013: The Diabetes Talk


Quick correction, I said 1 in 3 people may have pre-diabetes or diabetes. Here are the current stats, according the stateofobesity.org:

A record high number of Americans—40%, or more than 100 million adults—are living with diabetes or pre-diabetes according to the Centers for Disease Control and Prevention. Without significant changes, as many as 30% of people with pre-diabetes will go on to develop type 2 diabetes[1].

Those are some staggering odds. If we do not fix what we are doing we will just continue to get sicker and fatter as Americans. This is not meant and a judgment, merely as an observation.

A second correction, when talking about Type 1 Diabetes, I first say type 2, however, I do clarify.

20190211_155126_0000.png

This episode we do not go into the normally catching up, mainly because this was originally supposed to be part 2 of the last episode, but by itself, this was almost an hour of raw recording. I was not going to subject you to over an hour worth of podcast so, here we are. If you want to catch up with us check out episode 011: Keto and Being Vegetarian the first part of the episode was talking about how we have been.

Even though we did not have the formal introduction to the show Whit and Ash do share their family stories about how diabetes has affected them. We talk about the preventable nature of most diabetes.

Quick note: WE ARE MOSTLY TALKING ABOUT TYPE 2 DIABETES, NOT TYPE 1.

As always we talk about the importance of a support system when making a lifestyle change like this.

Whit mentions the financial tole diabetes can take on a person and society at large. Here are the CDC stats to diabetes:

The overall cost of the population of people with diabetes

According to the American Diabetes Association’s Economic Costs of Diabetes in the U.S. in 2017, the average medical expenditure for people with diagnosed diabetes is about $16,750 per year, of which about $9,600 is due to diabetes. The medical expenditures of people with diabetes are approximately 2.3 times higher than expected costs if they did not have diabetes[2].

The total estimated cost of diagnosed diabetes in 2017 was $327 billion. The breakdown of this cost includes:

Direct medical costs:

$237 billion (57% of the total medical costs incurred by people with diabetes), including,

Hospital inpatient care ($69.7 billion).

Prescription medications to treat the complications of diabetes ($71.2 billion).

Anti-diabetic agents and diabetes supplies ($34.6 billion).

Physician office visits ($30.0 billion).

Nursing/residential facility stays ($6.4 billion)[2].

Indirect costs:

$90 billion, including,

Increased absenteeism ($3.3 billion).

Reduced productivity while at work ($26.9 billion) for the employed population.

Reduced productivity for those not employed ($2.3 billion).

Inability to work as a result of disease related disability ($37.5 billion).

Lost productive capacity due to early mortality ($19.9 billion)[2].

Then We go into Virta Health and they have studies where the have been successful in getting their subjects off diabetes drugs and in some case they have seen a reversal in diabetes symptoms.

When I discuss the values for quantifying diabetes, I use Virta Health and their numbers.

coaching

How do we quantify type 2 diabetes?:

Type 2 diabetes

At least one the following blood tests:

  1. Fasting blood sugar of 126 mg/dL or higher on two separate occasions
  2. HbA1c of 6.5% or higher
  3. An oral glucose tolerance test that shows a blood sugar of 200 mg/dL or higher after 2 hours [3]

Pre-diabetes

At least one the following blood tests:

  1. Fasting blood sugar of 100-125 mg/dL on two separate occasions
  2. HbA1c of 5.7-6.4%
  3. An oral glucose tolerance test that shows a blood sugar of 140 mg/dL or above after 2 hours. [3]

It’s important to note:

Blood sugar is necessary in your body, however you do not need to eat it to get it. If you eat zero carbs your body, through a process of gluconeogenesis, can make the blood sugar that is needed for your body.

Possible drivers for high blood sugar, and in turn insulin and possibly diabetes may include:

  • High carb diets [4]
  • Stress [5]
  • Overweight/obese [6]
  • Sleep deprivation [7, 8]

We also end the show talking about therapy and and food addiction. Neither are shameful things. Having a therapist is not a a source of shame, because sometimes we need help and talking it out with a third party helps. Also, having an addiction to food is a cross that some of us bare, if that is you, do not be ashamed by it. Do not think you are less because of it. The key should be to try and find the source of your triggers and understand where the healing needs to take place.

As usual, if you would like to get in contact with me, you can do so by one of the following channels

Coaching: http://Thrivingonfat.com/coaching2

Contact me: http://Thrivingonfat.com/contact

Instagram: instagram.com/thrivingonfat

Twitter: twitter.com/ThrivingOnFat

Facebook: http://facebook.com/thrivingonfat

References:

  1. https://stateofobesity.org/diabetes/
  2. https://www.cdc.gov/diabetes/diabetesatwork/plan/costs.html
  3. https://www.virtahealth.com/type2diabetes#what-causes-type-2
  4. https://blog.virtahealth.com/reversing-diabetes-101-truth-about-carbs-and-blood-sugar/#chapter-1
  5. https://dtc.ucsf.edu/types-of-diabetes/type2/understanding-type-2-diabetes/how-the-body-processes-sugar/blood-sugar-stress/
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259868/
  7. https://www.sleepfoundation.org/excessive-sleepiness/health-impact/sleep-longer-lower-blood-glucose-levels
  8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2084401/

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.