The discourse initiates with a cordial greeting from Deborah Anderson, who articulates her reflections inspired by a recent Matlock episode. Through this lens, she examines the critical importance of managing diabetes, particularly focusing on the perilous condition known as diabetic ketoacidosis, a topic that has been the focus of the past few episodes. Deborah’s narrative is profoundly influenced by her childhood experiences, where she was instilled with a sense of responsibility at a tender age to manage her diabetes independently. This retrospective analysis serves as the foundation for her argument that when individuals living with diabetes DO manage their diabetes, the credit should remain with them rather than their parents, and vice versa. Conversely, an encouraging, team-based approach is much better than a toxic, blame-based, credit-grabbing approach that does not benefit the diabetic or the diabetes management approach. The parents, in this situation, have an opportunity to set a positive example.

“I was diagnosed at six, but it’s like, this is your disease, you need to manage it…It’s your disease, you handle it…” 

Deborah, 05:38

Deborah’s insights challenge conventional perceptions regarding hospital visits and health management, advocating instead for a proactive approach that prioritizes regular health assessments and awareness of one’s condition. Also, the absence of medical visits does not mean absolute health in the way that some may indicate that it does and instead, it represents a willingness to advocate for a team approach and listen to wisdom from medical professionals assigned to their medical team.

• In this episode, we explored the intricate relationship between diabetes management and personal accountability.
• The podcast underscores the importance of seeking medical help when experiencing prolonged high or low blood sugar levels.
• We emphasized that being proactive in health management can significantly improve outcomes for diabetics.
• Ultimately, the episode conveys a message of self-advocacy and the importance of being informed about one’s health.

As the episode progresses, Deborah emphasizes the need for individuals to seek help and support, dispelling the stigma often associated with frequent healthcare visits. She presents a nuanced perspective on health management, emphasizing the significance of self-advocacy and regular monitoring in preventing complications such as diabetic ketoacidosis. Her overarching message is one of empowerment, encouraging individuals to take their health seriously and engage actively in their management strategies. By intertwining personal anecdotes with broader health themes, Deborah fosters a deeper understanding of the complexities surrounding diabetes management, inspiring her audience to approach their health journeys with confidence and diligence.

Chapters

• 02:04 Inspiration from Television (New Matlock)
• 04:54 Algorithmic Inequality in Others’ Assessment
• 09:02 The True Sign of a Healthy Approach to Management
• 11:32 Revisiting the Simple Rule of When to Visit the Hospital
• 13:58 Seeking Help and Support IS a Sign of Health

Episode Resources

Episode Credits

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Through a profound personal narrative, the podcast encapsulates an extraordinary tale of survival against the odds, as recounted by Deborah, who shares her harrowing experience with diabetic ketoacidosis during a period of balancing whether to listen to her mentor and pastoral care team or that which she knew, as far as diabetes care. Thinking she had it handled, by checking her blood sugars constantly, she found out that diabetic ketoacidosis does not play games. This episode, aptly termed the ‘Pasadena story,’ delves into the intricate dynamics between personal belief systems and the harsh realities of medical conditions. The story begins with Deborah reflecting on her youthful conviction, spurred by a minister’s declaration of her healing, which led her to abandon her insulin regimen. The repercussions of this decision manifest tragically as she descends into a life-threatening episode of diabetic ketoacidosis, a condition that she navigates with a mix of denial and ignorance, unaware of the grave danger she is courting.

“After this experience, I’ll tell you, I definitely started understanding diabetic ketoacidosis intimately.”  

Deborah, 06:39

As the narrative unfolds, listeners are drawn into a vivid depiction of the escalating symptoms that accompany diabetic ketoacidosis, including severe dehydration, vomiting, and ultimately, loss of consciousness. Deborah’s storytelling is imbued with emotion, revealing her vulnerability and the sense of isolation she felt during her ordeal. The indifference of the friend she was staying with during this crisis further underscores the precariousness of her situation, as she grapples with both her deteriorating health and the lack of support from those around her. This account becomes a critical examination of the need for vigilance and responsibility in managing one’s health, particularly for individuals living with chronic illnesses. It is also an awareness that not only does one have to be concerned about they listen to but also who they choose as their support team, as is the case of this friend who opted to dispose of Deborah’s “lifeless” body (a case for which the Los Angeles County Attorney encouraged Deborah to press charges and testify – which she did not) rather than calling for help.

• Diabetic ketoacidosis is a critical condition that requires immediate medical attention; delay can be fatal.
• The narrative emphasizes personal responsibility in managing diabetes, including the importance of insulin usage.
• The podcast serves as a cautionary tale for diabetics and their loved ones about the seriousness of their condition.
• Deborah’s experience highlights the role of support systems in health crises and the need for vigilance.

The climax of the episode reaches its peak as first responders arrive to find Deborah unconscious, prompting urgent medical intervention. Her miraculous survival, despite the grim circumstances and the multiple resuscitations she required, serves as a testament to the fragility of life and the intricate interplay between faith, science, and personal responsibility. The conclusion of the episode is not merely a reflection on her personal experience but a clarion call for diabetics and their loved ones to take diabetic ketoacidosis seriously. Deborah’s message is clear: adherence to medical advice is paramount, and belief in healing should never supersede the necessity of proper medical treatment. This episode serves as both a cautionary tale and a source of empowerment for listeners, highlighting the importance of informed health decisions and the value of life.

Chapters

• 01:57 The Pasadena Story: A Life-Changing Experience
• 05:20 Beliefs and Health: A Personal Journey
• 08:35 The Onset of Diabetic Ketoacidosis
• 11:47 A Night of Struggle
• 13:21 The Moment of Crisis
• 18:12 Reflections on Life and Choices

Episode Resources

Episode Credits

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The discourse presented within this episode of DiabeticReal delves into the intricate and often perilous nature of diabetic ketoacidosis (DKA), a profound concern for individuals grappling with diabetes. The host, Deborah, articulates her personal experiences and reflections on DKA, underlining its life-threatening implications. Through the lens of a poignant article recounting the tragic loss of a brother to DKA, she emphasizes the critical need for awareness and timely intervention when confronted with symptoms indicative of this condition. This narrative not only elucidates the gravity of DKA, often underestimated by many, but also seeks to foster a broader understanding applicable to all individuals facing life challenges, thereby transcending the confines of diabetes alone.

“You can’t just say, “Oh, I’ll dress it next week…,” because next week you will be dead.“ 

Deborah, 05:41

Deborah further engages the audience by recounting her own encounters with the healthcare system, particularly highlighting the necessity of adhering to one’s internal guidelines when it comes to health crises. She shares a personal policy implemented with her husband regarding hospital visits, which serves as a safeguard against the dangers of neglecting persistent high blood sugar levels.

• The episode emphasizes the importance of recognizing the seriousness of diabetic ketoacidosis, which can indeed lead to fatal outcomes.
• There is a strong warning against dismissive attitudes from medical professionals regarding diabetic ketoacidosis, highlighting the potential consequences of negligence.
• The episode discusses a structured plan of action for dealing with prolonged high or low blood sugar, emphasizing the importance of hospital visits when necessary.
• Listeners are reminded to remain informed and proactive about their health, particularly those living with diabetes or caring for someone who is.

Deborah’s candid sharing of her emotionally charged experiences aims to empower listeners, especially those with diabetes, to prioritize their health and seek immediate medical assistance when needed. The episode concludes with an urgent reminder that ignoring symptoms can have dire consequences, reinforcing the episode’s core message about the importance of vigilance and immediate action in the face of medical emergencies.

Chapters

• 02:10 Finding Balance in Life
• 02:36 Understanding Diabetic Ketoacidosis (DKA)
• 05:57 Understanding DKA and Emergency Responses
• 10:10 Understanding DKA and Personal Experiences
• 15:23 Urgent Care Protocol for Diabetic Ketoacidosis

Episode Resources

Episode Credits

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The latest installment of DiabeticReal delves into the profound intersection of music and the complexities of health, as articulated by the host, Deborah E. She reflects on her recent endeavors in the studio and her live performances, drawing parallels between her artistry and the legendary Karen Carpenter, whose influence looms large in the realm of music. The episode takes a poignant turn as Deborah explores the tragic narrative surrounding Carpenter’s life, particularly her struggles with anorexia and the implications of diabetic ketoacidosis (DKA).

“[I]t’s also true that [Karen’s] heart stopped and as a result of all the dieting because of anorexia nervosa, there’s also the aspect that was caused by the ketoacidosis.” 

Deborah, 06:53

Through a blend of personal anecdotes and factual discourse, Deborah elucidates the dangers of misperceptions regarding diabetes, emphasizing that DKA is not solely confined to type 1 diabetics, but can also affect type 2 individuals and even those undiagnosed. This nuanced discussion prompts the audience to reconsider the multifaceted nature of health issues, particularly in the context of dieting trends like keto, which can inadvertently lead to severe consequences for individuals with diabetes.

• The discussion highlights the critical importance of understanding diabetic ketoacidosis, which can occur in both type 1 and type 2 diabetics, as well as in non-diabetics.
• It is essential to acknowledge that anorexia nervosa, while a significant factor in Karen Carpenter’s demise, does not exclusively account for her death, which was compounded by complications such as starvation ketoacidosis.
• The podcast emphasizes the risks associated with the ketogenic diet for type 1 diabetics, particularly the potential for inducing diabetic ketoacidosis due to insufficient carbohydrate intake.
• The episode reflects on the legacy of Karen Carpenter and the lasting impact of her music while discussing the broader implications of health and dietary choices.

In a deeply personal narrative, Deborah shares her own experiences with DKA, recounting a near-fatal episode that underscores the critical importance of understanding one’s health condition. She highlights the precarious balance that diabetics must maintain when it comes to diet, particularly in light of popular diets that may not account for the unique physiological challenges faced by those with diabetes. The conversation transitions to a broader examination of societal attitudes towards dieting and body image, inviting listeners to reflect on the often-overlooked risks associated with extreme dietary practices. Ultimately, the episode serves as a reflective commentary on the necessity of informed health choices and the enduring legacy of artists like Karen Carpenter, who continue to resonate with audiences while also reminding us of the fragility of health in the pursuit of creative expression.

Chapters

• 01:55 Reflecting on Karen Carpenter
• 06:06 Understanding Diabetic Ketoacidosis
• 07:58 The Causes of Ketoacidosis
• 12:20 The Risks of the Keto Diet for Type 1 Diabetics
• 14:09 The Vulnerability of Type 1 Diabetes and DKA
• 16:41 Reflections on Survival and Health

Episode Resources

Episode Credits

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The discourse presented in this episode of the DiabeticReal podcast compels us to confront the notion of personal responsibility concerning one’s health. Deborah articulates a critical perspective on the reliance individuals place upon medical professionals, emphasizing the imperative for patients to engage actively in their healthcare decisions. She asserts that while doctors are indeed knowledgeable, they are often overburdened, which may lead to a lack of comprehensive attention to each patient’s unique medical history and needs. 

“I think the only way to drive this home is to actually share a couple scenarios so that you get the idea of how serious this could get for someone if you don’t pay attention…” 

Deborah, 05:14

Through personal anecdotes, Deborah underscores instances where her health could have been jeopardized due to insufficient attention to her medical records and the implications of prescribed medications. This cautionary tale serves not merely as an admonition against blind trust in medical authorities but rather as a clarion call for individuals to assume an active role in their healthcare journey, conducting their own research and being acutely aware of potential contraindications inherent in their prescribed treatments. Ultimately, the episode encapsulates the necessity of empowerment in health management, urging listeners to become vigilant advocates for their well-being.

• The host emphasizes that personal health management is an individual’s responsibility, which should not be overlooked.
• It is imperative to conduct thorough personal research regarding one’s medical history and treatments prescribed by doctors.
• One must be cautious of medications that can provoke adverse psychological effects, including suicidal ideation, even if they seem benign.
• Communication with healthcare providers is crucial; ensure that all relevant medical history is disclosed for optimal treatment outcomes.

Chapters

• 01:55 Introduction to the DiabeticReal and Medical Disclaimer
• 05:12 The Importance of Personal Responsibility in Health
• 10:44 Case Study 1: Medicines that Can Affect Life Perspectives
• 12:55 Case Study 2: Medicines that Cross Blood Brain Barrier
• 17:23 Taking the Initiative to Do Your Own Research for Your Health

Episode Resources

Episode Credits

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The discourse presented in this podcast episode navigates the intricate interplay between emotional well-being and the external challenges posed by societal interactions. The host, Deborah, elucidates a recent incident during a TikTok LIVE session, wherein she encountered unwarranted hostility from certain individuals who resorted to derogatory language, including racial slurs. This encounter prompted a profound contemplation on the broader implications of such interactions, particularly their impact on mental and emotional stability.

“Don’t let people toss you to the ground just because they themselves are mean-hearted and have not figured out how to find joy in their lives.” 

Deborah, 10:47

Deborah asserts that while physical ailments are often tangible and readily acknowledged, the subtleties of emotional distress require a more nuanced understanding. She emphasizes the necessity of fostering a healthy psychological environment, suggesting that our responses to negativity from others should be rooted in self-assurance and positivity.

• The complexity of human experience encompasses not only physical challenges but also emotional and psychological dimensions.
• The manner in which individuals choose to interact often reflects their own unhappiness rather than any inherent flaws in others.
• It is crucial to nurture one’s self-worth and not allow external disparagement to diminish one’s internal joy and value.

In her reflections, Deborah advocates for resilience in the face of adversity, urging listeners to recognize the disconnect between the opinions of strangers and their self-worth. She posits that the behavior exhibited by those who resort to insults reveals more about their internal struggles than about the individuals they target. Through a series of illustrative anecdotes, she illustrates how she maintained her composure and positivity despite the barrage of negativity aimed at her. This episode serves as a clarion call for listeners to cultivate inner strength and seek joy in their lives, regardless of external opinions. By challenging her detractors to pursue their own happiness, Deborah not only reaffirms her own value but also extends an invitation to her audience to engage positively with the world around them, thereby reinforcing the importance of emotional health amidst life’s challenges.

Chapters

• 02:24 Understanding Emotional and Mental Stability in Diabetes
• 02:51 Addressing Inappropriate Behavior on Social Media
• 05:32 Facing Criticism with Positivity and Calmness
• 09:29 Understanding Criticism and Self-Perception
• 10:41 Finding Inner Beauty and Joy in Life

Episode Resources

Episode Credits

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The discourse presented in this particular installment of DiabeticReal revolves around the enduring theme of perseverance amidst adversity, a notion that resonates universally, transcending the specific challenges faced by individuals with diabetes or other health-related conditions. Deborah, the host, articulates the inherent struggles that accompany the human experience, particularly during those moments when one feels overwhelmed by obstacles that seem insurmountable. She poignantly reflects on the fragility of human endeavors, illustrating how a single, minor setback can precipitate a profound sense of despair, especially when one has invested considerable effort in preparation and anticipation of a positive outcome. This emotional landscape is navigated with sincerity as she invites listeners to acknowledge the significance of resilience and the importance of maintaining a forward trajectory despite life’s inevitable hardships.

“Even if I don’t know you, I’m going to say that. So think of how those people would feel if you were no longer here. You got to keep on keeping on for them.” 

Deborah, 06:49

A salient point within her narrative is the emphasis on gratitude. Deborah encourages her audience to engage in introspection, to count their blessings, and to recognize the myriad aspects of their existence that merit appreciation. She posits that gratitude serves as a powerful antidote to despair, drawing attention to the fact that even in the face of adversity, there exists a wealth of positive experiences and relationships that should be cherished. Deborah’s reflections on her own life experiences, including her physical health and the support she receives from loved ones, serve to underscore the message that one is never truly alone, regardless of their struggles. This perspective is vital in fostering a sense of community and shared experience among listeners who may feel isolated in their challenges.

• The concept of perseverance is crucial, particularly in the face of life’s inevitable challenges and adversities.
• Cultivating gratitude for one’s circumstances, regardless of their severity, serves as a powerful tool for maintaining resilience.
• It is imperative to remember that each individual possesses unique struggles, hence fostering a sense of compassion towards oneself and others is essential.
• Ultimately, the act of ‘keeping on’ is not merely a suggestion; it is a necessary commitment to oneself and to those who care for us.

In summation, the episode conveys a profound message about the necessity of ‘keeping on’ in the face of life’s tribulations. Deborah’s earnest affirmation of love and support for her audience serves as a poignant reminder that even when one feels adrift, there exists a network of individuals who care deeply. The episode ultimately champions the idea that resilience, bolstered by gratitude and the recognition of one’s intrinsic worth, can guide individuals through the darkest of times, leading them toward brighter horizons.

Chapters

• 01:56 Introduction to the Episode
• 03:55 The Challenge of Keeping On
• 05:31 The Power of Love and Connection
• 08:23 The Importance of Gratitude
• 09:41 Inspiration from Helen Keller

Episode Resources

Episode Credits

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The discourse presented elucidates a significant cultural transformation regarding the awareness and responsiveness of the culinary industry towards patrons afflicted with diabetes, particularly type 1 diabetes. Deborah reflects upon her extensive personal experience with the condition, noting a gradual decline in the proactive measures once commonplace in restaurants. It is recounted how, during earlier decades, establishments exhibited a commendable level of understanding and support for individuals experiencing hypoglycemic episodes. Instances are shared where employees would swiftly provide sugary beverages, such as orange juice, without hesitation, thereby prioritizing the health and safety of their customers. This historical perspective serves to underscore a stark contrast with contemporary practices, where the nuances of dietary restrictions and medical emergencies appear to be overlooked or inadequately addressed. 

“…Owners and managers [should] know about some of these things” 

Deborah, 03:25

Furthermore, the conversation delves into specific anecdotes highlighting the evolving interactions between diabetic patrons and restaurant staff. A poignant example illustrates a recent encounter at a fast-food establishment, where Deborah, in a state of low blood sugar, struggled to communicate her needs amidst the complexities of modern self-service beverage systems. The narrative accentuates a disheartening realization that the intuitive support from restaurant workers has waned, leaving individuals with diabetes to navigate their health crises with diminishing external assistance. Deborah’s experiences serve as a clarion call for a renewed emphasis on training and awareness within the food service industry, advocating for a return to a culture of compassion and immediate support for those grappling with dietary and medical challenges…as well as life and/death emergencies (and potential establishment liabilities).

• In the past, dining establishments would readily provide assistance to those experiencing low blood sugar without hesitation or complication.
• Recent experiences reveal a concerning trend of inconsistent beverage offerings at fast food outlets, especially regarding diet versus sugar-laden sodas.
• It is imperative for individuals with diabetes to be prepared by carrying their own sugar sources, as reliance on restaurant staff as a backup measure may yield a negative response as in hospitalization or even death.

Chapters

• 02:01 Observing Changes in Restaurants and Diabetes
• 03:30 The Shift in Restaurant Awareness Regarding Dietary Needs
• 05:37 The Challenges of Managing Low Blood Sugar
• 08:28 The Evolution of Soda Machines: A Personal Reflection
• 10:34 The Decline of Trust in Fast Food Beverages
• 12:33 Navigating Dietary Challenges as a T1D

Episode Resources

Episode Credits

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The complexities surrounding diabetes management, particularly for individuals utilizing insulin pumps, are thoroughly articulated in this discourse. Deborah, drawing from personal experience as a long-term insulin pump user, underscores a pressing concern that has emerged from a decade of self-research. The primary focus of this episode lies in the observation that certain medications, while ostensibly unrelated to diabetes, can drastically influence insulin response and blood sugar levels. This assertion is not merely anecdotal; it stems from a systematic examination of Deborah’s own physiological reactions to various drugs, revealing a pattern of significant blood sugar fluctuations that warrant attention.  

“I’m saying, please wake up. Because if you’re doing absolutely nothing about this, then you’re just letting type 1 diabetics die under your noses because you’re doing nothing.” 

Deborah, 10:43

The discussion delves into the gravity of these fluctuations, emphasizing that they are not trivial variations but can lead to life-threatening situations such as seizures or even mortality if not managed appropriately. Deborah’s frustration regarding the lack of awareness and response from the medical community is palpable. Despite having communicated these findings to several medical professionals, the responses have often been dismissive or insufficiently engaged, which raises serious questions about the vigilance and responsiveness of healthcare providers toward the nuanced realities of diabetes management. 

• There is a clear call for increased awareness and proactive measures from the medical community.
• Deborah expresses concern over the lack of attention given to medication effects on diabetic management.
• The episode underscores the importance of individualized adjustments to insulin pump settings based on medication usage (preferably with medical team direction, if that can be obtained).

The episode ultimately calls for a heightened awareness among both patients and doctors, urging the latter to take the findings seriously and explore the implications of medication interactions in greater depth. The hope for the type 1 diabetics is that they will find a way to determine the effect that medication has on their health before it is too late, even with a lack of help from their medical team, which is what Deborah has experienced in her case, so she figured out how to manage this phenomenon on her own. She theorizes that possibly those who have been affected previously and did not get help may not be around anymore to ask for such help, especially in light of a comment along those lines by a local pharmacist.

Chapters

• 02:02 Introduction to Episode on Medication Interaction with T1D
• 03:00 Needs for Insulin Pump Config Changes
• 06:32 The Impact of Medication on Blood Sugar Levels
• 08:18 The Urgency of Medical Attention for Type 1 Diabetic
• 11:51 Understanding Diabetes Management and Medication Effects

Episode Resources

Episode Credits

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