WEBVTT 1 00:00:01.360 --> 00:00:06.320 It's Nightside with Dan Ray on WBZ Boston's news video. 2 00:00:07.040 --> 00:00:10.279 Nicole, thank you for that quick intro of me my 3 00:00:10.400 --> 00:00:12.919 name again, Morgan White Jr. And by the way, Nicole 4 00:00:13.359 --> 00:00:18.120 and Rob are back where they belong. They had yesterday off, 5 00:00:18.679 --> 00:00:23.679 but Nightside is at Nightside without Nicole and Rob Brooks 6 00:00:23.679 --> 00:00:27.719 doing their jobs so perfectly well. So I want to 7 00:00:27.760 --> 00:00:30.719 say that to both of you and for all the 8 00:00:30.719 --> 00:00:35.600 people listening. I'm here until midnight. Dan Ray will be 9 00:00:35.719 --> 00:00:42.439 back tomorrow. I have non White House subjects tonight. Why 10 00:00:42.960 --> 00:00:47.359 because I know Dan Ray will be delving into White 11 00:00:47.359 --> 00:00:53.600 House subjects beginning at eight o'clock tomorrow, and I didn't 12 00:00:53.640 --> 00:00:58.759 want to take away programming or concepts that Dan definitely 13 00:00:58.920 --> 00:01:05.159 will be touching upon. That aside my first guest, I 14 00:01:05.200 --> 00:01:09.400 think this is the fourth time over the years I've 15 00:01:09.439 --> 00:01:14.840 had him on. He is a specialist when it comes 16 00:01:14.879 --> 00:01:19.159 to diabetes, looked upon as being one of the more 17 00:01:19.319 --> 00:01:25.159 knowledgeable physicians in America dealing with that subject. And I 18 00:01:25.200 --> 00:01:30.359 know a lot of you out there have issues with diabetes, 19 00:01:30.560 --> 00:01:35.439 myself included. So guess what I've brought somebody who can 20 00:01:35.480 --> 00:01:38.840 help you, hopefully. But I always say this when I 21 00:01:38.840 --> 00:01:45.079 have a doctor on the doctor is making suggestions based 22 00:01:45.159 --> 00:01:52.120 on your information. Go to your own physician for specifics, 23 00:01:53.239 --> 00:01:58.560 because your physician is the person who will take you 24 00:01:58.719 --> 00:02:07.920 through the windy road of physicians and patience combined. So 25 00:02:08.639 --> 00:02:12.680 doctor David Nathan is my guest. He may tell you something. 26 00:02:14.199 --> 00:02:18.479 You can use that information as a guide to your 27 00:02:18.520 --> 00:02:22.840 own physician and doctor Nathan. Did I say that correctly enough? 28 00:02:23.879 --> 00:02:26.599 Morgan? You got it as usual, You got it exactly right. 29 00:02:27.479 --> 00:02:29.080 You know, I may be a physician, I play one 30 00:02:29.120 --> 00:02:32.680 on television and radio, but I am by no means, 31 00:02:33.080 --> 00:02:36.439 no means should anyone take what I say tonight as 32 00:02:36.840 --> 00:02:38.919 no advice for them. They do need to see their 33 00:02:38.919 --> 00:02:42.240 own healthcare professional and listen to that person's advice. 34 00:02:42.280 --> 00:02:45.520 So far, And let me say to you, I've already 35 00:02:45.560 --> 00:02:48.520 said it during our conversation to set this up. But 36 00:02:48.560 --> 00:02:49.080 happy New. 37 00:02:49.080 --> 00:02:53.400 Year to you, bro, same to you, Morgan, Thank you. 38 00:02:52.360 --> 00:02:58.919 Thank you. I'm listening to WBZ last weekend, just most 39 00:02:59.000 --> 00:03:02.960 recent Saturday day and Sunday that we just waved goodbye to, 40 00:03:03.919 --> 00:03:09.879 and there was a news story about glucose and circumstances 41 00:03:10.000 --> 00:03:16.439 around glucose that are giving all the people that use 42 00:03:17.400 --> 00:03:24.199 diabetes studies as their focus points, and I understood some 43 00:03:24.360 --> 00:03:28.080 of it, but I'm sure you know about that because 44 00:03:29.000 --> 00:03:32.919 they acted like this is a new discovery. So if 45 00:03:32.919 --> 00:03:37.599 you're familiar with that, tell people what that discovery is. 46 00:03:39.039 --> 00:03:42.319 Well, you know, I'm not sure what you're referring to, Morgan. Okay, 47 00:03:43.039 --> 00:03:45.639 you know, diabetes is in the news all the time, 48 00:03:45.759 --> 00:03:50.199 given the you know that it's epidemic, affecting more than 49 00:03:50.240 --> 00:03:53.400 ten percent of the population, so it's the most common 50 00:03:53.479 --> 00:03:57.840 chronic disease there is. And at the center of diabetes 51 00:03:58.599 --> 00:04:01.599 are you know, elevated glucos levels. That's how we define it, 52 00:04:02.000 --> 00:04:06.280 and the elevated glucose levels are what are intimately related 53 00:04:06.319 --> 00:04:10.159 to the risk for complications. So therefore we you know, 54 00:04:10.199 --> 00:04:14.039 we try to maintain those glucose levels and the average glucose, 55 00:04:14.080 --> 00:04:16.279 which is a test called the hemoglobin A one C 56 00:04:16.920 --> 00:04:19.399 in a specific range. So I'm not sure what the 57 00:04:19.480 --> 00:04:21.000 exact story was last weekend. 58 00:04:21.639 --> 00:04:24.879 Okay, I should have taken notes, but I was just 59 00:04:25.879 --> 00:04:28.439 casually listened to listening to the news. 60 00:04:29.000 --> 00:04:34.079 But most yeah, no, I was about to say that, 61 00:04:34.160 --> 00:04:37.480 you know, it seems like ninety nine percent of the 62 00:04:37.519 --> 00:04:41.920 news around diabetes, these days is all around Wagovi and 63 00:04:42.040 --> 00:04:45.959 the samaglatie and all of the g LP one receptor 64 00:04:46.000 --> 00:04:51.439 agonists which have become, you know, really the major pharmaceutical story, 65 00:04:51.519 --> 00:04:54.560 I would say, of this century and are likely to 66 00:04:54.600 --> 00:04:58.160 be given that they've grown. You know, a large portion 67 00:04:58.199 --> 00:05:01.240 of a portion of the population is taking them, either 68 00:05:01.319 --> 00:05:05.680 for diabetes or for weight loss. They also have additional benefits, 69 00:05:05.680 --> 00:05:09.199 and almost all of the news these days is about them. 70 00:05:09.439 --> 00:05:14.480 They represent the reason why Denmark's entire economy has taken 71 00:05:14.519 --> 00:05:17.519 a turn for the better since Novo Nordisk, which is 72 00:05:17.560 --> 00:05:20.399 the company that makes one of them, is located in Denmark. 73 00:05:20.839 --> 00:05:23.519 So you know, you know, ninety percent of the stories 74 00:05:23.560 --> 00:05:26.040 out there are about these GLP ones. 75 00:05:27.959 --> 00:05:34.319 Now, people listening, Like, when I was first discovered to 76 00:05:34.319 --> 00:05:37.240 have diabetes, and that would be around nineteen ninety six 77 00:05:37.519 --> 00:05:42.639 or so, I had a few warning signals and I 78 00:05:42.680 --> 00:05:47.560 needed to be alerted to pay attention to these warning signals. 79 00:05:47.920 --> 00:05:51.160 Why don't you tell my audience at least three or 80 00:05:51.160 --> 00:05:57.199 four different things that could now underline could indicate that 81 00:05:57.360 --> 00:06:00.000 diabetes has a hold on you. 82 00:06:01.079 --> 00:06:04.360 Sure, so diabetes can have its on set. Now what 83 00:06:04.360 --> 00:06:06.920 we're talking about for the most part here is the 84 00:06:06.920 --> 00:06:11.040 epidemic form of diabetes, which is called type two diabetes. 85 00:06:11.560 --> 00:06:15.360 Used to be called adult onset because it arises in 86 00:06:15.439 --> 00:06:19.839 people as when they're adults. Type one diabetes, by contrast, 87 00:06:20.480 --> 00:06:24.519 occurs or has its onset most frequently in younger people 88 00:06:24.800 --> 00:06:27.560 and usually around the time of puberty, between the ages 89 00:06:27.560 --> 00:06:31.920 of eight and fifteen. Now, people can develop type one 90 00:06:31.920 --> 00:06:35.720 diabetes later in life. And although type two diabetes is 91 00:06:35.759 --> 00:06:39.399 the most common, it has its most common onset, you know, 92 00:06:39.480 --> 00:06:42.240 in middle aged older age. It can also occur in 93 00:06:42.319 --> 00:06:47.639 kids these days. Its major risk factor is overweight and obesity. 94 00:06:48.199 --> 00:06:51.600 And given that there is an epidemic of over seventy 95 00:06:51.720 --> 00:06:56.600 percent of the US population is either overweight or obese, 96 00:06:56.639 --> 00:06:59.480 that is double the number of the you know, fifty 97 00:06:59.560 --> 00:07:05.360 years ago. So that is the major risk seven zero 98 00:07:06.079 --> 00:07:10.680 seven zero percent, and that includes about forty percent or 99 00:07:10.920 --> 00:07:15.319 considered obese and thirty percent that are who are considered overweight. 100 00:07:15.560 --> 00:07:20.519 And you know, I agree entirely with the current stance 101 00:07:20.560 --> 00:07:24.240 that we shouldn't be fact shaming anyone. Okay, people should 102 00:07:24.279 --> 00:07:27.720 not be judged based on their weight. But diabetes doesn't 103 00:07:27.800 --> 00:07:31.439 understand that because diabetes the major risk factor is as 104 00:07:31.480 --> 00:07:34.439 people gain weight, and that is clearly linked to the 105 00:07:34.480 --> 00:07:37.639 epidemic of diabetes and a lot of other bad things. 106 00:07:38.839 --> 00:07:41.480 So you know that that's that's really the story kind 107 00:07:41.480 --> 00:07:43.439 of of this century, all right. 108 00:07:43.480 --> 00:07:47.079 And the fact that we just came through a holiday 109 00:07:48.120 --> 00:07:54.040 a pair of months with Thanksgiving and Hanukkah, Christmas, et cetera. 110 00:07:54.800 --> 00:08:02.680 Holidays a lot of food based family get togethers could 111 00:08:02.759 --> 00:08:08.000 have even nudged people closer to those diabetes' issues. I've 112 00:08:08.000 --> 00:08:10.399 got a break to take, and when we get back, 113 00:08:10.480 --> 00:08:12.160 let me open up the phones. If you want to 114 00:08:12.199 --> 00:08:16.680 call and speak to doctor Nathan and ask questions that 115 00:08:16.800 --> 00:08:22.560 relate specifically to you. Here are your phone numbers. Six one, seven, two, five, four, 116 00:08:22.639 --> 00:08:26.920 ten thirty, eight eight, eight, nine, two, nine, ten thirty. 117 00:08:27.480 --> 00:08:31.360 Take advantage of the doctor who is here. He has 118 00:08:31.920 --> 00:08:37.240 a great depth of knowledge in this subject. And we'll 119 00:08:37.240 --> 00:08:41.639 be right back after these messages. Time and temperature here 120 00:08:41.679 --> 00:08:47.159 on night side eight sixteen seventeen degrees. 121 00:08:48.720 --> 00:08:51.639 Now back to Dan Ray live from the Window World 122 00:08:51.840 --> 00:08:54.919 Nice Sight Studios on WBZ News Radio. 123 00:08:55.600 --> 00:08:58.000 I'm Morgan feeling in for Dan Ray, who will be 124 00:08:58.120 --> 00:09:03.360 back this time tomorrow. I promise you and my guest 125 00:09:03.600 --> 00:09:06.120 for the first hour of night Side is doctor David 126 00:09:06.200 --> 00:09:11.440 Nathan and he is well renowned across America's Seed the 127 00:09:11.480 --> 00:09:16.639 Shining Sea with the subject of diabetes. So if you 128 00:09:16.679 --> 00:09:22.519 have questions, you have concerns, call six one, seven, two, five, 129 00:09:22.559 --> 00:09:25.879 four ten thirty or eight eight, eight, nine to nine, 130 00:09:25.919 --> 00:09:30.519 ten thirty and doctor there have been I'm gonna say, 131 00:09:30.600 --> 00:09:37.759 leaps and bounds changes in the meter, because when I 132 00:09:37.840 --> 00:09:41.480 first became aware that I had diabetes and I had 133 00:09:41.480 --> 00:09:46.320 a glucose meter, that meter is now obsolete and should 134 00:09:46.320 --> 00:09:50.039 be in Fred Flintstone's home in comparison to what we 135 00:09:50.159 --> 00:09:53.759 have now in twenty twenty five. Would you like to 136 00:09:53.799 --> 00:09:56.799 speak to changes in the glucose meter? 137 00:09:58.080 --> 00:10:01.799 Sure, absolutely so. So you know, the glugos meters go 138 00:10:01.919 --> 00:10:05.440 back more than fifty years. I have a bunch of 139 00:10:05.480 --> 00:10:08.440 them in my office that are paper weights, because there 140 00:10:08.440 --> 00:10:12.639 are these enormous black black boxes that you stuck a 141 00:10:12.679 --> 00:10:16.720 strip in after you'd incubated it for more than a minute, 142 00:10:16.759 --> 00:10:19.080 and then you stuck in it. They were pretty accurate actually, 143 00:10:19.120 --> 00:10:23.080 but they were totally unwieldy. The ones that came along 144 00:10:23.759 --> 00:10:27.279 more recently, meaning the last twenty five for thirty years, 145 00:10:27.840 --> 00:10:32.080 allowed people to do these fingerstick, blood shrigger checks and 146 00:10:32.159 --> 00:10:34.080 with that for people who don't know what it is, 147 00:10:34.519 --> 00:10:37.039 it was a little device like a pen that you 148 00:10:37.159 --> 00:10:40.440 held up against your fingertip with a spring. There was 149 00:10:40.519 --> 00:10:42.720 a little lancet, a little point that went into your 150 00:10:42.720 --> 00:10:45.960 finger and drew a drop of blood. You applied the 151 00:10:46.039 --> 00:10:48.720 drop of blood to a strip, put it in the meter, 152 00:10:49.200 --> 00:10:51.639 and within you know, thirty to sixty seconds, it gave 153 00:10:51.679 --> 00:10:53.960 you what turned out to be a very accurate reading. 154 00:10:54.639 --> 00:10:58.600 For people with type one diabetes, the juvenile form, who 155 00:10:58.600 --> 00:11:01.759 were taking always taking in slow by definition, and we're 156 00:11:01.799 --> 00:11:05.639 trying to avoid high glucose levels as well as low 157 00:11:05.679 --> 00:11:09.200 gugos levels, they were generally recommended to do these tests 158 00:11:09.200 --> 00:11:11.960 at least four times a day, so four fingersticks a 159 00:11:12.039 --> 00:11:16.320 day for a lifetime. Type two diabetes also recommended for 160 00:11:16.399 --> 00:11:19.080 people with type two diabetes who have we're taking insulin 161 00:11:19.720 --> 00:11:23.120 or who were taking a medication that could cause low 162 00:11:23.200 --> 00:11:26.039 blutugar and there are a couple of oral medications that 163 00:11:26.080 --> 00:11:29.399 could do that. So if we fast forward, the meters 164 00:11:29.399 --> 00:11:32.759 got quicker, more accurate, smaller, and all that. But the 165 00:11:32.840 --> 00:11:36.639 real change has been in the last almost ten years 166 00:11:36.639 --> 00:11:40.000 now where people can wear these devices that everyone sees 167 00:11:40.399 --> 00:11:43.320 on the back of somebody's arm, and they're called continuous 168 00:11:43.399 --> 00:11:47.240 glucose meters. And what these do is that it's like 169 00:11:47.279 --> 00:11:49.159 a little patch that goes on your arm, or you 170 00:11:49.159 --> 00:11:51.879 can put it on your abdomen. There's a little straw 171 00:11:52.120 --> 00:11:54.879 called the catheter that goes a little bit below the 172 00:11:54.919 --> 00:11:57.960 surface of the skin, and what that straw does is 173 00:11:58.000 --> 00:12:01.919 it SIPs a fluid from between the cells, and that 174 00:12:02.080 --> 00:12:05.879 fluid actually isn't exactly the same as blood glucose, but 175 00:12:05.960 --> 00:12:09.519 it reflects what the blood glucose is. And these devices 176 00:12:09.559 --> 00:12:13.639 give people readings automatically every five minutes. So you put 177 00:12:13.679 --> 00:12:15.559 one of these things in, you leave it in for 178 00:12:15.679 --> 00:12:18.320 three to more days, and it gives you a reading 179 00:12:18.399 --> 00:12:21.399 on your cell phone, for example, again every three to 180 00:12:21.480 --> 00:12:24.879 five minutes. And for people who have type one diabetes, 181 00:12:25.039 --> 00:12:29.200 these devices are invaluable. People who have type two diabetes 182 00:12:29.240 --> 00:12:31.840 a little bit more debatable whether they're useful or not. 183 00:12:32.799 --> 00:12:36.200 The real advance that has occurred is that these meters 184 00:12:36.720 --> 00:12:40.919 talk to an insulin pump, so by bluetooth, they can 185 00:12:41.000 --> 00:12:43.879 send the signal to an insulin pump and they help 186 00:12:44.080 --> 00:12:48.200 drive the insulin pump. For type one diabetes usually and 187 00:12:48.320 --> 00:12:51.200 help the pump determine how much insulin needs to be given. 188 00:12:51.559 --> 00:12:54.919 So it's kind of an automated system. And that's where 189 00:12:54.960 --> 00:12:56.840 those are the real advances that have occurred. 190 00:12:56.919 --> 00:13:02.360 Okay, And we started to but I wanted you to 191 00:13:02.399 --> 00:13:08.440 give me, let's say, one to three specifics of something 192 00:13:09.159 --> 00:13:15.440 not right with your body. I'll begin by eyesight. You, okay, 193 00:13:15.480 --> 00:13:18.559 have no problems with your eyes, and all of a sudden, right, 194 00:13:19.159 --> 00:13:24.279 it's hard to read the magazine you've always read, and 195 00:13:24.600 --> 00:13:26.919 are other things beyond that, So go. 196 00:13:26.799 --> 00:13:30.480 Ahead, absolutely. So I would say that in the old days, 197 00:13:31.720 --> 00:13:36.919 meaning fifteen twenty years ago more, many people were discovering 198 00:13:36.960 --> 00:13:39.799 that they had diabetes because of symptoms. And the one 199 00:13:39.799 --> 00:13:43.519 that you're suggesting eyesight, is that people would develop blurry 200 00:13:43.600 --> 00:13:46.559 vision without any explanation for it. They would get new 201 00:13:46.600 --> 00:13:49.399 glasses because they had blurry vision, and then a week 202 00:13:49.480 --> 00:13:52.440 later their vision was blurry again. And that was because 203 00:13:52.480 --> 00:13:56.720 if blood sugars rise very quickly, they actually affect the 204 00:13:56.960 --> 00:14:01.639 lens of your eye, so it changes the refractive the 205 00:14:01.759 --> 00:14:05.279 refraction that the lens provides, cause you have blurry vision. 206 00:14:05.799 --> 00:14:08.159 The other symptoms that we'll get to, okay, which you're 207 00:14:08.200 --> 00:14:10.320 gonna ask me about anyway in a minute. I know 208 00:14:11.559 --> 00:14:15.879 is you know, people tell me, well, you know we've 209 00:14:15.919 --> 00:14:17.480 done this, but you know we really we should go on 210 00:14:17.519 --> 00:14:21.519 stage or something, so yeah we should. So the other 211 00:14:21.679 --> 00:14:25.000 the other symptoms that occur and don't occur as commonly 212 00:14:25.039 --> 00:14:27.720 now as they used to, and I'll explain why in 213 00:14:27.720 --> 00:14:32.799 a minute. Or people get increasing thirst and increasing urination, 214 00:14:33.720 --> 00:14:35.879 and that is because if the blood shiger arises to 215 00:14:35.919 --> 00:14:39.720 a certain level, you start spilling it in your urine, 216 00:14:39.720 --> 00:14:42.120 it goes into the urine, and when the shrew goes 217 00:14:42.120 --> 00:14:44.200 in the urine, it pulls water with it, and before 218 00:14:44.279 --> 00:14:46.919 you know it, you're going to the bathroom far more often. 219 00:14:46.960 --> 00:14:50.519 You're having to get up at night several times, and 220 00:14:50.600 --> 00:14:53.879 because that's happening, you get a little dehydrated, and then 221 00:14:53.919 --> 00:14:56.840 you get increased thirst. So those are really the kind 222 00:14:56.840 --> 00:15:02.360 of classical symptoms of having an elevat blood sugar. These days, 223 00:15:02.360 --> 00:15:05.399 it turns out that many people are actually discovered to 224 00:15:05.399 --> 00:15:09.960 have diabetes just because they're doctors or healthcare providers appropriately 225 00:15:10.440 --> 00:15:14.200 are testing their blood sugar or that hemoglobin a one 226 00:15:14.360 --> 00:15:18.000 C test which measures average blood sugar, and they're doing 227 00:15:18.000 --> 00:15:20.320 that at least once a year, and that is the 228 00:15:20.360 --> 00:15:23.159 way these days that most people are picked up are 229 00:15:23.200 --> 00:15:27.039 diagnosed as having diabetes, not waiting until the sugar rises 230 00:15:27.320 --> 00:15:30.559 so high that their vision gets blurry that they're urinating. 231 00:15:30.679 --> 00:15:33.320 It can still happen, but many more people are picked 232 00:15:33.399 --> 00:15:35.639 up just by routine laboratory tests. 233 00:15:36.320 --> 00:15:43.480 And in those tests, your blood sugar numbers tell people 234 00:15:43.600 --> 00:15:48.480 a range where okay, we're not concerned, your doctor is 235 00:15:48.519 --> 00:15:56.799 not concerned that diabetes is in your immediate future, versus okay, now, 236 00:15:57.440 --> 00:16:03.720 thirty more points, fifty more points get a doctor's concern, right. 237 00:16:04.679 --> 00:16:07.240 So you know, as it turns out, we as a 238 00:16:07.279 --> 00:16:11.120 species eat episodically. We don't graze all day long. We 239 00:16:11.200 --> 00:16:14.600 have three meals a day usually and sometimes four or 240 00:16:14.639 --> 00:16:17.720 five meals a day with snacks and whatever. But you know, 241 00:16:17.799 --> 00:16:22.039 with the episodic eating, the meal time eating, our bloochergers 242 00:16:22.080 --> 00:16:25.320 tend to be low before you eat, and in everyone 243 00:16:25.720 --> 00:16:28.519 they rise after you eat. And the more sugar or 244 00:16:28.600 --> 00:16:32.000 more sugary drinks, or the more carbohydrate you have in 245 00:16:32.039 --> 00:16:34.600 the meal, the higher the blood suger is likely to be. 246 00:16:35.240 --> 00:16:38.039 So the timing of these tests turns out to be 247 00:16:38.039 --> 00:16:41.200 pretty critical. Most of the time, doctors will want you 248 00:16:41.279 --> 00:16:44.440 to come in for a fasting blood sugar test, blood 249 00:16:44.480 --> 00:16:47.960 glucose tests, same thing, and if the number is greater 250 00:16:48.039 --> 00:16:52.080 than one twenty six, greater than one twenty six, they'll 251 00:16:52.080 --> 00:16:54.759 ask you to repeat it. Okay. Now, by the way, 252 00:16:54.799 --> 00:16:57.399 if the blood sugger is two hundred and you're complaining 253 00:16:57.440 --> 00:17:01.000 of the urination and first, then the diagnosis is made. Okay, 254 00:17:01.000 --> 00:17:02.960 you don't have to have it repeated. If the blood 255 00:17:03.200 --> 00:17:06.039 is very high, and that's simple, and then you have 256 00:17:06.079 --> 00:17:08.200 diabetes and they'll put you on treatment and hopefully it'll 257 00:17:08.200 --> 00:17:10.759 improve it. The other measurement that's done is I said, 258 00:17:10.799 --> 00:17:13.519 is this hemoglobin a one c, which is also a 259 00:17:13.559 --> 00:17:17.240 blood test, and if that value is higher than six 260 00:17:17.279 --> 00:17:21.440 point five percent, it's a different unit than the blood sugar. 261 00:17:21.759 --> 00:17:23.680 But if it's higher than six point five it means 262 00:17:23.720 --> 00:17:27.200 you have diabetes. They usually would repeat that also to 263 00:17:27.279 --> 00:17:30.240 make sure that the first test was not an error. 264 00:17:30.640 --> 00:17:33.440 But once either of those, you know, either of those 265 00:17:33.880 --> 00:17:38.440 criteria is met, So either a fasting blood sugar or 266 00:17:38.880 --> 00:17:43.920 a hemoglobin a one c, then you're diagnosed. Sometimes people 267 00:17:44.400 --> 00:17:48.200 are so symptomatic, thirsty and urinating and blurry vision that 268 00:17:48.279 --> 00:17:51.119 you just do a random blood sugar and if it's 269 00:17:51.160 --> 00:17:54.440 over two hundred, there's no question you've got diabetes. And 270 00:17:54.480 --> 00:17:56.839 so there are a number of different ways of diagnosing. 271 00:17:56.359 --> 00:18:02.759 It now that we know a red flags to watch 272 00:18:02.839 --> 00:18:07.240 out for. If any of these circumstances one or a 273 00:18:07.279 --> 00:18:12.319 combination of two or all three are happening to you, 274 00:18:13.599 --> 00:18:18.880 do the smart thing, because I'll tell you something real quick, 275 00:18:18.920 --> 00:18:21.640 and then I have to take a break. My grandmother 276 00:18:21.759 --> 00:18:27.240 was a nurse and in nineteen ninety six when it 277 00:18:27.359 --> 00:18:34.319 was discovered I'm a diabetic. In her time it could 278 00:18:34.359 --> 00:18:39.079 have been fatal. But nowadays there are just so many 279 00:18:39.279 --> 00:18:44.519 measures that can cut this off at the pass, so 280 00:18:44.640 --> 00:18:48.480 many ways that you're necessarily not going to get rid 281 00:18:48.519 --> 00:18:52.240 of it, but you can at least help fight it, 282 00:18:52.640 --> 00:18:57.240 curb it, and find a way to stay ahead of it. 283 00:18:58.400 --> 00:19:00.680 And I want you to have a long, happy life. 284 00:19:01.079 --> 00:19:04.079 I have thirty eight states listening to me, parts of 285 00:19:04.200 --> 00:19:09.200 Canada listening to me, listening to me. Do the right thing, 286 00:19:09.400 --> 00:19:11.920 And now I've got to take a break, doctor Nathan 287 00:19:11.960 --> 00:19:14.920 and I will be back after a few messages and 288 00:19:14.960 --> 00:19:18.960 a quick hit of news. This is Nightside, heard only 289 00:19:19.000 --> 00:19:26.279 on WBZ News Radio ten thirty time, eight thirty seventeen degrees. 290 00:19:27.160 --> 00:19:30.480 You're on the Night Side with Dan Ray on WBZ, 291 00:19:30.880 --> 00:19:32.079 Boston's news radio. 292 00:19:32.759 --> 00:19:35.279 We are back here on Nightside. I'm Morgan filling in 293 00:19:35.359 --> 00:19:37.799 for Dan. Dan, We'll be back tomorrow. I know I've 294 00:19:37.839 --> 00:19:42.839 been saying it a lot, but Dan, I think his 295 00:19:43.000 --> 00:19:48.000 last time on air was last Tuesday. So Gary was 296 00:19:48.039 --> 00:19:54.720 here Wednesday, Thursday, Friday. I was here last night. I'm 297 00:19:54.759 --> 00:20:00.759 here now, so all of you Dano files, Dan Ray. 298 00:20:00.920 --> 00:20:04.839 We'll be back to night Side eight o'clock tomorrow. I've 299 00:20:04.839 --> 00:20:07.759 got doctor David Nathan. He and I are talking about 300 00:20:07.799 --> 00:20:14.279 diabetes and doctor. Going back to the meters, Nancy mentioned 301 00:20:14.279 --> 00:20:17.200 to me, she's sitting right next to me, there is 302 00:20:17.480 --> 00:20:24.599 a newer meter that doesn't take blood. It well, I'll 303 00:20:24.680 --> 00:20:29.960 let you explain it that the newer meter, it. 304 00:20:30.039 --> 00:20:34.640 Was a glucose monitor or CGM that I referred to earlier. 305 00:20:35.319 --> 00:20:38.480 So it really doesn't take blood. It sits on your 306 00:20:38.519 --> 00:20:41.759 skin and again with a little straw, a little catheter 307 00:20:42.640 --> 00:20:46.279 really SIPs it's like a straw, SIPs fluid from between 308 00:20:46.279 --> 00:20:50.480 the cells and measures the sugar levels in that fluid. 309 00:20:51.240 --> 00:20:54.319 It turns out that although it's not exactly the same 310 00:20:54.359 --> 00:20:58.559 as the blood sugar level blood glucose level, it's really close. 311 00:20:59.079 --> 00:21:01.559 And again, these divice is measure the blood trigger every 312 00:21:01.599 --> 00:21:05.799 three to five minutes to provide an ongoing kind of 313 00:21:05.839 --> 00:21:09.160 a record, a diary if you will, of your glucose 314 00:21:09.279 --> 00:21:13.240 levels in real time and help you help people decide 315 00:21:13.400 --> 00:21:15.319 how much insulin they need to take or whether the 316 00:21:15.400 --> 00:21:18.880 adjustments need to be made in their other diabetes medications. 317 00:21:19.039 --> 00:21:20.279 So they're they're quite useful. 318 00:21:20.920 --> 00:21:27.160 And are there any other newer innovations of people might 319 00:21:27.240 --> 00:21:31.079 not be aware it's out and available to them. 320 00:21:31.480 --> 00:21:34.000 Well, there are a lot of you know, new ideas 321 00:21:34.000 --> 00:21:38.119 that are under investigation, but the ones that are you know, 322 00:21:38.160 --> 00:21:40.319 that have been brought to the four that have been 323 00:21:40.359 --> 00:21:44.240 proved to be effective, that have been approved by the FDA, 324 00:21:44.960 --> 00:21:47.079 and that are available to people are the ones we've 325 00:21:47.160 --> 00:21:51.240 talked about. The new medications, especially to treat type two diabetes. 326 00:21:51.839 --> 00:21:55.720 They're newer insulins available to treat type one and type 327 00:21:55.759 --> 00:21:59.279 two diabetes, and then the means to deliver them, so 328 00:21:59.319 --> 00:22:02.960 that you know, the new pumps, these new tiny pumps 329 00:22:03.000 --> 00:22:06.880 that are driven by the continuous glucose monitors, so really 330 00:22:06.960 --> 00:22:10.119 kind of artificial pancreases, and that has been, you know, 331 00:22:10.279 --> 00:22:12.599 a major development over the last decade or so. 332 00:22:14.039 --> 00:22:20.079 What reading material magazine's websites would you recommend people go 333 00:22:20.160 --> 00:22:23.319 to to keep up with what's happening in the world 334 00:22:23.359 --> 00:22:24.119 of diabetes. 335 00:22:26.039 --> 00:22:29.599 Yeah, you know, we live in one of the only 336 00:22:29.680 --> 00:22:34.039 two countries in the world that do direct to consumer 337 00:22:34.240 --> 00:22:38.839 advertising for medicines for examples, I think it's US in 338 00:22:38.920 --> 00:22:42.640 New Zealand, so, you know, ONTELL, I want to caution 339 00:22:42.799 --> 00:22:47.200 people that advertising is advertising. I mean, you know, although 340 00:22:47.240 --> 00:22:49.519 it provides a lot of information and a lot of 341 00:22:49.599 --> 00:22:52.440 dancing people with diabetes talking about what drug they're taking, 342 00:22:52.920 --> 00:22:55.799 it is advertising and they should remember to talk to 343 00:22:55.839 --> 00:23:00.640 their healthcare professional and not necessarily buy everything or else. Understood, 344 00:23:00.880 --> 00:23:03.880 you accept everything that they see on television because it 345 00:23:04.039 --> 00:23:07.359 is advertising and it's meant to sell the product. I 346 00:23:07.400 --> 00:23:11.279 think that, you know, especially diabetes specialists have a much 347 00:23:11.319 --> 00:23:16.480 more nuanced understanding of which device and which medication is 348 00:23:16.519 --> 00:23:20.119 good for the person who's asking them for help for 349 00:23:20.240 --> 00:23:23.640 their particular patient. So I think people have to be cautious. 350 00:23:23.680 --> 00:23:28.799 There's information everywhere. The American Diabetes Association has very reliable 351 00:23:29.440 --> 00:23:34.440 magazines both for professionals as well as for consumers meeting patients, 352 00:23:35.240 --> 00:23:37.599 and I think that is a reliable source of information. 353 00:23:38.880 --> 00:23:44.680 You mentioned dancing people. I'm going to mention this one 354 00:23:44.799 --> 00:23:49.440 product because they come up with a new commercial every 355 00:23:49.599 --> 00:23:54.519 six to eight weeks with a new set of dancing people. 356 00:23:55.720 --> 00:23:58.880 And the first one, the woman was on a best 357 00:23:59.000 --> 00:24:05.039 see was happy that. I'll say the product that begins 358 00:24:05.079 --> 00:24:08.759 with jay. I don't want to mention a name because 359 00:24:08.839 --> 00:24:13.799 people will think I am giving an approval to a product. 360 00:24:14.000 --> 00:24:14.319 I'm not. 361 00:24:15.799 --> 00:24:18.680 I'm trying to be right down the middle. But they 362 00:24:18.720 --> 00:24:22.400 have done more commercials. First of those women on the 363 00:24:22.440 --> 00:24:26.400 bus than those women dancing in the neighborhood park. Then 364 00:24:26.480 --> 00:24:30.400 it was a guy pruning his yard. And it's always 365 00:24:31.559 --> 00:24:35.759 I take, I take more blah with blah blah blah 366 00:24:35.960 --> 00:24:40.279 at each day. Start the jingle is in my head and. 367 00:24:40.400 --> 00:24:47.680 I know I've got diabetes. Right, that's the one, And 368 00:24:47.720 --> 00:24:49.200 you're right, we should go on the road. 369 00:24:49.440 --> 00:24:55.799 We already know the material and these companies and earlier 370 00:24:55.839 --> 00:24:59.640 you mentioned uh well Kobe, and all of a sudden, 371 00:24:59.720 --> 00:25:04.160 this one product it was just another product out there, 372 00:25:04.559 --> 00:25:09.559 and then it was used to kind of help fight 373 00:25:10.160 --> 00:25:16.680 obesity and everybody jumped on the wacovie bandwagon, and I 374 00:25:16.720 --> 00:25:19.720 don't know, I just think that's a dangerous precedent. 375 00:25:20.839 --> 00:25:23.839 Yeah, I said no, no, no, I said it previously 376 00:25:23.960 --> 00:25:26.119 that we are the one of only two countries in 377 00:25:26.160 --> 00:25:29.880 the world that allows that kind of advertising. So there's 378 00:25:30.000 --> 00:25:34.119 direct to consumer and the ideas to either you motivate 379 00:25:34.279 --> 00:25:37.759 or stimulate or inflame the population to go out of 380 00:25:37.839 --> 00:25:40.720 acid doctors for you know, because they saw in a 381 00:25:40.759 --> 00:25:43.440 thirty second to add a bunch of people dancing around 382 00:25:43.839 --> 00:25:45.680 and singing a song that you can't I got type 383 00:25:45.680 --> 00:25:47.400 of it that you can't get out of your head. 384 00:25:47.599 --> 00:25:49.400 It's true. I can't get out of my head either. 385 00:25:49.559 --> 00:25:52.839 It's you know, whoever at that jingle understands how to 386 00:25:52.880 --> 00:25:57.000 capture people's attention, I guess, so again I think that. 387 00:25:57.400 --> 00:26:00.880 Yeah, I was about to say, whoever does the casting 388 00:26:00.960 --> 00:26:11.200 for these commercials, commercials floral the plumper actors and actresses finally. 389 00:26:10.839 --> 00:26:12.720 Have enough place. 390 00:26:13.799 --> 00:26:20.519 No, because everybody is a tad overweight, I'll say it 391 00:26:20.759 --> 00:26:22.039 politely that way. 392 00:26:23.839 --> 00:26:27.279 Well, as I said earlier, remember that that is what 393 00:26:27.440 --> 00:26:30.519 most of the country looks like. Also, I mean, you know, 394 00:26:31.519 --> 00:26:34.440 the what used to be considered when we were in school. 395 00:26:34.920 --> 00:26:38.720 You know, I remember in elementary school sixty something years ago, 396 00:26:39.400 --> 00:26:42.519 sixty oh god, I'm getting old, you know, sixty five 397 00:26:42.559 --> 00:26:44.839 sixty eight years ago, that there was always one or 398 00:26:44.880 --> 00:26:48.160 two kids who were kind of overweight, plump, you know, 399 00:26:48.240 --> 00:26:52.039 you call them unfortunately, you call chubby or something, you know, 400 00:26:52.400 --> 00:26:54.839 And that was and that was unfair to them, of course, 401 00:26:55.039 --> 00:26:58.039