, ice cream).Step 2: Swap it for a high-fiber whole carb:Soda → sparkling water with citrusChips → veggies and hummusPastry → whole grain toast with nut butterIce cream → frozen berries with plain Greek yogurtAdd 1/2 cup beans to a salad or soupHelpful TermsLow carb diabetes: managing diabetes on fewer carbs—don’t forget fiber-rich plants still matter.Nutritional ketosis: mild, measured ketones from very low carb, high fat intake.DKA (diabetic ketoacidosis): medical emergency—nausea, vomiting, fruity breath, fast breathing, extreme thirst/urination. Seek care now.Metabolic flexibility: your body smoothly uses both fat and glucose for fuel.Resources MentionedMediterranean, DASH, and Whole Food Plant-Based eating patternsFiber and GLP-1 for fullnessLarge studies linking plant-forward, carb-inclusive diets to longer lifeIf this helped, subscribe to The Diabetes Podcast. Get clear science, real steps, and support for better blood sugars and type 2 diabetes remission. Or if you have additional questions or need additional support, please reach out to us at [email protected]. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 24 - Diabetes and GLP-1: The Real Story Behind Ozempic, Wegovy, and Mounjaro (Part 2)
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogAmber Wilhoit (RD/LD, CDCES) and Richie Wilhoit (TRS-C) continue our Diabetes GLP1 deep dive with clear, real-world steps. We show you how to raise GLP-1 naturally with food, movement, and timing. We explain who may benefit from GLP-1 meds, how to protect muscle, and how to build an exit plan from day one. You’ll walk away with a simple 90-day plan, shopping tips, and smart tracking tools you can use this week.What you’ll learnGLP-1 basics: It helps hunger, blood sugar, and stomach emptying. Your body can make more of it.Natural GLP-1 boosters:Intact grains (not flour): barley groats, oat groats, steel cut oats, quinoaFermentable fibers: beans, lentils, apples, citrus, green bananas, cooled potatoesBeta-glucans: oats and barleyLeafy greens: spinach, kale, collards (thylakoids slow fat digestion and trigger GLP-1)Study spotlight: Eating barley groats at dinner raised GLP-1 by 43% the next morning and led to 100 fewer calories at lunch—without trying.Spinach effect: About 1/2 cup cooked spinach boosted GLP-1 ~40% and cut cravings up to 11 hours.Exercise stack:Walk 10 minutes after mealsResistance training 2–3x/week (legs, glutes, major movers)Add short HIIT later (build up slowly)Shopping and cooking tipsLook for: hulled barley, oat groats, steel cut oats. Avoid pearled barley and most instant oats.Oat groats link (https://www.amazon.com/yupik-organic-oat-groats-cereal/dp/B07TYZK623/ref=sr_1_6?crid=1Z9IZEQIFUZVC&dib=eyJ2IjoiMSJ9.O28lwCAWgLj2ficSqgoVQ9MYfjFcGP0NFt8CPlkf4DwBLgBiwV5qMy48ScyrTPrZWxH0Vb4sv5fjV_2HZ-qOJtMwEKqfGTRjutpfVSSB1wqeEq-XVYNIZ_7puVn7w5BgWUF2NYD2T2xjwY7g6VwaYBvtNa8qsE2qvoc9u2t_jIjVCoMFbG49thdVVJe65G6hc_tK1kMC9oN82-Y46zFw4vTRJypl927qjrMuPdQ647q2geLPHtXwHol7Bsl2qugLRucu8w9BOjrJmaAtH06OqmmPsNZNhiV-r2Nm_j0eprQ.SKaf6_j4ICvair7aRRtqw6vFyWtskQPiKTpZ2VaZyMk&dib_tag=se&keywords=oat%2Bgroats&qid=1757766219&sprefix=oat%2Bgroa%2Caps%2C158&sr=8-6&th=1)Leafy greens: two big handfuls daily. Lightly cook to bright green or blend into smoothies.Pair greens with healthy fats (nuts, avocado, olive oil) to boost the thylakoid effect.Easy add-ons that helpApple cider vinegar: 1 tbsp in 8 oz water before mealsProtein at breakfast: 15–20 g (overnight oats with chia + flax; or tofu scramble with turmeric and kala namak)Fiber goal: work up to 40 g/day (add slowly)Fermented foods daily: sauerkraut, kimchi, kefir, unsweetened yogurtSpices: Ceylon cinnamon, turmeric + black pepper, cayenneEarly time-restricted eating: front-load calories earlier in the dayYour 90-day planWeeks 1–4:Greens dailySwap refined grains for intact grains2 tbsp ground flax seeds10-minute walks after mealsWeeks 5–8:Apple cider vinegar before meals15–20 g protein at breakfastStart lifting 2–3x/week (20–30 min)Raise fiber toward 40 g/dayWeeks 9–12:Add short HIIT 2x/week (ease in)Fermented foods dailyUse cinnamon, turmeric + pepper, cayenneTry earlier eating window (e.g., 8am–6/7pm)Tracking that worksWaist circumference weekly (great for belly fat changes)Energy rating (same time daily)Hunger/fullness scale before and after mealsIf you have diabetes: check blood sugar to see what helpsWhen GLP-1 meds make senseType 2 diabetes with A1C not at goal despite lifestyle work (common targets: ≤6.5% endo, ≤7.0% primary care)BMI ≥ 30 with health risks (e.g., hypertension, diabetes)You’ve tried structured lifestyle changes with a pro (RD/CDCES/PT/EP)You accept costs and risks and have a muscle planIf you’re on GLP-1 medsProtein: 1.0–1.5 g/kg body weight dailyResistance training: 3x/week, big muscle groupsConsider creatine monohydrate: 5 g/day (lab-verified)Side effects:Nausea: ginger tea/chews, smaller meals, avoid very fatty/fried foodsConstipation: increase fiber slowly and hydrateDon’t under-eat; fuel your body to keep muscleTrack belt fit and waist, not only the scaleKids and GLP-1Some groups consider GLP-1 for ages 12+ with obesity, but long-term brain effects are unknownWe push intensive lifestyle help first: family support, better food access, more movementReal talk: our world is “diabetogenic”Ultra-processed foods are engineered to be hard to resistKids see thousands of junk food ads each yearMany areas are not walkable; sleep and stress get ignoredSystems need to change, but you can still win with simple daily stepsKey takeawaysAdd leafy greens and intact grainsEat beans and lentils oftenWalk after meals and lift a few times a weekUse fiber, protein, vinegar, spices, and fermented foodsBuild habits now—meds or not—and create your exit planSubscribe to The Diabetes Podcast for more step-by-step help from Amber and Richie. Your worth is not your weight. The goal is more health, more energy, and more life. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 23 - Diabetes and GLP-1: The Real Story Behind Ozempic, Wegovy, and Mounjaro (Part 1)
Love the podcast but hate taking notes? The Diabetes Podcast Blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogAmber (RD/LD, CDCES) and Richie (TRS-C) dive into diabetes and GLP-1 medications like Ozempic, Wegovy, and Mounjaro. We cut through the hype and give you the real story. How do these drugs work? What are the benefits? What are the risks? And why do some people regain weight when they stop?What you’ll learn:What GLP-1 is and how it helps with type 2 diabetesHow GLP-1 messages lower hunger, slow the stomach, and boost insulin when glucose is presentWhy ultra-processed food can block natural fullness signalsThe step-by-step journey on these meds: titration, appetite changes, weight loss, and the 6–12 month “stall”The truth about side effects: nausea, diarrhea, vomiting, constipation“Ozempic face” and why fast weight loss can mean lean mass lossWhy up to 40% of weight lost may be muscle—and why that matters for your metabolismReal-world costs, insurance rules, and why Medicare coverage is trickyCaution on compounded semaglutide and FDA warningsBig benefits for many with type 2 diabetes: A1C drops and lower heart riskKey takeaways:GLP-1 meds can lower A1C by about 1–2 points and help with weight.Your body fights fast weight loss. Weight often returns when you stop.Protect your muscle with resistance training and enough protein.If you use these meds, plan for cost, side effects, and long-term use.What’s next (Part 2):Foods that naturally boost GLP-1 (some by 40%+)Simple meal and movement strategies to calm “food noise”How to talk to your doctor about diabetes and GLP-1A practical multi-week action planSubscribe for more real talk on diabetes and GLP-1. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 22 - Diabetes Myths, Misconceptions, and Marketing Scams
Diabetes Myths, Misconceptions, and Marketing ScamsLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode, we dig into diabetes myths, misconceptions, and marketing scams. We talk about what really works, what doesn’t, and how to protect yourself. If you live with type 2 diabetes, you’ve likely heard it all—from “it only gets worse” to “this miracle pill fixes everything.” We bring clarity, hope, and simple steps you can do today. No extremes. No gimmicks. Just truth you can use.What You’ll LearnThe biggest myths that keep people stuckWhy remission can be possible for many with type 2 diabetesHow small habits beat extreme plansWhy medication is not failureHow supplement scams target people with diabetesPractical steps that work in real lifeA quick shout-out and resources for type 1 diabetesEpisode Highlights“I can’t change this disease” — FalseMany people can improve a lot. Some can reach remission, especially in the first 5–6 years after diagnosis.Big studies show weight loss, especially around the belly, lowers insulin resistance and improves blood sugar.You don’t need extreme dietsNo starving. No “detox.” No all-or-nothing rules.Even 5–10% weight loss can help blood sugar and energy.Slow, steady, simple wins.Don’t change everything overnightAll-or-nothing plans make people quit.Start small:Walk 2–10 minutes after mealsSwap one sugary drink for water or zero-sugarCook one extra meal at homeAdd beans, peas, or lentils once this weekProgress, not perfection.Medication is not failureMeds are tools. They can protect your beta cells while you build habits.As your habits improve, your doses may need to change.Work with your healthcare team. Do not stop meds cold turkey.Supplements are not safer or betterThe supplement industry is huge and poorly regulated.Some “diabetes” supplements are spiked with hidden drugs.What we might recommend:Vitamin D (if low or little sun)Vitamin B12 (over 50 or strict vegan)Maybe algae-based omega-3Maybe curcuminNone of these replace medical care or lifestyle changes.“It’s too late for me” — It’s notEven after many years, you can still improve A1C, reduce meds, and feel better.Remission rates are higher early, but better is always possible.How scams hook youRed flags:“Doctors don’t want you to know”“Reversal in days”Exotic ingredients from faraway placesStock photos, fake reviews, AI celebrity clipsPricey subscriptions and “special labs”If it sounds magical, it’s marketing. Don’t swap a prescription for a subscription.What Actually Works (Simple and Science-Backed)Move:Walk after meals (2–10 minutes)Add steps during the dayEat:Swap refined carbs for whole grains and legumesFill half your plate with non-starchy veggiesChoose high-fiber foods to support fullness and insulin sensitivityCut sugary drinksLower sodium with fresh or no-salt-added foodsRestore:Aim for better sleepReduce stress with short walks, breathing, journaling, prayer, or natureTeam:Tell your provider your goalsAdjust medications safely as habits improveIf your provider isn’t supportive, consider a new oneType 1 CornerTech helps: CGMs + insulin pumps (automated insulin delivery) can make life easier.Resource: Blue Circle Health (bluecirclehealth.org) in select states.Time Matters (But Not Like You Think)Type 2 builds over years.Improvement can happen in months, not days.Keep going with small steps. They stack up.Key Quotes“You are not powerless.”“Medication is scaffolding, not failure.”“Start small. Keep going.”“Don’t swap a prescription for a subscription.”Timestamps00:00 — Why myths and scams are so common02:00 — Quick note on sodium and smoked salmon04:00 — Type 1 advances: CGMs and pumps06:00 — Blue Circle Health resource07:00 — Type 2 remission: what studies show10:00 — Small changes that work14:00 — All-or-nothing thinking hurts progress21:00 — Meds are tools, not failure33:00 — How to reduce meds safely (with your provider)34:00 — Supplement industry risks40:00 — The short, safe supplement list46:00 — Scam red flags53:00 — What actually works: movement, food, sleep, stress58:00 — Healing timeline: months, not days60:00 — Takeaways and hopeResources MentionedBlue Circle Health: bluecirclehealth.orgStudies referenced (by category): DIRECT, Look AHEAD, bariatric surgery trials, Japanese cohort studies, systematic reviewsAction Steps for This WeekWalk 2–10 minutes after one meal each day.Swap one sugary drink for water or zero-sugar.Add beans, peas, or lentils to one meal.Fill half your plate with veggies once a day.Set a bedtime to help you get more sleep.Tell your provider you’re working toward remission or reduction in meds.Connect With UsSubscribe to The Diabetes Podcast for clear science, real talk, and simple steps.Share this episode with someone who needs hope and a plan.Final TakeawayYou don’t need extremes. You need simple steps, done often. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 21 - The Diabetes/Salt Connection: How Sodium Impacts Blood Pressure & Health
The Diabetes/Salt Connection: Why Sodium Matters More Than You ThinkLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode of The Diabetes Podcast, Amber and Richie dive deep into the diabetes/salt connection. Salt, or sodium, is often hidden in our everyday foods like bread, soups, pizza, and sandwiches. For people living with type 2 diabetes, too much sodium is not just about taste—it can raise blood pressure, damage kidneys, and raise the risk of heart attacks and strokes.The hosts share the latest research, show how the average American eats nearly double the sodium they need, and give easy, realistic steps to cut back without giving up the foods you love.Why This MattersHigh blood pressure is twice as common in people with diabetes.70% of sodium in our diet comes from processed and restaurant foods—not the salt shaker.Even small cuts in sodium lower risk. Dropping just 500–1000 mg a day can protect your heart, brain, and kidneys.This is not about perfection. It’s about progress. Every small step helps.Key Takeaways from the Episode1. How Much Sodium Is Too Much?American Heart Association recommends 1,500 mg per day for most adults with diabetes or high blood pressure.The general upper limit is 2,300 mg per day.The average American eats 3,400 mg daily, more than double the healthy amount.2. Where Is All This Salt Hiding?Most sodium comes from foods you might not expect:Bread and rolls – don’t taste salty but add up fast.Cold cuts and processed meats – a top source of both sodium and cancer risk.Pizza – a “sodium bomb” of crust, cheese, and sauce.Canned soups – often 1,200–1,500 mg in a single can.Fast food – a burger, fries, or fried chicken can pack a day’s worth of sodium in one meal.3. Why the Diabetes Salt Connection Is So SeriousRaises blood pressure – already common in diabetes.Increases stroke risk – strokes can happen suddenly and change life forever.Hurts the kidneys – people with diabetes already face high kidney disease risk.Damages the heart – too much sodium weakens heart function and raises the chance of heart failure.4. Global PictureThe worldwide average is 3.95 grams (3,950 mg) per day.In 2010, high sodium intake was linked to 1.65 million deaths from cardiovascular causes.Target levels in studies: 1,200–2,400 mg per day.Practical Steps to Cut Back on SodiumStep 1: Try the DASH DietDASH = Dietary Approaches to Stop Hypertension.Focuses on: fruits, vegetables, whole grains, beans, nuts, seeds, lean protein, and low‑fat dairy.Backed by decades of research and proven to lower blood pressure.Step 2: Become a Label DetectiveLook for 140 mg or less per serving (“low sodium”).Watch serving sizes—two or three servings can double or triple your intake.Choose no salt added beans, fresh poultry, and fish.Step 3: Flavor Without SaltUse herbs, garlic, onion powder, lemon, and paprika instead of salt.Avoid seasoning blends with hidden sodium.Step 4: Eat More PlantsFruits and veggies are naturally low in sodium.Beans and leafy greens add potassium, which balances sodium and helps relax blood vessels.Step 5: Smarter Restaurant StrategiesAsk for sauces and dressings on the side.Dip your fork in dressing instead of pouring it on.Choose grilled over fried.Limit bread baskets, marinades, and salty toppings.Step 6: Track and ReplaceKeep a one‑week sodium diary.Notice top sources and swap them out.Replace canned beans with dried beans cooked in bulk. (Richie shares how an Instant Pot can make a week’s worth of beans with almost no added sodium.)Step 7: Partner with Your DoctorIf you’re on blood pressure medicine, track your numbers at home.Share your results with your doctor.As your diet improves, you might be able to reduce medication safely.The Silent Killer: Why You Don’t Feel High SodiumHigh blood sugar makes you feel tired. But high blood pressure from sodium often has no symptoms. That’s why it’s called the silent killer. You may only notice small signs like swollen fingers or rings that don’t fit. But damage is happening even when you don’t feel it.Real-Life ImpactStroke: Can leave lasting problems with speech, walking, or independence.Heart attack: Surviving one may still leave the heart too weak to pump well.Kidney failure: Could mean dialysis three times a week, limiting your freedom.Bottom Line from Amber and RichieAwareness is the first step. You can’t change what you don’t track.Progress, not perfection. Cutting even 500 mg a day helps.Add before you subtract. Adding beans, greens, and fresh foods naturally pushes out processed, salty foods.Every choice matters. Every meal is a chance to protect your future.Final ThoughtsThe diabetes salt connection is powerful. Too much sodium makes diabetes complications worse, but the good news is you are not powerless. With simple swaps, label reading, and more whole foods, you can lower your risk of stroke, heart attack, and kidney damage.Remember:Goal: 1,500 mg per day.Even small cuts count. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 20: The Diabetes / Cancer Connection
Love the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogThe Diabetes–Cancer Connection: What No One’s Talking AboutEpisode summary:Amber Wilhoit (RD/LD, CDCES) and Richie Wilhoit (TRS-C) unpack the diabetes cancer connection in clear, simple language. We look at why type 2 diabetes and cancer often show up together, what’s happening inside the body, and what you can do this week to lower risk. Amber also shares highlights from her recent talk for the Florida Society of Clinical Oncology, focused on Veterans living with cancer.What you’ll learn:The diabetes cancer connection in plain EnglishWhy people with type 2 diabetes have a 20–25% higher risk of certain cancers (liver, pancreatic, endometrial, colorectal, breast, bladder)How insulin, insulin resistance, and inflammation can drive cancer growthWhat hyperinsulinemia and IGF-1 do in the bodyHow oxidative stress damages DNA and why that mattersWhy “normal labs” can be misleading early onThe real role of Metformin in cancer risk (with data)Why processed meat is a problem and what to swap insteadSimple steps to lower risk for both diabetes and cancerKey takeaways:It’s not just “high blood sugar.” The diabetes cancer connection is about a whole-body metabolic storm: insulin resistance, high insulin, chronic inflammation, and oxidative stress.When insulin stays high for a long time (hyperinsulinemia), it acts like a growth signal. That can help damaged cells survive and multiply when they should die (apoptosis).Chronic, low-grade inflammation (think IL-6, TNF-alpha) and oxidative stress from high glucose can damage DNA and set the stage for cancer.Veterans are hit hard by type 2 diabetes and cancer risk. Age plays a role, but metabolic health does too.Obesity is not the whole story. A meta-analysis showed higher cancer incidence and mortality in people with type 2 diabetes independent of obesity.Metformin stands out. Studies show:54% lower pancreatic cancer risk among Metformin users (Lancet Oncology)30% lower cancer-related death rate in people with diabetes taking Metformin (systematic review)Likely mechanisms: lower insulin and activation of AMPK (the body’s energy sensor)Ultra-processed foods raise risk. A 10% increase in ultra-processed food intake was linked to a 12% higher overall cancer risk (BMJ, 2018).“Normal” tests can miss early problems. Insulin resistance starts years before a diabetes diagnosis—and risk rises early, too.Food and lifestyle that help:Eat the rainbow:Cruciferous veggies (broccoli, cauliflower, Brussels sprouts, cabbage) are rich in sulforaphane. This compound supports detox enzymes, lowers inflammation, and helps damaged cells die on time.Mix colors for different phytonutrients: orange (carotenoids), blue/purple (anthocyanins), reds/greens (varied flavonoids).Fiber is your friend:Aim for 30–50 grams daily. Men: ~36g minimum; women: 25g minimum (more is great).Fiber supports gut health, binds excess estrogen, lowers inflammation, and steadies glucose.Beans are a power food. They add fiber, support healthy gut bugs (bacteroidetes), and contain saponins that may inhibit tumor growth and boost immune function.Choose less-processed proteins:American Institute for Cancer Research: avoid processed meats (group 1 carcinogen). Limit red meat.Better swaps: beans, lentils, tofu, tempeh, fish, poultry, and plant-forward options. Some plant-based burgers can be a “less-bad” choice—check ingredients.Move most days:Goal: 150 minutes per week (AICR). Easy start: walk 2 miles a day (can split morning/evening), especially after meals to blunt glucose spikes.Sleep and stress:Aim for 7–9 hours per night. Reduce late-night screens, practice breath work, join a support group, and manage daily stressors.Reduce extra exposures:Use glass instead of plastic when heating food. Be mindful of microplastics and heavy metals (choose seafood wisely).Medication mindset:Meds can be a helpful “crutch” while you rebuild habits. Don’t stop cold turkey.If you’re on Metformin and working toward remission, great. Once blood sugars are steady, talk with your clinician about next steps.Common pitfalls we see:Trusting “normal labs” while symptoms persistThinking “my A1C is only 6.3, so I’m fine”Relying on “diabetic friendly” labels on ultra-processed foodsUnderestimating years of quiet insulin resistance before diagnosisTying food choices to events/emotions without a plan for better swapsAction plan for this week:Add one half-cup of beans to your day. That’s it. Sprinkle on salads, mix into soups, fold into tacos, or blend into dips.Bonus points:Add one serving of cruciferous veggies daily.Walk 10–20 minutes after your largest meal.Swap one processed meat item for a whole-food protein.Quotes from the episode:“It’s not just about blood sugar. It’s the metabolic storm.”“Hyperinsulinemia acts like a growth signal.”“Ultra-processed foods aren’t just empty—they drive risk.”“Metformin shows strong evidence for lowering certain cancer risks.”Who this episode is for:Anyone living with prediabetes or type 2 diabetesVeterans and their familiesPeople wanting simple, real-world steps to lower cancer riskCaregivers and clinicians looking for practical language for patients Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 19 - The Remission Mindset
The Remission Mindset: 5 Truths to Move From Managing Diabetes to RemissionLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogThis no-fluff episode gives you the remission mindset you need to go from coping to conquering. We share five truths that help you stop the slide, take charge, and put type 2 diabetes into remission. It’s bold. It may feel uncomfortable. It could change your life.What You’ll LearnWhy the remission mindset beats “management”The 5 truths that make remission possible and sustainableHow to stop fueling the disease so it withersHow common diabetes and prediabetes are (it’s half of US adults)What late-stage diabetes really looks like (so you don’t go there)The hidden costs (money, mood, time, family, freedom)The key checks that protect your eyes, feet, kidneys, and heartWhy you need help and how to get itA simple 5-year plan to guide your next stepsQuick Stats We Discuss1 in 2 US adults has diabetes or prediabetes (many don’t know it).Type 2 diabetes raises heart attack and stroke risk 4–5 times.Diabetes is the #1 cause of non-accidental amputations.Nearly 1 in 5 teens (12–18) and 1 in 4 young adults (19–34) have prediabetes.Annual US diabetes cost: $413 billion.People with diabetes pay about $4,800 more out-of-pocket each year (not counting ER or hospital stays).The 5 Truths of the Remission MindsetYou are responsible for your healthYour doctor cares, but you are with you all day. Most primary care visits are short. Generic advice won’t cut it. You must lead. This is not about blame. It is about power. When you lead, you win.How to act:Treat your health like your top job.Know your numbers. Track them.Learn fast. Apply faster.Managing diabetes is a losing strategy“Management” means living with the disease. Remission means moving away from it. You don’t want an “okay” level of harm. You want the harm gone. Patch the hole in the boat, don’t just bail water.How to act:Stop fueling the disease. Cut the inputs that drive high blood sugar.Make food, sleep, movement, and stress habits work for you.Aim for progress every week. Momentum matters.Diabetes is that badWe say this with love. The risks are real: blindness, kidney failure, amputations, stroke, heart disease, and more. Most people say, “No one told me.” We are telling you now—so you can act now.How to act:Take this seriously before a crisis hits.Do the checks that prevent the worst (see “Protective Checks” below).Build your “why”: family, freedom, years of good life.Diabetes is expensiveNot only money, but time, energy, and joy. Missed trips. Skipped parties. Worry at every meal. Complex med regimens. ER visits for highs and lows. It adds up.How to act:Spend now on prevention and skills, not later on crisis care.Simplify your regimen by changing your habits.Ask, “Is this choice worth a year of my life?”You need helpThis is hard to do alone. Not because you’re weak, but because life, food, stress, and systems are stacked against you. The right team and plan make the road shorter, safer, and faster.How to act:Get expert coaching focused on remission (not just “management”).Use a clear plan, simple rules, and steady support.Keep going when it gets tough. You are worth it.important note: Type 2 vs Type 1This episode speaks about type 2 diabetes remission. Type 1 is an autoimmune condition and is different. We love our type 1 community. This show’s remission content is for type 2.Protective Checks That Save Vision, Feet, Kidneys, and HeartAnnual dilated eye exam: Prevent up to 90% of diabetes-related blindness with early treatment.Regular foot exams and education: Prevent up to 85% of amputations.Blood pressure control: Cut kidney decline by about one-third.Cholesterol improvement: Reduce heart risks by 20–50%.Smart insulin use: If you are on insulin, learn how food, timing, and doses work together to avoid dangerous lows.Note on lows and highs: Many ER visits happen when insulin does not match food. Complex regimens make this more likely. A simpler path, with better habits, reduces that risk.How to Starve the Disease and Feed Your HealthFood: Choose foods that do not spike blood sugar. Eat enough protein. Favor fiber. Cut ultra-processed foods.Sleep: Keep a steady sleep schedule. Poor sleep drives insulin resistance.Movement: Move daily. Walk after meals. Build strength.Stress: Lower stress where you can. Use simple resets: breath work, short walks, sunlight, journaling.Environment: Make the healthy choice the easy choice at home and work.Remember: When you stop fueling the disease, it starts to wither.Your Action Step This WeekDo the 5-year plan exercise:If you could not fail, where do you want your health to be in 5 years?Are yesterday’s habits taking you there? Be honest.If yes, keep going and level up.If no or not sure, get help and get a plan.Take one step today:Book your dilated eye exam if you haven’t this year.Schedule a foot check.Plan your next 3 dinners with protein, fiber, and fewer carbs.Walk 10–15 minutes after your next meal.Go to bed 30 minutes earlier tonight.Small steps, done daily, lead to big change.Timestamps00:00 – Why the remission mindset matters now01:00 – Amber’s takeaways from the ADCES conference05:00 – The “1 in 2 adults” wake-up call06:00 – The five truths overview08:00 – Truth 1: You are responsible for your health14:00 – Truth 2: Managing is a losing strategy20:00 – Truth 3: Diabetes is that bad (real-world outcomes)35:00 – Truth 4: Diabetes is expensive (money and more)55:00 – Truth 5: You need help (why support changes outcomes)1:05:00 – Your 5-year plan and first stepsQuotes“Managing diabetes is a losing strategy. Aim for remission.”“There isn’t an acceptable amount of a disease you want to live with.”“If you stop fueling the disease, it starts to wither.” Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 18 - Ultra-Processed Foods
Ultra Processed Foods: Clarity Over Confusion Love the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogThis episode is all about ultra processed foods—what they are, why they matter for cravings, insulin resistance, and blood sugar, and how to spot them fast. No shame. Just clarity. If you’ve ever felt “the more I try, the worse it gets,” you are not broken. You are surrounded by food designed to overpower your biology. Let’s get you back in the driver’s seat.Quick SummaryWe explain the NOVA system (Groups 1–4) so you can name what you’re eating.We show how ultra processed foods change hunger and fullness.We cover why some foods make you eat more without meaning to (+508 calories/day in a study).We walk through high fructose corn syrup, seed oils, tallow fries, and processed meat with plain language.We end with simple swaps and a “workable” way to start.The NOVA System, Made SimpleGroup 1: Unprocessed or minimally processed food.Examples: fresh or frozen fruits and veggies, plain meat or fish, eggs, dried beans, lentils, whole grains, milk, plain yogurt.Group 2: Processed culinary ingredients.Examples: olive oil, butter, sugar, salt, vinegar.Group 3: Processed foods (Group 1 + Group 2, using simple methods).Examples: simple bread (flour, yeast, salt), cheese, pickles, canned beans, canned fish, jarred tomato sauce.Group 4: Ultra processed foods (industrially made with additives you don’t cook with at home).Common flags: artificial colors and flavors, preservatives, emulsifiers, gums, isolated starches/proteins, sugar substitutes (like sucralose or acesulfame potassium), high fructose corn syrup, hydrogenated or inter-esterified oils.Examples: flavored yogurts, protein bars with long labels, soda and energy drinks, many breakfast cereals, frozen pizzas and meals.Working tip:Short ingredient list (5–6 items you know)? More likely Group 1–3.Long list with words ending in “-ose,” “-ate,” or “-ide,” plus artificial sweeteners or gums? Likely Group 4.Why Ultra Processed Foods Matter (Especially With Diabetes)They can hijack metabolism, increase visceral fat, and raise inflammation.They are engineered to be super tasty and easy to overeat.In a controlled study, people eating ultra processed foods ate about 508 more calories per day on average when allowed to eat as much as they wanted.In 2 weeks, that group gained about 2 pounds.A 2023 BMJ paper: for every 10% increase in ultra processed foods in the diet, type 2 diabetes risk rose by 15%.Sugar can hit the brain’s dopamine system in ways that drive cravings. It’s not “you”—it’s design.“Out of a Package” vs. Ultra ProcessedNot all packaged food is bad. Canned beans, canned fish, simple bread, and jarred tomato sauce can be Group 3. The issue is the level of industrial processing and the additives used.High Fructose Corn Syrup (HFCS) vs. Sugar: What We SaidHistory: Farm policy and corn subsidies made HFCS cheap and common. Tariffs made cane/beet sugar pricier. HFCS is stable in acidic drinks and easy to ship as a liquid.How HFCS is made: corn starch → enzymes → glucose → more enzymes → part of it becomes fructose (HFCS-42 or HFCS-55).Table sugar (from cane) is crushed, boiled, and crystallized. Fewer steps. No enzymatic reshaping.Americans still consume around 40 pounds of HFCS per person per year (down from ~60 pounds in the early 2000s).Marketing tried to rebrand HFCS as “corn sugar.” FDA said no.If you want the “old school” soda once in a while, Mexican Coke uses sugar, not HFCS. Still soda—just different sweetener.Oils: Seed Oils, Trans Fats, and Tallow FriesHydrogenated oils (trans fats) were pushed in when saturated fat got blamed for heart disease. That didn’t end well.Inter-esterified oils were later used to replace trans fats in many ultra processed foods.Beef tallow has a higher smoke point than many seed oils. That doesn’t make a basket of fries a health food.Beware “one villain” marketing (like “100% beef tallow = 100% better fries”). A fried meal with white buns, processed meat, and soda is still not a health meal.Processed Meat, Safety Scares, and What ChangedMad cow disease (BSE) taught us about prions—misfolded proteins that are very hard to destroy.Risk rose when mechanical separation pulled spinal/brain tissue into meat products.Reforms followed: bans on feeding cattle-to-cattle (1997), removal of high-risk tissues in older cattle, tighter rules on separation and inspections.Bottom line: the system was built for speed and profit, then patched after problems. It’s better, but still opaque. The burden of choice lands on you.How To Spot Ultra Processed Foods FastIngredient list longer than 5–6 items.Additives you wouldn’t cook with at home.Sweeteners: sucralose, acesulfame potassium, erythritol.Isolates: soy protein isolate, modified food starch.Colors: Red 40, Blue 1 (note: “natural flavors” doesn’t mean much).“Enriched” refined flour often points to Group 4 versions.Suffix clues: “-ose,” “-ate,” “-ide” can signal more industrial chemistry.Simple Swaps (That We Actually Use)Flavored yogurt → plain yogurt + a pile of fruit. If you need, drizzle a small teaspoon of honey at first.Breakfast cereal → oats with fruit and nuts, or eggs with veggies.Soda/energy drinks → water, sparkling water, or coffee/tea you sweeten less (or not at all).Protein bars with long labels → nuts, fruit, cheese, hard-boiled eggs, or a simple homemade bar.Frozen meals → batch-cook a simple chili, stew, or roasted tray bake you portion and freeze.Planning beats panic:You will get hungry every 3–5 hours. Plan for it. Pack something simple so you aren’t stuck with a drive-thru decision.A Working Definition (Our Episode’s Version)Ultra processed foods are industrial products made with ingredients and techniques you don’t use at home—like artificial sweeteners, flavors, colors, emulsifiers, gums, isolated starches and proteins, and engineered oils. They’re built to be shelf-stable, cheap, and super tasty. And they often lead to overeating, bigger glucose spikes, and more risk over time.Try This Awareness ExerciseFor one week, jot down what you eat.Label each item: 1, 2, 3, or 4 (NOVA groups).No judgment. Just notice the pattern.Aim for more Group 1, some Group 2 and 3, and fewer Group 4.See how you feel as Group 4 goes down.Memorable Quotes“This episode is about clarity over confusion.”“You’re not alone and you’re not broken. You’re surrounded by food that was engineered to overpower your biology.”“Ultra processed foods can hijack your metabolism.”“In a study, people on ultra processed diets ate about 508 more calories a day—without trying.”“A basket of tallow-fried potatoes next to a refined bun and soda is not a health food.”“Plan for hunger. It’s coming every 3–5 hours.”FAQ About Ultra Processed FoodsWhat are ultra processed foods?Industrially made products with additives and techniques not used at home. Think long labels, artificial sweeteners, colors, flavors, gums, and engineered oils.Are ultra processed foods always unhealthy?The problem is how they’re engineered and how they affect hunger, blood sugar, and overeating. Less is better. No shame—just reduce when you can.How do I spot them?Long ingredient lists, artificial sweeteners (sucralose, acesulfame K), “modified” starches, isolates, and color additives (like Red 40).Is high fructose corn syrup worse than sugar?HFCS is more industrial, cheaper, and common in drinks. It’s stable, easy to use at scale, and overused. Sugar isn’t a “health food” either, but HFCS took over for cost and convenience.Do ultra processed foods make me eat more?In a study where people could eat as much as they wanted, the ultra processed group ate ~508 more calories per day and gained about 2 pounds in 2 weeks.Is there a special “diabetes diet”?A healthy diet for type 2 diabetes looks like a healthy diet for most people: more real food (Group 1), fewer ultra processed foods.Key TakeawaysUltra processed foods change how hungry and how full you feel.They can lead to higher blood sugar swings and overeating without trying.Don’t fall for “one villain” marketing. Look at the whole meal.Plan your food. If you plan, you win.Start small. Swap one thing. Then another.Call to ActionIf this helped, share it with someone who feels stuck with cravings.Want help making the shift? Visit EmpoweredDiabetes.com. Real remission is possible.Take courage. You can do this—and we can help. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 17: Nutrient Density of Foods
Nutrient Density: The Simple Way To Eat Better And Steady Your Blood SugarLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogLearn what Nutrient Density is, why it matters for blood sugar and type 2 diabetes, and easy ways to add more Nutrient Density to every meal. Simple tips, real talk, and doable swaps from Richie and Amber.Slug: nutrient-density-diabetes-podcast—Episode SummaryRichie: Ever think, “I’m eating less… so why don’t I feel better?”This episode is for you.Amber: Today we talk about Nutrient Density. What it means. Why it helps your health and your blood sugar. And how to make it work in real life.In this show, we explain:What Nutrient Density means in plain wordsWhy “empty calories” leave you tired and still hungryHow to build meals that keep you full and steadyThe most common nutrient gaps we seeEasy swaps you can make this week—What Is Nutrient Density?Amber: Nutrient Density means how many good things you get in a food for the calories it has.Those good things include:Vitamins and mineralsFiberProteinPlant nutrients (the colorful stuff in plants)Nutrient-dense foods give you a lot of nutrition with fewer calories. They are often:Rich in vitamins and mineralsHigh in fiber and/or proteinLower in added sugar and refined grainsLess processed—Empty Calories vs. Nutrient DensitySome foods give you calories but not much else. That’s what we mean by “empty calories.”Examples:SodaChipsPastriesSugar-loaded coffees and teasAmber: These spike blood sugar, then crash it. They can leave you hungry again fast.Richie: The stat that shocked me—about 40% of the average American’s calories come from added sugar and fat. That’s a lot of energy with not much nutrition.—Why Nutrient Density Matters For Blood SugarYou feel full longer (thanks to fiber and protein).You get a steadier blood sugar curve.You stop chasing energy with caffeine and sugar.You help your body use insulin better over time.Richie: Is there a difference between being hungry for calories and being hungry for nutrients?Amber: Yes. You can eat a lot of calories and still be undernourished. Your body keeps asking for more.—The Donut vs. Beans PictureA donut and a cup of beans can have similar calories.But beans bring fiber, protein, minerals, and slow, steady energy.Donuts bring sugar and fat, and hunger comes back fast.Richie: Two donuts? Easy. Two cups of beans? That takes time. And I’d be full.—If You Eat Less, You Need More Nutrient DensityIf you eat fewer calories (small appetite, GLP-1 meds, or after surgery), your body still needs the same vitamins, minerals, fiber, and protein. So every bite needs to count.Signs you may be missing key nutrients:Low energy, poor sleepHair thinningStrong cravings“I ate, but I’m still hungry”—Common Nutrient Gaps We See (and how to fill them)MagnesiumWhy it matters: Helps blood sugar, blood pressure, nerves, and sleep.Low may look like: Cramps, restless legs, poor sleep, “wired but tired,” cravings.Foods: Beans, seeds, leafy greens, whole grains, dark chocolate.PotassiumWhy it matters: Helps blood pressure, heart, kidneys, and hydration inside your cells.Low may look like: High blood pressure, muscle weakness, fatigue, heart flutters.Foods: Bananas, apricots, sweet potatoes, beans, leafy greens.Vitamin DWhy it matters: Bones, immune health, mood, insulin sensitivity.Low may look like: Brain fog, joint pain, frequent illness, low mood in winter.Where from: Sunlight, fortified foods (like milk), and often a supplement.Note: Many people benefit from a modest daily dose. Vitamin D is fat‑soluble, so don’t megadose without guidance. Choose a third‑party tested brand.IronWhy it matters: Oxygen in the blood, energy, focus, temperature control.Low may look like: Pale skin, tiredness, cold hands/feet, dizziness, hair loss.Foods: Beans, lentils, tofu, tempeh, leafy greens. Pair with vitamin C for better absorption.Vitamin B12Why it matters: Nerves, DNA, red blood cells, mood and focus.Low may look like: Numbness/tingling, brain fog, fatigue, mouth sores, glossy red tongue.Who’s at risk: Vegans, adults 50+, people on PPIs, and some long‑term metformin users.Tip: A B12 supplement can help if you’re at risk.FiberWhy it matters: Blood sugar control, gut health, cholesterol, fullness.Foods: Beans/legumes, whole grains, fruits, veggies, nuts, seeds.Note: Avocados are a great fiber food.—Same Calories. Different Results. (A simple look)Two days at about 1,600 calories:Day A (lower Nutrient Density):Granola barFrozen “diet” entrée100-cal popcornGrilled chicken + white rice + broccoliSugar-free puddingDay B (higher Nutrient Density):Steel-cut oats + flax + berries + almond butterLentil soup + quinoa-kale salad + roasted veggies (fresh‑frozen is great)Greek yogurt + chia + walnutsTofu stir-fry + mixed veggies + brown riceApple + natural peanut butter or almondsWhat changes with Day B?More fiberMore proteinLess sodiumMore vitamins, minerals, and plant nutrientsResult: You feel fuller. Your energy is steadier. Your blood sugar curve is kinder.—“Eat Food That Rots” (What we mean)Richie: Wait—you’re not saying eat rotten food, right?Amber: No! Eat food that would go bad in a few days or a week. That means it’s real food.Fresh or fresh‑frozen fruits and veggies are great.If bread never molds, ask why. Fewer additives often means a shorter shelf life.—Can Coke Zero help with Nutrient Density?Richie: Coke Zero has no calories. Is that “better”?Amber: It may save sugar and calories. But it adds no nutrients. Neutral at best. Focus on foods and drinks that add value (water, tea, smoothies with fruit and seeds, etc.).—Diet Culture vs. Real LifeDiet culture pushes extremes.We push doable steps.Nutrient Density is about inclusion, not restriction.Amber: Ask, “How can I add nutrients to this meal?” Not, “How little can I eat?”—Simple Ways To Add Nutrient Density TodayAdd, don’t subtractToss spinach, peppers, onions, tomatoes, and garlic into eggs.Add beans to salads, soups, tacos, pasta, and grain bowls.Top oats or yogurt with chia, flax, walnuts, or almonds.Use color on purposeEat the rainbow: red, orange, yellow, green, blue/purple.Each color brings different plant nutrients.Plate method for steady blood sugarHalf plate: non‑starchy veggiesQuarter plate: protein (plant-forward works great)Quarter plate: fiber-rich carbs (beans, lentils, brown rice, quinoa, sweet potato)Add a little healthy fat (nuts, seeds, avocado, olive oil)Fresh‑frozen is your friendFrozen veggies and fruits are fast, affordable, and nutrient-dense.Low appetite? Make every bite countIf you eat less (GLP‑1 meds or small appetite), focus on protein + fiber + key micronutrients each time you eat.—Richie’s “Jar Trick” For CravingsRichie: Picture a jar. Big rocks are your nutrient-dense foods. Sand is the treats.Put the rocks in first. The sand can still fit, but not as much. You’re full of the good stuff first.—One Small Thing This Week (Pick One)Add, don’t subtract: Add one veggie and one bean to a meal you already eat.New color: If you eat only red/yellow fruit, add one green or orange fruit this week.Eat food that rots: Choose two fresh or fresh‑frozen produce items and use them up.—Pull Quotes“The fewer calories you eat, the more wisely you need to spend them.”“Nutrient Density is about adding more of what helps you feel good.”“Fill up on the good stuff first.”—Timestamps00:00 — What is Nutrient Density?03:00 — Empty calories and the “40%” stat08:00 — Donut vs. beans10:00 — Eating less means you must eat better20:00 — Common nutrient gaps (magnesium, potassium, vitamin D, iron, B12, fiber)39:00 — Two 1,600-calorie days compared46:00 — “Eat food that rots” and fresh‑frozen tips50:00 — Nutrient Density and blood sugar control54:00 — Real-life “displacement” strategy57:00 — Key takeaway and how we help—Your TakeawayRichie: Make every bite count.Amber: Lead with Nutrient Density. Add color, fiber, and protein. Fill up on the good stuff first.If you’re trying to shift toward eating for more nourishment—not just numbers—you’re not alone. This is what we do at Empowered Diabetes. We make it practical, doable, and tailored to you.Have questions? Email [email protected] and we’ll answer them on a future show.Note: This podcast is for education only and not medical advice. Talk with your healthcare provider about changes to supplements or medicines. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 16 - Fiber is the New Protein
Fiber Is the New Protein — The Diabetes Podcast Show NotesLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogProtein gets all the hype, but Fiber is the real star for blood sugar, heart health, weight, and hunger. In this episode, we show you simple ways to add more Fiber to your day and why it works.The Big IdeaMost of us do not have a protein problem. We have a Fiber problem.95% of Americans get enough protein.95% of Americans do not get enough Fiber. Most people only get 10–15 grams a day.Aim for at least 25–35 grams a day. For blood sugar and heart health, 50 grams a day is even better. About 30 grams a day helps lower the risk of getting type 2 diabetes.Why Fiber Matters (and why we’re so excited about it)Richie: Protein bars, protein milk, protein cookies… it’s everywhere.Amber: But Fiber is the thing most people are missing. And it does a lot.Fiber helps your heartFiber forms a thick gel in your gut.That gel traps bile (which has cholesterol) so your body poops it out.Your liver then pulls LDL (“bad” cholesterol) from your blood to make more bile.Result: lower LDL, less inflammation, better blood pressure, lower risk of heart attack and stroke.Fiber steadies blood sugarIt slows how fast food leaves your stomach.You get a smoother rise in blood sugar, not big spikes and crashes.Fiber helps hunger and weightIt fills your stomach and tells your brain, “I’m full.”It turns on fullness hormones like GLP-1, PYY, and CCK (the same pathway many GLP-1 meds use).Your gut works a bit harder, so you burn a few more calories.Some calories get trapped in plant cell walls, so you absorb a little less.Cool nut study: people pooped out more fat from whole nuts than from nut butter or nut oil. Whole > butter > oil for fullness and Fiber.Fiber feeds your good gut bugsThey make short-chain fatty acids that help your gut, blood sugar, and brain.Your gut and brain “talk” through your vagus nerve and hormones. Fiber supports that healthy chat.Wait… so where did the Fiber go?Richie: Processed foods.Amber: Yep. Milling and refining strip away Fiber and many nutrients. Then companies “enrich” the flour to add some vitamins back. But the Fiber is still gone. Choose whole foods when you can.Protein: what’s “enough”?For most non-athlete adults, the RDA is 0.8 grams of protein per kilogram of body weight.Many older adults and women in perimenopause may need more.In the U.S., about 95% of people already meet protein needs. Fiber is the real gap.How Much Fiber Should You Eat?Most people today: 10–15 g/day (too low).Good minimum: 25 g/day for women, 35–38 g/day for men.Great for blood sugar and heart health: around 50 g/day.To lower type 2 diabetes risk: about 30 g/day.Amber’s personal stretch goal is 100 g/day, but that’s advanced and not needed for most. Start with 50 g if you have type 2 diabetes or want strong benefits.Richie: Fiber is like a low-cost, natural way to get some of the same effects as GLP-1 meds. Try Fiber first.Start Here: Simple, Safe, DoableAdd 1/2 cup of beans to your day. That’s it. Do it daily.Or track your Fiber for one day to see where you’re starting from.Increase slowly: add about 5 grams more Fiber per day each week.Drink more water as you add Fiber. The “gel” needs water to work well.Cook beans and lentils well to reduce gas. Your gut will adjust.Important note: This is education, not medical advice. Amber is a dietitian and diabetes educator, but not your personal clinician. Check with your care team if you have GI disease or special needs.Best Fiber Foods (easy wins)Think “beans, greens, grains, nuts, seeds, and fruit.”Beans, peas, lentils, legumesBlack beans, kidney beans, chickpeas, lentils, split peasHummus is good, but whole chickpeas have more FiberWhole grainsOats/steel-cut oats/groats, barley, bulgur, farro, quinoaPopcorn (air-popped, go easy on oils and butter)Nuts and seedsChia seeds (tiny spoon, big Fiber)Ground flaxseedPumpkin seedsAlmonds (whole nuts beat nut butters and oils for Fiber)FruitRaspberries, blackberries, prunesKiwi (golden kiwi is great; eat the skin for extra Fiber)VeggiesArtichokes, Brussels sprouts, broccoli, cauliflowerAvocadoHas a little Fiber; still a nice addTip: Whole foods beat powders. Fiber supplements can help, but food-based Fiber works better for most outcomes in studies.Label Hacks to Find Real FiberLook for “100% whole grain” or “100% whole wheat” as the first ingredient.Use the 5-to-1 rule:Total carbs ÷ FiberIf the number is under 5, that’s a higher-Fiber choice.Common QuestionsWill I get bloated? Maybe at first. That’s normal. Go slow, add water, cook beans well. Your gut will adapt.Do artificial sweeteners affect hunger? Some can. Amber tends to avoid them because they may confuse hunger/fullness cues for some people.Is 50 grams too much? Not if you build up to it. Many people feel great at 30–50 grams. Go at your pace.What To Do This WeekRichie: Keep it simple.Amber: Add a half cup of beans every day.Step 1: Track your Fiber for one day (just get curious).Step 2: Add 1/2 cup of beans daily.Step 3: Add one more easy Fiber win:2 tbsp chia at breakfast, orA cup of berries, orA bowl of oats, orA veggie side at dinner.Step 4: Drink more water.Why This Works (the short story)Fiber fills you up.Fiber slows digestion and helps your fullness hormones.Fiber smooths blood sugar.Fiber lowers LDL and supports your heart.Fiber feeds good gut bugs.Fiber is cheap, simple, and available.Share Your WinTag us @EmpoweredDiabetes and show how you’re adding Fiber to your plate.Follow the show and tell a friend who wants better blood sugar or wants to prevent type 2 diabetes.You can do this. Start with beans. Keep adding Fiber. Feel the difference. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 15 - Charcot Foot - An Interview with Wayne Walker of The Trouble aFoot Podcast
Charcot Foot: Hope, Help, and Real Talk with Wayne Walker (Trouble aFoot Podcast)Love the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this episode of the Diabetes Podcast, we talk with Wayne Walker, host of the Trouble aFoot podcast. We dig into Charcot Foot, what it is, who is at risk, what to watch for, and how to find help and hope. This show is for anyone with diabetes, and for loved ones who want to support them.Wayne blends lived experience with heart, humor, and straight talk. He shares the hard parts, the choices, and the path forward. You are not alone.SEO keywords: Charcot Foot, diabetic neuropathy, neuropathic arthropathy, foot ulcers, osteomyelitis, diabetes foot complicationsEpisode at a GlanceWhat Charcot Foot is (in simple words)Why it can happen without painWho is at higher riskEarly signs you should never ignoreReal stories that show how sneaky this isTreatment paths: bracing, surgery, amputationHow to talk to your doctorWhy there is hope and communityWhat Is Charcot Foot?Charcot Foot (medical name: neuropathic arthropathy) is a serious foot problem.The bones in the foot and ankle get weak and soft.The bones can shift and collapse. They can form a hard lump on the bottom of the foot. This is called a “rocker bottom.”Many people feel little or no pain because of nerve damage (neuropathy). That is why it is so risky.Wayne says it plain: the bones don’t just vanish—they move. They move down. That lump becomes the new “bottom” of the foot. People keep walking on it because they can’t feel it. Then sores and infections start. Infection in the bone (osteomyelitis) can spread fast and can be life-threatening if not treated.Why It Sneaks Up on PeopleNeuropathy means your nerves don’t send pain signals like they should.You can step on a nail and not feel it.You can twist your ankle and keep walking.Two true stories from the show:A man worked all day with a nail through his boot. He only found out when he saw blood inside the boot.Wayne once pulled the two metal prongs of a power cord out of his foot. He thought it was a leaf stuck there. He had almost no pain.When you don’t feel pain, you don’t pull back. You keep going. That’s when damage grows.Who Is at Higher Risk?Many people with Charcot Foot share three things:They have diabetes.They have severe neuropathy (loss of feeling in the feet).They have obesity, which adds more force to the bones.Other notes from the conversation:Some people without diabetes can get Charcot Foot if they have neuropathy from other causes.Younger, more active people with good blood flow can be at risk because the foot gets hot and inflamed, and they keep walking on it.Long hours on hard floors (like retail or factory work) and years of high-impact activity may add stress to the foot.How common is it? The numbers vary by study. Estimates discussed in the episode:About 1 to 4 in 1,000 people with diabetes may get Charcot Foot.Among people with neuropathy, some reports suggest it could be higher (numbers mentioned up to around 13%).If someone has diabetes, neuropathy, and obesity, the risk may rise further. Exact numbers differ. Ask your doctor about your risk.Early Signs to Act On NowCall your doctor right away, or go to urgent care/ER for fever and fast changes. Watch for:A foot that is warmer than the other footSwelling that starts suddenly, even after a small twistRednessA sudden change in foot shapeA new bump or “rocker bottom”A sore or ulcer on the bottom or side of the footA shoe that suddenly fits differentFever, chills, or feeling unwellTip: If you feel “off” and have diabetes or neuropathy, check your feet first.What To Do If You Suspect Charcot FootStop putting weight on that foot. Sit down. Use crutches, a scooter, or a wheelchair if you have them.Call your doctor or podiatrist now. If you have a fever or fast swelling, go to the ER.Say the words “I am worried about Charcot Foot.” Ask for an exam and imaging.Ask about “offloading” (keeping weight off the foot) to protect the bones.Early action can save your foot shape and help prevent infection.Treatment Paths We Talked AboutYour care team should explain all options. A good doctor will walk you through each one:Bracing/orthotics and offloadingCustom boots, casts, or braces to protect the bonesGoal: reduce pressure, prevent ulcers, and help the foot settleReconstructive surgeryWayne chose this pathAim: rebuild and stabilize the foot so it can bear weight more safelyAmputation (often below the knee)Some people choose this to remove the problem and pain riskIt is a personal choice; many do well with a prosthesisWayne’s surgeon told him: “I’ll give you a feasible foot, not a perfect foot.” You may not run or play high-impact sports. But you can walk your dog around the block. That hope matters.Foot Care and Everyday Tips From the ConversationWear good shoes that support your feet. Cheap, thin shoes can add stress.Check your feet every day. Look and feel for heat, redness, swelling, or sores.If you cannot see the bottom of your feet, ask for help or use a mirror.If you feel sick or have a fever, check your feet first.Talk to your podiatrist about your work and activity. Be honest.If your foot shape changes, or a shoe suddenly feels “off,” stop and get help.How to Talk With Your DoctorGood care starts with good questions. Try these:Am I at risk for Charcot Foot?Do I have neuropathy, and how severe is it?If my foot gets hot, red, or swollen, what should I do the same day?Should I have a plan for offloading and bracing?What shoes or orthotics are best for me?If this is Charcot Foot, what are my options: bracing, surgery, or amputation?How will we watch for ulcers and infection?One more: Ask your podiatrist to talk about Charcot Foot even if it is rare. Knowing the signs can change the outcome.Mindset, Support, and HopeYou are not alone. There is a growing community.You still have a life to live. As Wayne says, “It’s just a foot.” You have a heart, a mind, and a future.Your choices today can protect your tomorrow.Whether you pick bracing, surgery, or amputation, there is a path forward.Some of Wayne’s messages we loved:“Pain is a gift.” It tells you to stop. Without pain, you must be your own alarm.“Take charge. Take your life back.”“You are not alone.”About Our Guest: Wayne Walker, Trouble aFoot PodcastWayne hosts the Trouble aFoot podcast, a warm, honest space for people living with Charcot Foot. He brings lived experience, humor, and care. Listeners from the U.S., Canada, the U.K., New Zealand, India, and more connect there for stories, tips, and support.Find Trouble aFoot by searching your podcast app (Spotify, Apple Podcasts, etc.).Who This Episode Is ForPeople with diabetesAnyone with neuropathy in their feetCaregivers, partners, and familyClinicians who want to hear real storiesKey TakeawaysCharcot Foot is serious and can happen without pain.Neuropathy is the key risk. No pain does not mean no problem.Early signs: heat, swelling, redness, shape change, sudden “full” feeling in the foot, or fever.Stop weight-bearing and call your doctor fast if you suspect it.There are options: bracing, surgery, or amputation. It’s a personal choice.There is hope. There is community. You are not alone.Call to ActionIf your doctor has ever said “Charcot Foot,” listen to this episode and share it.Subscribe to the Diabetes Podcast for more on prevention, remission, and living well.Check out the Trouble aFoot podcast for support from people who get it.Share this with someone who needs to hear it today.Note: This episode and show notes are educational only and are not medical advice. If you notice signs of Charcot Foot, seek care right away Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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Episode 14 - Clinical Inertia
Clinical Inertia and Type 2 Diabetes: Why Care Gets Stuck and How to Unstick ItLove the podcast but hate taking notes? The Diabetes Podcast blog compresses every episode into a bulleted, 10 minute read AND has the podcast embedded so you can listen as you read along! Check it out at https://empowereddiabetes.com/diabetes-podcast-blogIn this Diabetes Podcast episode, Richie and Amber break down Clinical Inertia in type 2 diabetes—why care stalls, why A1C goals get missed, and simple steps you can start today to protect your health and aim for remission.Keywords: Clinical Inertia, type 2 diabetes, A1C, remission, insulin resistance, beta cells, primary care, diabetes education, lifestyle changeEpisode summaryYou leave the doctor’s office scared. You hear “eat better, move more,” and “see you in three months.” No plan. No help. Then your A1C is higher, and you get another med. You feel stuck.In this episode, we name the problem: Clinical Inertia. It’s when treatment does not start or does not get stronger when the A1C says it should. It’s common. It is not your fault. It is not because doctors do not care. It is the system, short visits, too many problems to cover, and not enough time for real support.We explain why this happens, what it costs, and what actually works. We talk about the best window for remission. We give simple actions you can start today. You can take back control. You can change your story.What we coverWhat Clinical Inertia is, in plain wordsWhy short visits (about 16 minutes) lead to missed care stepsWhy so many people leave visits without a clear planHow delays hurt A1C goals and long-term healthWhy “more meds” without lifestyle change is not enoughThe best time window for type 2 diabetes remissionSimple daily steps that help right nowHow to own your health outside the clinicTimestamps00:00 — The scary first visit, and why people feel lost00:02 — How most people find out they have type 2 (a quick call, then Google chaos)00:04 — Short visits, many problems, and “triage” in primary care00:05 — Clinical Inertia defined00:09 — Where lifestyle help breaks down; insurance and “info dump” classes00:14 — Classes lower A1C a bit, but overload is real00:16 — 1 in 3 misunderstand the plan; 60% leave without clear “what to eat/do”00:18 — Clinical Inertia drives about 80% of missed A1C goals00:20 — Med stacking vs fixing insulin resistance; why lifestyle is powerful00:23 — Why higher A1C = higher risk (simple stats you should know)00:25 — How fast meds pile up for many people00:26 — The best window for remission is early (1–3 years post-diagnosis)00:27 — Your beta cells need urgent help; delays matter00:29 — When doctors say “I can’t help more,” and why that happens00:30 — The big system problem vs what you can do now00:31 — Own your health like your money: day-to-day is on you00:35 — Hope: remission is real; behavior change works00:35 — Simple steps to start today00:38 — When A1C is “flat, flat… then jumps,” that’s inertia00:38 — Free resources and fast-track help at EmpoweredDiabetes.com00:39 — Closing: You deserve a plan, a partner, and real changeClinical Inertia: what it is and why it happensSimple meaning: care does not start or does not ramp up when your A1C shows it should.Why it happens:Primary care doctors care for 1,800–2,000 patients.Visits are short (about 16 minutes).About six problems per visit. Diabetes competes with other urgent issues.Real life happens: floods, stress, pain. Doctors are human and try to help with what’s most urgent.Group classes are often “info dumps.” People leave overwhelmed.Insurance pays for very limited visits. Not much for ongoing support.What Clinical Inertia costsAbout 80% of people who miss their A1C goals do so because care was delayed, diluted, or dismissed.Many leave visits confused:1 in 3 misunderstand the plan after a standard visit.Over 60% leave without clear steps on what to eat or do.Risks rise as A1C rises (UKPDS 1% rule):For each 1% A1C above 7:21% higher risk of death due to diabetes14% higher risk of heart attack37% higher risk of small blood vessel damage (eyes, kidneys, nerves)An A1C of 9 can double the risk of kidney failure, blindness, and stroke over time.Why “more meds” alone is not the fixWhat often happens: metformin → add-ons (like DPP-4, SGLT2) → more meds → insulin.These can help, but many do not fix insulin resistance, the core problem.Without lifestyle change, meds pile up while the root issue stays.Data shows:Within 5 years, about 50% are on multiple meds.About one-third are on three or more.The best window for remissionRemission is most likely in the first 1–3 years after diagnosis.Every 6–12 month delay lowers the chance.Why? Your beta cells (the insulin-making cells) get tired and fewer over time.Early action protects these cells. That helps long-term control.What your doctor sees (and why they push meds)Doctors see the whole road: from first A1C rise to ulcers, eye damage, and amputations.They know many people cannot make big changes fast. So they push meds to protect you now.They are not the enemy. The system is hard. The time is short. The stakes are high.How to fight Clinical Inertia: take charge outside the clinicYour health is too important to leave to short visits. Think of your health like money: daily choices matter most. You have power. Start small. Start now.Simple steps you can start todayAfter each meal, walk for 2 minutes. Yes, just two. It helps your blood sugar.Track one number daily: before-and-after meal blood sugar or a step count.Cut one source of added sugar today (soda, sweetened coffee, juice).Build a “default plate”:Half non-starchy veggiesA palm-size serving of proteinA small portion of smart carbs or swap for extra veggiesDrink water first. Keep a bottle near you.Sleep 7–8 hours. Poor sleep raises blood sugar.Lower stress in simple ways:5 deep breaths10-minute walkShort stretch before bedMake it easy:Set shoes by the door for post-meal walks.Prep 2–3 go-to meals you like.Keep a veggie and a protein ready to grab.Do a quick self-check each week:What went well?What was hard?What is one tiny change I will try next week?Signs you’re beating inertiaYour post-meal numbers trend down.A1C drops over 3–6 months.You need fewer meds, or lower doses.You feel more energy and move more without forcing it.Your plan feels doable most days.Real talk moments we shared“It’s not laziness. It’s Clinical Inertia.”“We can’t fix it all in 16 minutes.”“Your beta cells are urgent. Early action protects them.”“Ignore your health, and it will go away.”“Remission is real. Behavior change works.”Who this episode helpsNewly diagnosed with type 2 diabetes“Stuck” at the same A1C or creeping higherOn more meds and want a different pathClinicians who want plain-language ways to support patientsResources and next stepsFree: Keep listening to the Diabetes Podcast for step-by-step help.Fast-track help: EmpoweredDiabetes.com for a guided plan and support.Share: Someone you love is dealing with this. Send this episode to them.Call to actionSubscribe, rate, and review the show so more people can find help.Try one step today. Walk two minutes after your next meal.If you’re ready for a plan and a partner, visit EmpoweredDiabetes.com.DisclaimerThis podcast is for education, not medical advice. Work with your healthcare team before changing your meds, diet, or exercise.You deserve more than a rushed visit. You deserve a plan, a partner, and real progress. Take courage. You can do this—and we can help. Disclaimer:The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.
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ABOUT THIS SHOW
Welcome to The Diabetes Podcast®, where we cut through the noise and bring you real talk about Type 2 diabetes, prediabetes, and the path to remission. Each week, we share expert insights, inspiring stories, and practical strategies to help you lower blood sugar, lose weight, regain energy, and reduce or even eliminate medications. While our focus is on Type 2 diabetes, we also explore Type 1, chronic disease, and overall health; because managing diabetes is about more than numbers, it’s about reclaiming your life and thriving. If you’re ready to move past myths, take control of your health, and find freedom on your diabetes journey, this podcast is for you.
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Empowered Diabetes
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