Chronic Kidney Disease (CKD)

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Chronic Kidney Disease (CKD) is a serious complication of diabetes that often goes unnoticed in its early stages. In this episode of the Taking Control of Your Diabetes podcast, hosts Dr. Jeremy Pettus and Dr. Steve Edelman, both endocrinologists living with type 1 diabetes, provide an in-depth exploration of CKD in diabetes. They discuss the prevalence, screening methods, and latest treatment options for diabetic kidney disease, focusing on type 1 diabetes. Dr. Edelman also shares his personal experience managing CKD.

In this episode, we will talk about:

• The prevalence and impact of kidney disease in type 1 diabetes
• How diabetes affects kidney function
• Screening tests for diabetic kidney disease: eGFR and UACR
• Understanding the stages of chronic kidney disease
• The ABCs of diabetes management for kidney health: A1C, Blood pressure, and Cholesterol
• Lifestyle factors in preventing and managing kidney disease
• Medications to use and avoid with kidney disease
• The role of ACE inhibitors and SGLT2 inhibitors in kidney protection
• Challenges and considerations for people with type 1 diabetes regarding new kidney treatments
• Dr. Steve Edelman's personal journey with CKD
• The importance of proactive management and regular monitoring

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**

Diabetic Ketoacidosis (DKA)

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Diabetic Ketoacidosis (DKA) is a severe and potentially life-threatening complication of diabetes, yet it is more common than people think, especially upon diagnosis of diabetes. In this episode of the Taking Control of Your Diabetes podcast, hosts Dr. Jeremy Pettus and Dr. Steve Edelman, both endocrinologists living with type 1 diabetes, provide an in-depth exploration of DKA. They discuss the science behind ketones, why the body produces them, and how they can become dangerous in people living with diabetes. The doctors share personal experiences with DKA and offer valuable insights on recognizing early symptoms, the importance of regular ketone testing, and effective at-home treatment strategies. They also delve into the latest advancements in ketone monitoring technology and discuss certain diabetes medications that may increase DKA risk.

In this episode, we will talk about:

• What are ketones and what purpose do they serve in the body?
• Ketogenic diet vs diabetes: what’s the difference?
• DKA risk mitigation and the best ways to go about it
• Do high glucose levels equate to having DKA?
• How common is DKA among diabetics and who is at risk?
• What are early signs and symptoms of DKA?
• When should you check your ketones?
• How to measure the important ketone that identifies someone in DKA?
• What are the different types of ketone meters out there?
• What are the different levels of ketones and what do they mean?
• What are some ways you can treat yourself at home?
• What are the cornerstones of DKA prevention and relief?

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**

Doing All the Right Things, but Your Diabetes Is Still Out of Whack…Could It Be Hypercortisolism? – Featuring Daniel Einhorn MD, FACP, FACE

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Discover why 1 in 4 people living with uncontrolled diabetes might have an overlooked, treatable condition. In this eye-opening episode of the Taking Control of Your Diabetes podcast, Dr. Steve Edelman and endocrinology expert Dr. Daniel Einhorn reveal the hidden link between hypercortisolism and stubborn diabetes.

This eye-opening discussion sheds light on a condition that may be affecting up to 25% of patients with difficult-to-control diabetes. Dr. Einhorn and Dr. Edelman explore how recognizing and treating hypercortisolism could significantly improve diabetes management and overall quality of life for many patients.

In this episode, we will talk about:

• What is hypercortisolism and its impact on diabetes management
• Symptoms of hypercortisolism are often mistaken for typical diabetes issues
• The CATALYST study: revealing hypercortisolism's prevalence in diabetes
• How to screen for hypercortisolism, including the overnight dexamethasone test
• Various causes of hypercortisolism and their effects on diabetes
• Why treating cortisol levels is crucial, not just diabetes symptoms
• Current and emerging treatments for hypercortisolism
• The future of hypercortisolism research in diabetes care
• How addressing cortisol could improve blood sugar, weight, and mood

About Our Guest:
Endocrinologist Dr. Daniel Einhorn, MD, FACP, FACE, has spent the past 30 years caring for patients with diabetes. He is now the Vice President of Endocrine Strategy at Corcept Therapeutics focusing his energies on getting the word out about excess cortisol levels and how to treat and help people with hypercortisolism

Important links
Findings from the CATALYST study - One in Four Patients with Difficult-to-Control Type 2 Diabetes Experience High Levels of Cortisol: https://diabetes.org/newsroom/press-releases/one-four-patients-difficult-control-type-2-diabetes-experience-high-levels

https://corcept.com

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**

Low Vision – Featuring Dr. Richard Shuldiner, OD, FAAO, Dipl AAo, Low Vision Diplomate Emeritus at American Academy of Optometry

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Uncover a hidden world of vision care that could change the lives of people with diabetes. In this episode, we explore ‘low vision’ - a term many people have never heard of, but one that could dramatically improve your daily life. Join Dr. Steve Edelman as he shares his personal journey with diabetes-related vision complications and how a low-vision specialist helped him regain independence. Expert Dr. Richard Schuldiner reveals:

• What is low vision, and how does it differ from blindness?
• How do low-vision specialists differ from regular eye doctors?
• The surprising prevalence of vision problems among people with diabetes
• Cutting-edge devices and techniques for enhancing vision
• Why early intervention is crucial for maintaining reading ability
• Little-known driving options for those with vision impairment
• How to find a qualified low-vision specialist

Why Everyone Should Screen for Type 1 – Anastasia Albanese O’Neil, PhD, APRN, CDCES; Associate Vice President of Type 1 Diabetes Education and Clinical Implementation at Breakthrough T1D

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

In this episode of the Taking Control of Your Diabetes podcast, Dr. Steve Edelman is joined by a passionate advocate and expert in diabetes education, Anastasia Albanese O’Neil PhD, APRN, CDCES, the Associate Vice President of Type 1 Diabetes Education and Clinical Implementation at Breakthrough T1D International (formerly JDRF). As a mother of a child with type 1 diabetes, she brings both professional expertise and personal experience to the conversation. Together, they delve into the critical topic of screening for type 1 diabetes, exploring its importance and the benefits it offers to individuals and families.

In this episode, we will talk about:

• Anastasia’s journey and motivation in diabetes advocacy and research
• The significance of early detection and screening for type 1 diabetes
• How screening can prevent diabetic ketoacidosis (DKA)
• The role of family members in screening and why their involvement is crucial
• Recent advancements in diabetes research and the impact of new FDA-approved therapies
• The role of immunosuppression in diabetes treatment
• Current methods and guidelines for screening and confirming a type 1 diabetes diagnosis
• Practical steps and resources for getting screened, including TrialNet and the ASK study
• Overcoming barriers to screening in primary care settings
• The future of diabetes care and the push towards universal screening

Screen for Type 1 Diabetes: This resource provides information about screening for type 1 diabetes and available screening pathways: https://www.screenfortype1.com/

TrialNet: A clinical study that offers free screening for type 1 diabetes to family members of individuals with the condition: https://www.trialnet.org

ASK Study: This study screens children in the United States for type 1 diabetes and celiac disease using the same blood sample: https://www.askhealth.org

American Diabetes Association Standards of Care: Information about the delay and prevention of diabetes, including type 1 diabetes: https://diabetesjournals.org/care/issue/47/Supplement_1

FDA Approval of Teplizumab: Details about the FDA approval of the medication Teplizumab (TZIELD), which can delay the onset of type 1 diabetes: https://www.fda.gov/media/164864/download

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**

Islet Cell Replacement Therapy – Featuring Manasi Jaiman, MD, MPH, Pediatric Endocrinologist and Diabetes Researcher with expertise in both drug and device developments in type 1 diabetes.

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Islet cell replacement therapy represents a promising advancement to cure type 1 diabetes. In this episode of the Taking Control of Your Diabetes podcast, our special guest, Dr. Manasi Jaiman, MD, MPH, a leading pediatric endocrinologist and diabetes researcher, joins hosts Dr. Jeremy Pettus and Dr. Steve Edelman to delve into the intricacies of stem cell research and its potential to transform diabetes treatments. Dr. Manasi Jaiman discusses her journey into diabetes research, the significance of islet and beta cells, and the advancements in programming stem cells for therapeutic purposes. She also explains the current methods for delivering these designed cells to patients, the importance of immunosuppression in cell therapy, and the progress made in encapsulation techniques.

In this episode, we will talk about:

• The role of beta and islet cells in glucagon production
• How close we are to a cure for type 1 diabetes
• The sources of islet cells and their importance
• Different types of stem cells and their applications
• How new stem cells are delivered to diabetes patients
• The importance of immunosuppression in cell therapy
• Recent advancements in cell therapy, including cell infusion and encapsulation
• The challenges and timelines in finding a cure for type 1 diabetes
• How to find and participate in clinical trials for diabetes
• The importance of volunteering in clinical research

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**

Gestational Diabetes – Featuring Thomas Moore, MD, Maternal-Fetal Medicine Specialist and Interim Chief Medical Officer at UC San Diego School of Medicine

TAKING CONTROL OF YOUR DIABETES® - THE PODCAST! ...With Expert Endocrinologists Living with T1D, Drs. Steven V. Edelman & Jeremy Pettus

Gestational diabetes is becoming increasingly common in the United States and around the world. Approximately 8% of pregnant women who deliver their babies in the U.S. have gestational diabetes at the time of birth, and that percentage doubles globally. Why is this so high? Our special guest Dr. Thomas Moore, an expert in gestational diabetes and head of the high-risk OB clinic at UCSD, explains who is most at risk for gestational diabetes, what the screening and diagnosis process involves, potential risks for mother and baby after diagnosis, and current treatment protocols. He also shares what typically occurs for mother and child after delivery.

In this episode, we will also talk about:

• How does gestational diabetes differ from type 1 and type 2 diabetes?
• Are there a certain number of nutrients that are needed for fetal development?
• Why does a baby gain weight if a mother has high blood sugars during pregnancy?
• What types of therapies are used to control blood sugars during pregnancy?
• Can you get a CGM for gestational diabetes?
• How aggressive do you need to be with blood sugar and A1c goals?
• Can a baby experience hypoglycemia?
• How does someone find a specialist in gestational diabetes?

**Tune in for 2 new episodes each month! Like what you hear and want to help us grow? Please rate and review this podcast so we can reach more people living with diabetes!**