1 00:00:01,034 --> 00:00:03,970 Ladies and gentlemen, you. 2 00:00:03,970 --> 00:00:07,874 This is America's Healthcare Advocate broadcasting coast 3 00:00:07,874 --> 00:00:10,043 to coast across the USA. 4 00:00:10,043 --> 00:00:12,746 Your guide to protecting your personal health. 5 00:00:12,746 --> 00:00:17,050 Bringing you simplified answers to the complex questions surrounding health care. 6 00:00:17,317 --> 00:00:19,786 Everything from cancer to liver transplants. 7 00:00:19,786 --> 00:00:21,521 Nutrition. 8 00:00:21,521 --> 00:00:22,322 Exercise. 9 00:00:22,322 --> 00:00:25,158 My yoga and Pilates instructor, Dana Goodall. 10 00:00:25,158 --> 00:00:29,062 Mental health and even pet care Doctor Wayne Hunthousing, Westwood Animal 11 00:00:29,062 --> 00:00:33,066 Hospital empowering you to take control of your health and wellness. 12 00:00:33,099 --> 00:00:37,570 My very special guest today, Grace Marie Turner, president of the Galen Institute. 13 00:00:37,570 --> 00:00:39,172 Welcome back Grace Marie. 14 00:00:39,172 --> 00:00:41,441 It's a pleasure to be with you. And I do have to say. 15 00:00:41,441 --> 00:00:44,511 You are the most knowledgeable about health policy. 16 00:00:44,511 --> 00:00:46,846 Just superlative! 17 00:00:46,846 --> 00:00:49,849 And now, ladies and gentlemen, gentlemen, gentlemen. 18 00:00:51,284 --> 00:00:52,152 And now. 19 00:00:52,152 --> 00:00:55,288 America's Healthcare Advocate, Cary Hall. 20 00:00:55,488 --> 00:00:56,256 Hello, America. 21 00:00:56,256 --> 00:00:59,592 Welcome to America's Healthcare Advocate show broadcasting coast to coast 22 00:00:59,592 --> 00:01:03,029 across the USA here on the HIA Radio Network. 23 00:01:03,029 --> 00:01:04,030 My producers, Mr.. 24 00:01:04,030 --> 00:01:06,099 Dave Thiessen behind the cameras and Mr. 25 00:01:06,099 --> 00:01:09,569 Garner Cowdery behind the microphones here in our Cumulus studios 26 00:01:09,869 --> 00:01:11,271 in Overland Park, Kansas. 27 00:01:11,271 --> 00:01:13,773 America's Healthcare Advocate is to show 28 00:01:13,773 --> 00:01:17,310 are we separate fact from fiction about the subject of health care? 29 00:01:17,477 --> 00:01:20,313 We're really going to get into one of those subjects today, 30 00:01:20,313 --> 00:01:23,316 and I think you're going to find it amazingly informative, 31 00:01:23,416 --> 00:01:26,686 and you're going to learn a lot today that you had no idea 32 00:01:27,320 --> 00:01:28,988 how to deal with a certain disease. 33 00:01:28,988 --> 00:01:30,490 And the breakthroughs that are happening, 34 00:01:30,490 --> 00:01:33,693 or we're going to expose all of that today, because Ron Hoyler 35 00:01:33,927 --> 00:01:36,930 from Saint Luke's, who is the educational director 36 00:01:36,930 --> 00:01:39,933 at Saint Luke's for the diabetes program, is going to walk us through 37 00:01:39,933 --> 00:01:43,503 a whole series of information that we've never seen before. 38 00:01:43,503 --> 00:01:46,206 And I think you're going to find it's going to make a big difference. 39 00:01:46,206 --> 00:01:48,808 Also, if you want to listen to one of these shows or tell 40 00:01:48,808 --> 00:01:52,645 somebody about the show after it airs, you can go off on our podcast platforms. 41 00:01:52,645 --> 00:01:54,080 There are 16 of them. 42 00:01:54,080 --> 00:01:58,651 You can find us almost anywhere and listen to America's Healthcare Advocate. 43 00:01:58,651 --> 00:02:01,888 Additionally, our YouTube platform, America's Healthcare Advocate. 44 00:02:01,988 --> 00:02:04,357 All the shows are posted up there by Mr. 45 00:02:04,357 --> 00:02:05,592 Dave Thiessen. 46 00:02:05,592 --> 00:02:08,995 So you could actually see the video of the shows and the information 47 00:02:08,995 --> 00:02:10,830 that we're producing on the broadcast. 48 00:02:10,830 --> 00:02:15,902 I want a little shout out today to KNSS 1330 in Wichita, Kansas. 49 00:02:15,902 --> 00:02:19,506 We're very happy to be back on the air up there in Wichita, Kansas, 50 00:02:19,506 --> 00:02:22,509 one of our oldest affiliates, and we've been off for a while. 51 00:02:22,509 --> 00:02:24,377 We're back on there and we're very happy about that. 52 00:02:24,377 --> 00:02:28,948 So we want to thank all of them for putting us back on the air at KNSS. 53 00:02:29,215 --> 00:02:34,387 If you are looking for Medicare insurance or ACA, the lovely Carolee Steele 54 00:02:34,654 --> 00:02:38,091 at RPS Benefits by Design can help you anywhere in the country. 55 00:02:38,224 --> 00:02:41,227 I got a great e-mail from a lady the other day who she had helped, 56 00:02:41,394 --> 00:02:42,395 who was in Florida. 57 00:02:43,363 --> 00:02:44,597 Again, if you if you're 58 00:02:44,597 --> 00:02:48,168 looking for ACA coverage or Medicare, she certainly can help you. 59 00:02:48,301 --> 00:02:52,505 Also, if you're a 1099 employee, they have some great programs over there. 60 00:02:52,839 --> 00:02:56,042 There is a product called Gig Care that they can help you with. 61 00:02:56,042 --> 00:02:59,512 If you're a 1099 employee, you might find that to cost a lot less 62 00:02:59,812 --> 00:03:03,750 than an ACA plan with better benefits if you're not getting a subsidy. 63 00:03:03,750 --> 00:03:05,451 So I'll put that caveat there. 64 00:03:05,451 --> 00:03:08,454 But if you're not getting a subsidy or getting a very small subsidy, 65 00:03:08,555 --> 00:03:11,558 you may find that the gig care program might be better for you. 66 00:03:11,624 --> 00:03:15,662 Again, you can call them at 877-385-2224. 67 00:03:15,795 --> 00:03:18,798 And if you're looking for employer sponsored health care, Maria Ahlers 68 00:03:18,965 --> 00:03:22,735 has some pretty unique, opportunities that she can also help you with. 69 00:03:23,336 --> 00:03:28,441 So once again, 877-385-2224 RPS Benefits by Design. 70 00:03:28,641 --> 00:03:31,377 As I said, Ron Hoyer is joining me in studio. 71 00:03:31,377 --> 00:03:33,513 Is this the third one of these we've done? I'm happy. 72 00:03:33,513 --> 00:03:34,047 It is. 73 00:03:34,047 --> 00:03:37,016 It is third in our series on diabetes education. 74 00:03:37,016 --> 00:03:40,119 So what you're going to learn today is probably going to shock some of you 75 00:03:40,153 --> 00:03:41,054 about how 76 00:03:41,054 --> 00:03:45,458 we're treating this disease now and how it's not being adequately treated. 77 00:03:45,458 --> 00:03:47,760 You're going to be a little surprised to learn some of those facts. 78 00:03:47,760 --> 00:03:49,862 We're also going to show you a solution. 79 00:03:49,862 --> 00:03:53,900 It's really quite remarkable and can help you manage diabetes, 80 00:03:53,900 --> 00:03:58,137 whether you're type one or type two, in a way never before available to you. 81 00:03:58,204 --> 00:03:59,672 This is going to be pretty interesting. 82 00:03:59,672 --> 00:04:03,343 Ron Hoyler has a masters of Business Administration, Care Management, 83 00:04:03,509 --> 00:04:06,045 a master of science nursing, a Bachelor of Arts 84 00:04:06,045 --> 00:04:10,250 and Personal Administration, an Associate of Applied Science in Nursing. 85 00:04:10,250 --> 00:04:13,886 He is a certified Diabetes Technical clinician, 86 00:04:14,087 --> 00:04:17,090 certified Diabetes Care Education Specialist, 87 00:04:17,190 --> 00:04:21,661 a Pump Certified Trainer Patient Experience Champion for Children's Mercy 88 00:04:21,661 --> 00:04:26,699 Hospital, 2010, the nominee for the Daisy Award for Extraordinary Nurses. 89 00:04:26,699 --> 00:04:26,966 This. 90 00:04:26,966 --> 00:04:30,303 He's got a whole list of these and I'm just reading a few the point 91 00:04:30,303 --> 00:04:32,705 and telling you all that is to tell you that Ron Hoyler 92 00:04:32,705 --> 00:04:35,642 really knows what he's talking about when it comes to diabetes. 93 00:04:35,642 --> 00:04:38,011 And here's why this is important, okay? 94 00:04:38,011 --> 00:04:40,380 And this will scare you. If it doesn't, it should. 95 00:04:40,380 --> 00:04:45,551 Three out of four Americans over the age of 65 have diabetes or prediabetes. 96 00:04:45,818 --> 00:04:47,253 And you're looking at one of them. 97 00:04:47,253 --> 00:04:51,691 Okay, I was diagnosed as pre diabetic about eight, nine months ago. 98 00:04:52,225 --> 00:04:54,060 And I decided to do something about it. 99 00:04:54,060 --> 00:04:55,762 I did I got involved with it 100 00:04:55,762 --> 00:04:59,766 with a, with a weight loss clinic and I dropped the, the weight down 101 00:04:59,766 --> 00:05:03,002 and I started changing my diet and I've got it under control. 102 00:05:03,169 --> 00:05:06,639 But the point is, if you don't take this seriously, 103 00:05:07,507 --> 00:05:10,376 the comorbidities, we're going to talk about those in this segment. 104 00:05:10,376 --> 00:05:11,277 In the next segment, 105 00:05:11,277 --> 00:05:15,248 the things that you're putting yourself at risk for are very serious. 106 00:05:15,248 --> 00:05:18,451 And and in my opinion, I think they're pretty scary. 107 00:05:18,451 --> 00:05:22,221 So let's just dive right in that when I saw this on the notes, 108 00:05:22,255 --> 00:05:25,758 or I was up doing show prep at 530 before we got in here, 109 00:05:26,192 --> 00:05:28,828 and I'm like three out of four. 110 00:05:28,828 --> 00:05:30,897 I think that's the first time I've seen that number. 111 00:05:30,897 --> 00:05:35,835 I knew one out of three Americans have diabetes or prediabetes, but this over 65, 112 00:05:36,135 --> 00:05:39,272 and you're looking at the guy at 75 here, by the way, just so you know. 113 00:05:39,605 --> 00:05:40,473 Okay. 114 00:05:40,473 --> 00:05:42,408 That's a that's a shocking number Ron. 115 00:05:42,408 --> 00:05:45,111 Scary stat, isn't it? Yeah. 116 00:05:45,111 --> 00:05:47,513 So so, you know, 117 00:05:47,513 --> 00:05:50,850 the thing that drove me that bring you back in here is you 118 00:05:50,850 --> 00:05:52,919 and I've been having conversation about this, 119 00:05:52,919 --> 00:05:55,888 some of the other comorbidities that we're talking about here. 120 00:05:55,888 --> 00:05:57,323 So let's go through some of those. 121 00:05:57,323 --> 00:05:57,590 Yeah. 122 00:05:57,590 --> 00:06:00,693 Some of the most common you've got adult blindness 123 00:06:00,693 --> 00:06:04,263 in stage renal disease, neuropathy, amputation. 124 00:06:04,263 --> 00:06:07,333 We all know that type one diabetics have a great risk for that 125 00:06:08,234 --> 00:06:11,671 is the seventh leading cause of death in the United States. 126 00:06:11,671 --> 00:06:14,674 And someone dies of diabetes every five seconds. 127 00:06:14,741 --> 00:06:16,209 In the world. 128 00:06:16,209 --> 00:06:18,244 Those numbers are. Shocking. Yeah. 129 00:06:18,244 --> 00:06:19,412 They are. 130 00:06:19,412 --> 00:06:22,415 So it's such a prevalent disease. 131 00:06:22,482 --> 00:06:26,085 And for being one of the most common chronic disorders in the world, 132 00:06:26,552 --> 00:06:29,522 it is a disorder that we could do so much better 133 00:06:29,522 --> 00:06:32,492 at in taking care of than what we do now. 134 00:06:32,625 --> 00:06:32,892 Yeah. 135 00:06:32,892 --> 00:06:36,929 And that's so, so here's, here's a number that will knock your socks off. 136 00:06:37,363 --> 00:06:40,767 We have a 165 meds to treat diabetes with. 137 00:06:41,267 --> 00:06:44,771 And we're going to get into how the doctors decide 138 00:06:44,771 --> 00:06:46,539 which meds to treat you with. 139 00:06:46,539 --> 00:06:49,475 But that number alone is pretty shocking. 140 00:06:49,475 --> 00:06:52,478 Yeah. How do you 165 meds. 141 00:06:52,779 --> 00:06:53,045 Okay. 142 00:06:53,045 --> 00:06:56,482 Now I went on metformin for six months to get myself turned around, 143 00:06:56,482 --> 00:06:57,216 and I'm off of it 144 00:06:57,216 --> 00:07:01,087 now, but if I had to go back on it, I would have no issue with doing it. 145 00:07:01,087 --> 00:07:01,754 But the point I'm 146 00:07:01,754 --> 00:07:05,391 making is, you know, I was able to use that med to get it under control. 147 00:07:05,491 --> 00:07:08,494 But, you know, again, I don't want to I don't want to, 148 00:07:08,594 --> 00:07:11,497 you know, talk about this now because I want to get into it in the third segment. 149 00:07:11,497 --> 00:07:14,500 We're really going to surprise some people with what we have. 150 00:07:14,600 --> 00:07:15,768 But that's got to be extreme. 151 00:07:15,768 --> 00:07:17,770 You're a clinician. Yeah. 152 00:07:17,770 --> 00:07:20,773 Look, you when these patients are coming in to see you, 153 00:07:20,940 --> 00:07:23,376 you get 165 beds to choose from, Ron? 154 00:07:23,376 --> 00:07:24,143 Right. 155 00:07:24,143 --> 00:07:27,146 Well, and technically there's over 800 156 00:07:27,146 --> 00:07:31,217 combinations of meds and doses that can be applied together. 157 00:07:31,584 --> 00:07:35,254 And how does a physician decide which one's right for you 158 00:07:35,621 --> 00:07:38,257 or their other patient or their other patient? 159 00:07:38,257 --> 00:07:40,593 It's almost a crapshoot, really. 160 00:07:40,593 --> 00:07:41,661 It's really what it sounds like. 161 00:07:41,661 --> 00:07:46,032 And what would really be helpful would be getting feedback 162 00:07:46,032 --> 00:07:48,601 or information that's adequate about your blood sugar 163 00:07:48,601 --> 00:07:51,571 and what's happening on a daily basis with it. Yeah. 164 00:07:51,571 --> 00:07:53,406 And that and we're going to talk about that. 165 00:07:53,406 --> 00:07:55,775 Believe me, the third segment is going to be a big surprise 166 00:07:55,775 --> 00:07:58,077 to a lot of people, especially if you're diabetic 167 00:07:58,077 --> 00:08:00,546 or have somebody in your family at risk for diabetes. 168 00:08:00,546 --> 00:08:03,783 But let's talk about what kind of drove us to come back in here today 169 00:08:04,517 --> 00:08:05,818 to do this show. 170 00:08:05,818 --> 00:08:08,521 And that was and we'll get into this in the next segment. 171 00:08:08,521 --> 00:08:11,324 But let's talk about the cognitive issues. 172 00:08:11,324 --> 00:08:13,125 This is something that was new to me. 173 00:08:13,125 --> 00:08:15,161 And you brought this up. I was like, for real. 174 00:08:15,161 --> 00:08:17,597 Yeah. So let's we got about two minutes left here. 175 00:08:17,597 --> 00:08:19,832 Let's talk about that before we go to break. Yeah. 176 00:08:19,832 --> 00:08:21,000 I think, you know,and technically there’s over 800 177 00:08:21,000 --> 00:08:26,138 combinations of meds and doses that can be applied together. 178 00:08:26,138 --> 00:08:28,741 And how does a physician decide which one’s right for you 179 00:08:28,741 --> 00:08:32,778 or their other patient 180 00:08:32,778 --> 00:08:36,816 or their other patient? 181 00:08:36,816 --> 00:08:41,821 It’s almost a crapshoot, really. 182 00:08:42,121 --> 00:08:47,126 And when we have high blood sugars, that interrupts the efficiency of the brain 183 00:08:47,126 --> 00:08:51,998 to take in this fuel to run efficiently, it makes it harder to, 184 00:08:52,532 --> 00:08:55,501 to do certain processes daily living, 185 00:08:56,002 --> 00:08:59,805 remembering things, doing processes of, 186 00:09:00,439 --> 00:09:03,476 balancing your checkbook or making decisions. 187 00:09:03,843 --> 00:09:05,344 And knowing when to take your meds. 188 00:09:05,344 --> 00:09:06,512 That would be another one. 189 00:09:06,512 --> 00:09:10,116 Knowing when to test your blood sugar, remembering where you live. 190 00:09:10,483 --> 00:09:14,820 In fact, people with diabetes have a 50% greater 191 00:09:14,820 --> 00:09:18,758 chance of developing dementia than someone without diabetes. 192 00:09:19,458 --> 00:09:20,726 And that's just scary. 193 00:09:20,726 --> 00:09:24,931 As we get, more and more people into our population that are aging, 194 00:09:24,964 --> 00:09:26,299 that's shocking. 195 00:09:26,299 --> 00:09:28,501 And how big is the risk? 196 00:09:28,501 --> 00:09:31,170 Does that risk grow for over 65? 197 00:09:31,170 --> 00:09:36,375 Well, first, people over 65 get diabetes more so than under. 198 00:09:36,642 --> 00:09:38,244 So that's going too. 199 00:09:38,244 --> 00:09:40,846 Create three out of four right. Pretty big number. 200 00:09:40,846 --> 00:09:43,983 And then beyond that, once you have diabetes you're at a greater 201 00:09:43,983 --> 00:09:48,721 risk for not just dementia, but the complications from dementia. 202 00:09:48,721 --> 00:09:52,758 Some of the specific, diseases that come under the dementia umbrella, 203 00:09:52,758 --> 00:09:53,726 like Alzheimer's, 204 00:09:54,760 --> 00:09:57,163 but cognitive impairment in general, 205 00:09:57,163 --> 00:10:02,101 you know, that fog that you'll sometimes hear it called where you are 206 00:10:02,101 --> 00:10:05,404 just suddenly in the moment, not quite sure what you were thinking or doing 207 00:10:06,272 --> 00:10:10,209 that can be related to the high blood sugars that you might be experiencing. 208 00:10:10,443 --> 00:10:13,112 So when we come back to the break, we're going to get into this in detail 209 00:10:13,112 --> 00:10:15,615 because this is a piece that we have not talked about 210 00:10:15,615 --> 00:10:19,452 before, the risk here, remember, you know, the key issue here, 211 00:10:19,619 --> 00:10:22,989 three out of four of you listening to this broadcast out there 212 00:10:23,222 --> 00:10:27,293 over the age of 65 either have diabetes or prediabetes. 213 00:10:27,293 --> 00:10:31,897 So that's that's why this becomes an even greater issue on your quality of life. 214 00:10:31,897 --> 00:10:33,633 We'll be right back after the break. 215 00:10:33,633 --> 00:10:36,002 You're listening to America's Healthcare Advocate 216 00:10:36,002 --> 00:10:38,938 Broadcasting here on the HIA Radio Network. 217 00:10:38,938 --> 00:10:40,806 Coast to coast across the USA. 218 00:10:40,806 --> 00:10:42,541 Stay tuned. We'll be right back with more. 219 00:10:49,382 --> 00:10:49,982 Welcome back. 220 00:10:49,982 --> 00:10:53,452 You're listening to America's Healthcare Advocate show, broadcasting coast to coast 221 00:10:53,753 --> 00:10:56,622 across the USA here on the HIA Radio Network. 222 00:10:56,622 --> 00:10:58,824 You know, you're listening to this, and maybe you've got somebody in 223 00:10:58,824 --> 00:11:02,094 your family is diabetic and you're you're concerned, okay. 224 00:11:02,094 --> 00:11:02,461 About what 225 00:11:02,461 --> 00:11:05,765 I just told you of what Ron just told you and what you're hearing and information. 226 00:11:06,065 --> 00:11:11,037 Go up to one of the podcast platforms we're on, every Spotify Rumble, 227 00:11:11,237 --> 00:11:14,240 you name it, iHeart radio. 228 00:11:14,273 --> 00:11:15,207 We're on. 229 00:11:15,207 --> 00:11:16,342 We're on 16 of them. 230 00:11:16,342 --> 00:11:18,511 Okay, you can definitely find this, right? 231 00:11:18,511 --> 00:11:20,579 SoundCloud. There's more. 232 00:11:20,579 --> 00:11:22,915 You can find us up there and have them listen to the show, 233 00:11:22,915 --> 00:11:26,385 or you can go to the YouTube channel, America's Healthcare Advocate. 234 00:11:26,385 --> 00:11:28,187 The shows are all posted up there. 235 00:11:28,187 --> 00:11:32,091 They've post the shows up there so you can watch them, listen to them, whatever. 236 00:11:32,091 --> 00:11:35,494 But that's a great way to educate somebody that may have this disease. 237 00:11:35,661 --> 00:11:38,497 Maybe you're struggling getting that family member. 238 00:11:38,497 --> 00:11:43,135 Pay attention and do what they need to do to correct the situation with diabetes. 239 00:11:43,235 --> 00:11:46,472 The reason I do these kind of shows and bring experts in here 240 00:11:46,605 --> 00:11:49,608 who take time out of their day, like Ron Hoyler to do this, 241 00:11:49,675 --> 00:11:53,012 is so I can educate and inform, and that's what we're trying to do. 242 00:11:53,312 --> 00:11:54,847 All right. So we're going to switch gears. Now. 243 00:11:54,847 --> 00:11:55,881 We're going to talk about, 244 00:11:55,881 --> 00:11:59,752 as I said, the thing that really caught my attention was this whole cognitive 245 00:12:00,086 --> 00:12:04,290 issue and how diabetes affects is because we have not talked about that before. 246 00:12:04,590 --> 00:12:07,560 So it's called big brain age gap. 247 00:12:07,560 --> 00:12:11,063 And I'm going to show you a picture now of what that looks like okay. 248 00:12:11,197 --> 00:12:15,000 And then I'm going to ask Ron to explain this so you can see exactly 249 00:12:15,000 --> 00:12:16,268 what we're talking about here. 250 00:12:16,268 --> 00:12:20,673 These are concrete examples of what happens if you're a type 251 00:12:20,673 --> 00:12:24,677 one type two diabetic, and you are not keeping this disease in check. 252 00:12:24,877 --> 00:12:27,046 Ron, walk us through this. 253 00:12:27,046 --> 00:12:30,216 We have a lot of different ways we can measure different functions in the brain. 254 00:12:30,216 --> 00:12:35,121 And one of the things that we can do is we can look at it and the processes 255 00:12:35,121 --> 00:12:36,422 and how fast it works. 256 00:12:36,422 --> 00:12:40,726 And if, if we're really doing, the things we want our brain to do 257 00:12:40,726 --> 00:12:44,563 and we can, accumulate that information for an age group, 258 00:12:44,563 --> 00:12:48,601 and we can say, this is your brain age for this. 259 00:12:48,601 --> 00:12:51,570 Yeah. The what the brain scan does, it does an amazing job. 260 00:12:51,570 --> 00:12:53,973 Yeah, I've seen those before. Those are excellent. 261 00:12:53,973 --> 00:12:58,911 And what we can do then is we can look at somebody who has diabetes 262 00:12:58,911 --> 00:13:01,914 and we can say, is your brain front function 263 00:13:01,914 --> 00:13:06,152 working at the same chronological age as what you are 264 00:13:06,385 --> 00:13:09,388 or compared to somebody your age without diabetes? 265 00:13:09,555 --> 00:13:12,491 And, data demonstrates 266 00:13:12,491 --> 00:13:16,095 that diabetes can cause brain atrophy and that affects 267 00:13:16,095 --> 00:13:22,001 the brain age of your brain, and that makes it go further 268 00:13:22,001 --> 00:13:27,339 and further from chronologically, what it should be when you have diabetes. 269 00:13:27,740 --> 00:13:31,143 And no surprise that the worse control 270 00:13:31,143 --> 00:13:35,281 you have with your diabetes, the greater the distance 271 00:13:35,281 --> 00:13:39,151 between what your chronological brain age should be and what it actually is. 272 00:13:39,151 --> 00:13:40,853 Okay, so you're 75 years old. 273 00:13:40,853 --> 00:13:43,022 You're not paying attention to your diabetes. 274 00:13:43,022 --> 00:13:44,690 You're letting it rage out of control. 275 00:13:44,690 --> 00:13:46,525 You're doing the things you shouldn't be doing. 276 00:13:46,525 --> 00:13:50,462 So instead of having a 75 year old brain, you've got a 97 year old brain. 277 00:13:50,729 --> 00:13:53,098 Well, I'm giving you an example. 278 00:13:53,098 --> 00:13:57,336 That that's maybe a little bit more of a gap than what the statistic 279 00:13:57,336 --> 00:14:00,406 indicates, but it certainly indicates, let's say that if your, 280 00:14:01,173 --> 00:14:04,176 hemoglobin A1c or 8% or greater, 281 00:14:04,176 --> 00:14:08,347 that on average that's about a four year gap or deficiency. 282 00:14:08,380 --> 00:14:09,849 You're going to continue to. 283 00:14:09,849 --> 00:14:12,618 Yeah, most likely among other things. Right. 284 00:14:12,618 --> 00:14:15,721 Because as we talked about in the last segment, your risk for, 285 00:14:16,322 --> 00:14:20,793 other functions in your brain being affected or the risk of dementia, 286 00:14:21,360 --> 00:14:24,663 or, impairment are significantly increased. 287 00:14:24,663 --> 00:14:28,500 The worse blood flow you have into the brain from the high blood sugar. 288 00:14:28,634 --> 00:14:30,002 So I will tell you, okay. 289 00:14:30,002 --> 00:14:33,672 Personally, for me, and I did not know this, but, you know, 290 00:14:33,973 --> 00:14:37,743 I've been very aware of I've done a lot of shows on Alzheimer's. 291 00:14:37,743 --> 00:14:41,814 So we've had Steve Sanborn on here talking with the Wavi brain scan 292 00:14:42,114 --> 00:14:45,718 and his group Neurologic, what they do and what a difference that makes. 293 00:14:46,352 --> 00:14:49,421 That's one of the things that is terrified me about aging 294 00:14:49,688 --> 00:14:51,223 was am I going to wind up? 295 00:14:51,223 --> 00:14:54,593 I've got a very good friend, a guy I served with overseas in Vietnam. 296 00:14:54,593 --> 00:14:57,029 He was he and I were partners the whole time 297 00:14:57,029 --> 00:14:59,431 we were there as dog handlers. 298 00:14:59,431 --> 00:15:00,466 And he's got dementia. 299 00:15:00,466 --> 00:15:01,834 And I worry about George. 300 00:15:01,834 --> 00:15:04,737 We're back and forth every week talking. 301 00:15:04,737 --> 00:15:08,340 He lives down in Texas, East Texas, and as a cattle ranch 302 00:15:08,707 --> 00:15:11,477 and, you know, very concerned about his dementia. 303 00:15:11,477 --> 00:15:13,712 And, you know, him being able to keep it in check. 304 00:15:13,712 --> 00:15:18,083 And this is exactly why I wanted to do this show today and talk about this, 305 00:15:18,083 --> 00:15:21,086 because I will tell you, as a seasoned citizen, 306 00:15:21,220 --> 00:15:23,856 one of us that is chronologically challenged, 307 00:15:23,856 --> 00:15:26,859 this is the one thing that terrifies the hell out of me. 308 00:15:26,959 --> 00:15:30,029 And it should terrify all of you to be sitting there 309 00:15:30,029 --> 00:15:33,198 and not have control of your mind and your own thought 310 00:15:33,198 --> 00:15:36,535 process, and be able to care for yourself in any form. 311 00:15:36,735 --> 00:15:40,506 And then, you know, in addition to, you know, you're being that person 312 00:15:40,506 --> 00:15:43,509 that has this problem, what does that do to your family? 313 00:15:43,642 --> 00:15:44,043 Right? 314 00:15:44,043 --> 00:15:44,843 What a hardship did. 315 00:15:44,843 --> 00:15:45,678 That whole burden. 316 00:15:45,678 --> 00:15:48,681 Yeah. Over to your wife and your children. 317 00:15:48,681 --> 00:15:52,251 Because you weren't paying attention to something that you knew, 318 00:15:53,118 --> 00:15:54,620 was a possibility. 319 00:15:54,620 --> 00:15:56,422 And the thing. 320 00:15:56,422 --> 00:15:59,792 I keep going back to this number because it just shocks the hell out of me. 321 00:15:59,792 --> 00:16:03,395 Three out of four Americans over 65. Yeah. 322 00:16:03,395 --> 00:16:06,999 So if they're, you know, if they're not paying attention to this, 323 00:16:07,599 --> 00:16:11,136 you can almost guarantee they're going to wind up with that problem. 324 00:16:11,236 --> 00:16:12,438 Sure. 325 00:16:12,438 --> 00:16:16,141 And, you know, to be clear, you can have dementia without having diabetes. 326 00:16:16,141 --> 00:16:18,844 Of course you can. But do you want to add to the risk? Right. 327 00:16:18,844 --> 00:16:19,712 Exactly. 328 00:16:19,712 --> 00:16:21,780 You're tipping the scale the other way. 329 00:16:21,780 --> 00:16:24,249 Okay, let's hurry up and get dementia, okay. Yeah. 330 00:16:24,249 --> 00:16:25,851 That's what we want to do, right? 331 00:16:25,851 --> 00:16:27,886 That makes a hell of a lot of sense that. 332 00:16:27,886 --> 00:16:32,024 No. Well, that's why this information is so important for people to understand 333 00:16:32,024 --> 00:16:34,560 so that they can stack the odds in their favor, 334 00:16:34,560 --> 00:16:37,463 right, of not having to deal with those kind of complications. 335 00:16:37,463 --> 00:16:40,499 And, and the first thing is, and we, you know, 336 00:16:40,499 --> 00:16:42,201 we're going to come up on the break here in about three minutes. 337 00:16:42,201 --> 00:16:46,338 But the first thing is that and kind of explain to people 338 00:16:46,338 --> 00:16:47,840 why it's so critical 339 00:16:47,840 --> 00:16:50,976 that they get that A1c initially and find out if they're at risk. 340 00:16:51,076 --> 00:16:52,177 Yeah, yeah. 341 00:16:52,177 --> 00:16:53,445 You think you don't have a problem. 342 00:16:53,445 --> 00:16:55,981 You don't know that truth. Yeah. Okay. 343 00:16:55,981 --> 00:16:56,248 Yeah. 344 00:16:56,248 --> 00:16:57,383 That's why, you know, 345 00:16:57,383 --> 00:17:01,053 you're going into your doctor for an annual physical and lab work 346 00:17:01,253 --> 00:17:05,057 because there are a whole lot of ways that we can easily and quickly 347 00:17:05,290 --> 00:17:08,961 or, early on detect something so that we can fix it. 348 00:17:08,961 --> 00:17:11,730 Always easier to fix it when you catch it early on. 349 00:17:11,730 --> 00:17:13,465 Right. Cancers, 350 00:17:14,433 --> 00:17:16,835 all kinds of stuff, diabetes included. 351 00:17:16,835 --> 00:17:20,806 And, one of the quick things that they can do at a physical is check 352 00:17:20,806 --> 00:17:22,775 a blood sugar, 353 00:17:22,775 --> 00:17:25,677 take a urine sample, see if there's glucose in the urine. 354 00:17:25,677 --> 00:17:27,179 They get an indication. 355 00:17:27,179 --> 00:17:31,083 Do you seem to be in that prediabetes stage 356 00:17:31,083 --> 00:17:34,053 or possibly already in the diabetes stage? 357 00:17:34,053 --> 00:17:38,223 And the earlier you catch it, the earlier you can start to intervene 358 00:17:38,223 --> 00:17:39,691 and get it under control. 359 00:17:39,691 --> 00:17:40,692 Now I want to tell you something. 360 00:17:40,692 --> 00:17:43,228 You may think, hey, I'm physically fit, I workout. 361 00:17:43,228 --> 00:17:46,331 You know, I've been a gym rat all of my life, okay? 362 00:17:46,331 --> 00:17:47,833 Ever since I got out of the military, 363 00:17:47,833 --> 00:17:50,702 I've always worked at least 3 or 4 times a week. 364 00:17:50,702 --> 00:17:52,504 I still couldn't shake this. 365 00:17:52,504 --> 00:17:55,340 I could not get out of this pre-diabetes zone 366 00:17:55,340 --> 00:17:58,544 with this A1C and I, you know, I took the steps. 367 00:17:58,544 --> 00:17:59,678 I did the right thing. 368 00:17:59,678 --> 00:18:02,548 I went to a group here called Heartland 369 00:18:02,548 --> 00:18:05,551 Weight Loss, and got myself back under... 370 00:18:06,018 --> 00:18:10,856 dropped about 18 pounds, and got my A1c down 371 00:18:11,023 --> 00:18:14,126 and I, you know, I've got labs coming up here in a couple weeks. 372 00:18:14,126 --> 00:18:15,961 Time to go right back in and check it again. 373 00:18:15,961 --> 00:18:19,765 But if you, if you think, oh gee, I'm in good health, I don't have this problem. 374 00:18:19,898 --> 00:18:21,934 No, you don't know. 375 00:18:21,934 --> 00:18:23,702 And that's Ron's whole point. 376 00:18:23,702 --> 00:18:28,507 You need to get physical, get the A1c check if you're in that range. 377 00:18:28,507 --> 00:18:30,542 I was in the range for pre-diabetes. 378 00:18:30,542 --> 00:18:33,612 I was not diabetic yet, but I was right there. 379 00:18:33,812 --> 00:18:35,814 I could cross the line pretty easily. 380 00:18:35,814 --> 00:18:39,885 That's when I changed my diet and, you know, made a difference. 381 00:18:39,885 --> 00:18:42,788 Like I said I went on metformin for six months. 382 00:18:42,788 --> 00:18:44,556 Got it under control. Now I'm off of it. 383 00:18:44,556 --> 00:18:46,992 I'm staying under control, but I'm paying attention to it. 384 00:18:46,992 --> 00:18:51,063 If you're not paying attention to this, you get further down the road. 385 00:18:51,063 --> 00:18:52,798 You might not be able to correct it, right. 386 00:18:52,798 --> 00:18:55,834 Then it shifts over into type 2? 387 00:18:55,968 --> 00:18:57,903 And now you got a big fight on your hands, 388 00:18:57,903 --> 00:19:01,974 a really big fight on your hands, and it's going to affect everything in your life. 389 00:19:02,207 --> 00:19:05,511 So that's why we're doing the show today, is to try to explain to you. 390 00:19:05,511 --> 00:19:07,412 Now, when we come back from the break, 391 00:19:07,412 --> 00:19:10,382 we're going to talk about how this disease is treated, 392 00:19:10,782 --> 00:19:14,920 how it has been treated historically, and about a major breakthrough 393 00:19:15,120 --> 00:19:18,390 that literally is going to change the way diabetes gets treated. 394 00:19:18,657 --> 00:19:19,458 Stay tuned. 395 00:19:19,458 --> 00:19:21,860 You're listening to America's Healthcare Advocate 396 00:19:21,860 --> 00:19:24,863 Broadcasting here on the HIA Radio Network. 397 00:19:24,930 --> 00:19:26,732 Coast to coast across USA. 398 00:19:26,732 --> 00:19:29,101 Don't go anywhere. We'll be right back with more. 399 00:19:37,476 --> 00:19:38,911 Welcome back to America's 400 00:19:38,911 --> 00:19:41,980 Healthcare Advocate, broadcasting coast to coast across the USA. 401 00:19:41,980 --> 00:19:44,816 By the way, I've been getting a lot of emails lately. 402 00:19:44,816 --> 00:19:46,385 People that have questions, issues 403 00:19:46,385 --> 00:19:49,288 that lady up in West Virginia the other day, etc. 404 00:19:49,288 --> 00:19:50,522 if you want to send me an email, 405 00:19:50,522 --> 00:19:53,492 go to the website America's Healthcare Advocate.com. 406 00:19:53,725 --> 00:19:56,195 America's Healthcare Advocate.com. 407 00:19:56,195 --> 00:19:57,429 I get the emails. 408 00:19:57,429 --> 00:19:58,664 Dave makes sure that I answer him. 409 00:19:58,664 --> 00:20:01,433 If I don't, he tells me I missed okay. 410 00:20:01,433 --> 00:20:02,367 And then I answer them. 411 00:20:02,367 --> 00:20:06,104 So if you've got a question for something I can help you with or you have an issue, 412 00:20:06,305 --> 00:20:07,739 please feel free to reach out to me. 413 00:20:07,739 --> 00:20:10,576 Use the website AmericasHealthcareAdvocate.com. 414 00:20:10,576 --> 00:20:10,842 All right. 415 00:20:10,842 --> 00:20:14,646 So now this is going to be interesting because I'm going to I'm going 416 00:20:14,646 --> 00:20:16,448 to use an analogy here. 417 00:20:16,448 --> 00:20:19,351 And then I'm going to have Ron explain that analogy 418 00:20:19,351 --> 00:20:23,488 as we talk about this new way to manage this disease. 419 00:20:23,488 --> 00:20:26,491 So would you buy a car without a speedometer. 420 00:20:26,592 --> 00:20:27,392 I would not. 421 00:20:28,627 --> 00:20:31,863 And and because that would be foolish, it would would. 422 00:20:31,863 --> 00:20:32,164 Yeah. 423 00:20:32,164 --> 00:20:35,500 You know, I tell patients that managing your diabetes 424 00:20:35,500 --> 00:20:39,271 without constant information is going to set you up for failure. 425 00:20:39,504 --> 00:20:42,507 And I use an analogy that, let's say you rented a car 426 00:20:42,507 --> 00:20:46,211 to travel across the United States from the East Coast to the West Coast. 427 00:20:46,612 --> 00:20:49,047 And the car they want to give you doesn't have a speedometer. 428 00:20:49,047 --> 00:20:52,050 How comfortable are you feeling about driving? 429 00:20:52,050 --> 00:20:55,621 Not knowing your speed and not being able to assess 430 00:20:55,621 --> 00:20:58,624 if you are going the appropriate speed limit? 431 00:20:58,957 --> 00:21:01,126 Yeah, obviously I'm not going to drive that car, right? 432 00:21:01,126 --> 00:21:01,627 Yeah. 433 00:21:01,627 --> 00:21:05,897 And because you recognize that that incoming data is necessary 434 00:21:05,897 --> 00:21:09,601 for you to be in a safe situation and not get yourself in trouble. 435 00:21:09,901 --> 00:21:11,670 And diabetes is no different. 436 00:21:11,670 --> 00:21:16,074 The amount of information coming in about your blood sugars needs to be frequent, 437 00:21:16,408 --> 00:21:19,911 and it needs to be something you can see readily, and that's something 438 00:21:19,911 --> 00:21:23,649 that we're not appropriately using, like we could with the technology 439 00:21:23,649 --> 00:21:24,316 we have today. 440 00:21:24,316 --> 00:21:27,185 Yeah. So let me just give you an example of what we do now. 441 00:21:27,185 --> 00:21:29,187 Then I'm going to ask Ron to explain this. 442 00:21:29,187 --> 00:21:31,890 This is a typical, chart, 443 00:21:31,890 --> 00:21:36,895 if you will, that a doctor sees if you are getting A1c. 444 00:21:36,895 --> 00:21:39,031 So we're going to explain A1c here in a minute. 445 00:21:39,031 --> 00:21:41,466 And you're having a check. This is what it looks like. 446 00:21:41,466 --> 00:21:43,568 This is what he or she has. 447 00:21:43,568 --> 00:21:47,205 Or Ron in the case of a nurse, if they're treating this 448 00:21:47,406 --> 00:21:52,177 to go by to decide which one of those 165 medications 449 00:21:52,411 --> 00:21:54,746 that we were talking about, this is how he, 450 00:21:54,746 --> 00:21:57,749 he or she is supposed to know which one to give you. 451 00:21:58,216 --> 00:22:00,819 You might as well just get a dart board and throw a dart. 452 00:22:00,819 --> 00:22:02,287 It feels that way sometimes. No. 453 00:22:02,287 --> 00:22:05,824 So you, first of all, let's explain A1c and then let's talk about this. 454 00:22:05,824 --> 00:22:07,659 Sure. This this this idea. 455 00:22:07,659 --> 00:22:10,662 So we got a little history lesson here because, 456 00:22:10,829 --> 00:22:13,532 we've only had blood sugar meters, which is what this is. 457 00:22:13,532 --> 00:22:17,169 These are, examples of somebody who has checked their blood sugar twice 458 00:22:17,169 --> 00:22:21,440 a day, which is often, the number of times doctors ask you to check or, 459 00:22:21,973 --> 00:22:25,110 maybe the number of times your insurance will allow you to check daily. 460 00:22:25,544 --> 00:22:30,015 And, it is some points on the board, random points. 461 00:22:30,015 --> 00:22:35,420 And a clinician is supposed to be able to look at that and somehow, ascertain 462 00:22:35,520 --> 00:22:38,523 how your medicine is going, how your daily life is going, 463 00:22:38,590 --> 00:22:42,361 how the decisions you're making are working to manage your diabetes. 464 00:22:42,694 --> 00:22:46,064 And so that is just not a lot of information. 465 00:22:46,064 --> 00:22:47,432 It certainly is not. 466 00:22:47,432 --> 00:22:50,435 So that is blood sugars right now, 467 00:22:50,669 --> 00:22:55,874 one of the common ways to get at least a ballpark idea of your average blood 468 00:22:55,874 --> 00:23:00,779 sugar is what's called an A1c, in which, this has been around for decades. 469 00:23:00,779 --> 00:23:04,683 It's a quick, fast, cheap way to get an idea of somebody 470 00:23:04,683 --> 00:23:06,551 who maybe doesn't check their blood sugars 471 00:23:06,551 --> 00:23:10,622 or simply doesn't have any idea of how their blood sugars are looking. 472 00:23:10,922 --> 00:23:12,924 We measure, we take a drop, 473 00:23:12,924 --> 00:23:16,128 a red blood cell, and measure the amount of blood sugar on it. 474 00:23:16,561 --> 00:23:20,132 And because a red blood cell has a life span of three months, we know that 475 00:23:20,132 --> 00:23:23,468 that is a three month average of your blood sugar. 476 00:23:23,902 --> 00:23:26,905 Now, that is some information. 477 00:23:27,072 --> 00:23:31,042 And for years, really for decades, it was kind of the gold standard. 478 00:23:31,443 --> 00:23:35,947 And the problem is that an average is often misleading. 479 00:23:36,381 --> 00:23:38,283 Let me give you an example. 480 00:23:38,283 --> 00:23:41,553 If half of your blood sugars are high and half of them are low, 481 00:23:41,820 --> 00:23:45,457 they're going to average out correct to a nice A1c right. 482 00:23:45,624 --> 00:23:49,661 If you're simply going by A1c, you may say, oh, I'm doing great. 483 00:23:49,995 --> 00:23:53,331 But the truth of the matter is, when you have that kind of variability 484 00:23:53,331 --> 00:23:56,802 in your blood sugars from high to low and high to low, 485 00:23:57,135 --> 00:24:01,406 that's creating oxidative, oxidative stress on the cells that's damaging them, 486 00:24:01,640 --> 00:24:05,343 interrupting blood flow efficiency into the brain and other organs. 487 00:24:05,677 --> 00:24:11,383 And so an A1c while it is some information, it is not the best 488 00:24:11,383 --> 00:24:15,654 indicator for your diabetes management and overall health of your diabetes. 489 00:24:15,654 --> 00:24:18,657 So now we're going to shift to this breakthrough technology. 490 00:24:18,723 --> 00:24:21,827 And you know, we live in a world where things are changing rapidly 491 00:24:22,160 --> 00:24:23,462 with technology. 492 00:24:23,462 --> 00:24:26,465 This breakthrough technology is called CGM. 493 00:24:26,731 --> 00:24:28,767 This is what I want to have Ron explain that. 494 00:24:28,767 --> 00:24:32,070 But this is what a chart looks like from a CGM. 495 00:24:32,070 --> 00:24:34,940 You see the difference here? Just the visual difference. 496 00:24:34,940 --> 00:24:37,843 And looking at this okay, this is the difference. 497 00:24:37,843 --> 00:24:40,078 Now explain what that means. 498 00:24:40,078 --> 00:24:42,314 First of all, what is the CGM. Let's show them. 499 00:24:42,314 --> 00:24:46,117 Yeah well so a CGM is just a little device about the size of a dime. 500 00:24:46,418 --> 00:24:50,355 Sticks on your arm or, there's other places on your body. 501 00:24:50,822 --> 00:24:52,457 It's waterproof. 502 00:24:52,457 --> 00:24:54,893 And you can wear it for either 10 or 15 days. 503 00:24:54,893 --> 00:24:57,195 It continually monitors your blood sugar. 504 00:24:57,195 --> 00:24:59,397 And that's why you get this really nice 505 00:24:59,397 --> 00:25:03,168 graph layout here that shows everything, high. 506 00:25:03,168 --> 00:25:05,971 Low when it's high, when it's low during the day. 507 00:25:05,971 --> 00:25:07,272 Except. Right. 508 00:25:07,272 --> 00:25:09,975 Well, not only that, but that information goes directly 509 00:25:09,975 --> 00:25:12,878 to my doctor's office if he or she wants to see it. 510 00:25:12,878 --> 00:25:14,713 And is it on your phone? 511 00:25:14,713 --> 00:25:16,915 It is also the the. Alright. 512 00:25:16,915 --> 00:25:22,420 So for me, I can just touch the icon and it's going to 513 00:25:23,522 --> 00:25:25,790 show me, 514 00:25:25,790 --> 00:25:28,960 where, where I'm at, say I want to look at my time and range. 515 00:25:28,960 --> 00:25:31,496 Well. Let's hold that so the camera can see that. 516 00:25:31,496 --> 00:25:32,631 Yeah, yeah. 517 00:25:32,631 --> 00:25:36,067 So what I know is that the decisions I've been making 518 00:25:36,601 --> 00:25:39,571 have been keeping my blood sugar in range. 519 00:25:39,871 --> 00:25:44,142 The reason that's significant is because many researchers and providers 520 00:25:44,142 --> 00:25:48,780 feel that time and range is the best indicator of your overall diabetes health, 521 00:25:49,247 --> 00:25:54,853 because going back to an A1, see, as I said, you could have a nice A1c 522 00:25:54,853 --> 00:25:59,558 the A1 that Ada recommends and A1c of it, because we just talked about averaging. 523 00:25:59,558 --> 00:26:02,661 If you get the average right, you know you're not because you're 524 00:26:03,161 --> 00:26:05,730 you're it's a false it's a false narrative. 525 00:26:05,730 --> 00:26:08,300 Well, use this again. 526 00:26:08,300 --> 00:26:12,370 This CGM download shows me in this particular case 527 00:26:12,370 --> 00:26:16,074 that this patient was in range 59% of the time. 528 00:26:16,741 --> 00:26:19,678 70% is the goal. 529 00:26:19,678 --> 00:26:21,680 So they have some work to do. Right. 530 00:26:21,680 --> 00:26:26,217 However, it also gives me an indicator of what the KG or what the A1c would be. 531 00:26:26,518 --> 00:26:28,987 And I think it has it at 7.2 here. 532 00:26:28,987 --> 00:26:32,791 So if you were just going by A1c you'd go wow, look 533 00:26:32,791 --> 00:26:37,028 how close I am to doing really well now that's not telling the whole picture. 534 00:26:37,295 --> 00:26:39,598 Number one, we're not getting our time and range. 535 00:26:39,598 --> 00:26:40,899 But number two, 536 00:26:40,899 --> 00:26:45,270 remember I talked about the variability that causes the oxidative stress on cells. 537 00:26:45,570 --> 00:26:51,443 This shows me the variability and if it is matching up to a healthy range. 538 00:26:51,743 --> 00:26:52,877 And so now I'm getting 539 00:26:52,877 --> 00:26:56,681 not just a little bit of information I'm getting the entire picture. 540 00:26:57,015 --> 00:27:00,318 I also see a graph of where you go high or low throughout the day, 541 00:27:00,452 --> 00:27:04,356 so that I know where we need to pinpoint specifically 542 00:27:04,623 --> 00:27:08,193 either the medicine we're taking at that time or the dose, or. 543 00:27:08,193 --> 00:27:09,661 How you're. Eating or how you're eating. 544 00:27:09,661 --> 00:27:13,565 So my Saturday morning donuts are going to show up, not doing 545 00:27:14,566 --> 00:27:15,433 only Saturday. 546 00:27:15,433 --> 00:27:17,869 So that's not true Saturday and Sunday okay. 547 00:27:17,869 --> 00:27:19,070 But you okay. Yeah. 548 00:27:19,070 --> 00:27:23,408 So the point is simply this that with an abundance of information, 549 00:27:23,408 --> 00:27:27,345 I can make a more accurate and timely clinical decision 550 00:27:27,345 --> 00:27:31,116 to help you manage your diabetes, but you also are able to. 551 00:27:31,116 --> 00:27:31,383 Yeah. 552 00:27:31,383 --> 00:27:34,252 So the that's the part I want to get to here. 553 00:27:34,252 --> 00:27:37,956 This is what's so critical about this this piece of technology. 554 00:27:38,023 --> 00:27:39,190 What it does. 555 00:27:39,190 --> 00:27:41,660 You now can treat 556 00:27:41,660 --> 00:27:44,696 your own know how to treat your diabetes okay. 557 00:27:44,696 --> 00:27:49,267 To help to help your clinician, your doctor, your nurse, whoever it is, 558 00:27:49,668 --> 00:27:54,005 keep your diabetes under control because you have a constant flow of information 559 00:27:54,239 --> 00:27:56,775 going back to your physician, which you see. 560 00:27:56,775 --> 00:28:00,679 So if you decide that I'm going to have two martinis that evening, 561 00:28:00,812 --> 00:28:02,580 you're going to see your blood sugar jump. 562 00:28:02,580 --> 00:28:03,715 Okay. 563 00:28:03,715 --> 00:28:03,948 You know, 564 00:28:03,948 --> 00:28:07,852 if you decide you want that piece of apple pie with with ice cream on top of it, 565 00:28:07,986 --> 00:28:10,088 you're gonna see your blood sugar jump, 566 00:28:10,088 --> 00:28:12,290 but you're going to know what you're doing, okay? 567 00:28:12,290 --> 00:28:13,391 And where you are. 568 00:28:13,391 --> 00:28:16,161 How do those foods affect your behavior? 569 00:28:16,161 --> 00:28:18,763 So I think this is absolutely remarkable. 570 00:28:18,763 --> 00:28:21,266 Now here's the $64,000 question. 571 00:28:21,266 --> 00:28:23,501 Or are the insurance carriers covering this. 572 00:28:23,501 --> 00:28:26,137 Yes and no. Is Medicare covering. 573 00:28:26,137 --> 00:28:31,142 It? Medicare will only cover it if you have a diabetes diagnosis 574 00:28:31,810 --> 00:28:35,346 and you're on insulin, or you have a history 575 00:28:35,346 --> 00:28:40,185 of hypoglycemic events that you are unaware of or in danger of. 576 00:28:40,351 --> 00:28:44,456 Is a type two diabetic or pre-diabetic able to get this paid for. 577 00:28:44,456 --> 00:28:45,724 In some instances? 578 00:28:45,724 --> 00:28:51,629 Maybe in some instances, one of these, devices has got a, program 579 00:28:51,629 --> 00:28:55,233 where they will sell you a sensor at a fairly reasonable cost. 580 00:28:55,233 --> 00:28:55,934 What's reasonable. 581 00:28:55,934 --> 00:28:58,837 Whether about $85 a month. That's fine. 582 00:28:58,837 --> 00:29:02,640 But $85 a month to know that I'm not going to move toward dementia. 583 00:29:02,640 --> 00:29:03,842 Right? Yeah. 584 00:29:03,842 --> 00:29:07,612 And and all the other comorbidities that we talked about here 585 00:29:07,812 --> 00:29:11,049 amputations, seizures, renal disease, neuropathy, etc.. 586 00:29:11,783 --> 00:29:13,852 I would say it's worth $85 a month. 587 00:29:13,852 --> 00:29:18,022 Well, you know, my heart and my brain tell me what I would 588 00:29:18,022 --> 00:29:22,494 really want to see is why do we even need prescriptions for these? 589 00:29:22,494 --> 00:29:25,630 Yeah, we have watches that tell us our heart rate, 590 00:29:25,697 --> 00:29:28,633 that tell us how many steps we get that tell us, you know, 591 00:29:28,633 --> 00:29:32,470 our oxygen saturation for every day we have all that information. 592 00:29:32,771 --> 00:29:37,742 If diabetes is such, such a dynamic disease 593 00:29:37,742 --> 00:29:41,613 affecting us right now, why aren't we making the tools available 594 00:29:41,613 --> 00:29:43,848 more readily for people to be able to be healthy? 595 00:29:43,848 --> 00:29:45,884 Okay, so it's called the CGM. 596 00:29:45,884 --> 00:29:48,086 You can ask your physician about it. 597 00:29:48,086 --> 00:29:51,089 You may qualify for it if you're a type two diabetic. 598 00:29:51,322 --> 00:29:52,590 Possibly. Okay. 599 00:29:52,590 --> 00:29:55,827 If you're pre-diabetic, it's not going to be covered by insurance. 600 00:29:55,827 --> 00:29:59,731 You can almost guarantee that if it's worth $85 a month to you. 601 00:29:59,731 --> 00:30:00,865 And I can assure you 602 00:30:00,865 --> 00:30:01,566 that, you know, 603 00:30:01,566 --> 00:30:03,768 when I walk out of this studio, that's the first thing 604 00:30:03,768 --> 00:30:06,004 that I'm going to do is I'm going to get that monitor 605 00:30:06,004 --> 00:30:07,205 and I'm going to have it on my phone 606 00:30:07,205 --> 00:30:10,942 so I know what I'm doing because I, you know, I've got six grandchildren. 607 00:30:11,176 --> 00:30:11,576 Okay? 608 00:30:11,576 --> 00:30:14,679 I want to continue to enjoy my life with my wife and be able to do 609 00:30:14,679 --> 00:30:17,682 the things I want to do, and I'm not going to put myself at risk 610 00:30:17,682 --> 00:30:19,751 for something like this when I don't have to. 611 00:30:19,751 --> 00:30:21,519 That's why we do this radio show. 612 00:30:21,519 --> 00:30:23,321 So we'll be right back after the break. 613 00:30:23,321 --> 00:30:25,857 You're listening to America's Healthcare Advocate 614 00:30:25,857 --> 00:30:28,459 broadcasting coast to coast across the USA. 615 00:30:28,459 --> 00:30:30,562 Stay right there. We're going to wrap it up. Next segment. 616 00:30:36,234 --> 00:30:36,901 Welcome back. 617 00:30:36,901 --> 00:30:40,371 You're listening to America's Healthcare Advocate Show broadcasting coast to coast 618 00:30:40,672 --> 00:30:41,706 across the USA. 619 00:30:41,706 --> 00:30:43,641 If you want to tell somebody about this show, 620 00:30:43,641 --> 00:30:46,644 you want to listen to it again or you want to introduce it to a family, 621 00:30:46,811 --> 00:30:49,414 maybe you've got a husband, a wife or grandfather father, whatever 622 00:30:49,414 --> 00:30:52,550 the case may be, a grandmother that you think has this issue, 623 00:30:52,917 --> 00:30:55,486 get them to go up to the podcast platform to listen to it. 624 00:30:55,486 --> 00:30:57,956 There are 16 podcast platforms out there. 625 00:30:57,956 --> 00:31:00,291 You can certainly find this without any trouble. 626 00:31:00,291 --> 00:31:03,728 You can also go to the YouTube platform, America's Healthcare Advocate 627 00:31:03,895 --> 00:31:07,265 and the shows are all posted up there by Dave, so they can listen to it 628 00:31:07,498 --> 00:31:12,103 and understand this is a better way to deal with this issue of diabetes. 629 00:31:12,103 --> 00:31:12,570 Okay? 630 00:31:12,570 --> 00:31:15,840 And that's why I do these broadcasts and that's why we're doing this today. 631 00:31:16,074 --> 00:31:18,843 So it's important that you have that information. 632 00:31:18,843 --> 00:31:21,880 I want to thank Saint Luke's that by the way, if you wanted to see 633 00:31:22,213 --> 00:31:25,950 Ron Hoyler, saintlukeskc.org is website. 634 00:31:25,950 --> 00:31:28,052 saintlukeskc.org. Make an appointment. 635 00:31:28,052 --> 00:31:29,153 Get going there. 636 00:31:29,153 --> 00:31:30,688 Sit down and talk with him 637 00:31:30,688 --> 00:31:34,158 and find out what you can do to start getting your diabetes under control. 638 00:31:34,292 --> 00:31:37,896 It is critically important that you get it under control. 639 00:31:38,129 --> 00:31:42,133 So as Ron, like say you live with the diabetes, not the diabetes 640 00:31:42,600 --> 00:31:44,068 telling you how you have to live. 641 00:31:44,068 --> 00:31:46,704 And we'll talk a little bit about that here in this segment. 642 00:31:46,704 --> 00:31:49,307 So this is interesting. 643 00:31:49,307 --> 00:31:52,043 We just talked about Medicare what they cover and what they don't cover. 644 00:31:52,043 --> 00:31:54,412 You know how much I love government run health care. 645 00:31:54,412 --> 00:31:57,415 And I'm on Medicare one half of the budget 646 00:31:57,982 --> 00:32:03,288 that Medicare allots for for care goes to diabetes and diabetes programs. 647 00:32:03,288 --> 00:32:07,158 So do you think maybe by implementing a program like this, 648 00:32:08,126 --> 00:32:09,060 we could see a 649 00:32:09,060 --> 00:32:12,964 significant savings that maybe DOGE needs to get involved in this. 650 00:32:13,231 --> 00:32:14,565 Okay. And explain. 651 00:32:14,565 --> 00:32:17,702 There is a better way to do this using technology. 652 00:32:18,002 --> 00:32:18,603 Okay. 653 00:32:18,603 --> 00:32:21,372 That would drive down the cost of the whole Medicare budget. 654 00:32:21,372 --> 00:32:24,342 Half of the budget is alotted to diabetes. 655 00:32:24,342 --> 00:32:26,144 For complications from diabetes. 656 00:32:26,144 --> 00:32:29,714 So that's spending the money on the back end instead of the front end 657 00:32:30,048 --> 00:32:33,017 with the CGM, like Dexcom and Libre, 658 00:32:33,017 --> 00:32:38,856 that can help you see what's going on so you can more effectively manage your diet. 659 00:32:38,856 --> 00:32:40,291 And take control of your life. 660 00:32:40,291 --> 00:32:44,495 And look, you know what we talked about the 165 diabetes medications. 661 00:32:45,063 --> 00:32:45,930 With a sensor. 662 00:32:45,930 --> 00:32:49,968 I can more appropriately see which medication is working and which isn't. 663 00:32:49,968 --> 00:32:53,371 So now I have a better choice of what's going to work for you. 664 00:32:53,371 --> 00:32:53,638 Yeah. 665 00:32:53,638 --> 00:32:57,141 So the clinician is not working off of this okay. 666 00:32:57,542 --> 00:33:00,645 They're working off of something that's going to tell them, listen to this. 667 00:33:01,446 --> 00:33:04,148 Every five minutes, 288 readings 668 00:33:04,148 --> 00:33:07,785 a day of your blood sugar range increase range 669 00:33:08,286 --> 00:33:13,858 18 to 70 in increased time in range from 18 to 74%. 670 00:33:14,058 --> 00:33:19,030 Reduce this blood glucose to 286 to 158. 671 00:33:19,497 --> 00:33:21,299 That's a 100 point drop. 672 00:33:21,299 --> 00:33:23,468 I mean, this is remarkable. 673 00:33:23,468 --> 00:33:26,004 All because he's got that little disc, 674 00:33:26,004 --> 00:33:29,207 on his arm that allows you to know where you're at. 675 00:33:29,207 --> 00:33:32,510 And most important part is it feeds that information to your doctor. 676 00:33:32,677 --> 00:33:32,877 Yeah. 677 00:33:32,877 --> 00:33:35,713 And I should just mention that this is not surgery or anything. 678 00:33:35,713 --> 00:33:38,316 This is sticking on like a band aide, Okay. 679 00:33:38,316 --> 00:33:40,785 Yeah. It's noninvasive people. Okay. Believe me. 680 00:33:40,785 --> 00:33:41,986 Right. Okay. 681 00:33:41,986 --> 00:33:46,157 So, so I, you know, when I look at this, this gives me a lot of hope. 682 00:33:46,157 --> 00:33:49,427 Yeah, well, you know, it's no mystery that 683 00:33:49,427 --> 00:33:53,231 with all this appropriate data, you're going to do better. 684 00:33:53,598 --> 00:33:56,601 The mystery probably is that why aren't we doing it more? 685 00:33:56,667 --> 00:33:57,468 Well, because. 686 00:33:57,468 --> 00:34:00,471 Because we've got to go through the hurdles with the insurance carriers 687 00:34:00,671 --> 00:34:02,607 and then we've got to go through the hurdles to CMS. 688 00:34:02,607 --> 00:34:05,910 And God knows how long it will take them to figure it out. But 689 00:34:06,944 --> 00:34:08,613 therein lies the problem. 690 00:34:08,613 --> 00:34:09,313 Yeah. Okay. 691 00:34:09,313 --> 00:34:10,982 Is, you know, you would think, 692 00:34:10,982 --> 00:34:14,218 given you know, how significant the difference is between 693 00:34:14,452 --> 00:34:17,989 these two ways of treating this disease and the people that have it 694 00:34:18,256 --> 00:34:21,092 and the frequency of people three out four, 695 00:34:21,092 --> 00:34:24,429 65 or older, are they going to have it that they would be all over this? 696 00:34:24,429 --> 00:34:24,729 Yeah. 697 00:34:24,729 --> 00:34:29,133 In terms of handing it out to people say here, all you have to do is use it, okay? 698 00:34:29,133 --> 00:34:33,271 Because it's kind of, it's going to prevent all of these comorbidities 699 00:34:33,337 --> 00:34:33,971 going down. 700 00:34:33,971 --> 00:34:38,709 What does it cost to treat Alzheimer's, dementia, you know, type 701 00:34:38,709 --> 00:34:42,747 two diabetes, moving to type one diabetes, you know, all the rest of this. 702 00:34:42,780 --> 00:34:46,284 So this big brouhaha about the cost of insulin and how to bring the. 703 00:34:46,484 --> 00:34:50,555 Well, that's not treating the problem is you're already you've 704 00:34:50,655 --> 00:34:51,889 you're already crossed 705 00:34:51,889 --> 00:34:56,327 the Rubicon in terms of where you're at when you're going on to an insulin pump. 706 00:34:56,394 --> 00:34:58,696 Right. And that talk about a change in lifestyle. 707 00:34:58,696 --> 00:35:00,631 There's a change of sure, sure. 708 00:35:00,631 --> 00:35:03,901 Well, you know, insulin is just one of the medications, 709 00:35:03,901 --> 00:35:07,472 right, that you can take, to manage diabetes. 710 00:35:09,140 --> 00:35:10,741 Unless you of course have type one. 711 00:35:10,741 --> 00:35:13,611 Right. And remember, type one, your body can't make insulin, right. 712 00:35:13,611 --> 00:35:14,979 So you have to take it. Right. 713 00:35:14,979 --> 00:35:18,182 But that's only about 5% of people with diabetes have type one. 714 00:35:18,549 --> 00:35:21,119 The vast majority of people have type two. 715 00:35:21,119 --> 00:35:22,954 And that's when your body can make insulin. 716 00:35:22,954 --> 00:35:25,957 But it's not making it very well to be able to do its job. 717 00:35:26,190 --> 00:35:28,960 So we supplement that with one 718 00:35:28,960 --> 00:35:32,730 or several of these other drugs that can help adjust your blood sugar. 719 00:35:33,030 --> 00:35:35,433 But how well is it working? Is it the right dose? 720 00:35:35,433 --> 00:35:38,336 Do you remember to take it? Do you have side effects? 721 00:35:38,336 --> 00:35:41,806 All of those variables come into play then, and that's why 722 00:35:42,106 --> 00:35:44,275 understanding what that's doing for your blood sugar 723 00:35:44,275 --> 00:35:47,278 really helps you make the right decision for this man. 724 00:35:47,345 --> 00:35:51,382 It gives the it it gives the the clinician, the doctor, the nurse. 725 00:35:51,382 --> 00:35:52,450 It's it's treating you. 726 00:35:52,450 --> 00:35:54,719 There's a roadmap on to okay. 727 00:35:54,719 --> 00:35:56,921 Well that didn't work. Maybe metformin didn't work. 728 00:35:56,921 --> 00:35:58,556 And you need or you know, one of the things 729 00:35:58,556 --> 00:36:03,127 that was surprising to the nurses that put me on metformin 730 00:36:03,127 --> 00:36:06,130 was they kept asking me every week because I was going to be checked out. 731 00:36:06,631 --> 00:36:07,899 How about side effects for you? 732 00:36:07,899 --> 00:36:11,402 I didn't have any side effects, but I was like, I wasn't even taking it. 733 00:36:11,402 --> 00:36:12,270 It was remarkable. 734 00:36:12,270 --> 00:36:15,206 I had no issue. Some people, a lot of people do. 735 00:36:15,206 --> 00:36:17,241 A lot of people have side effects. I was very fortunate. 736 00:36:17,241 --> 00:36:21,512 But for folks that have side effects, being able to use this 737 00:36:21,913 --> 00:36:27,118 with these kind of measurements that I just talked about, 288 readings a day. 738 00:36:27,118 --> 00:36:29,387 That's a whole lot of information that makes a big difference. 739 00:36:29,387 --> 00:36:31,789 Well, let's go try this med and then we'll see. 740 00:36:31,789 --> 00:36:33,691 We'll actually be able to measure. Sure. 741 00:36:33,691 --> 00:36:35,993 Whether it's working or not beyond meds. 742 00:36:35,993 --> 00:36:39,664 Look, if you're trying to lose weight and you're making that conscious effort 743 00:36:39,797 --> 00:36:43,401 to eat better and or eat less or eat more of the things 744 00:36:43,401 --> 00:36:46,470 that you've been told to do, this shows you the results. 745 00:36:46,704 --> 00:36:48,172 And when we see results, 746 00:36:48,172 --> 00:36:51,375 that motivates us, that keeps us going down the right path. 747 00:36:51,709 --> 00:36:54,579 If you're just guessing because you jump on the scale once a day, 748 00:36:54,579 --> 00:36:59,016 that's just not enough information to tell you if you are truly doing 749 00:36:59,250 --> 00:37:02,553 something that is going to keep you going down the right path. 750 00:37:02,553 --> 00:37:04,855 Knowledge and information are critically important 751 00:37:04,855 --> 00:37:08,392 when you're trying to do anything in managing this disease. 752 00:37:09,227 --> 00:37:13,231 I think they're even more critically important, because the risks that you run 753 00:37:13,731 --> 00:37:17,802 by not knowing where you're at in terms of this issue is significant, that 754 00:37:17,835 --> 00:37:21,272 we just went through a lot of these co-morbidities, and they are real. 755 00:37:21,639 --> 00:37:24,642 I'll show you something real quick that's easy for all of us to understand. 756 00:37:24,809 --> 00:37:28,412 When I look at this, you'll see that around lunchtime. 757 00:37:28,613 --> 00:37:30,281 What is happening after my blood? 758 00:37:30,281 --> 00:37:31,682 What's happening to my blood sugar? 759 00:37:31,682 --> 00:37:33,351 Okay. Skyrockets. Yeah. 760 00:37:33,351 --> 00:37:36,120 Just that information alone tells me. 761 00:37:36,120 --> 00:37:38,422 What are you eating? Let's discuss that. 762 00:37:38,422 --> 00:37:41,926 What medication do I have you on that works at this time of the day? 763 00:37:42,193 --> 00:37:44,195 Because one of those things needs to be adjusted. 764 00:37:44,195 --> 00:37:47,198 Because we go up 100 points here after we eat lunch. 765 00:37:47,498 --> 00:37:50,501 Not so much at breakfast, not so much at dinner. 766 00:37:50,568 --> 00:37:52,937 Just a quick glance already 767 00:37:52,937 --> 00:37:57,041 has given me so much more information than a couple of random numbers. 768 00:37:57,074 --> 00:37:59,243 Yeah, so. It's night and day. 769 00:37:59,243 --> 00:38:02,246 And yes, of the stark difference between 770 00:38:02,280 --> 00:38:06,651 the information that the folks have, you know, thank you for doing this today. 771 00:38:06,651 --> 00:38:07,752 I really 772 00:38:07,752 --> 00:38:11,289 I really think these kind of broadcasts make a huge difference to people's lives. 773 00:38:11,289 --> 00:38:12,723 I've gotten phone calls from people. 774 00:38:12,723 --> 00:38:15,192 We've done these shows, and it does make a difference 775 00:38:15,192 --> 00:38:19,930 if you don't know if you these little if you're over the age of 55 or 60 776 00:38:19,930 --> 00:38:23,601 and you don't know whether you've got type two diabetes or you're pre-diabetic, 777 00:38:23,768 --> 00:38:27,872 you really need to find out if you are pre-diabetic and you know it. 778 00:38:28,306 --> 00:38:32,176 This is a far better way to treat it with that simple little disc. 779 00:38:32,443 --> 00:38:35,579 And for 85 bucks a month, you can bet I'm going to be doing it. 780 00:38:35,713 --> 00:38:36,647 Okay. 781 00:38:36,647 --> 00:38:39,183 Just look, you know, look at think of the cost of Alzheimer's 782 00:38:39,183 --> 00:38:42,953 drugs or dementia drugs versus $85 a month to make sure you're 783 00:38:42,953 --> 00:38:44,088 not having that problem. 784 00:38:44,088 --> 00:38:45,856 So that's why we do these shows. 785 00:38:45,856 --> 00:38:47,325 Thank you again. 786 00:38:47,325 --> 00:38:49,860 And thanks to the people at Saint Luke's for letting him take time 787 00:38:49,860 --> 00:38:53,731 to come here at the website for Saint Luke's, is saintlukeskc.org. 788 00:38:53,964 --> 00:38:56,233 If you haven't been checked or you need to be checked 789 00:38:56,233 --> 00:38:59,236 or you haven't had an A1c, I would strongly suggest you do. 790 00:38:59,236 --> 00:39:01,372 And if you want to see Ron, go to the website. 791 00:39:01,372 --> 00:39:02,373 Make an appointment. 792 00:39:02,373 --> 00:39:03,474 Thank you again. Sure. 793 00:39:03,474 --> 00:39:07,011 And I would just probably mention $85 is the general number. 794 00:39:07,011 --> 00:39:10,114 It might be based on your insurance. 795 00:39:10,381 --> 00:39:13,084 And now I leave you with this thought from Doctor Martin Luther King. 796 00:39:13,084 --> 00:39:16,587 Americans must learn to live together as brothers and sisters, 797 00:39:16,587 --> 00:39:19,590 or we will surely perish together as fools. 798 00:39:19,590 --> 00:39:20,891 Truer words were never spoken. 799 00:39:20,891 --> 00:39:22,593 Thank you for listening to America's Healthcare 800 00:39:22,593 --> 00:39:26,163 Advocate, broadcasting here on the HIA Radio Network. 801 00:39:26,430 --> 00:39:28,499 Coast to coast across the USA. 802 00:39:28,499 --> 00:39:29,900 Goodbye America.