Actually Understand Type 2 Diabetes
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- Опубликовано: 14 май 2024
- Type 2 diabetes affects over 400 million people. It can be confusing and difficult to manage, so in this video we'll answer all your questions about type 2 diabetes, including what to eat, what affects your risk, and is there a cure.
Hosted by: Reid Reimers (he/him)
00:00 Intro
00:52 What Is Type 2 Diabetes?
01:58 Types of Diabetes
04:13 How T2D Affects the Body
05:53 Symptoms of T2D
07:26 Risk Factors for T2D
09:36 Living with, Managing, and Minimizing Unwanted Outcomes from T2D
12:12 Treatments, and Is There a Cure?
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Insulin isn't "incredibly expensive". It's actually incredibly cheap.
What's expensive is pharmaceutical industry price gouging.
Yes, but you know exactly what he meant.
@@veryberry39 "What he meant" only really applies in the US.
Expensive insulin isn't a problem for basically any other developed nation.
Developing nations, well, everything's unaffordably expensive for them.
And most cases of Diabetes arise from the fact the EVERYTHING has too much sugar in it now.
Incredibly cheap after the millions dumped into R&D, regulations, experts, professionals, etc.
@@JohnusSmittinisinsulin was synthesized so n 1978
They sure need the research to make it 46 years later
I have type II. Thankfully it's under control. I had to change my diet and take Metformin. My A1C went from 14+ (life threateningly high) to 5 (normal). I also lost 25+ lbs in about 4 months. My vision was starting to go. I'm much better now that I changed my diet and got my blood sugar down. No more candy and soda for me! They even dropped my meds to once a day.
I could have died at any time. I'm so glad it was treated promptly. It saved my vision and my life.
Me too. I was diagnosed in December and have lost ~35lbs with at first chicken 🍗 and broccoli 🥦 then moved to Walmart salads.
@@briardi89 35 lbs. is fabulous! At my Walmart the salads are very high in salt and fat and preservatives. So, I've been trying not to eat them. I'm trying to get back to salads, post covid. I used to do a lot of salad bar at a local supermarket. The salad bar probably had a lot of preservatives and the bags of leaves seem to keep getting recalled. I hate chopping all of those things.
Very well done! Thank you for your honesty and hard work!
This was awesome to read! I'm so happy for you!
I just got back on my diet again (never fully left) took a few weeks off due to some stress and i fell into old habits. Back to the 1 diet soda a day and my water/protein shake/ propel Carrots are 100% my saving grace (and salad with a small amount of kale some spinach and lettuce) plus boneless skinless chicken breast. Will get even easier that things will be in season here! Keep the grind and keep up the good work. Change is one step at a time!
As a Type 2 diabetic who went from 350 lbs and an A1C in the 14 range. To about 225 lbs and an A1C of 5.5 it is very possible to get your life and body under control and back to a much healthier state. My journey was primarily diet change and being on both Metformin and Ozempic. There is no magic cure but if you are willing to work at it from various angles then there is a way forward.
You go champion of diabetes 👏 🎉❤🫡
as we say in the community: your diabetes mileage my vary.
great job though! hope you'll stay healthy for a long time.
Hey Ginger, that's great to hear- congrats! I'm curious how long that took. I'm at 265lbs now, and just hit 10 on my last A1C, even though I'd been moving a lot and releasing weight the prior few months.
@@joecolletti I guess it takes time..maybe 6mths or so for weight and sugar levels to show on a more permanent basis. I'm only guessing.
Type 2 Diabeties should not be messed with. My dad lived with it his entire life and never controlled and he's facing the consequence of that now. Blindness, dialysis, highblood pressure. I've lived with type 2 for 5 years and seeing how my dad is. I've gotten tired of it and changed my life style and reserved my diabetes to the point it seems like I never had it. My AC1 was 7.8 but now it's been between 5.2-5.4 for quite sometime now.
this gives me hope. we have been told conflicting things about t2d remission, some that it's possible and some day it's always only temporarily in remission, no matter what changes you do, it'll always return. my husbands in remission with same changes as yourself, fingers crossed it stays that way.
How long has your dad left the diabetes uncontrolled?
@@piddlydiddly absolutely! He just have to keep up his life style change, diet and exercise and it'll be in remission for a very long time. I'm able to have sugar on a sugar basis but I understand when and how much of it to have.
@@SuperSOSSOS 30+ years, no exercise, no diet change, just depended on the medications which they don't tell you that the more you take the worse it gets. The saddest part about it every now and then he'll ask me to take him to the doctors because he no longer wants all these diseases.
@piddlydiddly Look into Ron Santo, he never went into remission, but he was a pro baseball player with t2d in an Era before pin prick blood tests. Yes he died from bladder cancer and lost both legs, but he also lived to 70, and had t2d for nearly 50 years.
Would love to see another video on type 1 diabetes! I have type 1 and explaining it to people is exhausting. There are so many misconceptions.
“You did this to yourself! You should be ashamed!”
and always explaining that type 1 is different than type 2 (ex they say fasting is useful for you) 😢
Don't forget cinnamon. That will cure Type 1 Diabetes. 😂
“You’re too young to have diabetes!”
Well, Karen, I was diagnosed before I was a year old.
Same! I’m shutting people down left and right every day. Like, “No Shelly. I can’t drink the juice from the Mongolian Yak fruit to cure my diabetes like your great uncle Fleming. He sounds like a liar.”
i'm a type 1 myself, but my dad was type 2 and i know a lot of type 2s via the diabetic community.
what i found terrifying that in the last two ish years i heard twice that people who had an elevated A1c were basically told "you got type 2, watch your weight, okay bye" - there is a bitter irony that both turned out to be type 1 but even if the type 2 had been correct (which should be tested for though) you can just say "watch you weight, ciao" ..neither was even _suggested_ to get a glucose meter, or see a dietician, or have follow-up appoints to watch the development. it would be frustrating with a rare disease, but with somehing as common as diabetes that is just inacceptable behaviour from a doctor.
I had a coworker who was told “you’re type 2, here’s a blood sugar checker, bye!” So he was constantly brain fogged etc at work so I was telling him the TLDR he has to pay attention to because otherwise he LITERALLY COULDNT FUNCTION ENOUGH TO DO HIS JOB & he didn’t listen or try to do anything about his diabetes. How is that kind of “medical care” legal? & how do people just let themselves stay sick & oblivious when people are actively trying to tell them how they could realistically care for themselves? 😭
Insulin costs in Australia where pharma prices are regualted is often less than people's monthly Coffee Bills.
I would love a similar video on type 1 diabeties
i was diagnosed with T2D in 2022, I got 2 tests done in 3 days both times my A1C was just under 14 mmol/L. Now a year and a half later my test has my A1C at 6.6 mmol/L. It really wasn't all that difficult. I cut back on cakes, muffins, and sugary drinks, went on a high-protein diet, i became more physically active, and of course Metformin.
My A1C was initially a 9.6. I don't like sweets so I had to look at other things. I ended up cutting out all beer and limiting my carbs to 30g a day. My A1C dropped to 6.2. The lowest it's been was 5.1 with diet changes alone.
type 2 diabetes runs in my family, and my brother and i have both been diagnosed while we’re still in our 20s. we’re both an average body size and i at least have been somewhat physically active over the past few years… i rly appreciate people pushing back on the myth that poor personal choices cause diabetes; sometimes it just happens. and even if a person’s choices *do* play a role they don’t deserve the amount of stigma that is involved.
Can’t state how much I appreciate this video. I’ve just been diagnosed with type 2 in the last month and feel I understand it a lot better now
Metformin is also special among type 2 diabetes mellitus medicines in that its use is linked to a longer lifespan. Actually, the increased lifespan observed among diabetics taking it in one trial was so great that they outlived the control group that didn't have diabetes and this helped to trigger research into anti-ageing effects of metformin.
I appreciate you covering this subject. I've been overweight and with poor health habits, but aggravating to my doctor at the time, I wasn't showing any signs of diabetes. Other health issues, but not that. Since having COVID in 2022, though, I've been getting poor A1C results and am now prediabetic. It's no excuse for my poor health habits, but it it does explain why I was so incredibly fortunate for decades and then like a lightswitch being turned off, I no longer was.
Regarding the doctor being aggravated that I wasn't diabetic - as weird as it sounds, I do mean that literally. She wasn't a good doctor and managed to screw up the one time I successfully kept myself on a proper diet by ordering me on a dangerous fad diet. When I talked to a dietitian afterward, she (the dietitian) was horrified and gave me a diet that was essentially what I'd had success with but 50 calories higher. Unfortunately I haven't had success staying on that diet since the fad diet derail.
PS. Do not give health "advice" in reply. It's unwelcome and harmful.
I have a friend who is very overweight, who was in the hospital for other reasons, and the doctor tested him every couple of hours to see if he had diabetes yet. That's not how it works! GPs don't seem to be getting a very good education about diabetes. I'm not sure that endocrinologists are either. I hope you found a better doctor!
@@Sarcasticron A lot of doctors don't seem to keep up with new research once they finish their schooling. It's maddening. They should have to get annual continuing education credits in their specialties and get recertified at some regular interval, maybe every ten years, but at least in the USA many of them have knowledge that ends at that graduation date.
I was pre-diabetic. About twenty years ago I got the bug/fever/whatever that was going around work and ran a fever for a couple of days. T2 runs in my family, both sides in elders. Afterwards I felt different. I had recently moved and found a Dr. I told her I was diabetic and she tested me (after telling me this is not how most patients present) and agreed.
@@Sarcasticron They do test when you are in the hospital now, especially post surgery. It has been determined that post surgical patients are likely to have high blood sugar because of the stress and inactivity and that they heal better if the blood sugars are kept down.
@@Sarcasticron Yep. Though for a much worse reason. Thankfully the diet fiasco had me distrusting her and I got a second opinion on her malprescription or I wouldn't be here now. I went a couple years refusing to go to anyone but I ended up with someone decent who I stayed with until he retired. New one has been decent too.
Became diagnosed as type 1 in 2009, would love a type 1 video.
Yeah... turns out being poor is quite stressful, and stress chemistry wrecks havoc on your body in all sorts of ways...
Yeah... turns out being poor, living with food scarcity and bouts of starvation, leading to eating quantity over quality, subsisting on potatoes, rice, pasta (Mac n chese) boxes of ramen noodles, all carb heavy can and will lead to type 2 diabetes.
Also the ultra processed food & refined carbs that they target advertise to the poor, and give as alms to the poor via breadlines. Slow motion genocide.
Yeah, turns out if you're poor you lose the ability to meditate and manage your life properly and you become incapable of understanding what a good diet looks like. If only we had more money, then we could do and know all these things.
I'm poor. Just finished my p90x workout. Just finished my oatmeal with protein powder and other nutrient rich foods. Just finished my grocery budget for the month. I'm at $200 for my groceries and I am fit and healthy. Now I'm going to go to work to make my contribution to society and make the money I need. I'll see you guys when you get your lives together and stop making excuses.
@@my.names.robb.with.two.bs1 I'm a medically retired disabled Iraqi war veteran. I live on $1000 VA disability per month. Life is good now compared to when I was a child living with food scarcity age birth through joining the military at age 17. Starvation age 5 through 6, which was a powerful enough experience to be burned in detail in my memories. Food scarcity and Starvation again in my mid 30s after I left my ex after 12 years of horrible marriage and lost everything. Managed to rejoin the military at 39 because of my prior service and the government was desperate for bodies to ship to Iraq. Living with far less than adequate parents growing up, and dealing with a sadistic ex through a protracted and harrowing divorce left it's mark throughout my body and I'm certain was in great part why my brother and I ended up with type 2 diabetes. Thankfully the VA is helping to keep me healthy and stable with AC1 and hormone monitoring every three months. I eat as well as I can with a goal of three fresh fruits and 6 fresh vegetables per day and I primarily subsist on grains and beans. I go for 5k walks every morning before the sun comes up, and 45 to 50k mountain bike rides every other day, on top of all the physical therapy exercises the VA has me do daily.
Not every person can live a perfect life and have perfect knowledge on how to best succeed in their circumstances. Skills are far more important than money and in the last 10 years I've learned and polished skills that will keep me alive and healthy even if civilization were to stop. Starvation and food scarcity haven't been a problem since I rejoined the military at 39 and never will be again. From my parents and my ex I've learned never to rely on others. Even with what the VA provides me I have a plan B for if that gets disrupted. I can only count on myself and be my own best advocate.
Having been diagnozed just a few months ago, and scheduled to (maybe) transition to Ozempic soon, I can now (again) say that I'm _so_ happy to live in Norway.
Seeing the extortionate prices in the US ("from around $915 per injection pen"), and comparing it to Norwegian prices (NOK520, or ~$48), makes me pay the slightly higher taxes here with even more pleasure.
But socialized medicine is bad, I guess... 😅
Yep, it's real sad. People will fight against universal healthcare, while paying insane premiums to insurance companies who turn around and deny everything. Like, uh, what???
The frustrating thing is a lot of USA people would be happy to have socialized healthcare, but the government is so structurally racist it would literally make its own population sicker than give healthcare to BIPOC-& most if not all our government representatives are largely controlled by the corporations paying them to vote to protect corporations over citizens. How does the public get universal healthcare with a government against its own citizens well being? 😭
Thanks for this. There's type 1 diabetes in my family, so this was useful information. As always, SciShow quality, presentation, and information density are all top-notch, and this was no exception!
The new sets are really beautifully designed - great job guys!
+
It is so incredibly refreshing to me that ya'all made it a point to NOT correlate weight to type 2 risk.
>is diabetic
>has been diabetic for a decade
>grew up around diabetics
>still watching this video
😅
Heh, diabetic too. Type I.
Wfpb diet with the mastering diabetes program. Backed by studies on pubmed.
How was it? Did you know everything? Were there any mistakes in the video?
@@mr_dodex was accurate tbh! As to be expected from Sci Show, ofc. Not anything particularly new for me except the how certain things functioned and even some of that I had known already. o7
@@Caterfree10 great to know. Appreciate the response.
Ozempic was pure torture, not to mention the outrageous cost. It's taken my body months to recover from its use.
The main reason the price of that drug sky rocketing is because it has become the drug of choice for the rich and famous to loose some weight and now everyone wants it to try and loose weight and not use it for its intended use of treatment of type 2 diabetes
I’ve been on Mounjaro for a little over a year and I love it. I’m on a lower dose though, so my side effects are minimal. my a1c has been 4.7-5.0 since starting it- down from 11.9.
Ozempic wreaked havoc on me as well. I worry that is going to drive disordered eating for folks even further if it’s marketed purely as a weight loss option.
Not all drugs are for all people! I'm sorry that one was so rough for you. I hope you are able to find a different approach that works for you. I've been on medications that had side effects that were, for me, worse than what they were supposed to treat. Other people might do great on it, but for whatever reason, I didn't.
@@alysonmarie this was my fear going into own GLP-1 journey. I’ve struggled with disordered eating my whole life so I have to be careful.
huh,,, i clicked on this just because i love sci show and watch every video, but.. i've been chronically ill for a long time, and we've been trying to figure it out, and the mention of capillaries/spider veins and tingling along with frequent urination has made me... reconsider? not in an "oh eureka! i've figured it out after watching one singular video" but in a " this is something to bring up to my doctor at the very least just to rule out. (so far we've been looking towards heart or possible connective tissue issues)
Have you ever tested A1c? Some doctors test fasting glucose, which means nothing, it's just a snapshot at the time of the blood draw. Even A1c be unreliable. Ask for a C-Peptide test, a high level means that your pancreas makes a lot of insulin and works too hard. But doctors tend not to get it done because they don't know how to interpret the results.
Best of luck! I'm chronically ill as well with suspected hEDS, still trying to figure out everything that's going on and what might help.
Smart.
Check your fasting insulin levels or c-peptide in your next bloodwork, you are going to have to ask for it, it will let you know long before your blood sugar levels get out of control.
For a long time a lot of the issues-especially frequent urination-has been a “test for diabetes” 🚩 but with healthcare in the USA what it is it’s not surprising they didn’t think of it 😅 Yeah have the doctor test your fasting glucose levels! There’s usually also a “if we give you our lab standard sugary drink how high does your blood sugar go?” test but I don’t know what it’s called. Good luck! I hope you find answers soon! ❤
My mom was diagnosed with pre-diabetes last year and reversed it in just 8 weeks and so far it didnt come back.
All with just lifestyle changes, so make sure you use all the weapons you have to fight against the sickness and not just medication alone (unless you doctor tells you so).
I agree.
When your Dr says that medication is how to combat this disease, sometimes when you adjust your diet to "healthy " sometimes the medication won't work as effectively and you could put yourself in danger!
Unless your Dr recommends changes, people should always maintain thier diet to keep things as consistent as possible.
@@caseypalmateer4515 Most people need medication until they get their A1c down into a healthy range.
it's also important to know: if lifestyle changes alone don't work, then it's not because you're a failure. we can advocate for taking your health into your own hands and still accept that there are factors just beyond our control - acceptance and a will to fight are not mutually exclusively (unless you are a Sith, bc they deal in absolutes)
Soo true! If you have good genetics you can eat and eat. You might gain weight but not get diabetes. Unfortunately most type 2 who "reverse" their diabetes will see it again as their body agrees. Because our energy pathways are complicated, our bodies are very resilient. But it also means a person can have multiple genetic failures. Genetic failures plus the stress of 3 pregnancirs completely destroyed my pancreas. r@fariesz6786
My ex died of unregulated diabetes. He would go through life eating and drinking whatever he wanted, until needed an ambulance. He would spend time in hospital, allowing the staff to fix him. Lost all of his teeth, several toes, foot, etc. After getting out he would start all over again.
How difficult to watch.
😞
It's never too late to take steps to control your diabetes. I'm in my 50s and with diet and exercise and medicine I get good bloodwork regularly.
im pretty sure i had diabetes in my highly depressive decade with 50kg excess bodyweight. after changing my diet to low carb/keto my depression started to subside within a few weeks and over the next 2 years i got back to my optimal weight.
not once was i tested for diabetes. i kinda want my decade back...
Great video! Thank you. I've lived with T2 for 18 years and have been an advocate for those of us who deal with this (former blogger). I especially appreciate that you mention that we aren't to blame for our condition. Stigma is horrible and only adds to the stress. I will definitely be sharing this informative video. 👏
My nan is waiting for a knee replacement, but they won't do anything until her diabetes (type 2) is under control, but she can't be very active to try and help that, and she generally eats well. It becomes so frustrating, because it's been 18 months, and her other knee is being impacted, but every time it's always about her blood sugars or other things. If only there was something that could help help/cure
It's like doctors think type 2s aren't allowed to take insulin.
@Sarcasticron it's also because insulin is insanely expensive bc companies are price gouging
Wasn’t properly diagnosed, but realized I had many of the symptoms of pre diabetes. Started intermittent fasting and going to a proper clean keto diet. The first two days were rough but once the body gets used to running on fats, including your own, the food cravings disappear. I also felt way more energetic and clear headed. With the new found energy I started working out, decided to supplement creatine and omega 3 (not big on fish) and now even on total fasting days my energy is through the roof. The fat has been burning off insanely quick while simultaneously being able to put on some noticeable muscle mass. The best part is I’ve found that these changes feel long term sustainable and if anything should get easier once I approach my ideal weight. Looooove it.
Also bizarrely, I noticed a HUGE change in my dreams while sleeping. It’s hard to articulate it, but it seemed like prior I rarely dreamt at all, but when I did they would be brief, colorless, soundless and so vague it was nearly abstract. Now my dreams are insanely vivid, with highly detailed scenes that flow together. It literally feels like I’ve unlocked a second level of consciousness.
I was diagnosed a few days before with video went up, I'm very grateful for this so I can stay informed and healthy
I have type 2 diabetes, as well as Hashimoto's thyroid disease. So far, my doc doesn't think I have any autoimmune diabetes. But I'm currently on multiple therapies, and have finally managed to get my a1c down 2.5 points, to an 8.0. It's HARD and I'm really working at it. I've been diabetic for 10 years, and have lived with my thyroid disease for 20.
No mention of Type 1 LADA? Thought it would be an interesting mention since it’s described as Type 1.5 by some
I was diagnosed with type 1 as an adult. One doctor mentioned 1.5 as a possibility early on but never explained the difference and no other doctor I've seen has mentioned it. I also would love more of an explanation video on the differences
@@sparker_87 Basically, LADA is like slow-onset type 1. So at first it looks like type 2, and is often misdiagnosed as type 2, but a couple/few years down the road the person ends up in the ER with terrible ketoacidosis, and no idea what's going on, because doctors never tell type 2 diabetics that they can get ketoacidosis too. Often they don't think to test for ketoacidosis (they should do this test a lot more often, even if the sugars aren't high, because they're not always sky-high every day). For a proper diagnosis, they should always do an antibody test to see if it's an autoimmune type, which is more likely to be type 1 or LADA. But it's not 100% accurate, and sometimes type 2 is autoimmune. Either way it would be better to just teach every diabetic about ketoacidosis. Good luck!
Great video as always. I really love this new set you guys have been using!
I’m a nurse who caught COVID in February 2020…. And ended up with severe long COVID. With organ damage. Now I’m the first in my whole family to be diabetic. But because I’m fat doctors ignore all other factors, like my new post-COVID autoimmune disorder, multi organ damage, or active healthy lifestyle. Well, it used to be. But because I’m overweight no one cares. I was told to use ozempic, I refused because I knew it was bad news when it was new.
Hello nurse, lose the weight, you already knew that. Doctors aren’t ignoring everything else, its because being fat makes everything else worse. You already knew that. Out of all the curses god hands out left and right, not putting sugar and fat into your mouth while living a sedentary lifestyle is the least people can do.
Sarah Hallberg is who you wanna research when it comes to keeping your sugars low without Ozempic or Trulicty or any of that.
That sounds awful. My mom is on ozempique and she's had terrible side effects of severe vomiting for months. It's really horrible.
Another great video narration Reid!
Loving the new set!
I really wished you had emphasized more the ways in which the 'lifestyle changes' can be out of patients' control. This condition is heavily treated by both the public and medical professionals as being a moral failure, that if the patient had just 'tried harder' they wouldn't have gotten diabetes, and it's extremely harmful to patients.
For real though! I get so much fat shaming because of this. For me I have it on both sides of the family and I had a bad case of covid.
I have type one diabetes, and would love to see content about that… everything seems to look at type two… just recently got an insulin pump and closed loop system - an “artificial pancreas”!! Would be great to learn more about the tech
I like this set and subtle changes in how the information is presented. Good work!
Thanks a bunch for sharing this with us Big Dog!
Loving the new SciShow set
A lot of good info. I'm Type 2 diabetic -- and actually close to *under*weight, so it irritates me to no end when people presume it's all "poor lifestyle/diet/weight" related. Especially since it literally runs in my entire family. I manage it effectively with medication and diet changes fortunately and caught it well before any damage.
Love this set. Super welcome change!
This was a really good video, my paternal grandma died from diabetic related complications when I was 6, and my dad ended up diagnosed with it when I was in highschool. He's doing better managing it, but that's definitely scared me into living a healthy / active lifestyle and keeping an eye on my diet.
thx - well presented!!!
I quite like these new sets you've got
The new set and casual delivery are interesting. If it makes the hosts comfortable im for it. Or maybe he just moves around too much and this is the easiest way to keep him in frame 😅
I kept thinking "Why don't they get this guy a more comfortable chair, so he can sit still for 5 seconds."
@@RickinICT right? I think he's too tall for it
Can't speak for population as a whole. I have type 2 diabetes right now, at about 210 lbs. When I drop to about 180 lbs, I revert to prediabetes. You'd think this would be strong enough incentive to stay at 180 lbs or less, but damn, food tastes soooo good.
I use nutrisense to track my blood sugar and try my best to stay in range just through diet and exercise. Here's hoping geneticists figure out a way to turn off insulin resistance that doesn't involve medications that also cause horrific diarrhea. C'mon CRISPR, we need your help out here!
😂😂😂😂 "but food tastes soooo goooood" 😂😂😂😂 hilarious. What about u balance training hard, with eating hard? I love food, but since i love my body too... just train enough so u can eat a ton 😋
Sounds like a Metformin side effect!
@@karen-rg3pi The metformin shits are so bad.
Insulin resistance makes weight gain easy and loss really hard. Good luck to you!
Ah, a fellow metformin sufferer I see. 😩
I really like the new sets and backdrops
I know this is about type 2 but PLEASE stop spreading the myth that type 1 is most commonly diagnosed in childhood. We've known for decades that over half of new cases occur in people over the age of 30, and it's up to 2/3 if you start counting at 20. Most of us get this disease as adults, where it often progresses slower than it does in kids. These two things combine to result in roughly 40% of cases of type 1 in the US starting out misdiagnosed as type 2 (something that would have been great to include in this video!), and that's only the ones who manage a correct diagnosis (research dating back to at least 1980 suggests that 10-20% of those diagnosed with type 2 actually have type 1, and another 10-15% have MODY or type 3c).
+1, I was diagnosed in my 20s and I had to fight my doctor to get tested for type 1 because he would only treat me for type 2 (and I wasn't getting better). Looking forward to a new video on type 1!
There’s also LADA or type 1.5 diabetes as it’s more likely found in late adulthood (20s onwards) it’s an autoimmune disease that damages beta cell causing a rapid destruction of the cells. It’s also most often misdiagnosed as dm2
@scishow : please see these comments!
the relaxed lean reid has while reading the script is so calming like im listening to a therapist
Such a funky room for a talk about Type II diabetes.... I like it.... it is weird though that the light in the room is not coming from the light in the room
Ive been type 2 for 3+yrs now. The eating advice by "experts/Drs" they're all over the place. I'm getting better results from Keto
Dr. Jason Fung has a thing to say about diabetes…his lectures are certainly worth a listen!
The diet advice is super overwhelming! I find what works for me is when you eat, have a general idea of how much carbs you’re eating & try to eat at least 3:1 carbs:protein (and fiber). More than that can be too complicated & overwhelming! 😅❤
Kinda fitting that the pre-roll ad was for McD...
McDiabetes?
@emyra_3293
The McDiabetes is my favorite milkshake! 😜
@@emyra_3293 McDHeartAttack
I'm actually surprised you use your index finger to draw blood. We in the netherlands use any other finger since the index finger is the most sensitive finger and usually used to read braille. And since diabetes can result in (partial) blindness this is kind of a big deal
I hope this video increases the awareness of diabetes in general! I've been T1 for the last 28 years (since I was 4 years old) and I've spent the last 15 years of my life understanding it DEEPLY via college and University, this entire video is almost like me re-iterating all my own knowledge back upon myself and re-affirming my own knowledge vs all the utter crap I've heard from people that aren't in the know! - ALSO metformin is awesome for T1's with insulin resistance!
also, where is the LOVE button on youtube? I need to LOVE this video :')
the thing is, they are still risk factors. it qon't hurt to lose a couple pounds/kilos, excercise regukarky and eat as healthy as you possible can. emphasising a good lifestyle is essential to combating and preventing most diseases. you might stilll end up developing the disease but even then you can manage it.
This video was insightful and full of a lot of information people can easily understand. I appreciate appropriate information regarding the types of food that are beneficial to those who have T2. I would have liked a tad more focus on intracellular mylio lipids and it's role in T2, however this informative and helpful video can help many who may be new to this.
12:50 I was on a 1.5mg prescription for the "Trulicity" brand name , but now cannot get it because too many doctors are prescribing it to their non-diabetic patients for weight loss and my A1C is now over 12%
Check out Sarah Hallberg and Dr Perlmutter and get on that grain free keto vibe and your A1C will improve.
Since starting some new meds that need to be taken with food, I've noticed that even when taking it with supper, that my energy levels drop excessively fast the next day n I need to keep eating cuz it feels like im having a diabetic crash (at least from the descriptions I've heard of it from diabetics). But I've also experienced numbness in my hands for a couple of yrs now. I always assumed it was the result of nerve damage in my hands from a lifetime of injuries but I'm also poor n have eating disorders so I don't often eat healthy n tend to eat a lot of sugar. Now hearing that numbness is a symptom of diabetes it has me a lil worried. I'll need to discuss it with my doctor when I have the follow up appointment for my new meds. Thx for possibly saving my life.
Please do a video on Type One!!! There are so many people who doesn't understand type 1 OR 2!!
Deffo want one on D1 to as it's a completely different disease with the same symptoms
This made me feel more relieved since I got diagnosed with T2 diabetes almost a year ago.
You should look into Dr. Sarah Hallberg; that's who's advice helped my wife achieve a remission state.
People are aware of what is recommended but the problem of that is that recommendation when already at the point of type 2 diagnosis leads only to temporary change (if any) with progressive increases in medication because it doesn’t get to the root of the problem.
While it won’t make them more money… incorporating fasting at least to start with electrolytes will help. Not a fad but also researched with improvements in important markers and better yet helps the body (liver, kidneys) heal and maintain itself again.
At that point only would the recommended things to do besides the medicines would be fine long term.
* I’ll add strength training is important especially for diabetics whether try fasting or not.
And don’t need to go crazy on cardio. Just walk after a meal but not skip on resistance training full body 2-3 /wk.
As someone with T2D, this is awesome to see. It would be cooler to see more into the genetic component and historical treatment of diabetes.
I'd love to see you do one of these for type 1, especially from a perspective of how to help a type 1 diabetic who's having low or high glucose (and what that means). There's so little understanding about type 1 in the general population and type 1 diabetes can easily kill you if not treated properly.
I like that "managed diabetes" is transitioning into "diabetes in remission." Not for myself, but for my disabled sister. She once had a BMI of 70 (she weighed over 400 lbs) and was in a diabetic coma at the hospital; she was hospitalized for two months in the bariatric ward while they tried to get her weight under control. What caused the issue? Drinking a 2 liter bottle of full sugar soda every day. Today she's got a BMI of closer to 30, no longer has to take insulin or metformin, and she was officially classified as "managed diabetes." Her new endocrinologist doesn't even worry about it since her last A1C checked in at 4.9 - she's fine. She still drinks soda..... but we switched her to zero sugar stuff.
I would love to see a video on how low carb/keto lifestyle affects diabetes and high blood pressure.
My wife sent her diabetes into remission with the Keto lifestyle.
This video already has a comment about using specific diets.
Low carb/Keto is a way to manage diabetes but won't cure it. You'll get your blood sugar and A1C down but until you can actually consume carbs without spiking blood sugar an unhealthy amount you haven't cured the condition. People who instead go to a high carb but complex carbs, not simple carbs and lots of fibre while limiting saturated fats, actually cure the condition. They may notice an initial spike in blood sugars, but this goes down over time eating whole foods and eventually cures the condition to the point where not only do their A1C and blood sugar get under control but if they eat something bad like cake they still don't get an unhealthy blood sugar spike.
Low carb has also shown in studies to result in a higher all cause mortality rate so even if you stay low carb your whole life and just manage diabetes instead of curing it you'll still end up with a shorter lifespan so it's better to just eat a healthy whole foods diet instead.
It just puts type 2 in remission, it's not that hard if your body has trouble processing carbohydrates just eat a diet that doesn't have them. And if you are type 1 you will need less insulin to control your blood glucose levels so you will have less side effects throughout your life.
Love the casual on the chair look.
Would love a type 1 vid!
No more confusion! This video is like a beacon of clarity in the world of Type 2 Diabetes!
I think "Fat Fiction" does that pretty well.
Thank you for doing this video. A subject that goes with it is understanding of what, when reading a food label, it means for a diabetic. Steep learning curve for those with it and hard even after years for your family to understand something like gluten free isn’t better - usually worse
If a food has a label, don't eat it. Stick to whole real foods.
Great vid, generally. I'll just add a couple things for those who need further info. 1) this vid does not cover all medication options, by a longshot. So, please don't think you only have the 3 choices discussed. Please work closely with your doctor to find the right choice/s for you. 2) Personally, I would not consider myself in remission after only 1 3-month period. Blood sugar levels can fluctuate. Based upon my own experience with DM I would at least wait a year and of course, only along with my doctor's opinion. Also, please, educate yourself. There is a LOT more information out there now. Stay well!
Thank you. I have type 2 diabetes. It's like walking a tightrope. I had gestational diabetes with all my pregnancies.
Had to watch this cause I have been fighting type 2 diabetes for a year now and am still trying to learn more about it.
look into Hallberg's protocol on reversal.
good, more of this.
Bravo !
Type 2 diabetes is a real nightmare when you get side effects from the medicine you are supposed to take for cure....my dad has been diabetic for almost 6 years by now and the metformin which is the most general drug for any diabetic patient became a real nightmare. It took us a lot to make his health stable. So though medicine is necessary make sure you monitor your diabetic levels and note the rapid changes in your health before it's too late. I don't say you should avoid medicines....take medicine if it's necessary... consult your doctors and make sure your medicine works for you not against you.
I wonder if anyone could tell me their opinion about these two questions:
First, I've heard that you should really eat sweet food as soon as possible (for example before launch), because body can process them better in the morning rather than in the afternoon. Is that true though?
Second, and I dont remember this one well and hoped it would be included in the video, my friend studied biology. When i talked to her about diabetes, if I remember correctly, she mentioned that what can speed up diabetes dramatically is when people get big hits of sugar instead of slower intake of the same amount of sugar, for example eating 10 pieces from a box of chocolate in 10 minutes vs eating same amount during 5 hours. She mentioned something about spikes in sugar intake hurt insulin producing cells more. What do you think or know about this? It sounds of course sensibly to not binge eat sweet stuff...
I went into remission both times I liked the PCT.
I am diabetic type 2. I'm 5'11 and wiegh 210 to 220lbs tops. I take care of my sugar levels now much closer. A1c stays 7. to 7.4. Id like it lower but its really hard. I've lost part of my foot and have charcot foot in the other. I've never really been obese I'm a bit over wieght. I think and believe its related to my availability of the right foods. I'm financially challenged if you will. But if you are told you are pre-diabetic please take it seriously before your way of life is changed for ever like mine was. And if you were I wish you the best of luck qnd a long life.
I would really love to know how exactly the cells become insulin resistant. Like does the protein fold funny so that it does not receive the insulin as well, what would cause that ect... Also how does changing diet/exercise actually effect the cells cause of the resistance. I hope more research will discover these things soon!
The way it's been described to me and I don't know how scientifically accurate this is but your body will store glucose in your body as fat cells, over time if the majority of your body is fat cells (higher BMI) there's just no room to store the glucose, your pancreas will produce more and more insulin in an attempt to "cram the glucose" into your exceedingly packed cells, which will cause your cells to be even more resistant to future insulin, a vicious cycle until eventually your pancreas quits and stops producing insulin all together, a way to reverse this is to exercise and build muscle, when exerting the stored energy, your cells will be more receptive to insulin as they will need the glucose to replenish their stores and muscle is significantly more responsive to insulin versus fat cells because they need more energy to maintain.
TLDR: a low energy sedentary lifestyle and the overeating of quick easy carbs that your body can easily break down into glucose. Also genetics in some cases.
Glucose thats entered the cell, will bind to the transporter that transported the glucose into the cell. That will change the transporters form to not being able to transport glucose into the cell anymore. With high blood glucose the likelihood for cells to be saturated with glucose is high and the cells transporter is blocked as a result.
It's a good question and sad this video doesn't lay it out. Cells become insulin resistant due to the accumulation of fat inside the cells. These fats interfere with insulin signaling preventing glucose from entering the cells. Look up Dr. Neal Barnard. He has several talks on this and how to fix it.
That stuff is known, it just wasn't covered in this video. I'm not sure why they think this video was "the" one to understand diabetes, it barely scratched the surface. It seemed like they were more interested in making social commentary than informing. Look up the channel "Nourished by Science". He has many fascinating, science-based videos on insulin resistance. I'd link you to it, but they removed another comment I made elsewhere inking someone else to it. I guess they don't really want anyone getting the science, just their editorial opinions.
There are other ways the cells become resistant other than fat. Hormones, medications, and genetic mutations are other causes of insulin resistance. For example, during pregnancy the hormone progesterone increases insulin resistance. I had to take 4x my normal amount of insulin by the end of one pregnancy. I have also experienced uncontrollable high blood sugars while taking a steroid (it was for a life threatening allergic reaction). That med stimulated my body to make its own glucose. Insulin, with a healthy diet and exercise could only lower my glucose for an hour or 2 before raising it to the 200-300 range again! It took 2-3 months before I could get in a healthy glucose range. It was insanely frustrating and stressful! I went through 10x my normal insulin.
I am board-certified in internal medicine and have taken care of thousands of diabetics, mainly type 2 diabetics. Good video, but I would also add these points; (1) there definitely is a link between your family history and the risk of type 2 diabetes, (2) insulin resistance is definitely linked to obesity, (3) type 2 diabetics usually have the "Metabolic Syndrome", a constellation of findings that includes increased intra-abdominal fate, insulin resistance, cardiovascular disease, insulin resistance, and obstructive sleep apnea, (4) the increased intra-abdominal fat seems to act something like an endocrine gland/organ that releases pro-inflammatory agents that damage blood vessels and nerves and increase insulin resistance, (5) hormones released by the gut/intestines influence eating habits and insulin responsiveness and seem to be part of this condition, (6) insulin resistance is associated with increase fat deposition in the liver, which can cause damage and cirrhosis, and much more. I think Type 2 diabetes has components that look something like an eating disorder, which is not a character flaw or problem with will power. It's much more complicated than this. Finally, obese Type 2 diabetics who return to ideal body weight early in their condition often normalize their blood sugars and other metabolic markers of disease, but they remain at risk for diabetes if they gain weight back again.
2:45: I think “Insulin Resistance” is spelled with an “a”, not an “e”. Thanks for the episode.
As someone with tyoe 1 I consider panels that debate raising the price of insulin death panels
Insulin does more than letting glucose enter cells as the glucose pleases. Insulin is an anti-catabolic hormone that's constantly applying pressure to keep cells from breaking themselves down.
My mom had no problems with her blood sugar until she had a stroke in 2013. Since then she has needed medication for high blood sugar and can't eat too much sugar, so even though I haven't heard her say she has diabetes I assume she has diabetes type 2
My dad is Type 2 but his dad and uncles were all type 1. I think he’s actually type 1 or “1 and a half” because he was overweight when he was diagnosed but most of his life he was super skinny! My boyfriend got type 1 from a bad ear infection in his late 20’s, but his doctor says he’s really 1.5 and they have really similar patterns.
How have yall read my life so well. My mom was diagnosed with cancer this year but in the process of removing the mass they took out her appendix parts of her pancreas and a few other organs. Now she has to take insulin and all of that along with chemo. It’s just a weird coincidence how the month we got the diagnosis yall put out cancer videos and now this diabetes one. I know it’s just that I’m only now noticing these topics because of my mom. Even if they were always there before. But It just makes my brain feel weird
The ad right before this video was for candy at a local store. You have to wonder about the advertising algorithm. 🤨
Instead of pin pricks to get blood samples an active and preemptive effort could be accomplished by the use of automatic glucose monitors as an instant feedback of the body's glucose response. Unfortunately, manufacturers disqualify people from having them prescribed unless you are already have the full blown diabetic disease when it is too late. I have yet to get a good answer from the manufacturers.
My family has a lot of people with TD2/HYPERglycemia issues, including a grandmother that has had to take insulin for decades and my parents diagnosed within the last 10 years and also take insulin.
So I have a lot of potential (and some symptoms already) to having it in the future. However, I don't struggle with my sugar being high ever, rather, I have HYPOglycemia meaning I'm more at risk of my sugar falling too low. Which even though it has to do with some of the same mechanisms as diabetes, I don't think I ever hear about things related to this issue much. I would assume that even if you're struggling with maintaining sugar levels but in the opposite direction as diabetes, like described, it would be a form or cousin to diabetes at least. I wonder why it's not.
Can y'all do one on IBS?
My sister is in remission from type 2 diabetes and my brother in law her husband is pre diabetic. Sadly my brother in law's parents who live with them and both have type 2 diabetes don't really care and continue to eat like crap and think anything other then salt, pepper and onion powder is too much spice. I feel bad for my niece and nephew because they don't get exposed to different foods and my sister who enjoys cooking can't seem to stand up to her in laws and tell them to make their own meals.
This is crazy, I just got diagnosed a couple weeks ago.
Next time y'all are in need of an idea, I'd love to see a video on feline diabetes. There's a serious lack of knowledge, even among vets, and having a resource for people dealing with it that doesn't involve having to sift through a bunch of medical jargon would have a ton of value
nice set, is everyone going to get to sit down now?
No mention of studies, like the one from Harvard School of Public Health, that indicates a strong link between red meat and diabetes. Would have expected that to be mentioned, especial considering the significant environmental impact of red meat.
@9:06 Glucose levels are also increased through stress, which can be connected to being from a marginalized community that deals with chronic societal bias.