WEBVTT - Your Bladder Has Been Trying To Get Your Attention 0:00:05.799 --> 0:00:10.199 You're listening to I'm on the MEA podcast. What if 0:00:10.239 --> 0:00:11.679 I need to pooh? I'm all right for now, but 0:00:11.719 --> 0:00:14.079 I might because I've had to coffee early, just letting 0:00:14.119 --> 0:00:16.439 you know, But right now I'm okay. Have we sun 0:00:16.519 --> 0:00:16.999 a record? 0:00:21.039 --> 0:00:24.479 Hello there, I am Doctor Ginny Mansburg and welcome to 0:00:25.119 --> 0:00:28.679 the brand new era of Well, the podcast for Your 0:00:28.719 --> 0:00:32.399 Health and Body Explained. I am the new resident doctor 0:00:32.439 --> 0:00:36.119 for will WHO. I'm a general practitioner, I'm a women's 0:00:36.119 --> 0:00:39.199 health expert, and I'm basically here to talk about the annoying, 0:00:39.479 --> 0:00:42.439 the embarrassing, and the scary when it comes to women's health, 0:00:42.479 --> 0:00:45.439 basically all of my absolute favorite topics. 0:00:45.759 --> 0:00:49.359 Hello, and I'm Caath Mahoney. I am a comedian. I'm 0:00:49.399 --> 0:00:53.199 an author and a podcaster. You might be wondering why 0:00:53.319 --> 0:00:56.079 a comedian is on a health podcast. Well, let me 0:00:56.119 --> 0:00:58.319 tell you the very most important thing you need to 0:00:58.319 --> 0:01:01.559 know about me before a comedian, I am actually a hypochondriac. 0:01:01.999 --> 0:01:05.039 So being on this podcast is like a dream. I 0:01:05.079 --> 0:01:07.199 get to sit here with Dr Ginny once a week 0:01:07.239 --> 0:01:08.879 and just ask her all the things that are going 0:01:08.879 --> 0:01:11.919 through my head. And I can also ask the questions 0:01:11.999 --> 0:01:14.559 that you might want to ask, And if you've listened 0:01:14.599 --> 0:01:17.479 to Unleash, the podcast for Women who need a laugh, 0:01:18.119 --> 0:01:20.479 you know that I will go there with the questions, 0:01:21.199 --> 0:01:24.799 warning and apologies ahead. You're in for a ride because 0:01:24.799 --> 0:01:26.879 nothing is off limits? Am I right? Doctor Ginny? 0:01:26.919 --> 0:01:30.199 You are right, cav because the chances are certainly in 0:01:30.199 --> 0:01:32.359 my case, I've heard it, I've seen it, I've probably 0:01:32.399 --> 0:01:35.119 smelt it and touched it and traded it all before. 0:01:35.199 --> 0:01:37.999 So here's what you can expect from the brand new Well, 0:01:38.599 --> 0:01:41.039 What the Health? What's happening in health news and the 0:01:41.079 --> 0:01:42.919 latest trends popping up on your feed? 0:01:43.719 --> 0:01:44.359 Are You Well? 0:01:44.719 --> 0:01:48.119 A deep dive into two topics the hottest health subjects 0:01:48.159 --> 0:01:50.999 that women don't just ask enough about. So this week 0:01:50.999 --> 0:01:54.799 we've got hydration and pre diabetes, let's face it, both 0:01:54.839 --> 0:01:58.479 of our favorite segment of Well It is asking for 0:01:58.519 --> 0:02:02.519 a Friend, which is your anonymous, probably very awkward health 0:02:02.599 --> 0:02:05.959 questions that you can leave us as a voice note, 0:02:06.079 --> 0:02:08.359 very very anonymous right there, and they're going to be 0:02:08.359 --> 0:02:08.999 answered by me. 0:02:09.679 --> 0:02:12.359 I might just be sliding a few asking for a 0:02:12.399 --> 0:02:14.279 friend on behalf of myself. 0:02:13.999 --> 0:02:16.759 One's in this season, who knows anyway. But first it's 0:02:16.799 --> 0:02:19.959 time for What the health. Which is your quick dose 0:02:20.079 --> 0:02:25.999 of women's health headlines? What? Oh what? I don't understand 0:02:26.119 --> 0:02:26.959 what the health? 0:02:27.759 --> 0:02:29.399 So what have you got frustrated? Okay? 0:02:29.399 --> 0:02:31.799 First of all, I wanted to talk about HRT because 0:02:32.359 --> 0:02:35.959 caath it is still not that available. Patches are just 0:02:36.119 --> 0:02:38.919 dripping into the country. A lot of women are turning 0:02:38.999 --> 0:02:41.999 to the gels. There is also a spray that has 0:02:41.999 --> 0:02:44.479 been around in the UK. My whole periposse has been 0:02:44.519 --> 0:02:46.359 onto it in the UK for ages. It is now 0:02:46.359 --> 0:02:47.039 here in Australia. 0:02:47.079 --> 0:02:48.999 Oh spray. Okay, what's the difference between the gel and 0:02:48.999 --> 0:02:49.399 the spray? 0:02:49.599 --> 0:02:53.079 Exactly what it says on the tin ones you have 0:02:53.079 --> 0:02:54.439 to rub it in that No, you have to not 0:02:54.479 --> 0:02:56.039 rub it in. You have to like stand with your 0:02:56.119 --> 0:02:58.359 legs apart on your inner thighs and just wait for 0:02:58.399 --> 0:02:59.039 it to try it. 0:02:59.239 --> 0:03:02.439 Good luck doing that in the hottest parts of summer. Right, 0:03:02.519 --> 0:03:04.479 What have you got next, doctor, Jenny so Cat. 0:03:04.919 --> 0:03:08.479 I always love a big study, especially one with one 0:03:08.559 --> 0:03:11.479 hundred and fifty thousand people that goes for thirty years. 0:03:11.519 --> 0:03:13.519 Holy moly, that is a big study. 0:03:13.599 --> 0:03:16.519 It is a big study and it basically confirmed that 0:03:16.679 --> 0:03:18.959 between ninety and one hundred and twenty minutes of my 0:03:19.119 --> 0:03:22.119 worst thing in the entire planet. Strength training is not 0:03:22.199 --> 0:03:24.599 only really good for your muscles, but it also seems 0:03:24.599 --> 0:03:27.519 to lower your risk of death as well as things 0:03:27.599 --> 0:03:30.079 like diabetes and certain cancers as well. So I'm just 0:03:30.119 --> 0:03:31.959 going to have to pull my finger out and do it. 0:03:32.079 --> 0:03:33.439 So how many minutes were talking? 0:03:33.559 --> 0:03:37.159 Did you say? Half and half to two hours per week? 0:03:37.559 --> 0:03:40.079 What I loved about this study was that for all 0:03:40.119 --> 0:03:42.879 of us who just dread that whole process, more than 0:03:42.879 --> 0:03:45.319 one hundred and twenty minutes did not add anything to 0:03:45.359 --> 0:03:47.559 your life expectancy. So in good news, you can. 0:03:47.519 --> 0:03:49.839 Top out there. Okay, so you and I both need 0:03:49.879 --> 0:03:52.399 to literally pull our finger out and start lifting. So, 0:03:52.559 --> 0:03:55.119 as you know, my algorithm serves me up a lot 0:03:55.359 --> 0:03:59.919 of medical and beauty advice at three am when I'm scrolling. 0:04:00.399 --> 0:04:03.959 The latest thing I'm seeing a lot of is testosterone 0:04:03.959 --> 0:04:07.719 cream being used as part of people's facials. So testosterone is, 0:04:07.919 --> 0:04:09.919 you know, is a hormone replacement therapy, isn't it? 0:04:09.999 --> 0:04:10.839 Yeah? Full libido? 0:04:10.999 --> 0:04:12.959 Yeah? Is this a new thing, doctor Ginny or are 0:04:12.999 --> 0:04:13.879 they bonkers? 0:04:14.159 --> 0:04:16.559 They're bonkers? But I've been seeing this as well, so 0:04:16.639 --> 0:04:20.319 I think the thought is that you know, testosterone is 0:04:20.319 --> 0:04:23.879 the latest hippist like everything for anti aging. By the way, 0:04:23.999 --> 0:04:26.279 hint hint, don't really have evidence for that, and so 0:04:26.359 --> 0:04:28.599 people are thinking that that if they stick it straight 0:04:28.639 --> 0:04:31.599 on their face, they'll grow more collagen and it will 0:04:31.599 --> 0:04:35.519 be an awesome anti aging treatment. So basically, it's really 0:04:35.559 --> 0:04:39.079 really good for growing massive zits and really great for 0:04:39.159 --> 0:04:42.159 growing a mustache and a nice thick beard if that's 0:04:42.239 --> 0:04:43.399 the look you're going. 0:04:43.159 --> 0:04:44.439 For, or wow it to you. 0:04:44.799 --> 0:04:46.479 For the rest of us who just want to get 0:04:46.559 --> 0:04:47.799 our glow on, I'm saying no. 0:04:48.239 --> 0:04:51.039 You're saying no. Yeah, yeah, I'm saying no to the 0:04:51.079 --> 0:04:53.959 beard and the acne for my new Tinder profile. So 0:04:53.999 --> 0:04:56.239 that's so I'll just stick with my normal nighttime routine. 0:04:56.279 --> 0:04:58.159 That's what I'd do, right, thanks to to Jenny. 0:05:00.119 --> 0:05:00.239 Up. 0:05:00.319 --> 0:05:03.239 Next, it's time for are you Well? And what we 0:05:03.359 --> 0:05:07.559 really really need to act is water. We will be 0:05:07.679 --> 0:05:11.599 unpacking my adequate hydration is doing way more for your 0:05:11.639 --> 0:05:19.559 hormonal health, energy and skin than you might think. How 0:05:19.639 --> 0:05:20.199 are you well? 0:05:20.279 --> 0:05:20.999 How are you feeling? 0:05:21.239 --> 0:05:22.479 Are you well? Are you well? 0:05:23.599 --> 0:05:27.639 Alrighty, it is time for are you Well, where we 0:05:27.719 --> 0:05:31.159 discuss the most important things that you need to know 0:05:31.519 --> 0:05:34.959 that are happening in women's health right now, and today 0:05:35.599 --> 0:05:37.599 we're going to do something that seems like a bit 0:05:37.639 --> 0:05:39.759 of a no brainer but can actually be a lot 0:05:39.799 --> 0:05:43.159 more important than people realize, and that is your basic water. 0:05:43.799 --> 0:05:46.959 So grab hold of that emotional support water bottle. Kath 0:05:47.039 --> 0:05:49.359 currently has a three later one sitting in front of her, 0:05:49.719 --> 0:05:52.439 that one that you've been carrying absolutely everywhere, because today 0:05:52.479 --> 0:05:56.279 we are chatting about why adequate hydration is doing way 0:05:56.319 --> 0:05:59.039 more for your health, your energy, and even your skin 0:05:59.079 --> 0:06:02.999 than you think. And it's time for the science of hydration. 0:06:03.719 --> 0:06:06.399 I'm very excited about this. As a two liter guzzler, 0:06:06.479 --> 0:06:08.559 I want to feel smug at the end of this segment. 0:06:08.639 --> 0:06:10.919 I want to know it all hit me with that. Well, 0:06:11.039 --> 0:06:13.719 now to just decrease your smugness, we have a quiz, 0:06:14.359 --> 0:06:17.359 and my quiz question for you is this, cas how 0:06:17.439 --> 0:06:20.119 much of your body is made. 0:06:19.959 --> 0:06:26.719 Up of water? Two literas? Are you on a percentage forty? 0:06:27.719 --> 0:06:30.719 There's actually sixty percent. I've actually dread up to like 0:06:30.799 --> 0:06:32.839 higher than that, like even up to eighty percent of 0:06:32.879 --> 0:06:36.119 your body in some calculations is made of water. Wow, 0:06:36.159 --> 0:06:39.839 you're basically bluid, which explains why you spend half your 0:06:39.839 --> 0:06:43.359 life running to the toilet every time. She just says, 0:06:43.359 --> 0:06:44.159 I'll just pop to the. 0:06:44.199 --> 0:06:47.519 Low Ginnie's like you're going again. I do go the 0:06:47.559 --> 0:06:49.519 toilet a lot. So yeah, that. 0:06:49.559 --> 0:06:52.879 Sixty percent is quite an interesting figure. And what the 0:06:52.999 --> 0:06:55.799 National Health of Medical Research Council has told us, and 0:06:55.839 --> 0:06:57.959 they are like the Grand poo Bars of all things science, 0:06:58.519 --> 0:07:00.719 they have said that as little as two percent of 0:07:00.759 --> 0:07:03.119 dehydration in your body, you're going to feel it, and 0:07:03.159 --> 0:07:05.839 you're going to feel sluggish, You're going to feel tired. 0:07:06.359 --> 0:07:08.879 Your brain performance is going to go down like it's 0:07:08.879 --> 0:07:12.359 going to really impact you. And we know that look 0:07:12.359 --> 0:07:14.039 like you hadn't get away with a little bit of 0:07:14.119 --> 0:07:17.319 dehydration from time to time, but if it happens chronically, 0:07:17.599 --> 0:07:19.839 one thing for sure we know is that you definitely 0:07:19.879 --> 0:07:22.919 get more. Kidney stones can be really quite rough on 0:07:22.959 --> 0:07:26.919 your kidneys. It's linked to higher cancer rates like urinary 0:07:26.919 --> 0:07:30.759 track cancers and bowel cancer. And then this condition in 0:07:30.799 --> 0:07:34.199 the heart called mitral valve prolapse, which gives you lots 0:07:34.199 --> 0:07:36.959 of palpitations, doesn't feel too good, as well as just 0:07:37.319 --> 0:07:43.119 generally reduced physical and mental performance. Cath You are not 0:07:43.159 --> 0:07:43.919 at risk. 0:07:43.959 --> 0:07:46.319 No, but I used to be Hans. Now I've got 0:07:46.119 --> 0:07:47.079 my big bottle. 0:07:47.239 --> 0:07:48.159 What made you stop? 0:07:48.319 --> 0:07:51.839 I ended up getting a thing called dive particulitis. So 0:07:51.919 --> 0:07:54.399 the specialist was like two elitists from now on, because 0:07:54.439 --> 0:07:57.399 I literally I feel very embarrassed to say this was 0:07:57.479 --> 0:08:01.639 a was really like I drank coffee and maybe a 0:08:01.679 --> 0:08:04.239 little small glass of water. I just didn't. 0:08:04.839 --> 0:08:07.159 Yeah, but that's not bad. Like I think a lot 0:08:07.199 --> 0:08:09.879 of people think that coffee dehydrates you, which is a 0:08:09.879 --> 0:08:12.879 bit of an old school idea, and that when we 0:08:12.919 --> 0:08:16.919 talk about fluid a day, because women need two point 0:08:16.999 --> 0:08:19.919 one leaders of fluid a day unless they're pregnant, and 0:08:19.999 --> 0:08:21.759 he goes up to two point three then, which is 0:08:21.759 --> 0:08:24.919 not bad three leads for breastfeeding women, people think that 0:08:24.919 --> 0:08:28.719 that has to be water, like obviously for calories purposes, 0:08:28.759 --> 0:08:31.519 we don't want you having too much our cold cordy 0:08:31.599 --> 0:08:34.959 or fruit juice, coke, things like that. But from a 0:08:35.279 --> 0:08:37.119 pure fluid perspective. 0:08:36.999 --> 0:08:40.439 Fluid is fluid. Okay, So I've got a fair idea 0:08:40.519 --> 0:08:42.359 of what two point one liters is because me and 0:08:42.439 --> 0:08:45.159 a big bottle go everywhere. But for those listening, what 0:08:45.279 --> 0:08:48.599 is that? And say water bowls Mount Franklin water balls. 0:08:48.519 --> 0:08:51.399 A Mount Franklin water bottle about three seventy five, so 0:08:51.639 --> 0:08:54.319 maybe four and a cup of coffee for two hundred 0:08:54.319 --> 0:08:55.159 and fifty meals. 0:08:55.159 --> 0:08:57.759 For a cup of coffee, takeaway coffee is probably. 0:08:57.399 --> 0:09:00.759 Two hundred meals, thinking about like a glass of wine 0:09:00.799 --> 0:09:02.639 is meant to be one hundred meals. That's a standard 0:09:02.639 --> 0:09:04.959 glass of wine. If you think that you or getting 0:09:04.959 --> 0:09:07.479 the mid afternoon slumps because your hydration is starting to 0:09:07.519 --> 0:09:10.479 catch up with you, then maybe at the beginning, measure 0:09:10.519 --> 0:09:13.199 out two point one leaders and actually just see what 0:09:13.239 --> 0:09:15.279 it looks like in cups, and then you'll have a 0:09:15.279 --> 0:09:17.159 fair idea of what you need to be doing in 0:09:17.199 --> 0:09:20.079 your life to actually get your hydration up to speed. 0:09:20.359 --> 0:09:23.319 Dehydration, like that word just makes me think of somebody 0:09:23.519 --> 0:09:27.479 in the Desertah kind of crawling towards a mirage of water. 0:09:28.239 --> 0:09:32.919 What does dehydration actually mean? Like what is considered as dehydration? 0:09:33.319 --> 0:09:35.239 Yeah, it's hard, Like it's not like I can do 0:09:35.319 --> 0:09:37.479 a blood test on you and go, oh, you're dehydrated. 0:09:37.799 --> 0:09:41.119 Probably you'll know because you'll be thirsty, and even if 0:09:41.159 --> 0:09:43.559 you're not aware of your thirst, you might just feel 0:09:43.559 --> 0:09:45.879 like a bit sluggish, like you might have that mid 0:09:45.919 --> 0:09:49.359 afternoon slump and you think you need a sneaker's bar, 0:09:49.439 --> 0:09:51.959 but probably you'd be better off grabbing your emotional support 0:09:51.999 --> 0:09:52.479 water bottle. 0:09:52.559 --> 0:09:54.719 I mean, look, as a hypochondriac, I would be going 0:09:54.719 --> 0:09:57.399 on to doctor Google presuming some of these symptoms with 0:09:57.479 --> 0:10:00.799 something far worse. I mean, do women even think that 0:10:00.999 --> 0:10:02.999 maybe it's dehydration that's the problem. 0:10:03.079 --> 0:10:06.679 Think so the women that I who are often dehydrated, 0:10:06.719 --> 0:10:08.159 and I often work it out when I ask for 0:10:08.159 --> 0:10:11.679 a urine sample and I see this brown sludge going no, 0:10:12.079 --> 0:10:14.599 you know, kind of dark you're an instead of pale yellow. 0:10:15.399 --> 0:10:18.079 A lot of the women that I see are worried 0:10:18.079 --> 0:10:20.599 about incontinents, and they're worried about not being able to 0:10:20.599 --> 0:10:22.599 make it to the toilet. So if they're going to 0:10:22.639 --> 0:10:23.999 be on a bus, or if they're going to be 0:10:23.999 --> 0:10:25.639 in a long meeting, or if they're going to be 0:10:25.999 --> 0:10:28.119 going out for drinks with the girls, and they don't 0:10:28.119 --> 0:10:29.719 want to have to sit on the toilet all the time, 0:10:29.999 --> 0:10:32.799 they start with holding their own fluid in the hope 0:10:32.799 --> 0:10:35.919 that they don't need to wet their pants. And that's huge. 0:10:36.159 --> 0:10:39.119 That happens way more than people talk about because no 0:10:39.119 --> 0:10:42.439 one talks about incontinent and so I think women have 0:10:42.639 --> 0:10:45.039 got to come up with a solution to their incontinents 0:10:45.039 --> 0:10:47.479 and start drinking again so they feel more energetic. 0:10:47.639 --> 0:10:51.839 Yeah, and there are actually toilets everywhere I know. All right, 0:10:51.919 --> 0:10:54.319 So you mentioned like a scludgy color, and then we 0:10:54.399 --> 0:10:57.839 talked about like a deeper yellow on the color wheel. 0:10:58.159 --> 0:11:00.199 Where would we want to be in a hydrated points 0:11:00.199 --> 0:11:00.879 of view. 0:11:01.119 --> 0:11:02.679 So let's talk about what you're going to see in 0:11:02.719 --> 0:11:05.119 the toilet bowl, which is going to be dialed in 0:11:05.199 --> 0:11:06.159 a whole lot of water. 0:11:06.719 --> 0:11:07.879 Do you know I never even thought of that. 0:11:08.039 --> 0:11:11.519 Yeah, So what you wi is going to go much 0:11:11.599 --> 0:11:14.199 paler in the toilet, So it already should be a 0:11:14.199 --> 0:11:17.199 fairly pale yellow, okay, and be not water colored but 0:11:17.319 --> 0:11:20.199 not far off water. Like a very pale yellow is 0:11:20.439 --> 0:11:23.079 well hydrated. If you do a wee in the toilet, 0:11:23.599 --> 0:11:25.559 mind you, your first way of the morning is always 0:11:25.599 --> 0:11:29.079 more concentrated, because your body does that by design overnight 0:11:29.159 --> 0:11:30.999 to stop you from having to wee every two minutes. 0:11:31.399 --> 0:11:33.479 So the first one of the morning can be a 0:11:33.559 --> 0:11:36.439 darker orange, but for the rest of the day, we're 0:11:36.439 --> 0:11:39.279 talking pale, pale yellow in the toilet is ideal. 0:11:39.239 --> 0:11:42.159 Okay, unless you've had a bronka, because I get a shock. 0:11:42.399 --> 0:11:45.639 All right, Jinny, so on, behalf of women everywhere confused 0:11:45.679 --> 0:11:48.159 at how much water we should be drinking. I'm so 0:11:48.239 --> 0:11:50.599 excited to do this. I have some rapid fire myth 0:11:50.639 --> 0:11:52.279 busters for you. Are you ready? 0:11:52.439 --> 0:11:53.919 I'mlimbering up here. 0:11:54.239 --> 0:11:57.719 Number one, is it really eight glasses a day? And 0:11:57.839 --> 0:11:59.919 are we talking tumblers or schooners here? 0:12:00.319 --> 0:12:03.559 Two point one leaders? However, that comes more if you're pregnant, 0:12:03.999 --> 0:12:06.039 more if you're exercising a lot and doing a lot 0:12:06.039 --> 0:12:06.479 of sweating. 0:12:06.599 --> 0:12:08.599 Number two, I mean, I love carrying around my giant 0:12:08.679 --> 0:12:11.359 drink bottle. As we've discussed, But is it possible to 0:12:11.439 --> 0:12:12.479 drink too much water? 0:12:12.919 --> 0:12:14.999 In theory, you got to drink a lot, like You've 0:12:14.999 --> 0:12:18.159 got to be sculling about a liter an hour for many, 0:12:18.199 --> 0:12:22.559 many hours to wash the sodium out of your bloodstream altogether. 0:12:23.079 --> 0:12:25.279 That tends to happen when people are very own well. 0:12:25.119 --> 0:12:26.439 Because you tend to stop yourself. 0:12:26.479 --> 0:12:28.599 You feel sick drinking that much water, and you tend 0:12:28.639 --> 0:12:29.799 to put a stop on yourself. 0:12:29.999 --> 0:12:34.119 Number three, Can you be hydrated by liquids other than water. 0:12:34.679 --> 0:12:38.079 Yes, I will take like any liquid counts towards your 0:12:38.439 --> 0:12:41.559 your total amount. The thing is, though, it's often laden 0:12:41.559 --> 0:12:44.199 with calories and a lot of sugar, bad for your teeth. 0:12:44.239 --> 0:12:46.639 So the best thing is water or tea or coffee. 0:12:46.679 --> 0:12:48.999 But if you really want to contribute a coke to that, 0:12:48.999 --> 0:12:52.759 that's fine. It's okay, great. No taken number four. Does 0:12:52.799 --> 0:12:54.439 coffee really dehydrate you? 0:12:54.479 --> 0:12:54.599 No? 0:12:55.239 --> 0:12:57.599 Doesn't. No, that's a myth. 0:12:57.679 --> 0:12:58.239 That's a myth. 0:12:58.279 --> 0:13:01.239 That is a myth. Okay, we're getting rid of that one. 0:13:01.359 --> 0:13:04.359 And number five, if you wait until you're thirsty to drink, 0:13:04.759 --> 0:13:05.479 is it too late? 0:13:05.679 --> 0:13:09.519 No, that's a myth too. That's fine. 0:13:10.119 --> 0:13:13.359 Up next, are you well? We need to talk about 0:13:13.399 --> 0:13:17.119 something else that is really important. It's a condition that 0:13:17.199 --> 0:13:21.039 affects one in three adults, but a massive eighty percent 0:13:21.079 --> 0:13:23.599 of them have no idea it's even happening. 0:13:26.199 --> 0:13:28.519 For our next are you well, we're going to take 0:13:28.519 --> 0:13:31.759 a slightly doom and gloom turn because it's about something 0:13:31.799 --> 0:13:35.359 affecting a staggering one in four assie adults, which is 0:13:35.439 --> 0:13:39.119 pre diabetes one in four. Yeah, it's crazy. Now the 0:13:39.159 --> 0:13:41.679 thing that is really mad, here's a stat for you. 0:13:41.879 --> 0:13:44.439 Eighty percent of people with pre diabetes have got no 0:13:44.519 --> 0:13:46.599 idea that they've got it, and off the twenty percent 0:13:46.639 --> 0:13:50.239 who know, most don't realize it's a problem. So, Cath, 0:13:50.839 --> 0:13:54.239 we're going to talk about what pre diabetes is, why 0:13:54.359 --> 0:13:56.639 so many people have got no idea that they've got it, 0:13:57.159 --> 0:13:59.159 and whether there's anything you can do about it and 0:13:59.199 --> 0:14:00.679 even reverse it altogether. 0:14:00.839 --> 0:14:06.839 Okay, Okay, So doctor Jenny, I feel like I know 0:14:06.959 --> 0:14:09.879 the term pre diabetes, but I don't actually know what 0:14:09.919 --> 0:14:10.359 it means. 0:14:11.079 --> 0:14:13.359 Yeah, so it sounds like it's the thing that comes 0:14:13.399 --> 0:14:17.959 before diabetes, which is a generally there's two types of diabetes. 0:14:18.079 --> 0:14:21.119 There's one where you don't make enough insulin. That's an 0:14:21.159 --> 0:14:25.199 autoimmune condition that tends to start in your teens or 0:14:25.239 --> 0:14:28.599 even in early childhood, and then the more common type 0:14:28.639 --> 0:14:32.439 two diabetes, where you make enough insulin at least in 0:14:32.479 --> 0:14:35.319 the early parts, but your cells don't respond to it, 0:14:35.359 --> 0:14:38.119 and as a result of that, your sugar levels in 0:14:38.159 --> 0:14:41.159 your blood go up, and those high sugar levels drive 0:14:41.239 --> 0:14:43.439 a whole lot of changes in your body that increase 0:14:43.479 --> 0:14:46.439 your risk of chronic conditions like having a heart attack, 0:14:46.479 --> 0:14:50.439 a stroke, destroying the arteries that actually supply your legs, 0:14:50.479 --> 0:14:54.319 but other things as well, causing cataracts. So diabetes, if 0:14:54.319 --> 0:14:57.759 it's not well controlled, is a major contributor to poor 0:14:57.799 --> 0:15:02.279 health in Australia. So pre diabetes is what comes before 0:15:02.359 --> 0:15:05.159 you get to diabetes. It's not inevitable, but it is 0:15:05.239 --> 0:15:08.159 diagnosed based on numbers. So if you wake up in 0:15:08.199 --> 0:15:10.919 the morning and take a sugar level and your sugar 0:15:11.359 --> 0:15:16.199 is over seven consistently, that probably means that you have diabetes. 0:15:16.239 --> 0:15:18.279 There are other blood tests we can do to confirm that. 0:15:18.959 --> 0:15:20.959 But if you wake up with a blood sugar level 0:15:20.999 --> 0:15:23.959 of five point five or below, we call that normal. 0:15:24.359 --> 0:15:26.719 Well what about that gray zone of people who are 0:15:26.719 --> 0:15:30.439 maybe six or six point two or five point seven. 0:15:30.999 --> 0:15:33.079 They've always been in this gray zone that we didn't 0:15:33.159 --> 0:15:35.079 know what to call it, and now we call it 0:15:35.119 --> 0:15:38.479 pre diabetes. With the higher that sugar level, the closer 0:15:38.519 --> 0:15:40.639 you are to diabetes, the worse it is, and the 0:15:40.679 --> 0:15:43.519 more likely you are to eventually go on to get diabetes. 0:15:43.999 --> 0:15:48.279 Okay, So with pre diabetes, what symptoms might somebody be showing. 0:15:48.799 --> 0:15:50.879 They're probably not going to have any and you won't 0:15:50.919 --> 0:15:53.719 know it until you have a blood test per se. 0:15:53.839 --> 0:15:57.359 And that's a problem because not everybody just routinely goes 0:15:57.399 --> 0:15:59.479 and gets a blood test, You've got to think about it. 0:15:59.519 --> 0:16:01.759 Go to your doctor, book in for a checkup. And 0:16:01.839 --> 0:16:04.839 what gps do generally is every few years we run 0:16:04.879 --> 0:16:07.959 this thing called the os D Risk Score, and we 0:16:08.359 --> 0:16:11.159 put into an algorithm a whole lot of things like 0:16:11.199 --> 0:16:14.039 your height, your weight, your family history, if you've got 0:16:14.079 --> 0:16:17.439 gestational diabetes when you're pregnant. We put those into a 0:16:17.479 --> 0:16:19.799 calculator that spits out a number of that says, yet 0:16:19.919 --> 0:16:22.959 you need a blood sugar test. The thing is that 0:16:23.039 --> 0:16:24.919 a lot of us don't go to the doctor for 0:16:25.159 --> 0:16:26.879 just to check up. We go when we've got a 0:16:26.919 --> 0:16:29.399 cold or we've got a sprained ankle, and the GP 0:16:29.519 --> 0:16:33.359 runs out of time to actually do those preventive things 0:16:33.479 --> 0:16:35.559 as well. So too few of us are getting the 0:16:35.599 --> 0:16:38.039 os D risk check and getting a sugar level. So 0:16:38.359 --> 0:16:40.319 by the time we find out we've got pre diabetes, 0:16:40.359 --> 0:16:41.439 we might have had it for years. 0:16:42.039 --> 0:16:44.519 Is there an age where we're more likely to have 0:16:44.559 --> 0:16:45.999 it or is it not age related? 0:16:46.639 --> 0:16:48.479 It used to be one of those things that you 0:16:48.639 --> 0:16:51.119 only ever got sort of in midlife, in your fifties, 0:16:51.159 --> 0:16:53.759 that kind of thing. But we're seeing with maybe more 0:16:53.799 --> 0:16:57.639 processed foods with more sedentary kind of lifestyle, so you 0:16:57.959 --> 0:17:00.279 sitting around like a couch potato and not doing as 0:17:00.359 --> 0:17:02.919 much running as you used to do. It's starting earlier 0:17:02.959 --> 0:17:05.839 and earlier, And so we're meant to screen women who 0:17:05.919 --> 0:17:08.999 have ever had gestational diabetes regularly for it with that 0:17:09.599 --> 0:17:12.239 oral glucose tolerance test. Remember that test that you had 0:17:12.239 --> 0:17:14.199 when you're pregnant. So you have a little bit of 0:17:14.239 --> 0:17:16.239 a sugary drink and then they do a few blood 0:17:16.279 --> 0:17:18.559 tests to see how your body handles sugar. You're meant 0:17:18.599 --> 0:17:21.119 to do that regularly forever after after you've had a 0:17:21.199 --> 0:17:24.719 gestational diabetes. But again, a lot of women are falling 0:17:24.759 --> 0:17:26.759 off the radar and we're not doing the testing we're 0:17:26.799 --> 0:17:27.239 meant to do. 0:17:27.679 --> 0:17:31.159 What about being tested for pre diabetes? Like how often 0:17:31.199 --> 0:17:34.599 should people, potentially in an ideal world be getting a test. 0:17:35.119 --> 0:17:38.399 So if you score high on an osdi risk, we 0:17:38.479 --> 0:17:40.639 would do that at least every three years, But if 0:17:40.679 --> 0:17:42.719 we find that you've got pre diabetes, then we're going 0:17:42.759 --> 0:17:46.039 to do it every year while we rapidly try to 0:17:46.079 --> 0:17:47.519 reverse course. 0:17:47.679 --> 0:17:48.399 Is it reversible? 0:17:48.479 --> 0:17:51.959 It's totally reversible, Like there is not an inevitability that 0:17:51.999 --> 0:17:54.559 you're going to go on to get diabetes. But we 0:17:54.679 --> 0:17:58.359 do need to do certain changes to your lifestyle, and 0:17:58.399 --> 0:18:00.559 it's mainly going to be around diet. 0:18:00.759 --> 0:18:04.039 Okay, So what sort of stuff would we be changing because. 0:18:03.879 --> 0:18:06.199 The boring the others that we say for pretty much 0:18:06.319 --> 0:18:07.399 every single you. 0:18:07.559 --> 0:18:09.119 To tell me I can't do any of the good stuff, 0:18:09.119 --> 0:18:09.519 aren't you? 0:18:09.559 --> 0:18:11.559 There are good carbs out there, like a whole grain 0:18:11.639 --> 0:18:14.199 bread or a lentil is a good carb, right, But 0:18:14.759 --> 0:18:18.639 like a packaged lolly chocolate, he's a bad cup. Well, 0:18:18.639 --> 0:18:21.319 that's a bad cup. Unfortunately, Katha and I are big 0:18:21.359 --> 0:18:25.159 fans of the lollies. We generally can't record any podcast 0:18:25.239 --> 0:18:28.759 without a bowl of lollies between us. But unfortunately they're 0:18:28.799 --> 0:18:31.439 now off the agenda for any kind of pre diabetics. 0:18:31.439 --> 0:18:33.719 But even things like a lot of my patients think 0:18:33.759 --> 0:18:36.719 that like sushi is really really good for you. It's 0:18:36.719 --> 0:18:41.519 a health food sushi. No sure grain rice, especially when 0:18:41.519 --> 0:18:43.799 it's covered in sugar, which is part of the like 0:18:43.839 --> 0:18:46.599 the sushi rice treatment is really not good for you. 0:18:46.799 --> 0:18:48.719