The Diacast is a podcast about diabetes, in the widest sense of the word. Join Type 1 diabetic Amy and Type 2 diabetic Liz as they explore how diabetes impacts relationships with food, exercise, mental health, medications, and many, many other parts of life. With an emphasis on science and mental health, The Diacast features guest episodes with medical experts, other diabetics, and tongue-in-cheek humor to answer the questions you didn't know you had in a relatable and (hopefully) informative way.
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Hello Diacast fans! As I’m sure you’ve noticed, Amy and Liz have been missing for a few months and there have been no new episodes. Our lives have become quite complicated over the summer, and we have not been able to put the time, energy, and heart into creating content for y’all. Unfortunately it looks like this is going to be our new normal, at least for a little while, so we have made the difficult decision to break our promise of monthly episodes and go on hiatus for a while to recharge our batteries and hopefully find new time and motivation to bring you more great episodes. We do have a couple projects in the works, and as those are finished we will be releasing them here to our wonderful subscribers.
For our patrons, thank you from the bottom of our hearts for your support. We will be disabling continued donations for the time being as we are not delivering new content. Liz has been working her way through the backlog of episodes to re-cut and deliver bloopers and behind-the-scenes audio, and when those are finished we will still make them available on our Patreon.
Once again, thank you all for all of your support, and hopefully talk to you soon!
Don’t Go At It Alone - A Family Conversation About Raising Kids With Diabetes
Season 3 · Episode 5
Friday, July 19, 2024 • Duration 01:02:54
This episode is basically a family therapy session about growing up with diabetes (all parties consented to the recording). Clinical psychologist Dr. Mike Fulop returns to lead a discussion with Amy and her parents about overcoming some of the challenges of raising a child with diabetes and what they did to pull it off. Hear about some of the challenges with (lack) of local support networks and diabetes care providers, as well as steps taken to facilitate an adventurous life.
Diabetes Type What? - A Crash Course In the Different Types of Diabetes
Season 2 · Episode 19
Friday, April 21, 2023 • Duration 43:32
So many types of diabetes, so little time and so much confusion. This episode is those who have been confused by insulin resistance vs. insulin deficiency, what Type 3 diabetes actually is, and why Amy gets cranky when people claim you can have “double diabetes” (spoiler: it’s not a real thing). Join Amy and Liz as they provide a high-level rundown on the different types of diabetes, their causes, and treatments. Then save the episode to send to your friends and family who are confused.
Ranting as an Art - an interview with Dr. Irl Hirsch
Season 2 · Episode 18
Sunday, March 19, 2023 • Duration 01:02:24
While Liz was away, Amy sat down with Dr. Irl Hirsch, an endocrinologist, researcher, and outspoken diabetes advocate (as well as an absolute legend). Join us for a discussion about the merits of A1C, access vs. cures, and the power of misinformation and well-placed ranting.
Diabetes in Hospitals - Surgeries, Procedures, and Whatever
Season 2 · Episode 17
Friday, February 17, 2023 • Duration 43:04
Diabetes in a hospital setting is an experience unto itself. Ever wonder why your blood glucose levels spike when you visit the doctor? Turns out there’s a name for that phenomenon. What about glycemic control leading up to and after a procedure? Did you know that CGM’s have limitations when under anesthesia, and insulin resistance does things that actually have a physiological reason. Join Amy and Liz as they delve into the wonderful world of diabetes management in and out of the hospital, pre- and post-op.
A Brief History of Diabetes - How Science and Medicine Have Changed So You Don’t Have to Taste Pee to Test Your BG
Season 2 · Episode 16
Friday, January 20, 2023 • Duration 01:20:03
Diabetes management has come a long way from being a wasting sickness/death sentence and tasting urine to measure blood glucose. This month, Liz, Amy, and Evan (an actual teacher) take a walk down history lane to talk about how diabetes management has evolved over the years. From the advent of home glucose monitoring, metformin, and insulin to CGMs and automated insulin delivery systems, things have changed a lot over the years.
Diabetes is Complicated - Complications and Comorbidities
Season 2 · Episode 15
Friday, December 16, 2022 • Duration 01:41:00
It finally happened - Amy and DJ sat down to talk (in detail) about diabetes-related complications and comorbidities. For starters, what’s the difference between them (hint: they are not the same), how can you reduce your chances of getting them (you can’t always), and how do you manage/treat them. The good news is management and treatment options have improved dramatically over the past 30 years. Unfortunately, our pun game has not. So grab your glucose meter and hold on tight for an hour and a half of Amy being unable to pronounce words.
Reference Links (many!) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2713155/ Incidence of complications for different types of diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3870323/ Calculating A1C https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771657/ Limitations/Pitfalls of A1C https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912281/ A1C and Mortality https://academic.oup.com/jcem/article/104/8/3345/5393288 A1C and cardiovascular outcomes https://cardiab.biomedcentral.com/articles/10.1186/s12933-021-01413-4 Epidemeology of neuropathy https://research.monash.edu/en/publications/the-epidemiology-of-diabetic-neuropathy Vascular Complications and Neuropathy https://www.nejm.org/doi/full/10.1056/NEJMoa032782 T2 and Preventative Care https://acsjournals.onlinelibrary.wiley.com/doi/abs/10.1002/1097-0142(19930801)72:3+<1113::AID-CNCR2820721328>3.0.CO;2-A Estimated Glomerular Filtration Rate (eGFR)https://www.kidney.org/atoz/content/gfrT1, Hashimotos, and Glycemic Controlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314392/Cardiovascular Complications in Diabetes https://jamanetwork.com/journals/jama/article-abstract/199831Trends in Cardiovascular Complications and Diabetes https://diabetesjournals.org/care/article/29/1/32/24455/Recent-Trends-in-Cardiovascular-ComplicationsDiabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579903/Behavioral Diabetes Institute https://behavioraldiabetes.org/
Please Don’t Say That to Me - Setting Safe and Effective Boundaries
Season 2 · Episode 14
Sunday, November 20, 2022 • Duration 01:11:43
Boundaries around diabetes are tricky but necessary. Be it family, friends, medical providers, or complete strangers, establishing healthy, sustainable boundaries is hard. Liz and Amy are joined by clinical psychologist Dr Mike Fulop to talk about what makes self-efficacy so challenging and the components of healthy communication (nothing productive happens in the heat of the moment, avoid using absolute words like “never” and always”) for young, old, and every diabetic in-between. For parents of diabetic kids, we talk about the struggle between encouraging diabetes management and good control, and teaching self-management and empowerment. Facilitative Parenting is a powerful thing. Shaming and scaring techniques never work (regardless of who they’re coming from!), and interactions conveying love and acceptance without undermining a person’s sense of freedom and autonomy predicts good diabetes-management across the life span. This episode is for everyone who has a diabetic in their life.
Traveling with medical supplies, regardless of if they're for diabetes or not, can be a daunting prospect. We often find ourselves asking what extra steps we need to take to make sure our insulin doesn’t lose potency during road trips or long plane rides, how do you take supplies through airport security, and what the heck do you do if you run out of something? Amy and Liz talk about general tips for traveling with diabetes and then dig into extra tips for flying, driving, hiking, and generally existing on the move.
Build Your Own Pancreas - Automated Insulin Delivery
Season 2 · Episode 12
Friday, September 16, 2022 • Duration 01:13:36
One day, in a fit of time-zones and sleep deprivation, Liz, Amy, and Cas sat down to talk about automated insulin delivery (AID), also known as looping. They talk about the commercially available systems and then dig in to the DIY looping systems and algorithms. It’s a throw-back to the original Diacast in celebration of the reboot’s 1 year anniversary.
Dovc, K., & Battelino, T. (2020). Evolution of Diabetes Technology. Endocrinology and metabolism clinics of North America, 49 (1), 1–18. https://doi.org/10.1016/j.ecl.2019.10.009
Pickup, J. C., Keen, H., Parsons, J. A., & Alberti, K. G. (1978). Continuous subcutaneous insulin infusion: an approach to achieving normoglycaemia. Br Med J, 1 (6107), 204-207.
Tadej Battelino et. al.; Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care 1 August 2019; 42 (8): 1593–1603. https://doi.org/10.2337/dci19-0028
“Variations in comorbidity burden in people with type 2 diabetes over disease duration: A population-based analysis of real world evidence”, Jonathan Pearson-Stuttard, Sara Holloway, Rosie Polya, Rebecca Sloan, Linxuan Zhang, Edward W. Gregg, Katy Harrison, Jamie Elvidge, Pall Jonsson, and Thomas Porter
Social Determinants of Health and Diabetes: A Scientific Review Felicia Hill-Briggs; Nancy E. Adler; Seth A. Berkowitz; Marshall H. Chin; Tiffany L. Gary-Webb; Ana Navas-Acien; Pamela L. Thornton; Debra Haire-Joshu Diabetes Care 2021; 44(1) p258–279 https://doi.org/10.2337/dci20-0053
Fisher, Lawrence: Family Relationships and diabetes care during the adult years. 0071. Diabetes Spectrum Volume 19, Number 2, 2006
M de Wit, PM Trief, JW HUber, I Wiilaing: State of the art: understanding and integration of the social context in diabetes care: DIABETICMedicine DOI: 10.1111/dme.14226 https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.14226 [2020]
Wiebe, D; Helgeson, V; Berg, C [2016] The social context of managing diabetes across the life span. American Psychologist. V71[7] p 526-538. http://dx.doi.org/10.1037/a0040355
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