Nov 11, 2014|
AN INTERVIEW WITH MANDY BENTLEY, AN RD, CDE, AND VOLUNTEER WITH THE AMERICAN DIABETES ASSOCIATION ABOUT WHAT DIABETES IS, HOW TO PREVENT IT, AND THE UPCOMING DIABETES EXPO.
AN INTERVIEW WITH JOSH LEAKE, EXECUTIVE DIRECTOR OF THE PORTLAND FILM FESTIVAL ABOUT WHAT MOVIES WILL BE FEATURED, WORKSHOPS THAT ARE BEING OFFERED, AND NEW FEATURES FOR 2018.
AN INTERVIEW WITH BILL RUSSEL, EXECUTIVE DIRECTOR OF THE UNION GOSPEL MISSION ABOUT THE WORK THEY DO WITH THE HOMELESS AND ABOUT THEIR SEARCH AND RESCUE PROGRAM.
AN INTERVIEW WITH JOHN BISHOP, EXECUTIVE DIRECTOR OR THE OREGON STATE SHERIFF’S ASSOCIATION ABOUT THE WORK SHERIFF’S DO AROUND THE STATE.
AN INTERVIEW WITH MELISSA MILLER AND NICOLE VINCENT WITH EMPLOYMENT SOLUTIONS WITH UCP ABOUT HOW THEY HELP PEOPLE WITH DISABILITIES GET JOBS AND HOW THEY HELP EMPLOYERS HIRE PEOPLE WITH DISABILITIES.
Automatically Generated Transcript (may not be 100% accurate)
This is microscope and under com radio Portland public affairs program. I'm Gary blocks and in this week in the Pacific northwest gets diabetes we can come up this next Saturday on the 22. It's the American Diabetes Association expo. Presented by The Herald Spitzer diabetes there they'll each issue until Portland next though is free and includes health screenings cooking demonstrations or seventy product and service examiners. As those leading health experts talking about diabetes management behavior change and prevention you can learn tips to stay healthy from head to tell. And help us understand Davies a little bit better this time on microscope I'd like to welcome Mindy medley and she's a registered dietitian and certified diabetes educator. And a volunteer the American Diabetes Association how there many welcome to the show. Pay Geary is going to do well are you content and great picture kept me out absolutely so let's it's a little background on you how did you get involved in diabetes. Diabetes is always been a passion of mine ends I have several family members friends type two diabetes and wanted to be able to. Help them manage their disease properly. And so went to school to become a dietitian and then. Got my certified diabetes educator. That's fantastic so if that's is that a lot of school and who took. How much the good luck you know what it say it was a four year degree plus a master's degree in order for me to sit for. The board Acxiom. So now ultimately that means you know a lot about diabetes. I know he got a note got a map so let's tell everybody would mean there are two types of diabetes type one and type two. One of the differences. Yes so there. Our two main types of diabetes type one diabetes which occurs in about five to 10%. Of people who have diabetes and type two which is really the more common type ninety to 95%. So type one diabetes generally occurs in young tents on the average age when it's diagnosed is between ten and twelve years old. And these individuals they don't make any insulin at all and insulin is a hormone that is produced by the beta cells in the pancreas. That helps to lower and helps to manage blood sugar. And since they don't produce any insulin and they have to take insulin from an outside source either through multiple daily injections or from a continuous. Pump. Type two diabetes on the other hand these individuals. Are generally older when they. Get diabetes but they don't have to we're actually starting to see kids. Who are overweight now we have seen that in the news for sure absolutely. But then this type I diabetes people make insulin sometimes they make a lot but their body just isn't able to use it they're just not sensitive to it. Or as they get older house they age maybe they don't produce enough insulin and so these individuals. Sometimes can just manage time they're not publishers by. Exercise their lifestyle and how they choose to eat. Other times in May have to take oral medications. And then other people about thirty to 40% well he definitely. On need to use insulin to manage the collection. Are either one of these types of diabetes preventable and new. You know what type one diabetes is not preventable. Type two certainly ends. They both have a genetic component. Of people with type two diabetes in generally runs in their family and so if you know that you should get screened. So yes a type two diabetes is preventable generally advised lifestyle choices making sure that they are choosing. To be more active and to eat healthier food. And to lose weight if necessary that can help the body use their opponents one batter so between type one and type two is one of them worse than the other. Actually there is not what type of diabetes it's any worse than another than the main. Concern is really to manage blood sugars. And not managing what church you really can prevent complications from diabetes so whether you have to take. Insulin as a person with type one diabetes or whether you can manage it through lifestyle and or oral pills or is look for the type twos. If you keep your budget under control and that's what's important so neither one is any worse it's just not good to have uncontrollable checkered. And if fund controlled blood sugar and happens to someone what more than one of the effects on the body so blood sugars are controlled. It definitely can lead to some serious complications including eye disease. And diabetes is a leading cause of blindness in people ages twenty to 76 years old it can also lead to kidney damage as well as to. Nerve damage which would be in the form of neuropathy or tingling. Pain in the nerves feed her extremities. How does diabetes calls that went aboard what causes those. Adverse effects. Just say the sugar that can damage the blood vessels and so it can really including calls cloudy vision. So some Avis first diagnosed with diabetes. If they're having some changes in their vision oftentimes that may be what gets them. To go see an ophthalmologist and he may diagnose their diabetes. So I'm not always a good idea and a changer prescription right away because what you eat your bunch present to control your vision can return to what it was prior. So just the high blood sugar just effects and can damage the nerves which can then lead to. These complications threaten op at C net property and neuropathy. And fixing means that the high blood sugar. We will reverse a lot of different things to correct you know absolutely having your managing your blood sugar is what can really prevent all three of those. Complications as well was just making you feel better throughout the day so that you not swinging from high blood sugars to low blood sugars. Which nobody feels good when your. In those types of palm patterns and get more energy absolutely. Just in the sugar in your blood if it's not making it into your cells the nuts that's where you get your energy firms are correct that is correct. So all things break down into sugar carbohydrate breaks down into the most. But you've got to have insulin on board working. In order to take it from the bloodstream into the cells of the Cheney's effort energy. So and people with type one diabetes when their first diagnosed. They may just have. A lot of weight loss that. There is no reason for Demi happening other than. The gun shivers just in their bloodstream and their body is starting. And so definitely getting it in there can make you feel a lot better. And make you feel like you want to be more active which it all compounds and helps and helps and helps rich and salute what are some of the symptoms of diabetes. You know similar symptoms can certainly be for greater nation. I extra thirsty. It can be really hungry. Like we talked about there can be a usual weight loss. Can be really fatigued or tired or irritable. Frequent infections. Category vision that we talked about if you had any type of cut her bruises not healing as are some of the symptoms that you may city. And any of those symptoms can be. Maybe not necessarily a diabetes diagnosis of the if you have so vision problems they'll be freaked out you may have diabetes but it also you might wanna have things checked. Absolutely these a lot of these are certainly common especially now this time of the year we're getting it to the flu season is Sandra. But just think about it if you've got sugar in your bloodstream. Then you don't have the sugar in your cells for our energy. In it really make she more thirsting. We catering using the restroom a lot more trying to get rid of that sugar so on these symptoms really do go hand in hand the tired because you don't have. The sugar in your cells to use sound. Are there are lots of people who maybe don't realize they have diabetes. Other people with diabetes and Evan diagnosed and there are about 29 million Americans in the United States who have diabetes a third of them are not aware. That they do well. That's a pretty significant number it's a big. But with some of the standards of care where we're using the numbers to really diagnose diabetes were helping to find more of these individuals. And get them. Get them. Into their lifestyle and on medication if needed so that we can really take care of their diabetes and prevent those complications that we discussed earlier. Are both type one and type two wouldn't babies are they on the rise they are in if we stay on the same chi Jack jury. Then by 2051. And three people in the United States who have diabetes. And now mostly being tied to absolutely. Absolutely. So other 29 million people in the US that have diabetes. Again a third don't know. But if we talk more about Oregon and southwest Washington. There are 343000. People who have diabetes. And a few. Do the math that would actually be about one in ten people and Oregon. That have over. Diabetes. That's a that's a staggering number he hits it it's a big number but to continue on this. Statistic trend here 86 million people United States have pre diabetes. And this equates to about 676000. People in Oregon and southwest Washington. At camp pre diabetes what is pre diabetes. So a normal blood sugar fasting should be less than 100 milligrams. And a diagnosis of diabetes would be. Testing blood sugar of greater than 126. Milligrams. On two separate occasions. So if someone has a blood sugar in a metal. A 10225. Then that's indicative of pre diabetes meaning that they may be on their way to developing. Over type two diabetes. So by helping to. Be more active and eat more healthy. Losing weight if that's necessary. Stopping smoking. Those can always help people to get their blood sugar under control and move it back into the normal glucose ranged. So that they do not develop diabetes so this is a great placed at. Kind of gauge jerk. Pitcher idea of cash and he doesn't need to make some changes that could be the wake up call repair absolutely and once you reach 126 who send them. Once you reach a 126 on two separate occasions fasting which means to eight hours with no food or drink. And that hasn't confirmed diagnosis of diabetes and there's no turning back that we know what she'd bend. Diagnosed with diabetes. You'll have diabetes. You may have been under good control. But you still have diabetes because if you stop doing that good things that you were doing to them keep your blood sugar under control you would move back into. Higher blood sugars. Gonna type one diabetic uses insulin as their main medication type twos excuse me. Insulin sometimes and they use other types of oral medications. Absolutely so there are many classes of oral medications that people with type two diabetes many Jews. And again about thirty to 40% of individuals with type two will progress to insulin therapy. That doesn't mean that their diabetes is any worse than someone who is using oral medications or just. Trying to be more active and eat matter. You need to make sure that you're just doing whatever it takes to keep your budget is under control so that you can prevent complications. And everybody's different. Everybody is different. But greater resources. If you feel like maybe you know somebody who might be diabetic or your view yourself recover or having symptoms. A great resource is the American Diabetes Association I know you do a lot of volunteer work with the 88. Absolutely and in. So there is take the test could know the score. And that's actually something you can goal line to diabetes dot org and really look richer risk assessment. For diabetes. And if you are. Aged 45 or older or if you are African American Latino or native American. If you are overweight or not as active as you should be if there's a history of high blood pressure. Family history. Or if you had just stationed diabetes. Then these common risk factors may really encourage you. To go and see your doctor get a blood glucose but also being a wanna take this risk factor. Little test NC where you fall. And he can take that test online absolutely in the its diabetes duct work to set. Yes good and another great place is this coming Saturday is the diabetes expo tells about the expo. Absolutely so. Diabetes explode is state free event that's held at the Oregon convention center. And there are generally between foreign 5000. People with type two diabetes and family and friends that they come. Out to learn a little bit more about what is diabetes. And learn more about what might be new in terms of medications and cooking classes and all types of things so we've got lots of good things going on we're gonna have a main stage where we're going to have. Michael Harris talk about coping with highs and lows of diabetes. We're also gonna have doctor Liz Stevens and Michelle groove. Talk about the standards of care in more of aid. Jeopardy type game. And then Kendall Simmons. Is a former pro football player for the Pittsburgh Steelers and he's going to be there to talk about. Living active with type one diabetes for over ten years. Outside the main stage we've got a healthy cooking stage were over gonna have celebrity chef Curtis Aiken is really talk about some of the holiday. Recipes and the holidays are coming behind that the lord they are upon us. We also are gonna have porch if a million which is going to be. Our Latino. Area we're gonna have doctor don't Chapin talk about the fundamentals of diabetes. We're gonna also have a diabetes educator there to talk about. Just the diet and activities. More in terms of this Latino population. And we're going to have. Eight person with type two diabetes. Come in and talk about taking control. -- some it is actually lived with diabetes somebody who is actually Latino and understands. We just what it's like to have it can share. Her experience. We'll have break out sessions talking about technology and apps that people might want to use with Sarah Smartphones. How we're also gonna have a couple of sessions on. I'm mindful lists the power of positive city. We're gonna have doctor Cassell is Sarah homer from boy tissue talk about the artificial pancreas and pumps answers where we are in this research. And then we'll have an advocacy discrimination. Session. So lots of lots of good things but to tell like a lot of talk in great information absolutely there are so much to do and it's going to run between. Ten and four so lots of time for people must come out and that didn't different pieces that they may want to resident they can look at his itinerary. On line begin a diabetes dot org. Where they can red shirt to. Not that it's required to pre register but it will save some time so either at diabetes dot org or 1800 diabetes. A pack and just before the expo begins is that when you we were talking just before the interview that that's on the Watkins to absolutely soaked. Step out or our annual ball to stop diabetes is going to take place from. 92 and just before the explode inside the convention center and so that's a way for. Us at the American Diabetes Association to raise money to really help. Prevent and cure diabetes and to improve the lives of all people that are affected by diabetes. So come out walk first you'll be first line you'll already be ready to roll in the expo. Door. So again the Expos going to be at the Oregon conventions that are absolutely. Arrogant. So what sort of research is being done to him to help us down the road to either prevent type two in type one diabetes or he maybe even reversal. Yes so there is a lot of research that is one of the big missions of the American Diabetes Association so we do a lot to support both type one and type two diabetes. And in fact in 2013. We invested over 47 million dollars and diabetes research. So to bring it closer to home and Oregon we currently have three projects that are funded by the American Diabetes Association totaling over one point three million dollars. We've got all three of these studies being done up at Deutsche issue. One is a three year grant studying. Studying psychosocial behavior medicine and obesity and a second is a three year grant studying obesity at the Oregon national primate research center. And the third is a five year grant setting the complex chronic care needs for older minorities with diabetes. And as we know. America has an aging population with the baby boomers now we've got lots going on to is going to be a big topic especially with C. I Affordable Care Act in SEC news. Absolutely it is but it's always so interesting for me and I think for listening audience to hear about. Research is being done right here in a lot of it's being done up but only two issues that correct and that is correct. That's really great that's it's nice to see it in our own backyards when you do make a donation you know it's staying here in the area staying local that's great. So you save lives there is quite the trajectory of type two into one diagnoses. What can we do why why is that happening. What's causing us these health problems. There are many reasons but. One is just I think and an aging population and as we age as we donor the Packers just is a work as it used to come. Where heavier than we've ever been. Which doesn't allow the body to use its own insulin appropriately. I think we've become more sedentary rest. Drive throughs and elevators and escalators and computers computers and social media instead of going out to meet friends you know maybe. Chatting online or herb or whatever so well a lot of different reasons but just trying to be. More. Physically active and trying to eat more healthy. That would benefit everybody in the United States so that we can really bring these trends of both obesity and diabetes. Back under control. But again this trajectory shows that by 2015. We won in three. We'll have diabetes in this extraordinarily expensive. It's been very expensive. And puts up a robe burden. On the US economy. So the direct and indirect costs of diabetes totals 245. Billion dollars annually. And one out of every ten healthcare dollars spent on diabetes. Or is spent on diabetes and is complications. And just hasn't. Decreased it's actually increased. 41%. Since 2007. Chronic diseases. Like diabetes. Are really making. Huge impact on. The US economy. The health care. So that's that is something then I know senator Ron Wyden is really looking at. Right now on just how we manage these chronic diseases that term really make. Everybody's more healthy and to make the workforce matter and tenth bring America back into healthy. Entry yeah and to stand back a healthier place to be. Give us some bullet points of some best practices that there are listening audience can follow to to be even more healthy well certainly. Choosing take to eat more healthy. You know so. Trying to eat more whole foods meaning cooking at home were choosing. Meats and fresh fruits and vegetables. Not really looking at packaged foods. Certainly being more active and that doesn't mean buying a membership to the jump. Just having a good pair of walking shoes and getting outside going in walking absolutes early Smartphones celts steps now we know his ribs then that really works at tell us. That's certainly is important and in fact there was a big study done about two years ago the diabetes prevention program. That really showed that. People who make changes in their lifestyle and loss of a percent of their total body weight. They actually were able to. Prevent the onset of type two diabetes better than a medication. Called Matt Foreman outside a lifestyle makes a huge difference absolutely. I looked at that you don't do something you know what you thought we every say yes but there's plenty thinks you're under the hope to take advantage of it I'm sure you get out. So give us the details once again on the the baby due next bullets coming up this weekend. Yes so please come out we wanna see everyone there. It's this Saturday at the organ convention center. It will be from ten until four unless you wanna come out walk with us earlier and that will be from nine until tend. We all have all different types of vendors rest of their products. We'll have the main stage talks will have cooking demonstrations. Will have breakout sessions you can actually get screenings for your glucose and let Vince meaning cholesterol he can get a flu shots. They don't get my eggs AME could talk to experts in the field. Meaning and technologists and nurses dietitians and get some of your individual questions answered seditious going to be a lot to do don't miss out. And you're going to be there. I'll definitely be there I'm going to be there. Then why is Larry I don't know we are it's it's going to be a big party let's go let's do it that. Many million registered dietitian and certified diabetes educator and a volunteer with the American Diabetes Association. Thank you for being a microscope today it's been really fun I was good enough pleasure thank you for heaven's. Microscopes and Entercom communications 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 macro Scopes @entercom.com. Remember inter com starts with a B 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 it's. Wrong talking to veterans about the real issues they're dealing my can be awkward. And I'm comfortable. We think to ourselves. Never served. How can I understand. We'll talk about it when they're ready. And then we wonder why they don't want to talk. But when their behavior changes when they withdraw themselves. 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