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    #2 Diabetes and COVID-19 with Suzanne Fiscella from PatientBest

    en-usAugust 19, 2020
    What was the main topic of the podcast episode?
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    Were any current events or trending topics addressed in the episode?

    About this Episode

    Our first guest on the show is Physician Assistant and PatientBest CEO Suzanne Fiscella. Suzanne practices medicine in Florida, USA and she's very involved in aging well and safely, especially in these times of the COVID-19 pandemic.

    Her biggest concern is the high risk of infection among the seniors and those who have certain diseases that cause grave preoccupation. These are diabetes, obesity, heart disease, and kidney damage.

    Highlights:

    • The importance of having a strong immune system and how to boost it, especially during this pandemic.
    • Managing your Diabetes during the current pandemic.

    Quotes from the episode:

    • "Perfectly normal non-diabetics that are coming into the hospital with the symptoms of COVID are already experiencing sugars in the 130s which they never have".
    • "Almost half of the population do not know they are infected" with COVID-19.

    Links of Interest:

    For your safety and of the others, please always wear a mask to help contain the spread of COVID-19. 

    Please do not consider this as medical information and remember to always consult a physician before making any changes.

    Recent Episodes from The Virgin Diabetic Podcast

    #34 Mindful Eating and Living with Sallyanne Pisk

    #34 Mindful Eating and Living with Sallyanne Pisk

    Today we host Sallyanne Pisk. She has worked in health for 30 years and has experience as a practitioner, researcher and manager. Sallyanne is an Accredited Practicing Dietitian, mindfulness practitioner and author. She completed her research masters in the dietetic practice guidelines for the nutritional management of type 2 diabetes.
    For the past 10 years she has been devoted to helping women transform their eating mindset and relationship with food.

    Sallyanne founded Eating for You, an online business, to help women reclaim themselves and their lives through mindful eating and living. The Eating for You approach is based on scientific research, Eastern nutrition and Sallyanne’s own experiences of transitioning from dieting to mindful eating herself, as she realized that healthy eating wasn’t meant to be so hard. Sallyanne has a private community of over 2000 members.

    HIGHLIGHTS

    • Nutrition quality and its emotional impact
    • Food as a source of comfort
    • Food rules vs the pleasure of eating
    • How much should I eat?
    • Intermittent Fasting: not for every body
    • Food and Mood Journals
    • Mindfulness = Holistic approach on things
    • Find foods that are for YOU


    GOLD MEDAL QUOTES

    •  "Through the practice of mindfulness you can start changing how you feel(...)Even though it can be a little bit challenging at first, by changing how we feel we change how we eat. That impacts our gut bacteria".
    • "It's not about starving yourself, it's not about restriction. It's about identifying what your natural hunger signals feel like".


    LINKS OF INTEREST

    #33 Diabetic Drug Used for Weight Loss?

    #33 Diabetic Drug Used for Weight Loss?

    Have you seen the commercials for diabetic drugs where the patient says the drug “unlocks the insulin inside of me”, and then you see people dancing and having a great time?
    Sadly, that's not the reality.

    Today we're talking about drugs like Victoza, Adlyxin, Trulicity, Ozempic which are weekly injections which sound wonderful that you only have to take a shot once a week!  – keep in mind this is not insulin... and other drugs such as  Rybelsus, Januvia, Tradjenta, Glipizide, and Glimepiride.  Many of these actually do more than just work on your pancreas. They can also work on other organs. 

    Don’t worry, there’s always more in the works.  It seems like there is a steady stream of diabetes drugs coming out on the market.  You’ll know when you see another new diabetes drug commercial with people dancing around.

    HIGHLIGHTS

    • Marketing vs Reality - on your pancreas
    • How most doctors approach diabetics' weight problems, relying on these drugs
    • Diet and Exercise: the eternal (and natural) companions to drugs in order to see real positive changes 
    • Deconstructing Trulicity's functionality and side effects based on their own information and data
    • Inconsistencies between what's "promised" and the impact of taking some of these drugs
    • Beta cell burnout and insulin dependency
    • Importance of the C-Peptide test
    • WARNING: if you are taking Trulicity or any other similar drug, DO NOT make any changes before consulting with your health care professional. 


    GOLD MEDAL QUOTES

    • "The newer drugs that keep coming out have more and more of these terrible possible side effects".
    • "Using a drug of this nature, one that works on the pancreas to produce more insulin can worn over work your pancreas".
    • "Losing weight should be a slow process so you retain as much muscle as possible".


    LINKS OF INTEREST

    #32 Getting The Best Out Of Your Pharmacist with Dr. Nana Ama Quansah

    #32 Getting The Best Out Of Your Pharmacist with Dr. Nana Ama Quansah

    Most likely, many of us aren't benefiting from the knowledge of our pharmacists and that's usually because we see them only as "pill dispensers". But the truth of the matter is that having a trustworthy pharmacist can be a tremendous ally and support when dealing with a disease such as Diabetes.

    Today we host Dr. Nana Ama Quansah, an incredible Pharmacist, Diabetes Health Coach, aspiring functional Medicine Practitioner, and an entrepreneur. She holds a Bachelor of Science degree in biochemistry from Northern Kentucky University and a Doctor of Pharmacy degree from the University of Kentucky College of Pharmacy.
    As the founder and CEO of NAQ Pharmacy Consulting, she has empowered focused driven women living with pre-diabetes and type 2 diabetes to regain control of their health through lifestyle intervention, gain confidence in their ability to lose weight ,reduce their use of prescription medications and learn what to eat without being on a restrictive diet through her DITCH Diabetes signature wellness program.
    Her pharmacy consulting practice was founded with the sole purpose of providing a human touch to patient care and to provide healthcare solutions to physician offices and independent pharmacy owners by integrating wellness programs in their practices.

    HIGHLIGHTS

    • Why and how Dr. Quansah started her consultancy practice journey within the Diabetes field.
    • Finding options to progressively stop your medications (whenever possible) and replace them with healthy lifestyle changes.
    • The real value of pharmacists and how they can really help us.
    • Common mistakes when trying to lose weight and what our real focus should be.

    GOLD MEDAL QUOTES

    • "We pharmacists can help you with lifestyle management, nutrition recommendations, drug interactions, food interactions, make sure you understand the medication that you are on...So make sure you find time to talk to your pharmacist".
    • "People should be tracking how they feel...your focus shouldn't be about counting numbers every day when it comes to weight". 

    LINKS OF INTEREST

    #31 Keep Taking Those Statins If You Want Type 2 Diabetes or For It To Get Worse

    #31 Keep Taking Those Statins If You Want Type 2 Diabetes or For It To Get Worse

    Statin is a medication to lower your cholesterol. This medication works by blocking a substance in your system that it needs to make cholesterol. 

    Based on 2018 statistics, over 35 million Americans are prescribed statins.  There are other drugs that many diabetics are prescribed that also increase your chances of getting diabetes or make things worse.

    I do not want anyone running home and throwing away their statin medication. That's not what this episode is about....but it's for raising awareness and letting you know that, lifestyle changes can make a huge impact on your health and your quality of life. 

    HIGHLIGHTS

    • Definition of Statin and how it works in your system.
    • What is Cholesterol and its link with Diabetes.
    • Where does Cholesterol comes from.
    • Optimal levels of Cholesterol.
    • LDL and HDL Cholesterol.
    • What are Triglycerides.
    • Side effects of Statins and their link to INSULIN RESISTANCE.
    • Have you heard of Steroid Hormones?

    GOLD MEDAL QUOTES 

    • "I'm pretty sure most people don't even know that our body needs a certain amount of  cholesterol."
    • "Did you know that statins can increase your glucose by as much as 12%?"

    LINKS OF INTEREST

    #30 Brownies for Breakfast: a cookbook for diabetics with Lynne Parmiter Bowman

    #30 Brownies for Breakfast: a cookbook for diabetics with Lynne Parmiter Bowman

    In today's episode we host Lynne Parmiter Bowman, author of the book BROWNIES FOR BREAKFAST: A cookbook for diabetics and the people who love them.

    She defines her book as: "one of the best cookbooks you’ll have on your shelves whether you’re diabetic, pre-diabetic or not. Everything you need to know about sugar substitutes, dairy-free baking, no-carb thickeners, gluten-free options, plant-based protein, sleep, stress, shopping, equipping your kitchen, all in straightforward, no-bs language".

    With a lifelong interest in healthy living, she teamed with actress Deidre Hall to write and publish Deidre Hall's Kitchen Closeup (2010) and Deidre Hall's How Does She Do It? (2012). In a previous life, she worked with Silicon Valley companies as a creative director, winning national awards. She has also worked as an actress, makeup artist, screenwriter, illustrator, legal journalist and television Weather Person.

    HIGHLIGHTS

    • Whole foods vs the Standard American Diet.
    • What wellness is all about: it's not just about food.
    • Importance of being diagnosed very early from diseases like Diabetes to take action before major symptoms kick in.
    • High blood sugar levels and its correlation with animal fat.
    • Quality proteins such as yeast flakes.

    GOLD MEDAL QUOTES

    • "Unless you got a cow outside or a friend with a cow, the dairy that you're eating is not particularly clean food".
    • "The labels that you read in the grocery stores typically WILL NOT be telling you what's really in that food".

    LINKS OF INTEREST

    #29 How to stop the spread of Diabetes: Start with food choices

    #29 How to stop the spread of Diabetes: Start with food choices

    Every day there’s talk about type 2 diabetes.  Year after year and decade after decade. Aren’t you tired of it?  I mean aren’t you tired of not getting your health back?  I normally don’t like to talk math and statistics, but today I think we need to dive in. Don't worry, this episode is more than just scary diabetes statistics, it's also about how to regain your health with a proper and non-boring diet. "We are what we eat", right?
    It takes a little while for you to build your personalized menu.  This is how I coach each of my clients. Your care has to be personalized.

    THE GOLD MEDAL QUOTE OF THE DAY

    "Home is the place where we have the most control in creating a healthy life(...)you can participate in stopping the spread of type 2 diabetes by starting with some simple food choices".

    HIGHLIGHTS

    • The increase in diabetes cases between 1989 and 2018.
    • Family History vs Family Lifestyle: what's the real cause behind the rising number of kids with diabetes? 
    • Homework: 5 key questions to know how you're managing (or not) a healthy lifestyle.  
    • Slowly incorporate some foods that will substitute those that aren't helping with your diabetes management. Listen to some suggestions I share in the episode.

    LINKS OF INTEREST

    #28 The Diabetes App with Sean Zaboroski

    #28 The Diabetes App with Sean Zaboroski

    Today we host Sean Zaboroski, Founder and CEO of The Diabetes App.

    What is The Diabetes App?
    It's a free-to-use application that was created solely for the diabetes community. Its purpose is to connect the diabetes community by acting as a social media platform that allows users to create a profile, post, and chat with one another, while also providing them with support in their diabetes management through offering resources including articles, podcasts, exercise videos, live streams, and access to professionals.

    Why Sean created TDA
    Sean was driven to create the Diabetes App through a passion to help people and as well one of his close family members was diagnosed with Type 1 diabetes at the age of 31.
    Through observing these family members’ challenges with diabetes, the inspiration for The Diabetes App was born.
     
    HIGHLIGHTS - WHAT YOU'LL FIND IN THE APP

    • Emotional Support
    • Learn from other people's experiences
    • The ability to vent and share your issues and doubts
    • Find professionals 
    • Read articles about the newest advances on diabetes management 
    • Live Streams on weekly basis

    SUGAR-FREE QUOTES 

    • "We're really trying to be as close as we can from the community to provide the best resource to the community"
    • "You can't fix your emotions and your psychology every 3 months when you visit your endocrinologist. You need that support 24/7".

    LINKS OF INTEREST

    #27 Glucose Guidelines, Are They Accurate?

    #27 Glucose Guidelines, Are They Accurate?

    Has your doctor ever said to you: "Check your fasting glucose"? So you do it and then...what do you do with that information?
    Most of us just write the numbers down and then show them to our doctor. But are you having a deep conversation about these specific numbers and what you're suppose to do with them? If you aren't then you SHOULD. Make sure to listen to find out why.

    All these "guidelines" that are thrown at us need to be broken down and properly interpreted depending on our health issues and not just diabetes alone. 

    Reducing medication and insulin shots is possible. Reversing your type 2 diabetes is possible but you have to find the right balance in order to achieve it. If you take something out of the equation you need to replace it with something else: exercise, good quality sleep  and a good and nutritious diet. 

    HIGHLIGHTS 

    • Diabetes numbers and what they really mean to us diabetics.
    • Fasting Glucose and A1c levels.
    • The importance of learning the meaning and impact of the guidelines that doctors tell us when it comes to diabetes.  
    • Improving fasting glucose by FASTING. Is it a good choice for all of us? If you want to learn more about fasting, check episode #26 with Dr. William Hsu. 
    • Type 2 diabetes is reversible but it won't happen overnight, and it can only happen if you understand how your body functions and what it really needs from you. I can help.

    SUGAR-FREE QUOTES

    • "Diabetes is not getting better in this country (USA)...it is at the highest point of being terrible(...)What we've been telling everyone to do apparently is wrong, because we should see much more success than we have been".
    • "Healthier does not mean more medication".
    • "There needs to be a correlation between what you're doing to achieve a good fasting glucose, post meal glucose and your overall average. Your A1c."
    • "The higher your A1c, the more sugar is attached to your blood".

    LINKS OF INTEREST

    #26 Fasting Mimicking Diet with Dr. William Hsu

    #26 Fasting Mimicking Diet with Dr. William Hsu

    In today's interview we are talking to Dr. William Hsu about Intermittent Fasting and Fasting Mimicking Diet.

    Dr. Hsu received his medical degree from Mount Sinai School of Medicine. He completed his Internal Medicine residency training at Yale School of Medicine and completed his fellowship training in Endocrinology and Metabolism at Harvard Medical School. He was Assistant Professor of Medicine at Harvard Medical School.

    After 20 years of a distinguished career as an endocrinologist at Harvard’s Joslin Diabetes Center, Dr. William Hsu joined L-Nutra in 2019 as Chief Medical Officer. In this role, he leads the clinical development effort at L-Nutra, oversees the Medical Affairs Department, and advances the education and adoption of fasting and Fasting Mimicking Diet as an innovative tool to extend human healthspan.

    HIGHLIGHTS 

    • Definition of HEALTHSPAN
    • The very basic concept of fasting.
    • Fasting mimicking diet.
    • Intermittent Fasting Diet vs Prolonged Fasting or Fasting Mimicking Diet.
    • Recommended periods of time for the Mimicking Diet depending on your health condition.
    • The importance of re-feeding.

    SUGAR-FREE QUOTES

    • "Fasting is one of the most original diets that all living organisms have been on"
    • "In our country (USA) around 86% of people die of non-communicable disease that are preventable. These are, by large, driven by the way we eat".
    • "You don't want to do periodic fasting so often that the body doesn't have time to replete  all the nutrients."

    LINKS OF INTEREST

    #25 The Monsters That Affect Diabetics

    #25 The Monsters That Affect Diabetics

    42.4% of adult Americans struggle with obesity and of course this is a driver toward diabetes. 11.5% of diabetes patients also become cancer patients.  Whereas 8.9% of people without diabetes become cancer patients.  Over 600,000 people die of cancer every year.  A significant increase in deaths from pancreatic and liver cancers is estimated to continue in the next 2 decades. 
    These are scary stats and it shouldn't be this way.

    The main reason behind today's episode title is that, when you become a type 2 diabetic you set yourself up for attracting all of these other diseases.

    Lifestyle choices can either add more diseases to your life or prevent them from happening. This decision relies ENTIRELY on you and not your doctor or nurse. I know, it can be a tough process but it's been more than proven that it is possible.

    GOLD MEDAL QUOTES

    • "Did you know that diabetes was linked to 40% of COVID-19 deaths in the US?"
    • "The one thing that all of these diseases have in common is lifestyle.  Lifestyle is the biggest factor on getting any or all of these diseases."
    • "For those of you who want to go to your physician and say I don't want to be on medication, you have to do something to keep yourself off of medication. You cannot have it both ways"

    LINKS OF INTEREST

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