Sep 18, 2011|
A discussion with Dr. Ahmann, the Physician Director at OHSU’s Harold Schnitzer Diabetes Health Center, about diabetes in general, as well as about their upcoming Get Going Oregon campaign and event. www.getgoingoregon.org
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)
You're listening to mattress got a series of interviews with people of interest in northwest Oregon and southwest Washington I'm your host tentacles that diabetes is a disease that is of special interest to me and my grandfather had to what we now know to -- type two diabetes my father had type two diabetes. My uncle died from complications of type one diabetes and He had onset at age seven and you live to this late forties so. This is something that's of course I wanna pay special attention to you and it happens that but we just -- is having an event this month coming up on October 1 they get going to war again which you can find out about it get going -- dot org. And a talk about that event and about diabetes in general have with BJ doctor comment from The Herald Spitzer diabetes health center has only just you how are you doctor great excellent well let's get things kicked off given our listeners a little bit of background on yourself when and how you came to be with each yesterday -- health center. Okay well I'm Madden director of the -- today -- kind of position director for each is an organization that. It was created really in about 2007 through a collaboration of Oregon Health Sciences University together with The Herald and Arlene -- Care Foundation in an effort to develop a fairly unique. Organization of any pediatric and adult. Diabetes center combined. A fairly unique commodity in the United States and so we run an operation since November of 2007. And now we know obviously in my family was then fairly prevalent how prevalent is diabetes in general. In the United States the frequency of diabetes overall is about tour there's about 26 million people who are while -- to have diabetes according to the center for disease control and that represents about eleven point 3% of the adult populations of people aged twenty and over and about 78%. Of the population overall conclude all kids. While it's kernel and says so it is isn't your scene on the Ryan's. Certainly we're seeing -- on the rise throughout the United States really throughout the world is not a unique problems the United States and -- -- -- bigger problem in terms of the rate of escalation and a few of the developing countries is in -- again which is obviously irrelevant to a lot of us need. Rates and increase friends from 130000. People. 1999. To to 220002009. Which a lot of 70% increase flower decades so it's irrelevant to everyone everywhere and including organ. So I mentioned there in the introductions that my uncle had type one and that was something that on Saturday at age seven for him. And then my father type two came about in his -- I think mid forties late forties. Episode I know people have heard the term of type one type two diabetes and you can you give us a definition of of the difference. You have both of them are are very relevant and we think important have focused for different reasons. The pipeline not occur very frequently in children so the most common type of diabetes in children has type one. Although many adults can get type one as well and I -- is a really -- disorder of the immune system where the immune system for some reason. Attacks the cells that produce insulin and over a period of time ranging from months to a few years. Totally destroys. The ability of the body to produce and so on and therefore this important hormone has to be provided through injections. Type two diabetes is much more prevalent. It's the reason for the true diabetes epidemic it includes about ninety to 95% of all people with diabetes in the United States. And in most other countries and it is represented by the fact that -- comes from the fact sent. Probably genetics play a role so you'll see difference between different ethnic groups that are quite pronounced. And what they're region that's been escalating so much and the world. Just because of changes in lifestyle so genetically we were probably all programmed. For being hunters and gathers at least as one of the series. And that's therefore when we certainly don't have to hunt together we aren't exactly the food readily available. Suddenly this is a disorder and we gain too much weight and as a consequence. In all the complications that come with that. Yet not quite the same hunting and gathering at the commercials are. So insulin of course is is some of the key component here oh what is insulin what does it do for body. That's a lot of people are afraid of Manson because they think -- it as a drug in the -- -- -- -- but -- -- obviously is really a natural -- that all of our -- require. And it's most important to regulate what happens to sugar glucose carbohydrates basically in the body. But indirectly when you try to -- carbohydrates into glucose our main source of fuel in the body. Depending on how they're managed and how they get distributed until appropriate tissues. All the other components of nutrition are also affected so. When you don't have preference on the activities then you end up breaking down protein which is muscle and end up breaking down fast and losing weight which could be good in some circumstances but not in this circumstance where represents -- -- metabolism so -- -- anabolic hormone basically that helps get glucose into the tissues that need. To have it -- energies. And so what we're talking about -- and regulating your diet is adjusted the I mean you're. Essentially in layman's terms overloading the insulin you're given it too much to work with. Yeah they have it. You have to distinguish here between type one and type to go and type -- the diet is not the main issue -- and probably lifestyle changes could make some Pat Summerall and some people with type one diabetes but the main that they would get diabetes no matter what they didn't attrition because it's an independent. Causality whereas in the case of tape to move clearly if you. In particular it's how much you eat yet scarves are little portion of it because you need the car and how much -- -- taken will have some effect on how much and when you -- available but it's really the fact that. Once you build up -- particularly in the central compartment. What in the abdomen then you tend to have disordered metabolism. Where you your insulin doesn't work properly and you don't make as much and so on and it just promotes the progression of the whole disease. So you guys have this amazing. Had diabetes health -- there had no HS UI and certainly it's it's somewhat renowned and a national level what differentiates how are you guys deal with diabetic patients compared to some of the places. Well I would like to think that He we are growing in stature in that -- -- and it's because we provide -- some mutant who. Opportunities for people with diabetes for care and and I've had we think of opportunity for us to have a growing impact on how diabetes has handled in the states and in the region. What is unique about a seven iron one respect to the fact that it is pediatrics -- children and adults and one scanner and that also has the unique. Characteristic of allowing us to work very effectively with transition process pleased. Meaning how people as they mature and go through different to life. Periods that we can help. Them learn how to factor in their diabetes in this process and that's very nice but what does the senator has -- also is that it's really comprehensive center so we have diabetes educators which means they're all specialists and diabetes education for patients. Some of them are nutrition based some of them are nursing based we have a social worker we have a psychologist for her on the children's side. And we have all these people including the diabetes specialists were pediatricians and diabetes specialists or adult working -- one center and that's sort of the physical plant to the -- -- diabetes health center where people can -- and we hope we have the best care possible and include a lot of technology particularly for type one diabetes management. But we also feel that we have an obligation -- remain part of our mission. To help diabetes throughout the region so trying to find new ways to work with communities work with physicians short distances and to try and help. Patients take care of themselves whether they are serious and her clinic or not ten. Kept going -- sort of one example of that outreach. That I see here in my notes that the -- Spitzer diabetes health center is the only one -- this kind of comprehensive nature of the side of the Rockies is that true. It's the only senator that would have all of these components in a single scanner including the pediatric and adult it's in one location one. Under one sort of administration. Barbara Davis center in Denver. There's a very large well known so you can turn to some degree were sort of patterned after that -- the child on sinner which is in Boston but west of there there -- in some institutions such as some universities don't have pediatrics and have adults but they don't work together their different parts of the institution and this is unique in that end in many cases the diabetes educators are different part of the hospital in the physician's right. This kind of integrates everything. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Have when we developed our -- we obviously there -- some actual some. Significant -- that went on to adding that extra -- health and source Ener1 are talking about diabetes which is considered -- -- so that but the point that was apparel director Harold cancer diabetes health center was to Foster. The thought that people with diabetes can be healthy. And attention to help in general can as a good example of how you can prevent diabetes. So generally what's good about or what's good for people with diabetes is good for people who -- prevent diabetes which is good for people all people in the United States or elsewhere. And so -- doubt it but we know for instance if you take that segment of people -- almost sixty million or about sixty to seventy million people who are thought to have this pre diabetes which means people and eight. Higher than average risk of getting diabetes in the years ahead that if they change their diet and they change your activity they can actually have a pretty large about a 60% reduction in the progression to diabetes in the ensuing years. So that's a primary message I think we need as a nation to keep working on. To find ways that we can change all that course that got us to this point and it's not going to be fast but it has to Begin somewhere and passed through show incremental changes where we all it's a group worked together to get more active and to improve our diets. India see this epidemic that that it's becoming -- Or has already become do you see that been largely a symptom of the way that our food it is -- need to be you know -- so much about gluten free product -- so much about corn syrup all that source of going into everything. Do you see that this is something being the giant cause of this. I think that we're we have found in my opinion does society society are we keep trying to find things that we can blame a single entities. But that's just not appointments it's sort of the evolution of our society. And you know and other parts of the world their diets are totally different but but they're still changing. And there are still having rapid increases and in diabetes health if you go to China for instance some American he'd like we do. They had one of the lowest rates of diabetes decade or two ago. And yet they're increasing at a rate of fifty plus percent per year because of their changes and activity in the changes and I a third. You know they just are able to get more food. Inexpensively and yes some foods are probably worse than others including most of those you mentioned. But it's not like one of -- -- -- one way of preparation or anything as a major responsibility is probably portion control and I certainly activity plays a big wrong. You know technology getting to be a bigger bigger part of our lives were moving around less right. And it -- it is unfortunate that in the United States for instance if you're -- you can afford to go to McDonald's and a lot of places and get high fat. High calorie foods you can't afford to get a lot of fresh fruits and vegetables. Right yeah I even what's just available in the supermarket you if you -- go to the fast food to stuff that that is affordable is the sub that's also great for you and the problem. To make market mean fans realize productive society. In terms of work output we've that is actually Sean took us away from a lot of the other thing so we can do in terms of lifestyle. Now German mark into the produce section fruits and veggies -- so cheap. Yeah yeah -- to be the most expensive part of our grocery bill very often. Yes so in order to raise awareness -- about diabetes in general and then to help some funding for the center you guys are hosting this big event coming up October 1 get going -- -- -- that. While the main thing about get going Argenis that it is one. Probably multiple in the country and even in our region efforts to try and get people to focus somehow on changing some of their behaviors and you know we thought about fundraisers I mean there's all the walks commercial by -- some are so many things that are done but we came to choose something that we thought could be number one different -- number two would serve a purpose consistent with our mission. -- walking one time -- doesn't do much for your mission to get more active. But this is really trying to get people together in teams in particular kind get people to get colleagues to work together. How this might be from a business point of view it might be profoundly point of view it has lots of different ways of approaching it. But it's working together to get some goals in terms of activity and so although it's not the stated Montrose this. Event it's really kind of a thirty for thirty where we want people to take thirty days. For the month of October and focus on trying to get in thirty minutes of activity every day and then -- that. We think that people -- also think more about their diet when we have a kickoff portion is going to be lots of resources available lots of things you -- -- about methods so help you get focused on how to change your lifestyle and how to improve your diet and -- to go about your exercise and that's it's that's just sort of a kickoff time is not. Doesn't mean that if you can't make it clear that -- -- -- -- -- and it doesn't mean that if you if you do get their that they that you've done your duty right. This is really trying to change behavior and trying to make it over more prolonged period of time. Trying to do with friends and colleagues. Yet I'm Bob probably a perfect candidate for the sort of saying I'm in my late thirties I've got my history of diabetes in my family I've got two children two young children with a three year old a six month old and you know I work like two jobs succeeds. It's hard to find the time to get out there and exercise and hard to find the time. To prepare meals that are. Healthy and the the proper thing that I should be eating has sometimes I have to go for those you don't convenient meals that aren't so great for him. Since the difficult thing to change priorities I think ultimately that's where we're going to have. After all do but we need to find it you know them simpler systems and the more we can get -- to a system where it doesn't seem such an intrusion on our other aspects of life. The better off it's going to be I think that one's. Statement when you refer to yourself as a father and a founding family unit it is pretty interesting because so many people who know with type two diabetes for instance get an American. Middle age if you will I don't know what the definition -- and you won't play. But the fact is so many people don't seem to care enough about themselves at that point it's interest need to look at the distinction between. A family where there are eleven year old child gets type one diabetes. And the family aware of the 45 year old father gets diabetes in the wanted to major events and everybody gets together and tries to do something and -- that He really. Mobilize a lot of efforts for his support to eleven year old and when you get the middle aged person getting diabetes it's so sort of like they don't even discuss they don't tell their friends about it and don't on the same. The other family doesn't work together to make differences and how they all operate I think it would one of the good approaches it is -- 45 year old to think while I have diabetes might Sonos has a high chance they're gonna get diabetes because 13 of all people born. In the year 2000 are destined to get diabetes. And if you look at those who already have a family history that number's going to be significantly higher price so the 45 year old -- while we're gonna change this whole families so that my our children don't get diabetes at the same -- And that's where we could probably make some huge inroads. Well and as someone who lost her father fairly early wasn't because of diabetes but. I also look at my wife and I've talked about it many times you know we've got kids now so why don't we take care of ourselves our kids have us in -- you know when they get up into their their twenties were still around that would be nice for our family in general. That's another very important -- because people with diabetes have lots of risk for heart disease and there's even some evidence now they have increased risk for cancer so you can make a big difference to your family if you start doing something about either preventing or treating and effectively. So we talked about you know this can be some TV business involved in their family or group of friends or whatever is the actual day of the event you guys are doing a five K walk. And that people can register at the website give going org and dot org so -- there is a good thing we are -- taking pledges is that's is that the idea. They have he'll have to go on I would advise you on -- site to show exactly how it is but you sign up the team with pledges and then you actually but you can also do independent things done. In terms of getting involved -- so it's really best done as a unit -- challenge each other but when you go on you'll see exactly how the organizational structure of it is. And even if you didn't wanna do if I just wanna find out what it's about we would still encourage people to come out that day. So they could find out as much as possible or Beyonce registration in the perfect registration is done in advance. And in some information blues and -- -- right yeah -- man found actually play my other radio program that I do I do an afternoon show conversations we had I think where we were doing new endorsement with the German and the three of us on the show. All kind of challenge one another to see you know how much -- we can lose how to win if we can reduce -- fat index -- let's all that stuff. And that became so did that then was fun it wasn't you mean it wasn't short to go exercise it was maturity right. We were actually check -- into each other weekend making almost a game of it and it was a lot of fun. Right I think in general that some lessons for how we note the -- huge task of trying to change the country but what you can do individuals try to change yourself and your family. And so first developing some sort of support which always helps -- -- direction size serve or other things. Setting goals and and actually measuring things checking a mark on a calendar for how often you're doing what you said you're gonna do. Or keeping a -- girl lots of other things such -- -- how you can tell you do it I think it always helps to do it with friends or relatives or some other functional unit that you kind of all you you get some camaraderie out of which you get some -- but you also get some accountability so. Yeah and find a way to make -- any of your routine in your day to day life so that went when you reach your goal you stay there that's my promise every time I. You know getting isn't Jammer or -- start give myself on -- Dianne lamb and meeting Ryan and exercising regularly. On all set a goal for myself and it's like okay I I hit that wade -- and feel pretty good and all that and then slowly kind of drift off because I'm not see in that result week after week and then next thing you know I'm back -- I started and I got to do it all over again which can't be healthy for me. The wells it is not an all Chrysler's. -- let's say it's not ideal but but forgetting about it is certainly not worsen and I think there's very few people who get on the road and stay on the road through their whole life and it's. Very easy for some -- circumstances such as illness or stress in the family your lots of -- reasons why we in Europe. To interrupt our habits that way but the biggest. Effort is to try to get back time and again that kind of comes from having support from others as well. Well we are coming up on the end of our times -- any have parting words you'd like to leave our audience with. You know we aren't the kind overemphasized disease here when you talk about diabetes were really trying to talk about how it's time for all of us to do a weekend to try and change our own behaviors and and those people we love we think this isn't an initial step in that direction. If people ever want information on diabetes and pre diabetes says there's certainly welcome to -- -- -- diabetes health center which is probably as easy as any way to remember how to get to us and give us a call or look on our website and we have a lot of information there but we hope that this'll be community relationship -- -- Yeah I have very -- as something a fun event there on October 1 again and go to get going -- dot -- to -- all about Begin going program which is you know it is an event but as you said it's also something you can do on your own you don't have to go to the event. And of course we just you always looking for donations volunteers all you can find out about and it -- -- dot edu and then thank you so much for your time -- doctor and all right that'll do it for this edition of -- scope and Entercom communications public affairs program I've been your host -- Douglas if -- nonprofit -- public affairs organization that you would like to let others know about please email media microscope that entercom.com and -- starts -- any. And please -- microscope in the subject -- -- doesn't get -- -- my spam filter -- go directly to the station's website click on the community link and submit your information there also be like -- this program again you can visit our podcast page -- -- -- -- -- com where you'll find this -- the last couple months worth of episodes and please feel free to link it to your FaceBook -- MySpace your blog your Twitter -- year Google plus what -- -- was -- get this important information out to as many people as possible thank you again doctor thank you lost so much for listening. This is then match -- --