Diabetes Training 101 Inc.

@DrSamuelBHume Thanks for sharing this

The 10 most striking Kaplan-Meier curves (that I have seen) 🧵 1. Dual GLP1/GIP agonist, Tirzepatide, for prevention of type 2 diabetes in people with obesity It's easy to miss the dark blue line (15 mg group), because it never leaves the X axis:

@KevinH_PhD Thank you for your incredible work in this area! I’ve learned a lot from your research. While these times often seem like a huge loss, my experience is that they are fantastic opportunities to grow and serve in other ways. Best of luck to you in your new path forward!!!!

After 21 years at my dream job, I’m very sad to announce my early retirement from the National Institutes of Health. My life’s work has been to scientifically study how our food environment affects what we eat, and how what we eat affects our physiology. Lately, I’ve focused on unravelling the reasons why diets high in ultra-processed food are linked to epidemic proportions of chronic diseases such as diabetes and obesity. Our research leads the world on this topic. Given recent bipartisan goals to prevent diet-related chronic diseases, and new agency leadership professing to prioritize scientific investigation of ultra-processed foods, I had hoped to expand our research program with ambitious plans to more rapidly and efficiently determine how our food is likely making Americans chronically sick. Unfortunately, recent events have made me question whether NIH continues to be a place where I can freely conduct unbiased science. Specifically, I experienced censorship in the reporting of our research because of agency concerns that it did not appear to fully support preconceived narratives of my agency’s leadership about ultra-processed food addiction. I was hoping this was an aberration. So, weeks ago I wrote to my agency’s leadership expressing my concerns and requested time to discuss these issues, but I never received a response. Without any reassurance there wouldn’t be continued censorship or meddling in our research, I felt compelled to accept early retirement to preserve health insurance for my family. (Resigning later in protest of any future meddling or censorship would result in losing that benefit.) Due to very tight deadlines to make this decision, I don’t yet have plans for my future career. The NIH has been a wonderful place because it allows scientists to take risks, form unique collaborations, and do studies difficult to conduct elsewhere. I’m proud of what we’ve accomplished and I’m fortunate to have had such wonderful colleagues and scientific collaborators. I hope to someday return to government service and lead a research program that will continue to provide gold-standard science to make Americans healthy.

@AliceYYCheng @IntDiabetesFed Patients don’t like the 75gm OGTT. I’d love to see a CGM “test” -1 sensor worn for 10/14 days which often tells the patient much more about their responses to food-stress-exercise than an OGTT or and of our other interventions do.

1 hour post 75g OGTT to determine “intermediate hyperglycemia” if >-=8.6 mmol\L and diabetes if >=11.6 mmol/L. New @IntDiabetesFed diagnostic criteria #IDF2025 what do you think about this??

@MatthewRehrl @ConscienHealth @NHSEngland Diabetes Canada has this approach in their Clinical Practice Guidelines. They aim to mitigate the harm with a user guide that has warnings for the patient to read. I cannot understand how anyone can promote this as a long term approach to remission.

@ConscienHealth @NHSEngland “The 800-calorie diet at the heart of this program is one of extreme deprivation…” Wow…no doubt it works short term and fails long term.., How in the world does this stuff get out to the public in 2024? A 2 min Pubmed search could have shown this approach will not work! 😔

Spin masters in the UK are calling the @NHSEngland soups and shakes #diet a “brilliant” way to “beat type 2 #diabetes.” Nevermind that it’s unacceptable to most and relapse rates are 87% within five years. conscienhealth.org/2024/08/soups-…

@DennisKendel This is not the healthcare system I trained to work in! A system determined by cuts to affecting those who work tirelessly to better our lives.

Saskatoon palliative cancer patient left on ER stretcher for four days | Globalnews.ca globalnews.ca/news/10606671/…

@seanwharton Dr. Wharton: I searched Apple Podcast and Spotify for this podcast with no luck. Can you help me find which platform it’s on?

Looking forward to this podcast with Dr. Shapiro. It was good fun and Marla is a true professional.

@realgirl_fieri Is your fat making you sick? Do you have health problems? There is no reason to need obesity treatment if you are healthy, happy and big. I’ve lived my whole life thinking I need to be smaller when in fact I’m 53, big and healthy. It can be tough to tune out the messaging tho.

@mavisclare I go thrift shopping and when I find something that seems really perfect to me, it reminds me that a lot of things in my closet likely would be perfect for someone else. Then I feel better about donating and decluttering.

Curious about what strategies have worked for people cleaning out closets/ trying to downsize the amount of stuff they've accumulated. I have so many items of clothing that I haven't worn in literally 5 or more years & yet -- I still hesitate??

Need help figuring out what to eat when you live with Type 2 diabetes? The Healthy Portions Are In Your Hands course guides you to feel less stressed and more empowered that you can eat in a way that helps with blood sugar control. course.diabetestraining.ca

@DrMakokis As a Registered Dietitian and CDE I would love any insight into improving the relationship with food. I always appreciate a parallel of western health interactions and contrast to an Indigenous led/preferred interaction.

If there was a new book on indigenous health and healing written by an indigenous physician who practices in Indigenous communities and with Indigenous Peoples, what would you want to learn about?

New blog post from Diabetes Training 101 Inc. Want a strategy that you can adopt today to Make a Difference for both people with diabetes (or any chronic condition) and their health care team? Read my latest blog post to learn more. diabetestraining.ca/non-compliance… #diabetes

Important #diabetes CGM coverage update for anyone covered by Non Insured Health Benefits. As of April 25, 2023 @DrMakokis

@seanwharton I appreciate you making the point that Ozempic is a treatment for a chronic disease and not a vanity “lose 5 pounds for a wedding” drug. Chronic disease management is a long haul strategy requiring support and treatment to best avoid relapse.

@seanwharton I look forward to hearing what you have to share Dr Wharton.

Just filmed a segment for the #CBC #TheNational. Of course on #Ozempic and the hype. And #metformin and the hype. Live longer. Less cancer. Really?? Maybe, maybe not. 😁. Airs tonight April 14th at 10:00pm

@ladysun1969 @vvictorman_uel I’ve seen no evidence that delayed gastric emptying results in gastroporesis. Please share. Chronic hyperglycemia can cause gastroporesis. DGE has been very helpful in my patients with low endogenous insulin levels. It helps reduce CVD risk by improving post prandial glycemia.

I looked up more on ozempic for cosmetic use and basically celebrities are giving themselves gastroparesis to get thinner?????? wtf!???

@MichaelAlbertMD @MatthewRehrl We already have an obesity staging system and have had for years. Edmonton Obesity Staging System

@MatthewRehrl This is purely a framework for diagnosis. I think you are advocating for a staging system, which would stratify severity based on complications, which IMO, is trying to accomplish a different objective.

I desperately want to redefine the disease of obesity as a clinical syndrome described by its biological underpinnings rather than (exclusively) its anthropometric consequences. Major criteria: 1) Appetite dysfunction 2) Insulin Resistance 3) Inflammation Minor criteria: anthropometric, psychological, and functional measures This would go a long way to improve the biological understanding of obesity, which I believe would make it easier to embrace as a disease worthy of treatment. @BevTchangMD

This week we are delivering our 3-day evidence-based Diabetes Manager University (DMU) program in Saskatoon, SK to home care nurses to gain the confidence and skills to help people Live Well with Diabetes. A few spots remain for our upcoming DMU training in Regina Feb 21-23.

@RPSTrafficUnit @reginapolice Diefenbaker Drive turning left onto Pasqua North: the lane designation wasn’t signed the last time I looked and it gets very backed up between 7-8am weekdays. If no lane designation sign is present, can you turn left or right from the middle lane on a green light?

I have had a few people asking about Arcola Ave and College Ave. There are two lanes to turn right from College, going southbound onto Arcola Ave and it is ok to turn right on a red from both 👍. @reginapolice

@lindseytherd Not a movie but if you haven’t watched the Schitt’s Creek TV series which is absolutely the most over-the-top and endearing TV series I have ever watched (twice). I don’t watch much TV but absolutely loved every second of that series.