Latest / The Healthy Diabetic / #389: 800 Million People Living With Diabetes - Is The Medical System Still Getting It Wrong?

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#389: 800 Million People Living With Diabetes - Is The Medical System Still Getting It Wrong? · The Healthy Diabetic

• 0:14
  SPEAKER_00: Welcome back.
• 0:16
  SPEAKER_00: This is episode number 389 of the Healthy Diabetic Podcast.
• 0:21
  SPEAKER_00: I'm Coach Ken.
• 0:22
  SPEAKER_00: Joining me as always is my good friend and diabetes partner in crime, Graham Hubbard.
• 0:27
  SPEAKER_00: If you don't know much about our story, we are two type ones with over 50 years of lived diabetes experience, and we hope to empower you to think differently about how you are navigating, manipulating, and managing your blood sugars.
• 0:44
  SPEAKER_00: As always, before we get started, please remember that nothing that you hear on this podcast should be considered medical advice or otherwise.
• 0:50
  SPEAKER_00: Please always consult your medical team before making any changes to your diabetes management.
• 0:57
  SPEAKER_00: Okay.
• 0:57
  SPEAKER_00: Graham, what's up, man?
• 0:59
  SPEAKER_00: How are you doing?
• 1:00
  SPEAKER_00: It's been a hot minute.
• 1:01
  SPEAKER_00: You've been out a little bit.
• 1:03
  SPEAKER_00: I was sick last week.
• 1:04
  SPEAKER_00: How's everything going?
• 1:06
  SPEAKER_01: Good.
• 1:06
  SPEAKER_01: You were oh yeah, you were under the weather because of because of weather?
• 1:11
  SPEAKER_01: Or under the weather for Just under the weather.
• 1:14
  SPEAKER_01: Yeah.
• 1:15
  SPEAKER_01: It hasn't been like you guys haven't gotten snow or anything like that, right?
• 1:20
  SPEAKER_00: No.
• 1:21
  SPEAKER_00: No.
• 1:22
  SPEAKER_00: It's still 60, 70.
• 1:24
  SPEAKER_00: I think actually today, I think it might be 80 some degrees today.
• 1:26
  SPEAKER_01: Don't laugh.
• 1:27
  SPEAKER_01: Don't laugh, bro.
• 1:28
  SPEAKER_01: The Midwest gets the Midwest gets.
• 1:31
  SPEAKER_01: We don't get snow this early.
• 1:33
  SPEAKER_00: Snow by high.
• 1:34
  SPEAKER_00: The high is 75 today.
• 1:35
  SPEAKER_00: Is it really?
• 1:37
  SPEAKER_00: Yeah.
• 1:37
  SPEAKER_00: That's the high today.
• 1:38
  SPEAKER_00: It's 73 right now.
• 1:39
  SPEAKER_00: Top.
• 1:40
  SPEAKER_00: So it was good.
• 1:41
  SPEAKER_01: It wasn't nothing diabetic.
• 1:42
  SPEAKER_01: It didn't nothing like diabetes.
• 1:44
  SPEAKER_01: You're just like under the weather type of deal.
• 1:46
  SPEAKER_00: Yeah.
• 1:46
  SPEAKER_00: Yeah.
• 1:47
  SPEAKER_00: Just a little sinus, sinus thing that the girls probably brought home from their friends because their friends have been, you know, sick from school the last couple weeks off and on, just different friends.
• 1:56
  SPEAKER_00: So it's going through all of our friends, and then it went through us.
• 2:00
  SPEAKER_00: And yeah.
• 2:00
  SPEAKER_01: Are you are you good or bad at being sick?
• 2:04
  SPEAKER_00: What do you mean?
• 2:05
  SPEAKER_01: Like, are you um when you're sick, like are you I how are you as a patient?
• 2:09
  SPEAKER_01: Like, are you a well-behaved patient?
• 2:12
  SPEAKER_01: Like you like do what you you know, you follow daughter, you know, you follow orders to rest and kind of thing, or do you just like push it and never really Well, it's funny you say that because it it it now I know that you haven't listened to the two previous episodes.
• 2:25
  SPEAKER_00: I did an entire episode last the two eight.
• 2:28
  SPEAKER_00: This is 289.
• 2:29
  SPEAKER_00: 288 was all about me being sick and what I did and how things were completely different this time around than it ever has been in 20 years of diabetes.
• 2:40
  SPEAKER_00: Yeah, so it was uh Okay.
• 2:43
  SPEAKER_01: That wasn't prompt, so that wasn't prompted, so just leave that in there and then I won't I won't continue asking about that then.
• 2:50
  SPEAKER_01: Yeah.
• 2:51
  SPEAKER_01: You know, this is funny.
• 2:53
  SPEAKER_01: Not sure if I've ever asked you this.
• 2:55
  SPEAKER_01: Do you feel like do you feel like someone's ever come across you and they saw like your needles and stuff and they might have thought you were like a not, you know, I don't want to say a drug addict, but do you do you think someone's ever treated you like completely, just threw you off that you're like, was I kind of just judged right there?
• 3:14
  SPEAKER_00: I'm sure people have judged me from afar.
• 3:18
  SPEAKER_00: Think about like no one is gonna come up to you in the wild, as we call it, and you if you're taking insulin out of a syringe like we both have done before and taking a shot, no one's gonna come up to you and be like, I are you taking drugs?
• 3:33
  SPEAKER_00: No, they're gonna judge you from afar away, they're gonna be curious from afar away, right?
• 3:39
  SPEAKER_00: So I'm sure that it has happened before where someone has seen me, you know, take a syringe, get insulin out of the vial of insulin, or even I used to do pens to, and you know, from there their mind is going.
• 3:55
  SPEAKER_00: I I mean I don't know.
• 3:56
  SPEAKER_00: But the other thing I the other thing I would think about that is typically when I'm I'm not I'm not I don't know if I've ever really done it.
• 4:04
  SPEAKER_00: I maybe I have, I don't know if I've ever really done that by myself somewhere.
• 4:10
  SPEAKER_00: And if I was by myself somewhere, it wasn't at like a dive, this dive place where you would expect a drugie being in that place and like and and on top of that, if you're a drug addict, you ain't doing that out in the middle, out in the open with everybody to see.
• 4:26
  SPEAKER_00: Yeah.
• 4:27
  SPEAKER_00: So well, okay.
• 4:28
  SPEAKER_00: No, I've never hold on.
• 4:30
  SPEAKER_01: So listen, this is great because what you just said at the end is what was I what has always been my state of mind with diabetes is that if I'm this outright doing it, like sitting at a table with a group of friends, you know, the whole pulling, you know, you have a needle and you're pulling insulin out of a vial, who in their right mind wouldn't think that that's a patient or this is some this is not your typical drug scenario.
• 5:00
  SPEAKER_01: But then I've seen and read things where it's like, you know, I I don't know that people have that comprehension.
• 5:08
  SPEAKER_01: I don't, you know, it they make people have that comprehension, they judge you based on hold on, like on their own experiences, right?
• 5:16
  SPEAKER_01: So I think about that one.
• 5:17
  SPEAKER_01: I travel a lot for work and I'll be everybody's been into an airport.
• 5:22
  SPEAKER_01: You've everybody's seen what it's like when people are just chilling everywhere, sitting around, you know, like I'm no different.
• 5:28
  SPEAKER_01: You know, I have business clothes on or call whatever.
• 5:32
  SPEAKER_01: Maybe I don't, but I look the way I do, and if you're watching me for 25 minutes, I'm pulling out a laptop and a phone, and I'm in the meantime pulling out, you know, a needle and injecting it.
• 5:43
  SPEAKER_01: Like you like, what do you think people think that is?
• 5:47
  SPEAKER_01: You know, I I I don't I don't know.
• 5:49
  SPEAKER_01: To me, that looks it looks so blatant that you wouldn't question it, but that I don't think that is I don't really think that is what's going on.
• 5:55
  SPEAKER_00: I don't think that you would question it whatsoever about drugs.
• 5:58
  SPEAKER_00: I don't think someone would question that whatsoever, that it's drugs.
• 6:01
  SPEAKER_00: Like, oh this dude is taking cocaine or to you know doing shooting up heroin right here in the airport or right here in the rest.
• 6:08
  SPEAKER_00: No, no, people aren't saying that.
• 6:10
  SPEAKER_00: But what people probably are saying is like, I wonder what they're doing.
• 6:14
  SPEAKER_00: Because not everyone knows about diabetes.
• 6:16
  SPEAKER_00: No one everyone knows that you gotta take insulin.
• 6:18
  SPEAKER_00: Not, you know, most people that aren't in, not most people, but people that aren't in the diabetes space and understand type 1 versus type 2 think diabetes is just you're overweight, fat, you ate too much sugar, what whatever it might be.
• 6:33
  SPEAKER_00: So they I can understand from that perspective, but do I think that if I'm taking a shot, like even my even my pens and needles, right?
• 6:43
  SPEAKER_00: Taking a, you know, stabbing myself, because I d I mean I'm I'm I don't I don't hold back.
• 6:49
  SPEAKER_00: Like I'm at the table, I'm out by myself, like I'm I'm I'm jamming it.
• 6:53
  SPEAKER_00: I'm jamming at my arm, I'm jamming at my leg, I'm jamming at my calf, I'm jamming my belly.
• 6:57
  SPEAKER_00: I don't I don't even care.
• 6:59
  SPEAKER_00: So I'm sure people have said, like, okay, cool.
• 7:03
  SPEAKER_00: Like, what I wonder what that is.
• 7:05
  SPEAKER_00: You know, if they don't know it's insulin, right?
• 7:08
  SPEAKER_00: If they have some type of understanding of diabetes whatsoever, might not completely understand it, but they might think that it's insulin.
• 7:17
  SPEAKER_00: I mean, I just feel like maybe I just live in a bubble, but I just feel like in the day and age that we're in now, with all the different conditions, all the different things that people have to do, you know, for their condition, for their chronic condition, for whatever.
• 7:32
  SPEAKER_00: Like people are shooting up testosterone all the time.
• 7:35
  SPEAKER_00: Granted, you're not gonna you're not gonna shoot up testosterone there at the table, like, oh shit, I forgot my take my testosterone shot.
• 7:41
  SPEAKER_00: I actually have it on me, so I'm gonna take.
• 7:44
  SPEAKER_00: I mean, you're not gonna do that.
• 7:45
  SPEAKER_00: But I think that, you know what's funny?
• 7:48
  SPEAKER_01: I bet you that is the new suspected action that people are are doing where people are like, is that dude just like taking his test, right?
• 7:56
  SPEAKER_01: Is that dude trying to like that or GOP1?
• 7:59
  SPEAKER_01: Is he is he is he getting some peptides in here?
• 8:03
  SPEAKER_00: Yeah, I kind of can see that.
• 8:05
  SPEAKER_00: Peptide maxing.
• 8:06
  SPEAKER_00: But again, not at a table.
• 8:09
  SPEAKER_00: You're not gonna do that.
• 8:10
  SPEAKER_00: You just don't do that shit at the table.
• 8:11
  SPEAKER_01: I will hold on, I want to tell you something funny.
• 8:14
  SPEAKER_01: Only because I was I've been diabetic so long, and I was somewhat of a bad kid that there were definitely years where I milked and had fun with that, where you know, you're on like a road trip with your boys and you're at a rest area and you pull out the needle, you know.
• 8:31
  SPEAKER_01: One of you like pulls out a needle and like letting you know, letting people walk by and just seeing their reaction.
• 8:38
  SPEAKER_01: Like, that's all it took.
• 8:39
  SPEAKER_01: That's all it took, dude, is you just have a needle.
• 8:42
  SPEAKER_00: But that's a different story because you're young kids out like by yourself at a rest stop.
• 8:46
  SPEAKER_00: That's that's completely a rest stop.
• 8:49
  SPEAKER_00: I could see a drugie doing some drugs at a rest stop.
• 8:52
  SPEAKER_01: But again, to my point, I'm not doing anything different.
• 8:55
  SPEAKER_01: I just, you know, or I would always bite, I'll bite on the needle, right?
• 8:58
  SPEAKER_01: So I'll like put it in my mouth while I'm so all that you saw was a group of four boys, and one of them had like a needle in his mouth.
• 9:05
  SPEAKER_01: That's it.
• 9:05
  SPEAKER_01: That's it.
• 9:07
  SPEAKER_00: Yeah, but again, it's it's all about where you're at.
• 9:10
  SPEAKER_00: A restaurant, not so much.
• 9:11
  SPEAKER_00: You're out with four or five dudes at a rest stop.
• 9:15
  SPEAKER_00: Like, okay, maybe you're jumping to conclude to conclusions now, right?
• 9:20
  SPEAKER_00: It's all about it's all about the situation that you're in.
• 9:23
  SPEAKER_01: You know, like you know the the the one that I'm catching myself and recently is my blood sugar pricker thing.
• 9:31
  SPEAKER_01: Sometimes I gotta do, you know, you do it a couple times.
• 9:33
  SPEAKER_01: You ever like you've gotta prick yourself a couple times.
• 9:36
  SPEAKER_01: Sometimes you'll miss it.
• 9:37
  SPEAKER_01: You you ever you ever push the gun up to your huh?
• 9:41
  SPEAKER_00: I never miss it.
• 9:42
  SPEAKER_01: Every time you push the gun up to your finger, you hit every time.
• 9:45
  SPEAKER_00: Okay, I don't know.
• 9:47
  SPEAKER_00: And unless the unless the like for some reason the springs or whatever messed up and you gotta reload it.
• 9:54
  SPEAKER_00: I've done that before, but I've never like missed my finger or like not been able to prick my finger.
• 9:59
  SPEAKER_01: I set mine, I set it way, way, way back.
• 10:03
  SPEAKER_01: It's at like the softest hit.
• 10:05
  SPEAKER_00: Oh yeah, that's why you miss it.
• 10:07
  SPEAKER_01: So it takes me, but lately I'll pull like my blood sugar thing out of my pocket and I'm just like talking to somebody and I'll like spear myself like seven or eight times, and then I'll get like a global blood, and they'll be like, wait, wait, wait, wait.
• 10:21
  SPEAKER_01: First, I didn't know you were diabetic, but second, like, what are you doing?
• 10:25
  SPEAKER_01: Like, why did you just like why are you like, why, why are you pounding your thing as?
• 10:31
  SPEAKER_01: And I'm laugh, but I'm laughing now because my answer is always like, dude, well, first of all, I'm OCD, so I just I think it's a little bit of a like it might be like a counting, like kind of just I just do the same thing out of repetition, out of habit.
• 10:44
  SPEAKER_01: So I think when you see me do it, it looks weird.
• 10:47
  SPEAKER_01: But to your point, this is what we live in.
• 10:50
  SPEAKER_01: Like it it it becomes very non needles are non-threatening, but you know, every restroom in America has a needles compared as like a needles sharps container.
• 11:00
  SPEAKER_01: You ever see those?
• 11:02
  SPEAKER_00: I mean, I've never I don't see re tons and tons of restrooms having sharps containers.
• 11:08
  SPEAKER_01: You ever see okay.
• 11:08
  SPEAKER_01: Do you see do you see restrooms with sharps containers?
• 11:12
  SPEAKER_00: No.
• 11:12
  SPEAKER_01: Never?
• 11:13
  SPEAKER_01: I don't think you're paying attention.
• 11:15
  SPEAKER_01: I feel like I see them everywhere.
• 11:17
  SPEAKER_00: But where?
• 11:18
  SPEAKER_01: In a restroom.
• 11:20
  SPEAKER_01: Where's everyone?
• 11:21
  SPEAKER_00: I could seek because I could see them being in the airport, but not like in a bunch of different restrooms.
• 11:27
  SPEAKER_00: And here's why, right?
• 11:28
  SPEAKER_00: And it might not, if it is it a metal box?
• 11:31
  SPEAKER_00: No, it's those red actually a where's is an actual red plastic bottle.
• 11:36
  SPEAKER_01: Correct.
• 11:36
  SPEAKER_01: No, no, no, no, no.
• 11:37
  SPEAKER_01: It's like it's approved by the states, those flat red syringe.
• 11:43
  SPEAKER_00: Yeah, yeah, yeah.
• 11:44
  SPEAKER_00: Which actually I don't go ahead.
• 11:45
  SPEAKER_00: I don't see them in Ohio.
• 11:47
  SPEAKER_00: I've never seen, I might have seen a syringe container in a bathroom, maybe a couple times.
• 11:54
  SPEAKER_00: Less than five.
• 11:57
  SPEAKER_01: No way.
• 11:57
  SPEAKER_01: You're just not playing it's no no no.
• 11:59
  SPEAKER_01: No, I swear to God.
• 12:01
  SPEAKER_00: Maybe it's maybe it's more, maybe it's because you travel a lot.
• 12:04
  SPEAKER_00: Maybe that's it.
• 12:05
  SPEAKER_00: Maybe it's because you travel a lot and you're in different cities all the time, and I'm basically in the same spot all the time.
• 12:11
  SPEAKER_01: I think any public building, I think every whether it's a library or a government building or an airport, like every single bathroom is all is always gonna have a sharp container or the access to a sharp's container.
• 12:22
  SPEAKER_00: I I I've never seen one in the Columbus Airport.
• 12:26
  SPEAKER_00: I've never I I just went down to see you in the Orlando airport.
• 12:30
  SPEAKER_00: I didn't see one in the Orlando airport.
• 12:31
  SPEAKER_01: Yes, there are, bro.
• 12:33
  SPEAKER_00: Well, then they're brand new, or they just weren't in the bathrooms that I were using, I was using.
• 12:38
  SPEAKER_01: So, hey, you know what?
• 12:39
  SPEAKER_01: So I'm gonna to get back on track.
• 12:41
  SPEAKER_01: This is crazy that we're talking about this, because I do think globally the perception of diabetes has changed, mostly in part, because listen to this stat the total number of adults living with diabetes has now surpassed 800 million.
• 13:02
  SPEAKER_01: If you know anything, there are 8 billion plus people in the world.
• 13:06
  SPEAKER_01: So one dude, 800 million coming up to 8.
• 13:10
  SPEAKER_01: That's one ninth.
• 13:12
  SPEAKER_01: That's uh the in between an eighth and a ninth of the US of the entire global population has diabetes.
• 13:20
  SPEAKER_01: Yeah, is that crazy?
• 13:22
  SPEAKER_00: It is.
• 13:23
  SPEAKER_01: Tell me that's just not a astronomical number.
• 13:26
  SPEAKER_00: It's not an astronaut I mean, I don't think it's an astronomical number when you look at what's happened over the last five years.
• 13:32
  SPEAKER_00: Now six years post-COVID.
• 13:35
  SPEAKER_00: Bro, if you look at the stats, dude, it's insane.
• 13:38
  SPEAKER_00: If you look at the stats, sixty plus percent, almost seven.
• 13:41
  SPEAKER_00: I think the last time, the last time it was like any, I think it was 60.
• 13:46
  SPEAKER_00: Was it?
• 13:47
  SPEAKER_00: I'm gonna say between 60 and 70, because I don't know the exact percent.
• 13:50
  SPEAKER_00: It was 60 to 70 percent of all diagnoses right now are 23 and older.
• 13:58
  SPEAKER_00: I saw that one.
• 13:58
  SPEAKER_00: Yep.
• 13:59
  SPEAKER_00: Right?
• 14:00
  SPEAKER_00: So more people are being diagnosed as adults right now than there are adolescent.
• 14:05
  SPEAKER_00: There's still adolescent diagnosis, which for sure.
• 14:09
  SPEAKER_00: But the the diagnosis that are being re you know recorded or sent to the FDA or whatever the VARES or whatever way that they keep track of all this data, 60 to 70 percent of all type 1 diabetic diet diagnoses are 23, 25, and older.
• 14:30
  SPEAKER_01: Crazy.
• 14:30
  SPEAKER_01: What can they used to call it?
• 14:31
  SPEAKER_01: Freaking crazy.
• 14:32
  SPEAKER_01: And it's used to be used to be jewelities.
• 14:35
  SPEAKER_00: So what is it?
• 14:37
  SPEAKER_00: Part of it is we have better we have better ways to diagnose someone.
• 14:43
  SPEAKER_00: They're they're changing the policies up a little bit, but I'd also say that our the policies are still shit for adults being diagnosed and not population.
• 14:53
  SPEAKER_00: It's still crap.
• 14:54
  SPEAKER_00: I I I literally have talked to 10 people in the last two months that were misdiagnosed with type 2.
• 15:02
  SPEAKER_00: Some not for not very long.
• 15:04
  SPEAKER_00: You know, their doctor did a good job with like, okay, this might be type 2, and they had some more blood work done, they did the tests, and like, oh no, it's actually type 1, and they got put on insulin.
• 15:16
  SPEAKER_00: But others, like they had to go see two or two or two other providers because they were getting misdiagnosed.
• 15:24
  SPEAKER_00: And being on metformin or a type 2 medication, like a GLP1 or something, wasn't helping.
• 15:30
  SPEAKER_00: So that that's still happening.
• 15:32
  SPEAKER_00: But I I would I if someone came to me and said, well, uh, of course, like we have we can we have better diagnostic tools now, that's why the uh the diagnos diagnosis are going up.
• 15:44
  SPEAKER_00: I'm like, okay, maybe I can get on board with that a little bit, but that also doesn't we've had the same diagnostic tool diagnostic tools for the past 20 years.
• 15:55
  SPEAKER_00: They've been able to do A1C, finger stick, C peptide, auto antibody tests.
• 16:00
  SPEAKER_00: They've been able to do all these different tests for the past 20 plus years.
• 16:04
  SPEAKER_00: So we can't we can't really say we have better diagnostic tools.
• 16:10
  SPEAKER_00: We can maybe say like people are being, I mean, I don't know what they can say, but the fact that the the fact that it's it's over half of the people that are being diagnosed is are adults, that's freaking crazy.
• 16:23
  SPEAKER_00: That's freaking crazy.
• 16:25
  SPEAKER_00: You know, it's freaking crazy.
• 16:27
  SPEAKER_00: I feel like scary.
• 16:28
  SPEAKER_00: It's really scary too.
• 16:29
  SPEAKER_01: I feel like diabetes statistics and looking back and doing research on diabetes is very, very difficult right now because like everything has kind of changed.
• 16:39
  SPEAKER_01: It was I mean so, so different than how I was raised.
• 16:45
  SPEAKER_01: So I was diagnosed in 1994 again with juvenile diabetes, as we've always said.
• 16:51
  SPEAKER_01: As I we have always we talked, brought into the hospital, and the assumption was it was somebody in your family had it, but it doesn't, you know, it's it can skip a generation and it can move around.
• 17:03
  SPEAKER_01: I mean, that was the thought then.
• 17:04
  SPEAKER_01: I I I I use that year, by the way.
• 17:07
  SPEAKER_01: I don't want to dr I don't want to miss this because I made a note cases of diabetes have quadrupled since 1990.
• 17:17
  SPEAKER_01: So when I say 800 million, almost one-ninth of the world population, that number that wasn't the case 35 years ago, dude.
• 17:27
  SPEAKER_01: In 35 years ago, think about that.
• 17:31
  SPEAKER_01: We have quadrupled the cases, and we are completely reinventing the entire existence of type one and where it came from and how it started and how it's begun.
• 17:41
  SPEAKER_01: I I you know, I I I think the your your issue that you're bringing up then is people are having problems with the insurance covering certain things medically for them then.
• 17:52
  SPEAKER_01: Is that does that become a problem or is it more their is it more self is in jept, like I think you already know, you already know what I'm asking.
• 18:00
  SPEAKER_01: Are are are they, you know, is this is it just like a nightmare?
• 18:03
  SPEAKER_01: Is it just like a nightmare trying to get a diagnosis type of deal, or is it truly a it it's hard to really grasp what's going on with with these people that you were that you that you mentioned, like a couple people that have complained to you about what really is is it a mis again, is it a misdiagnosis or is it because I think it's a I think it's twofold.
• 18:22
  SPEAKER_00: I think it's twofold.
• 18:23
  SPEAKER_00: Okay, because we can't we can't put it on one specific thing because everybody's different.
• 18:29
  SPEAKER_00: Everybody's symptoms are different, how the disease or this condition from type one or type two, how it uh how it presents itself in the body and the system and how long you've been having symptoms and all these things.
• 18:42
  SPEAKER_00: So me personally, I believe it's it's a it is a negligence thing, partly a negligence thing, because we have the we have the tests that we can run.
• 18:55
  SPEAKER_00: Right?
• 18:55
  SPEAKER_00: I've I've said this so many times in a perfect world.
• 18:58
  SPEAKER_00: Again, I'm not a doctor.
• 18:59
  SPEAKER_00: This is just what I think the protocol should be.
• 19:03
  SPEAKER_00: The the the gold standard protocol.
• 19:05
  SPEAKER_00: Okay, if you come in and complaining with some symptoms, like you know, you you're complaining of s of symptoms that are recognizing as type one or type two, okay, whatever those symptoms might be.
• 19:17
  SPEAKER_00: We're just talking the symptoms.
• 19:19
  SPEAKER_00: Okay.
• 19:20
  SPEAKER_00: The the first thing automatically, okay, and and with the increase in diabetes, when someone comes into the hospital, maybe the gold standard is just do a finger prick in the first place.
• 19:31
  SPEAKER_00: Do a finger stick in the first place.
• 19:34
  SPEAKER_00: That's the first thing maybe that happens now.
• 19:36
  SPEAKER_00: I have no idea, right?
• 19:38
  SPEAKER_00: Because that that also might help with some of these people that are coming in with diabetes high blood sugars.
• 19:44
  SPEAKER_00: So obviously the first thing is you're checking what their current glucose is.
• 19:49
  SPEAKER_00: Then you're gonna check to see what their A1C is.
• 19:53
  SPEAKER_00: You have a little bit of data.
• 19:55
  SPEAKER_00: Okay, you still don't know type one or type two yet, but you have a little bit of data.
• 19:59
  SPEAKER_00: Okay.
• 19:59
  SPEAKER_00: Number three, the third thing that you're gonna do is you're going to do some type of C peptide test or glucose intolerance test.
• 20:10
  SPEAKER_00: Okay, if there's a if there's a heightened A1C, and also especially if this person has a trend in their medical file of you know creeping higher A1Cs, and that's probably going to be lead more to type towards type 2 than type 1.
• 20:27
  SPEAKER_00: But if there's a trend in their medical file, okay.
• 20:30
  SPEAKER_00: But so you've got A1C, you've got auto antibody tests, or I'm sorry, you got a C peptide test, maybe a uh a glucose intolerance test, and then you got an autoantibody test.
• 20:42
  SPEAKER_00: If you're doing those four things within the first, I would say 14 days, 30 days is pushing it, of someone coming in and first two tests, the the finger stick and the A1C is positive for a higher glucose.
• 20:57
  SPEAKER_00: But I've seen where those two tests are higher for or is their their glucose is higher, their A1C is higher, but their C peptide test is negative.
• 21:09
  SPEAKER_00: That still doesn't roll out type 1 diabetes.
• 21:12
  SPEAKER_00: I literally talked to someone the other day that was just diagnosed with type 1 within the last three months, and this person got a C peptide test and it was negative.
• 21:22
  SPEAKER_00: They didn't have, or I'm sorry, they had an auto auto body, yeah, an autobody test and it was negative.
• 21:29
  SPEAKER_00: They had a C peptide test and they still had enough free-flowing insulin because they were brand spanking new, right?
• 21:36
  SPEAKER_00: Still within honeymoon or whatever.
• 21:38
  SPEAKER_01: Yeah.
• 21:40
  SPEAKER_00: So they they were misdiagnosed type 2 diabetes and got put on a type 2 diabetes medication.
• 21:48
  SPEAKER_00: Yeah.
• 21:49
  SPEAKER_00: Even though A1C was high, even hold on, even though glucose was high.
• 21:53
  SPEAKER_00: So this is why, like, there's there's not a there's this is why there's not like a set standard, but the problem is.
• 22:00
  SPEAKER_00: Is is like the C peptide test and the auto antibody test aren't being done on a massive scale.
• 22:06
  SPEAKER_00: As an adult, you're coming into the ER, you're coming into your practitioner's office, family practitioner, whatever it is, you're coming into that individual, and they're making an assumption instead of actually looking at tests.
• 22:20
  SPEAKER_00: Yeah.
• 22:21
  SPEAKER_00: Right?
• 22:21
  SPEAKER_00: I think this is type two diabetes because this these are the things I'm looking at.
• 22:27
  SPEAKER_00: But let's let's try to get some more data.
• 22:29
  SPEAKER_01: Yeah.
• 22:30
  SPEAKER_01: Okay.
• 22:30
  SPEAKER_00: See peptide test, autoantibody test.
• 22:32
  SPEAKER_00: What does it look like?
• 22:34
  SPEAKER_00: The problem is, especially in the hospital setting, at least this is what I've heard, of why neither of those tests are done when you go to the ER, is because they're very expensive.
• 22:42
  SPEAKER_00: That shouldn't matter.
• 22:44
  SPEAKER_01: Yeah.
• 22:44
  SPEAKER_00: It shouldn't matter, right?
• 22:46
  SPEAKER_00: Or at the very least, okay, you go into the ER, your A1C is high, your glucose is high for whatever reason.
• 22:53
  SPEAKER_00: Maybe they don't do a C peptide test, maybe they don't do an autoantibody test, but you have higher glow higher blood sugar levels.
• 23:01
  SPEAKER_00: Obviously, the first thing they're going to do is get you stable, try to bring your blood sugars down, and then they should be telling you you need to go see a specialist.
• 23:09
  SPEAKER_00: You need to go see a CDE or an endocrinologist.
• 23:14
  unknown: Yeah.
• 23:15
  SPEAKER_00: Just get some more information.
• 23:16
  SPEAKER_00: That should be the conversation, but it's not.
• 23:19
  SPEAKER_00: At least not every time.
• 23:21
  SPEAKER_00: Maybe sometimes, but not every time.
• 23:23
  SPEAKER_00: Right?
• 23:23
  SPEAKER_00: So to answer your question, for has as prevalent right now that as type 1 diabetes and type 2 diabetes are, especially in the United States, the fact that we're not making this distinction is astronomically crazy to me.
• 23:41
  SPEAKER_00: It's crazy to me.
• 23:42
  SPEAKER_00: Now, obviously, if I'm an ER doc, okay, there's just condition after condition after condition coming in the ER, right?
• 23:51
  SPEAKER_00: It's not just type 1 diabetes or type 2 diabetes that's coming into the ER all the time.
• 23:56
  SPEAKER_00: There's there's can people with a gazillion different types of conditions that you have to deal with, right?
• 24:01
  SPEAKER_00: And that also causes a challenge because now these docs, one, they're worked so hard.
• 24:07
  SPEAKER_00: When are they supposed to do research?
• 24:09
  SPEAKER_00: When are they supposed to read articles?
• 24:12
  SPEAKER_00: When they're supposed to be that and when we expect them, especially someone like an ER doc, or heck, and even an endocrinologist who doesn't just deal with diabetes but deals with a whole slew of the metabolic system.
• 24:24
  SPEAKER_00: Okay, how do we expect all these people to be experts in one specific thing when they're supposed to be experts in everything?
• 24:32
  SPEAKER_00: That's not realistic.
• 24:34
  SPEAKER_00: For as much as they have to work, as much as they have to do, like, that's just not realistic.
• 24:40
  SPEAKER_00: So this is the other reason why I keep saying like your your endocrinologists, your providers, can't help you overcome and learn how to manage the day-to-day of diabetes.
• 24:54
  SPEAKER_00: They can help you understand insulin, they can help you understand the pumps, they can help you adjust your medications if need be, but they can't they can't help you with understanding the 42 factors that affect your blood sugar, the variables, how to deal with exercise, how to deal with sleep, how to deal with sickness, you how to deal with stress.
• 25:17
  SPEAKER_01: They can't help you with that.
• 25:18
  SPEAKER_01: You can only need a horse to water too, right?
• 25:20
  SPEAKER_00: Yes, but but there's so many people, especially people that are first diagnosed, that think that that person has every all the answers.
• 25:27
  SPEAKER_00: I've literally talked to people on online, okay, on social media, who have who have said to me personally, like, what do you know?
• 25:38
  SPEAKER_00: You're not a doctor.
• 25:40
  SPEAKER_00: Like, literally have said that to me.
• 25:41
  SPEAKER_00: And yes, 100% that person's correct.
• 25:44
  SPEAKER_00: I'm not a doctor.
• 25:45
  SPEAKER_00: But guess what I have over that doctor?
• 25:47
  SPEAKER_00: I live with it every freaking day.
• 25:50
  SPEAKER_00: I've made every single mistake in the book.
• 25:53
  SPEAKER_00: I've dealt with the burnout, I've dealt with the confusion and the frustration and the highs and lows and like the symptoms.
• 26:02
  SPEAKER_00: I I've dealt with all of that.
• 26:04
  SPEAKER_00: That doctor has not.
• 26:06
  SPEAKER_00: Doesn't mean that they're not a smart individual, but they it it just it's a different perspective on when you're talking to someone that has lived with that specific condition, whatever it is, like you.
• 26:20
  SPEAKER_00: That person's gonna have more insight.
• 26:22
  SPEAKER_00: And that's why I'm a coach.
• 26:24
  SPEAKER_00: That's why I'm trying to bring this information to people because I never had it when I first started.
• 26:30
  SPEAKER_00: And it would have saved me so much time and so much headache if I just had someone or even a little tiny podcast that I could listen to and just grab information from.
• 26:40
  SPEAKER_01: You know, as you tell that as you had that lap just this last this last you know, segment as you're talking here, you said a lot of things that I feel like I had already understood a long time ago.
• 26:54
  SPEAKER_01: And one of them is it's especially with men, it's very difficult to get a man to a doctor.
• 27:02
  SPEAKER_01: But then that man goes to the doctor, and then they're told you gotta go to a specialist, and then it it becomes a bit of a catch-22, you know, where it's like, Yeah, you're you god it and fucking kill me for saying this.
• 27:16
  SPEAKER_01: I can't believe I'm getting ready to say this, but you are asking a lot of people sometimes.
• 27:20
  SPEAKER_01: You know, I'm you know me, I believe in the medical system that I do, but like you are asking, and when it's not type one and it's just pre-diabetes and it's you know, the early warnings, like people aren't gonna take action, dude.
• 27:36
  SPEAKER_01: You you and I both know that.
• 27:37
  SPEAKER_01: Like of all those hundreds of millions of diabetics, most aren't doing a damn thing about it.
• 27:45
  SPEAKER_00: But we're also not talking about uh, yeah, I I agree with you, but we're also in this in the context of what we're kind of talking about right now, or at least what I'm talking about, we're not specifically talking about that person that really hasn't dealt with the symptoms yet, or is on the verge of like, oh my god, I'm gonna pass out, or oh my god, like my blood sugar is so high, I'm in DKA.
• 28:07
  SPEAKER_00: Like, yeah.
• 28:08
  SPEAKER_00: We're not talking about that person yet, right?
• 28:11
  SPEAKER_00: Because you're absolutely right, especially especially us guys, like we we don't want to go to the freaking doctor.
• 28:17
  SPEAKER_00: We ain't got time for that.
• 28:19
  SPEAKER_00: I don't want to go to the doc.
• 28:20
  SPEAKER_00: I don't want to go to the doctor.
• 28:21
  SPEAKER_00: When I was diagnosed, when I was diagnosed and they said my blood sugar was 450, they didn't even give me insulin.
• 28:28
  SPEAKER_00: Or then no, I think they did give me insulin in the doctor's office.
• 28:32
  SPEAKER_00: This is my family practitioner.
• 28:33
  SPEAKER_00: I'm being diagnosed with type two type 1 diabetes.
• 28:37
  SPEAKER_00: I'm getting a glucose monitor, I'm getting a 70-30 split, being told to take 12 units at night, 12 units in the morning.
• 28:44
  SPEAKER_00: We'll see you back in two weeks.
• 28:45
  SPEAKER_00: I went back to work.
• 28:47
  SPEAKER_00: They didn't send me to the hospital at 450.
• 28:49
  SPEAKER_00: Yeah, that's right.
• 28:50
  SPEAKER_00: I went back to work.
• 28:51
  SPEAKER_01: Yeah.
• 28:51
  SPEAKER_00: And didn't take my next injection until I got home.
• 28:55
  SPEAKER_00: I went back to work.
• 28:57
  SPEAKER_00: Right?
• 28:57
  SPEAKER_00: So it it I'm I'm not specifically speaking to that individual that hasn't the symptoms haven't overcome their their subconscious of saying, like, hey, dummy, go get checked out.
• 29:12
  SPEAKER_00: Right?
• 29:12
  SPEAKER_00: We're talking about that person that's in DKA.
• 29:15
  SPEAKER_00: We're talking about that person that that knows something is off, knows something I knows that they need to go get checked out.
• 29:22
  SPEAKER_01: Yeah.
• 29:23
  SPEAKER_00: That's the person we're talking about.
• 29:25
  SPEAKER_01: Yeah.
• 29:25
  SPEAKER_01: No, I understand.
• 29:26
  SPEAKER_01: I understand.
• 29:28
  SPEAKER_01: Do you do you do you think do you think that it's healthy that a family practitioner can give a pre-diabet a pre-diabetic that they can like you you can go to your family practitioner right now because you don't you don't know, you don't know where to start, right?
• 29:44
  SPEAKER_01: So you go to them and unbeknownst to you.
• 29:47
  SPEAKER_01: So let me here actually let me take a step back.
• 29:50
  SPEAKER_01: You said if someone goes to the hospital complaining of diabetes, whatever.
• 29:55
  SPEAKER_01: Let's call it.
• 29:56
  SPEAKER_00: Complaining of yeah, whatever.
• 29:58
  SPEAKER_00: Symptoms, I'm I'm constantly urinating, I'm I'm passing out, like whatever the symptoms are.
• 30:03
  SPEAKER_01: So what if some what if what about someone that goes to the family practitioner and does not know what all those things are?
• 30:09
  SPEAKER_01: That was me.
• 30:10
  SPEAKER_01: That was me.
• 30:11
  SPEAKER_01: Okay.
• 30:12
  SPEAKER_01: Well, hold on.
• 30:13
  SPEAKER_01: So so you're labeled, or your family practitioner tells you you're pre-diabetic and that you should start to like, you know, cut the carbs and maybe give you, they can give you something like a metformin.
• 30:27
  SPEAKER_01: Is it is it still to this day, is it kind of like wait and see?
• 30:32
  SPEAKER_01: Like give it three months or wait and see, or they're not gonna upgrade.
• 30:35
  SPEAKER_01: So, like, why wouldn't you upgrade like a 13A1C?
• 30:39
  SPEAKER_01: I've literally heard of this.
• 30:40
  SPEAKER_01: People off the streets, they don't know why they're feeling shitty, and they come, they have like a 13A1C and their cholesterol through the roof and this and that.
• 30:49
  SPEAKER_01: Like, why doesn't why doesn't that get you admission to the hospital if it could be so detrimental, if it could be well, it just depends on the on the practitioner, right?
• 30:57
  SPEAKER_00: I I would say I I would hope that most practitioners, if you are having chronic things happen, maybe not even just diabetes, but you have chronic things happening and you should go see a specialist, I would hope that individual sends you to the hospital or send or at least tells you, hey, you need to go see this specialist.
• 31:16
  SPEAKER_00: Here's a referral for you, whatever it might be, right?
• 31:19
  SPEAKER_00: But then there are cases, like in my case, I wasn't I wasn't told pre-diabetes, I was told, we think you have type 1 diabetes.
• 31:27
  SPEAKER_00: But they didn't give me any information on it.
• 31:30
  SPEAKER_00: What the hell is type 1 diabetes?
• 31:31
  SPEAKER_00: I had no idea.
• 31:32
  SPEAKER_00: Zero.
• 31:33
  SPEAKER_00: They said diabetes.
• 31:34
  SPEAKER_00: They didn't even say type 1 diabetes.
• 31:36
  SPEAKER_00: They actually said diabetes.
• 31:38
  SPEAKER_00: I'm like, well, I'm I'm That's because you were like a low healthy guy.
• 31:41
  SPEAKER_01: What about like the 70% of the 70% of men that are just like, I think I'm a little bit off, and then you're like, no, dude, you're like really, really, really out of whack, but they're still not that motivated, and it seems like the doctor's office.
• 31:56
  SPEAKER_00: Here's what's happen here's what probably is happening, right?
• 31:59
  SPEAKER_00: We're we're we're speculating.
• 32:01
  SPEAKER_00: It's okay to ask.
• 32:02
  SPEAKER_00: Speculating because I'm not I'm not in that world.
• 32:05
  SPEAKER_00: But think about the re res the insurgents in our world right now and the medical system of GLP1s, right?
• 32:14
  SPEAKER_00: This thing is like the the healer of everything.
• 32:18
  SPEAKER_00: It's what it's becoming, right?
• 32:20
  SPEAKER_00: That that's an over-exaggeration, for sure.
• 32:23
  SPEAKER_00: But it's like it's doing things for a lot of it's it's it's doing good things for a lot of different things that are happening in someone's body, right?
• 32:33
  SPEAKER_00: It's solving some things that solving it's solving situations outside of just weight loss.
• 32:38
  SPEAKER_00: Okay.
• 32:39
  SPEAKER_01: Easily solving and easy context.
• 32:41
  SPEAKER_00: Yeah, yeah.
• 32:42
  SPEAKER_00: Right.
• 32:42
  SPEAKER_00: Easy context, right?
• 32:43
  SPEAKER_00: It's solving a lot of things outside of like blood sugar and weight loss because that's what it's really designed for blood sugar to help with blood sugar regulation and with hormonal displacement.
• 32:54
  SPEAKER_00: Okay.
• 32:54
  SPEAKER_00: So it's it's it's helping it's helping things.
• 32:58
  SPEAKER_00: So think about how easy it is for the doctors now.
• 33:02
  SPEAKER_00: You got high blood sugar, you might be pre-diabetic, you got chronic, you know, inflammation, you have you're overweight, you are sanitary, your cholesterol's through the roof.
• 33:15
  SPEAKER_00: Like, what's the first thing that they're gonna probably do?
• 33:18
  SPEAKER_00: Pull you on a GLP 1.
• 33:19
  SPEAKER_00: That that's literally the first thing that's gonna happen.
• 33:22
  SPEAKER_00: And I can I could see how this also could happen for someone like me 20 years ago, where the doctor didn't know much about type 1, and he knew what type 1 diabetes is, but he didn't know a he didn't know about like how to treat it necessarily.
• 33:41
  SPEAKER_00: Right?
• 33:42
  SPEAKER_00: The protocol was 70-30 split.
• 33:44
  SPEAKER_00: Here's the math to get to what the ratio should be.
• 33:47
  SPEAKER_00: That was the protocol when I was diagnosed in my that my family practitioner followed.
• 33:52
  SPEAKER_00: Right.
• 33:53
  SPEAKER_00: Think about 20 years later, now I'm getting diet, like think about if I'm being diagnosed now.
• 33:58
  SPEAKER_00: I'm pretty healthy, like my profession, along with I'm an avid exerciser, right?
• 34:07
  SPEAKER_00: Like I've been a multi-sport athlete.
• 34:09
  SPEAKER_00: I still play basketball multiple times a week, right?
• 34:14
  SPEAKER_00: What's the first thing that they're probably gonna do?
• 34:16
  SPEAKER_00: Oh, well, your A1C's up a little bit, so we're gonna put you on this GLP one first.
• 34:22
  SPEAKER_00: Because not everybody, but a lot of these practitioners are getting kickbacks from that thing too.
• 34:27
  SPEAKER_00: So it's an easy, it's an easy sell for them.
• 34:30
  SPEAKER_00: This is what we're gonna try first.
• 34:32
  SPEAKER_00: Now, I I that might not be happening all the time, and it might not be happening at all.
• 34:36
  SPEAKER_00: I have no idea.
• 34:37
  SPEAKER_00: I'm just saying that I could see how it could be happening.
• 34:41
  SPEAKER_00: Where that's now the first thing because it works.
• 34:47
  SPEAKER_00: You know, you're pre-diabetic, you have high high A1C, your glucose levels are high, you they haven't done a C peptide test to see what you're in, you know, free what type of free-flowing insulin do you have?
• 35:00
  SPEAKER_00: They haven't done an auto-body antibody test to see if you even have the markers for type 1 diabetes.
• 35:05
  SPEAKER_00: They haven't done any of those tests yet.
• 35:07
  SPEAKER_00: So for all the people that are being misdiagnosed, instead of just being randomly put on metformin, now we're gonna probably start putting people on other GLP1s and see if that helps.
• 35:18
  SPEAKER_00: I I mean, I could see how that would be a thing.
• 35:21
  SPEAKER_00: Because it used to be or it has been, high blood sugars, A1C is, you know, a little bit elevated, maybe it's like six.
• 35:30
  SPEAKER_00: That's still a prediabetes number.
• 35:33
  SPEAKER_00: 6.1, that's a prediabetes number.
• 35:36
  SPEAKER_00: Okay, we're gonna go on metformin.
• 35:38
  SPEAKER_00: A little bit overweight.
• 35:40
  SPEAKER_00: Okay, this makes sense.
• 35:40
  SPEAKER_00: We're gonna go on metformin.
• 35:42
  SPEAKER_00: Now, I bet metformin's not being used as much as it used to be, and it's now they're going to Ozempic, I bet.
• 35:49
  SPEAKER_00: Or s or Govey or whatever.
• 35:53
  SPEAKER_01: Yeah.
• 35:54
  SPEAKER_00: Right?
• 35:54
  SPEAKER_00: So I I mean, to answer your question, like I'm not sure, but like I think that I think that the the the interesting thing about where we are, at least in the diabetes space, that I'm nervous about is because it seems like these GLP ones are are pretty effective, at least in the short term.
• 36:16
  SPEAKER_00: We still I still believe, personal opinion, I still believe we don't really know what the long-term effects of this is gonna be, and if people are gonna have to stay on it forever.
• 36:27
  SPEAKER_00: But from the short from what we see have seen so far, it can help people, especially people with dysregulated hormones, like GLP1, like insulin.
• 36:38
  SPEAKER_00: When those things are dysregulated, these medications are helping 100%.
• 36:44
  SPEAKER_00: So I can see that that is becoming the new protocol for adults, is GLP1.
• 36:50
  SPEAKER_00: Let's see how this works.
• 36:52
  SPEAKER_01: Are you as a professional, do you pay attention to like when you hear of somebody dying and it says often, you know, complications from diet, like complications from like is that do you feel like that's become more of your world, of your world?
• 37:06
  SPEAKER_00: Like that's I wouldn't say it's become more of my world.
• 37:09
  SPEAKER_00: I I notice it when people talk about it.
• 37:11
  SPEAKER_01: You notice it more?
• 37:12
  SPEAKER_00: Yeah, because I'll have conversations with people and they're like, oh yeah, I have retinopathy, or I've got, you know, blood flow problems in my feet, and like they've got those complications because they've had diabetes for so long, and for it's taken them so long to trick figure out how to deal with deal with it, or they're still uncontrolled.
• 37:31
  SPEAKER_00: Right.
• 37:32
  SPEAKER_00: So obviously, the longer you go with uncontrolled stability in your blood sugars, the the likelihood and the chances of you having complications are going to be way higher than if you have stability and control.
• 37:46
  SPEAKER_00: My main focus is trying to educate people and teach people how to gain stability and control and then keep that.
• 37:56
  SPEAKER_00: Because you can listen to this podcast and figure out how to gain stability and control, but keeping it on a consistent basis is a different story.
• 38:05
  SPEAKER_00: That takes troubleshooting, that takes conversation, that takes more higher education, more higher learning.
• 38:12
  SPEAKER_00: Right?
• 38:13
  SPEAKER_00: So that that's that's my big thing.
• 38:16
  SPEAKER_00: Is I need to I'm trying to teach people how to gain stability and control and help them like consistently sustain that.
• 38:24
  SPEAKER_01: It uh it requires taking action, even when you're just burnout and you're tired and you've it does, but burnout is a real thing, man.
• 38:33
  SPEAKER_01: Like I just I mean I didn't even mean in terms of diabetes.
• 38:36
  SPEAKER_01: I do notice that's exactly truth.
• 38:38
  SPEAKER_01: And I think I think that's what I love the most about and you you'll always catch me for saying positive things like this, but I love about diabetes.
• 38:47
  SPEAKER_01: What I truly, truly love about diabetes is it keeps me on my toes, man.
• 38:51
  SPEAKER_01: It keeps me I always say I'm leaning into the wind, man, I'm waiting for the next thing.
• 38:56
  SPEAKER_01: It's it's exhausting but exciting.
• 38:58
  SPEAKER_01: It's a it's an equally exhausting and exhilarating and exciting, but it's on you.
• 39:06
  SPEAKER_01: It reminds me every single day.
• 39:08
  SPEAKER_01: Everything gets just Ken just said, you could insert 10 hours of knowledge every day, but it's on you to get up and take that action and to make something of it.
• 39:17
  SPEAKER_01: And like, and I'll go back to something that I say, you know, like humans aren't perfect, and I can only speak from the male population, but um you know to this day, it's 2026.
• 39:30
  SPEAKER_01: If in the slightest, if you do anything in the slightest, negatively, your boys are gonna get on you like, oh you're you're a pussy, blah blah blah.
• 39:38
  SPEAKER_01: Like, we didn't live competitively, we are just hard headed, we don't want delays, we don't want to stop.
• 39:45
  SPEAKER_01: And I you know, I I don't blame I don't blame men for feeling that way.
• 39:50
  SPEAKER_01: And just I guess my my thought is just don't do it before it's too late, you know.
• 39:56
  SPEAKER_01: Just because you're not feeling the effects of something, you you do know that not exercising or eating bad or not going to see that specialist is that is the difference.
• 40:08
  SPEAKER_00: Think about the habit of putting it off.
• 40:10
  SPEAKER_00: Oh, like that becomes easier.
• 40:12
  SPEAKER_00: Yeah.
• 40:12
  SPEAKER_00: Well, yeah, that's what I'm saying.
• 40:13
  SPEAKER_00: Like you're you're saying like it's you know, you know you have to eat better, you know you have to exercise, you know you're supposed to get enough sleep, you know you're supposed to drink water.
• 40:26
  SPEAKER_00: We all know that stuff.
• 40:27
  SPEAKER_00: Like we all know that stuff.
• 40:29
  SPEAKER_00: But the difference is is like when you're not doing that, you're not going to take action until something happens to you.
• 40:36
  SPEAKER_00: Yeah, totally.
• 40:38
  SPEAKER_00: Whether it's whether it's you whether it's you fall and break your ankle, whether it's you get cancer.
• 40:44
  SPEAKER_00: I hate that like I hope no one's getting cancer that's listening to this.
• 40:47
  SPEAKER_00: You know, whatever whatever it might be, right?
• 40:50
  SPEAKER_00: You're getting a chronic illness, you're getting, you know, you're getting type 1 diabetes, whatever it might be.
• 40:55
  SPEAKER_00: Like, you're most people don't take action until that thing happens to them.
• 41:00
  SPEAKER_00: Okay.
• 41:01
  SPEAKER_00: Or maybe it's like I look in the mirror and I think I'm fat.
• 41:05
  SPEAKER_00: I'm gonna go take action.
• 41:07
  SPEAKER_00: Like sometimes that happens to people, right?
• 41:09
  SPEAKER_00: It's it's a hard pill to swallow when you think about putting your pill yourself first.
• 41:15
  SPEAKER_00: I can't I can't tell you how many conversations I have with people through Zoom, people that are interested in coaching or just online or whatever, out and out in the diabetes or in the diabetes wild you know wild that we that we call it.
• 41:29
  SPEAKER_00: I can't tell you how many people I talk to that make excuse after excuse after excuse of why they're not doing something.
• 41:38
  SPEAKER_00: I'm on an insulin pump, but it's just not working, but uh, there's no other alternative, right?
• 41:43
  SPEAKER_00: Or I I'm working, you know, 10 hours a day, so I don't exercise.
• 41:49
  SPEAKER_00: I don't eat the right, I don't eat right because it's too hard.
• 41:53
  SPEAKER_00: Whatever it might be, so many people have so many excuses.
• 41:58
  SPEAKER_00: We we tell ourselves so many stories to get out of taking action because taking action and being healthy, not just in diabetes, but in our in our life, is hard.
• 42:13
  SPEAKER_00: It's not easy.
• 42:15
  SPEAKER_00: If it was easy, everybody would be walking around in bikinis and at the beach.
• 42:19
  SPEAKER_00: We'd all be in spandex and having fun.
• 42:23
  SPEAKER_00: We'd all have six packs and eight packs if it was easy.
• 42:27
  SPEAKER_00: It's not, it's not easy, especially as you get older.
• 42:30
  SPEAKER_00: It's not easy.
• 42:31
  SPEAKER_01: Do you do you think that you know how to find the good and even in bad things?
• 42:39
  SPEAKER_00: 100%.
• 42:41
  SPEAKER_01: Like even just something yeah, like I always make that that's why I run.
• 42:46
  SPEAKER_01: It's just like always that's what people threaten.
• 42:48
  SPEAKER_01: That's like the hardest thing.
• 42:49
  SPEAKER_01: Like, and I'm always like, well, if I can overcome that challenge, I'm a better person.
• 42:54
  SPEAKER_01: And I I will list till the cows come home all the reasons why I love to run, but I I think it's that.
• 43:00
  SPEAKER_01: I think it's that more than anything.
• 43:02
  SPEAKER_01: It's it's that it makes me really uncomfortable, but I found a way to love it, you know?
• 43:07
  SPEAKER_00: Yeah, I also but that's but that's the key, Graham.
• 43:10
  SPEAKER_00: You found a way.
• 43:11
  SPEAKER_01: Well, dude, I'm not gonna, without giving away too much, I was around a group of youngsters at an elementary school event and it required them to run.
• 43:21
  SPEAKER_01: I was shocked at how out of breath these kids were at like we're we're talking seconds of running, dude.
• 43:27
  SPEAKER_01: Seconds.
• 43:28
  SPEAKER_01: These kids were like hyperventilating.
• 43:31
  SPEAKER_01: And these are eight and nine-year-old kids that are just beginning their lives, you know, so light.
• 43:36
  SPEAKER_00: But if they're not always doing that, if they're because that's the other thing you have to recognize, right?
• 43:41
  SPEAKER_00: Just like if you go into the gym and you and it's been forever since you really lifted weights and you go start lifting weights again, you're gonna be sore, you're gonna be tired, you're gonna hurt.
• 43:50
  SPEAKER_00: It's the same thing with running.
• 43:51
  SPEAKER_00: You don't run all the time.
• 43:53
  SPEAKER_00: Like, even if you're in shape, even if you're like you go to the gym every single day, even if you take classes, even if you do those if you don't go run every day when you go try to run it's not easy it's gonna be hard because your system's not your system's not primed and ready for it which is why people when they are starting to train for a half marathon or a marathon or like a a distance race that's why you start small and work your way up because you have to build your body up it's the same thing when you lift like you got to build your body up but I guess to say that these kids are like hyperventilating yeah they should they probably shouldn't be hyperventilating like that within 10 seconds but also you got to remember these kids don't run they don't get outside like we do they don't they don't do the things that we used to do when we were you know beginning of internet pre social media like they're that stuff's not happening the way it used to be this is this is on the heels though this is on the heels of me saying like you have to find you have to find the enjoyment even in the things that make you uncomfortable because there to me I used A I only used running as an example but B what what difference is day one of running versus day 1000 of running it's always gonna suck it's always gonna be miserable so if if you can necessarily this is a belief that I have if you can find a way to enjoy it on day one you're probably gonna find a way to enjoy it on day 1000 because you had the right you had the right mindset about it whether it's anything dude have you ever enjoyed sticking a needle in your arm it's gonna suck every single time I don't it doesn't matter to me anymore though.
• 45:33
  SPEAKER_00: Correct because your mindset changed yes but your shot changed your mindset changed and that's that's exactly what you're talking about with this running thing right I'm sorry you like running now I guarantee you when you started running that you did not like running.
• 45:50
  SPEAKER_00: I guarantee frequent that it was like oh this sucks but I'm gonna keep on doing it because I'm motivated well in the beginning I had the different I I I learned I learned about running because I had a different goal in the beginning.
• 46:04
  SPEAKER_00: Correct but again you you're talking about like the the day one is compl no different than day one thousand of running it's not it completely is because over that from one day one to one thousand your mindset changed your body changed your physiologically you changed your lung capacity changed how you actually strike the ground and run changed like your gait changed like you you're not injured you hopefully you're not injured anymore like but those are all the obvious my point though those are all the obvious things that you can't make a statement and say that number one day one is the same as 1000 because so many things happened from day one to 1000.
• 46:47
  SPEAKER_01: I again I'll go back to what I everything you just said is incredibly obvious.
• 46:52
  SPEAKER_01: The reason why I argue that nothing about it has changed is because I feel as though I understood going into the project that if here's a great example if day one of running I've never run you don't run four miles you run a tenth of a mile.
• 47:11
  SPEAKER_01: Day two you run two tenths you you put level yourself with where you're supposed to be as in what is the biggest failure in running dude 80% of people they go out for one long ass run with their buddy or their boyfriend or their girlfriend and they fucking hate it and they never want to do it again.
• 47:30
  SPEAKER_01: You didn't have to throw yourselves to the wolves you you you you like pace yourself enjoy it build up to that point take you know like take your dog out for a run like you know I I guess that was my it's not perfect.
• 47:44
  SPEAKER_01: I obviously I'm not perfect we're having fun with it yes day one is so it's very different from day 1000 but my idea is my idea is my idea is just that if you tell yourself something is miserable every time yeah you're gonna it's gonna be miserable but you know you can change you can change the you can change the conversations in your head about it maybe you know but you can tell yourself something is miserable and still have the motivation to understand what you're talking about that day 1000 is gonna you're gonna feel like a million bucks and have the motivation to get to day 1000.
• 48:19
  SPEAKER_00: That's the difference right you can still tell yourself that every single day sucks right I I'll go out and run all day long.
• 48:27
  SPEAKER_00: I don't freaking like it but I'll go do it you know I'll go do it.
• 48:32
  SPEAKER_00: I would much rather go do play basketball I would much rather go play soccer.
• 48:37
  SPEAKER_00: I'd go much rather go play flag football or football with my buddies than go running.
• 48:42
  SPEAKER_00: And it's probably it's probably it's hold on it's probably even better for my system because it's more me doing more doing intervals than just going for a steady run.
• 48:54
  SPEAKER_01: Yeah.
• 48:55
  SPEAKER_00: Not that steady running is bad for you but in I mean intervals man that that's better for you.
• 49:02
  SPEAKER_01: Yeah and and you also just mentioned a lot of activities that involve others like I I think as a young kid I was a swimmer I was a wrestler I rode bikes like I had done a lot of individual sports where I locked into my own like my obstacle is my own brain you know my obstacle is my own ability to push and do that so yeah that's how you that's what you learned.
• 49:27
  SPEAKER_00: That's what you learned how to accomplish those things and from that perspective.
• 49:32
  SPEAKER_01: So good talk man we're all over the place today.
• 49:38
  SPEAKER_00: Yeah kinda we were kind of all over the place today but that's alright.
• 49:42
  SPEAKER_00: That's all right.
• 49:43
  SPEAKER_00: I hope everybody go ahead yeah go I just I hope everyone enjoyed I I I very much enjoyed that conversation got me going there for a second.
• 49:52
  SPEAKER_00: I was like I was getting a little like triggered not crazy triggered but a little bit triggered by what?
• 49:58
  SPEAKER_00: Just about like I just the whole medical system thing and how they deal with diagnosis is I guess I just don't really understand it to an extent.
• 50:07
  SPEAKER_00: I understand it a little bit because every person is different but just from the conversations that I've had over the years of people being misdiagnosed with type two or not being diagnosed at all it's it's astronomical.
• 50:21
  SPEAKER_00: It's crazy to me.
• 50:22
  SPEAKER_00: It's absolutely insane to me.
• 50:23
  SPEAKER_00: And I actually before we end, I forgot about this I asked Claude some stats and I because you had talked about stats earlier and I just wanted to throw these out right so as of January of 2026 pre-diabetes and type 2 diabetes is about 115 million type 1 diabetes is about 2.8 million I'm sorry pre-diabetes is 115 type 2 diabetes is 38 million and type 1 is only is 2.1 million people have type 1 diabetes which is 6% 0.6% so 34% of people that are diagnosed with diabetes are prediabetic.
• 51:10
  SPEAKER_01: 11.4% are type 2 diabetic and 0.6% are type 1 which is it's it's freaking crazy dude it's all crazy it's all it's I guess my thing is is I don't feel the way you do because I do think it is so it is I I left there's a in our notes it says evolving diabetes.
• 51:33
  SPEAKER_01: You should look in that link it's evolving man God it's changed it's evolving and changing so much dude like it is I would feel I would feel very uncomfortable as a medical practitioner with all these cases coming into my office if anything I'd want to like almost leave the information general because it's like well you they do they have to leave the they that's what I'm saying because you don't even know you don't even know like it's they have to leave it in general like it has to be general because it's so unique to the individual.
• 52:08
  SPEAKER_00: And then here's the last ad because you talked about undiagnosis on on people that are undiagnosed it's about 11 million right now they think are undiagnosed.
• 52:18
  SPEAKER_00: 11 million people don't surprise me as well 11 million people are undiagnosed.
• 52:27
  SPEAKER_00: That's crazy.
• 52:28
  SPEAKER_00: Dude I again That is crazy 11 million people undiagnosed because they just don't know and they're not having the symptoms that would make them go try to get diagnosed because that's the other problem.
• 52:39
  SPEAKER_00: Have you can't put this we can't put it all in the medical system.
• 52:42
  SPEAKER_01: Have you seen Toy Story 5?
• 52:44
  SPEAKER_01: Not yet it's all about it's all about this like kids aren't even playing with toys it's all devices like they don't like it's it's like a it's almost like a disgust like it was like a depressing movie but it's so true.
• 52:56
  SPEAKER_01: Like why am I watching this?
• 52:57
  SPEAKER_01: But well my my story of those like dude these kids are like like I said these the way that these kids are so out of breath bro you would have been horrified.
• 53:05
  SPEAKER_01: You would have been horrified I just don't and I know that I I just don't I don't you know I don't know that I remember kids I thought like playing was in their nature.
• 53:15
  SPEAKER_01: My my kid might they play hard but like there were some just random kids around that I don't know and I'm like my God you don't think like they're it isn't our nature though.
• 53:22
  SPEAKER_00: But these are like no these like it is in our nature.
• 53:24
  SPEAKER_00: They're like it it isn't our nature to play.
• 53:28
  SPEAKER_00: Alright well let's get out of here all right thank you so much everybody for listening if you if you haven't caught the last two episodes they're amazing I actually just started a new series called Diabetes Tips and Tricks and the first the first conversation was uh all about oh yeah okay sorry whoo the first conversation was all about insulin so what is insulin how do you look at insulin do you know the type of insulin that you're actually on do you know the three main metrics that you should be looking at for for that insulin activation duration and peak so we dive deep into insulin and how we need to be able to utilize that throughout living with diabetes.
• 54:11
  SPEAKER_00: So that's a good really good episode that was 288 and then 287 was like I said all about my sickness last week and how I dealt with it and there's something really interesting that's happened and it's the first time it's ever happened in 20 years.
• 54:25
  SPEAKER_00: So go listen to that episode as well.
• 54:28
  SPEAKER_00: 388 Yeah I think that's it.
• 54:31
  SPEAKER_00: Graham as always thank you so much for joining me thanks everybody for listening and we will see you guys next time