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From YouTube: Focus on Health 09 15 2022
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A
Welcome
welcome
welcome
to
another
program
of
focus
on
health.
I
always
give
a
teaser
you've
never
seen
this
guest
on
my
show,
but
guess
what
I
trapped
him
into
saying
he's
going
to
come
back
he's
an
endocrinologist,
so
they
can
talk
about
all
the
various
endocrine
organ
systems,
so
we're
going
to
be
back
right
after
the
other
end
of
this
commercial.
B
A
Told
you
we'll
be
right
back.
I
have
as
a
special
guest
first
time
on
the
program.
His
wife
by
the
way
is
a
physician
part
excellence.
She
is
my
physician
brought
me
through
a
couple
of
crises
that
I
recently
had.
That's
why
you
have
not
seen
me,
but
I'm
here
now
very
healthy
she's
keeping
me
healthy
and
she's
busy,
but
her
husband
is
here.
So
I
want
dr
beliga
to
look
into
that
camera
and
let
you
know
all
the
contact
information
where
you
can
contact
him
and
my
physician
his
wife,
dr
reagan.
C
Thank
you,
pops.
It's
a
great
honor
to
be
here
today
and
you
know
the
amount
of
work
you
do
for
the
local
community
is
amazing
and
education
is
the
greatest
tool
greatest
service
that
you
can
provide
to
the
community.
Well,.
C
Yeah
I'm
with
dr
montreal
suresh
baliga,
I'm
an
endocrinologist
my
office.
The
main
office
is
in
open.
Like
alabama
3320
skyway
drive
suite
602
opelika
alabama
36801.
Our
telephone
number
is
334-737-2737.
C
A
Well-
and
I
can
attest
I'm
here-
everyone
says
popular
so
much
weight,
but
I
am
the
healthiest
that
I've
ever
been
thanks
to
his
wife
and
it
is
into
her
husband
too,
because
he's
interviewed
so
we
have
dr
balika
here.
My
favorite
topic
is
diabetes
and
we've
been
going
back
and
forth
about
the
benefit
of
monitoring
devices.
Personally
I
didn't
see
I
said
no,
I
don't
need
to
do
that.
I
could
check
my
own
blood
sugar,
but
then,
when
I
looked
at
the
slides,
I
said
up
pops.
You
want
to
know
something.
A
This
is
a
benefit
to
your
health,
and
so
he,
dr
boliga,
has
some
excellent
slides
that
he's
gotten
ready
for
us,
and
the
purpose
of
this
show
really
is
to
encourage,
give
you
enough
health
information
that
you
can
choose
to
have
a
a
healthy
lifestyle,
but
if
not
make
very
informed
health
care
decisions.
Just
like
I
looked
at
his
slides
and
I
saw
the
benefit
of
using
the
monitoring
device.
So
we're
going
to
have
dr
berliga
speak
about
this
here,
because
it
will
be
an
asset
and
assistance
to
your
overall
health.
A
C
I
wish
so
I
mean
dog
person,
but
we
have
some
healthy
shoes
in
inside
the
house.
We
cannot
have
a
dog.
C
C
You
know
my
diabetes
journey
started
a
long
time
back
in
india,
so
I
grew
up
in
a
very
small
place
called
bundwa.
That's
why
my
first
name
is
bantwa
so
growing
up.
I
could
see
my
family
members
getting
affected
with
diabetes,
sure
my
dad
had
diabetes.
My
granddad
had
diabetes,
my
uncles
had
diabetes
and
my
dad.
He
had
diabetes,
plus
he
developed
a
heart
disease
at
the
age
of
45.
at.
C
Then
he
dropped
on
diet
at
the
age
of
55..
So
those
days
we
did
not
make
any
connection
between
uncontrolled
diabetes
and
cardiovascular
disease
right.
So
this
our
knowledge
regarding
diabetes
was
sort
of
primitive
at
that
time,
but
now
it
has
gone
through
so
many
changes.
So
now
we
know
diabetes.
We
have
studied
diabetes,
we
know
much
more
about
diabetes.
So
in
the
old
days
we
used
to
you
know
we
did
not
have
a
glucometer
right
and
patients
used
to
come
to
our
office
with
their
morning
urine
sample.
C
C
C
A
C
A
When
you're
talking
about
diabetes,
everything
that
is
included
in
it,
this
is
this
is
one
of
the
you
have
very
good
slides,
but
this
is
the
one
of
the
most
excellent
slides
right
here.
Yes,.
C
Totally
agree,
you
know
if
you
look
at
diabetes
now,
diabetes
is
a
killer
disease
right,
it's
a
very
bad
diabetes.
If
you
do
not
take
care
of
diabetes,
it's
going
to
kill
you,
so
you
should
take
it
like
your
enemy.
So
when
you
go
to
a
war,
what
do
you
do
you
study
the
enemy?
That's
exactly
right!
Then
you
look
at
the
pathophysiology
of
diabetes
and
find
out
what
exactly
is
wrong
going
wrong
with
your
body.
C
A
C
So
he
got
that
famous
banting
distinction
award
and
he
gave
this
lecture
and
he
called
it
the
ominous
octet.
That
means
eight
main
defects
in
diabetes.
So
if
you
look
at
pancreas
right,
pancreas
is
the
organ.
Where
you
have
insulin,
which
comes
out,
you
also
have
a
glucagon
insulin
decreases
the
glucose.
C
Raises
the
glucose
right
when
you
develop
diabetes,
the
insulin
secretion
from
the
pancreas
keeps
on
going
down.
That's
why,
from
a
metabolic
syndrome,
obesity
you
go
to
pre-diabetes
and
you
develop
diabetes.
That's
right!
So
glucagon
is
very
important
hormone.
Also
when
we
talk
about
diabetes,
because
normally
when
you
eat
a
meal,
you
should
have
high
insulin
level
to
bring
down
the
sugar
down.
That's
right,
but
you
should
get
the
glucagon
suppressed,
but
in
diabetes
glucagon
is
still
raised.
That's.
A
C
C
A
C
When
you
go
to
bed
some
of
your
patients,
they
go
to
bed
with
reasonably
good
blood
sugar
like
120
130
they
wake
up
in
the
morning,
they're
like
180,
200
and
they're
like
dog,
I
didn't
eat
anything.
I
tell
them.
No,
no,
it's
not
your
problem.
It's
something
called
a
dawn
effect
right.
So
that
means
even
before
you
get
up
in
the
morning.
Your
body
is
getting
ready
for
the
day
stress
by
releasing
all
these
gluconeogenic
hormones
which
raise
your
sugar
like
the
glucagon
and
the
cortisol
and
growth
hormone
and
epinephrine.
C
C
D
C
Glucose
gets
utilized
and
the
sugars
drop
down
so
never
ever
forget
to
exercise
10
000
steps
a
day,
30
minutes
of
physical
activity.
That's
all
you
have
to
do
then,
the
fat
right
when
we
were
growing
up
in
medical
school.
You
know
fat
cells
were
just
storage
organs
for
fat,
but
now
we
realize
that
fat
cells
is
one
of
the
biggest
endocrine
organs
in
the
body
right
because
in
the
same
fat
cell
you
have
good
hormones
called
adipocytes.
C
C
C
C
C
A
D
A
D
C
C
Thank
you
for
that.
Okay.
So
next
slide
please.
So
this
is
the
problem
in
diabetes.
Right
people
die
because
of
the
diabetes
and
controlled
diabetes.
So
when
patients
come
to
me,
uncontrolled
diabetes,
right
they're
sitting
across
me
and
I'm
least
bothered
about
their
glycemic
control
because
I'm
a
good
doctor,
I've
got
so
many
great
drugs.
I
can
get
their
glucose
back
into
the
normal
range
guess.
What
am
I
going
to
prevent
this
person
from
getting
a
heart
attack
or
a
stroke,
see
that's
where
we
earn
money?
It's
not
just
a
glycemic
control.
A
C
C
Legs
together,
yes,
so,
let's
move
to
the
next
slide
now
you'll
see
why
I'm
talking
about
it
see.
This
is
one
of
the
most
important
slides
when
you
develop
diabetes,
your
risk
of
dying
increases.
Your
lifespan
comes
down
by
about
six
to
seven
years,
just
by
having
diabetes
and
women
do
us,
then,
if
you
have
a
diabetes,
and
on
top
of
that,
if
you
get
a
heart
attack,
your
lifespan
comes
down
by
about
12
years
compared
to
your
colleagues
who
have
known.
A
C
C
Unstowed
miseries
to
the
families,
so
so
that's
why
I'm
very
focusing
on
keeping
patients
healthy,
safe,
preventing
them
from
having
a
heart
attack
or
a
stroke
next
last
place.
So
this
is
the
old
way
of
managing
right.
You
come
to
me
as
a
diabetic
person.
I
put
you
on
a
metformin
lifestyle
modification.
They
come
back.
They
are
not
under
coal.
Then
you
put
another
medication.
Then
every
three
means
you
keep
on
adding
another
medication.
Then
there
comes
a
stage
where
none
of
the
oral
medications
are
not
working.
C
Then
you
need
insulin.
So
we
start
using
one
shot
of
insulin
at
night
time
then
try
to
manage.
Then
we
reach
a
stage.
Ultimately,
when
the
pancreas
totally
fails,
you
need
four
shots
of
insulin.
We
have
things
change
from
point,
eight
to
point
b
right,
so
it's
a
diabetes
is
a
relentless
disease.
This
is
not
a
stationary
disease.
No.
C
A
C
A
The
one
that
said
I
see
now
why
they
want
to
monitor
it,
because
you
can
check
your
blood
sugar
and
my
I
manage
when
I
check
my
when
I
do
my
finger.
Stick,
my
blood
sugar,
it's
always
on
the
money
right.
But
when
I
looked
at
this
slide,
I
can
see
where,
as
it
says,
you
can
have
unnoticed
highs
and
lows
exactly
that's
not
that
you're
not
catching
on
your
regular.
C
Finger
slip
correct,
so
that's
the
reason
you
know
so
you
should
realize
doing
a
finger.
Stick
is
a
tricky
business
because
it
hurts.
Patients
are
not
very
keen
on
doing
the
finger
sticks,
so
they
try
to
do
the
least
number
of
sticks.
You
know
that's
allowed,
but
the
problem
is:
when
you
look
at
this
red
dots,
everything
looks
good
they're
all
in
good
range
right,
but
when
they
look
at
this,
this
person
had
very
low
blood,
sugars
overnight
right.
A
C
Right
then,
look
at
the
after
meal
how
high
it
goes
on
the
bloop,
so
that
means
patient
is
eating
and
is
not
on
right
amount
of
medication.
That's
why
blood
sugar
shoot
up.
So
typically,
once
you
become
diabetic,
we
look
at.
We
want
to
keep
your
fasting
blood
sugar.
That
means,
when
you
wake
up
in
the
morning,
it
should
be
between
80
to
120
two
hours
after
eating
any
meal,
breakfast
lunch
or
dinner.
You
should
always
be
below
180..
C
A
C
Why
we
have
this,
fortunately
continuous
glucose
monitoring
systems.
We
are
so
grateful
that
system.
So
that's
like
this.
D
A
D
Hi,
I'm
mayor
skip
henderson,
no
matter
who
we
are:
parents,
business
owners,
faith
leaders,
teachers,
vaccines,
help,
keep
us
healthy,
so
we're
free
to
do
the
things
we
want
to
do.
There
are
vaccines.
We
need
as
adults
to
help
protect
us
from
shingles
pneumonia
and
the
flu
it's
easy
to
find
out
which
ones
you
need
just
ask
your
doctor
or
your
pharmacist,
I'm
so
proud
of
how
we
support
each
other
in
our
community.
So,
let's
knock
it
out
of
the
park.
D
A
Secondly,
this
is
what
caught
my
attention,
because
we've
been
going
back
and
forth
for
this
issue
here
and
when
I
saw
that
slide,
where
it
shows
the
peaks
and
valleys
it
was
a
wake-up
call
for
me,
and
so
this
is
going
to
be
dr
boliga
speaking
to
you
in
this
camera
here
to
let
you
know,
because
this
is
all
dealing
with
morbidity,
which
is
your
illness
and
mortality
which
is
lever
here,
and
so
you
want
to
get
this
information
that
he's
going
to.
This
is
a
gem.
A
C
Make
sure
it
goes
through
the
hoop?
Yes,
thank
you.
Paul
yeah,
as
we
mentioned
earlier
biggest
problem
for
patients
with
diabetes,
is
having
a
heart
attack
or
a
stroke
and
dying
very
early,
as
I
showed
in
the
previous
slides.
If
you
have
diabetes,
your
lifespan
comes
down
by
about
six
to
seven
years.
C
So
that's
why
we
recommend
that
you
control
your
diabetes
better
and
go
to
your
doctors
and
take
care
of
your
body
very
well,
and
there
are
certain
numbers
that
you
should
be
aware
of.
As
you
know,
normal
blood
sugar
is
less
than
100
right,
but
once
you
develop
diabetes,
there
are
a
couple
of
pointers
that
you
have
to
understand.
So
one
is
the
first
thing
in
the
morning
when
you
wake
up
what
should
be
your
blood
sugar,
it
should
be
between
80
to
120.
C
You
don't
want
to
wake
up
in
the
morning
like
50
and
60s.
We
do
not
want
hypoglycemia,
because
hypoglycemia
can
kill
two.
So
I'm
okay
with
little
bit
high
blood
sugar.
So
the
advice
for
you
is
to
keep
your
fasting
sugar
between
80
to
120
in
the
morning.
Then.
The
next
thing
is
how
high
your
sugar
should
be
after
eating
a
meal
right,
so
it
doesn't
matter
it's
a
breakfast
lunch
or
dinner.
C
If
you
eat
a
meal
and
test
your
finger
steak
or
look
at
your
continuous
glucose
monitoring
system,
that
number
should
be
definitely
below
180..
If
you
want
a
tighter
control,
you
can
try
to
keep
it
140
to
160
in
younger
people.
So
these
are
the
things.
If
you
do
that,
then
your
overall,
what
you
call
as
a
hemoglobin
a1c,
which
is
a
reflection
of
your
glycemic
or
diabetes
control
in
the
last
three
months.
That
number
should
be
below
seven
percent.
C
If
you
want
a
good
control,
tighter
control,
if
you're
young,
maybe
six
to
six
point
five
percent,
but
you
need
to
get
those
numbers
without
getting
too
many
lows
or
without
getting
too
many
highs.
That's
why
nowadays
we
talk
about
timing
range,
so
as
we
advance
to
the
future
slides,
I
can
tell
you
more
information.
A
Excellent
excellent,
excellent
job
doctor
and
listen
and
to
be
perfectly
honest
with
you
if
you
want
to-
and
I
always
tell
people
this
here
chris
one
thing
that
dr
boliga
said
is
this:
here:
that
diabetes
is
it's
a
lifetime,
I
mean
you
can
manage
it,
it's
how
you
manage
it,
it's
going
to
determine
your
longevity,
correct
and,
and
and
that's
just
that's
a
fact-
and
this
is
very
personal
with
the
doctor-
that's
why
he
went
to
medical
school
because
it
affected
his
family,
and
so
this
is
really
serious
with
him
and,
as
you
can
see,
he
has
a
wealth
of
information
as
far
as
diabetes
is
concerned.
A
So
now
we
we
see
the
importance
of
the
monitoring
devices.
So
now
what
we're
going
to
do?
Dr
bliga
is
going
to
go
through
the
slide.
So
what
quickly
he's
going
to
talk
about
the
various
things,
but
one
of
the
things
that
he
pointed
out,
he
showed
initially
the
old
medicine
cases
and
all
with
the
bottles.
And
then
we
went
to
the
thing
with
the
tesla
that
goes
to
show
you
how
far
we've
come
along
and
when
I
looked
at
his
slide
he
said.
That's
another
message
I
said
he's
trying
to.
A
C
Yeah,
we
can
start
here.
So
fortunately
you
know
we
are
in
this
age,
where
we
have
all
this
amazing
remote.
You
know
the
continuous
glucose
monitoring
devices,
so
basically,
what
we
see
is
something
called
freestyle
libre
too.
I
use
it
a
lot
in
our
office.
You
see
that
round
disc
white
disc,
that's
the
sensor
which
sits
on
on
your
skin
in
one
of
the
arms
and
it
stays
there
for
14
days
and
there's
a
handle
device.
You
see
that
blue
device,
you
bring
it
close
to
the
device.
It
shows
you,
the
blood
sugar.
C
A
C
A
C
C
A
A
B
A
C
C
A
C
A
C
Yes,
so
my
main
office
is
in
opal
like
alabama,
it's
a
3320,
skyway
drive,
suite
602
opelika,
alabama
36801,
and
my
telephone
number
is
334-737-2737.
C
A
And
that's
where
I
go
at
there,
I
go
there
and
I'm
very
happy
to
go
there
because,
as
you
can
see,
everyone
says,
you've
lost
so
much
weight.
Well,
you
want
to
know
something.
That's
a
good
thing.
That
is
really
a
good
thing
and
I
make
sure
that
I
keep
diabetes
at
bay
and
I'm
going
to
be
using
he's
smiling
over
here
to
my
right.
By
the
way,
I'm.
A
Using
that
monitoring
device,
you
know,
there's
nothing
like
education.
There
is
nothing
like
education
and
and
that's
what
I
needed
I
needed
to
that's
what
this
program
is
all
about.
This
program
is
geared
solely
for
you
solely
for
you,
because
there's
three
things
that
will
help
to
keep
you
on
this
earth.
Plane,
health,
education,
help
screening
and
help
follow
up
health
education,
knowing
everything
that
you
need
to
know
about
diseases
and
disease
processes.
A
Secondly,
make
sure
you
go
to
your
health
care,
your
pcp
or
whatever,
and
get
proper
and
do
screenings
and,
thirdly,
follow
up
on
your
health,
and
so
that's
what
this
program
is
about
and
we're
going
to
have
dr
boliga
back
again
now.
Dr,
did
you
want
to
touch
base
on
some
of
those
other
quick
on
some
of
those.
A
Let's
quickly
run
through
some
of
the
other
monitored
devices.
C
C
D
C
It's
the
same
thing:
it
stays
there
for
about
10
days
and
you
can
watch
it
on
your
phone,
your
smart
watch.
It
has
all
those
alarms
going
down
going
up.
It
alerts
you
one
of
the
best,
so
we
use
it
a
lot,
the
next
one.
So
again,
patients
will
have
this
app
on
their
phone.
It's
called
dexcom
clarity
and
we
have
a
dexcom
clarity
in
our
office.
So
I
can
watch
your
numbers
sitting
in
my
office
all
the
time
anytime,
the
next
one.
C
The
next
one,
so
this
is
another
continuous
glucose
monitoring
system,
called
guardian
connect
from
medtronics
beautiful
device
next
one
now.
This
is
the
most
important
thing
that
I
did
here
in
columbus.
This.
B
D
D
A
C
A
A
A
Let
everyone
know
it's
gonna
flash
on
the
screen,
while
you're
speaking,
but
look
at
this
camera,
please
here
and
let
them
know
where
you're
located
at
in
open
leica
and
here
in
columbus
and
I'm
going
to
have
you
see
how
much
knowledge
he
has
so
I'm
going
to
definitely
have
him
come
back
on
the
show
talk
about
endocrinology
endocrinologist
deals
with
all
the
hormones,
decide
what
everything
dealing
with
the
parasite
world
glance,
everything
and
so
we're
going
to
have
him.
You
see
he's
very
well
known.
He's
he's
done
research
and
he's
a
very
good.
A
If
so,
if
you're,
looking
for
a
good
endocrinologist,
don't
want
to
check
out
your
diabetes,
dr
bondwell
believer
if
you're
looking
for
a
good
pcp
pop
barnes
goes,
there
sees
his
wife,
I
really
like
her.
She
really
listens.
She
dialogues
with
her.
She
she
sees
things
from
your
perspective,
I'm
not
saying
all
positions
I
like
to
generalize,
but
a
lot
of
physicians,
don't
listen,
they
want
to
tell,
but
she
patiently
listens.
She
dialogues
with
you
finds
out
what
your
concerns
are
and
she's
an
excellent
position.
A
C
C
A
I
really
appreciate
it,
but
you
won't
know
something.
This
is
my
mission,
but
the
good
lord
just
tells
me
to
do,
and
I'm
thankful
to
mike
king
who
got
me
started.
It
would
do
this
here
must
have
been
about
10
years
ago
or
more.
It
was
mike
king.
That
said,
why
don't
you
start
doing
your
part
you're
a
nurse
so
doctor?
I
want
them
to
be
able
to
come
to
see
you
and
your
wife.
So
let's.
C
Look
at
there,
so
my
name
is
ben
12,
suresh
maliga
and
my
wife
is
bantwal
pratibha
baliga.
She
is
a
family
practitioner.
Our
office
is
in
in
columbus,
it's
1400
bradley
lake
bollywood,
columbus,
georgia
31904
in
opalaika
my
office.
It's
a
3320,
skyway
drive,
suite
602
opelika
alabama
three;
six,
eight
zero
one
telephone
number,
three,
three,
four:
seven:
three,
seven,
two,
seven
three:
seven
thank.
A
A
There
they're
in
partnership
and
and
the
really
good
thing
about
this
book
here.
This
book
breaks
it
down
really
really
really
easily
for
you,
it's
an
excellent
book
that
you
can
look
and
understand
and
will
give
you
the
knowledge
that
you
really
need
to
know.
So
definitely
this
assistant
says
it
says
journey.
What
is
the
other
word
journey.
A
December
some
time
frame
we
come
up.
Dr
bob
won't
believe
an
excellent
position.
I'll
be
here
I
want
to
thank
mike
king-
is
over
here
to
my
to
my
left
here
who
got
me
started
on
this
program,
but
10,
10
or
12
years
ago.
He
suggested
it.
I
also
want
to
like
to
thank
the
columbus
consolidated
government
city
manager,
isaiah
hugely
and
mayor,
skip
henderson.