Doctors' Notes: Type 2 Diabetes
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What is the main topic discussed in this episode?
This BBC Podcast is supported by ads outside the UK. Tässä sinulle Haiku, joka pehmentää argea. Tuntui Garulta. Golea Argi Aamu Sitten sen jugun. Gogele pehmeää herkkoa. Oi jogu mikä magu? Eloveena. Teyttä eloa. Jos mä saisin valita, niin mulla oli sama Man Cave, flipperi rummut ja kaikkee. Isopia ja pomppolinna! Siotusasunto!
Joo, pilkkäämpä keskustasta. HE asuntolaina, niin olet askeleen lähempänä unelmakotiasi. OPen asuntolaina on hyvä valinta elämäsi tilanteisiin. Lisäksi osuus pankin omistaja asiakkaan lainoista kiertyy rahanarvoisia OP-boonuksia. OP.fi kautta asuntolaina. Asuntolainen myöntää osuuspankki.
Hello, welcome to Doctor's Notes. I'm Dr. Chris Van Telek and as always I'm here with my
identical twin brother. That's me, Doctor Zand. We've just finished recording an interview with Dr. Tammy Hibbert about type 2 diabetes.
That's right, Sandy. And in the main episode we looked at blood sugar, what it is, how it works, and we talked about how Tammy, I think, reframed a bit of how we might think about type two diabetes. in the context of the other types of diabetes and how blood sugar is just one of several numbers that influence your health when you're living with diabetes.
And we talked about who should get a diabetes test. Anyone with a risk factor and anyone with a symptom is almost how wide we'd cast the net. It's a a rare thing where we'd go looking for diabetes is a good idea because it is treatable and manageable and it can have very severe consequences if it's not treated.
That's right, Zahn, but Tammy impressed on us, I think, how much there is that individuals can do, but also how much more we could be doing as a society. It was a fantastic discussion and Tammy was kind enough to stay on for doctor's notes. We're gonna find out how she got interested in diabetes in the first place.
And we're gonna talk about group patient appointments. If you get everyone together with the doctor and everyone starts sharing information, what that does to the way you manage things, the way you receive advice, and we're also gonna talk about the role of culture and community in the treatment of diabetes. Well
what are we waiting for, Sandy? Let's open the notes. Tammy, thank you so much for staying for the deeper dive in Doctor's Notes.
Lovely to be here. Thank you for having me.
Tammy, tell us about your work. You work in one of the most deprived areas of the UK, Newham in northeast London. How did you become interested in diabetes?
So it's such a personal story because it was when I became pregnant and because of where I live it you know, diabetes isn't necessarily on on the radar, but because of my weight and my ethnicity, it was, you know, a good idea for you to have an oral glucose tolerance test just to see if you had diabetes in pregnancy.
Do you mind explaining what your ethnicity is for this?
So I'm of black Caribbean descent and in the very diverse, you know, sort of world of living in London. But not in a particularly deprived area of London. When I became pregnant, it was like, oh, okay, you you do tick that box. But I think it was probably more about the weight than the ethnicity, to be fair. So I had a an an an oral glucose tolerance test.
The test is you're fasted, they give you a very fixed amount of glucose, and they see what happens to your blood sugar levels.
And then they repeat the blood test two hours afterwards. And
what happened?
Nothing. It was completely fine.
Oh fine.
But then it made me go, Okay, I'm very active, obviously I'm a doctor. I know why we're doing this test. Thank you for letting me know my numbers. And off I went. normal pregnancy, normal delivery, no problems. And then after I had my daughter, I went to work in Newham and then suddenly was like, Oh my goodness, has everybody got diabetes here? It's something like one in four residents has diabetes. And at any one time in our local hospital, more than fifty percent of the patients who are in an inpatient have diabetes. Really?
How do Chris and Xand introduce Dr Tamara Hibbert and the focus on type 2 diabetes?
Yes. So it was a bit like I can't work here and not know about diabetes.
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Chapters
5 chapters
1
What is the main topic discussed in this episode?
0:00–4:27
2
How do Chris and Xand introduce Dr Tamara Hibbert and the focus on type 2 diabetes?
4:27–13:05
3
What sparked Dr Tamara Hibbert’s interest in diabetes during her pregnancy?
13:05–18:22
4
Why are type 2 diabetes rates so high in Newham and what factors drive this prevalence?
18:22–31:54
5
What are the most serious health complications when diabetes is left unmanaged?
31:54–32:31