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Sugar numbers don’t live in a lab; they live in our kitchens, routines, stress, and sleep. We open up about what diabetes really looks like day to day—one of us reversing type 2 after major weight loss, the other managing prediabetes while navigating disability and recovery. From there, we map the landscape clearly: type 1, type 2, gestational, and the often-misunderstood prediabetes stage where access to monitoring can be frustratingly limited.

We go deeper into food that works in real life. Fiber becomes the hero—beans, oats, chia, vegetables—because slowing absorption beats chasing spikes. We share hydration goals, practical snack swaps, and how to enjoy flavor without loading up on sugar. Movement gets the adaptive treatment: building strength without aggravating injuries, using small, safe sessions to keep insulin sensitivity high, and pairing activity with better sleep to stabilize hormones. Along the way, we address alcohol, smoking, and the sneaky toll of stress on blood sugar.

You’ll also hear two big topics flying under the radar. First, the global recognition of malnutrition-related “type 5” diabetes—insulin deficient but not insulin resistant—prevalent in low-resource settings and historically misclassified. Second, the strengthening link between diabetes and dementia through vascular damage and brain insulin resistance. We connect these dots with a quick tour through the history of insulin, why prices rose, and how coverage and CGMs can make or break daily management.

If this conversation helps you rethink one habit—adding a cup of beans, aiming for 75 ounces of water, or setting a sleep boundary—then we’ve done our job. Subscribe for more grounded health talk, share this episode with someone who needs a hopeful nudge, and tell us where you stand on the great debate: sweet tea or unsweet?

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