What is type 2 diabetes? How does it cause problems to eyes, kidneys and nerves?
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- เผยแพร่เมื่อ 28 มิ.ย. 2024
- Explanation of Type 2 diabetes and how it causes its complications of eye problems (retinopathy), kidney problems (nephropathy) and nerve problems (neuropathy).
Sick Notes is Dr Ed Hope's guide to medical terminology in plain-English.
Clarifications:
- Low Sugar Diet - for clarity I should have used the term 'low carbohydrate diet' as all carbohydrates (rice, bread, starches) are converted in to glucose not just simple sugars.
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Any requests for videos to cover please drop them in the comments.
Related links:
- NHS Choices on Diabetes:
www.nhs.uk/conditions/Diabetes...
- Diabetes UK:
www.diabetes.org.uk - วิทยาศาสตร์และเทคโนโลยี
Dr Hope, your videos are very informative and useful for patients. However, they are also very useful for medical students like me who are trying to prepare for explanation stations in their OSCE exams. Perhaps if you tag your videos with OSCE somewhere it may help your channel grow faster!
As someone who has been type 2 diabetic for a number of years now, I found this very informative, even more so about the causes of the damage. Thank you!
Dr. Hope, could you please consider doing a video on kidney failure (chronic kidney disease)? Thanks for your videos!
My ex mother-in-law actually experienced a sharpening of her vision when she developed diabetes. She remarked about her sudden improvement in vision when she was at the DMV, and the woman behind the counter refused to renew her license until she'd gone to the doctor. It might well have saved her life. My ex had the opposite happen, and he also had some really rare symptom where the cholesterol in his blood bubbled up under his skin. He has vague memories of being surrounded by curious medical students.
This video should be required viewing schools. Excellent explanation.
I got diabetes just looking at you because you’re so sweet
Sorry for the cheesy pickup line. I had to do it
Seriously?! Thanks for that buddy, I'll be sure to tell my diabetic clinic that's why I'm there, because I looked at someone sweet. Not because my pancreas gave up on me. #type1diabetic #takeitseriously
@@hannahclarke872 You seem very salty.
@@Oddishyy might because this fucking disease that I did nothing to deserve has nearly killed me a handful of times and still prevents me from having children or even having a smooth day at work.
@@hannahclarke872 Not to sound rude, but I'm sure I will. He did specify it towards the type 2, which at that point is typically someone's own fault for eating unhealthy. If you have type 1, you should already know the difference between them. So, no offence to you, but if someone's joking about it and you know it's a harmless joke, there's not much point in getting offended. That would be like me getting offended for some sort of lesbian pick-up line that I know is supposed a joke because "I'm gay, how dare you."
Thankyou so much for the videos! Your explanations are very helpful!
I know type two is most common but can you so a vid on type 1?
Dr. Hope, thank you for sharing very informative videos :) I hope you continue on making such amazing videos!
This has got to be one of the most important videos you have done (for obvious reasons). Great job sir.
Have you looked at Lustig's information about sugar?
Keep learning Dr Hope
Great video :) If you do further videos on diabetes, I'd love to learn more about gestational diabetes and why it occurs!
Excellent video... great job...
I adore you, but can I make a video suggestion? I'm a type 1 diabetic, I'd like to talk about my experience as a diabetic and get more info out there, could we do some sort of Dr Hopes Q+A where we talk to you about our personal experiences and try to dismiss some of the myths and improve some of the available info and increase empathy? For example, people who inject insulin are regularly subjected to stares, distasteful comments, judgemental comments and social isolation due to others lack of knowledge and association that anything to do with needles is dirty.
Im also type 1 diabetic! Do you have a cgm or pump?
I agree with the stares and stuff. At restaurans it was akward, shots, fingir pokes. I totally agree.
Thank you so much for this video, I'm going to share it every time I need to simply explain why in type 2 reducing carbohydrates should be the obvious answer, alas it's hard when diabetic people's diet start and end with bread, oats, and all that, as if they didn't all turn to glucose. Thanks for your work!
very informative
Wonderful. Great job! Informative and well-paced. I want to be your friend now.
Again this is a class act
Please do a video about inflammatory bowel disease! I was recently diagnosed in April and would love it explained in simple terms😂🤷♀️x
Thank you
Hi Dr Hope can you do a video on kidney infection with Diabetes type 2 please and I love watching your videos and I would love be a doctor in the future
Can you please provide sources for diabetes being caused my too much sugar? All the literature review I have read suggested high fat is the cause of type 2 diabetes. A whole food plant based high carbohydrate and low fat diet has been shown to actually reverse diabetes too.
Great explanation but what got me thinking is that you did not mention pregnancy-related diabetes! And why that occurs? And from I professional point of view, I got curious. But I like your simple way of explaining a complex process.
It's been a long school day for me so maybe I missed it, but I didn't hear any mention of what role having hereditary disposition to Type 2 Diabetes plays.
From the sources I've looked at(Norwegian Diabetic Association and Norwegian Health Institute), Type 2 seems to be largely or entirely dependent on having both the genetic pre-disposition towards developing Type 2 AND a poor lifestyle.
Also a 'small' follow-up, can a person develop Insulin resistance without being Diabetic?
It would have been nice if you'd mentioned other reasons to contract type 2 diabetes. I suffer from crohn's disease, and to get it under control initially, my specialist put me on a long course of prednisone (75mg a day). Needless to say I went from "family disposition toward type 2 diabetes" to "surprise! you have diabetes" within the year. (I also gained a pile of weight I'd lost, gained an extremely short temper, and other lovely symptoms.) I can almost understand most people considering type 2 diabetes to the "duh, you had too much soda, it's your fault" disease, but I would have hoped that a medical professional would at least mention that there are other ways to end up with this.
Caveat: my diabetes is bordering on being both, now. My pancreas doesn't make enough insulin, and it doesn't work all that great. That said, I keep my blood sugar around 5-6mmol/l most days.
I know or heard about several people in difficult situations who get diagnosed with diabetes, only to ignore it - possibly due to finding it too (mentally?) exhausting to change their lifestyle. (or other reasons?)
What do you think about these kinds of situations? What can I/anyone do? I care about them but don't know if it's my place to lecture a grown person to take better care of themselves.
Can you explain kidneys more
Could you do a sicknote on hypoglycemia? Does hypoglycemia mean that you are at risk for diabetes/is it a sign for it?
Low blood sugar (hypoglycaemia) is not a symptom / sign of diabetes. The only reason people with diabetes are at risk of hypoglycaemia is because they have too much of their medication which is designed to lower their blood sugar.
Dr Hope's Sick Notes oh, Thank you so much, that clears things up for me! Have a great day!!!
@@DrHopeSickNotes what about type one? Is hypoglycemia a sign of of type one diabetes?
Hi, can you “reverse diabetes” or “not become diabetic” again? Lots of articles and diets say this but my mum, a nurse, was told this isn’t possible
Lots of exciting research going on in this area. Type 2 diabetes is a spectrum, there has been evidence to suggest that people can take less medications (even not needing any medications!) when they have done significant lifestyle modifications like diet, weight loss and +/- exercise. So this could be considered a reversal of the disease, however there is increased risk of it returning and requiring treatment.
There's no cure or several of type 1 however.
You can definitely reduce the need for medication if you can successfully bring your levels down from whatever level you may be averaging, weight loss and cutting out sugar is obviously the key to that so you can drop down close to what a regular person would be but whether you could ever reverse the condition is debatable since once you pass the tipping point the body always remains in that state and as you age it gets increasingly worse as it is a degenerative disease but losing weight and cutting out sugar can do nothing but help the condition and its what every normal person should be doing anyway whether they have diabetes or not.
A whole food plant based diet that is high carbohydrate and low fat can reverse type 2 diabetes.
As a type 2 so far the greatest change with me was going KETO, staying under 22carbs a day and maxing out at 50 carbs in a day every few months, blood sugar stays between 80-130 without insulin or metformin, i did also loose about 20lbs. Its not for everyone and the best advice i can give is just to watch how many carbs you eat, it adds up (especially since all we love is pure carbs, bread, pizza, pasta, beer, sweets)
Only reason i dont recommend KETO is just that it is really hard to follow daily, you have to prep all foods as most store-bought items have extra sugar/carbs in them. Also for a while you will have really strong cravings for sugar not to mention Keto Flu.
Sometimes i really wish America would start selling healthier foods in the stores, but i think our sweet-tooth nature brings companies to offer more sugar in everything (considering most other countries see our food as over sweet like our bread) At least im now finding more items that are less sugar (a sugar free ketchup, only 1 carb per serving, a sugar free honey mustard at about 2 carbs per serving, and sugar free bbq sauce at 1 carb per serving), but somedays i do miss pizza as it was cheap and quick to make
My dad has type 2 and he is in denial that he has it even though his kidneys are failing and he had a heart attack last year. He doesn’t check his blood sugar snd gets angry when you mention it. He won’t listen so I have given up.
I have diabetes, but I'm not really sure what type it is. I found out when I was 16 years old, after feeling bad and pulkin all day (3 times actually). I stayed one whole week there on the hospital. and one of the doctors while were doing tests there were two of them in front of me and one asked to the other if it was type 1 and the other said that they thought it was but I never asked after I was off the hospital. the nurses, even some doctors when I go on a appointment, and the doctor doesn't know me, they ask me what type do I have. and I say is type one but not really having sure of it I'm 20 years old today, now and then, I was overweight. and I hear this is a main reason people have type 2. but I never had any problems with that, besides the diabetes diagnosis.
I even heard once, that it's even rare, for a patient who has type 1 to be overweight. am I one of those?
+Kayla Snowflake I do need injections each day
What is this? An actual real doctor giving advice on TH-cam. Most of them are chiropractors or have mail order doctorates.
I got a question
What is causes to have diabetes?
I just found out of I have diabetes type 2,level 42 so it is not dangerous
It is generic? ( I mean from the family)
Yours sincerely
Akos.
Type 2 diabetes is more genetically related than type 1
As dr hope mentioned in this video it is caused by insulin resistance this means that your body cells cannot use glucose so the glucose levels in the blood stay high "hyperglycemia", this causes the complications dr. Hope mentioned.
Blood glucose should be carefully monitored through healthy life style to avoid these complications.
What a great vid to start my 0 grams of added sugar week XD
There’s 3, you forgot gestational diabetes
There are actually lots more than 3! For simplicity I was just talking about the most common two.
There's another type of diabetes gestational diabetes found in pregnancy
That's only transitional and would pretty much just lead to type 2 or come under the type 2 umbrella if it progressed so not really much need to discuss it since you cant help being pregnant, this was a health discussion about preventing diabetes or helping the condition for those who have it so if you had gestational diabetes youd do exactly the same as he just said but you would probably need medication anyway.
5:54 to 6:54 well im fucked xD
It sounds like if you are a type 2 diabetic and your glucose are high, one should minimize sugar intake simpler said than done. When you eat a proper diet (fruit and vegetables) to correct your sugar intake, your pancreas will excrete the required insulin and not be overburdened.
Don't keep eating those killer starchy foods like pizzas and then expect your medicine to keep you regulated. It is a shame what we feed our bodies and what is sold in the grocery stores that leads to high obesity in America. We feed our children pop tarts for morning breakfast and wonder why they can not learn in school. I enjoyed this video but only a few people will understand the true message in the words spoken and change their eating habits thus resulting in healthy living.
Ugh dad
IRS has nothing to do with time, except for that when measuring a shorter time period, with metabolism, you’ve acquired more energy.
Insulin resistance, logically, is too much energy stored inside muscle cells, so, a sign of your body not needing to absorb any more, desiring the catabolic phase rather than the anabolic. As for the dominant calorically-dense type of energy: fat, at 9 calories per gram.
Refined carbohydrates/ sugars are basically metabolized as alcohol, however, carbohydrates (the healthier variant) are not the cause of diabetes. They’re merely the consequence of the insulin resistance -> hyperglycemia, through the buildup of intramyocellular lipids.
Hypertension doesn’t occur to this stretch on a whole food plant based diet. Neither do the cardiovascular problems, as strokes/dementia/erectile dysfunction. They’re all plain atherosclerotic plaque.