Diabetes, if you
don't have it, watch out.
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If you do have it,
there's a good chance
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you can get rid of it, really.
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Stay tuned.
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I'm Dr James Marcum.
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Are you interested in
discovering the reason why?
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You want solutions to
your healthcare problem?
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Are you tired of
taking medications?
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Well, you're about to be
given the Ultimate Prescription.
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Welcome back to our series
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on the major causes
of death on this planet.
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Diabetes is like an
unwelcome houseguest
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that moves in and
just rearranges everything.
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So you might want to
refrain from sending out
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that particular invitation, how?
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Let's talk with Dr. James Marcum
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about what diabetes is
and how to recognize it
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when it comes in
knocking at your door.
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Dr. Marcum, first, what is it?
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Well, hopefully we
won't come knocking
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on your door, Charles.
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You know, we've been talking
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about some
serious, serious issues here
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about leading causes of death
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and, you know,
its diabetes is scary.
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And the rate of diabetes
has been climbing dramatically.
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It's going up all the time.
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Everyone's affected by diabetes.
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And when I think about diabetes,
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I want to make something
that everyone can understand.
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And diabetes is really
abnormalities in glucose,
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that sugar metabolism,
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abnormalities in
glucose metabolism.
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And when this happens,
what happens in the body?
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The blood sugar goes up.
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When the blood sugar
goes up, the body goes,
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"Oh, man, I got a
lot of blood sugar,
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got to do something with it."
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Insulin levels go up.
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And when insulin levels
go up, there's some damage
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that occurs to the endothelia,
which is the inside lining
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of every blood
vessel in the body.
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So when insulin levels go high
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because of this
extra blood sugar,
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it causes all sorts of problems.
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Now there's two
types of diabetes.
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Well, there's
actually more than that,
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but the ones that we want
to focus on today is type 1
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and that used to be
called juvenile diabetes,
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but now it's called
insulin-dependent diabetes.
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In those cases which
are the minority of patients
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that have diabetes,
the immune system attacks
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these cells in the pancreas
called the Islets of Langerhans
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and there's these beta cells
that immune system destroys.
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So these patients are dependent
on insulin their entire life.
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That's the majority of people.
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Most other people
have type 2 diabetes.
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We used to call it
adult-onset diabetes.
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But nowadays, we
just call it type 2.
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Now that tends to be a diabetes,
a lifestyle diabetic situation.
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Now there's other
types that you get
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when your pregnancy that's
called gestational diabetes.
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There is some
that's called by kidneys
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and call that
nephrogenic diabetes.
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There's also diabetes insipidus.
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There's bronze diabetes.
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So you're gonna hear
many different types.
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But for our viewers today,
I want us to focus on type 1,
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which is
insulin-dependent, okay?
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The body needs insulin forever
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and that's
usually younger people.
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And type 2
diabetes is the kind we get
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because of this
abnormal glucose metabolism.
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So a person that has diabetes,
the symptoms they might have,
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if you might have it,
you get very thirsty, okay.
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Why do you get so thirsty?
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Well, you get thirsty because
your blood sugar is really high.
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When the osmoles
or the concentration
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of blood's really high,
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you tend to go to
the bathroom more.
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So that's another symptom,
you go to the bathroom more
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because you're losing fluids
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because of this high
concentration of sugar,
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you want to drink more.
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So you're also
very thirsty, very--
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but usually we find it
out on routine blood work.
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And so a person that we
think might have diabetes,
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you might come to us and
there's many different ways
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that might get me a clue.
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One thing is your urine.
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You might be losing
sugar in your urine.
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You've probably
heard of that before.
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And another thing that we
do is we can test your blood.
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And if we measure
your blood randomly
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and it's greater than 200,
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you know, we want
the sugar in the cell
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where to doing
something to make energy.
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We don't want it
in the blood. Yes.
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So if it's in
the blood that means
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it's not getting into the cells
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and there's a reason why,
we're gonna talk about later.
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So if it's not getting in
the cells, that's a problem.
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So prolonged
exposure to high blood sugar
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and high insulin damages
the lining of the blood vessels.
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So if it's over 200,
or if it's a fasting,
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if it's greater than 125
twice, now in other countries,
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it's different, I think it's
6 millimoles around the world.
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But if you had
those blood sugars,
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then that means that
you probably are a diabetic.
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If you get it later in life,
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you will be
classified a type 2 diabetic.
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There's another
way we measured it
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is we take something
called hemoglobin A1c.
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We call that
glycosylated hemoglobin.
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Hemoglobin's iron
molecule, glycosylated means
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there's glucose
molecules tied on to that.
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It won't make sense
if hemoglobin is floating
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around the blood and a
bunch of sugar jumps on board
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that number's gonna go higher
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'cause we don't want a
lot of sugar in the blood.
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Okay, so if that
number is greater than 7.5%
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of the hemoglobin, has
these extra sugars on it,
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you're a diabetic too.
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Another way, an old fashion way,
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was this glucose tolerance test
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and I don't know
if you heard of that.
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We used to drink a lot of cola
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where they had a
lot of sugar in it
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and we used to check your
blood sugar at certain hours
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and if the blood sugar stayed up
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above a certain
level, you had diabetes.
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So that's how we make
the diagnosis of diabetes.
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And,
unfortunately, in this world,
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most people
have type 2 diabetes.
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Why it's such a
big problem is 'cause,
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as you know, when
we're prolonged exposed
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in our body or bloodstream
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to high levels of
insulin and glucose,
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there's metabolic
abnormalities that become.
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Now it's okay in the
short term if you have it,
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but in the long
term, day in and day after,
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we get damage to
our organ systems.
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Damage, you know,
to the organ systems.
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Everyone's, you know,
let's start from the top down.
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One of the worst
ones we have is damages
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to the small blood
vessels in the eyes.
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Have you heard of that?
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Yeah, well, they
call it retinopathy,
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the eyes--the blood
vessels of the eye damage.
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The doctor will
look in your eyes
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and he can see
characteristic changes.
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It's usually in the
small blood vessels.
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In fact, the
leading cause of blindness
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in the world is due to diabetes.
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And it only makes sense
as the diabetes rate goes up,
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there's gonna be more,
more people with blindness.
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The body wasn't made to
deal with these chemicals
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over a long period of time.
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The second,
another complication is
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it hurts the long
nerves in the body,
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especially your feet.
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So you always
hear about diabetics
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checking their feet
to see if there's sores.
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Because you can have a
condition called neuropathy.
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The nerves don't function well.
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So you actually
don't feel your feet.
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So you can be walking.
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Let's say you're
walking on a hike
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and get a rock in your shoe
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and it can
actually bore in your foot
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and it can cause bleeding
and you won't even feel it.
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This is a sad disease.
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Yes, it is a sad disease.
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So that's another
thing, it can cause neuropathy
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you don't feel and sometimes
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even in the hands
because those are long nerves
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and it has to do
with the blood supply,
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the insulin, the same
things we've been talking about.
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But sometimes also
you can get infections
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that you don't even know about.
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The immune system is
actually damaged by diabetics.
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Diabetics are much
more prone to infection
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because these high
levels of this abnormal
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glucose metabolism
damages our killer cells,
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the white blood cell count.
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So we're more
prone to infections
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and everyone
hears about diabetics,
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you know, you're more prone
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to getting this
infection or that infection.
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So other organ
systems, of course, the heart.
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You know, 80% of diabetics die
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from a heart
attack, heart disease 80%.
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It damages not only the
blood vessels in the eyes,
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but it damages the
blood vessels in the heart.
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It causes a lot of problems
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within the heart
so the heart disease.
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It also damages the
blood vessels in the legs,
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also damages the
blood vessels in the brain.
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So stroke rates,
peripheral vascular,
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all that increases in diabetics.
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It's not too
uncommon to hear diabetics
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getting amputations because
of this damage long term.
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One of the most common
organs it damages is kidneys.
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Kidneys are
damaged from diabetes.
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In fact, the number one
cause, the number one cause
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of dialysis is long-term
diabetes effects on the kidneys.
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So it involves
major organ system.
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Now if this doesn't get it,
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you know, I'm talking to
people that had these diagnoses
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and say listen, it
damages your entire body
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through this
abnormal glucose metabolism,
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but what's even worse,
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you know, some
people say listen,
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you know, when you talk to a man
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about the big one the impotence,
00:08:35.61\00:08:37.66
you know, it can cause impotence
00:08:37.69\00:08:39.67
and this is a
major issue in men.
00:08:39.70\00:08:41.07
I say, listen, the
diabetes can cause impotence.
00:08:41.10\00:08:43.44
And that all of a
sudden gets our attention.
00:08:43.47\00:08:45.45
And I say, "Listen, I don't want
00:08:45.48\00:08:47.46
any more end-organ damage here,
00:08:47.49\00:08:50.13
but left unchecked,
diabetes damages the body."
00:08:50.16\00:08:54.43
In fact, a study was
done not too long ago
00:08:54.46\00:08:57.33
about treatments for diabetes
and they found out that,
00:08:57.36\00:09:00.06
you know, even
if your blood sugar
00:09:00.09\00:09:01.46
is under good
control in a diabetic person,
00:09:01.49\00:09:04.94
you still lose
about 10 years of life.
00:09:04.97\00:09:08.61
So you want to
cure type 2 diabetes
00:09:08.64\00:09:11.61
and in our next
program, we're gonna talk
00:09:11.64\00:09:13.15
about specific ways to cure it,
00:09:13.18\00:09:14.64
but right now we want to
focus on all the bad things
00:09:14.67\00:09:16.91
that happen in diabetes.
00:09:16.94\00:09:19.52
I was just remembering
a case not too long ago
00:09:19.55\00:09:23.04
where a young girl
with type 1 diabetes,
00:09:23.07\00:09:25.29
insulin-dependent,
came to the emergency room
00:09:25.32\00:09:28.92
and what happens
in diabetes, Charles,
00:09:28.95\00:09:30.87
is any type of
stress on the body
00:09:30.90\00:09:33.50
because it's gonna-- you know,
00:09:33.53\00:09:34.90
when you fight or flight guess
00:09:34.93\00:09:36.30
what happens to
your blood sugar?
00:09:36.33\00:09:37.70
It goes up even more, okay,
00:09:37.73\00:09:39.81
and when it goes up
even more guess what happens?
00:09:39.84\00:09:42.18
They don't have insulin.
00:09:42.21\00:09:43.58
So they can't keep up
with all this blood sugar.
00:09:43.61\00:09:45.02
So they literally
don't get blood sugar
00:09:45.05\00:09:47.91
to use into
their cell for energy.
00:09:47.94\00:09:49.95
So the stress they
have to breakdown fats
00:09:49.98\00:09:52.48
and other things for energy.
00:09:52.51\00:09:54.08
And when they
breakdown a lot of fats,
00:09:54.11\00:09:55.52
it makes a lot
of acid production.
00:09:55.55\00:09:57.82
And when the acid
starts being producing,
00:09:57.85\00:09:59.74
it damages the body.
00:09:59.77\00:10:01.14
We call it
diabetic ketoacidosis.
00:10:01.17\00:10:03.52
Ketones are
formed, become acids,
00:10:03.55\00:10:05.43
a very dangerous situation.
00:10:05.46\00:10:07.14
So we start putting
insulin into the body
00:10:07.17\00:10:09.04
so we can get some
blood sugar into the cells.
00:10:09.07\00:10:11.38
We try to figure
out what triggered it.
00:10:11.41\00:10:13.09
And, frequently,
in this young girl,
00:10:13.12\00:10:15.09
even though she
was in her early 30s,
00:10:15.12\00:10:17.15
what triggered her
event was a heart attack.
00:10:17.18\00:10:19.96
The heart attack
caused the stress.
00:10:19.99\00:10:22.11
The stress made her to
go in diabetic ketoacidosis.
00:10:22.14\00:10:24.85
And,
unfortunately, in diabetics,
00:10:24.88\00:10:26.92
the blood vessels of the
heart tend to be very small
00:10:26.95\00:10:29.52
because of the damage that's
done by this terrible disease.
00:10:29.55\00:10:33.25
And there wasn't a lot we
could do to help her heart.
00:10:33.28\00:10:35.73
So this is a
devastating disease, Charles,
00:10:35.76\00:10:38.14
that effects it, and one thing
00:10:38.17\00:10:39.54
we want to let
all people know is,
00:10:39.57\00:10:41.28
you know, if you're having,
you know, high blood sugar,
00:10:41.32\00:10:44.11
it needs to be screened for.
00:10:44.14\00:10:45.58
And especially if
you're having symptoms,
00:10:45.61\00:10:47.20
if you're thirsty, going
to the bathroom all the time,
00:10:47.23\00:10:50.59
carry some extra weight,
00:10:50.62\00:10:52.13
feeling a little
bit fatigued and tired,
00:10:52.16\00:10:54.91
you need to get checked
by one of these ways to see
00:10:54.94\00:10:57.01
if you have diabetes
because there's lots of things
00:10:57.04\00:10:59.56
we can do to cure diabetes
at least type 2 diabetes.
00:10:59.59\00:11:03.84
Type 1, we can't
really cure that,
00:11:03.87\00:11:06.20
but type 2, we can cure that
doing a lot of things for it.
00:11:06.23\00:11:09.46
You know, when you
give that description,
00:11:09.49\00:11:13.48
you would think that
this would be something
00:11:13.51\00:11:16.97
that everyone
would work really hard
00:11:17.00\00:11:20.05
and do whatever
necessary to eradicate,
00:11:20.08\00:11:23.77
yet diabetes is on the rise
00:11:23.80\00:11:26.99
and becoming
epidemic in this country.
00:11:27.02\00:11:29.49
What don't we know?
00:11:29.52\00:11:30.89
What message is
not getting out there?
00:11:30.92\00:11:32.55
Yeah, and again, we've talked
00:11:32.58\00:11:34.20
about all of these
diseases that are killing us,
00:11:34.23\00:11:36.87
we wanted to
keep these two words.
00:11:36.90\00:11:38.64
What was the
original plan in our lives
00:11:38.67\00:11:41.25
and what's the chronic exposure?
00:11:41.28\00:11:43.21
Long-term exposure.
What's the long-term exposure?
00:11:43.24\00:11:45.88
And we're gonna
find out as we talk more
00:11:45.91\00:11:47.92
the problem with type 2
diabetes is fat, too much fat,
00:11:47.95\00:11:54.25
too much fat in the
diet, too much fat in you.
00:11:54.28\00:11:58.45
And when you have
too much fat in you,
00:11:58.48\00:12:00.53
the fat goes into the cell.
00:12:00.56\00:12:02.72
When the fat goes into the cell,
00:12:02.75\00:12:04.20
it makes it much harder
for the insulin receptors
00:12:04.23\00:12:07.37
and the blood
sugar to go in the cell.
00:12:07.40\00:12:09.29
So it changes our
entire metabolism.
00:12:09.32\00:12:11.57
This is a physical
thing then. Yes, this is a--
00:12:11.60\00:12:13.45
Physical presence
of fat in the cell--
00:12:13.48\00:12:15.94
Fat in the cells as
well as fat in the body,
00:12:15.97\00:12:18.73
it changes all this.
00:12:18.76\00:12:20.13
And, you know,
we've done studies
00:12:20.16\00:12:22.07
and we know if people can
get fat out of their cells,
00:12:22.10\00:12:24.57
fat out of their diets, they can
actually cure type 2 diabetes.
00:12:24.60\00:12:29.12
And we want to cure it
'cause as we're gonna find out
00:12:29.15\00:12:31.00
in our next program, the
medicines that are involved
00:12:31.03\00:12:33.56
have some bad side effects.
00:12:33.59\00:12:35.58
So the problem
with type 2 diabetes
00:12:35.61\00:12:37.57
the way I see it
is it's a fat problem.
00:12:37.60\00:12:40.05
And, unfortunately, nowadays,
00:12:40.08\00:12:42.39
now follow me here
00:12:42.42\00:12:44.30
today just 1/3rd of
people in the United States
00:12:44.33\00:12:46.93
are considered
obese, 60% overweight.
00:12:46.96\00:12:50.88
Overweight
usually carry extra fat.
00:12:50.91\00:12:53.54
Extra fat grows, you're gonna
have abnormal insulin receptors,
00:12:53.57\00:12:56.64
abnormal insulin levels.
00:12:56.67\00:12:58.07
The glucose
metabolism is gonna change.
00:12:58.10\00:13:00.05
We're not gonna be able
to get glucose into the cell
00:13:00.08\00:13:01.98
because of all the fats.
00:13:02.01\00:13:03.38
We're gonna have
this high blood sugar.
00:13:03.41\00:13:04.81
We're gonna see all this damage
00:13:04.84\00:13:06.71
that begins to
occur in the body.
00:13:06.74\00:13:08.85
Again, it's a
chronic exposure to fat
00:13:08.88\00:13:11.65
that we weren't
really designed to have.
00:13:11.68\00:13:13.82
So just like we've talked
about whether heart disease,
00:13:13.85\00:13:16.27
whether it be stress,
00:13:16.30\00:13:17.67
we talked about
cancer exposures,
00:13:17.70\00:13:19.41
now we're putting our body,
00:13:19.44\00:13:20.89
we were never designed
to eat a high-fat diet.
00:13:20.92\00:13:24.31
This has just
occurred over years and years.
00:13:24.34\00:13:26.48
I heard one
professional call this
00:13:26.51\00:13:28.40
a food borne
illness diabetes-- Type 2.
00:13:28.43\00:13:31.37
Type 2. That's
correct. Exactly, okay.
00:13:31.40\00:13:33.97
We'll take a short
break and when we come back,
00:13:34.00\00:13:35.61
we'll answer your questions
00:13:35.64\00:13:37.01
from heartwiseministries.org
on this topic.
00:13:37.04\00:13:39.40
So stay tuned.
00:13:39.43\00:13:40.80