Participants: Bill Santos
Series Code: IIWC
Program Code: IIWC201135
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00:02 >>BILL: ON TODAY'S "IT IS WRITTEN" PROGRAM ANOTHER
00:03 ONE IN OUR LIVE HEALTHY SERIES WITH DR. FERREIRA. 00:05 I HOPE YOU WILL JOIN US. 00:05 WE WILL BE BACK IN JUST A MOMENT. 00:11 (MUSIC) 00:24 >>ANNOUNCER: IT HAS STOOD THE TEST OF TIME . . . 00:26 GOD'S BOOK, THE BIBLE. 00:29 STILL RELEVANT IN TODAY'S COMPLEX WORLD. 00:34 IT IS WRITTEN . . 00:34 . SHARING MESSAGES OF HOPE AROUND THE WORLD. 00:42 (MUSIC) 00:55 WELL, LET ME WELCOME ALL OF OUR VIEWERS TO THIS 00:56 WEEKS "IT IS WRITTEN" PROGRAM. YOU KNOW, EVERY 00:58 SO OFTEN WE LIKE TO RUN THESE LIVE HEALTHY 01:01 PROGRAMS WITH SOME VERY PRACTICAL LIFESTYLE CHANGE 01:02 CHOICES FOR OUR VIEWERS AND TO HELP US TODAY WE 01:05 HAVE OUR RETURNING GUEST DR. FERREIRA. DOCTOR, 01:09 WELCOME BACK. >>DR. 01:10 FERREIRA: THANK YOU. 01:10 >>BILL: YOU KNOW, THESE PROGRAMS HAVE HELPED MANY, 01:13 MANY PEOPLE AND, YOU KNOW, AS WE LOOK AT DIFFERENT 01:17 ISSUES THAT WE THINK ARE RELEVANT. ON TODAY'S 01:18 PROGRAM WE WANT TO TALK ABOUT SOMETHING THAT IS 01:21 OF A SERIOUS NATURE AND IS BECOMING MUCH MORE 01:28 WIDESPREAD AND THAT IS DIABETES. WE'VE TALKED 01:29 ABOUT THIS BEFORE.>>DR. 01:34 FERREIRA: YES. 01:34 >>BILL:.BUT, I GUESS, RECENTLY THERE'S SOME NEW 01:37 INFORMATION THAT'S COME OUT AND WE THOUGHT IT 01:38 WOULD BE IMPORTANT TO SHARE THAT WITH OUR 01:40 VIEWERS. MAYBE WE COULD START WITH A DEFINITION OF 01:44 WHAT IS DIABETES? >>DR. 01:45 FERREIRA: DIABETES IS A DISEASE THAT'S CAUSED BY 01:51 HAVING SWEET BLOOD. WE ALL HAVE A CERTAIN AMOUNT OF 01:52 GLUCOSE, WHICH IS SUGAR, CIRCULATING IN OUR BODY, 01:59 OUR BLOOD. AND AFTER WE EAT, FOR EXAMPLE, THAT 02:05 AMOUNT INCREASES.>>BILL: OKAY. >>DR. FERREIRA:.AND, 02:06 WHICH IS NORMAL, AND THEN AFTER A FEW HOURS IT'S 02:11 COMING BACK TO NORMAL. 02:11 AND THERE IS, YOU KNOW, NORMAL, THERE IS A RANGE 02:15 THAT YOU CONSIDER NORMAL SO, IN A DIABETIC THE 02:21 SUGAR DOESN'T REALLY COME DOWN. IT STAYS HIGH AND IT 02:22 CAN GO HIGHER AND HIGHER. 02:27 AND IT HAS EFFECTS IN YOUR BODY. IT AFFECTS DIFFERENT 02:28 SYSTEMS, IT STARTS DAMAGING THE BODY AND 02:32 THAT'S DIABETES. >>BILL: OKAY. >>DR. FERREIRA: 02:36 BASICALLY IT'S SWEET BLOOD.>>BILL: OKAY. >>DR. 02:37 FERREIRA:.SWEET BLOOD. 02:39 >>BILL: NOW, YOU KNOW, I MADE REFERENCE TO THIS 02:40 AS A SERIOUS PROBLEM. HOW WIDESPREAD IS THE PROBLEM 02:44 OF DIABETES TODAY? >>DR. 02:44 FERREIRA: WELL, IT'S VERY WIDESPREAD. IN FACT, 02:46 YOU KNOW, THE STATISTICS CHANGE EVERY YEAR, YOU 02:50 KNOW. I REMEMBER THAT NOT SO LONG AGO, FOR EXAMPLE, 02:51 IN NORTH AMERICA ABOUT 6 - 7% OF THE POPULATION WERE 02:56 DIABETICS. THAT'S VERY, VERY HIGH ALREADY. NOW, 03:02 WE'RE TALKING ABOUT 10 - 11%. >>BILL: WOW. >>DR. 03:03 FERREIRA: SO, AND IT'S ESTIMATED, FOR EXAMPLE, 03:06 THAT BY THE YEAR 2050, ONE OUT OF EVERY THREE ADULTS 03:11 WILL HAVE DIABETES. CAN YOU IMAGINE.>>BILL: WOW. 03:12 >>DR. FERREIRA:.THAT ONE OUT OF THREE? AND THAT'S, 03:14 AND MOST OF THESE CASES, IN FACT 90 - 95% HAVE, 03:19 WHAT WE CALL, DIABETES TYPE 2 OR DIABETES OF LATE 03:20 ONSET, WHICH IS NOT SO LATE BECAUSE WE'RE GETTING 03:28 YOUNG PEOPLE NOW EVEN CHILDREN WITH DIABETES 03:32 TYPE 2. SO, 95%, 95% ARE RELATED TO DIABETES TYPE 03:33 2.>>BILL: OKAY. >>DR. 03:42 FERREIRA:.WHICH IS LARGELY A LIFESTYLE RELATED 03:43 DISEASE. >>BILL: SO, IN OTHER WORDS, WOULD IT BE 03:47 PROPER TO SAY IT COULD BE PREVENTABLE? >>DR. 03:50 FERREIRA: YES. YES. 03:50 >>BILL: OKAY. >>DR. 03:51 FERREIRA: ABSOLUTELY. 03:53 ABSOLUTELY. SEE, THIS INCREASE IN DIABETES, IN 03:54 THE NUMBER OF DIABETICS HAS ONE ONLY REASON WHICH 04:03 IS LIFESTYLE, BASICALLY SEE, THE DIABETES TYPE 1, 04:06 THOSE WHO NEED TO TAKE INSULIN FROM THE TIME 04:07 THEY'RE DIAGNOSED, THOSE ARE A MINORITY AND THAT 04:12 PERCENTAGE HAS REMAINED VERY MUCH CONSTANT. IT'S 04:18 THE TYPE 2'S, THE ONES THAT HAVE TO DO, THAT 04:19 HAVE DIABETES RELATED TO LIFESTYLE THAT'S ON 04:23 THE INCREASE AND THAT IS PREVENTABLE. >>BILL: WOW. 04:26 SO, DIRECTLY RELATED TO WHAT WE ARE EATING AND 04:27 HOW WE ARE TREATING OUR BODIES? >>DR. FERREIRA: 04:37 THAT'S RIGHT. THAT'S RIGHT. AND WE'VE HAD A 04:39 PROGRAM ON DIABETES.>>BILL: YES, 04:40 WE HAVE. YES. >>DR. 04:42 FERREIRA:.MAYBE THE VIEWERS COULD EVEN CALL IN 04:43 AND ASK FOR THAT PROGRAM BECAUSE IT WILL GIVE THE 04:45 BASIS FOR US TO UNDERSTAND THE SECOND PROGRAM, OKAY. 04:51 NOW, I SAID IN THAT PROGRAM THAT ONE OF THE 04:52 THINGS THAT REALLY AFFECTS THE ONSET OF DIABETES IS 04:57 THE FAT, OKAY? THE AMOUNT OF FAT THAT WE HAVE IN OUR 05:05 BODIES AND THE AMOUNT OF FAT THAT WE EAT, 05:06 OKAY >>BILL: OKAY. >>DR. 05:09 FERREIRA: THAT STILL HOLDS TRUE. WE KNOW MORE ABOUT 05:10 IT. WE KNOW THAT, FOR EXAMPLE, WHEN WE OVEREAT 05:13 THE EXCESS ENERGY OR SOME OF THE NUTRIENTS, THE 05:21 EXCESS ENERGY IS GOING TO BE TRANSFORMED INTO 05:22 FAT.>>BILL: OKAY. >>DR. 05:27 FERREIRA:.OKAY? SO, IT'S LIKE THE BODY IS SAYING, 05:28 I DON'T KNOW IF BILL IS GOING TO HAVE FOOD 05:31 TOMORROW SO, LET ME STORE WHAT'S IN EXCESS TODAY SO 05:33 IF TOMORROW HE NEEDS I'LL JUST GO BACK TO STORAGE 05:34 AND TAKE THAT. >>BILL: YEAH, MY STORAGE IS 05:38 ALMOST OVERFLOWING RIGHT NOW, BUT.(LAUGHTER)>>DR. 05:41 FERREIRA: WHAT, WHAT, AND SO WE ALL HAVE THAT 05:42 CAPABILITY. >>BILL: RIGHT. 05:45 OKAY. >>DR. FERREIRA: EVERY HUMAN BEING HAS THAT 05:46 CAPABILITY. SO, AND WE HAVE SPECIAL CELLS TO 05:51 STORE FAT. >>BILL: OKAY. 05:51 >>DR. FERREIRA: OKAY. SO, LET'S SAY YOU EAT A 05:56 BISCUIT TODAY, YOU DON'T NEED IT SO THE BODY SAYS, 05:59 OKAY, I DON'T KNOW IF HE'S GOING TO HAVE TOMORROW SO 06:00 LET'S PUT THIS BISCUIT IN A STORAGE PLACE. >>BILL: 06:06 OKAY. >>DR. FERREIRA: SO, SO THAT BISCUIT GETS 06:09 CONVERTED INTO FAT AND THAT GOES INTO SPECIAL 06:09 CELLS.>>BILL: OKAY. >>DR. 06:11 FERREIRA:.CALLED 'FAT CELLS'. >>BILL: OKAY. 06:11 >>DR. FERREIRA: OKAY. NOW, THERE ARE PEOPLE AND 06:13 THERE'S SOME GENETICS HERE AS WELL. THERE ARE PEOPLE 06:17 WHO CAN JUST INCREASE THE SIZE OF FAT AND THEY 06:18 ACTUALLY MAKE NEW FAT CELLS TO STORE MORE AND 06:22 MORE FAT. SO, WHAT HAPPENS IS THAT THE BODY JUST 06:29 STARTS INCREASING IN SIZE, OKAY. SO, THERE ARE MORE 06:30 FAT CELLS, I'M BIGGER AND SO ON. BUT PEOPLE 06:33 WHO SEEMS TO HAVE LESS CAPACITY TO DO THIS AND 06:39 WHAT HAPPENS IS THAT ONCE, LET'S SAY, THAT THRESHOLD 06:40 OR THAT MAXIMUM CAPACITY OF FAT CELLS IS REACHED, 06:45 THE BODY JUST STARTS DEPOSITING FAT EVERYWHERE. 06:53 IN PLACES WHERE NORMALLY YOU DON'T FIND MUCH 06:54 FAT >>BILL: OH, THAT'S INTERESTING. >>DR. 06:57 FERREIRA: IN MUSCLES, AROUND THE INTERNAL 07:02 ORGANS, IN THE LIVER. THE LIVER IS NOT SUPPOSED TO 07:03 BE A FAT STORAGE PLACE, PER SE, YOU KNOW. SO, THE 07:07 LIVER BECOMES FATTY. EVEN THE INTESTINES, YOU KNOW, 07:15 THEY STORE FAT, THE MUSCLES STORE FAT. SO, IF 07:16 YOU HAVE TO DO SURGERY ON SOME OF THESE PEOPLE AND 07:21 YOU OPEN UP AND YOU SEE FAT STORAGE EVERYWHERE AND 07:29 THIS SEEMS TO BE VERY, VERY DANGEROUS. IT'S 07:30 EXTREMELY DANGEROUS FOR ONE'S HEALTH. >>BILL: SO, 07:31 IS THERE A TESTING? IS THERE A WAY THAT SOMEONE 07:34 CAN KNOW IF THEY HAVE A TENDENCY TO STORE FAT IN 07:35 CELLS OR IN OTHER ORGANS? 07:42 I MEAN, IS THERE SOMETHING YOU CAN.>>DR. FERREIRA 07:43 YES. WELL, WE TALK A LOT ABOUT ABDOMINAL FAT, FOR 07:47 EXAMPLE. >>BILL: RIGHT. 07:47 >>DR. FERREIRA: WE KNOW THAT, FOR EXAMPLE, THERE 07:54 PEOPLE WITH THIN LEGS, THIN ARMS BUT THEY'VE GOT 07:56 A BIG ABDOMEN. WE KNOW THAT IN THOSE INDIVIDUALS, 07:57 THE ORGANS ARE MOST LIKELY COVERED WITH FAT, THEY 08:03 STORE FAT. >>BILL: OKAY. 08:03 >>DR. FERREIRA: NOW, IS THERE A TEST THAT ONE CAN 08:09 DO, FOR EXAMPLE? LIVER FAT, LIVER FAT CAN BE 08:12 SEEN. YOU DO AN ULTRASOUND WHICH IS A SPECIAL TEST 08:13 WITH A LITTLE TV AND YOU PUT A LITTLE PROBE ON THE 08:21 PERSON'S ABDOMEN AND YOU LOOK INSIDE AND SO, YOU 08:27 CAN SEE A FATTY LIVER. 08:27 IN FACT, I'M BEGINNING TO THAT MOST OF MY PATIENTS 08:33 ACTUALLY HAVE FATTY LIVERS. >>BILL: WOW. MOST 08:34 OF THEM. >>DR. FERREIRA: I WOULD SAY MOST OF THEM. 08:38 I DON'T HAVE FIGURES HERE WITH ME.>>BILL: YES. >>DR. 08:42 FERREIRA:.BUT I SEE ULTRASOUND AFTER 08:43 ULTRASOUND ON PEOPLE WHO APPARENTLY ARE NOT OBESE 08:47 BUT THEY'VE GOT FATTY LIVERS, OKAY. SO, BECAUSE 08:52 THOSE ARE THE PEOPLE THAT, PERHAPS, GENETICALLY THEY 08:53 ARE LESS PREDISPOSED TO BECOME OBESE BUT IT 08:58 DOESN'T MEAN THAT THEIR BODY'S.>>BILL: IT'S NOT 09:02 STORING FAT. >>DR. 09:03 FERREIRA: IT'S NOT STORING FAT. >>BILL: OH, I SEE. 09:05 >>DR. FERREIRA: AND SO, THEY'VE GOT FATTY LIVERS 09:06 AND THEY SAY, DOCTOR, I DON'T UNDERSTAND BECAUSE I 09:07 DON'T WEIGH THAT MUCH. AND I SAY, WELL, SOMEHOW THE 09:10 BODY IS STORING IN YOUR LIVER. NOW, THAT IS, WHEN 09:11 WE SEE THAT WE KNOW THAT THERE'S A PROBLEM, OKAY? 09:17 THIS PERSON IS AT HIGHER RISK OF DEVELOPING 09:20 DIABETES, FOR EXAMPLE, AND PROBLEMS. NOW, AFTER A 09:21 WHILE OF DOING THIS, THAT CAN ACTUALLY, YOU CAN 09:27 ACTUALLY HAVE INFLAMMATION OF THE LIVER. THE LIVER 09:31 STARTS GETTING SICK AND YOU CAN SEE SOME CHANGES 09:32 IN THE LIVER ENZYMES AND THAT'S A SIMPLE BLOOD TEST 09:37 THAT DOCTORS DO EVERY DAY AND YOU CAN SEE THAT. BUT 09:41 THE FIRST SIGN ACTUALLY CAN BE SEEN ON AN 09:42 ULTRASOUND OF THE LIVER. 09:46 >>BILL: NOW, ARE THERE ANY PARTICULAR TYPES 09:47 OF SYMPTOMS THAT THE INDIVIDUAL BEGINS 09:50 TO FEEL.>>DR. FERREIRA: YOU DON'T FEEL ANYTHING. 09:52 >>BILL: I THINK THAT'S ONE OF THE DANGERS, ISN'T IT 09:54 >>DR. FERREIRA: YOU DON'T FEEL ANYTHING, NO. >>BILL: 09:55 IT'S NOT LIKE YOU GET A PAIN.>>DR. FERREIRA: NO. 09:57 >>BILL:.OR A DISCOMFORT.>>DR. FERREIRA 09:58 NO. >>BILL: YOU DON'T FEEL ANYTHING. >>DR. FERREIRA: 10:00 NO. AND THAT'S, FOR A FATTY LIVER, YOU DON'T. 10:01 SOMETIMES YOU MAY FEEL A LITTLE BIT, THE 10:02 DIGESTION'S A LITTLE BIT MORE DIFFICULT BUT IT HAS 10:06 TO BE, THE BILE ACIDS AND SO ON. BUT MOST OF THE 10:10 TIME WE DON'T FEEL ANYTHING. AND WITH 10:10 DIABETES, NOW WE'RE TALKING ABOUT SOMETHING 10:13 DIFFERENT.>>BILL: YES. 10:14 >>DR. FERREIRA:.DIABETES, MOST PEOPLE WHO HAVE 10:16 DIABETES DON'T FEEL ANYTHING. ESPECIALLY IN 10:21 THE FIRST FEW YEARS UNLESS YOU GET IT SO HIGH THAT 10:22 YOU GET INTO A COMA OR THAT IS QUITE DRAMATIC, 10:27 OKAY? BUT MOST PEOPLE WITH SWEET BLOOD CAN HAVE BLOOD 10:33 SUGARS IN 200'S, SOMETIMES 300'S. I'VE 10:34 SEEN PEOPLE WITH 500'S. IN INTERNATIONAL UNITS YOU 10:40 CAN HAVE IT, YOU KNOW, 10 OR 12 AND PEOPLE NOT FEEL 10:45 ANYTHING. >>BILL: NOW, SO WE'VE BEEN TALKING 10:46 ABOUT THE ROLE OF FAT IN DIABETICS BUT DOES SUGAR 10:52 PLAY A ROLE HERE ALSO >>DR. FERREIRA: YES. YES. 10:56 YOU KNOW, THE ROLE OF SUGAR IS INTERESTING 10:57 SUGAR IS YOUR GASOLINE. 11:05 NOW, YOU CAN HAVE SUGAR THAT IS SWEET AND I 11:06 RECOMMEND PEOPLE TO HAVE THE FIRST PROGRAM.>>BILL: 11:13 YES. >>DR. 11:13 FERREIRA:.BECAUSE THEY'LL REALLY UNDERSTAND WHAT I'M 11:16 SAYING.>>BILL: YES. >>DR. 11:16 FERREIRA:.IF THEY WATCH THE FIRST PROGRAM.>>BILL: 11:18 YES. >>DR. FERREIRA:.OKAY. 11:19 YOU CAN HAVE SUGAR THAT IS SWEET AND YOU CAN HAVE 11:21 SUGAR THAT'S NOT SWEET PEOPLE ASK, WELL, HOW? 11:24 >>BILL: YEAH. HOW CAN YOU HAVE SUGAR THAT'S NOT 11:25 SWEET? >>DR. FERREIRA: HOW CAN YOU HAVE SUGAR THAT 11:27 IS NOT SWEET? WELL, SUGAR THAT IS SWEET, LET'S 11:29 CLARIFY THIS. SUGAR THAT IS SWEET IS SUGAR THAT 11:30 IS VERY SIMPLE. IT'S LIKE SUCROSE WHICH IS THE 11:34 NORMAL SUGAR, TABLE SUGAR YOU HAVE FRUCTOSE WHICH IS 11:40 THE MOST COMMON SUGAR FOUND IN FRUIT. YOU KNOW, 11:41 WHEN YOU PUT THAT TO YOUR MOUTH IT'S 11:45 SWEET.>>BILL: YES. >>DR. 11:45 FERREIRA:.IMMEDIATELY. 11:47 >>BILL: YES. >>DR. 11:47 FERREIRA: NOW, THERE ARE SUGARS THAT ARE MUCH MORE 11:50 COMPLEX LIKE THE ONES FOUND IN CEREALS, IN 11:51 BREAD, IN CAKES, IN SPAGHETTI. THOSE ARE 11:55 SUGARS BUT THEY ARE BIT BIGGER AND WHEN YOU PUT 12:01 THEM IN YOUR MOUTH THEY DON'T TASTE SWEET BUT WHEN 12:02 IT GETS INTO YOUR SYSTEM IT BREAKS DOWN INTO SUGAR. 12:05 SO, NOW, I THINK YOU'RE ASKING ABOUT THE SUGAR 12:11 THAT IS SWEET. DOES THE SUGAR THAT, YOU KNOW, THE 12:12 FRUCTOSE.>>BILL: YEAH. 12:16 >>DR. FERREIRA:.THE SUCROSE. WELL, THINK OF 12:17 IT AS ENERGY. AND, ONCE AGAIN, IF YOU DON'T USE 12:20 IT TODAY, YOU'RE GOING TO STORE IT. OKAY. AND WHERE 12:26 DOES IT GET STORED? IN THE SAME PLACES WHERE THE 12:27 OTHER ONE GETS STORED. 12:32 OKAY, SO, IF YOU TAKE, FOR EXAMPLE, IF YOU TAKE A 12:33 SWEET DRINK, A SODA DRINK THAT IS LOADED WITH SUGAR, 12:38 YOU DON'T NEED THAT. SO IT'S GOING TO GO INTO YOUR 12:43 LIVER AND, FIRSTLY TO YOUR FAT CELLS, AND THEN, 12:44 YOU KNOW, INTO YOUR LIVER, YOUR MUSCLES, AND YOU 12:49 CAN ACTUALLY HELP THOSE MUSCLES AND THAT LIVER TO 12:54 GET FULL OF FAT. AND SO, IT DOES AFFECT. AND 12:55 WE THINK, TODAY, THAT IT MIGHT ACTUALLY INCREASE 12:59 YOUR RISK OF DIABETES SEE, THERE WAS A TENDENCY, 13:01 FIRST WE THOUGHT IT WAS LIKE THAT AND THEN IT 13:02 WAS FAT AND NOW IT'S A MIXTURE. YOU KNOW, IT'S 13:06 NOT A SPECIFIC THING, IT'S A COMBINATION OF FACTORS 13:12 AND SWEET DRINKS DEFINITELY INCREASE YOUR 13:13 RISK OF OBESITY. YES. 13:16 >>BILL: DOES FISH, MEAT, YOU KNOW, RED MEATS, YOU 13:17 KNOW, POULTRY, FISH, DOES THAT PLAY ANY ROLE IN 13:25 DIABETES? >>DR. FERREIRA: WELL, YES, YES BECAUSE 13:31 WHAT HAPPENS, FOR EXAMPLE, YOU TAKE MEAT. MEAT HAS 13:32 FAT, OKAY. IT'S NOT JUST PROTEIN. IT HAS FAT. THAT 13:39 FAT IS HIGHLY CALORIC. YOU KNOW, YOU HAVE MUCH MORE 13:47 CALORIES PER GRAM OF FAT THAN YOU HAVE, FOR 13:47 EXAMPLE, IN A SWEET, OKAY? 13:53 SO, THAT FAT WHICH IS ENERGY WHICH IS HIGHLY 13:54 CONCENTRATED, IF YOU DON'T NEED IT, YOU'RE GOING TO 13:59 STORE IT. >>BILL: RIGHT. 13:59 >>DR. FERREIRA: OKAY. SO, IT DOES INCREASE YOUR 14:03 CHANCES OF HAVING LIVER, FATTY LIVER, FATTY ORGANS 14:09 AND SO THAT, AND FISH AS WELL. ALTHOUGH THE FATS 14:10 FROM FISH ARE SLIGHTLY DIFFERENT. YOU GET, YOU 14:15 GET HEALTHIER FATS IN MOST FISH, OKAY. ESPECIALLY THE 14:21 FATTY FISH BUT IT'S STILL FAT. IF YOU DON'T NEED IT, 14:22 YOU DON'T NEED THE ENERGY YOU'RE GOING TO STORE IT. 14:27 SO, YOU KNOW, THE QUESTION IS HOW MUCH SHOULD WE EAT? 14:32 SHOULD WE EAT THIS STUFF OR NOT, YOU KNOW? FIRST, I 14:34 THINK WE SHOULD EAT LITTLE AMOUNTS AND WE SHOULD EAT 14:38 TAKI WE NEED FOR THE DAY. AND 14:43 THAT'S, YOU KNOW, IF YOU THINK ABOUT HOW MUCH WE 14:44 NEED FOR ONE DAY, WE'LL BE SURPRISED. >>BILL: SO, 14:48 HOW, THIS IS A LITTLE OFF THE SUBJECT, I MEAN, A 14:56 LITTLE ON THE SIDE MAYBE BUT AVERAGE CALORIE INTAKE 14:57 FOR AN ADULT MALE? >DR. 14:58 FERREIRA: OKAY. >>BILL: DAILY REQUIREMENT. 14:59 >>DR. FERREIRA: DAILY REQUIREMENT. IT DEPENDS 15:02 ON HOW MUCH ACTIVITY PHYSICAL ACTIVITY YOU 15:06 HAVE. MOST PEOPLE, TODAY, HAVE COMPLETELY, 100% 15:07 SEDENTARY LIVES. >>BILL: YES. >>DR. FERREIRA: OKAY. 15:14 SO THAT MEANS WAKING UP IN THE MORNING, GOING TO THE 15:16 BATHROOM, GOING TO THE KITCHEN, YOU KNOW, HAVING 15:17 SOMETHING TO EAT, GETTING IN YOUR CAR; FROM YOUR CAR 15:21 TO THE OFFICE; FROM THE OFFICE BACK TO THE CAR; 15:25 BACK HOME, TV, OR, YOU KNOW, IT'S VERY, VERY 15:26 LITTLE... >>BILL: YES. 15:32 >>DR. FERREIRA:.FOR MEN AND WOMEN. FOR A PERSON 15:33 LIKE THAT, LET'S SAY A PERSON WEIGHS 160 POUNDS, 15:37 A MAN, YOU WOULD, YOU WOULD NEED PROBABLY ABOUT 15:42 1600, 1700 CALORIES PER DAY, OKAY. PEOPLE ARE 15:43 TAKING MUCH MORE THAN THAT, USUALLY THREE, 15:51 FOUR, 500 CALORIES MORE SOMETIMES EVEN A THOUSAND 15:56 CALORIES MORE. WHERE DO ALL THOSE CALORIES GO 15:57 >>BILL: STORAGE. >>DR. 16:02 FERREIRA: INTO THE STORAGE. INTO THE STORAGE. 16:03 NOW, IF YOU INCREASE YOUR PHYSICAL ACTIVITY THEN, 16:05 OBVIOUSLY, YOU'RE GOING TO NEED MORE. SO, IF YOU TAKE 16:09 IN MORE CALORIES THAN WHAT YOU NEED AND YOU DON'T 16:10 WANT TO DECREASE THEN, FOR WHATEVER REASON YOU DON'T 16:16 WANT TO, YOU JUST DON'T FEEL LIKE IT, THEN YOU 16:19 NEED TO INCREASE YOUR PHYSICAL ACTIVITY TO BURN 16:21 OFF THE EXCESS. BECAUSE WHAT'S IN EXCESS GOES TO 16:25 YOUR STORAGE. AND YOU EAT ABOUT 500 CALORIES EXTRA A 16:29 DAY, FOR A WEEK YOU GET AN EXTRA POUND OF WEIGHT. 16:30 AND TO LOSE IT YOU HAVE TO HAVE A DEFICIT OF THOSE 16:40 500 CALORIES TO LOSE A POUND A WEEK. >>BILL: 16:45 RIGHT. >>DR. FERREIRA: SO, IT'S, THERE'S NO OTHER WAY 16:46 AROUND IT. YOU EITHER EAT LESS OR YOU EXERCISE 16:50 MORE. >>BILL: EXERCISE MORE. RIGHT. IT'S PRETTY 16:53 STRAIGHT FORWARD. 16:54 WHAT ABOUT VITAMIN D? DOES VITAMIN D PLAY ANY ROLE IN 16:58 DIABETES? >>DR. FERREIRA: IT'S NOT CLEAR. IT'S NOT 16:59 CLEAR BUT IT SEEMS SO. IT SEEMS SO. AND ONE WOULD 17:04 THINK WELL, IT'S STRANGE, HOW DOES SUNLIGHT AFFECT 17:11 DIABETES? WELL, IT SEEMS TO DO THAT. OKAY. 17:12 AND IT DOESN'T EXPLAIN EVERYTHING. YOU KNOW, 17:16 BASICALLY, I THINK IF WE HOLD ON TO WHAT WE KNOW AS 17:23 BEING HARD CORE OF DIABETES PREVENTION, IT'S 17:24 LIFESTYLE, LIFESTYLE, LIFESTYLE, OKAY. NOW, 17:31 VITAMIN D IS NOW BECOMING KNOWN AS A BIG FACTOR, OR 17:39 LACK OF IT, A BIG FACTOR IN MANY PROBLEMS. 17:40 FROM PROSTATE, TO HEART DISEASE. WE KNOW ABOUT 17:44 OSTEOPOROSIS.>>BILL: YES. ABSOLUTELY. >>DR. 17:47 FERREIRA:.WELL, THAT'S A NORMAL ONE, OKAY? >>BILL: 17:48 RIGHT. >>DR. FERREIRA: BUT DIABETES, SOMETIMES EVEN 17:51 IN DEPRESSION SO, SUNLIGHT IS MUCH MORE IMPORTANT 17:59 THAN.>>BILL: WE THOUGHT. 18:00 >>DR. FERREIRA:.WE REALIZED. YEAH. I DON'T 18:02 KNOW IF IT WAS EVER GOD'S PLAN THAT PEOPLE LIVE IN A 18:03 SITUATION WHERE YOU DON'T HAVE SUNLIGHT. >>BILL: 18:06 RIGHT. >>DR. FERREIRA: FOR EXAMPLE, IN THE NORTHERN 18:08 COUNTRIES, IN THE NORTHERN HEMISPHERE AND EVEN THE 18:09 SOUTHERN ONE, IN WINTER, YOU KNOW, THERE ARE 18:12 COUNTRIES WHERE THEY ONLY HAVE ABOUT 6 HOURS OF 18:16 SUNLIGHT A DAY. AND SOME OF THEM, YOU GO TO 18:17 ICELAND, YOU KNOW, TWO HOURS AND SMETIMES NO 18:21 SUNLIGHT. >>BILL: THAT'S RIGHT. >>DR. FERREIRA: 18:24 OKAY. SO, THAT IS NOT HEALTHY. AND SO, MAKE SURE 18:25 THAT IF YOU DO NOT GET ENOUGH SUNSHINE 18:29 THAT YOU TAKE VITAMIN D SUPPLEMENTS. AT LEAST 400 18:34 INTERNATIONAL UNITS A DAY. 18:35 DON'T GO BEYOND 600 BUT, YOU KNOW, IT'S 400. IN 18:39 FACT, THERE'S A BLOOD TEST THAT YOU CAN DO. ASK YOUR 18:40 DOCTOR TO SEE HOW MUCH VITAMIN D YOU HAVE IN 18:44 YOUR BLOOD. >>BILL: OH, THAT CAN BE TESTED? >>DR. 18:46 FERREIRA: THAT CAN BE TESTED. UNFORTUNATELY, 18:47 MANY, MANY, MANY PEOPLE HAVE LOW LEVELS WHICH, 18:50 OF COURSE, CAN TRANSLATE INTO.>>BILL: ALL KINDS OF 18:56 DIFFERENT THINGS, RIGHT? 18:56 >>DR. FERREIRA: YES. 18:56 >>BILL: IT'S INTERESTING HOW VITAMIN D IS BECOMING 18:59 MUCH MORE PROMINENT. WE'RE TALKING A LOT MORE ABOUT 19:02 IT. OKAY. SO, FOR FOLKS THAT ARE WATCHING THIS 19:03 TYPE 2 DIABETES YOU TALKED ABOUT WHICH IS THE 19:07 PREVENTABLE ONE. >>DR. 19:07 FERREIRA: YES. >>BILL: LET'S LOOK AT SOME, AGAIN, 19:09 SOME DO'S AND DON'TS. AND SO, WHAT ARE SOME OF THE 19:14 THINGS THAT OUR VIEWERS COULD BEGIN TO IMPLEMENT, 19:15 YOU KNOW, RIGHT NOW, RIGHT AFTER THIS PROGRAM GOES 19:17 OFF THE AIR, THAT CAN BEGIN TO HAVE A POSITIVE 19:23 EFFECT. NOW, LET ME JUST INTERRUPT YOU AND ASK 19:24 ANOTHER QUESTION. SOMEONE WHO HAS TYPE 2 DIABETES 19:28 RIGHT NOW.>>DR. FERREIRA YES. >>BILL:.IS IT, IS 19:32 THERE A POSSIBILITY OF REVERSING THAT. >>DR. 19:33 FERREIRA: YES. YES. 19:34 >>BILL: OKAY. >>DR. 19:34 FERREIRA: YES THERE IS. 19:35 >>BILL: SAME PRESCRIPTION. 19:37 >>DR. FERREIRA: SAME PRESCRIPTION. >>BILL: 19:38 OKAY. >>DR. FERREIRA: YES. 19:42 YES, IT'S ACTUALLY BEING CONSIDERED RECENTLY 19:43 AS A REVERSIBLE DISEASE. 19:48 >>BILL: THAT'S GOOD NEWS. 19:48 >>DR. FERREIRA: THAT'S GOOD NEWS. THAT'S GOOD 19:50 NEWS. NOW, BUT LET ME TELL YOU THAT THE HARDEST THING 19:51 FOR PEOPLE TO DO IS TO GET OUT OF THEIR SEATS, WHERE 19:53 THEY ARE AT HOME, GO TO THE REFRIGERATOR OR TO 19:59 THEIR CUPBOARD IN THE KITCHEN, LOOK AT THAT 20:00 AND SAY, WELL, THIS IS RUBBISH. I'M GOING TO 20:04 THROW IT AWAY. IT'S VERY HARD FOR PEOPLE TO DO. 20:12 THEY'VE INVESTED THEIR MONEY IN THIS. >>BILL: 20:13 YES. YES. >>DR. FERREIRA: THEY'VE GOT AN EMOTIONAL 20:14 RELATIONSHIP WITH THEIR FOOD. YOU BUY CHEESE YOU 20:18 LIKE, YOU BUY THE MEAT YOU LIKE, YOU BUY THE BISCUITS 20:19 YOU LIKE, YOU BUY THE MAYONNAISE, YOU BUY THE 20:23 KETCHUP YOU LIKE. THERE'S AN EMOTIONAL RELATIONSHIP 20:28 BETWEEN YOU AND THAT. AND I WATCHED A PROGRAM ONE 20:29 DAY, YOU KNOW, A PERSON WAS ON A WEIGHT LOSS 20:34 PROGRAM AND SHE WENT TO THE REFRIGERATOR AND THE 20:42 PERSON WAS HELPING HER TO GET ONTO THEIR PROGRAM AND 20:43 SHE SAID, WELL, THIS IS OUT, THIS IS OUT, THIS 20:46 IS OUT, AND THE LADY SAID, NO, THE MAYO IS NOT GOING. 20:51 IT'S STAYING. OKAY? 20:51 (LAUGHTER) AND THIS IS ACTUALLY VERY INTERESTING 20:56 BECAUSE IT REALLY SHOWS WHAT I'M TELLING YOU 20:57 NOW IT'S AN EMOTIONAL RELATIONSHIP. FOR SOMEBODY 21:01 TO GO, THIS IS GOING, THIS IS GOING, THIS BISCUITS 21:04 HERE, I'LL START IT NEXT WEEK. SO, IT NEEDS TO BE A 21:05 DECISION. IT'S A DIFFICULT DECISION BUT PEOPLE NEED 21:11 TO REALIZE I'M GOING TO DO THIS. OKAY. I'M NOT GOING 21:17 TO SUCCUMB TO THIS PROBLEM. SO, DIET, VERY 21:18 IMPORTANT. GET ON TO A LOW-FAT, PREFERABLY 21:23 VEGETARIAN BALANCED DIET WITH LOTS OF FRUITS AND 21:33 VEGETABLES. YOU KNOW, DIABETICS SAY, DOCTOR, 21:34 YOU'RE TELLING ME TO EAT FRUIT, IT'S SWEET. LOOK, 21:39 BETWEEN A FRUIT AND A BUN, I WOULD RATHER GO FOR THE 21:47 FRUIT. THEY'VE GOT THE SAME TYPE, THE SAME NUMBER 21:48 OF CALORIES. OKAY. SO, PLENTY OF VEGETABLES, 21:50 FRUIT, NUTS, VERY LITTLE FAT AND THEN FOR SOURCES 21:55 OF PROTEIN GO FOR BEANS AND SO ON. OKAY, 21:56 SO, DIABETICS WHO ARE CONTROLLED ON MEDICATION, 22:03 MANY OF THEM ARE NOT CONTROLLED, THEY NEED TO 22:07 WATCH. YOU KNOW, WE'D RATHER INVEST MUCH MORE IN 22:08 VEGETABLES INITIALLY THAN NECESSARILY ON FRUIT, EAT 22:12 FRUIT, YOU KNOW, AND DO IT TOGETHER WITH YOUR DOCTOR. 22:15 OKAY. THE DOCTOR NEEDS TO KNOW THAT YOU ARE GOING 22:16 TO CHANGE YOUR LIFESTYLE BECAUSE WHAT HAPPENS IS 22:19 THAT IF YOU'RE TAKING MEDICATION FOR YOUR 22:21 DIABETES TO LOWER THAT, SUDDENLY YOU'VE GOT A 22:22 SITUATION WHERE YOU'RE GETTING BETTER. WHERE THAT 22:28 MEDICATION MAY ACTUALLY WORK AGAINST YOU.>>BILL: I 22:31 SEE. >>DR. FERREIRA:.AND DROP YOUR BLOOD SUGAR 22:32 TOO.>>BILL: TOO LOW. >>DR. 22:34 FERREIRA:.LOW AND YOU GO INTO A COMA. >>BILL: 22:35 RIGHT. >>DR. FERREIRA: SO, THESE MUST BE DONE 22:37 IN CONJUNCTION WITH YOUR DOCTOR. OKAY. SO TELL HIM, 22:40 I'M GOING TO HAVE A DIFFERENT LIFESTYLE, 22:41 DOCTOR, I'M SERIOUS ABOUT THIS. I'M GOING TO TRY 22:42 AND IMPROVE MY CONDITION, YOU'LL BE HAPPY TO KNOW. 22:48 BUT THEN DIET IS VERY IMPORTANT. SECOND IS 22:49 EXERCISE. >>BILL: OKAY. 22:54 >>DR. FERREIRA: PHYSICAL ACTIVITY, ESPECIALLY, 22:55 AFTER A MEAL OR ANY MEAL. 22:58 DO IT FOR ABOUT HALF AN HOUR. BUT IF YOU CAN'T DO 22:59 IT FOR HALF AN HOUR, 15 MINUTES IS GOOD. VIGOROUS 23:05 EXERCISE. LIKE WALKING, BRISKLY. BRISK WALKING, 23:11 THAT'S GOOD, SO, EXERCISE AND DIET. BRING THAT 23:12 WEIGHT DOWN BUT THERE HAVE BEEN STUDIES THAT SHOW 23:20 THAT, LET'S SAY, PEOPLE WHO ARE OBESE, THEY ARE 23:26 DIABETICS. IF YOU PUT THEM ON A CALORIC RESTRICTION 23:27 DIET, YOU DON'T NOTICE, IMMEDIATELY, THE WEIGHT 23:33 LOSS. GREAT WEIGHT LOSS. 23:34 BUT THEY'VE GOT A FATTY LIVER. THAT FAT IN THE 23:42 LIVER DECREASES AND MANY OF THEM IMPROVE 23:47 DRAMATICALLY, JUST IN A FEW DAYS, IMPROVE THEIR 23:48 BLOOD SUGAR LEVELS. 23:53 >>BILL: SO, EVEN BEFORE YOU BEGIN TO SEE A CHANGE 23:54 IN THEIR BODY.>>DR. 23:56 FERREIRA: EXACTLY. YOU MAY SEE IF ALREADY IN 23:57 YOUR BLOOD BECAUSE YOU DECREASED YOUR FAT 24:00 INTAKE OR YOU DECREASED YOUR LIVER FAT WHICH IS A 24:03 RESULT OF YOU EATING LESS, EXERCISING MORE. OKAY. SO, 24:05 GO ON TO THAT PLAN AND I TELL YOU THERE'S MORE 24:15 THAN, MOST CASES, MORE THAN 70% OF CASES, COULD 24:23 BE COMPETELY CONTROLLED JUST BY FOOD AND EXERCISE 24:24 WITHOUT THE NEED OF MEDICATION. >>BILL: 24:30 WITHOUT NO MEDICATION. 24:30 >>DR. FERREIRA: WITHOUT THE NEED OF MEDICATION. 24:34 >>BILL: WOW. >>DR. 24:35 FERREIRA: IT COULD. OKAY, NOW, PEOPLE FIND 24:37 IT DIFFICULT. THEY SAY, DOCTOR, AS I SAID, IT'S AN 24:40 EMOTIONAL RELATIONSHIP WITH YOUR LIFESTYLE. YOU 24:40 KNOW, YOU DON'T FEEL LIKE GOING, IT'S THE END 24:43 OF THE DAY, IT'S SEVEN O'CLOCK.>>BILL: YOU'RE 24:46 TIRED. >>DR. FERREIRA:.THE NEWS IS COMING ON, YOU'RE 24:47 TIRED, THE REFRIGERATOR IS FULL OF PIZZA AND WHATEVER 24:49 AND YOU'VE, YOU'RE HUNGRY, YOU DON'T FEEL LIKE DOING 24:57 IT. YOU DON'T FEEL LIKE DOING IT. YOU'VE HAD A 24:58 HARD DAY. MAYBE YOU'VE COME TO WORK AT HOME, YOU 25:02 BRING, YOU DON'T FEEL LIKE DOING BUT IT'S SOMETHING 25:07 YOU NEED TO THINK ABOUT. 25:08 DO YOU WANT THE HEART DISEASE THAT COMES FROM 25:13 DIABETES? ARE YOU HAPPY WITH YOUR CONDITION? YOU 25:14 KNOW, 80% OF DIABETICS, 80% OF DIABETICS DIE WITH 25:18 CARDIOVASCULAR PROBLEMS >>BILL: WOW. EIGHTY 25:25 PERCENT. >>DR. FERREIRA: EIGHTY PERCENT OF 25:26 DIABETICS DIE WITH HEART ATTACK OR A STROKE. 25:29 THINK ABOUT THAT. AND ONE IN THREE PEOPLE IN NORTH 25:32 AMERICA WILL HAVE DIABETES, IF NOTHING 25:33 HAPPENS, BY THE YEAR 2050. 25:39 THAT'S NOT SO LONG IN THE FUTURE. >>BILL: THAT'S 25:40 RIGHT. THOSE ARE SOME VERY SOBERING STATISTICS 25:44 BUT SOME VERY PRACTICAL ADVICE. THANK YOU DOCTOR. 25:48 LET US PRAY. HEAVENLY FATHER, WE THANK YOU FOR 25:49 THE INFORMATION WE HAVE HEARD TODAY. WE THANK YOU 25:53 FOR USING MEN AND WOMEN LIKE DR. FERREIRA TO 25:58 PROVIDE THIS ADVICE AND COUNSEL. FATHER, EMPOWER 25:59 EACH AND EVERY ONE OF US THE KINDS OF CHANGES WE 26:03 NEED TO MAKE IN OUR LIVES SO WE CAN LIVE LIFE AND 26:05 LIVE IT MORE ABUNDANTLY. 26:06 IN JESUS' NAME. >>DR. 26:06 FERREIRA: AMEN. >>BILL: AMEN. 26:13 (MUSIC) 26:27 >>BILL: YOU KNOW, EARLIER IN THE PROGRAM DR. 26:28 FERREIRA REFERRED TO A PROGRAM ON DIABETES WE DID 26:30 SOME TIME AGO. IF YOU'D LIKE TO GET THAT PROGRAM 26:35 SO YOU GET A BETTER UNDERSTANDING OF WHAT 26:36 DIABETES IS AND HOW TO PREVENT IT, WE'D LIKE TO 26:39 SEND YOU THAT DVD. IT IS A GIFT FROM "IT IS WRITTEN". 26:43 HERE IS THE INFORMATION YOU NEED TO GET YOUR COPY. 27:36 >>BILL: WELL, DOCTOR, ANOTHER PROGRAM. THANK YOU 27:38 SO MUCH FOR YOUR PARTICIPATION HERE WITH 27:39 US. >>DR. FERREIRA: YOU'RE WELCOME. >>BILL: LET ME 27:40 THANK OUR FAITHFUL VIEWERS THAT TUNE IN EACH AND 27:43 EVERY WEEK. NOW, IF YOU'VE BEEN ENJOYING THIS, THESE 27:44 LIVE HEALTHY PROGRAMS WE WANT TO MAKE AVAILABLE 27:47 TO YOU A DVD WITH ALL OF THIS SEASON'S LIVE HEALTHY 27:54 PROGRAMS ON IT. IT IS A TREMENDOUS RESOURCE FOR 27:55 YOU TO HAVE AND SHARE WITH FRIENDS AND WE CAN MAKE 27:59 IT AVAILABLE TO YOU FOR A DONATION OF $30. YOU CAN 28:04 GO ON OUR WEBSITE, ITISWRITTENCANADA.CA AND 28:05 YOU CAN PRE-ORDER YOUR DVD RIGHT NOW. ON THE WEBSITE 28:10 YOU CAN ALSO SEND US A PRAYER REQUEST AND ANY 28:14 COMMENTS YOU HAVE ON OUR PROGRAM. REMEMBER 28:15 TO FOLLOW US ON TWITTER. 28:19 VISIT OUR YOUTUBE CHANNEL WHERE ALL OF THESE 28:20 PROGRAMS CAN BE SEENIT'S A GREAT WAY TO REFER TO 28:23 FRIENDS AND NEIGHBOURS ALSO. MAY THE GOOD LORD 28:27 ALLOW US THE PRIVILEGE OF BEING BACK TOGETHER AGAIN 28:28 NEXT WEEK. UNTIL THEN, REMEMBER, IT IS WRITTEN; 28:32 MAN SHALL NOT LIVE BY BREAD ALONE BUT BY EVERY 28:36 WORD THAT PROCEEDS FROM THE MOUTH OF GOD. 28:41 $$$$$$$$$$$$$$$$$$$$$$$$$$ |
Revised 2015-02-06