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Diabetes Education and Prevention

Feb 3, 2012|

A discussion with Judy Fry, a diabetes educator, and Jesse Wornum, a contestant from Season 11 of The Biggest Loser, about what is being done to educate the public about diabetes and what you can do to help prevent it. Visit The American Diabetes Association’s Free Diabetes Expo at the Oregon Convention Center on February 11th. www.diabetes.org

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Automatically Generated Transcript (may not be 100% accurate)

-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Didn't Gideon I'm doing great thank you very much see you back the opportunity to talk about IB sewer. And just yeah you -- -- absolutely fantastic. And I also can not say let let it cited talk about diabetes. Excellent excellent well let's get our listeners a little bit of background on -- cells and Judy how you came to BA's certified diabetes educator and more Jesse how you ended up on the biggest losers of -- start with you. Well I can register there. And being in the -- -- about forty years happens -- it's been in diabetes education and I became interested because they're -- family history research I found that there were people on my family -- and had diabetes in the end all the fans. Last year I also develop diabetes. I say -- -- so it is who you already knew so much about it that's going to be helpful. You would think so wouldn't. Thank you struggle no matter I heard a lot of assuring us early don't mean to diminish it doesn't read it saved it as daily struggle with lifestyle changes yeah because you get to work on each and -- come. Yeah I watched that that happen with my in my father and he developed over the uses late forties and yeah big big lifestyle changes just little bit about yourself. They -- -- does -- want on the insurance they didn't have a small agency in northwest -- and then I diagnosed with diabetes I believe in 2000 and we actually don't you guys. Okay and ever go from that period of time until I thought we went on the air showed a bigger Lulu which we actually got -- filming that I believe them government. And even though it its initial link. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Yeah on the surface level you can go about your day it's just it's it's gonna it's gonna hit you hard and hits. Actually it -- -- that -- and it's bad saving grace said that as -- committed to talking them out. Diabetes that. I've seen that what happened then and now I understand the importance that -- eat again and that's what I hear a lot of talk about a lot of that the fact that I myself couldn't ever get a handle or didn't have a grab. Yes how could be a -- -- look like had been diagnosed with. Right I had no idea why the numbers. The significance of the numbers lives and therefore you know even though I know -- -- okay now that you are currently -- that bad I mean I always I grew up I -- over the airwaves are dominated you know any different sound like. -- my -- that's -- day you'll. Well you know my diabetes it -- and so blah blah blah blah blah -- you don't need to go out with. We hear about a matters as something that you can live west that is rarely spoken about has been that's not a good thing that did there's. There's a lot of terrible terrible aspects to that the disease and yet it is treatable thanks to a lot of the science has come along in most cases. But is still a horrible horrible thing to live -- now I -- before we get much further here Judy can you describe to us. Especially for those who have not had contact with the disease describe what diabetes isn't how it affects -- -- type one and type human who can talk about each those. Made those are the two main types of diabetes that we see and treat type one diabetes is usually diagnosing and children -- young adults but we also exceeded the info older individuals as well -- -- not limited to each. The key point -- when the body does not produce any insulin -- off so -- injection this the only treatment with type two diabetes it is more common in adults but we're seeing it any younger and younger. Children I think even five -- -- year old they seem to -- two diabetes and the body produces some insulin that is the insulin doesn't Leclerc and so since -- -- necessary to have fun for the body to be able to uses glucose for energy so -- new feature food that gets converted to glucose. -- and then that. Glucose need to be moved from the bloodstream into the sound like insulin that your influence that the working on -- not producing enough that it. -- can be glucose level in your bloodstream continues to drive sizes and so the person with type two. They control that with exercise. Their meals clean and oral medications or inform our combination of all of. And of course in this is something type type -- especially in a lot of cases is very very preventable. There is a -- as type two diabetes that. If used. Are monitoring -- -- -- watching -- -- eating eating healthy. And you're eating and exercise. We can't delay in prevent type two diabetes. We can reduce the severity I think that we can kind of I'm -- and the complications. From a lower levels or even pretend it's not about us. Type one diabetes. It's not really at this time it has in preventable disease. Yeah I'm I'm about to hit forty years old next year and I am taking a look in my family history and the men therein. And my wife and I are taken a look right they're doing actually doing a lot of research on what's an ideal diet to help prevent. Diabetes and and I certainly know from the way in my father's diet change when he was struck with type two. And really taking that into account and we're about to make a giant shift in now myself and my family each of these and make us -- lot healthier because I wasn't. I wasn't raised to eat real well. Hand it's a really kind of take a look at that in a hit and hit the big 40 and then try and head this off for the past so I can maybe break that chain in my family. -- and healthy eating and you know that's such a broad term -- you have to look at what you can afford to race. You know as well as -- what's available out there seasonally. Right well that's what that's -- finding is that it's not you know to eat very healthy and we don't we eat terribly but. To make this jump into really making an effort to eat healthy -- the cost of food to do that goes way way up. And and that is one of the big issues that we have to look at it. -- diabetes is a very devastating disease. That's cool how they can't have that affect the body -- -- also you know do we have the finance system we have the support. You annual wind doing it together you will have more success than in particular by yourself. But you know like I -- just it would talk about the -- didn't whom you know and and and that. I've noticed that I got undercut now considerably -- -- hydrated they got. So the point where you know like potatoes and rice and things like that goes you know 00 well Monica. But it was interesting that the -- wanted to do is that these two lovely affluent. You know of countries which took potatoes and rice and everything like there's been named stable. Car diabetic -- right. Let's say no I net interest yeah well in the book. Cultures and the people are still working to produce -- food seat right here and they use as we -- our food you know there's there's no. Energy. Expanded it in order to produce -- -- particularly needed the creator we put it in the microwave or we cricket earth -- we have. Less output of energy. And that's where exercise containers that -- component of treatment. Without. Movement. Is your body won't use up all the food that you eat. Therefore you are going to have that mismatch between -- insulin is doing and how your body is using the food. Until we have to -- and movement activity or exercise whatever word you wanna use for that have to be part of the treatment plan for diabetes. Well justice isn't -- -- human being as an animal we are not meant to be as sedentary is we are and we're not meant to eat as many you know. A natural foods as we do it's it's pretty amazing what we've what we've come to and you know to put -- a little bit of perspective on this we're talking about type one and type two diabetes that I see here in my notes that this 46 million people in the US affected by diabetes only 5% of those are type one. The press or type two or other variations of. I think it's a lot of commentary because of its predominant aged children and sure in and so that has -- -- strength more than things -- adult. Who here thinks should know better than to eat fast breaks that the -- with some people can eat. For food and it doesn't mr. -- that collapse and another person in the same room can eat that food and it makes a particular collapsing you have to find out. Your own body's response to these food items. Right and I do think that it is something if we. Did -- on a massive scale as we've done you know talking about legend -- lung cancer and smoking. There's been massive changes in the culture in just the last ten years. And he's seen those numbers drop lower and lower lower as fewer and fewer people are smoking I'm sure. In the coming decades we're gonna see a number drop dramatically because so many kids are coming -- now have a different education system and aren't seen. That the people of come for smoking around them. You know I have in bars anymore even enemies it's largely dropped off and it was just own suffused simple steps is a culture. We -- get rid of those things and it's -- as a whole we can do the same thing here. He had diabetes used to be one of those that think it's that you didn't talk about what can you can get fired from your job for you sort hired. In a word -- -- changes and that means. -- we're not a and seeing as many problems with discrimination but it is still out there. That you're right wingers saying the number of people with diabetes is estimated. 313. 1703. Oregonians with diabetes than in Clark County. There's -- almost 30000 why else -- so. Think those numbers now with pre diabetes. Yes -- and Jesse I mentioned that earlier what it would his pre diabetes. Pre diabetes between the I'm body's response to food to Europe glucose levels in your play extremely tired. Then normal but not quite -- diabetes. And you're not told that you have the pre diabetes. You're not hold anything and tell you have developed. Full diabetes. So we can. Get back to treat those individuals who are starting to see eight. Change in your blood glucose levels. We can target in their home. Then we can prevent the onset or delayed onset of diabetes. They're very brief dating -- can. Level of complications of people -- And then that would also reduce the current financial burden is. For diabetes dementia. So pre diabetes is the way under diagnosed. In constant current not treated and the treatment yes. What -- you eating and how much you use eating -- you're eating it and how much activity are you getting all right. And they couldn't -- -- that point they couldn't say that I really really look at. What they have decided it was at this point when I was diagnosed at the pre diabetic. -- You know I'm told by and the dark OK you know Europe you -- blood sugar level a little higher than normal but they're not high enough. We don't have. A second want to come from the first one. That you are diabetic so it'll we're going to do it -- it start giving you dump some summit -- can you need to watch your diet and I'm gonna send you to lay out. A nutritionist you know all right 'cause humor we're gonna send you to a nutritionist. And we're gonna talk about -- Saturday. What I'm getting at is -- the country at this point. If not where it should be I would not. I have to do again. You know I am I ignorant to the significance of what being -- Not that they'll also have bet my old it really doesn't matter. What I am saying -- People need to wake up and under they knew I mean the good part about this is either. You can do something about that a lot of what went to -- -- you can't do anything about right. You know you an opportunity. To hear that delay dvd aren't at a bit bare hands or -- at -- Major -- game. People may be made aware of the significance of what that being a diabetic is all about. You when you come down when comprehend it happened. It beyond blood is not blowing like it's supposed to blow it messed her up the end I prop chair. You know and that's significant alone he's been -- Really hate -- people collect they can. They will take it seriously they understand. You know I would -- and Iran how particular collection the reading that I giving leading the 500. You know it would add another piece of -- because they didn't feel like anything else here. You know that that's not the proper linking. The that you're not to -- -- to know what it's diabetes. Is it. If you with a broken bone and you're wearing a cast. We would see it and treat it. When you have diabetes that the private right and so that's why -- -- we're really pushing for this. Let's start treating this when you -- in the pre diabetes. I Reno rather than waiting and health treatment starts at diabetes. So at what point what age level I know probably condemned. Depends on. Many different factors age race location where it that I know there's a lot of elements that that play into. Your risk level it comes to diabetes but -- -- what are kind of the go to ages to maybe get checked out at what point should you start getting your -- -- -- -- And how often. Moment we're looking at these risk factors age played a part in it but I also believe that it sure term ethnic tent city. Your race also plays of people in the -- are you already overweight. Don't wait till -- 45 to get chat. If there's a family history and you're overweight. And -- ethnic background. Is when you think the Caucasian played so -- going to be more risk. But they think -- consent that is more like the age of forty fine if that's even to get your blood sugar test that anytime you get your Lambert then you should know what your numbers should be -- us. Don't rely on the physician to tell you. My background is the only thing told I was okay well what does the word of hate me own opinion I don't need to tell -- But if I had known them my particular changing many years before -- wanted to things that we see as many people by the time they're diagnosed with diabetes. They've already had and slow progression. Of validation in glucose levels for five to ten years to further diagnosed. So the body authority changing so if you wait until you have the symptoms of diabetes which is frequently. Going into the therapy and tearing me. Excessive thirst extreme hunger unusual weight. Extreme fatigue and irritability. Frequent infections let's take a long time to heal. Blurry vision. And no nothing you're enhancing your feet. We recurring diluted -- And bladder infection if you wait until you have that you already have diabetes for a long period of time. Yeah so we want to look at me and show everything that's with the risk factors are but also he whenever you -- your lab that you need to personally know what your numbers are. So you can help guide their doctor and what direction you wanna -- be a partner. You'll write follow wearing your health care be a partner you know it. Well and anymore I mean so much been said about the you know health care these days but. Anymore you really do have to look out out for yourself you know it's rare to have a single physician in the family doctor situation we got -- to keep track Guillen knows what's going on within those your family history. You -- your piece of Paper that slid across the desk that day C need to be aware of your own stuff. Need to get out aren't as you know they're connecting to give blood sugar something that is so simple and and so unique sense that. It would seem pretty neat I get it we just recommended that everybody you know have a meter and add them as good. And you know want to -- a couple of kind of mob when they wake up in the morning check their blood sugar. You know William they would ever be -- look at a couple of little changes that happening would defy you to take -- the leaders and any drug and not entirely. But we -- the you don't need a prescription or. And you aren't as and it and it takes just a few seconds and says and I mean any. If you can't do that if you if you don't want to end. You take your blood sugar in -- -- -- than you see it and it. I cannot say maybe I don't both in the morning when you wake up in the next time you do an excellent there's you don't edit and I think I was something woman. You'll maybe you take a little little. There are a couple more current during the day you're spending a billion got. It's a very small inconvenience and weighing against -- I'm nutrients -- oh yeah you know end and Eric can beat -- oh yeah. So we could talk about it -- -- -- one of those things that go. You can actually get a handle right. So really no talk about that. What you can do to manage your diabetes yes we packing about checking your blood sugar or blood glucose levels poking a finger in getting that number is great but if you don't do anything with the number quite do it. Yeah. Okay when people can't -- poking -- finger at people that don't even know that they whether or not they added I'd be glad -- general population. With apple and Internet they got something they could tell you could tell what normal numbers aren't. And there's -- I think that would prevent that or at least literate. A -- -- -- The fact that like you did earlier people around and around 56789. Years. -- thing developing and I don't even have a cool. No clue at all -- checking the blood glucose levels will usually say and doing it a couple of times today before a meal and maybe two hours after a meal. And if you're really interested on what you're eating and how it's affecting your body. You test before you leave the NAFTA you eat you see how far you went up they -- go up too high so that's something that you shouldn't have very often. Are you need to decrease the amount. But checking your blood glucose levels. Mom and why is he the best kept secret about how to control diabetes is keeping a log book. Is that not a lot but just on your glucose levels but also Arnold what you're eating. Between you're eating and how much eating in -- if you're doing any exercise. And comparing all of that of what is this doing to your glucose level. So then you can if you notice that -- -- sugar levels are glucose levels are being elevated. About 126 it's considered diabetes but they went to they had to test to confirm that -- you mean need to take some oral medication to -- -- Two diabetes. You can tie it when you're gonna need insulin. -- occurs real quickly and you usually feel very sick so it's not right right very often. Type two -- so I think you don't know you're having a problem until you have a major event. And -- we've noticed that that others and changes in your blood -- structure in your and your glucose level. Also smoking affects the way your body -- of food so if you're having problems controlling your glucose level. You may wanna look at it okay this is something another area that I can work on and get into some quit smoking programs. They even need to be content with your doctor if you find that you are at risk if you're over forty. If there's family history of diabetes if you have high blood pressure. If your little activity levels if you had gestational diabetes during pregnancy you need to be talking about your doctor about Quentin we need to start checking me. For diabetes right. It needs to be it in your forecast in your future. Well I wanna move on a little bit and talk you're talking about education. And then prevention of the diabetes especially type two and -- You do a lot of work -- with the American Diabetes Association. And there of course doing a lot to get this education out there this awareness out there and -- always trying to find in the cure for all of us I'm told me a little bit about what the American Diabetes Association does. Where the -- in 1940 in the mission was to prevent. -- care diabetes and also improve the lives of people affected by diabetes. So that's the person with and the family is dealing with that. And they do you get through research and that could see. And information dissemination because those with three search. American Diabetes Association has been fun being. Innovative diabetes research since 1955. -- into -- currently spending projects in Oregon and southwest Washington parents. And so. -- -- -- They did it on a local or state level and a national level. And so I have been involved with CIM 88 during an abacus C going to Washington DC ever a couple of years in their program called called the congress. So firm. The and I think he is this going to five in the behalf -- the -- have the people with diabetes and the people affected by diabetes to increase. Federal funding research. And improve the health care and insurance coverage and -- in discrimination against people with diabetes. On the information side we do you think again. Locally. We have a safe at school program. And this offers information for the schools on people if they have anyone in their school system that has diabetes. The 88 has programs that are props to this school. And -- in 2011. And they visited over a 137 school. Well -- over a thousand. At school personnel on how to deal with with their kids in employees with IB. They also have a program called stand legally and it connects parents of newly diagnosed children with trained parent mentors. So if you have a child it's really -- was diagnosed with diabetes you do not have to travel this -- alone they have a program that will partner with here. Diabetes alert day coming up march 17. And encourage people offer to join that -- stop diabetes movements by taking the diabetes to drift past that you -- -- mind. And diabetes dot -- work. We also do in the summertime and tour security cycling events. And it's coming July 28. And it offered through its very easy and a variety -- five miles are left to left to a challenging. Right have a hundred miles or more so if it -- every one level of writing. I -- in the end if I have stepped out which is a lot to stop diabetes so it doesn't for Portland and art can meet. In Portland that September 22 and -- Kelly will be September 20 world. And now they also do. -- eight. And diabetes practiced as -- need for healthcare professionals and that is set for October 5. And it's held at the Rican convention center in Portland. And I you've been going diabetes dot ordered. And click on or you and you can see all these events. In from there for them. Thanks littlest -- bit about the upcoming here free diabetes expose going on during conventions there. On Saturday February 11 from 9 AM to 4 PM. Yet and it is open to everybody they do ask for -- you can go online and pre register and that's held them to look at the numbers that are going to be showing that says it's from nine to four. At the American convention center there's going to be healthy cooking demonstrations -- limiting free health screenings. -- flu shot Thursday and activities known for being used. There's this section that is all things Spanish in -- different diabetes standards and information that for the communities just -- in the curriculum me. So you're gonna get out a lot of your own health professionals that you go to. Maybe there. Thanks and and then you you're gonna be there yourself. Isn't there you mean you're going to be sending people up for the step out -- for diabetes team. And and there -- just gonna be so many different opportunities for people to get that list the different genders and ask a question. And I think that's -- really important there's been usually areas. I'm threw out where you can talk with healthcare professionals come in and future questions -- about your own personal diabetes well. Yeah and end then likely decision this whole thing when you get it yes. EL largely is treatable but it's still you know it's on my -- live -- it's still something that is that are hanging around your neck for the rest your life and. And the way we treat diabetes. Changes. Did it go -- they find out -- research. So whatever you think today it may not be the best way. -- your diabetes so you really need to get continued updates. On your information and you can get that I going to diabetes dot Orix. In looking at what is the clinical standards for treatment forty or type I diabetes. In May and again you know a bit of prevention is is the key here. -- far more people don't have it then do so let's try to get the numbers down the number of people who develop this and you may be on your way you don't even know it check in with your doctor. In your blood checked out and you know look into seen what you can do just to change appeared diet in your life sounds just the littlest bit helps so much. And you can start you know they won't be so difficult to manage deals because of the complications. That -- Within the body systems. The longer that the glucose level has been elevated. -- -- well we are coming up here on the end of our time was there anything else either if you like to add before we go. No I don't want to emphasize the fact that sounds you know what I got on the big Lugar so that what happened what the doctor told me that -- -- -- -- -- -- you -- -- -- -- -- right. Then it was incredible. I don't know the amount of physical activity that I was going to be doing along with the -- -- change that after. And it would be incredible how things started change and immediately. Good days before we got to outlook could work out my mind my morning reading list of funny now. A week later that would amount to about a 117. Or something like that it ultimately to the point well I don't even activate it -- Medicaid. You know and that they've got hurt tiger. Will be most significant part right now to this day. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- You know -- -- come all the way back guy and you know -- -- -- -- -- -- could get back to loaded. And and the epic yeah it could IPO. Lockwood who did you have to do the -- right right but it's incredible I'll I'll -- unemployment and. Can he change just a little bit of a timely analogy you make a plan -- to change yourself and in your practices over a year's time we do a little bit every month Seattle little bit lament. It it creeps up -- you don't even notice and it's happening in my the end of the year year you're living a much healthier lifestyle. So I don't feel so -- this is hopeful that the expo is going to be did Jim Hansen memorial symposium for children with type for a little while there's information there -- -- type one and -- His so firm we wanna make sure that the parents know that that Jim Hansen memorial symposium. Is part. The 88 diabetes expo. And that's happening again Saturday February 11 from 9 AM to 4 PM add your -- convention center and it is free. You wanna go to diabetes dot org to pre register it'll help them out to the know how many people are gonna show up at the events they can be properly prepared. But it is absolutely free so you know get out there and and check it out take the kids these -- Jim Henson since the you would -- symposium. Import volume and there's the -- And it's been. Varying it's also going to be at the X about polls -- -- his personal -- -- diabetes on behalf -- -- start taking -- now. Diabetes awareness programs. Fantastic let's cool about it. What are people out for a little bit just before we got a great great -- that's not something. Yes that I guess it's gonna be there at 845 to keep the crowd warmed up and then burying its gonna be there at 12 PM. Fantastic well thank you both so much for your taking the time today to talk to me here -- -- scope. Lot of great information a wonderful conversation. And if you're you're just joining us and -- miss this you -- go to our website and and download podcasts and check out a lot of great information. This command here in the last half hour thank you again both for being on the show today there you bet. All right that'll do for this edition a mattress company Entercom communications public affairs program I've been your host Ted Douglas. If given nonprofit or public affairs organization -- you like to let others know about please email me at masters cup @entercom.com. And -- -- -- to the need. And please put microscope in the subject line so it doesn't get snagged Obama spam filter. According go directly to the station's website click on a community -- to make your information there. Also be like to hear this program again as -- said you can visit our podcast page of matches go PDX dot com where you'll find this and the last couple months for the episodes. And please feel free to post it -- FaceBook or MySpace your blog your Twitter your Google+ whatever you got a strike it's important information out to as many people as possible. Well thank you again and Judy think he Jesse. This is -- mr. scope. -- -- -- -- The name -- the I'm done I am back and needed that. It's been committees do anonymous characters ask -- Dishes. -- -- -- -- It's. And then I. So there might be sent him. And no one. So glad just -- that. His son because -- vision. It's. It's. Yes let's paint paintings and a seen. They did also amazing and good. Me because.