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Is America facing a metabolic crisis, yet why is no one talking about it? In this episode of The Diabetes Diaries, Rachael Sood sits down with Dr. Amit Gupta — Medical Director of the Centre for Diabetes Care in Greater Noida, Chair Elect of the American Diabetes Association's Public Health and Epidemiology Interest Group, and one of the most respected global diabetes experts in the world with over 60 national and international publications. Dr. Gupta breaks down why 90% of the American population is living with sub-optimal metabolic health, who is truly responsible for the metabolic crisis we are facing today and what needs to change before it gets worse. 

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Can you have a safe and healthy pregnancy with Type 1 diabetes? In this episode of The Diabetes Diaries, Rachael Sood sits down with Lauren Bongiorno, founder of Risely Health, the leading Type 1 diabetes virtual health coaching company, who has lived with Type 1 diabetes since she was just seven years old. Lauren breaks down everything you need to know about preparing for pregnancy with Type 1 diabetes from getting your A1C below 6.5 or manageable at least, before trying to conceive. Then talks about managing insulin resistance as it triples during pregnancy and then what navigating tighter blood sugar ranges actually looks like.  Lauren opens up about her experience breastfeeding with Type 1 and what nobody tells you about the postpartum period. She shares her own personal pregnancy story, including the traumatic 42 hour labor, the emergency C-section, then revealed her baby spent four days in the NICU which gave her postpartum anxiety (which had nothing to do with diabetes and everything to do with being a new mom). If you have Type 1, and are thinking about starting a family or may be pregnant, this is the most important conversation you will hear. 

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Could Type 1 diabetes be identified before blood sugar is ever high?  In this episode of The Diabetes Diaries, Rachael Sood sits down with Melissa Holloway, founder of SmartStart Health and Type 1 Diabetes Public Advocacy Lead at King's College in London. Melissa was actually diagnosed with Type 1 as a child after years of symptoms that every doctor missed. She was nearly in a coma and almost died before anyone caught it.

Melissa breaks down everything you need to know about Type 1 diabetes screening, what it is, how it works, why most families and even most doctors have never heard of it, and how a simple blood test or at home finger stick kit can detect Type 1 diabetes before symptoms even begin. She discusses a medication called Teplizumab, approved in 2022, that can actually delay the onset of Type 1 diabetes if caught early enough through screening.

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Does diabetes mean no sugar or no fruit?! In this episode of the diabetes diaries, Rachael sits down with Sarah Hormachea, a board certified diabetes care and education specialist, and registered dietitian, to breakdown common myths around food and diabetes. Sarah explains why managing blood sugar does not mean cutting out the foods you love, but how balance, pairing, portions, plus real life habits matter more than fear based "food rules". Sarah was recently recognized as dietician of the year in Colorado, and serves as a National board member for the Association of Diabetes Care & Education Specialists. Sarah offers professional nutrition counseling and works as an independent consultant. 

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What if your blood sugar looked completely normal but you were actually dying!? In this episode of The Diabetes Diaries, Rachael Sood sits down with Danica Collins, a person living with Type 1 Diabetes, to discuss the dangers of DKA. Danica is a well known influencer and founder of Dia-log,  a health coaching and community platform dedicated to empowering people living with diabetes . She is joined on set along side her mother, Regina Collins, also a well known global mission worker. Danica shares the terrifying story of how she almost lost her life to diabetic ketoacidosis while flying alone from San Diego to New York City — and how her blood sugar never looked dangerously high. She breaks down what DKA actually is, why it can happen even when your glucose levels look fine, how she Ubered herself to the emergency room alone in a city she didn't know, what she wish she had known before it happened and the resources every person living with diabetes needs to have in place before an emergency strikes.

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The Omnipod 5 insulin pump, made by the company “insulet”, is currently the only tubeless insulin pump with automated insulin delivery capability and CGM connectivity on the market in the United States of America. The company released updates to its algorithm in June 2926, including a lower glucose target and improvements so that people can stay in automation for longer. It also connects now to the libre 3 plus sensor, giving patients more choice when it comes to choosing which brand CGM they want to use. What’s most exciting is the new platform called Discover. Listen in and learn more about how the Omnipod 5 is helping people with Diabetes stay in their target glucose range easier and for longer.

 

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We know DKA kills. And is often the first thing that occurs when people are newly diagnosed with diabetes. But now there’s a continuous dual glucose ketone monitor, manufactured by Abbott, that could change it all. In this episode of The Diabetes Diaries, Rachael Sood sits down with Dr. David Ahn, Endocrinologist of Orange County, California. Dr. Ahn explains that CKM technology is not far from US approval, and could be an early indicator of DKA, even earlier than hyperglycemia and the alarms we get from CGM. We discuss the pros and cons of CKM, and if this will solve problems or create new ones? We discuss certain populations, specifically children and wonder if parents can use this technology, especially in conjunction with follow apps. Using CKM may increase awareness for not just people with diabetes, but also for doctors. It is known that certain medication’s can increase risk for DKA so could the evolution of CKM differentiate a new generation of clinicians more ready to prescribe drug classes like Glp1 and SGLT2 inhibitors, that maybe they were scared to do prior? Learn about the brands by Abbot and Dexcom entering the market, which could connect to other systems such as pumps. 

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Is it safe to use GLP1 in T1D? In this episode of The Diabetes Diaries, Rachael Sood sits down with Dr. Diana Isaacs, Pharmacist and Director of Education and training in Diabetes Technology, and co-Director of endocrine disorders in pregnancy at the Cleveland clinic. Dr. Isaacs shares her expertise and clinical insights when it comes to starting Glp1 medications in people living with type one diabetes. We discuss the science behind why it works, including reduced burden, insulin needs, and how the hormone glucagon comes into play. She describes cases where people need much less insulin, and are finally able to lose weight. Learn about adjustments needed for automated insulin delivery system users that are adding in glp1 to their regimen. 

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Could Type 1 diabetes finally have a cure? In this episode of The Diabetes Diaries, Rachael Sood sits down with Dr. Piotr Witkowski, a transplant surgeon at the University of Chicago and the lead researcher behind the Eledon trial - a groundbreaking clinical trial involving islet cell transplant, and the medication Tegoprubart, that may change the future of Type 1 diabetes treatment forever. Dr. Witkowski breaks down what islet cell transplants are, how the procedure works, why insurance won’t cover it, and what it could mean for the millions of people living with Type 1 diabetes worldwide. This is the first time Dr. Witkowski has ever shared this story publicly. 

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