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Category: Diabetes

Insulin Resistance – Gerald Brown, P.A.

When the body doesn’t use the insulin it naturally produces in an efficient manner, it’s called insulin resistance and it’s the first step on the road to diabetes. Physician Assistant and Certified Diabetes Educator Gerald Brown discusses insulin resistance in this edition of Health Connection.

What is insulin and what role does it play in the body? (first question)

What is insulin resistance? (skip to 0:45)

What causes insulin resistance? (skip to 1:10)

Who is at risk for developing insulin resistance? (skip to 1:40)

What health problems can insulin resistance cause? (skip to 2:10)

Do all people with insulin resistance automatically have diabetes too? (skip to 2:37)

What are the symptoms of insulin resistance? (skip to 3:10)

How is insulin resistance diagnosed? (skip to 3:20)

How is insulin resistance treated? (skip to 3:51)

Are there lifestyle choices that can be made that will reduce the chances of developing insulin resistance? (skip to 4:13)

What foods should we eat more of and what foods should we avoid if we suffer with insulin resistance? (skip to 4:53)

Can children have insulin resistance? (skip to 5:16)

Can insulin resistance be reversed or cured? (skip to 5:40)

Childhood Obesity – Dr. Jonathan MacClements

As many as 40 percent of fourth grade children are now clinically defined as either overweight or obese. This is leading to an explosion of problems such as heart disease, high blood pressure, Type II diabetes and other conditions that were once thought to be mainly adult health concerns. Dr. Jonathan MacClements discusses childhood obesity, including its treatment and prevention.

How much of a problem is childhood obesity? (first question)

Why is childhood obesity considered a health problem? (skip to 0:39)

How do I know if my child is considered obese? (skip to 1:00)

Can a child actually develop heart disease, Type II diabetes, high blood pressure or sleep apnea as a result of being overweight? (skip to 1:45)

Can being overweight affect a child when he or she reaches puberty? (skip to 2:10)

What is the single most important thing to be done to reduce the likelihood of my child becoming obese? (skip to 2:32)

How can I involve my child in overcoming a weight problem without undermining self-confidence? (skip to 3:18)

Metabolic Syndrome – Dr. Patti Olusola

Take any three of elevated blood pressure, excess abdominal fat, high triglycerides, high blood sugar or low “good” cholesterol and what you have is a diagnosis of metabolic syndrome. With that diagnosis, you are at greater risk for heart attack, cardiovascular disease, diabetes and stroke. The U.T. Health Science Center’s Dr. Patti Olusola talks about diagnosing, treating and preventing metabolic syndrome.

What is metabolic syndrome? (first question)

What are the risk factors for metabolic syndrome? (skip to 1:20)

Why is having metabolic syndrome so alarming? (skip to 1:58)

Are there signs or symptoms to look for? (skip to 2:20)

How is metabolic syndrome diagnosed? (skip to 3:11)

How is metabolic syndrome treated? (skip to 4:17)

Are children at risk for developing metabolic syndrome? (skip to 5:19)

Why is metabolic syndrome becoming more common? (skip to 5:47)

If you lose weight, what effect will it have on the risk factors for metabolic syndrome? (skip to 6:26)

Can metabolic syndrome be reversed? (skip to 7:23)

Diabetes: The Story Behind the Stats – Dr. David Shafer

Of all the things that can rob you of a long, healthy life, none looms larger than diabetes. From blindness to the loss of limbs to the high cost of the nation’s health care bill, diabetes looms large. In this post to HeatlhConnection.TV, the U.T.Health Science Center at Tyler’s Dr. David Shafer talks about recognizing and acting on risk factors for diabetes.

Nearly 26 million children and adults in the United States, 8.3 percent of the population, have been diagnosed with diabetes. Has the number always been this high? (first question)

The American Diabetes Association estimates that in addition to the 8.3 percent of the population that is diagnosed with the disease, another seven percent is undiagnosed. How do you have diabetes and not know it? (skip to 1:21)

Another alarming statistic tells us that there are 79 million people who are pre-diabetic. What does pre-diabetic mean? (skip to 2:06)

How do you test for pre-diabetes? (skip to 3:00)

If you have pre-diabetes, is diabetes inevitable? (skip to 3:31)

Sixty percent of all non-traumatic lower limb amputations occur in people with diabetes. If you have diabetes, what is the likelihood that you will lose a toe or a foot or a leg to amputation? (skip to 4:41)

What is the connection between diabetes and the risk for lower extremity amputation? (skip to 5:43)

Diabetes is the leading cause of blindness in adults age 20 to 74. Why? (skip to 6:38)

Nearly 13 percent of African-Americans and nearly 12 percent of Hispanics have diabetes but only 7.1 percent of the white population is diabetic. Why the difference? (skip to 7:50)

One in three children that were born in 2010 will develop diabetes during their lifetimes. How do we reverse this shocking trend? (skip to 9:24)

Recognizing the impact of obesity on the risk for diabetes and recognizing diabetes’ impact on the cost of health care, if we as a society went back to weighing what we did in the 1950s and 1960s, what impact would that have on the nation’s overall health care bill? (skip to 10:52)


The Diabetes Links – Dr. David Shafer

Diabetes is a very serious disease in and of itself. But it doesn’t stop there. Ongoing clinical research is revealing that diabetes has causal or complicating links to a range of other serious health problems including the most common cancers, hearing loss, dementia, heart attack and stroke. In the latest post to HealthConnection.TV, the U.T. Health Science Center at Tyler’s Dr. David Shafer answers questions on the diabetes links.

What is diabetes and why does there appear to be links between it and other serious diseases? (first question)

Are the links to other diseases equally attributable to Type I and Type II diabetes? (skip to 1:32)

What is the link between diabetes and heart attack or stroke? (skip to 3:23)

Why do people with diabetes have a greater risk of hearing loss? (skip to 4:18)

What is the connection between diabetes and cancer? (skip to 5:29)

Why would someone with diabetes be more likely to develop Alzheimer’s disease or dementia? (skip to 7:03)

What is the link between diabetes and hypertension (high blood pressure)? (skip to 9:30)

Are these risks increased irrespective of how well diabetes is managed by the patient? (skip to 10:40)


Choose My Plate Dietary Guidelines – Erin Langewisch, RD

The U.S. Department of Agriculture has recently retired the long-standing “food pyramid”dietary guideline in favor of the new “Choose My Plate” program. University of Texas Health Science Center Registered Dietician Erin Langewisch joins us to discuss the new Choose My Plate program on this post to HealthConnection.TV.

What is the new Choose My Plate program about? (first question)

Why was the Choose My Plate program developed? (skip to 0:49)

What are the most significant differences between the old food pyramid concept and the Choose My Plate program? (skip to 1:26)

The Choose My Plate program is built on three concepts; balancing calories, foods to increase and foods to decrease. What do these three concepts mean? (skip to 2:30)

Now that the Choose My Plate concept has been out for a few weeks, it is drawing criticism. Among those criticisms are the belief that Choose My Plate is over-simplified, that it excludes healthy fats, that it visually implies drinking only one glass of milk and that it doesn’t differentiate between healthy proteins and those that should be avoided. From the perspective of a Registered Dietician, what is your opinion of the Choose My Plate program? (skip to 4:32)

We are bombarded with ads and infomercials and websites from so-called “experts” on nutrition telling us how we should be eating. How do we know to whom we should listen? (skip to 5:54)

Are there easy-to-understand and easily obtained resources on nutrition that you can recommend? (skip to 6:40)

In your opinion, if Americans followed the guidelines set forth in the Choose My Plate program, what impact would doing so have on our use of the health care system? (skip to 7:15)

Diabetes Clinical Trial – Dr. David Shafer

Because of clinical trials, deaths from heart disease have dropped by over 40 percent, AIDS is no longer an automatic death sentence and cancer drugs can now attack the root cause of the disease. Now at the U.T. Health Science Center at Tyler, a new treatment is clinical trial that could prove just as revolutionary in fighting the devastating effects of diabetes. The U.T. Health Science Center’s Dr. David Shafer discusses this clinical trial in this edition of Health Connection.

What exactly is a clinical trial? (first question)

Why are clinical trials important? (skip to 0:59)

Tell us about the Type 2 diabetes clinical trial now underway at the U.T. Health Science Center at Tyler. (skip to 2:08)

What specifically are you looking for in this trial? How is the treatment being studied different? (skip to 2:54)

How does one qualify to participate in the trial? (skip to 4:06)

Why is Type 2 diabetes so difficult to control for so many people? (skip to 5:10)

How does one obtain more information on this clinical trial or other clinical trials being conducted at the U.T. Health Science Center at Tyler? (skip to 5:53)

Diabetes – Dr. David Shafer

More than 23 million Americans, one out of every 12, now suffers with Type II Diabetes. Type II Diabetes is the number one cause of blindness and non-traumatic amputations. Untreated, it will dramatically shorten life while robbing it of quality. The U.T. Health Science Center’s Dr. David Shafer talks about diagnosing, treating and avoiding Type II Diabetes.

What is Type II diabetes and why is it so prevalent? (first question)

What is it about carrying extra weight that puts us at greater risk of developing diabetes? (skip to 1:17)

Who is at risk for developing Type II diabetes? (skip to 2:04)

What are the symptoms of diabetes and how is it diagnosed? (skip to 2:57)

What are some of the myths and misunderstandings regarding diabetes? (skip to 3:55)

Why are feet and eyes so adversely affected by diabetes? (skip to 5:13)

What is the A1C blood test and why is it so important? (skip to 7:55)

What happens to someone who is diagnosed with Type II diabetes and doesn’t take it seriously? (skip to 8:44)