Managing Diabetes: Effective Strategies for Insulin Resistance and Healthy Living

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Coming up on this episode of the
Healthy, Wealthy and Wise podcast.

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Diabetes tends to have a propensity
to attack small blood vessels.

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Um, and that's why many times, so many,
um, diabetic patients type two, uh, will

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have foot problems or extremity problems.

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Some of the foods that are very good
to help with, um, um, mitigating

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some of that are Welcome to

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the Healthy, Wealthy and
Wise podcast with Dr.

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William T.

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Choctaw, MD, JD, where the doctor
helps you unlock your full potential

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by equipping you with the tools and
knowledge in the areas of health,

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wealth, and wisdom, anchored in his
experience as a business is executive,

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a physician, the surveyor for the Joint
Commission, a former mayor and over 50

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years of experience as a general surgeon.

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You've got questions, he's got answers.

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So let's get started.

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Here's Dr.

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William T.

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Choctaw, MD,

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JD.

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Good morning.

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This is Dr.

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William T.

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Chong Tong.

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We're delighted to have
you with us this morning.

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Today, we have an extraordinarily
broad and an interesting topic for you.

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We're going to talk about diabetes basics.

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What you need to know.

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So, diabetes then is when
that insulin does not work

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properly for whatever reason.

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Either, um, There is no blood sugar,
there is no glucose at a significant

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level being, um, um, in the bloodstream.

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Um, the insulin is not high enough
to get the blood sugar that's in

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the bloodstream into the cell.

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Now, and it's not like insulin alone is
independent and can do whatever it wants.

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Strong contributors to diabetes is
what we call insulin resistance.

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Thanks.

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What is insulin resistance?

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Insulin resistance is Um, elements within
the body that decrease or impede or

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block or slow down the work that insulin
is supposed to do as it grabs glucose

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in the bloodstream, opens up the cell
that it's intended for, and gets that

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glucose into the cell to do its work.

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We call this insulin resistance.

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And one of the cells in the body,
uh, or the type of cells in the body

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that are, that can create insulin
resistance are obesity cells,

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right, or fat cells, if you will.

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Fat cells create, um, insulin resistance.

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So if you are very obese or, uh,
um, have problems with a high BMI.

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body metabolic index, um, basic metabolic
index, um, that adds or contributes to

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you becoming more diabetic than not.

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If you are hypertensive, that
many times may affect the

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effectiveness of your insulin.

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If you are elderly.

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Again, as we talked about earlier, as
you get older, maybe things just don't

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work the way they normally should.

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That may affect, uh, create some
insulin resistance, and then some

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of it just may be purely genetic.

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So who actually gets diabetes?

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Well, most studies have shown, um, that a
number of people, uh, it's in the genes.

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It's genetic.

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And so you inherit it, um,
and you get it no matter what.

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Okay, um, it's one of the reasons
why I believe that there are such

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higher percentages in certain
ethnic groups, that it is genetic.

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And of course those groups
are going to have higher

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percentage because it is genetic.

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Uh, many times it can be within
certain families for other reasons.

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Um, but, but the point I wanna make
is, uh, it is more than lifestyle.

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It's more than lifestyle.

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So this whole fallacy, well,
if, if you don't have good, um.

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Uh, body control or having control
and you eat too much, um, uh, and

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you about, and you get, you become
diabetic because you don't have good

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control over your eating habits.

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That alone is not the
reason for, uh, diabetes.

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What are some of the myths of diabetes?

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Three common myths.

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Uh, that diabetes doesn't invite
in my family, so I'm safe.

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Well that's not true.

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Uh, it does not mean that genetics
is the only way you get diabetes.

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It just says that that's
one way you get it.

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So let's say you're able to do a
family history search and you have no

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diabetes in your family whatsoever,
that still does not prevent you

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from becoming a diabetic yourself.

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Number two.

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Myth number two.

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Um, Diabetes is caused
by eating too much sugar.

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Not true.

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There are multiple factors contributing
to diabetes including, um, uh,

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inheritance, um, and how much
sugar alone you eat or not is not

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the main factor, uh, contributing
to your, your diabetes type 2.

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And the third myth is people with
diabetes need to be on special diets.

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Diabetes.

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Again, not true.

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Diabetes is not from
eating a lot of sugar.

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Diabetes is from having, among other
things, a large number of carbohydrates,

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um, and glucose in the blood that's
not able to get into the cell.

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And as we've said, there are four or
five factors that can be contributing

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to that, um, and it may have nothing
to do with your diet, independently.

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And the reality is that everybody
should have a balanced diet, um,

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with fruits and vegetables and
meats and sugars, et cetera, that

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everybody should have a healthy
diet, whether you're diabetic or not.

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What are some symptoms of diabetes?

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Well, because glucose is involved
with energy of every cell in the

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body or cell type in the body.

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Problems or abnormalities of glucose,
uh, integration and consumption, um,

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can occur anywhere in the body, from,
um, um, strokes, to, um, blurred vision,

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to, uh, blindness, to gastric problems,
to renal disease, et cetera, et cetera.

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Um, heart disease is, is common, uh,
diabetes is one of the most common

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causes of amputations in this country.

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Unfortunately, because the small
blood vessels are not able to get the

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appropriate blood and glucose to the
areas and the tissues that need it.

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And those tissues then many
times are not able to survive.

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Um, uh, the kidneys many times, um,
have damage and severe, uh, disease, uh,

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based on diabetes, based on those glucose
molecules floating in the bloodstream.

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Uh, not able to get into the tissues the
way they were originally designed to do.

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Uh, diabetes tends to have a propensity
to attack small blood vessels.

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Um, and that's why many times so many,
um, diabetic patients type two, uh, will

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have foot problems or extremity problems.

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Some of the foods that are very good
to help with, um, uh, mitigating some

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of that are as you might imagine,
fruits and vegetables, almonds,

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oranges, carrots, fish, um, kale, buds,
um, Brussels sprouts, um, milk, uh,

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oysters, broccoli, eggs, et cetera.

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Again, basic healthy foods
that all of us should consume.

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Some foods, um, are evaluated based
on what's called the glycemic index.

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You may have heard of that.

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The glycemic index is basically, um,
an index that looks at, um, the, um,

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the ability to Or the impact of an
individual food on increasing blood sugar.

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Um, for instance, the glycemic index
of a donut would be higher than the

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glycemic index of a carrot, uh, per se.

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Um, however, it's important
to keep in mind that diabetes

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is not a simple, um, problem.

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So when does diabetes occur?

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When does diabetes mellitus occur?

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Uh, the majority of the people
in this country, when we talk

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about type 2 diabetes, tend to get
diabetes, um, as adults, uh, in

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the oldest, in the older stages.

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And that's really why it's called
adult onset diabetes, because

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it tends to occur in adults.

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Now it can occur in children, type 2, but
most of the times it occurs in adults.

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Type 1 diabetes that we won't spend a
lot of time on today because it primarily

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affects approximately 5 percent of the
population, occurs at childbirth, okay?

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So today we're talking about adult
onset diabetes, which occurs as adults.

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One belief is that over time, let's say
if you think of something mechanical

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like a car, uh, if you have a car and
you have it for 30 years, in year 30 that

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car starts to break down significantly.

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And some believe that that's what
happens with the body, that after

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50 or 60 or 70 years, um, uh,
organs in the body may start to

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become less competent, if you will.

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And one of those organs may be
the pancreas that may either

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not be able to reduce as much
insulin to help with diabetes.

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Um, energy of production, I mean,
with, uh, glucose energy production or,

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uh, cannot, um, produce, um, insulin
that is efficient as it should be.

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So let's take a look at insulin.

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What is insulin?

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And what does it do?

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And what is its role in this
whole diabetes scenario?

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Well, a good way to think about
insulin is that insulin is A key,

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and let's think of it this way, you
eat food, let's say you eat a donut.

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Say, mostly pure sugar, or close to it.

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Uh, you eat a donut.

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The donut goes into your stomach.

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It's broken down, um, and then goes into
the small intestines, and ultimately,

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it's broken down into glucose, right?

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A type of sugar.

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That glucose is absorbed through the
intestinal walls into the bloodstream.

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Um, and as that glucose is floating
around in the bloodstream, it needs to

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get into the cells to help the cells
create energy to create whatever that

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cell's function is, but the glucose
can't get into the cell without insulin.

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So one of the good ways to think about
insulin is as a key, if you will.

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that allows glucose that enters our
bloodstream to get into the cell so

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that it can be converted into energy.

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If you do not have that key insulin,
or you don't have enough of it, or it's

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not working properly, now you've got a
situation where you have a lot of glucose

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in the blood called hyperglycemia.

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Right, hyperglycemia, your blood sugar is
elevated, your blood sugar is elevated.

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So the purpose of insulin is to help.

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to keep the blood sugar at a normal level
and to, more importantly, to get that

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blood sugar into the, um, uh, glucose,
uh, to get that blood sugar into the cell,

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into the local cell, um, so that cell can
then carry out its energetic function,

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um, whatever it's supposed to do.

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If it's a, a red blood cell, its function
is to carry oxygen throughout the body.

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These presentations are based on a
number of podcasts that have been

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done over the last two years from the
Healthy, Wealthy, and Wise podcast group.

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You can access a number of these
podcasts on your normal podcast

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platform or you can go to stsvc.

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org and click on ministry, podcast,
and you can find all of them there.

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In conclusion.

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Thank you so much for being with us
today, and as always, be the change

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that you want to see in the world.

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Thank you.

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Have a great day.

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Thank you for listening to this
episode of the Healthy, wealthy,

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and Wise Podcast with Dr.

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William t Choctaw, md d.

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Be sure to check out other great
episodes covering areas of health,

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wealth, and wisdom@twwp.com.

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And while you're there.

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Sure to check out the books, blogs, and
other literature in your preferred format.

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And don't forget to leave a review,
subscribe, share, and support the podcast.

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That's at t wwp.com.

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You've been listening to the Healthy,
wealthy and Wise Podcast with Dr.

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William t Choctaw, MT Chalk Dog, md jd.