Nov 3, 2015|
AN INTERVIEW WITH DR. JESSICA CASTLE, ENDOCRINOLOGIST AT OHSU, AND KARIS SOLOMITIS WITH JDRF, ABOUT THE TYPES OF DIABETES, RESEARCH BEING DONE TO FIND A CURE, AND THE DIABETES AWARENESS EVENT, TYPE 1 NATION.
AN INTERVIEW WITH DR. HAN LIANG, CHIEF OF MENTAL HEALTH AT KAISER PERMANENTE ABOUT THE EFFECTS OF DEPRESSION AND TEEN MENTAL HEALTH.
AN INTERVIEW WITH STEVE WASSERBERGER AND BROOKE ADAMS WITH MARATHON SCHOLARS ABOUT THE WORK THEY DO WITH UNDER-RESOURCED CHILDREN TO MAKE THEIR WAY THROUGH COLLEGE.
AN INTERVIEW WITH ERIN DEVET, DIRECTOR OF RESIDENTIAL SERVICES AT DEPAUL REGARDING THE WORK THEY DO WITH PEOPLE WHO HAVE DRUG AND ALCOHOL ADDICTIONS AND ABOUT NATIONAL RECOVERY MONTH.
AN INTERVIEW WITH IMANI MUHAMMAD, SENIOR DIRECTOR OF PROGRAMS AT THE BOYS & GIRLS CLUBS OF PORTLAND METRO ABOUT THE WORK THEY DO WITH YOUNG PEOPLE IN OUR COMMUNITY AND THE OPENING OF THEIR NEW ROCKWOOD CLUB.
Automatically Generated Transcript (may not be 100% accurate)
Yeah this is metro steel and Entercom radio Portland public affairs program money Gary Watson and on the show this time we're gonna learn all about diabetes. The differences between type two in type one diabetes. The complications involved look diabetes. Derosa you hear about a great diabetes information link coming up at like to welcome doctor Jessica castle endocrinologist with always just you and on the board of directors with GDR have. Also Kara solbes development coordinator with JD RF of Oregon and southwest Washington Booker to microscope. Take our credit Afghans. So for the invitation absolutely so before you started talking about slow an event that's coming very soon let's talk about diabetes specifically doctor Cassell. You know a lot about diabetes. I I went to a lot of school to learn about beating us so we get that done much can be said okay. And what is an endocrinologist first son and technologists is a physician that treats patients for grueling and in hormone diseases. And primary that patients say he C have diabetes both sons type one or type two diabetes. Type one or take two what's the what's the difference. So old type two diabetes is a more common form of diabetes. It can range from people that can treated with lifestyle changes alone so diet and exercise is. On some news individuals take oral medications and other require insulin therapy. We know that it's a disease of insulin resistance so they need more insulin to lower blood checkers. And it's related to genetics. As well as it's tied with obesity. And you have an increased risk if the or I'm not very active. Type one diabetes. In contrast is an autoimmune disease. So it means that your immune system attacks your patriots and that includes the cells that produce insulin. So you're not able to treat type one diabetes. With lifestyle changes it requires insulin for survival. We hear a lot about diabetes in general on the rise is that type one or type two or or both on the rise. There's an increase of both type one and type two diabetes but mostly what we hear about is the epidemic of obesity. And that is tied with large increase in type two diabetes. In that it did a lot of people that abuse call it adult onset Davies right but it's not only with adults. That's right so we're now seeing with childhood obesity. More tight today BD is in children but it's much more common in adults. Type one diabetes used to be called juvenile diabetes. But we now know that. It's not only diagnosed in children but also an adults as well and so it's no longer referred to as juvenile diabetes it's referred to as. Type one diabetes. I have I improved from that I was diagnosed with type one diabetes when it was 42 years old I think. Definitely not a juvenile right so what's happening with adults rates had a say in about half of people are diagnosed over the age of eighteen. Why is that why is why do you supposed on the rise. Not I think that nobody really knows and it's nobody really completely understands why some home with type one diabetes develops type one diabetes so we know that it's very much related to genetics. But what pushes somebody over the edge so that there are immune system and attacks that pay increase is not well understood so. In May be for example are related to being exposed to a virus. But no one's been able to ice latest single virus or condition that causes type one diabetes. You know when I was diagnosed nothing out of the ordinary happened in my life that triggered it that I can think of so I it's one of just one of those things it's kind of laying dormant is that correct me and maybe get a pop out any time since some scary good. They are right in that. You know people have a genetic predisposition. I am to developing type one diabetes and it's not it tells something happens and we don't again understand completely what that is but. Where they actually develop that inflammation that ends up. Destroying those insulin producing cells. Post type one diabetes treated. So attempt Monday BD's is treated with insulin. And that could be either through injections. Quarry can be used the DE can be treated through insulin pump therapy. And the idea being that you need insulin. At all times of the day and night but you need extra insulin. To cover carbohydrates they either eat or for high blood sugars. So non diabetic person produces their own insulin so they they don't need the external injections correct correct and that increases. The very intelligent Oregon. And that it's that able to make insulin very quickly and it's tied very closely. Two blood sugar levels of your blood sugar levels to start to go up even slightly. That person with a normal functioning pancreas will make insulin very quickly. See your blood sugar stayed in a very tight range of about seventy to a 140. And it's very difficult to replicate that with. Insulin therapies. Why you wouldn't what do you mean by the hardest part to regulate them. The difficulty is when you get insulin through an injection. Either through surrender through an insulin pump. It has to be absorbed from the skin into the circulation. And that takes. Hours whereas if that increases injecting it directly into the bloodstream. Then it's acting within minutes and so it's very difficult to control something. With the medication that takes so long to work and last so long on the system so a lot of people with. Type one diabetes develop high blood sugars after meals and then may develop a low blood sugar. And before their next meal it's kind of a delicate balancing act. It is. Terrorists it is definitely announcing act you can relate to this. Yes as a person let's take plan. Had diabetes for take my navies for almost nine years now and it's it's kind of like playing catch up. When you're doing. Injections are using an insulin pump with meals here always trying to catch that high Fletcher that you're gonna get from having Mac meal. So. It's something that's on your mind and kind of 24 sevenths right definitely and it's something that even as we're sitting here having this conversation about diabetes. Constantly aware of what is my body telling me. Am I going hi in my going alone you know how is the situation affecting my Pletcher has anything can affect. It's amazing to stress food. The excitement. Sickness after so many factors that that go into. Make you look her up or go down and we'll crazy. Doctor Kessel what kind of changes have you seen over the years and and that have made diabetes easier to live with. So there have been a lot of major dances so we now have insulin analog X. I'm meaning that and they're tweaks to the insulin knowledge will not just a regular insulin that your body produces. And so those are able to be absorbed more quickly than regular insulin. The also now have insulin pumps as I mentioned so its. But device that allows you to give short acting insulin continuously through the skin and you can enter into the pump. How many grams of cards you're eating for example and then it will pull us. On insulin for your meals are for high blood checkers. And we also have now the CGM continuous glucose monitoring systems. So it's a little wire. That sensor inserted by the person with diabetes. It's a few times thicker than a human hair in stays in place for six to seven days. And it measures your glucose level in the interstate shall fluid so the fluid that surround the cells and that. Approximates blood sugar levels say able to look at that. I'm device and see what your glucose level is at any time of day or night tuning can alarm and tell you if you're getting to hire too low. Amazing stuff. And something that's what we're very close on the horizon is the artificial pancreas can tell south. Yes so we do work and Ellie just Hewitt they Harold center diabetes health center on the artificial pancreas system as do. Multiple sites across the globe. The idea of being trained to appear. That glucose sensor that I mentioned that CGM and device. To something like a Smartphone that will run a computer algorithms to determine how much insulin a person needs. And then send that information to the insulin pump so that it automatically will deliver the correct amount of insulin. The promise carriage carries mention an as I'm sure you would understand as well as that you know for example if you do. All the same things on Monday and see your blood jitters were great but in the next day did the same thing in your blood sugars might be too high. Or too low and it's very difficult to predict exactly how much insulin. A person needs even if you enter and how many grams of cards are. You take into account how much activity you've done that day. And so an artificial pancreas system can automatically deliver. The correct amount of insulin based on what your glucose level is an if it's going up or going down and how much are eating. So it can help both improved blood sugar control to avoid those highs and lows as well as take some of the work out as having diabetes because. As you mentioned you have to. Think so many times during the day and about your insulin and so if you had a system that did automatically that would reduce the burden greatly for people with diabetes. It just to make it clear an artificial pancreas is not an internal knowledge and they're giving you this money on a machine that's inside your body right it's all external devices that's correct yes it's it's using an insulin pump that's warned. On on the surface of the skin. As well as a CGM system. So there those are all external devices there are. Pancreas transplants that are available. That they require amino suppressive medications and said because of that there's an increased risk for things like cancers in infections. And so they're not routinely done unless somebody needs a kidney transplant for example. What are some of the problems we see with high blood sugar that the type one diabetic test quite often. So that. The problem with high blood sugar says that it can lead to both. A Q meaning problems add that very moment as well as chronic so long term complications. So acutely if somebody has really high blood sugars they can get to a Danish level where they have. Diabetic q.s at doses switcheroo require hospitalization and can be life threatening. Or the long term making kinds problems or the guy is the nerves in the kidneys. To diabetes for examples a leading cause birth. Blindness in working age adults it's a leading cause of needing dialysis do you take kidney failure and then the leading cause for non traumatic limb amputations because of nerve damage. And that's true with both type one and type two diabetics that's correct right so high blood sugars in either case can 'cause dangerous complications. Crazy stuff like to introduce once again care Russell media's she's with the JD RF tell us what is GDR. So Cheney era is aid group that was founded in 1970 as a grassroots movement. Trying to find better treatments prevention and care for type one diabetes and we still follow that mission today. So believe priority of cheating graph is making life better for people living with type one right now. Preventing type one from happening to people that aren't diagnosed yet. And curing the disease so we do got through fundraising efforts research advocacy. Just anyway that we can help people with type one is what worked out how did you get involved with TV era. I don't volunteer wrath almost nine years ago after I was diagnosed with type one at sixteen. And was actually reached out I'm a local chapter two days after I was diagnosed and started with their fundraising efforts in Seattle. And then got involved with chapters in San Francisco and Spokane and moved to Portland two out. Three years ago and started working for chaining heir apparent. Absolutely loving it. That's great. We love having around and I think that the so did era one of the main objectives of DD our efforts to raise money for research credits cracked how do you do that. We did your variety of programs we have a walk there actually just happened in September. Pro and air national raceway and theories. About 300000 dollars for our research. And then we have a walk in bend or and that'll be coming up and the spraying. Along with the gala that will be also in the spring and so now the gala raises about half a million dollars for research which is pretty incredible. The most he's a big win of the year. That is the big event of the year and then we actually have a right to care which I actually just got back from Nashville. Doing right to carry national and our chapter has raised close to 60000 dollars with twelve riders this year was really incredible. That's great disarray inferred to write for the cures there was a skull in. Right here regular does that happen locally cured. So we don't have any local rides yet there are seven destination riots I'm ranging from Wisconsin Nash bill. Death Valley Tahoe to sign. Burlington Vermont is really great. Locations that people get to the fund raise and then the to have this incredible weekend. Of learning about all different aspects of living with type one and it's an amazing support network is really nothing else like it. So do the RF freeze all this money and what does the money go to its go to duke. So it goes to again finding. Funding research that is helping to prevent type one diabetes. Helping research study is improving the lives of people with type one diabetes right now. And research that is funding for a care so we talked about artificial pancreas to Europe is very closely involved with that project. We have other projects including cancellation and Smart and so when I'm along with prevention. Tools and then working on. Helping prevent kidney disease is and it's kidney failure as we've talked about. So really there's a multiple pronged approach to trying to. Help people with type one screen how can somebody get involved and help out. He passed act in every aspect and every aspect that the so we do have a website it's GDR half dot work. And there's research. Information about ways to involved in studying swayze involved with your local chapter ways to fund raise. So that's a great jumping off point to kind of how to get involved with your local chapter or raise money organ involve a three search. And there's something coming up in the next week or so called type one nation. Yes what does that really excited about that does is actually the first time that will be having a sedans. In Oregon tape one nation summit is a free educational symposium. That's focused on and providing awareness and focus on different topics of living with type ones that we have two main tracks. For the days so one is for caregivers of people with type one I rarely parents or guardians. And then the other track is for those adults or people that are a little bit older living with type one. So some of our topics range from safety in schools which is a huge issue at all. Back and the ABA will actually be there American Diabetes Association will be coming in doing that topic will be talking about exercise NT Wendy. Relationships NT one. Workplace anti UND and then talking about child and teen burn out which is a huge. Huge issue. In adult burn out to an adult I think you really to that definitely things I'm going to film a threat south. Change can we bring their kids into and so pollution Bluetooth yes we actually do you have child care which just filled up as of this morning but if your children are a little bit older and they wanna sit in on a topic they are more than welcome. It's free to the public so anyone can go on and register and they can again find that through our website at Cheney era dot org. How about some information can be as and the soon to be lots of booze with some information available to clinics and yes so we'll have. All the major prompt companies will be there as well as skills creek camp which is a local tape when David he's camp in the area. Chris Dudley foundation will be there talking about their basketball camp. PDA. Novo Nordisk Lilly. Tandem they dvds. Care and split corporation and Medtronic in amass so lots of different pump company is send. Going to be great. For somebody without type one day be used he just took it into words that mean we have never know I mean but do you and I don't they know exactly what she says it's all going to be great information. Yes great information about what's going on there to be talking about research. I'm ways to get involved and to help people find a cure for type one diabetes and Windiz took we got tip one mission when his. So take what nation this year is on November 14 it's a Saturday is also world's ABB's stay so come and Wear some Blue Hill where all about the blue. JD arraf and ABD so it's going to be a great day. And take two's are welcome as well take two's are more than welcome it's open to the community. Anyone is welcome to attend and you have to register to be together and you do have to register and again you can register on our website at JD arraf dot org. And noble link you up with our local chapter. And theirs. Under register. Oh I see right there I'm looking at the website yeah green button. Doctor Kelso you're going to be giving some talks and that type when these YouTube. I won't be speaking and this event that I will be moderating okay. And I would say also that a lot of the topics of guns are relevant for both type one and type two diabetes so if you think about it. I'm relationships and diabetes they're. I getting burnt out it was managing diabetes all those are applicable for both patients with type one and type two. What do you see from most of your patients slurs and we're re occurring stories. About the end of the how to live how they live their lives. It seemed. One of the re occurring themes that I see is trying to figure out how to. Combined managing a complex disease. Waited an already busy life so I think that can be a delicate balance and trying not to get burned out but yet still managing your disease such that you are at low risk for developing chronic complications. And I think that patients often are very interested in the advances of technology that are available. So that they are able to manage to did that disease Whittle a lessen the burden on them and their families. It that the technology part for me and I'm kind of geeky gadget guy and so and getting in new touch screen pumped. Was like the coolest thing ever it's to sip it almost makes it fun carrots can you relate to that what. Almost makes it I'm not always I think everybody at. But yeah the the advances in technology have been incredible even in the almost nine years since I was diagnosed just to see. How far and how quickly we've come with research and technology advances has an incredible. What kind of research is being done up into each issue. So there are multiple clinical trials being run you know it just you for example we're looking and are you able to use a CGM system to directly dose insulin off of that so not requiring a finger stick for example. That's the red police Fiji's study. I'm also involved an artificial pancreas project says and mentioned you know we automatically deliver insulin based on what. That glucose sensor is reading but we also dose small amounts of glue gun. Glue gun is and a hormone made also by the pancreas that raises glucose when your group glucose levels are too low. And so were using that had. Better be able to control. Blood sugars and prevent low blood sugars for people with type one diabetes particularly. During and after exercise. We know that's a very problematic. Time because muscles consume a huge amount of glucose when you're exercising and it also makes you more sensitive to insulin. During and after the exercise even for multiple hours so over using. A system that's able to you automatically detect the exercise end to deliver both insolent look on ten and better control blood sugars. We've talked a little bit go to doctor a lot about the U and the complications of high blood sugar what about low blood sugar. So low blood shed areas can be anywhere from an annoyance to life threatening. So. Eight 'cause as symptoms of feeling shaky in sweaty your heart racing. And your brain needs glucose in order to function. And so if your blood sugar level gets too low. Then you can lose consciousness and going to call my have a seizure any even can cause death. It's kind of it's it's definitely scary stuff. I've never had a severe low but they've had blows that are low enough where like I don't wanna do that again. He received it's something right away and it brings a blitzer back opinion it slowly feel normal that takes a couple of hours sometimes to feel normal again. Serious story of a guy that it would during a publisher and pep hallucinations that he was an outer space. And and his wife would have to bring him back down and give him food and I think it just crazy stuff. I had a patient who was arrested. Because he was being on somebody's door. Trying to get and it was at his house when he was having a little blood checker. So definitely people can do things. And totally out of the ordinary. They can also cause car accidents for example he can hurt herself or others due to a low blood sugar may come on pretty quick. They can come under very clear is that they would exercise is carrots they are experienced. Exploration and end at riot I had that. In a range blood sugar and started out riot and then. How to stop because my blood sugar drops well with below the normal. I'm range and take me a couple hours he in my blood sugar back up to me. Semi normal range and it can be frustrating and it's just. Africa Saudi see on the horizon for diabetes. CNET and I anticipate an artificial pancreas system being commercially available I think those that's going to be the next advanced that we see. We're gonna see that CGM systems are gonna become more accurate and more widely used. As well as I'm hopeful double C improvements in insulin therapies such that the insulin when delivered to the skin is that acts faster. And goes away mark quickly so it's easier to control blood sugars. Right now most artificial pancreas systems. Require that you still. Give it and it bullets dose before meals because it's really difficult to control blood sugars after meals unless you do that. But if you had a faster acting insulin then you wouldn't have to do act. So some good stuff. Yes but I am so thankful for organizations like to eat your ass because. And there's a huge amount of money ends time and effort that needs to go into these research projects. And they're still. Know many many people with type one diabetes that are not well controlled her experience a lot of low blood sugars and so it's very clear that we need. Better technology. And better medications to control type one diabetes. Harrison last minute or so we have your let's talking about type one nation when is that where is that what can people expect. So it is on Saturday November 14 at the at a building on the Nike camp best. And again this is a free educational symposium. Open to type ones type to use anybody that's Anderson learning about to ABB's. And it's going to be a great day of education and advocacy and it's hearing from some of our. Our leaders in the field with our legacy Emil Randall children's hospital and oh agency. We have some great. Endocrinologist a people in this area you know there's this great work being done in in the Portland area it's pretty exciting. It is it's an. It's an exciting time exciting place to be for the world diabetes now. Am thrilled to say that doctor Ender on informally to see you who's the director of The Herald center diabetes health center. We'll be giving an update on research I think a lot of folks attending are excited to hear his upstate. It's going to be great event. Residents Fossum doctor Jessica castle with always issue and Kara so meetings development coordinator was Jed Europe thanks to both of you for being an actress of today. Thanks for Harris Gerri thank you for the invitation. Microscopes and Entercom communications and public affairs program my name's Gary and if you have a nonprofit or public affairs organization that you'd like let others know about. You can email me at microscopes @entercom.com. Remember intercom starts with a knee. Four you can go directly to the station's website click on the community link and submit your information there. Also we like to hear this program again you can visit our podcast page at microscope PDX dot com. Thanks for listening to microscope and enjoy your weekend.