Why is Diabetes So Serious? - A to Z of the NHS - Dr Gill
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- Опубліковано 10 чер 2024
- Diabetes Explained - Why is Diabetes to Serious? - A to Z of the NHS - Dr Gill
There is no doubt, diabetes is on the rise, we all will know someone, or have a connection to someone that has been touched by this disease. Unfortunately, the increasing number of patients affected by diabetes - now more than 5 million in the UK, can in some ways have a normalizing effect, so people are almost less concerned about this serious medical condition
In this episode of the A-Z of the NHS, we look at why is diabetes so serious, covering the issues that diabetic are patients likely to encounter with early, middle, and later-stage diabetic issues
We discuss the pitfalls of diabetes testing, and how this may mean the need to explain to a start helping patients early in the pre-diabetic stage may be a key to reducing the diabetes epidemic
#DrGill #Diabets #NHSAtoZ
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
01:30 - Medical News: Alcohol Consumption and Lockdown Effects
02:32 - UK's Growing Alcohol-Related Deaths
03:05 - Other Medical News: Endometriosis Drug Trial
05:10 - Deep Dive into Diabetes
05:23 - History of Diabetes
06:18 - Understanding Diabetes
08:14 - Diagnosing Diabetes
09:36 - HbA1c in Diagnosis and Monitoring
10:28 - Pre-Diabetes and Setting Targets
12:10 - Risk Factors of Diabetes
14:09 - Symptoms of Diabetes
16:35 - Complications of Diabetes
19:02 - How Does Diabetes Cause Damage?
20:07 - Glycation and Its Effects on Proteins and Enzymes
21:03 - Strategies for Managing Diabetes
23:15 - Drug Treatments
25:57 - Insulin as a Last Resort and Its Perception
28:01 - The Super Six Concept
31:05 - Moving to Vitamin D
It would be nice if you could add "Bookmarks" or "Time Tags" to identify different sections of your video.
Great idea! All you have to do is write the times on individual lines
I’ve been diagnosed with diabetes since I was 3 years old and at 24 I’m already starting to feel the effects of diabetes due to mismanagement in my teens. It is a serious and terrible disease
I'd hope that your consultant would be able to help reduce the effects
I just shouted my family from downstairs: “James & Andy have a new one!”
We watch A-Z of the NHS over supper now; a great way to get my lawyer parents to understand why I love medicine so much. Thank you both so much!!
That’s brilliant to hear 😊 😊 thanks, and hi to the family!
Love the medical news! A nice section to, what is becoming, my favourite Dr. Gill show!
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"It's our show if we want to work something in we will be!"
I like this mentality!
Love the A to Z videos, and they only seem to get better! Been very informative so far, and then once I’ve watched or listened all the way through once, it becomes the perfect sleep aid. Multi-use!
Double win 😊
I'm learning so many things this morning, thank you doctors!
Please never stop and keep educating us.
I genuinely feel that education is a calling, so whilst things are in a balance. We’ll keep going 😊
As a third medical student in London with an interest in ASMR (I know this isn’t exactly your main focus), this channel is just the best. I love being able to learn what I need to learn but also to relax. You mannerisms and demeanour as a clinician are great - the patients are always look relaxed and in super safe hands. Great admiration for what you do!
Dr. Gill, I have enjoyed watching your vid's they are both informative and pleasant to listen while I do other things.
Thank you for that. I’m always grateful when people find a benefit from them 😊
I would like a medical video explaining how ASMR works.
Maybe. Have a look at the video by @medlifecrisis he’s recently covered that
Medlife Crisis’ video on ASMR was great! He talks to James, other people around the medical field who are ASMR-affiliated, as well as current research into why it happens. Very informative!
Dr okouromi is the only Doctor who will never prescribe tabs/injections for DIABETES. This is medical miracle.
Another first class video Dr. Gill. 👍 This type of information and education is extremely valuable to the general public. Respects from 🇨🇦.
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Very interesting and educational, even for a layman. I meet people with chronic illnesses on a regular basis and knowing about those ailments, treatments and hazards is important. This knowledge guides me and my colleagues in our decisions.
I do not work in a medical field but we must know about that as well. It really helps.
Edit.
This is for laymen and women so... I guess I'm in the right place.
Excellent information explained so clearly, thank you 😊
Glad it was helpful
Hello from Texas amazing content as always and please leave the part of the medical news greatly appreciate it. From an RN studying to become a FNP thank you for the videos. I often look at your videos both for clinical skills and discussing cases. 👍
Thanks. That’s great feedback
Dr Gill, these are getting better and better. Please keep at it.
Thanks. I think the new editor helped this a lot
Thank you for this informative video. It helps me understand my condition a lot better.
Glad you found it helpful 😊
That is a top quality video! Thank you
Thanks. I think this is one of the strongest we’ve done 😊
Great job
Thanks. I think the edit was a big improvement, but we need to tighten the videos up still
Hi could you please cover ploymyalgia rheumatic for us all
My SO has suffered from endometriosis for many years now. I really hope new treatments or clinical trials become available to Irish citizens soon. I believe the drug they are trialing is DCA; Sodium Dichloroacetate
I didn't think I could like Dr. Gill's explanations any more than I already do, but then we all saw the way he talked about the diabetes drug. And now that I noticed his socks aren't matching. I'm hooked. I just want to show all my friends from med school who used to make fun of me for mismatched socks (or perfectly matched as I'd like to say) that a famous doctor is doing it too!!
🤣🤣 I just don’t see the benefit it taking time to match socks - UNLESS I’m talking about specific activity socks, like hiking or cycling socks
Thank you! Great video! Is there anyway you could do a video on mental health?
It is in the pipe line 😊
I would watch a review of medical news every week. Could even be a podcast.
In India , A disease called Black Fungus is Rapidly Growing and Affecting lots of People , And it mainly Affecting diabetic patients , What to do Sir , and Ur work is Phenomenal ❤️ , Lots of Love From India 🙏🏻❤️❤️❤️🔥
Quite enjoyed this
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These presentations are superb! Far better than the rubbish on mainstream TV now; (Reality and other 'celeb' junk!)
Thanks. We’re trying to make them more engaging. Slow, but getting go there 😊
waiting on the discussion on the link between Celiac (Coeliac), diabetes and hypothyroidism. ;)
When you guys get to E’s can you please tell me what you know about epilepsy. I would like to get off medication someday. 😔
I needed to see this, I've not been managing my diabetes for 5 months now, lockdown hasn't made it easy to keeo up weight loss
Watches while eating two warmed triple chocolate cookies with whipped cream on top 👁️👄👁️
dent, sounds very nice - need high days and holidays
And now your no longer with us 😢
would you like to share the link on that article with that drug that may help with endometriosis. would really like to read that. maybe something I can try as an option with my gp.
The medication is still in trial in Edinburgh so I don’t think you’ve get far currently
The original paper from 2019 is here
www.pnas.org/content/116/51/25389
only had found this. is still a study
www.researchgate.net/publication/350026797_Dichloroacetate_as_a_possible_treatment_for_endometriosis-associated_pain_a_single-arm_open-label_exploratory_clinical_trial_EPiC
I don’t think it’s best idea that the GP said used the word cured when speaking of remission.
anecdote - My mum long time diabetic, lost a considerable amount of weight, achieved remission and stopped meds for the first time in years, her DN told her she was cured / no longer diabetic
My mum maintained the weightloss and didn’t think she needed to see her health team after this as she no longer considered herself diabetic, 4 years years later, one morning she woke up with severely blurred vision, went back to the GP her BGs and a1c were very high.
“cured” can make people believe they don’t have to continue their care, remember weightloss even if maintained isn’t always a permanent fix.
It’s a reasonable point. However in the UK, we would not stop doing yearly bloods for monitoring, which would reduce the chance of such events
And although we recall the patients, they can still ignore things.
I think there is a a balance to be had won both sides, and the words we chose are often patient specific
@@DrJamesGill She was definitely still invited to her yearly appointments, but she no longer saw them as necessary, it’s like that word “cured” was all she needed to hear to enable her to not go to appointments that she never liked going to in the first place. Some of your patients might take your words in absolute terms leading to “why would I go to dietetic checks when I’m no longer diabetic” attitudes. It’s mostly on them but then some people don’t need much of an excuse.
I’ve recently, April this year was diagnosed myself after becoming symptomatic in my late 20’s, I figured though my endocrinologist and GP are there as great support, this is mostly on me, so I researched as much as I can to help with my understanding
I also joined the diabetes Reddit, with tens of thousands of members on there it seemed a good resource, I posted about achieving remission when I don’t want to lose weight to do so, my bmi is 24 and I have been encouraged to lose 10%, so around a stone, I’ll try but I bet I’ll gain it back, 10 stone seems to be my default, so I don’t really want to deal with the inevitable yo-yo dieting personally. What do you do when something maybe good for you physically but not the best for you mentally?
The general consensus of everybody that commented was remission is rubbish, you’re either diet controlled diabetic or medication controlled, it’s just a term doctors like use when stopping medications but doesn’t mean the root problem is any better itself.
They all said they got their A1C down, low carbing but shortly after reintroducing moderate carbs they started to see hyperglycaemia.
I got my A1C from 108 to 32, keto, didn’t lose any weight other than water weight week one, which was expected as I wasn’t in a calorie deficit but I did manage raise my LDL to 3.6 🙄 I’ve added carbs back, I’d missed them and I saw the other night a 18 mmol reading, 2 hours after eating rice and was still on 14 mmol the following morning, that’s after stopping gliclazide, but still treating with trulicity and metformin.
I was told if my next A1C if low would indicate I was in remission but the root problem hasn’t gotten any better really, despite what my blood test results show.
Hopefully (possible) helpful comment? I have Type II diabetes. I started using a continuous blood glucose monitoring system a few years ago. (I won't say which one, since there are several options.) After three months, my A1C dropped from just under 14 to just under 7. I hope this makes sense -- I rather quickly learned that if I eat THAT, it will have THAT impact on my blood glucose levels, and I can a) alter my food choices, or b) adjust my insulin dose in advance to accommodate whatever I've decided to eat. It helps and, honestly? It both lets me, and makes me, interpose conscious thought into the whole process. The feeling of having some degree of control of what happens is perhaps more psychologically helpful than most people may realize. Plus, those A1C numbers weren't too bad, either.
random note because i love etymology, "diabetes" is from greek, but "mellitus" is from latin :)
Ah there we go! Thanks for that! 😊
I am obese and I thought I would have blood tests and a talk with a specialist to make sure.
That was about february 2020...
As I'm getting my first vaccine shot in a few days, I'm thinking about rescheduling those tests.
Certainly speak to your GP and get checked in the community.
As a rough guide, we tend only to refer to the specialists if we can’t handle it in GP land
@@DrJamesGill I live in Italy and our GPs usually (and unfortunately) only treat very minor conditions. For everything else, they refer patients to the relevant specialist.
I think it is a rather sad state of things, but one needs to adapt.
Thank you for the informative video, it motivated me to take action.
Would like to see endometriosis!!!!!!!
We’re recording that next week 😊
We’re got the D’s in the bag.
Very educative material, especially for the "diabetes newbies". One question Dr Gill regarding type 1 diabetes. Is it actually possible to cure it by transplating one's pancreas? I suffer from it myself and still wonder day after day if that's doable. Or somehow by maybe messing with the genes or the immune system?
Diabetes run high in my family, this is why I eat clean and watch my weight, trying to stay around 200 pounds at 5'10 💪🏿
Very sensible. Forward looking is the best way 😊
Damn. Im running 3 adblock systems and still see ads in youtube. Wht??!!!@#$
Top 👏
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I have diabetes type two with IBS I am 18 stone I am told to lose weight but it is very hard with the IBS because if my stomach starts to get empty I feel u well so eat to help the IBS pain go away even tho I am not at all hungry, in turn making the sugars rise, my diabetic nurse said I was feeding the insulin but I am feeding the IBS, it’s a battle of circles
Hi Dr. Gill, big fan - this was very informative. As an obese person, this adds ample perspective.
A quick question, when you do demonstrate medical exams, would it be possible for you to share with us, the viewers, why you are testing specific parts for specific exams? For example, why would you test someone's reflexes during a neuro exam?
If you have a look at the “medicine explained” play list, you’ll find exactly that 😊
Although they take a LOT more work, and I’m a little behind, but they are being down
@@DrJamesGill thank you very much. I'll do exactly that.
Hmm... my blood sugar keeps dipping with no answer but yet diabetes is in my family, both types. My A1C is normal, hemoglobin normal within range, but I keep dipping (going dangerously low) and going high at random. I tried diet change and other things. This video is informative and educational. Certainly drew my attention as a biology major with a passion in medicine.
Hypoglycaemia isn’t diabetes, but is often due to the medications there. There can be other conditions which cause hypos however, and it should be investigated
What kind of medications can set off hypoglycemia?
My Great Grandfather had Diabetes. By the time the doctors told him they had to cut of his last limb he just wanted to die.
I’m so sorry about that. This is one of the worst points of diabetes
So can diabetes lead into amputation? Heard that from somewhere. I could be wrong
Yes. When training I have PERSONALLY done those amputations.
Diabetes can be horrific
I would feel so sorry for that individual. Cutting thru the muscles and bone. And can cause blindness too. It is horrific and BTW you respond fast so thank you. And you probably explained that in the video so I asked a question before watching it. My apologies
Welcome to PutABitOfPaper News... I'm Dr Gill
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God,protect everyone from this disease. It's awful...
What happened to Aidan cross ?
He graduated.
Gettin ready to use this to go to sleep 😅😂
You didn't talk about statin induced diabetes.
Because it is INCREDIBLY rare.
It’s rarer than a lupus like syndrome which can occur in statins.
In fact statin induced diabetes is so rare, and see if so infrequently we don’t have any good numbers on how actually how rare it is
@@DrJamesGill Well, with all due respect, James, not in my personal experience (as a patient with a researcher mind). Also, there are numerous articles about the strong correlation between newly developed T2DM plus of course IR - and statin therapy. Even the leaflet in the meds box calls attention to this. I am really surprised that you said it was extremely rare. Well, I understand that doctors are usually informed by studies of pharmaceutical companies (it IS impossible for a physician to PERSONALLY follow up patients in such a detailed manner, it is impossible to closely monitor their lives 24/7 so where else would they obtain information from...). My fasting glucose level increased by 1 (mmol/l) since I started rosuvastatin and I am only taking low dose of it (2.5 mg /day). It's not yet by definition diabetes but the tendency is worrying. Because I already have IR and IGT (had it before statin). It had happened when I tried statin therapy earlier. When I stopped it, glucose went back down.
Lets gooo
Totally unrelated.... I swear I just want to marry Dr Gill 😭😭 Then he can do ASMR on me for the rest of my life 💖
THANKS YOU GOODNESS 🌟 YES LOW SUGAR STROKE DAPHNE COTTON ALWAYS 💜,❤️🖤💚🤎 FAMILY,
Dr. Gill is it true that diabetes can be reversed or that is just a myth?
In some people YES it can be. But unfortunately not everyone
Should this vid be titled "type 2" diabetes, instead? Not much talk of type one here
True. But both are equally serious, although as you say, it’s only type 2 that a patient can have a huge personal impact in mitiagting
YES METFORMIN GLIPIZIDE DAPHNE COTTON ALWAYS 💜,
Dr, surely you can get out for a haircut now? Haven't things opened up in the UK.
This was filmed about 6 weeks ago. Not been able to get it sorted before
I’m ready for my second haircut now!!
Just wanted to note about the portion of this video regarding endometriosis - it isn’t only women who can have endometriosis. I’m sure there was no malice intended, but it’s worth pointing out that using gendered language in regards to endometriosis can have a genuine negative impact to those who are not women who suffer with it. Source: I am a man with endometriosis. Definitely interesting to hear about this new drug though, thanks for sharing!
Subtitles in spanish please :(
They should auto generate soon
It’s ok I brought the depression
😁
Brits like their booze. 🤭 what is the correlation between alcohol and diabetes?
Britain.
Why are you villainizing carbohydrates? You say the problem is linked to excessive fat in the body? If you over eat carbohydrates it will turn to fat. But starving your body of carbohydrates isn't healthy either surely.
Carbs turn to fat. It’s not actually the food, but how the body responds.
Carbs cause insulin spikes, which causes resistance, the excess carbs then become fat, causing further resistance
I’m completely against attacking any particularly food group HOWEVER in the West we have such a poor relationship with food we have to use REALLY big brush strokes to start of with 😊
DON'T CUT THAT HAIR , AND IF YOU DO , GIVE THE LOCKS TO YOUR FANS !
I have type 1 diabetes and I can’t stand people who have type 2 diabetes due to weight specifically.
Its fucking annoying listening to people sook when they can fix it when I don’t have a choice.
If you have type 2 diabetes and reading this loose weight. Stop making excuses.
In some cases, even a large percentage weight is a huge factor, but not the only factor.
I’m going to leave this comment here, to ask that you consider the effects it might have
On a personal level has my gran, who has a BMI of 21, has had type 2 diabetes since the age of 55
It is frustrating when people who do have medical issues don’t access or accept help and approaches that would improve their conditions, but each person has to be looked at as an individual, and broad generalisations will only ever result in harm
That’s why is said “weight specifically” age is the other big factor and obviously that can’t be helped I’m more talking people who are around my age (24ish) with diabetes type 2 who use it as an excuse to not be able to do things when it is entirely their fault (yes sure genetics blah blah) but it makes me incredibly resentful to listen to someone blatantly refuse to exercise or eat healthy and then try and play victim when it suits them when I didn’t get that choice and I work out 5 days a week
(My HBA1C is 5.5 I take 7 needles a day of insulin and 7-8 blood tests)
But this is my point. We can’t make that sweep.
I’ll have two patients, but both a BMI of 50, one has diabetes the other doesn’t.
Weight is certainly a trigger, but not the whole story.
Unfortunately people are emotional creatures, and react against logic repeatedly. Highlighting weight issues, is the same as pressuring people over smoking, rather than having a positive effect, we more often have paradoxical outcomes (trust me, it drives me crazy when I treat a patient who smokes, and has almost a monthly chest infection DUE to the smoking - BUT as much as I may want, taking a negative or agrees I’ve approach towards their smashing health behaviour will not improve matters)
I do completely sympathise with yourself, with a disease that has such control over your life and is unlikely due to any action yourself.
The control of type i is so much harder than with type ii.
Given the differences I have actually had colleagues - and I do agree - that the two diseases really should be separated.
Perhaps keep Diabetes Mellitus, and have chronic pancreatic failure for the old type I. That simple name change might serve to highlight the differences and that huge differences in impact level
@@DrJamesGill your right.
I am just incredibly angry and have an incredibly low tolerance to excuses so it’s probably a good thing your the doctor.
I appreciate your sympathy
And 100% yes they need to be separated they are different.