👉 Come see me in clinic:

https://www.sacomplete.com/

👉 Other ways to work with me & stay connected:

✨ Sign up for my newsletter: https://www.sacomplete.com/complete-medicine-blog

🎧 Listen to the Endocrine Matters podcast: https://www.sacomplete.com/podcast

Welcome to the Endocrine Matters Podcast.

This episode is sponsored by Complete Medicine and HeyHealthy.

Hello and welcome back to Endocrine Matters. I’m Dr. Arti Thangudu—endocrinologist, diabetes specialist, and someone who truly lives and breathes blood sugar.

This episode is deeply personal and incredibly important to me. Over the past few months, I’ve felt a strong call to return to type 1 diabetes education and awareness in a more urgent way. In my clinic, I continue to meet adults who have lived with type 1 diabetes for decades but were never truly taught how insulin works in real life—with food, stress, sleep, illness, hormones, and emotions all happening at once.

At the same time, type 1 diabetes has touched my own family. And when it hits close to home, you feel the weight of it differently—the fear, the constant decisions, the loneliness. I’ve also become acutely aware of how much community support is missing for children, teens, college students, adults, and parents living with type 1 diabetes.

One thing I want to be crystal clear about from the very beginning:

High blood sugars are not your fault. Low blood sugars are not a moral failure.

Type 1 diabetes cannot be managed from the outside. No doctor, pump, or algorithm can fully understand your body without you at the center. When patients understand why insulin doses are adjusted, fear decreases, shame fades, and confidence grows. The goal is not perfection—it’s understanding and empowerment.

In this episode, we walk through:

• Basal vs bolus insulin and how they truly work
• Why overnight highs don’t always mean you need more basal insulin
• The dangers of hypoglycemia and why we always treat lows first
• Insulin-to-carb ratios, insulin sensitivity factors, and insulin stacking
• How fat, protein, stress, exercise, hormones, and sleep affect blood sugar
• The role of CGMs, insulin pumps, and hybrid closed-loop systems
• Why A1C alone doesn’t tell the whole story
• Navigating diabetes burnout and the transition from childhood to adulthood

Type 1 diabetes is demanding—but it does not define your future. With education, support, compassion, and community, you can live a long, healthy, fulfilling life.

Thank you for being here and for being part of this community.

If you’d like to become a patient, visit https://www.sacomplete.com

If you enjoyed this episode, please subscribe to the channel—it truly means the world to me.

And for daily education and support, follow me on Instagram @drartithangudu

Until next time—take care of your blood sugar, and take care of yourself. 💙

👉 Come see me in clinic:

https://www.sacomplete.com/

💌 Sign up for my newsletter:

https://www.sacomplete.com/complete-medicine-blog

🎧 Listen to the Endocrine Matters podcast:

https://www.sacomplete.com/podcast

🎙️ Welcome to the Endocrine Matters podcast.

This podcast episode is sponsored by Complete Medicine and HeyHealthy.

Welcome back to Endocrine Matters. I’m your host, Dr. Arti Thangudu, board-certified endocrinologist, menopause society certified practitioner, and founder of Complete Medicine, where we care for high-achieving women living with obesity, prediabetes, diabetes, thyroid disease, and metabolic conditions.

In today’s episode, we’re doing something a little different—we’re bringing you inside a real endocrinology journal club, but in a way that’s practical, relatable, and meaningful whether you’re a clinician, trainee, or someone living with obesity or metabolic disease.

I’m joined by two incredible endocrinologists and colleagues, Dr. Vidhya Illuri and Dr. Munira Mehta, as we break down a major new study published in the New England Journal of Medicine on oral semaglutide for weight loss.

Together, we discuss:

• How this randomized, placebo-controlled trial was designed
• Why placebo and blinding matter in clinical research
• What the results actually show about weight loss outcomes
• Clinically significant weight loss and why even 5% matters
• Side effects, tolerability, and real-world prescribing challenges
• Oral vs injectable GLP-1 medications
• Access, pricing, pharmacy barriers, and why knowledgeable prescribing matters
• Why obesity is a chronic metabolic disease—not a cosmetic issue
• The importance of nutrition, muscle preservation, bone health, and long-term follow-up

If you’ve been hearing a lot about GLP-1 medications and wondering what’s real, what’s hype, and how this applies to everyday endocrine practice and patient safety, this episode is for you.

Our goal is to help you understand the science, the nuance, and the ethics behind prescribing powerful metabolic medications—so patients can get safe, effective, and compassionate care.

If you’d like support navigating weight loss medications, metabolic health, menopause, or complex endocrine care, we’d love to help you at Complete Medicine.

📍 Learn more about becoming a patient:

https://www.sacomplete.com/

📲 Follow along on Instagram: @drartithangudu

Thank you so much for listening and for supporting Endocrine Matters.

Welcome back to Endocrine Matters with Dr. Arti Thangudu! In this compelling episode, Dr. Arti dives into the complexities of the U.S. healthcare system with Chris Deacon, author of The Great American Healthcare Heist, and a celebrated healthcare reformer. Together, they discuss the financial and systemic challenges facing healthcare in America, including why extraordinary medical care often leads to financial devastation for patients and burnout for physicians. Chris shares her unique experiences from within public and private health systems, highlighting who profits, why meaningful reform is difficult, and actionable steps patients and clinicians can take to regain control. This episode is a must-watch for anyone looking to understand the intricate power structures in healthcare and the urgent need for reform. Don't miss out on this honest, illuminating discussion!