Tag Archives: diabetes cause

The Diabetes Debate: Urine Trouble Now (part 6)

Katie: Bladder, stop crying, please, it’s not your…Welcome back! We’re here with Bladder who’s going to pull herself together.

Bladder: I…I…*sniff*

Katie: Bladder, this interview has taken twice as long as planned because you’ve needed to empty yourself every thirty minutes. Please, please, take a deep breath and talk to me so we can finish this show and go home.

Bladder: *sniff* I’ll try.

Katie: Thank you. You have something you want to tell the rest of Body, correct? What is it you wanted to say?

Bladder: I know I can be annoying because I have to empty so often. *sniff* But do you know what would happen if I didn’t? The glucose would stay in the blood, the blood vessels will stay tense until they harden, the Eyes won’t be able to focus –

Katie: Yes, we, uh, we covered this in between bathroom breaks.

Bladder: I worry, Katie. *sniff* I worry what will happen to all of us. Life is short. Life is fragile. If our health declines, I don’t know where this Body is headed. What if Kidneys get too tired? What if Brain stops responding to their thirst signals and drinks less water because I fill so often?

Katie: Let’s talk about water, Bladder. A study linked chronic dehydration to chronic hyperglycemia. Have you found that to be true?

Bladder: Hyper what?

Katie: Hyperglycemia; chronic high blood glucose levels. Less water equals less blood equals high concentrations of glucose in the blood. If you don’t drink enough water every day for a long time, the higher glucose levels can lead to type two diabetes.

Bladder: *sniff* It’s the end of life as we know it. *sniff*

Katie: Bladder, don’t cry. There, there, weren’t you listening? It’s not too late to change. Muscle is going to walk, Brain is going to sleep more and to stop eating before Stomach signals she’s full so we can lose some weight. Kidneys and Pancreas are determined to keep the blood glucose levels down. We need you, Bladder. Let’s bring in the team and I want you to tell them why water is so important.

Bladder: *sniff* Okay. What if I can’t—

Katie: You’ll be fine. Ladies! Can you come in here, please? Everyone, welcome back. Okay, Bladder, go ahead.

Bladder: Well. *sniff* Now that we’re diabetic, we’ll need lots of water to clean out the glucose.

Kidney 2: Hear hear!

Bladder: Brain, as you start choosing more fruits, vegetables, and whole grains, we’ll need even more water.

Brain: What on Earth for?

Bladder: Plant based foods are full of fiber and fiber absorbs water. We’ll need extra water to keep the fiber moving.

Brain: Great, we’re eating sponges now.

Muscle: If we run low on water, I might cramp!

Brain: And I’ll get a headache. Suck it up.

Kidney 1: Brain, it’s easy to see if we’re getting dehydrated.

Brain: Dehydrated? We’re talking a little thirsty, here, right? Not that big of a deal.

Kidney 1: Mild dehydration, especially if it becomes chronic, can exacerbate our symptoms. According to our calculations-

Brain: Fine, fine. What do I do?

Bladder: Well, you can work with me. Whenever I empty, look at my urine.

Brain: Ew, gross. Eyes aren’t going to like this.

Bladder: If it’s clear, we’re okay. If it’s yellow, we need to drink more.

Pancreas: You can do a pinch test too. Pinch the skin on the back of Hand. If it bounces back quickly, we’re okay. If it stays pinched or the skin goes down slowly, we’re mildly dehydrated.

Brain: Geez, I need a cup of coffee.

Bladder: No coffee! It’s going to make me fill more!

Kidney 1: Just a little. Coffee’s actually good for us. It has magnesium and chromium which helps us use insulin. And it counts like water for hydration.

Bladder: Okay, fine.

Brain: Excellent! Come on, gals. Let’s get some coffee. Muscle, you can walk us there.

Katie: This concludes our show. Thanks for joining us and thank you to all of our guests.

Brain:  Let’s add food to this plan. Stomach just signaled she’s empty. Katie, care to join us?

Katie: I’d love to.

Part 7

The Diabetes Debate: Belly Fat Faceoff (part 5)

Brain: Hey, you, Belly Fat! We’ve got a bone to pick with you.

Belly Fat: You talking to me?

Kidney 1: You’re to blame for our diabetes.

Pancreas: I told you it’s not my fault.

Belly Fat: You gals are, like, rude.

diabetes debate 13Brain: Belly, what is this stuff?

Belly Fat: What, you don’t like tripping on acid?

Katie: Tripping over acid is more like it. Are these fatty acids? They’re all over the place.

Belly Fat: Whatever. Cleaning is lame.

Kidney 1: They’re messing with the insulin, Belly. Stop making them!

Brain: Belly, Liver’s cells are stuffed to the gills with those fatty acids.

Kidney 1: Blood’s full of them too.

Brain: She’s inflamed and we need her to regulate all kinds of stuff.

Belly Fat: This is, like, totally unfair. I didn’t do anything to Liver.

Brain: You’ve got her completely surrounded! Insulin can barely get through and when it does, Liver can’t respond normally because you’re smothering her in a chronic squishy fatty hug!

diabetes debate 14Kidney 1: We need Liver to help suck up the extra glucose from the blood. Let her go.

Belly Fat: Like, whatever. You’re a nerd and you’re a gross pee factory. Don’t even talk to me.

Katie: Belly, they have a point, actually. Studies show that if you’re overweight or obese, you’re 90 time more likely to develop type two diabetes.

Belly Fat: There’s fat all over this Body. Why pick on me?

Katie: You’re the only fat blocking access to the organs. If you were on the thighs or jiggling under the biceps, it’d be better.

Belly Fat: What a bunch of losers! I’m not changing for anybody.

Brain: I order you to leave!

Belly Fat: Not going to happen!

Brain: I’m going to order more vegetables, I’m going to go to bed early—

diabetes debate 15Katie: Actually, Muscle is the only one who can help. Diet can help you lose weight, but exercise is the only thing that removes visceral fat like Belly, here.

Brain: Muscle, you’re going to get your thirty minutes a day. Maybe more. I want this Belly out of here!

Muscle: Nice! I’m stoked, dude.

Belly Fat: Whatever, nerd.

Katie: Bladder’s full again, so we’ll be right back. Stay tuned for our final interview with the one, the only, the soon to be empty, Bladder.

Part 6

The Diabetes Debate: Brainiac (part 4)

Katie: Welcome back to Pass the Blame. We’re here with special guests Muscle and Brain. Brain? Where’d you go?

Brain: I’m hungry. I’m looking for a snack. I want a donut.

Katie: I’m glad you brought that up, Brain. Your blood glucose level is high right now, so the last thing you need is sugar.

Brain: Perhaps a cookie or two.

Katie: You want sugar because your cells are starving for energy and they’re sending you signals that they need food, but the glucose that gives them energy is there, it’s just stuck in the blood. The insulin keys aren’t working to unlock the cells and let the glucose in.

Brain: I read about this.

Katie: Yes, you probably did. You’ve been handed lots of pamphlets on type two diabetes recently.

Brain: It’s all a bit overwhelming, isn’t it?

Katie: Yes, I suppose, but you are the brain; I’m sure you can handle it.

Brain: Yeah, maybe. *yawn*

Muscle: Brain, I need to move more! Let’s go for a walk.

Brain: I’m sorry, Muscle, I’m too tired. Maybe tomorrow.

Muscle: You always say that.

Katie: Come on, Brain, you’re in charge here and Body needs to make some changes.

Kidney 1: We need you to take action.

Kidney 2: You need to fix this!

Katie: We’ve been, um, joined by the Kidney Twins. Welcome, ladies.

Brain: Me? Fix this? I’m having enough trouble keeping up with my regular duties. If you want me to take on a special project, I need down time. I need sleep.

Muscle: You get sleep!

Brain: Not the good kind. You all keep waking me up! If our blood glucose level goes down, Stomach is hungry. If our blood glucose level goes up, Bladder has to pee. Foot’s going nuts when neuropathy hits her and on top of that, now we have sleep apnea. Every few minutes Lung 1 and Lung 2 wake me up screaming, “We’re dying! We have no air! Oh, wait, we’re okay now.” It’s driving me crazy.

Muscle: I can help if you let me.

Brain: I’m tired.

Muscle: Well, push though it and let me move! Exercise helps you sleep better.

Kidney 1: It’ll help control the blood glucose level too.

Katie: Exercise or sleep?

Kidney 1: Both.

Brain: You know, Kidneys, keeping the blood glucose levels controlled will help me sleep better.

Kidney 2: Guess what, Brain: better sleep will help control the blood glucose level.

Pancreas: It’s a cycle, people. Pick a launching point and jump in already! I can’t keep on like this.

Katie: Oh, okay, now Pancreas has barged her way into the studio as well. Um, welcome Pancreas.

Brain: Why are you all looking at me?

Pancreas: Because all neurons lead to Rome!

Kidney 2: The cerebellum stops here.

Muscle: You give the orders, so you order some changes, dude!

Katie: Okay, ladies, let’s all calm down. Remember your blood pressure. If you all work together, you can manage your diabetes and Body can still have a long healthy life.

Pancreas: What do we do first?

Katie: Well, Muscle is offering to exercise. Exercise will help Brain sleep better and will help regulate your blood glucose level by removing some glucose from the blood without insulin’s help.

Brain: Okay, fine. Muscle, you can walk or something.

Muscle: I want thirty minutes a day.

Brain: What? You’re crazy!

Katie: You’ll get more blood flow and feel more awake.

Brain: Hmm, tempting. What else?

Katie: Well, you can lose weight. Being overweight increases your risk of type two diabetes.

Brain: I refuse to spend my valuable neurons counting the calories in rice cakes and cookie crumbs.

Katie: It doesn’t have to be that extreme. Start by eating smaller portions of what you eat now. Drink water instead of juice or soda so you don’t drink your calories. Make simple changes, one step at a time. You know, there’s a strong link between belly fat and diabetes. Losing even 7% of your—

Brain: Wait a minute. If we get rid of Belly Fat, this diabetes thing could all go away?

Katie: It’s not that simple, but it would really help if—

Brain: Come on, girls! This is Belly Fat’s fault! Let’s get her!

Katie: Ladies! Ladies, come back! We, um, we’ll be right back. I hope. Wait for me!

Part 5

The Diabetes Debate: Whose Fault is it? (part 1)

Katie: Welcome to Pass the Blame. I’m your hostess, Katie Robles. With us today is the talk of the body, Pancreas. Thanks for granting us this interview, Pancreas.

Pancreas: Happy to be here. I want to set the record straight.

Katie: Pancreas, your body has been diagnosed with diabetes type 2 and many organs are laying the blame on you.

Pancreas: It’s not my fault and they know it.

Diabetes Debate 1Katie: Isn’t diabetes—in its essence—a lack of insulin? And as the pancreas, isn’t it your job to make insulin?

Pancreas: I’ve been making insulin perfectly for decades, Katie. Decades! I’ve done my job.

Katie: You’re saying this problem is new? Everything was fine when your body was young?

Pancreas: Absolutely.

Katie: Don’t some children have diabetes? Couldn’t your body have been covering for you until now?

Pancreas: No, no, no. Juvenile diabetes is totally different: the pancreas in those cases can’t produce insulin. I can. I did. I do!

Katie: Calm down, please, Pancreas, we’re just trying to get the facts. Maybe it would help if you explain what it is that you do.

Diabetes Debate 2Pancreas: You know what glucose is?

Katie: Glucose…as in sugar?

Pancreas: Yeah, close enough. When you eat, the carbohydrates are broken down into glucose.

Katie: Carbohydrates?

Pancreas: You know: bread, pasta, rice, potatoes—

Katie: French fries?

Pancreas: Yes, and lentils, beans, fruits, milk products, and the list goes on. They all break down into glucose which is fuel for your cells. No glucose, no energy. Blood delivers the glucose to every cell in the body, but cells are paranoid: they don’t let just anything in. You have to have the right key.

Katie: Let me guess: insulin is that key?

Diabetes Debate 3Pancreas: That’s right. Without insulin, the cell doors stay locked tight and glucose stays in the blood.

Katie: And the cells have no energy?

Pancreas: Right.

Katie: And you say you still make insulin?

Pancreas: Yes, I do.

Katie: Then why is your body diabetic?

Pancreas: Body was pumping in extra glucose for years and I produced extra insulin to compensate. It worked for a while, but eventually my keys didn’t fit the locks anymore.

Katie: Why is that?

Pancreas: I don’t know, but it’s the locks that changed, not the keys. I didn’t have a word for it at the time, but Brain has been reading pamphlets and she says it was Insulin Resistance. I worked overtime making insulin and that helped a little.

Katie: Body had no idea something was wrong?

Pancreas: Not consciously, no. Skin says she made a dark circle on the back of body’s neck, but Eyes never saw it, so Body kept doing her thing. Over the years a bunch of Belly Fat moved in, Body stopped exercising, and my insulin keys only worked part of the time. That’s when the finger pointing started.

Diabetes Debate 4Katie: What do you want our audience to know, Pancreas? Set the record straight for us.

Pancreas: I’m a hard working organ; always have been. My product is the key to glucose absorption in cells and if the key isn’t working, maybe they should blame the lock.

Katie: Pancreas, a few organs have noticed that because you produce so much insulin, body has been feeling hungry. Body eats more, more glucose circulates, and you make more insulin. I give no credence to the conspirators who claim you’re trying to wag the dog here, but why don’t you simply slow down insulin production?

Pancreas: Look, orders come in, I fill them. I’m not authorized to do anything else. But my production units are so overworked they’re starting to break down, so those conspirators might just get their wish.

Katie: Thank you, Pancreas. We’re going to take a short bathroom break because Bladder is full, but we’ll be back in a moment.

Part 2