The Diabetes Podcast®

PODCAST · health

The Diabetes Podcast®

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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    Episode 57: The Grift - Part 3 - The Rise of Celebrity Doctors

    Today we dig into celebrity medicine and supplements. Why big titles pull us in. How “miracle” words plus thin proof waste time and money. We look at Dr. Oz and Dr. Gundry. We explain authority bias in plain words. We show how the sales funnel works: name a common symptom, name a hidden villain, then sell the fix. We clear up lectins: cook beans and you’re fine. Then we give five easy questions to test any health pitch. We end with simple steps that really help A1C, weight, and energy: fiber‑rich food, daily walks, sleep, stress care, and proven meds like metformin, SGLT2s, and GLP‑1s. Small wins, stacked.  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.

  2. 58

    Episode 56: An Interview with Michael J Dorfman

    We sit down with author and longevity coach Michael J Dorfman. He went vegetarian in 1976 and has been whole‑food, plant‑powered for 17+ years. At 84, he plays pickleball and helps people see aging in a new way. We talk identity shifts, why this decade counts, and easy food swaps for type 2 and prediabetes. What you’ll learn: Why cutting dairy helped Michael, plus easy cheese swaps Plant‑powered basics: protein from plants, fiber first, whole foods Simple meals: beans, greens, whole grains, tasty sauces Blue Zones habits: purpose, friends, daily movement, better sleep Diabetes made simple: lower fat in liver and muscle to help insulin Move more: short walks, light strength, fun sports like pickleball Resources: Books: https://michaeljdorfman.com/books/ Substack: https://michaeljdorfman.substack.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.

  3. 57

    Episode 55: The Grift - Part 2

    Amber and Richie break down the viral “hidden parasites” supplement ad. We show the 7-step grift, why smart people fall for it, what it really costs, and what to do instead for type 2 diabetes and prediabetes. No blame. Just tools that work. What you’ll learn: The 7-step ad formula: symptom net, hidden villain, emotional release, authority disruption, science-speak, miracle ingredient, urgency Why our brains say “yes” (cognitive ease, hope loop, identity) Real costs: money, time (your whole A1C window), and medical delay The one filter to use: “Does this change the core biology of my condition?” What works: walks after meals, fiber, sleep, stress care, strength, and meds when needed Why this matters: Complex bodies need layered care. Simple cleanses won’t fix type 2. Call to action: Follow, rate, and share The Diabetes Podcast.  Need help? Email [email protected].  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.

  4. 56

    Episode 54: An Interview with Dr. Patrick Rowe

    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. This week, Amber and Richie talk with Dr. Patrick Rowe—professor, dad of two kids with Type 1 Diabetes, and T1D for nearly 40 years. We talk real home life: how to let kids be kids and still stay safe, the “cockpit” of homeostasis, and why attention beats perfection. We cover CGMs, automated insulin delivery, and simple sports plans that work in the real world. What you’ll learn: Simple, kind food language (no shame, match insulin to meals) CGM and AID as a safety net—not set and forget Pre-bolus, timing, and avoiding insulin stacking Kid-friendly sports tips: adjust basal, carry fast carbs, try slow-release fuel Curiosity and community as superpowers for T1D families  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.

  5. 55

    Episode 53: The Grift - 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 TheDiabetesPodcast.net. Additionally, we now have video to go along with the audio podcast. Check it out on YouTube and Spotify. The Diabetes Podcast® kicks off year two with video and a big question: do weight loss supplements actually work for type 2 diabetes? We break down real biology in simple terms—liver sugar at dawn, muscle as a sugar sponge, visceral fat and inflammation, and why your gut needs fiber, not “detox.” What we cover Cinnamon, chromium, berberine, green tea extract, apple cider vinegar, garcinia Tiny effects vs real wins for A1C and weight Walks after meals, resistance training, sleep, stress tools When meds help—and why that’s not “cheating”  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 52: An Interview with Stanley Bronstein

    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 Diabetes Podcast episode, we talk with Stanley Bronstein, founder of the Million Pound Weight Loss Challenge and creator of the Way of Excellence. Stanley went from 367 to ~145 pounds without drugs or surgery. He shares simple steps for sustainable weight loss: stop eating five hours before sleep, walk 20 minutes a day, and choose whole, minimally processed foods. We dig into identity, food as comfort, and why “beat yesterday” works better than perfection. Learn how Stanley ended night eating using visualization, why abstinence can be easier than moderation, and how fiber-rich meals (like oatmeal with chia, flax, and fruit) can support steady blood sugar and a healthy A1C. Hear practical tips, mindset shifts, and guardrails you can use today. Resources: Way of Excellence (free books/videos): thewayofexcellence.com Million Pound Weight Loss Challenge: millionpoundweightlosschallenge.com Contact us: [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.

  7. 53

    Episode 51: The Diabetes Epidemic

    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 of The Diabetes Podcast, Amber and Richie dig into the diabetes epidemic. We tell the 100-year story of how our environment changed: more ultra processed food, less fiber, less daily movement, lost PE in schools, poor sleep, more screen time, and chronic stress. We explain insulin resistance, GLUT4, the gut microbiome, butyrate, and why inflammation drives type 2 diabetes. We talk about high fructose corn syrup, the low-fat era, and why “willpower” is a myth. We also cover rising type 1 diabetes and possible triggers. Then we map real solutions: better food policy, daily PE, walkable cities, sleep, stress care, and prevention in healthcare. If you want to aid us in our battle against diabetes, please forward this episode to your local, state, and federal representatives and demand policy change to eradicate the diabetogenic environment. You can find contact information for your representatives at https://www.usa.gov/elected-officials.      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.

  8. 52

    Episode 50: A Success Story - Cheryl Coleman

    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 Cheryl Coleman shares how she went from an A1C of 18 to 6.6. For years she “felt fine,” but lived with high blood sugar, neuropathy, infections, vision loss, and a stroke alert. She opens up about metformin side effects, rare fingerstick tips (prick the side), why pre-meal insulin matters, and how an insulin pump helped lower A1C. We cover wound care, poor blood flow, and stents that sped healing, plus cataracts and diabetic retinopathy. Cheryl explains the mindset shift from caregiver to self-care: listen to your body, ask for help, and advocate with your care team and insurance. If you want hope, real steps to lower A1C, and better vision and healing, this episode is for you.  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 49: The Insulin Playbook

    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 Today we open the Insulin Playbook. We skip “what is insulin” and show how it works as a medication. We explain the two jobs of insulin—basal (background) and bolus (mealtime and corrections). We unpack Total Daily Insulin (TDI) and how it powers your Insulin Calculator, the 1700 Rule (correction factor) and 450 Rule (carb ratio). We show why sliding scale keeps you chasing highs, how to spot over-basalization, and how carb ratios and correction factors help flatten spikes and lower A1C. We cover weight-based starts, timing before meals, and why a 50/50 split often works best. We talk pumps and automated insulin delivery, plus real-world cost tips (Regular and NPH at Walmart) and assistance programs.  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.

  11. 49

    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.

  13. 47

    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.

  14. 46

    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.

  15. 45

    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.

  16. 44

    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.

  17. 43

    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.

  18. 42

    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.

  19. 41

    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.

  23. 37

    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.

  25. 35

    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.

  26. 34

    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.

  27. 33

    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.

  29. 31

    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.

  37. 23

    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.

  38. 22

    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.

  39. 21

    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.

  40. 20

    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.

  41. 19

    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.

  42. 18

    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.

  43. 17

    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.

  44. 16

    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.

  45. 15

    "Anything Meds Can Do, You Can Do Better" Part 12 of 12 - Inflammation and Oxidative Stress

    Show Notes: Inflammation and Oxidative Stress — The Final Piece of the Diabetes PuzzleLove 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 close the Dirty Dozen series with the big one: Inflammation and oxidative stress. Inflammation isn’t just in the background. It speeds up every core defect in type 2 diabetes. The good news? You can cool this fire with simple, daily steps.Listen in as Richie and Amber break it down in plain language, tie it to the 12 core defects from Dr. Ralph DeFronzo’s work, and give you a clear plan.Episode SummaryInflammation: what it is, why it happens, and why chronic inflammation is a problemOxidative stress: how “cell rust” forms and how your body fights itHow Inflammation weaves through all 12 core defects in type 2 diabetesWhat labs and signs may point to chronic low-grade inflammationMeds that can help (and what they can’t do)A simple, real-life plan to lower Inflammation with food, movement, sleep, and stress careWhy 5–10% weight loss is powerful, and the role of adiponectinFoods and habits that raise adiponectin and lower InflammationQuick Guide (Timestamps)00:00 — Welcome + why Inflammation matters in type 2 diabetes02:00 — Acute vs. chronic inflammation (short-term vs. long-term)04:00 — Oxidative stress: what it is and why balance matters06:00 — Low-grade inflammation: common causes (obesity, sleep, stress)10:00 — How to spot risk: waist-to-hip, fatigue, central fat11:00 — How Inflammation hits each core defect (muscle, liver, fat, gut, brain, kidneys, pancreas, mitochondria)20:00 — Meds that help: metformin, GLP-1s, TZDs, SGLT2s, statins; NSAIDs caution24:00 — Food plan to calm Inflammation (plant-rich, fiber, omega-3s; avoid ultra-processed)32:00 — Movement lowers Inflammation even in small doses33:00 — Sleep and stress: why they’re non‑negotiable37:00 — Weight loss and adiponectin: why 5–10% matters41:00 — Your simple action plan + next stepsWhat Is Inflammation?Acute Inflammation: short-term and helpful (like a swollen thumb after a hit or an infection). Your body heals and the swelling goes down.Chronic Inflammation: long-term, low-grade. This is the problem. It can build for years and push insulin resistance and high blood sugars.Oxidative stress is like “cell rust.” Your body makes it every day (even just breathing), and your built-in defenses (antioxidants, enzymes, repair systems) keep it in check. When the balance breaks, damage builds.How Inflammation Touches All 12 DefectsInflammation and oxidative stress weave through every system:Muscle: fat buildup sparks inflammatory signals that block insulin.Liver: fat in the liver drives “new sugar” making at night → fasting highs.Fat tissue: overfilled fat cells leak inflammation and pull in macrophages (immune cells).Gut hormones (incretins): gut inflammation lowers GLP‑1 effect.Alpha cells: inflammation blunts glucose sensing → more glucagon → higher sugars.Beta cells: insulitis (inflamed islets) harms and lowers insulin-making cells.Brain: cytokines jam hunger/fullness signals (leptin, insulin) → more cravings.Kidneys: inflammation can raise SGLT2 activity → kidneys reabsorb more sugar.Amyloid toxicity: misfolded proteins + free fatty acids + ROS hurt islets.Microbiome: “leaky gut” lets toxins in → low-grade Inflammation.Mitochondria: stressed engines leak ROS → more oxidative stress.Net result: Inflammation fuels insulin resistance and beta cell loss across the board.How Do I Know If I Have Low-Grade Inflammation?Common signs: tired, more belly fat, poor sleep, high stress.Risk check: waist-to-hip ratio (ranges differ for men and women).Labs to ask your clinician about:C‑reactive protein (CRP): a general inflammation markerFasting insulin (not perfect, but can hint at early insulin issues)Note: Research tests like IL‑6 and TNF‑α exist but aren’t standard at big labs.Chronic Inflammation can start 10–15 years before diabetes is diagnosed.Meds That Can Help (But Don’t Replace Lifestyle)Metformin: can lower CRP and TNF‑α (inflammation markers).GLP‑1 receptor agonists: reduce systemic Inflammation, often via weight loss.TZDs (pioglitazone/Actos): act on fat tissue to lower inflammatory signals.SGLT2 inhibitors: may reduce oxidative stress and help mitochondria.Statins: not diabetes drugs, but can lower inflammation and protect vessels.NSAIDs (like ibuprofen): can ease pain, but they’re a short-term band-aid and can cause gut bleeds. Not a long-term fix for chronic Inflammation.Meds help. Lifestyle heals the source.Your Anti-Inflammation Action PlanBuild a plant-rich plateMake plants the star; meat the side.Aim for 5–9 servings of fruits and veggies daily.Eat more fiber: beans, peas, lentils; whole grains (try quinoa, farro, steel-cut oats).Go for color: greens, reds, oranges, purples = antioxidants.Add anti-Inflammation fatsOmega‑3s: flax, chia, walnuts, hemp seeds; fatty fish; algae oil (look for USP/NSF third‑party tested; 250–500 mg EPA+DHA/day if supplementing).Olive oil over ultra-processed oils.Focus on polyphenols and carotenoidsPolyphenols: blueberries, apples, pears, plums, green tea, coffee, olives/olive oil, turmeric, herbs (cloves, oregano, rosemary).Carotenoids (vitamin A family): carrots, bell peppers, leafy greens, sweet potatoes.Move your body most daysEven short walks help lower Inflammation (IL‑6, TNF‑α) over time.Start where you are. Add 5–10 minutes after meals. Build from there.Protect your sleep and lower stressAim for a steady sleep schedule and a calm wind-down.Poor sleep spikes inflammation and blood sugar.Try simple stress tools: breathing, light stretching, short walks.Aim for 5–10% weight loss if advisedEven this small loss can reduce inflammatory markers and improve insulin sensitivity.Slow and steady. Modest calorie deficit + daily movement works.Adiponectin: A Quiet HeroAdiponectin is a hormone made by fat cells. Higher levels help protect beta cells and improve insulin sensitivity.Levels are often lower in obesity and type 2 diabetes.How to raise it naturally:Gentle, steady weight lossOmega‑3s (flax, chia, walnuts, fatty fish, algae oil)Polyphenols (berries, green tea, coffee, herbs, olive oil)Carotenoids (carrots, bell peppers, leafy greens)Foods To Put On RepeatDaily: leafy greens, berries, beans/lentils, oats/quinoa/farro, nuts/seeds (flax/chia/walnuts), olive oil, herbs/spicesOften: colorful veggies (carrots, peppers, broccoli), apples/pears/plums, green tea or coffee (if tolerated)Sometimes: fatty fish or algae oil (for omega‑3s)Limit: ultra-processed foods with long ingredient lists and added sugarsSimple Weekly TargetsPlants: 5–9 cups fruits/veggies/dayFiber: 30+ grams/day (work up slowly)Movement: 150 minutes/week (or start with 10 minutes after meals)Sleep: 7–9 hours, consistent scheduleWeight: aim for slow loss if needed (5–10% over time)Glossary (Plain Words)Inflammation: your body’s “fire alarm.” Short-term helps. Long-term harms.Oxidative stress (ROS): “cell rust.” Your body can clean it up unless it builds too high.Cytokines (like IL‑6, TNF‑α): tiny signals that can raise Inflammation.CRP: a blood test that can show Inflammation.Insulitis: inflamed insulin-making cells in the pancreas.SGLT2: a kidney “sugar re-uptake” pathway.Adiponectin: a fat-cell hormone that protects beta cells and helps insulin work better.Key TakeawaysInflammation and oxidative stress are not side stories. They drive type 2 diabetes at every step.You can lower Inflammation with what you eat, how you move, and how you sleep.Meds help, but lifestyle changes target the source.Even 5–10% weight loss can shift your body back toward health.You are not stuck. Small daily steps work.Resources and Next StepsKeep learning with The Diabetes Podcast. Follow, rate, and share to help others.Want the fastest path to remission? Visit EmpoweredDiabetes.com for coaching tailored to you.You’re not broken. You’re not alone. 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.

  46. 14

    "Anything Meds Can Do, You Can Do Better" Part 11 of 12 - Mitochondrial Dysfunction

    Mitochondrial Dysfunction: Why Your “Cell Power” Matters in Type 2 DiabetesLove 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-blogWelcome back to the Diabetes Podcast show notes. In this episode, Richie and Amber break down mitochondrial dysfunction in simple terms. We explain what mitochondria do, what goes wrong in type 2 diabetes, which meds may help, and the daily steps that power your cells back up.If you’ve been doing “all the right things” but still feel tired, foggy, or stuck, this one is for you.Episode SummaryMitochondria are the “power plants” inside your cells. They turn food into usable energy called ATP.In type 2 diabetes, mitochondrial dysfunction makes it hard to turn fuel into energy at the right time.This leads to high blood sugar, fatigue, brain fog, and slow recovery.The good news: mitochondria are very responsive. Movement, food, sleep, and stress care can build new mitochondria and make them work better.Some medicines can also help.This is part of our 12-core-defects series on type 2 diabetes. Next week is the last one: inflammation.What Are Mitochondria?Think of mitochondria like tiny engines or refineries in each cell.Your body brings carbs (glucose) and fats to the refinery.Mitochondria “refine” that fuel into ATP, your body’s energy currency.When demand goes up (like after a meal or during a workout), healthy mitochondria match the demand.This fuel-switching skill is called metabolic flexibility.What Goes Wrong in Type 2 DiabetesIn mitochondrial dysfunction, the “refinery” gets stuck or slows down.Even after meals, cells keep burning fat instead of switching to glucose.That causes “traffic” inside muscle cells and leads to insulin resistance.Blood sugar stays high because glucose can’t get into the cells well.Your cells end up underpowered, even when fuel is available.Amber calls this “metabolic gridlock.”Fun (not so fun) fact: A study found people with obesity and type 2 diabetes had about 30% fewer mitochondria in muscle cells. The ones left were slow and less efficient.How This Feels Day to DayLow energy and afternoon crashesBrain fog and low moodHard time recovering after workoutsWeight gain or stalled weight lossFeeling “hangry”High blood sugar after carb-heavy mealsImportant: This is not a willpower problem. It’s a power problem.The Analogies That Make It ClickRefinery: You can’t use crude oil in a car. You need gas. Mitochondria turn food into usable “gas” (ATP).Battery/Charger: Mitochondria help “charge” your energy. If the charger is weak, everything feels harder.Gridlock: Fuel is everywhere, but it’s stuck in traffic. It can’t get where it needs to go on time.Medications That May Help Mitochondrial FunctionTalk to your clinician before starting or changing any medicine.Metformin (a biguanide)May make mitochondria more efficient over time by activating AMPK, a key energy signal.Common side effect: GI upset (start low, go slow up to 2000 mg/day).Pioglitazone/Actos (a TZD)Activates PPAR-γ, improves insulin sensitivity in fat and muscle, helps lipid handling, and supports mitochondria in muscle.Side effects: weight gain (often fluid and subcutaneous fat), fluid retention; CHF warning applies.GLP-1 receptor agonistsMay help indirectly by improving insulin function and lowering glucose and inflammation.Meds can help the “refinery” run better, but lifestyle is what builds more refineries.How to Power Up Your Mitochondria (Lifestyle Wins)You can build new mitochondria and make existing ones work better. Small steps add up fast.Movement (your most powerful lever)Take a 10–15 minute walk after meals (especially dinner).Helps move glucose into muscle even when insulin is not working well.Signals your body to build more mitochondria.Strength train 2–3 days per week.Builds muscle. More muscle = more “sockets” to plug in glucose and burn it.Sprinkle in short bouts of movement during the day.Climb stairs, quick bodyweight sets, or short walks.Optional: brief, safe higher-intensity intervals if your doctor says it’s okay.Tip: Movement tells your body, “We need more energy—build more power plants.”Nutrition (feed and protect your power plants)Focus on a fiber-rich, whole-food, plant-forward plate. These foods lower inflammation and protect mitochondria from “rust” (oxidative stress).Antioxidant- and polyphenol-rich foods:Colorful veggies and fruits, beans, herbs, spices, tea, coffee (unsweetened or lightly sweetened).Fiber-rich foods (also great for your gut bugs → more short-chain fatty acids → happier mitochondria):Beans, lentils, peas; oats and other whole grains; veggies; nuts and seeds.Magnesium foods (needed to make ATP):Beans, greens, seeds (pumpkin, sesame, chia), nuts, whole grains.B vitamins (help run energy steps):Whole grains, beans, leafy greens; B12 often needs fortified foods or supplements if plant-based.CoQ10 (supports the electron transport chain):Highest in organ meats and fatty fish; also in smaller amounts in spinach, broccoli, cauliflower, peas, soy, nuts, seeds, and whole grains.Your body also makes CoQ10.Omega-3s (support healthy mitochondrial membranes):Flax seeds, chia seeds, walnuts; fatty fish like salmon, sardines, mackerel.Simple plate example:Half non-starchy veggiesQuarter beans or whole grainsQuarter lean proteinAdd nuts or seedsWater or unsweetened teaSleep (night shift repair crew)Aim for 7–9 hours per night.Deep sleep helps “wash” the brain and repair cells.Poor sleep = less ATP, more inflammation, higher blood sugar.If nighttime bathroom trips wake you, front-load fluids earlier in the day when possible, and discuss options with your clinician.Stress Care (turn down the drain on your power)Chronic stress raises cortisol, which hurts mitochondria and raises blood sugar.Try:Slow breathing (4 seconds in, 6 seconds out)Prayer or mindfulnessShort nature breaksLight stretchingGratitude journalingA Simple Starter Plan (This Week)After each meal: 10–15 minute walk.Two or three days: 20–30 minutes of strength training.Daily: Build a fiber-rich plate (beans + greens + whole grains + nuts/seeds).Add magnesium and omega-3 foods.Lights down and screens off earlier; aim for 7–9 hours of sleep.One stress tool each day: breathing, prayer, or a short nature walk.Hydrate well during the day.Key TakeawaysMitochondrial dysfunction is a core driver of type 2 diabetes. It’s about cell power, not willpower.You can build more and better mitochondria with movement, food, sleep, and stress care.Some meds can help, but daily habits unlock the biggest gains.When mitochondria wake up, energy rises, blood sugar improves, and progress gets easier.What’s NextNext week we finish the 12-core-defects series with inflammation. Don’t miss it.If this episode helped you, please subscribe and share it with someone you love. Take a walk, take a breath, and remember: healing is powerful. 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.

  47. 13

    "Anything Meds Can Do, You Can Do Better" Part 10 of 12 - Gut Dysbiosis

    Gut Dysbiosis and Type 2 Diabetes: A Simple Guide to a Happy GutLove 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-blogRichie and Amber break down Gut Dysbiosis, why your gut bugs matter for insulin resistance, and how simple foods can help. Learn easy wins, fun “Healthy Gut Bingo,” and what to eat this week.Episode summaryType 2 diabetes is driven by insulin resistance. One big, hidden driver is your gut. In this episode, Richie and Amber explain Gut Dysbiosis in plain words. We talk about “good bugs,” “bad bugs,” leaky gut, and what that means for blood sugar. You’ll learn how your gut bacteria make short‑chain fatty acids (SCFAs) that lower inflammation and help insulin work better. You’ll also get a grocery list to feed your good bugs.We keep it real, simple, and a little funny. Yes, we even talk about fecal transplants. Yes, Richie asks about being a “donor.” And yes—leeks prevent leaks.What we coverWhat a healthy gut looks likeWhat Gut Dysbiosis is and why it mattersLeaky gut, inflammation, and insulin resistanceGLP‑1, SCFAs, and your gut liningHow meds like metformin and GLP‑1 RAs fit inFoods that feed the “good guys”Why food diversity is keyA simple weekly plan you can start todayKey takeawaysGut Dysbiosis = an imbalance of gut bacteria. Too few “good guys,” too many “troublemakers.”A healthy gut makes SCFAs (like butyrate) that calm inflammation, protect the gut lining, and help insulin work.Leaky gut lets toxins (like LPS) into the blood. That sparks chronic inflammation and blocks insulin signals.Dysbiosis can lower GLP‑1, raise insulin resistance, push fat storage, and worsen blood sugar.Food is powerful. Feed your good bugs with fiber, polyphenols, resistant starch, and fermented foods.Diversity matters. More plant variety = more microbe diversity = better gut health.Move your body daily. Activity also helps a healthy microbiome.Healthy gut 101Your gut is home to trillions of microbes. They help with digestion, immunity, and metabolism.Good bugs digest fiber and make SCFAs: butyrate, acetate, propionate.These SCFAs reduce inflammation, support the gut barrier, and improve insulin sensitivity.Certain stars:Akkermansia muciniphila: supports the gut lining (barrier).Roseburia intestinalis: makes butyrate; helps glucose uptake.Some Bacteroidetes species are linked to leanness and better insulin sensitivity.What is Gut Dysbiosis?An imbalance of gut microbes. Not enough beneficial ones. Too many harmful ones.Drivers: poor diet, low fiber, low plant variety, high added sugar, frequent antibiotics, chronic stress, low activity.Effects:Leaky gut: toxins slip into blood.Inflammation rises and blocks insulin signaling.GLP‑1 drops. Blood sugar rises. Fat storage goes up.Over time, this can tie into kidney, nerve, and vessel issues.Leaky gut, simplyYour gut lining should be tight. It should keep gut stuff in the gut.With leaky gut, tiny gaps open. Toxins like LPS get into your blood.Your immune system reacts. Inflammation grows.Inflammation makes insulin’s job harder. That pushes insulin resistance.Meds and tools we mentionMetformin: May help the gut microbiota balance. It can still cause tummy issues for some people.GLP‑1 receptor agonists: Mimic the hormone that dysbiosis can lower. They can help insulin work and slow stomach emptying.Antibiotics: Can wipe out good and bad bugs. Use only when needed.Tests and transplants:Stool tests exist, but use and access vary.Fecal microbiota transplant (FMT) can help some gut conditions. It is not a DIY side hustle, Richie.Eat to beat Gut DysbiosisWe want foods that feed the right microbes, make SCFAs, and protect the gut lining. Aim for plants, fiber, polyphenols, resistant starch, and fermented foods.Polyphenol‑rich foods (support Akkermansia and insulin sensitivity)CranberriesPomegranateRed/purple grapesGreen teaBlueberriesCocoa powder or dark cocoa (not candy bars)Inulin‑rich prebiotics (gut barrier support)GarlicOnionsAsparagusLeeks (“leeks prevent leaks!”)ArtichokesResistant starch and beta‑glucans (support Roseburia; more butyrate)Potatoes and sweet potatoesGreen bananas (very little to no yellow)Steel‑cut oatsOld‑fashioned oatsBarleyFermented foods (boost Lactobacillus strains and diversity)Sauerkraut (L. plantarum)Kimchi (L. plantarum)Kefir (L. casei)Yogurt with live cultures (watch added sugar)Sourdough (L. fermentum)Fermented olives (harder to find, but a plus)Omega‑3 plant sources (support a calm immune system)Chia seedsFlax seedsWalnutsDiverse fiber sources (help Bacteroides fragilis and balance the immune system)Many colors of fruits and veggiesMany kinds of whole grains and beansDark leafy greens (kale, turnip greens)Why food diversity mattersEating the same thing every day feeds only a few bugs. Different plants feed different microbes. More plant variety = more microbe diversity. That brings:Better gut liningMore SCFAsLower inflammationBetter insulin sensitivityTip: Think “dietary bingo.” Try to reach 30 different plants in a week. That includes fruits, veggies, beans, whole grains, nuts, seeds, herbs, and spices.Start here: 7‑day “Healthy Gut Bingo” mini‑planPick 1–2 ideas per day. Mix and match. Keep it simple.Day 1Breakfast: Plain yogurt + blueberries + ground flaxAdd green teaDay 2Lunch: Barley or steel‑cut oats salad with cherry tomatoes, onions, and parsleySide: SauerkrautDay 3Snack: Green banana slices with peanut butterDinner: Roasted sweet potatoes + garlic and leeksDay 4Breakfast: Overnight oats with cocoa powder and strawberriesDrink: Water or unsweet teaDay 5Lunch: Kale salad with walnuts, grapes, and olive oilSide: KimchiDay 6Dinner: Bean chili with onions, garlic, and spicesDessert: Pomegranate arilsDay 7Breakfast: Kefir smoothie with cranberriesWalk: 20–30 minutes after a mealMove daily. Even a short walk after meals helps.Fun lines we loved“Leeks prevent leaks.”“Healthy Gut Bingo” is live at TheDiabetesPodcast.net.Richie asks about becoming a fecal transplant donor. Amber is…not sold.Timestamps00:00 — Welcome and why the gut matters in type 2 diabetes01:30 — Healthy gut basics and SCFAs03:00 — GLP‑1, insulin sensitivity, and the gut lining04:30 — What is Gut Dysbiosis?05:30 — Leaky gut and inflammation explained09:30 — Why this adds up over years10:30 — Dysbiosis, GLP‑1 drop, and insulin resistance11:00 — Metformin, GLP‑1 RAs, and antibiotics13:00 — Prebiotics, probiotics, and food vs. pills16:00 — Firmicutes, Bacteroidetes, and what to encourage18:00 — What to eat: polyphenols, inulin, resistant starch21:00 — Fermented foods and sugar cautions24:00 — Diverse fibers, grains, and plant variety29:00 — Simple action steps and movement30:00 — Healthy Gut Bingo + free downloadNotes and mentions2022 research suggests Dysbiosis contributes to insulin resistance and ties into diabetes complications (kidney, nerve, and vascular).Metformin may help gut microbiota balance; it can still cause GI side effects.GLP‑1 receptor agonists help mimic hormone signals that can be low in Dysbiosis.Antibiotics can wipe out good and bad bugs.Try “Healthy Gut Bingo”Download the free Healthy Gut Bingo at here. Aim to hit more plant squares each week. If you got 10 last week, shoot for 11 this week. Small steps win.  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.

  48. 12

    "Anything Meds Can Do, You Can Do Better" Part 9 of 12 - Islet Amyloid Polypeptide (IAPP) Toxicity

    Islet Amyloid Polypeptide (IAPP) Toxicity: When Amylin Turns Toxic and Hurts Beta CellsLove 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 breaks down Islet Amyloid Polypeptide (IAPP) Toxicity in plain language. We explain what amylin does, how it misfolds into toxic amyloid, why that harms insulin-making beta cells, which meds may help, and the daily habits that lower risk. We keep it real, practical, and hopeful. Timestamps00:00 — Welcome and why IAPP toxicity matters01:00 — What amylin (IAPP) does in a healthy body02:00 — GLP-1s vs. normal hormones (clearing up the mix-up)04:00 — When amylin gets overproduced and misfolds05:00 — Toxic amyloid hurts beta cells and sparks inflammation06:00 — DeFronzo’s baboon study and the “bad soil” islet analogy08:00 — IAPP plaques and how this mirrors amyloid in the brain09:00 — Testing: fasting insulin and what it tells you about amylin10:00 — Meds that can help indirectly14:00 — Why pramlintide (Symlin) is rarely used now15:00 — Food first: fiber, plants, and lowering insulin demand17:00 — Fruit vs. juice, and not “gorging”18:00 — Time-restricted eating: 12/12 or 10/14 (not extreme)21:00 — Spread carbs through the day to blunt spikes26:00 — Anti-inflammatory foods and omega-3s27:00 — Move more: walking, strength, and cardio28:00 — Don’t obsess over the scale; focus on habits32:00 — Sleep and stress make IAPP toxicity worse33:00 — “Overnutrition” = too many calories + inactivity35:00 — Closing: take courage; you can do thisThe Big Idea (in plain English)Amylin (also called IAPP) is a partner hormone to insulin. Your pancreas releases both together.In small amounts, amylin helps:Slow stomach emptying (you feel full longer)Lower glucagon when insulin is presentSmooth out after-meal blood sugarsIn insulin resistance, your body makes more insulin — and more amylin. Too much amylin can misfold, clump, and create amyloid “plaques” inside the islets (where beta cells live).These plaques are toxic. They damage beta cell membranes, trigger inflammation, and lead to beta cell death. Over time, you lose insulin-making power.This starts early. It often begins before diabetes is diagnosed. In fact, up to 95% of people with type 2 diabetes have detectable islet amyloid at diagnosis.Think of it like hair with knots: smooth strands are fine; tangled knots cause a mess. Misfolded amylin is the knot.Why This MattersIslet Amyloid Polypeptide (IAPP) Toxicity is not just a symptom. It drives beta cell failure and speeds up type 2 diabetes.It looks a lot like the amyloid problem seen in the brain in Alzheimer’s (different place, similar kind of misfolding trouble).How To TestAsk your doctor for a fasting insulin test.Because insulin and amylin are co-secreted, high fasting insulin usually means high amylin too.There isn’t a simple, routine blood test for amylin. Fasting insulin is your best early clue.Medications We Talked AboutThere is no FDA-approved drug that “unfolds” or clears IAPP amyloid plaques yet. But some meds can lower the pressure on beta cells and reduce insulin demand:GLP-1 receptor agonists (GLP-1 RAs)Lower glucagon, help with satiety, help reduce insulin demandLess insulin out = less amylin outMay support beta cell survival indirectlyDPP-4 inhibitorsA less powerful, pill-based incretin supportCan lightly reduce insulin demandTZDs (like pioglitazone)Improve insulin sensitivityMay lower amylin production by lowering insulin needsPramlintide (Symlin)A synthetic amylin analog (injectable)Can slow stomach emptying, reduce post-meal glucagon, and help satietyUsed far less now; can cause nausea; adds injection burdenDoes not fix Islet Amyloid Polypeptide (IAPP) Toxicity or clear plaquesMay be more relevant in type 1, where amylin can be lowAlways work with your care team to decide what’s right for you.Lifestyle: Your Daily PlaybookGoal: lower insulin demand and calm inflammation so you make fewer “knots” (misfolded amylin).Eat to reduce insulin demandFocus on a whole-food, plant-forward pattern:Fiber: aim for 25–35+ grams/dayColorful fruits and veggies (5–9 servings/day if you can)Lots of non-starchy vegetables (greens, broccoli, peppers, etc.)Lower glycemic load foodsFruit vs. juice:Whole fruit is great; juice spikes fastDon’t “gorge,” but it’s hard to overdo whole fruits/veggies because of fiber and waterAnti-inflammatory, antioxidant foods:Dark berries, green tea, dark leafy greensOmega-3 fats (e.g., from fish, flax, chia, walnuts)Spread carbs through the dayAvoid one huge carb-heavy meal; steady wins the raceTime-restricted eating (if it fits your life)Gentle, sustainable windows work best:12 hours eating / 12 hours fasting (12/12), or10 hours eating / 14 hours fasting (10/14)Skip extreme windows (like 4/20); they can drive cravings and disordered eatingTry to finish dinner a couple hours before bed when possibleMove more (start simple)Walking is step one (literally)Add aerobic exercise and strength training over timeReducing belly/visceral fat lowers inflammation and lowers insulin demandSleep and stressPoor sleep and high stress raise cortisolThat makes insulin resistance worse and can raise Islet Amyloid Polypeptide (IAPP) Toxicity riskAim for a steady sleep schedule and simple stress tools (walks, breath work, social support)Watch the “overnutrition + inactivity” trapOvernutrition = too many calories (often too much sugar and fat) — not “too many vitamins”The Standard American Diet (SAD) + sitting a lot can increase IAPP toxicity even before blood sugars riseKey TakeawaysAmylin (IAPP) is helpful in small amounts. Too much, for too long, can misfold and turn toxic.Islet Amyloid Polypeptide (IAPP) Toxicity hurts beta cells and speeds type 2 diabetes.This often starts years before diagnosis.No plaque-clearing drug exists yet, but we can lower insulin demand:Whole-food, fiber-rich eatingMovement (walk, lift, cardio)Better sleep and stress careGentle time-restricted eatingMeds like GLP-1 RAs, DPP-4 inhibitors, and TZDs can help indirectly.Ask for a fasting insulin test. If insulin is high, amylin likely is too.Simple GlossaryAmylin (IAPP): A hormone released with insulin; helps you feel full and smooths after-meal sugars.Islet: A small “island” of hormone-making cells in the pancreas (beta cells live here).Amyloid: Misfolded protein clumps that can harm cells.Hyperinsulinemia: Too much insulin in the blood.Try This This WeekBook a fasting insulin test with your doctor.Add one serving of non-starchy veggies to lunch and dinner.Walk 10–20 minutes after your biggest meal.Swap one juice/soda for water or unsweet green tea.Try a 12/12 eating window for 3–5 days.Aim for a consistent bedtime.  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.

  49. 11

    "Anything Meds Can Do, You Can Do Better" Part 8 of 12 - Alpha Cell Dysfunction

    Alpha Cell Dysfunction: Why Blood Sugar Rises When You Don’t EatLove 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 unpack Alpha Cell Dysfunction—the last stop in DeFronzo’s “ominous octet.” We explain why your blood sugar can rise overnight, what alpha cells do in a healthy body, how things go wrong in type 2 diabetes, and what you can do—today—to take back control. We also cover meds that target this defect and the simple “non‑prescription prescription” of food and movement.If you’ve wondered why fasting blood sugar is high even when you skip a snack, this one is for you.Episode at a glanceWhat alpha cells do and how glucagon works with insulinWhat goes wrong in Alpha Cell Dysfunction (glucagon “gone rogue”)Why fasting and after‑meal sugars run highWhere it fits on the timeline from insulin resistance to type 2 diabetesMeds that can help: GLP‑1s, SGLT‑2s, and DPP‑4s (who, how, and cautions)Food moves: fiber-rich carbs, intact grains, pairing, and what to limitMovement that helps your liver and hormones: walking, aerobic, and strengthSimple action steps to start todayChapter markers00:00 Welcome + why Alpha Cell Dysfunction matters01:20 What alpha cells do in a healthy body03:30 What goes wrong in type 2 diabetes06:00 When Alpha Cell Dysfunction shows up in the timeline10:45 Medications that can help14:00 Food strategies that support balance18:00 Movement that fixes the signal22:00 The “non‑prescription prescription”23:30 Closing and next stepsWhat is Alpha Cell Dysfunction?Alpha cells live in your pancreas.They make a hormone called glucagon.Glucagon tells your liver to release stored sugar (glycogen).This helps during fasting, exercise, and when blood sugar drops.Insulin and glucose normally “turn down” glucagon after a meal.Think of a seesaw: insulin on one side, glucagon on the other. That balance keeps your blood sugar steady.What goes wrong in type 2 diabetes?With Alpha Cell Dysfunction, the alpha cells stop listening. They become resistant to the normal “slow down” signal from insulin and glucose. So:After you eat, insulin rises…but glucagon does not fall like it should.The liver keeps making and releasing sugar even when blood sugar is already high.Fasting sugars rise. After‑meal sugars rise too.It feels like your pancreas is pressing the gas and the brake at the same time. Your liver gets mixed messages and keeps dumping sugar. Not helpful!When does Alpha Cell Dysfunction show up?It starts before diagnosis. Here’s the simple flow:Insulin resistance shows up first (muscle, liver, fat). Blood sugar may still be normal.The pancreas makes more insulin to keep sugars in range (compensation).Impaired glucose tolerance: after‑meal sugars start to spike. Early alpha cell issues can show here (glucagon not suppressed well after meals).Impaired fasting glucose: fasting sugars rise. Alpha Cell Dysfunction is now clear.Type 2 diabetes: fasting ≥126 mg/dL or random ≥200 mg/dL with symptoms.Nerve damage and other changes can start years before diagnosis. So if you have prediabetes or type 2 diabetes, it’s safe to say your liver may be “not helping” and Alpha Cell Dysfunction is likely part of the picture.Medications that help Alpha Cell DysfunctionTalk to your clinician to see what is right for you. Here’s what we covered:GLP‑1 receptor agonistsExamples: Ozempic, Trulicity; higher‑dose versions for weight loss include Wegovy.Also: Mounjaro and Zepbound (work on similar hormone pathways).How they help: they lower glucagon when sugars are high, in a glucose‑dependent way. They do not block glucagon when sugars are low.Common side effects: nausea, vomiting, diarrhea.Do not use if you or your family have a history of medullary thyroid C‑cell tumors.SGLT‑2 inhibitorsMay help overall control. Evidence on glucagon effects is mixed. Still can be useful for many people for other benefits.DPP‑4 inhibitors (for example, Januvia)Help preserve your own GLP‑1 activity so glucagon drops after meals.Often work better in earlier stages.Do not combine a DPP‑4 with a GLP‑1 since they act on the same pathway.Meds can help. But lifestyle still moves the needle the most and fixes many defects at once.Food strategies to calm Alpha Cell DysfunctionFocus on simple changes you can keep doing.Eat fiber‑rich, minimally processed carbsBeans, lentils, peasNon‑starchy veggies (broccoli, cauliflower, peppers, greens, mushrooms, onions if you like them)Choose intact whole grainsLook for “whole wheat flour” or “whole grain” as the first ingredient.Oats count. Steel‑cut or slow‑cooking oats are best.Pair your carbs with protein and healthy fatsThis slows digestion and smooths your sugar curve.Limit refined grains and added sugarsWhite flour and sugary drinks can spike you fast and worsen the insulin‑glucagon mismatch.Cooked vs rawCooking is not “bad processing.” Some veggies give more nutrition when cooked.The best way is the way you will eat. Just eat the dang broccoli.Movement that helps your liver and hormonesMovement makes your liver more sensitive to insulin. It also improves hormone signals that involve glucagon.Walk after mealsEven 2 minutes helps blunt a spike. More is better if you can.Aerobic activityModerate to intense sessions improve liver insulin sensitivity.Build up slowly. If you have been inactive, do not jump into hard intervals.HIIT or sprint intervals can help later, once you have a base. Avoid injury.Resistance trainingStart with body weight. Add load over time.Helps lower fasting glucose and improves overall control.Keep movingToo much rest after a small tweak can make things worse. Gentle, smart movement helps you heal.These same habits help insulin resistance, protect beta cells, and support Alpha Cell Dysfunction—all at the same time.Simple action stepsAfter your next meal, walk for 2–10 minutes.Add one serving of beans or lentils today.Swap white bread for true whole‑grain bread (check the first ingredient).Pair carbs with protein and healthy fat at each meal.Do two short strength sets (bodyweight squats, wall push‑ups) 2–3 times this week.If you and your doctor choose meds, learn how they affect glucagon and fasting sugar.Build up your activity slowly. Aim to be consistent, not perfect.Quotes we loved“It’s like pressing the gas and the brake at the same time.”“Simple, not easy. It doesn’t have to be complex to work—but it does have to be consistent.”“People have more power to change this than they think.”Resources and next stepsWork with our team: EmpoweredDiabetes.comIf this helped you, please subscribe, leave a review, and share it with a friend.  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.

  50. 10

    "Anything Meds Can Do, You Can Do Better" Part 7 of 12 - Brain Insulin Resistance

    Brain Insulin Resistance: Why You’re Hungry, Foggy, and Tired — And How to Take Back Your BrainLove 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 Brain Insulin Resistance in simple, clear language. If you feel hungry all the time, crave carbs, feel tired even after sleep, or struggle to stick with healthy habits, this one’s for you. We explain what insulin does in a healthy brain, what goes wrong with Brain Insulin Resistance, how it can change your memory and mood, and practical steps you can start today.Episode SummaryYour brain does not need insulin to get glucose (sugar) into brain cells. But your brain does need insulin for signaling. That signaling helps with hunger, fullness, mood, motivation, memory, and focus.When Brain Insulin Resistance shows up, the brain “can’t hear” insulin. You may feel constant hunger, strong cravings, brain fog, low motivation, and trouble sticking to healthy habits.Over time, Brain Insulin Resistance can raise inflammation and stress in the brain. This can affect white matter, the hippocampus (memory), and even raise amyloid/tau changes seen in Alzheimer’s. That’s why diabetes raises risk for cognitive decline.GLP-1 medicines can help hunger and cravings. But they often plateau after about a year if lifestyle doesn’t change. The real power is in daily habits: movement, sleep, stress care, and a plant-forward, high-fiber, anti-inflammatory diet.Good news: when you lower insulin resistance in your whole body, you also help your brain. This is changeable. You can protect your energy, memory, and satiety.What You’ll LearnWhat insulin does in a healthy brainWhy you can feel hungry even after eatingHow Brain Insulin Resistance drives cravings, brain fog, and low motivationHow it can change brain structure over timeWhen meds help (GLP-1s) and when lifestyle matters mostSimple steps to calm cravings, boost focus, and feel fullKey TakeawaysBrain Insulin Resistance = the brain stops responding to insulin signals.Symptoms: constant hunger, carb cravings, brain fog, low motivation, trouble sticking to habits.Causes include: high insulin/high blood sugar, inflammation, high saturated fat and ultra-processed foods, poor sleep, chronic stress, sedentary time.Exercise is special: muscle contractions can pull glucose into muscle even without insulin (GLUT4 pathway). Moving your body helps your brain.The brain uses about 20% of your resting energy. It prefers fast fuel (glucose).Over time, Brain Insulin Resistance can raise oxidative stress and brain inflammation (microglia). This links to cortical thinning, reduced hippocampus volume, white matter changes, and more amyloid/tau — patterns also seen in Alzheimer’s.GLP-1 medicines can lower hunger and food chatter. But results often fade if habits don’t change.Daily basics work: move often, sleep well, manage stress, eat more plants and fiber, and cut ultra-processed foods.Simple Science (kept simple)Brain fuel: Most brain cells use GLUT1 and GLUT3 “doors” to bring in glucose. These do not need insulin.Muscle fuel: Muscles use GLUT4 “doors.” GLUT4 opens with insulin — and also opens with exercise. So moving your body helps use sugar even when insulin is low or not working well.What insulin does in the brain: It helps hunger and fullness signals (ghrelin, leptin), supports dopamine and serotonin (motivation and mood), calms inflammation, and helps memory and focus.Brain Insulin Resistance: The insulin signal is there, but the brain can’t “hear” it well. You feel unsatisfied after eating. Cravings rise. Focus drops. Motivation drops. Over time, inflammation and oxidative stress go up.Signs You Might Have Brain Insulin ResistanceAlways hungry, even after mealsStrong carb and sugar cravingsBrain fog, poor focus, forgetfulnessLow motivation; hard to start or stick with habitsFeeling tired, but not refreshedFeeling “not yourself” mentallyIf this sounds like you, you’re not “weak.” Your brain signals may be off. You can change them.What Can Drive Brain Insulin ResistanceChronically high insulin and blood sugarHigh saturated fat and ultra-processed foodsHigh-fructose corn syrup and sugary drinksPoor sleep; late-night eatingChronic stressSedentary time (not moving enough)Systemic inflammationHow It Can Change the BrainMore oxidative stress (free radical damage)Microglia (brain immune cells) stay “on,” causing low-grade inflammationWhite matter connections get weakerHippocampus (memory center) shrinksCortical thinning (especially frontal and temporal lobes)More amyloid and tau patterns (seen in Alzheimer’s)More nerve cell loss over time (apoptosis)This is why type 2 diabetes raises the risk of cognitive decline. But it’s not hopeless. You can act now.Medications That May HelpGLP-1 receptor agonists: Often lower hunger, slow stomach emptying, and quiet food thoughts. Many people say, “I don’t think about food as much.”But: Results often level off around one year if habits don’t change. Receptors can desensitize, and brain inflammation can continue if lifestyle stays the same.SGLT2s may help indirectly.Talk with your healthcare provider to see what’s right for you.Daily Habits That Help Your BrainMove your body most daysAerobic and resistance training both help insulin signaling.Movement boosts blood flow, lowers inflammation, and supports new brain cells (neurogenesis).Eat a plant-forward, high-fiber, anti-inflammatory dietMake plants the star: veggies, fruits, beans, lentils, whole grains, nuts, seeds.Lower saturated fat and ultra-processed foods.Cut sugary drinks and high-fructose corn syrup.Try simple time-restricted eatingExample: Eat between 8 AM and 8 PM. Avoid late-night snacking.Support your circadian rhythm.Protect your sleepAim for a steady sleep schedule. Keep screens out of bed.Good sleep improves insulin signaling in the brain.Manage stressShort daily breath work, meditation, or a quiet walk.Chronic stress raises inflammation and worsens signaling.These basics, done most days, protect both blood sugar and brain.Action Steps You Can Start This WeekWalk 20–30 minutes most days. Add 2 short strength sessions.Fill half your plate with plants at each meal.Add 1–2 fistfuls of fiber-rich foods daily (beans, berries, oats, lentils).Stop eating 2–3 hours before bed.Set a steady sleep window (bed and wake time).Do 5 minutes of slow breathing or meditation daily.Review meds with your clinician; ask about GLP-1s if hunger is severe.Glossary (plain words)Insulin: A hormone that helps the body use food for energy and keeps signals in balance.Brain Insulin Resistance: When the brain stops “hearing” insulin signals well.GLUT1/GLUT3: Brain “doors” that let sugar in without insulin.GLUT4: Muscle “door” that opens with insulin and with exercise.Microglia: Brain immune cells that can get stuck “on.”Amyloid/Tau: Proteins that build up in Alzheimer’s disease.Apoptosis: Programmed cell death.Timestamps00:00 — Why you may feel hungry, tired, and foggy: Brain Insulin Resistance01:00 — What insulin does in a healthy brain03:00 — The brain can get glucose without insulin (GLUT1/GLUT3)04:00 — Exercise “opens” muscle glucose doors (GLUT4) without insulin05:00 — The brain uses ~20% of resting energy07:00 — Insulin’s brain jobs: hunger, fullness, mood, memory, calm09:00 — What Brain Insulin Resistance feels like (hunger, cravings, fog)11:00 — Drivers: high insulin, inflammation, poor sleep, processed foods12:00 — Motivation drops; habit sticking gets hard13:00 — Oxidative stress and microglia (brain inflammation)15:00 — Structural brain changes; memory at risk17:00 — Amyloid/tau patterns; higher Alzheimer’s risk22:00 — GLP-1 meds: how they help and why they plateau24:00 — The real fix: daily movement, food, sleep, stress care25–28 — Plant-forward, high-fiber eating; time-restricted eating; sleep hygiene28:00 — Big idea: heal insulin resistance to heal your brain  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.

HOSTED BY

Empowered Diabetes

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