Diabetology (BLOOD SUGAR) Part 2 Encore with Mike Natter, MD

Ologies with Alie Ward

Alie Ward

Comedy, Science, Society & Culture

4.9 • 23.8K Ratings

🗓️ 15 August 2023

⏱️ 83 minutes

🔗️ Recording | iTunes | RSS

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Summary

Wrapping up our Diabetology 2 parter encore, diabetic diabetologist and wonderful person Dr. Mike Natter, MD is back with a little introduction covering some stuff that wasn't on the radar back in 2019, like what's the deal with this Ozempic stuff you've heard about, and then Natter from the past goes on to answer all of your questions about blood sugar, the cost of insulin, pancreas transplants, keto, glucagon, how exercise can save your life, his most meaningful interactions with patients, pudding theft, and the best place to cry at work. Also: why you should always keep frosting in your purse. This episode is swear-free and okay for all ages, and a bleeped version of Diabetology Part 1 can be found at this link. Follow Dr. Mike Natter at Instagram.com/mike.natter or at Twitter.com/mike_natter A donation went to: JDRF.org More links at alieward.com/ologies/diabetology Smologies (short, classroom-safe) episodes Sponsors of Ologies Transcripts and bleeped episodes Become a patron of Ologies for as little as a buck a month OlogiesMerch.com has hats, shirts, masks, totes! Follow @Ologies on Twitter and Instagram Follow @AlieWard on Twitter and Instagram Editing by Mercedes Maitland of Maitland Audio Productions and Jarrett Sleeper of MindJam Media and Mark David Christenson Transcripts by Emily White of The Wordary Website by Kelly R. Dwyer Theme song by Nick Thorburn

Transcript

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0:00.0	Oh, hey, it's still your broken pancreas, and unfortunately I'm still not
0:05.8	alleyward. But I am Mike Natter, happy to introduce round two of Diapetology. This
0:13.0	again was filmed back in 2019, so things have changed a little bit. Here we are
0:18.6	answering and talking about some questions from the Patreon page for
0:23.0	allergies, and I did want to update a couple of quick things. We didn't talk at
0:27.7	all in this episode about GLP1 receptor agonist. These are things like
0:32.0	ozempic and wagovii and manjara, and they've made a big splash right now,
0:37.2	especially now, in the diabetes world and the weight loss world, and I have to
0:41.6	say I am using a lot of them with my patients. I am seeing a lot of benefit
0:46.0	from them, but like every medication, there's indications, and there's always
0:49.7	side effects and adverse events. So how do these things work? Well GLP1
0:55.5	stands for glucagon-like peptide 1. Manjara is actually 2 and 1. It's GLP1 and
1:00.8	GIP gastric inhibitory peptide, and our bodies make these what are known as
1:06.4	incretins naturally from our small intestine. Once released into the blood
1:11.1	stream, they talk to the pancreas, they talk to the liver, they talk to the
1:14.0	receptors, and they make the body more prime to make insulin and be more
1:18.2	receptive to that insulin. But they also talk to the part of the brain called
1:22.6	hypothalamus, and it tells the hypothalamus, hey, satiety center get turned on.
1:27.8	You are now full, so mentally you feel full, and it talks to our gastric
1:33.8	tract, and the tract is making these kind of parasitaltic movements. It moves
1:38.0	at a certain rate, it slows that rate down. So it's slowing that rate down.
1:41.9	We're physically full, we're mentally full, we eat less. One other thing I
	...

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