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The Diabetes Podcast

The Diabetes Podcast

De : Empowered Diabetes
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The Diabetes Podcast is your weekly roadmap to better blood sugar, better health, and longer life—whether you’re living with Type 1, Type 2, or Pre‑Diabetes. We focus on putting Type 2 and pre‑diabetes into remission with simple, science‑backed, behavior changes you can start today: real‑food nutrition, movement you’ll actually do, better sleep, stress mastery, and habit tools that stick. Co-hosted by Amber Wilhoit (RD/LD, CDCES) and Richie Wilhoit (TRS-C), each episode breaks down complex topics like insulin resistance, inflammation, gut health, weight loss, and A1C into clear, step‑by‑step actions that improve time‑in‑range and help you reduce—or even eliminate—diabetes medications with your care team. Expect practical coaching, expert interviews, and real‑life wins that make lowering blood sugar, taming cravings, and boosting energy feel doable. If you want metabolic health, medication freedom, and a life not ruled by diabetes, hit listen & subscribe to start your remission journey today.2025 Empowered Diabetes Hygiène et vie saine Maladie et pathologies physiques Médecine alternative et complémentaire
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    Épisodes
    • Episode 20: The Diabetes / Cancer Connection
      Aug 18 2025
      The Diabetes–Cancer Connection: What No One’s Talking AboutEpisode summary:Amber Wilhoit (RD/LD, CDCES) and Richie Wilhoit (TRS-C) unpack the diabetes cancer connection in clear, simple language. We look at why type 2 diabetes and cancer often show up together, what’s happening inside the body, and what you can do this week to lower risk. Amber also shares highlights from her recent talk for the Florida Society of Clinical Oncology, focused on Veterans living with cancer.What you’ll learn:The diabetes cancer connection in plain EnglishWhy people with type 2 diabetes have a 20–25% higher risk of certain cancers (liver, pancreatic, endometrial, colorectal, breast, bladder)How insulin, insulin resistance, and inflammation can drive cancer growthWhat hyperinsulinemia and IGF-1 do in the bodyHow oxidative stress damages DNA and why that mattersWhy “normal labs” can be misleading early onThe real role of Metformin in cancer risk (with data)Why processed meat is a problem and what to swap insteadSimple steps to lower risk for both diabetes and cancerKey takeaways:It’s not just “high blood sugar.” The diabetes cancer connection is about a whole-body metabolic storm: insulin resistance, high insulin, chronic inflammation, and oxidative stress.When insulin stays high for a long time (hyperinsulinemia), it acts like a growth signal. That can help damaged cells survive and multiply when they should die (apoptosis).Chronic, low-grade inflammation (think IL-6, TNF-alpha) and oxidative stress from high glucose can damage DNA and set the stage for cancer.Veterans are hit hard by type 2 diabetes and cancer risk. Age plays a role, but metabolic health does too.Obesity is not the whole story. A meta-analysis showed higher cancer incidence and mortality in people with type 2 diabetes independent of obesity.Metformin stands out. Studies show:54% lower pancreatic cancer risk among Metformin users (Lancet Oncology)30% lower cancer-related death rate in people with diabetes taking Metformin (systematic review)Likely mechanisms: lower insulin and activation of AMPK (the body’s energy sensor)Ultra-processed foods raise risk. A 10% increase in ultra-processed food intake was linked to a 12% higher overall cancer risk (BMJ, 2018).“Normal” tests can miss early problems. Insulin resistance starts years before a diabetes diagnosis—and risk rises early, too.Food and lifestyle that help:Eat the rainbow:Cruciferous veggies (broccoli, cauliflower, Brussels sprouts, cabbage) are rich in sulforaphane. This compound supports detox enzymes, lowers inflammation, and helps damaged cells die on time.Mix colors for different phytonutrients: orange (carotenoids), blue/purple (anthocyanins), reds/greens (varied flavonoids).Fiber is your friend:Aim for 30–50 grams daily. Men: ~36g minimum; women: 25g minimum (more is great).Fiber supports gut health, binds excess estrogen, lowers inflammation, and steadies glucose.Beans are a power food. They add fiber, support healthy gut bugs (bacteroidetes), and contain saponins that may inhibit tumor growth and boost immune function.Choose less-processed proteins:American Institute for Cancer Research: avoid processed meats (group 1 carcinogen). Limit red meat.Better swaps: beans, lentils, tofu, tempeh, fish, poultry, and plant-forward options. Some plant-based burgers can be a “less-bad” choice—check ingredients.Move most days:Goal: 150 minutes per week (AICR). Easy start: walk 2 miles a day (can split morning/evening), especially after meals to blunt glucose spikes.Sleep and stress:Aim for 7–9 hours per night. Reduce late-night screens, practice breath work, join a support group, and manage daily stressors.Reduce extra exposures:Use glass instead of plastic when heating food. Be mindful of microplastics and heavy metals (choose seafood wisely).Medication mindset:Meds can be a helpful “crutch” while you rebuild habits. Don’t stop cold turkey.If you’re on Metformin and working toward remission, great. Once blood sugars are steady, talk with your clinician about next steps.Common pitfalls we see:Trusting “normal labs” while symptoms persistThinking “my A1C is only 6.3, so I’m fine”Relying on “diabetic friendly” labels on ultra-processed foodsUnderestimating years of quiet insulin resistance before diagnosisTying food choices to events/emotions without a plan for better swapsAction plan for this week:Add one half-cup of beans to your day. That’s it. Sprinkle on salads, mix into soups, fold into tacos, or blend into dips.Bonus points:Add one serving of cruciferous veggies daily.Walk 10–20 minutes after your largest meal.Swap one processed meat item for a whole-food protein.Quotes from the episode:“It’s not just about blood sugar. It’s the metabolic storm.”“Hyperinsulinemia acts like a growth signal.”“Ultra-processed foods aren’t just empty—they drive risk.”“Metformin shows strong evidence for lowering certain cancer risks.”Who...
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      52 min
    • Episode 19 - The Remission Mindset
      Aug 11 2025
      The Remission Mindset: 5 Truths to Move From Managing Diabetes to RemissionThis no-fluff episode gives you the remission mindset you need to go from coping to conquering. We share five truths that help you stop the slide, take charge, and put type 2 diabetes into remission. It’s bold. It may feel uncomfortable. It could change your life.What You’ll LearnWhy the remission mindset beats “management”The 5 truths that make remission possible and sustainableHow to stop fueling the disease so it withersHow common diabetes and prediabetes are (it’s half of US adults)What late-stage diabetes really looks like (so you don’t go there)The hidden costs (money, mood, time, family, freedom)The key checks that protect your eyes, feet, kidneys, and heartWhy you need help and how to get itA simple 5-year plan to guide your next stepsQuick Stats We Discuss1 in 2 US adults has diabetes or prediabetes (many don’t know it).Type 2 diabetes raises heart attack and stroke risk 4–5 times.Diabetes is the #1 cause of non-accidental amputations.Nearly 1 in 5 teens (12–18) and 1 in 4 young adults (19–34) have prediabetes.Annual US diabetes cost: $413 billion.People with diabetes pay about $4,800 more out-of-pocket each year (not counting ER or hospital stays).The 5 Truths of the Remission MindsetYou are responsible for your healthYour doctor cares, but you are with you all day. Most primary care visits are short. Generic advice won’t cut it. You must lead. This is not about blame. It is about power. When you lead, you win.How to act:Treat your health like your top job.Know your numbers. Track them.Learn fast. Apply faster.Managing diabetes is a losing strategy“Management” means living with the disease. Remission means moving away from it. You don’t want an “okay” level of harm. You want the harm gone. Patch the hole in the boat, don’t just bail water.How to act:Stop fueling the disease. Cut the inputs that drive high blood sugar.Make food, sleep, movement, and stress habits work for you.Aim for progress every week. Momentum matters.Diabetes is that badWe say this with love. The risks are real: blindness, kidney failure, amputations, stroke, heart disease, and more. Most people say, “No one told me.” We are telling you now—so you can act now.How to act:Take this seriously before a crisis hits.Do the checks that prevent the worst (see “Protective Checks” below).Build your “why”: family, freedom, years of good life.Diabetes is expensiveNot only money, but time, energy, and joy. Missed trips. Skipped parties. Worry at every meal. Complex med regimens. ER visits for highs and lows. It adds up.How to act:Spend now on prevention and skills, not later on crisis care.Simplify your regimen by changing your habits.Ask, “Is this choice worth a year of my life?”You need helpThis is hard to do alone. Not because you’re weak, but because life, food, stress, and systems are stacked against you. The right team and plan make the road shorter, safer, and faster.How to act:Get expert coaching focused on remission (not just “management”).Use a clear plan, simple rules, and steady support.Keep going when it gets tough. You are worth it.important note: Type 2 vs Type 1This episode speaks about type 2 diabetes remission. Type 1 is an autoimmune condition and is different. We love our type 1 community. This show’s remission content is for type 2.Protective Checks That Save Vision, Feet, Kidneys, and HeartAnnual dilated eye exam: Prevent up to 90% of diabetes-related blindness with early treatment.Regular foot exams and education: Prevent up to 85% of amputations.Blood pressure control: Cut kidney decline by about one-third.Cholesterol improvement: Reduce heart risks by 20–50%.Smart insulin use: If you are on insulin, learn how food, timing, and doses work together to avoid dangerous lows.Note on lows and highs: Many ER visits happen when insulin does not match food. Complex regimens make this more likely. A simpler path, with better habits, reduces that risk.How to Starve the Disease and Feed Your HealthFood: Choose foods that do not spike blood sugar. Eat enough protein. Favor fiber. Cut ultra-processed foods.Sleep: Keep a steady sleep schedule. Poor sleep drives insulin resistance.Movement: Move daily. Walk after meals. Build strength.Stress: Lower stress where you can. Use simple resets: breath work, short walks, sunlight, journaling.Environment: Make the healthy choice the easy choice at home and work.Remember: When you stop fueling the disease, it starts to wither.Your Action Step This WeekDo the 5-year plan exercise:If you could not fail, where do you want your health to be in 5 years?Are yesterday’s habits taking you there? Be honest.If yes, keep going and level up.If no or not sure, get help and get a plan.Take one step today:Book your dilated eye exam if you haven’t this year.Schedule a foot check.Plan your next 3 dinners with protein, fiber, and fewer carbs.Walk 10–15 minutes ...
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      1 h et 8 min
    • Episode 18 - Ultra-Processed Foods
      Aug 4 2025
      Ultra Processed Foods: Clarity Over Confusion This episode is all about ultra processed foods—what they are, why they matter for cravings, insulin resistance, and blood sugar, and how to spot them fast. No shame. Just clarity. If you’ve ever felt “the more I try, the worse it gets,” you are not broken. You are surrounded by food designed to overpower your biology. Let’s get you back in the driver’s seat.Quick SummaryWe explain the NOVA system (Groups 1–4) so you can name what you’re eating.We show how ultra processed foods change hunger and fullness.We cover why some foods make you eat more without meaning to (+508 calories/day in a study).We walk through high fructose corn syrup, seed oils, tallow fries, and processed meat with plain language.We end with simple swaps and a “workable” way to start.The NOVA System, Made SimpleGroup 1: Unprocessed or minimally processed food.Examples: fresh or frozen fruits and veggies, plain meat or fish, eggs, dried beans, lentils, whole grains, milk, plain yogurt.Group 2: Processed culinary ingredients.Examples: olive oil, butter, sugar, salt, vinegar.Group 3: Processed foods (Group 1 + Group 2, using simple methods).Examples: simple bread (flour, yeast, salt), cheese, pickles, canned beans, canned fish, jarred tomato sauce.Group 4: Ultra processed foods (industrially made with additives you don’t cook with at home).Common flags: artificial colors and flavors, preservatives, emulsifiers, gums, isolated starches/proteins, sugar substitutes (like sucralose or acesulfame potassium), high fructose corn syrup, hydrogenated or inter-esterified oils.Examples: flavored yogurts, protein bars with long labels, soda and energy drinks, many breakfast cereals, frozen pizzas and meals.Working tip:Short ingredient list (5–6 items you know)? More likely Group 1–3.Long list with words ending in “-ose,” “-ate,” or “-ide,” plus artificial sweeteners or gums? Likely Group 4.Why Ultra Processed Foods Matter (Especially With Diabetes)They can hijack metabolism, increase visceral fat, and raise inflammation.They are engineered to be super tasty and easy to overeat.In a controlled study, people eating ultra processed foods ate about 508 more calories per day on average when allowed to eat as much as they wanted.In 2 weeks, that group gained about 2 pounds.A 2023 BMJ paper: for every 10% increase in ultra processed foods in the diet, type 2 diabetes risk rose by 15%.Sugar can hit the brain’s dopamine system in ways that drive cravings. It’s not “you”—it’s design.“Out of a Package” vs. Ultra ProcessedNot all packaged food is bad. Canned beans, canned fish, simple bread, and jarred tomato sauce can be Group 3. The issue is the level of industrial processing and the additives used.High Fructose Corn Syrup (HFCS) vs. Sugar: What We SaidHistory: Farm policy and corn subsidies made HFCS cheap and common. Tariffs made cane/beet sugar pricier. HFCS is stable in acidic drinks and easy to ship as a liquid.How HFCS is made: corn starch → enzymes → glucose → more enzymes → part of it becomes fructose (HFCS-42 or HFCS-55).Table sugar (from cane) is crushed, boiled, and crystallized. Fewer steps. No enzymatic reshaping.Americans still consume around 40 pounds of HFCS per person per year (down from ~60 pounds in the early 2000s).Marketing tried to rebrand HFCS as “corn sugar.” FDA said no.If you want the “old school” soda once in a while, Mexican Coke uses sugar, not HFCS. Still soda—just different sweetener.Oils: Seed Oils, Trans Fats, and Tallow FriesHydrogenated oils (trans fats) were pushed in when saturated fat got blamed for heart disease. That didn’t end well.Inter-esterified oils were later used to replace trans fats in many ultra processed foods.Beef tallow has a higher smoke point than many seed oils. That doesn’t make a basket of fries a health food.Beware “one villain” marketing (like “100% beef tallow = 100% better fries”). A fried meal with white buns, processed meat, and soda is still not a health meal.Processed Meat, Safety Scares, and What ChangedMad cow disease (BSE) taught us about prions—misfolded proteins that are very hard to destroy.Risk rose when mechanical separation pulled spinal/brain tissue into meat products.Reforms followed: bans on feeding cattle-to-cattle (1997), removal of high-risk tissues in older cattle, tighter rules on separation and inspections.Bottom line: the system was built for speed and profit, then patched after problems. It’s better, but still opaque. The burden of choice lands on you.How To Spot Ultra Processed Foods FastIngredient list longer than 5–6 items.Additives you wouldn’t cook with at home.Sweeteners: sucralose, acesulfame potassium, erythritol.Isolates: soy protein isolate, modified food starch.Colors: Red 40, Blue 1 (note: “natural flavors” doesn’t mean much).“Enriched” refined flour often points to Group 4 versions.Suffix clues: “-ose,” “-ate...
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      1 h et 7 min
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