January 11, 2026 • 38 mins
Dr. Galati kicks off his first show of 2026. He talks about his total knee replacement surgery that kept him out of service for five weeks. Dr. Archana Sadhu joins the show to explain the important risk factors of diabetes, obesity, and major public health problems that so many of us face. Dr. Galati also chats about the new food pyramid that came out.
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Speaker 1 (00:01):
Initialize sequencing coming to you live from Houston, Texas, home
to the world's largest medical center.
Speaker 2 (00:08):
And the approach bays everything looking.
Speaker 1 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour
you'll learn about health, wellness and the provention of disease.
Now here's your host, Doctor Joe Bellotti.
Speaker 3 (00:44):
Well a good Sunday evening to everybody. Doctor Joe Gillotti,
thanks for tuning in on this Sunday night and spending
a little bit of your weekend with us. As I've
been saying for the twenty two plus years that we've
(01:05):
been on the radio here, my goal, clear and simple,
is to make you better consumers of healthcare, raising your
health IQ. And the only way you get there is
by being engaged. As I have said many many times,
(01:31):
I tell this to my patience. Good health is not
an accident. It is something that occurs when you are engaged.
You educate yourself on a condition, You make yourself available
to learn and not live with your head in the sand.
(01:54):
And so if you can get to that point where
you understand your family risk factors, you understand the conditions
or diseases or syndromes that you have, by reading about it,
talking with your doctor, talking to others that have this condition,
understanding the medicines you have and how they work or
(02:15):
how they may interact with other medicines that you're on.
What can you do from a lifestyle standpoint to mitigate
the symptoms or reverse the disease. But also you need
to know if I do nothing, how will this disease
(02:36):
run its course? In medical terms, we talk about the
natural history. So we know that the natural history of
high blood pressure is likely going to lead to developing
a stroke, having a heart attack, going into heart failure,
(02:59):
developing kidney failure. But if you don't know that, if
you don't know the natural history, you may not be
alerted to what on earth may happen to you. So
that's our position here. So on the program tonight, doctor
(03:21):
Arsina Sadu. She is a regular contributor to your health
first over the years. She is a diabetes expert in
the true, true sense of the word. And you may
have heard me say this before. When I first started
on the radio, Rush Limbaugh was still on the air
(03:45):
and somebody had said that Rush Limbaugh has guests, Doctor
Joe Gillotti has experts and that's what we have on
So as a diabetist expert, we're going to talk about obesity,
diabetes and a topic that you just can't run away from.
Of these GLP one agents. They're in the news everywhere.
(04:09):
But anyway, here we are. It is the new year,
and if you were following towards the end of the year,
you know that I went for a total knee replacement.
So I have been out of service for about five
weeks now and I'm back in the swing, feeling well,
and I will be talking more about the knee replacement
(04:29):
and what went on, and I plan on having my
my orthopedic surgeon, doctor Tim Brown, from Houston Methodist Hospital
on the program in the next few weeks. But the
message here so this is where doctor becomes patient. And
I've been a patient before. I was a sickly kid
(04:52):
and the fact that I was a sickly kid was
very influential in me becoming a doctor. But you when
the shoes on the other foot, you get a whole
new appreciation. But I would say with this knee replacement,
the surgery went well and that was all fine. The
key thing to knee replacement surgery is rehab, rehab, rehab, rehab.
(05:17):
I've been going three days a week to rehabilitation at
Houston Methodists, some fantastic physical therapists there. But at home,
I am rehabbing several hours a day, exercising, stretching, strengthening
your leg muscles. And there has to be this commitment.
(05:37):
And so when you see somebody that has a good
outcome after a knee replacement surgery, yes, thank you to
the surgeon, thank you to the all R team and
all that's involved there, the technology, But you have to
look and say that person probably committed themselves to the
necessary rehab. On the flip side, I've seen many many patients.
(06:04):
They go into surgery in bad shape, out of shape,
and the rehab, for one reason or another doesn't take place,
and they have a bum knee. And when you say, oh,
how did your knee replacement go last year, and they'll
say it sucked. I can't walk, it still hurts. And
when you dig deeper, they really did not pursue that
(06:28):
aggressive intervention with rehab. So this sort of applies to
so many things in life. If you've got diabetes, are
you committed to what's required? For diabetes, if you have
any other condition, are you committed to the lifestyle that
you need? So a lot too, a lot to you know,
(06:48):
chat about here. All right, we're gonna take a break
here now Doctor Sadu will be coming on talking about diabetes.
Don't forget doctor Joegalotti dot com is our website. D
R J O E G A L A t I
dot com is our website. Stay tuned.
Speaker 4 (07:04):
We'll bright back.
Speaker 3 (07:05):
Every Sunday evening between the hour of seven and a pm.
Speaker 4 (07:08):
We're here raising your.
Speaker 3 (07:10):
Health IQ as I like to say, making you better
consumers of healthcare. And our goal is to make you
a better consumer of healthcare and really really understand what
is at stake, how to take care of yourselves and
stay out of the er, stay out of the doctor's office,
unless of course it's a scheduled and you will visit.
(07:33):
But so much that all of you could do so
on on the program tonight, doctor Archiana Sadou. She is
no stranger to the program. She's the director of the
Diabetes program at Houston Methodist Hospital. Happy New Year and
always happy to talk about our favorite topic of diabetes.
Speaker 4 (07:51):
How are you tonight?
Speaker 2 (07:52):
Thanks for having me on I'm happy to be here,
and it's my favorite topic as well.
Speaker 3 (07:58):
I know and out of all of our colleagues, you
are probably the best and able to articulate complicated topics
like this, So that's that's a that's another great reason
to have you on. So anyway, so there's so much
to talk about. But first, I wouldn't be doing a
service to the program and to our listeners if I
(08:20):
didn't allow you to give ninety seconds as to the
importance of understanding diabetes and your risk factors. And I
would always say, realizing what the complications are. So you've
got it for ninety seconds. What do you want to
say to everybody tonight about diabetes?
Speaker 1 (08:41):
Oh?
Speaker 5 (08:42):
Just ninety seconds.
Speaker 3 (08:43):
I know That's why my teas is I always get
you back. So but for now, what what would you say?
What's what's the elevator pitch?
Speaker 5 (08:52):
Really, there's a few keywords. Know your risk right.
Speaker 2 (08:57):
And this has been core related so well through science
and even just practicality. Prevention is everything right, and if
you know your risks, you can begin prevention early and
not even have to deal with these long term complications.
Speaker 4 (09:17):
Exactly.
Speaker 3 (09:18):
It's like you don't and I make the analogy of
people taking care of their car. You don't want to
wait until your wheels are falling off, you have no
brakes and you're blowing smoke out of your tailpipe. You
have to go in for routine maintenance and understand what
the little little abnormalities mean, whether it's an abnormality in
(09:40):
your lab or you feel a certain way. But you
talk about risk factors. What are the risk factors? So
everybody tonight can look at themselves and say, oh, wait
a second, I have three risk factors.
Speaker 5 (09:52):
Okay, they're very easy. Huh. First, his family history, right?
Speaker 2 (09:57):
Does this run in your parents, aunts, uncles, grandparents? And
if it's in you know, within one generation away, it's
even more correlative that you're at risk. Second is, and
this is for type two diabetes. Particularly, is weight. Are
(10:17):
you overweight or even obese by current BMI standards? And
that's a little different based on your ethnicity. For the
general population non Asian population, a BMI of twenty five
or more is overweight and a BMI of thirty.
Speaker 5 (10:38):
Or more is obese.
Speaker 2 (10:41):
But if you're Asian it drops down to twenty three
for overweight and twenty five for obese. That's because Asians
tend to carry their weight different.
Speaker 3 (10:51):
Right now, just to point on obesity and being overweight,
have you found that there has been almost a reset
as to what Yes, you can have all these BMI
numbers and people tonight could plug it in and find out.
But the typical primary care physician is not looking at
(11:13):
a patient, a fifty year old woman or a man
non Asian and their BMI is right on the cusp
of being obese, and they really do not address it
in a serious way.
Speaker 4 (11:29):
Do you find that?
Speaker 1 (11:32):
Yes?
Speaker 2 (11:32):
Absolutely, And I think we are doing so many policy
changes to document BMI to address weight as a routine
medical issue.
Speaker 4 (11:46):
Right.
Speaker 2 (11:47):
And BMI is in everything, just as I mentioned, race
can vary the threshold, so canbody composition. Right, So if
you're really scientifically sound, you're looking at the waste to
hip ray show exactly as as the real predictor of
metabolic disease. Yeah, and I in terms of primary care
(12:08):
focusing on it, you know, I think the more common
it becomes, the less priority it becomes.
Speaker 3 (12:15):
That's right, everybody, because everybody's got it, everybody. Yeah, yeah, no, no,
I think that And I guess and you see almost
the exact same type of patient that I see. But
patients will come and they will have because of their
diabetes and their weight and their high cholesterol, they have
fatty liver which can lead to sorosis. And we have
(12:37):
people with near nearly soerotic, nearly sorhrosis, and we'll talk
with them and they will say, well, I did not
know that my diabetes can lead to sorosis. I did
not know that my weight could lead to sorosis. Now,
part of it is the consumer not knowing, and I
think they're in denial. But I do think that they're
(12:58):
not getting that much pressure from their primary care team.
Speaker 4 (13:04):
What do you think of that? And again I'm not
I'm not here. I'm not here.
Speaker 3 (13:07):
I'm not here to blame anybody or you know, start
getting hate mail.
Speaker 4 (13:11):
But I do think it is a problem. What do
you what do you say?
Speaker 5 (13:14):
No?
Speaker 2 (13:15):
No, I mean when I see a patient with metabolic
or fatty liver disease, I go back and say, when
did you first.
Speaker 5 (13:24):
Find out about this? And more often than not, they
had some hint of.
Speaker 2 (13:30):
It many many years ago, decades when their primary care said, oh,
your liver numbers are a little.
Speaker 5 (13:36):
Up, will watch it?
Speaker 4 (13:39):
Oh I hate that, or they.
Speaker 2 (13:41):
Have some other surgery or maybe a scan that that
noted some fatty liver disease, and someone mentioned it but
didn't focus on it, right, And then years and years
go by, and the process continues, and as you know,
this isn't this is a sign on to epidermmy right,
(14:01):
it doesn't declare symptoms until you're way far along, right.
Speaker 4 (14:06):
So true, so true?
Speaker 3 (14:07):
Well okay, so now let me let me shift gears
for the next few minutes. Here these g lp one
agents that have been in their lives for the past
number of years, and ozempic has almost become the the
analogy of coke when when you want a soft drink,
it's like, oh, you know, golp I want ozempic. But
(14:29):
there's so many. There are a number of these GOLP
one agonists as they're known by. And in December, well
goviy became oral. Are you seeing much of that now?
Speaker 2 (14:45):
So well, first I just want to comment on your
househo old time of ozep and cokees.
Speaker 5 (14:51):
That's a great analogy. Yes, thank you, brand.
Speaker 3 (14:55):
You could use it anytime you want. Yeah, I mean
it's like I want ozempic, ozempic, you know, represent you.
Speaker 2 (15:00):
Go a party conversation if someone's going to be talking
about it.
Speaker 4 (15:04):
Yes, exactly, Yes.
Speaker 2 (15:06):
So are an amazing class of drugs that have proven
benefits in those studied in this population. Now, of course
they're not applied always to the same type of patients
studied in the randomized control trials, and that that has
(15:27):
become an issue. But when you use them in overweight
patients with chro medical condition, obese patients, they have great
benefits in cardio, metabolic and renal aspects.
Speaker 5 (15:49):
So no doubt about that.
Speaker 2 (15:52):
But of course, you know, real world application and randomized
control trials can be very far apart art and I
think where we went awry is the inappropriate application of
these drugs.
Speaker 3 (16:07):
All right, we're going to take a quick break here,
doctor Joe Glotti. This is Your Health First. We have
doctor Archina Sadu, who's the director of the diabetest program
at Euston Methodist Hospital, talking about GLP one agents, diabetes
and really all that you need to know. Stay tuned,
will be right back. Welcome back, everybody, Doctor Joe Glotti,
thanks for tuning in on this glorious Sunday evening. The
(16:29):
name of the program is Your Health First. That's what
we do. We put your health first. On the phone
with me tonight is doctor Sadu. She is no stranger
to your health first. She's the director of the diabetes
program at Houston Methodist Hospital here in the Texas Medical Center.
It's always great to have her on talking about diabetes
(16:53):
and obesity and the major public health problems that so
many of us face. So, as you being an expert
in diabetes and metabolic syndrome and the use of these medications,
who would you say ozempic? We'll just say ozempic for
(17:15):
the fun of it. Is the ideal candidate. So I'll
give you a scenario. A thirty year old woman who
is overweight, and without giving a BMI, I say they're
overweight by you know, twenty pounds. Okay, they've got a
little bit of a little bit of a pooch and
(17:36):
they don't fit in their clothes anymore, and they're getting
ready to get married or going on a cruise or
something like that. They do not have diabetes, they do
not have high blood pressure, and they may or may
not have a little bit.
Speaker 4 (17:49):
Of a fatty liver.
Speaker 3 (17:50):
Is this type of a person ideal for one of
these GOP agents or should they first address exercise and
diet and lifestyle.
Speaker 2 (18:03):
So if they don't meet the classic indications for these drugs,
and you mentioned that this patient did not person, I
would say, she's not even a patient yet. Maybe the
chronic medical conditions of hypertension, hyperlipidemia, or high cholesterol, high
blood pressure, statty accumulation in the river.
Speaker 5 (18:27):
Then lifestyle is it. But lifestyle is.
Speaker 2 (18:31):
Never not part of any treatment exactly even when we
use these drugs. And in fact, I think this is
very under emphasize. Lifestyle is even more of a necessity
on these drugs, and by that I mean your diet,
composition and physical strength training even on the drugs. So
(18:56):
without having specifics for this patient, I would say, course
lifestyle is the first foundational intervention.
Speaker 3 (19:06):
Now I head in this. Let's take another scenario that
this person does not have high cholesterol, does not have diabetes,
they are overweight or even obese, but they have high
blood pressure, just high blood pressure, and maybe they're on
let's say they're on a medicine for that. Would this
person be a candidate for one of these drugs.
Speaker 2 (19:28):
Yes, Yes, these are the patients that have long term
benefits from losing the weight in reducing cardiovascular events.
Speaker 3 (19:38):
Exactly now, So they do the thing that rubs me
a bit wrong. And it's watching late night TV. Are
all of the ads commercials, both online, TV radio where
you could pick up these drugs without having to go
to a doctor, without getting a physical exam, and you
(19:59):
just get it online delivered to your door the next day.
That must just drive you crazy. What how crazy do
you get?
Speaker 2 (20:11):
Well, this is where I think our public policy are
our medical community has really gone awry. Is so what
happened was when these drugs became so prominent in treatment
as well as social needs, we had a shortage of
(20:34):
the drugs and then you know, there's an FDA policy
that there is where there's a shortage of a crucial drug,
you can't compound the drugs. So they began compounding it.
And then because of the high volume and demand, it
became available compounded at day spas and online and nobody
(21:01):
was validating that the patient actually meets criteria medical criteria.
And so obviously when you're doing completely an internet based evaluation,
the person can tell them whatever way they want, They
can tell them whatever conditions they want, But how does
(21:21):
the prescriber know that those exist, but more importantly that
the risks of the drug will will not You will
not be a deterrent when you don't have the benefits
in that criteria.
Speaker 3 (21:37):
Right right, And that is where I think, with more time,
we're going to see more potential complications and adverse events
and stories in the news about this where I think
we're going to have to swing the pendulum back a
little bit more to the patient going in seeing their doctor,
getting truly evaluated and understanding the appropriateness of the drug.
Speaker 2 (21:59):
What do you say, yes, yes, And I'm not saying
telemedicine is out of the question even for legitimate medical
practices to monitor and continue treatment plans. But even in
my office, I use telemedicine, but it is never used solely.
(22:20):
My first evaluation is going to be in person. I'm
going to get the anthropometrics for the patient. That includes height, weight,
which will give me an accurate a mind. It could
also include the waste circumference measurements. And then I will
also examine the thyroid And this is important because we
(22:43):
know the drug has warnings for thyroid cancer, so you
want to make sure there's nothing already there or develops
during treatment. So that's ongoing physical exams are needed. And
then more importantly, after you start the patient on these drugs,
we know they lose weight, but it's not just at
(23:05):
a post tissue, it's also muscle. And some people can
lose so much weight and so much muscle that.
Speaker 5 (23:12):
They become a weak right. You know, they lose their
muscle strength.
Speaker 2 (23:18):
And how would you know this if you didn't watch
the patient walk into your examine room, watch them get
onto a table, and these simple behavioral things will tell
you whether this drug is appropriate for a patient. They're
having side effects that are wanted and adjustments need to
be made. I just don't understand how these practices on
(23:40):
the internet and tell the medicine solely are getting away
with doing this.
Speaker 3 (23:44):
Well, I I my own sense. And again this is
where you create enemies. It's it's strictly a financial transaction.
They know that there are millions of people that are
dying to get on these agents. It's an opportunity. There's
a lot of people they're willing to pay. And once
(24:06):
you do that and basically say we are open for business,
people are are going to do it, and they put
the care of the patient, the safety of the patient
really secondary to any sort of financial gain. I hate
that I have to say that, and we share this together,
but I do think it is the.
Speaker 4 (24:26):
Ugly truth. It is the ugly truth.
Speaker 3 (24:28):
And but you know, at the same time, the consumer,
the patient is willing or maybe they don't know, they're
willing to accept this risk of sight unseen getting on
a potentially toxic drug. Now you talked about cancer. Yes,
nobody wants that. But even the side effects of the nausea,
(24:51):
the vomiting, the constipation, this can lead to emergency room visits.
This can lead to real, real complications. But yet I
want the shot. I'm going to do it and whatever
it takes. So that's where it's both educating the physicians
and the you know, the the pas and nurse practitioners
(25:13):
that are involved in this care, but also the public.
And that's why I think what we're doing here, and
a lot of the work that you do is to
educate the public. But until that happens, I think this
is still going to be a growing industry.
Speaker 2 (25:27):
I couldn't agree with you more. I think the general
consumer needs to be more aware of how to evaluate
a legitimate medical evaluation versus a business evaluation. Yeah, yeah, no,
you're right, and they need to put their health first.
Speaker 4 (25:50):
Right, let's say, what's the name of this program? Your
health first?
Speaker 1 (25:55):
You know?
Speaker 4 (25:56):
But yes, I forgot it. It is true. But the
other thing is.
Speaker 3 (26:00):
Not only you know, everywhere you look, be it on
Instagram or Twitter or you know, TikTok, you have opportunities
to participate in these online services, but even you go
to the supermarket now and there is a whole new
brand of food that is geared towards the person on
(26:23):
a GLP one to get more protein. Like you said,
they're losing muscle mass and getting weak. And restaurants are
starting to offer menu items specific for GLP one patients.
So it's becoming mainstream.
Speaker 5 (26:38):
I did not even realize.
Speaker 4 (26:40):
Yes, yes, yeah, it's crazy.
Speaker 5 (26:43):
I forget.
Speaker 3 (26:45):
Yeah, I don't know which restaurants, and I would say
these are restaurants that none of these patients should be
going to to start off with, but they are having
g LP one specific menu items which are probably a
little bit more high in protein.
Speaker 5 (27:02):
I don't think you have to pay for that. It's
general common knowledge, right, we all, whether we're trying to
lose weight or not.
Speaker 2 (27:12):
Eat, you know, less carbohydrates, less refined food more natural
fruits and vegetables, right, and lean meats that are not
sauce or uh, you know, done up with with extra calories.
Speaker 5 (27:28):
Yeah, I'm sure you're aware. But we just the new
Food Pyramid was just published.
Speaker 3 (27:36):
Right now, you know, I haven't had a chance to
really dive in. What are your thoughts on that?
Speaker 2 (27:42):
Well, you know, I think it's it's right on with
current evidence, now evidence when the original food.
Speaker 5 (27:50):
Pyramid was done, our body compositions.
Speaker 6 (27:53):
Were very different.
Speaker 4 (27:54):
That's right, that's right.
Speaker 5 (27:55):
And and that's not that long ago.
Speaker 6 (27:57):
We're not talking about thousands of years a level, but
we have really switched in the general societal body composition,
food habits, dietary habits, exercise habits.
Speaker 5 (28:12):
So it really applies to what's going on now.
Speaker 4 (28:15):
So you're saying you're happy with the change.
Speaker 2 (28:20):
Yes, yes, whole grains, no refined foods and especially refined carbohydrates,
culture processed foods.
Speaker 5 (28:29):
And then you know, protein is great.
Speaker 2 (28:31):
We do need to eat more protein, but not to
the extreme where there's that population add creatine to everything.
Speaker 4 (28:41):
Exactly.
Speaker 5 (28:41):
We're not talking about that. We're talking about healthy, natural.
Speaker 3 (28:45):
Protein and the thing that a lot of people don't
realize is that you can get good sources of protein
other than a t bone steak.
Speaker 4 (28:54):
Yes, yes, I think.
Speaker 5 (28:56):
Red meats are going to be our least preferred.
Speaker 2 (29:01):
Right, poultry and fish right, and if you're vegetarian it
becomes er.
Speaker 4 (29:08):
Yeah, but it can be done.
Speaker 3 (29:10):
And this is where you know you have to be
somewhat engaged to learn about food, Which vegetables have more protein,
how do you get the beans into your diet, and
which beans you like and how to make them. So
it really comes down to you trying to be a
self starter. I guess the last thing here I would
(29:30):
say before we sign off with you is a reality
check on diabetes and the potentially life threatening complications. And
I say that only because sometimes human nature, people will
only listen to the things that may kill them. All
(29:54):
the other incidental things short of killing them. They may say,
I don't worry that, I could deal with that. But
with diabetes, there are a handful of potentially life threatening
complications and share them with us.
Speaker 2 (30:11):
So you know, it depends on the kind of diabetes
you have, and we have a spectrum of types of diabetes,
but simply put, type one diabetes is actually a disease
of autoimmunity and your body destroying the cells that make
insulin completely. So for them, every day is a life
(30:36):
threatening situation because they can go into severe low blood
sugars from insulin and coma, or they can go into
the opposite, severe high blood sugars and a buildup of
acid in their blood and coma from that. Now, type
two diabetes, which is a different kind of diabetes, which
(30:59):
is what we're talking about with lifestyle related, weight related
and also family history. This is more silent but also
has multiple killers over time.
Speaker 5 (31:14):
And I say that you know, diabetes.
Speaker 2 (31:16):
Affects everything, yep, from head to toe, right, So starting
at the head, you've got the risk of stroke, blindness
in the eyes, heart attacks and heart failure, liver failure,
kidney failure, and going all the way down the legs
to amputations.
Speaker 3 (31:37):
Yeah, nothing is pretty.
Speaker 5 (31:40):
Nothing is scared unfortunately.
Speaker 3 (31:42):
Yeah, And I say, diabetes takes no prisoners, It doesn't care.
Speaker 4 (31:45):
It will just eat you up.
Speaker 3 (31:47):
So knowing these for everybody listening tonight, you have to
look at it to say in a sense and you know,
being nice and kind, take your head out of the
sand and realize that you may be sitting here at
risk for you know, really bad things. All right, well,
doctor Saddu as always our favorite diabetes expert, one of
(32:11):
our favorite guests. I think there's enough here that.
Speaker 5 (32:16):
You know.
Speaker 3 (32:16):
Later in the month we'll have you back and I'll
let you pick the topic of choice that you'd like
to delve into.
Speaker 4 (32:21):
How about that?
Speaker 5 (32:23):
Absolutely, I would love that.
Speaker 2 (32:25):
It's a pleasure to talk to you and your audience
about this and educate everyone to live healthy and put
their health first.
Speaker 3 (32:36):
Exactly. All right, Archana, We'll see you soon. Thank you,
good right now, you Beck and I all right. That
was doctor Arshina Sadu with Houston Methodist Hospital, where she's
the director of the diabetes program. All right, I'm doctor
jogolid don't forget doctor Jogolati dot com is our website.
Do take care of your health and as we said
(32:58):
many times, the name of the program is your health First,
and that's exactly what we want to do.
Speaker 4 (33:02):
Stay tuned. We will be right back.
Speaker 3 (33:04):
Final segment of this week's Your Health First. I'm doctor
Joe Glotti. Thinks as always for spending an hour with us,
and think of it as investing an hour in your
health and wellness, and I will always say that this
(33:25):
is a program where there is actionable information. You're going
to listen and going to learn something such as learning
about diabetes, learning about fatty liver, learning about the latest
in the GLP one, world of o zepics and the like.
That is the key. Now, the last thing I want
to chat about for tonight. Within the last couple of weeks,
(33:49):
I forget the exact date that it was released, a
new food pyramid pyramid came out and RFK, Junior, FDA, USDA,
a lot of organizations came out and they changed a
food pyramid. Basically what they did they turned it upside
down and a lot of people like it. A lot
(34:10):
of people don't like it. A lot of people think
that this is going to promote obesity. Now, I think
we have to keep calm about this.
Speaker 4 (34:19):
Now.
Speaker 3 (34:19):
These are guidelines as far as what you are supposed
to eat. Now, let me just say this with all
sincerity not to annoy my listening audience. Here, you should
in twenty twenty six know that eating a big Mac
(34:42):
five days a week for lunch is going to promote
obesity and chronic disease and make you sick as snot.
You don't need really anybody to tell you that number one.
Number two, if you're thirsty and you reach for a
(35:04):
coke or a doctor pepper or a sprite or a
sweet iced tea, you should realize that not only are
you going to get cavities, it's going to promote the
risk of you getting diabetes. And so the New Food
Pyramid supports a few of these basic concepts. Number one,
(35:29):
avoid processed and ultra processed foods. I do not see
how anybody could argue that, keeping in mind that ultrap
processed foods are foods that you're not going to find
in your own kitchen cabinets. It's meals and dishes you
cannot make outside of a laboratory. It's Frankenstein food. It
(35:50):
is the fast foods. It is all of the sauces,
the ice creams, the frozen yogurts. It's the flavored yogurts,
it is all of these microwave meals. They all all
processed and ultra processed. Stay away from them. And again,
I can't see how anybody would want to argue Number two.
(36:11):
They promote a diet of whole food and fresh vegetables. Okay,
eating your vegetables, eating your fruits. Again, this should not
be a surprise to anybody. They do talk about eating
more protein in the form of meat. They talk about fish,
(36:36):
they're talking about poultry. They talk about beef. Now that
was something that was sort of taboo, eating too much beef.
Now there are those and there are studies that show
increasing content and red meat in your diet is associated
with obesity, cardiovascular disease, diabetes, cancer. So I would say
(36:57):
you want to avoid red meat, poultry, not bad, not
my first pick. I'd probably go with clean sources of fish,
and of course, keeping in mind with protein you can
get it from fruits and vegetables, beans, nuts, and a
number of vegetables have protein in it. And lastly, the
(37:23):
whole grains. Now they are telling you to eat whole grains, yes,
versus simple carbohydrates. You have to be careful with that.
But we'll be talking in the weeks to come. But
I'm going to say that we should all have the
basic principles of what we should be eating for Pete's sakes,
that we don't necessarily need to have, you know, the
(37:48):
government here telling us what we need to eat, all right,
Doctor Joe Galotti signing out. Don't forget doctor Joeglotti dot
com and with a little luck, we'll be here next
Sunday night.
Speaker 4 (37:58):
Listening to First Doctor Joe Glotti.
Speaker 1 (38:01):
For more information on this program or the content of
this program, go to your Health first dot com.
Initialize sequencing coming to you live from Houston, Texas, home
to the world's largest medical center.
Speaker 2 (00:08):
And the approach bays everything looking.
Speaker 1 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour
you'll learn about health, wellness and the provention of disease.
Now here's your host, Doctor Joe Bellotti.
Speaker 3 (00:44):
Well a good Sunday evening to everybody. Doctor Joe Gillotti,
thanks for tuning in on this Sunday night and spending
a little bit of your weekend with us. As I've
been saying for the twenty two plus years that we've
(01:05):
been on the radio here, my goal, clear and simple,
is to make you better consumers of healthcare, raising your
health IQ. And the only way you get there is
by being engaged. As I have said many many times,
(01:31):
I tell this to my patience. Good health is not
an accident. It is something that occurs when you are engaged.
You educate yourself on a condition, You make yourself available
to learn and not live with your head in the sand.
(01:54):
And so if you can get to that point where
you understand your family risk factors, you understand the conditions
or diseases or syndromes that you have, by reading about it,
talking with your doctor, talking to others that have this condition,
understanding the medicines you have and how they work or
(02:15):
how they may interact with other medicines that you're on.
What can you do from a lifestyle standpoint to mitigate
the symptoms or reverse the disease. But also you need
to know if I do nothing, how will this disease
(02:36):
run its course? In medical terms, we talk about the
natural history. So we know that the natural history of
high blood pressure is likely going to lead to developing
a stroke, having a heart attack, going into heart failure,
(02:59):
developing kidney failure. But if you don't know that, if
you don't know the natural history, you may not be
alerted to what on earth may happen to you. So
that's our position here. So on the program tonight, doctor
(03:21):
Arsina Sadu. She is a regular contributor to your health
first over the years. She is a diabetes expert in
the true, true sense of the word. And you may
have heard me say this before. When I first started
on the radio, Rush Limbaugh was still on the air
(03:45):
and somebody had said that Rush Limbaugh has guests, Doctor
Joe Gillotti has experts and that's what we have on
So as a diabetist expert, we're going to talk about obesity,
diabetes and a topic that you just can't run away from.
Of these GLP one agents. They're in the news everywhere.
(04:09):
But anyway, here we are. It is the new year,
and if you were following towards the end of the year,
you know that I went for a total knee replacement.
So I have been out of service for about five
weeks now and I'm back in the swing, feeling well,
and I will be talking more about the knee replacement
(04:29):
and what went on, and I plan on having my
my orthopedic surgeon, doctor Tim Brown, from Houston Methodist Hospital
on the program in the next few weeks. But the
message here so this is where doctor becomes patient. And
I've been a patient before. I was a sickly kid
(04:52):
and the fact that I was a sickly kid was
very influential in me becoming a doctor. But you when
the shoes on the other foot, you get a whole
new appreciation. But I would say with this knee replacement,
the surgery went well and that was all fine. The
key thing to knee replacement surgery is rehab, rehab, rehab, rehab.
(05:17):
I've been going three days a week to rehabilitation at
Houston Methodists, some fantastic physical therapists there. But at home,
I am rehabbing several hours a day, exercising, stretching, strengthening
your leg muscles. And there has to be this commitment.
(05:37):
And so when you see somebody that has a good
outcome after a knee replacement surgery, yes, thank you to
the surgeon, thank you to the all R team and
all that's involved there, the technology, But you have to
look and say that person probably committed themselves to the
necessary rehab. On the flip side, I've seen many many patients.
(06:04):
They go into surgery in bad shape, out of shape,
and the rehab, for one reason or another doesn't take place,
and they have a bum knee. And when you say, oh,
how did your knee replacement go last year, and they'll
say it sucked. I can't walk, it still hurts. And
when you dig deeper, they really did not pursue that
(06:28):
aggressive intervention with rehab. So this sort of applies to
so many things in life. If you've got diabetes, are
you committed to what's required? For diabetes, if you have
any other condition, are you committed to the lifestyle that
you need? So a lot too, a lot to you know,
(06:48):
chat about here. All right, we're gonna take a break
here now Doctor Sadu will be coming on talking about diabetes.
Don't forget doctor Joegalotti dot com is our website. D
R J O E G A L A t I
dot com is our website. Stay tuned.
Speaker 4 (07:04):
We'll bright back.
Speaker 3 (07:05):
Every Sunday evening between the hour of seven and a pm.
Speaker 4 (07:08):
We're here raising your.
Speaker 3 (07:10):
Health IQ as I like to say, making you better
consumers of healthcare. And our goal is to make you
a better consumer of healthcare and really really understand what
is at stake, how to take care of yourselves and
stay out of the er, stay out of the doctor's office,
unless of course it's a scheduled and you will visit.
(07:33):
But so much that all of you could do so
on on the program tonight, doctor Archiana Sadou. She is
no stranger to the program. She's the director of the
Diabetes program at Houston Methodist Hospital. Happy New Year and
always happy to talk about our favorite topic of diabetes.
Speaker 4 (07:51):
How are you tonight?
Speaker 2 (07:52):
Thanks for having me on I'm happy to be here,
and it's my favorite topic as well.
Speaker 3 (07:58):
I know and out of all of our colleagues, you
are probably the best and able to articulate complicated topics
like this, So that's that's a that's another great reason
to have you on. So anyway, so there's so much
to talk about. But first, I wouldn't be doing a
service to the program and to our listeners if I
(08:20):
didn't allow you to give ninety seconds as to the
importance of understanding diabetes and your risk factors. And I
would always say, realizing what the complications are. So you've
got it for ninety seconds. What do you want to
say to everybody tonight about diabetes?
Speaker 1 (08:41):
Oh?
Speaker 5 (08:42):
Just ninety seconds.
Speaker 3 (08:43):
I know That's why my teas is I always get
you back. So but for now, what what would you say?
What's what's the elevator pitch?
Speaker 5 (08:52):
Really, there's a few keywords. Know your risk right.
Speaker 2 (08:57):
And this has been core related so well through science
and even just practicality. Prevention is everything right, and if
you know your risks, you can begin prevention early and
not even have to deal with these long term complications.
Speaker 4 (09:17):
Exactly.
Speaker 3 (09:18):
It's like you don't and I make the analogy of
people taking care of their car. You don't want to
wait until your wheels are falling off, you have no
brakes and you're blowing smoke out of your tailpipe. You
have to go in for routine maintenance and understand what
the little little abnormalities mean, whether it's an abnormality in
(09:40):
your lab or you feel a certain way. But you
talk about risk factors. What are the risk factors? So
everybody tonight can look at themselves and say, oh, wait
a second, I have three risk factors.
Speaker 5 (09:52):
Okay, they're very easy. Huh. First, his family history, right?
Speaker 2 (09:57):
Does this run in your parents, aunts, uncles, grandparents? And
if it's in you know, within one generation away, it's
even more correlative that you're at risk. Second is, and
this is for type two diabetes. Particularly, is weight. Are
(10:17):
you overweight or even obese by current BMI standards? And
that's a little different based on your ethnicity. For the
general population non Asian population, a BMI of twenty five
or more is overweight and a BMI of thirty.
Speaker 5 (10:38):
Or more is obese.
Speaker 2 (10:41):
But if you're Asian it drops down to twenty three
for overweight and twenty five for obese. That's because Asians
tend to carry their weight different.
Speaker 3 (10:51):
Right now, just to point on obesity and being overweight,
have you found that there has been almost a reset
as to what Yes, you can have all these BMI
numbers and people tonight could plug it in and find out.
But the typical primary care physician is not looking at
(11:13):
a patient, a fifty year old woman or a man
non Asian and their BMI is right on the cusp
of being obese, and they really do not address it
in a serious way.
Speaker 4 (11:29):
Do you find that?
Speaker 1 (11:32):
Yes?
Speaker 2 (11:32):
Absolutely, And I think we are doing so many policy
changes to document BMI to address weight as a routine
medical issue.
Speaker 4 (11:46):
Right.
Speaker 2 (11:47):
And BMI is in everything, just as I mentioned, race
can vary the threshold, so canbody composition. Right, So if
you're really scientifically sound, you're looking at the waste to
hip ray show exactly as as the real predictor of
metabolic disease. Yeah, and I in terms of primary care
(12:08):
focusing on it, you know, I think the more common
it becomes, the less priority it becomes.
Speaker 3 (12:15):
That's right, everybody, because everybody's got it, everybody. Yeah, yeah, no, no,
I think that And I guess and you see almost
the exact same type of patient that I see. But
patients will come and they will have because of their
diabetes and their weight and their high cholesterol, they have
fatty liver which can lead to sorosis. And we have
(12:37):
people with near nearly soerotic, nearly sorhrosis, and we'll talk
with them and they will say, well, I did not
know that my diabetes can lead to sorosis. I did
not know that my weight could lead to sorosis. Now,
part of it is the consumer not knowing, and I
think they're in denial. But I do think that they're
(12:58):
not getting that much pressure from their primary care team.
Speaker 4 (13:04):
What do you think of that? And again I'm not
I'm not here. I'm not here.
Speaker 3 (13:07):
I'm not here to blame anybody or you know, start
getting hate mail.
Speaker 4 (13:11):
But I do think it is a problem. What do
you what do you say?
Speaker 5 (13:14):
No?
Speaker 2 (13:15):
No, I mean when I see a patient with metabolic
or fatty liver disease, I go back and say, when
did you first.
Speaker 5 (13:24):
Find out about this? And more often than not, they
had some hint of.
Speaker 2 (13:30):
It many many years ago, decades when their primary care said, oh,
your liver numbers are a little.
Speaker 5 (13:36):
Up, will watch it?
Speaker 4 (13:39):
Oh I hate that, or they.
Speaker 2 (13:41):
Have some other surgery or maybe a scan that that
noted some fatty liver disease, and someone mentioned it but
didn't focus on it, right, And then years and years
go by, and the process continues, and as you know,
this isn't this is a sign on to epidermmy right,
(14:01):
it doesn't declare symptoms until you're way far along, right.
Speaker 4 (14:06):
So true, so true?
Speaker 3 (14:07):
Well okay, so now let me let me shift gears
for the next few minutes. Here these g lp one
agents that have been in their lives for the past
number of years, and ozempic has almost become the the
analogy of coke when when you want a soft drink,
it's like, oh, you know, golp I want ozempic. But
(14:29):
there's so many. There are a number of these GOLP
one agonists as they're known by. And in December, well
goviy became oral. Are you seeing much of that now?
Speaker 2 (14:45):
So well, first I just want to comment on your
househo old time of ozep and cokees.
Speaker 5 (14:51):
That's a great analogy. Yes, thank you, brand.
Speaker 3 (14:55):
You could use it anytime you want. Yeah, I mean
it's like I want ozempic, ozempic, you know, represent you.
Speaker 2 (15:00):
Go a party conversation if someone's going to be talking
about it.
Speaker 4 (15:04):
Yes, exactly, Yes.
Speaker 2 (15:06):
So are an amazing class of drugs that have proven
benefits in those studied in this population. Now, of course
they're not applied always to the same type of patients
studied in the randomized control trials, and that that has
(15:27):
become an issue. But when you use them in overweight
patients with chro medical condition, obese patients, they have great
benefits in cardio, metabolic and renal aspects.
Speaker 5 (15:49):
So no doubt about that.
Speaker 2 (15:52):
But of course, you know, real world application and randomized
control trials can be very far apart art and I
think where we went awry is the inappropriate application of
these drugs.
Speaker 3 (16:07):
All right, we're going to take a quick break here,
doctor Joe Glotti. This is Your Health First. We have
doctor Archina Sadu, who's the director of the diabetest program
at Euston Methodist Hospital, talking about GLP one agents, diabetes
and really all that you need to know. Stay tuned,
will be right back. Welcome back, everybody, Doctor Joe Glotti,
thanks for tuning in on this glorious Sunday evening. The
(16:29):
name of the program is Your Health First. That's what
we do. We put your health first. On the phone
with me tonight is doctor Sadu. She is no stranger
to your health first. She's the director of the diabetes
program at Houston Methodist Hospital here in the Texas Medical Center.
It's always great to have her on talking about diabetes
(16:53):
and obesity and the major public health problems that so
many of us face. So, as you being an expert
in diabetes and metabolic syndrome and the use of these medications,
who would you say ozempic? We'll just say ozempic for
(17:15):
the fun of it. Is the ideal candidate. So I'll
give you a scenario. A thirty year old woman who
is overweight, and without giving a BMI, I say they're
overweight by you know, twenty pounds. Okay, they've got a
little bit of a little bit of a pooch and
(17:36):
they don't fit in their clothes anymore, and they're getting
ready to get married or going on a cruise or
something like that. They do not have diabetes, they do
not have high blood pressure, and they may or may
not have a little bit.
Speaker 4 (17:49):
Of a fatty liver.
Speaker 3 (17:50):
Is this type of a person ideal for one of
these GOP agents or should they first address exercise and
diet and lifestyle.
Speaker 2 (18:03):
So if they don't meet the classic indications for these drugs,
and you mentioned that this patient did not person, I
would say, she's not even a patient yet. Maybe the
chronic medical conditions of hypertension, hyperlipidemia, or high cholesterol, high
blood pressure, statty accumulation in the river.
Speaker 5 (18:27):
Then lifestyle is it. But lifestyle is.
Speaker 2 (18:31):
Never not part of any treatment exactly even when we
use these drugs. And in fact, I think this is
very under emphasize. Lifestyle is even more of a necessity
on these drugs, and by that I mean your diet,
composition and physical strength training even on the drugs. So
(18:56):
without having specifics for this patient, I would say, course
lifestyle is the first foundational intervention.
Speaker 3 (19:06):
Now I head in this. Let's take another scenario that
this person does not have high cholesterol, does not have diabetes,
they are overweight or even obese, but they have high
blood pressure, just high blood pressure, and maybe they're on
let's say they're on a medicine for that. Would this
person be a candidate for one of these drugs.
Speaker 2 (19:28):
Yes, Yes, these are the patients that have long term
benefits from losing the weight in reducing cardiovascular events.
Speaker 3 (19:38):
Exactly now, So they do the thing that rubs me
a bit wrong. And it's watching late night TV. Are
all of the ads commercials, both online, TV radio where
you could pick up these drugs without having to go
to a doctor, without getting a physical exam, and you
(19:59):
just get it online delivered to your door the next day.
That must just drive you crazy. What how crazy do
you get?
Speaker 2 (20:11):
Well, this is where I think our public policy are
our medical community has really gone awry. Is so what
happened was when these drugs became so prominent in treatment
as well as social needs, we had a shortage of
(20:34):
the drugs and then you know, there's an FDA policy
that there is where there's a shortage of a crucial drug,
you can't compound the drugs. So they began compounding it.
And then because of the high volume and demand, it
became available compounded at day spas and online and nobody
(21:01):
was validating that the patient actually meets criteria medical criteria.
And so obviously when you're doing completely an internet based evaluation,
the person can tell them whatever way they want, They
can tell them whatever conditions they want, But how does
(21:21):
the prescriber know that those exist, but more importantly that
the risks of the drug will will not You will
not be a deterrent when you don't have the benefits
in that criteria.
Speaker 3 (21:37):
Right right, And that is where I think, with more time,
we're going to see more potential complications and adverse events
and stories in the news about this where I think
we're going to have to swing the pendulum back a
little bit more to the patient going in seeing their doctor,
getting truly evaluated and understanding the appropriateness of the drug.
Speaker 2 (21:59):
What do you say, yes, yes, And I'm not saying
telemedicine is out of the question even for legitimate medical
practices to monitor and continue treatment plans. But even in
my office, I use telemedicine, but it is never used solely.
(22:20):
My first evaluation is going to be in person. I'm
going to get the anthropometrics for the patient. That includes height, weight,
which will give me an accurate a mind. It could
also include the waste circumference measurements. And then I will
also examine the thyroid And this is important because we
(22:43):
know the drug has warnings for thyroid cancer, so you
want to make sure there's nothing already there or develops
during treatment. So that's ongoing physical exams are needed. And
then more importantly, after you start the patient on these drugs,
we know they lose weight, but it's not just at
(23:05):
a post tissue, it's also muscle. And some people can
lose so much weight and so much muscle that.
Speaker 5 (23:12):
They become a weak right. You know, they lose their
muscle strength.
Speaker 2 (23:18):
And how would you know this if you didn't watch
the patient walk into your examine room, watch them get
onto a table, and these simple behavioral things will tell
you whether this drug is appropriate for a patient. They're
having side effects that are wanted and adjustments need to
be made. I just don't understand how these practices on
(23:40):
the internet and tell the medicine solely are getting away
with doing this.
Speaker 3 (23:44):
Well, I I my own sense. And again this is
where you create enemies. It's it's strictly a financial transaction.
They know that there are millions of people that are
dying to get on these agents. It's an opportunity. There's
a lot of people they're willing to pay. And once
(24:06):
you do that and basically say we are open for business,
people are are going to do it, and they put
the care of the patient, the safety of the patient
really secondary to any sort of financial gain. I hate
that I have to say that, and we share this together,
but I do think it is the.
Speaker 4 (24:26):
Ugly truth. It is the ugly truth.
Speaker 3 (24:28):
And but you know, at the same time, the consumer,
the patient is willing or maybe they don't know, they're
willing to accept this risk of sight unseen getting on
a potentially toxic drug. Now you talked about cancer. Yes,
nobody wants that. But even the side effects of the nausea,
(24:51):
the vomiting, the constipation, this can lead to emergency room visits.
This can lead to real, real complications. But yet I
want the shot. I'm going to do it and whatever
it takes. So that's where it's both educating the physicians
and the you know, the the pas and nurse practitioners
(25:13):
that are involved in this care, but also the public.
And that's why I think what we're doing here, and
a lot of the work that you do is to
educate the public. But until that happens, I think this
is still going to be a growing industry.
Speaker 2 (25:27):
I couldn't agree with you more. I think the general
consumer needs to be more aware of how to evaluate
a legitimate medical evaluation versus a business evaluation. Yeah, yeah, no,
you're right, and they need to put their health first.
Speaker 4 (25:50):
Right, let's say, what's the name of this program? Your
health first?
Speaker 1 (25:55):
You know?
Speaker 4 (25:56):
But yes, I forgot it. It is true. But the
other thing is.
Speaker 3 (26:00):
Not only you know, everywhere you look, be it on
Instagram or Twitter or you know, TikTok, you have opportunities
to participate in these online services, but even you go
to the supermarket now and there is a whole new
brand of food that is geared towards the person on
(26:23):
a GLP one to get more protein. Like you said,
they're losing muscle mass and getting weak. And restaurants are
starting to offer menu items specific for GLP one patients.
So it's becoming mainstream.
Speaker 5 (26:38):
I did not even realize.
Speaker 4 (26:40):
Yes, yes, yeah, it's crazy.
Speaker 5 (26:43):
I forget.
Speaker 3 (26:45):
Yeah, I don't know which restaurants, and I would say
these are restaurants that none of these patients should be
going to to start off with, but they are having
g LP one specific menu items which are probably a
little bit more high in protein.
Speaker 5 (27:02):
I don't think you have to pay for that. It's
general common knowledge, right, we all, whether we're trying to
lose weight or not.
Speaker 2 (27:12):
Eat, you know, less carbohydrates, less refined food more natural
fruits and vegetables, right, and lean meats that are not
sauce or uh, you know, done up with with extra calories.
Speaker 5 (27:28):
Yeah, I'm sure you're aware. But we just the new
Food Pyramid was just published.
Speaker 3 (27:36):
Right now, you know, I haven't had a chance to
really dive in. What are your thoughts on that?
Speaker 2 (27:42):
Well, you know, I think it's it's right on with
current evidence, now evidence when the original food.
Speaker 5 (27:50):
Pyramid was done, our body compositions.
Speaker 6 (27:53):
Were very different.
Speaker 4 (27:54):
That's right, that's right.
Speaker 5 (27:55):
And and that's not that long ago.
Speaker 6 (27:57):
We're not talking about thousands of years a level, but
we have really switched in the general societal body composition,
food habits, dietary habits, exercise habits.
Speaker 5 (28:12):
So it really applies to what's going on now.
Speaker 4 (28:15):
So you're saying you're happy with the change.
Speaker 2 (28:20):
Yes, yes, whole grains, no refined foods and especially refined carbohydrates,
culture processed foods.
Speaker 5 (28:29):
And then you know, protein is great.
Speaker 2 (28:31):
We do need to eat more protein, but not to
the extreme where there's that population add creatine to everything.
Speaker 4 (28:41):
Exactly.
Speaker 5 (28:41):
We're not talking about that. We're talking about healthy, natural.
Speaker 3 (28:45):
Protein and the thing that a lot of people don't
realize is that you can get good sources of protein
other than a t bone steak.
Speaker 4 (28:54):
Yes, yes, I think.
Speaker 5 (28:56):
Red meats are going to be our least preferred.
Speaker 2 (29:01):
Right, poultry and fish right, and if you're vegetarian it
becomes er.
Speaker 4 (29:08):
Yeah, but it can be done.
Speaker 3 (29:10):
And this is where you know you have to be
somewhat engaged to learn about food, Which vegetables have more protein,
how do you get the beans into your diet, and
which beans you like and how to make them. So
it really comes down to you trying to be a
self starter. I guess the last thing here I would
(29:30):
say before we sign off with you is a reality
check on diabetes and the potentially life threatening complications. And
I say that only because sometimes human nature, people will
only listen to the things that may kill them. All
(29:54):
the other incidental things short of killing them. They may say,
I don't worry that, I could deal with that. But
with diabetes, there are a handful of potentially life threatening
complications and share them with us.
Speaker 2 (30:11):
So you know, it depends on the kind of diabetes
you have, and we have a spectrum of types of diabetes,
but simply put, type one diabetes is actually a disease
of autoimmunity and your body destroying the cells that make
insulin completely. So for them, every day is a life
(30:36):
threatening situation because they can go into severe low blood
sugars from insulin and coma, or they can go into
the opposite, severe high blood sugars and a buildup of
acid in their blood and coma from that. Now, type
two diabetes, which is a different kind of diabetes, which
(30:59):
is what we're talking about with lifestyle related, weight related
and also family history. This is more silent but also
has multiple killers over time.
Speaker 5 (31:14):
And I say that you know, diabetes.
Speaker 2 (31:16):
Affects everything, yep, from head to toe, right, So starting
at the head, you've got the risk of stroke, blindness
in the eyes, heart attacks and heart failure, liver failure,
kidney failure, and going all the way down the legs
to amputations.
Speaker 3 (31:37):
Yeah, nothing is pretty.
Speaker 5 (31:40):
Nothing is scared unfortunately.
Speaker 3 (31:42):
Yeah, And I say, diabetes takes no prisoners, It doesn't care.
Speaker 4 (31:45):
It will just eat you up.
Speaker 3 (31:47):
So knowing these for everybody listening tonight, you have to
look at it to say in a sense and you know,
being nice and kind, take your head out of the
sand and realize that you may be sitting here at
risk for you know, really bad things. All right, well,
doctor Saddu as always our favorite diabetes expert, one of
(32:11):
our favorite guests. I think there's enough here that.
Speaker 5 (32:16):
You know.
Speaker 3 (32:16):
Later in the month we'll have you back and I'll
let you pick the topic of choice that you'd like
to delve into.
Speaker 4 (32:21):
How about that?
Speaker 5 (32:23):
Absolutely, I would love that.
Speaker 2 (32:25):
It's a pleasure to talk to you and your audience
about this and educate everyone to live healthy and put
their health first.
Speaker 3 (32:36):
Exactly. All right, Archana, We'll see you soon. Thank you,
good right now, you Beck and I all right. That
was doctor Arshina Sadu with Houston Methodist Hospital, where she's
the director of the diabetes program. All right, I'm doctor
jogolid don't forget doctor Jogolati dot com is our website.
Do take care of your health and as we said
(32:58):
many times, the name of the program is your health First,
and that's exactly what we want to do.
Speaker 4 (33:02):
Stay tuned. We will be right back.
Speaker 3 (33:04):
Final segment of this week's Your Health First. I'm doctor
Joe Glotti. Thinks as always for spending an hour with us,
and think of it as investing an hour in your
health and wellness, and I will always say that this
(33:25):
is a program where there is actionable information. You're going
to listen and going to learn something such as learning
about diabetes, learning about fatty liver, learning about the latest
in the GLP one, world of o zepics and the like.
That is the key. Now, the last thing I want
to chat about for tonight. Within the last couple of weeks,
(33:49):
I forget the exact date that it was released, a
new food pyramid pyramid came out and RFK, Junior, FDA, USDA,
a lot of organizations came out and they changed a
food pyramid. Basically what they did they turned it upside
down and a lot of people like it. A lot
(34:10):
of people don't like it. A lot of people think
that this is going to promote obesity. Now, I think
we have to keep calm about this.
Speaker 4 (34:19):
Now.
Speaker 3 (34:19):
These are guidelines as far as what you are supposed
to eat. Now, let me just say this with all
sincerity not to annoy my listening audience. Here, you should
in twenty twenty six know that eating a big Mac
(34:42):
five days a week for lunch is going to promote
obesity and chronic disease and make you sick as snot.
You don't need really anybody to tell you that number one.
Number two, if you're thirsty and you reach for a
(35:04):
coke or a doctor pepper or a sprite or a
sweet iced tea, you should realize that not only are
you going to get cavities, it's going to promote the
risk of you getting diabetes. And so the New Food
Pyramid supports a few of these basic concepts. Number one,
(35:29):
avoid processed and ultra processed foods. I do not see
how anybody could argue that, keeping in mind that ultrap
processed foods are foods that you're not going to find
in your own kitchen cabinets. It's meals and dishes you
cannot make outside of a laboratory. It's Frankenstein food. It
(35:50):
is the fast foods. It is all of the sauces,
the ice creams, the frozen yogurts. It's the flavored yogurts,
it is all of these microwave meals. They all all
processed and ultra processed. Stay away from them. And again,
I can't see how anybody would want to argue Number two.
(36:11):
They promote a diet of whole food and fresh vegetables. Okay,
eating your vegetables, eating your fruits. Again, this should not
be a surprise to anybody. They do talk about eating
more protein in the form of meat. They talk about fish,
(36:36):
they're talking about poultry. They talk about beef. Now that
was something that was sort of taboo, eating too much beef.
Now there are those and there are studies that show
increasing content and red meat in your diet is associated
with obesity, cardiovascular disease, diabetes, cancer. So I would say
(36:57):
you want to avoid red meat, poultry, not bad, not
my first pick. I'd probably go with clean sources of fish,
and of course, keeping in mind with protein you can
get it from fruits and vegetables, beans, nuts, and a
number of vegetables have protein in it. And lastly, the
(37:23):
whole grains. Now they are telling you to eat whole grains, yes,
versus simple carbohydrates. You have to be careful with that.
But we'll be talking in the weeks to come. But
I'm going to say that we should all have the
basic principles of what we should be eating for Pete's sakes,
that we don't necessarily need to have, you know, the
(37:48):
government here telling us what we need to eat, all right,
Doctor Joe Galotti signing out. Don't forget doctor Joeglotti dot
com and with a little luck, we'll be here next
Sunday night.
Speaker 4 (37:58):
Listening to First Doctor Joe Glotti.
Speaker 1 (38:01):
For more information on this program or the content of
this program, go to your Health first dot com.
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