How Fresno Man Started Biking and Reversed Type 2 Diabetes
Hip-Hop Pioneer Phife Brought Attention to Diabetes
He Rescued A Dog. Then The Dog Rescued Him
Lake County Native Americans Learn Power of Exercise to Fight Diabetes
Why Google is Going All in on Diabetes
Californians Better Insured, But More Obese and Diabetic, Says Survey
Why Insulin Is So Expensive in the U.S.
California Ranks Dead Last in Spending on Diabetes Prevention
UCSF Initiative Links 'Sugar Science' to Your Health
Sponsored
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His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/261604685\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n","blocks":[],"excerpt":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","status":"publish","parent":0,"modified":1524884682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1368},"headData":{"title":"How Fresno Man Started Biking and Reversed Type 2 Diabetes | KQED","description":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","datePublished":"2016-04-29T19:25:02.000Z","dateModified":"2018-04-28T03:04:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"174784 http://ww2.kqed.org/stateofhealth/?p=174784","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/29/how-fresno-man-started-biking-and-reversed-type-2-diabetes/","disqusTitle":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","path":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>FRESNO -- Jaime Rangel holds a bike tire and begins checking with his hands for thorns and other sharp objects that might be puncturing the tire's rubber tread. His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/261604685&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/261604685'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_118","stateofhealth_2741","stateofhealth_2519"],"featImg":"stateofhealth_178198","label":"stateofhealth_2363"},"stateofhealth_163748":{"type":"posts","id":"stateofhealth_163748","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"163748","score":null,"sort":[1458776468000]},"guestAuthors":[],"slug":"hip-hop-pioneer-phife-attention-to-diabetes","title":"Hip-Hop Pioneer Phife Brought Attention to Diabetes","publishDate":1458776468,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life, throughout his music career.\u003c/p>\n\u003cp>The rapper’s family confirmed Wednesday that \u003ca href=\"http://ww2.kqed.org/arts/2016/03/23/why-phife-mattered-remembering-hip-hops-relatable-mc/\" target=\"_blank\">Phife died at age 45\u003c/a> at his home near Antioch due to complications resulting from diabetes, sparking a wave of disease-related tributes on social media.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor. \u003ca href=\"https://t.co/ofG6ATsq02\">pic.twitter.com/ofG6ATsq02\u003c/a>\u003c/p>\n\u003cp>— Youth Speaks (@youthspeaks) \u003ca href=\"https://twitter.com/youthspeaks/status/712686618096771072\">March 23, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>“Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor,” Youth Speaks posted on Twitter.\u003c/p>\n\u003cp>Phife, born Malik Taylor, was diagnosed with diabetes when he was 19. It was May 1990, just one month after Tribe released its first album. Phife later talked about his struggle with the disease in interviews, and even rapped about it.\u003c/p>\n\u003cp>“Mr. Energetic, who me sound pathetic?/When’s the last time you heard a funky diabetic?” he rhymed in Tribe’s 1993 song “\u003ca href=\"http://genius.com/A-tribe-called-quest-oh-my-god-lyrics\" target=\"_blank\">Oh My God\u003c/a>.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2010, Phife told the \u003ca href=\"http://www.eastbayexpress.com/oakland/phife-dawgs-triumphal-return/Content?oid=2043994\" target=\"_blank\">East Bay Express\u003c/a> that he was working on a solo album, \"Songs in the Key of Phife,\" though it was never released. Reporter David MacFadden-Elliott got to hear a few samples in the IHOP parking lot after the interview, including a song about diabetes called “God Send.”\u003c/p>\n\u003cblockquote>\u003cp>“[It’s] a three-part song that turns from a smooth love joint into a warning from a doctor: 'You got to start dialysis.' The news ushers in a discordant, claustrophobic, pulsing beat that rocks, while voice-mail messages of support play for minutes on end. The song concludes with an emotional verse of thanks: \u003cem>If it wasn't for y'all/Who knows what would have happened?”\u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>It was a couple years after Phife’s initial diagnosis before he opened up about it, or even really took care of himself.\u003c/p>\n\u003cp>[contextly_sidebar id=\"TJXUTnoR8uufGFRG5wvhJikCbmLNY4hZ\"]His coming out was in a video interview on \u003ca href=\"http://www.dlife.com/dlifetv/video/phife-dawgs-dlife\" target=\"_blank\">dLife\u003c/a>, a website devoted to living with diabetes. He described finding out about his diagnosis. He was riding home from a concert in 1990 and kept asking the driver to pull over so he could go to the bathroom. He was really thirsty. When he got home, his grandmother, a nurse, did a test and confirmed he was diabetic.\u003c/p>\n\u003cp>“I thought it was over,” he told dLife. “I just automatically thought I was done rapping.”\u003c/p>\n\u003cp>He went into denial.\u003c/p>\n\u003cp>“I was just an idiot,” he said. “I still thought I was everybody else -- Twinkies, Suzie Qs, potato chips -- junk food anonymous.”\u003c/p>\n\u003cp>In 1992, Tribe was on \"The David Letterman Show\" and then immediately had to go to another shoot for \"The Dennis Miller Show.\" Pfife's blood sugar count was almost in the thousands -- normal levels are between 70 and 100.\u003c/p>\n\u003cp>“Everything was slow motion,” Phife described. “I couldn’t even do the show. I had to get hospitalized.”\u003c/p>\n\u003cp>Even then, he still struggled to get enough exercise and eat right.\u003c/p>\n\u003cp>“I’d get on the diet. Wouldn’t stick to the diet. Get back on diet, wouldn’t stick to the diet,” he said. “And it just got to point where I had to be put on dialysis.”\u003c/p>\n\u003cp>Phife was eventually put on a waiting list for a kidney transplant, and received one from his wife in 2008. By 2013, he was back on dialysis and back on the transplant list. In an interview with \u003ca href=\"http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=455764350&m=455936755\" target=\"_blank\">NPR\u003c/a> earlier this year, he talked about waiting for another kidney.\u003c/p>\n\u003cp>“I’m doing fine,” he said. “I really, really can’t complain. I could. But I won’t because God is really, really a good God.”\u003c/p>\n\u003cp>But he also had a message for other young people newly diagnosed with diabetes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a game. You can lose your life because of this,” he said during the dLife interview. “You need to love yourself, love your life.”\u003c/p>\n\n","blocks":[],"excerpt":"Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life.","status":"publish","parent":0,"modified":1458929617,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":715},"headData":{"title":"Hip-Hop Pioneer Phife Brought Attention to Diabetes | KQED","description":"Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Hip-Hop Pioneer Phife Brought Attention to Diabetes","datePublished":"2016-03-23T23:41:08.000Z","dateModified":"2016-03-25T18:13:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"163748 http://ww2.kqed.org/stateofhealth/?p=163748","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/03/23/hip-hop-pioneer-phife-attention-to-diabetes/","disqusTitle":"Hip-Hop Pioneer Phife Brought Attention to Diabetes","path":"/stateofhealth/163748/hip-hop-pioneer-phife-attention-to-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life, throughout his music career.\u003c/p>\n\u003cp>The rapper’s family confirmed Wednesday that \u003ca href=\"http://ww2.kqed.org/arts/2016/03/23/why-phife-mattered-remembering-hip-hops-relatable-mc/\" target=\"_blank\">Phife died at age 45\u003c/a> at his home near Antioch due to complications resulting from diabetes, sparking a wave of disease-related tributes on social media.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor. \u003ca href=\"https://t.co/ofG6ATsq02\">pic.twitter.com/ofG6ATsq02\u003c/a>\u003c/p>\n\u003cp>— Youth Speaks (@youthspeaks) \u003ca href=\"https://twitter.com/youthspeaks/status/712686618096771072\">March 23, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>“Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor,” Youth Speaks posted on Twitter.\u003c/p>\n\u003cp>Phife, born Malik Taylor, was diagnosed with diabetes when he was 19. It was May 1990, just one month after Tribe released its first album. Phife later talked about his struggle with the disease in interviews, and even rapped about it.\u003c/p>\n\u003cp>“Mr. Energetic, who me sound pathetic?/When’s the last time you heard a funky diabetic?” he rhymed in Tribe’s 1993 song “\u003ca href=\"http://genius.com/A-tribe-called-quest-oh-my-god-lyrics\" target=\"_blank\">Oh My God\u003c/a>.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2010, Phife told the \u003ca href=\"http://www.eastbayexpress.com/oakland/phife-dawgs-triumphal-return/Content?oid=2043994\" target=\"_blank\">East Bay Express\u003c/a> that he was working on a solo album, \"Songs in the Key of Phife,\" though it was never released. Reporter David MacFadden-Elliott got to hear a few samples in the IHOP parking lot after the interview, including a song about diabetes called “God Send.”\u003c/p>\n\u003cblockquote>\u003cp>“[It’s] a three-part song that turns from a smooth love joint into a warning from a doctor: 'You got to start dialysis.' The news ushers in a discordant, claustrophobic, pulsing beat that rocks, while voice-mail messages of support play for minutes on end. The song concludes with an emotional verse of thanks: \u003cem>If it wasn't for y'all/Who knows what would have happened?”\u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>It was a couple years after Phife’s initial diagnosis before he opened up about it, or even really took care of himself.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>His coming out was in a video interview on \u003ca href=\"http://www.dlife.com/dlifetv/video/phife-dawgs-dlife\" target=\"_blank\">dLife\u003c/a>, a website devoted to living with diabetes. He described finding out about his diagnosis. He was riding home from a concert in 1990 and kept asking the driver to pull over so he could go to the bathroom. He was really thirsty. When he got home, his grandmother, a nurse, did a test and confirmed he was diabetic.\u003c/p>\n\u003cp>“I thought it was over,” he told dLife. “I just automatically thought I was done rapping.”\u003c/p>\n\u003cp>He went into denial.\u003c/p>\n\u003cp>“I was just an idiot,” he said. “I still thought I was everybody else -- Twinkies, Suzie Qs, potato chips -- junk food anonymous.”\u003c/p>\n\u003cp>In 1992, Tribe was on \"The David Letterman Show\" and then immediately had to go to another shoot for \"The Dennis Miller Show.\" Pfife's blood sugar count was almost in the thousands -- normal levels are between 70 and 100.\u003c/p>\n\u003cp>“Everything was slow motion,” Phife described. “I couldn’t even do the show. I had to get hospitalized.”\u003c/p>\n\u003cp>Even then, he still struggled to get enough exercise and eat right.\u003c/p>\n\u003cp>“I’d get on the diet. Wouldn’t stick to the diet. Get back on diet, wouldn’t stick to the diet,” he said. “And it just got to point where I had to be put on dialysis.”\u003c/p>\n\u003cp>Phife was eventually put on a waiting list for a kidney transplant, and received one from his wife in 2008. By 2013, he was back on dialysis and back on the transplant list. In an interview with \u003ca href=\"http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=455764350&m=455936755\" target=\"_blank\">NPR\u003c/a> earlier this year, he talked about waiting for another kidney.\u003c/p>\n\u003cp>“I’m doing fine,” he said. “I really, really can’t complain. I could. But I won’t because God is really, really a good God.”\u003c/p>\n\u003cp>But he also had a message for other young people newly diagnosed with diabetes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a game. You can lose your life because of this,” he said during the dLife interview. “You need to love yourself, love your life.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/163748/hip-hop-pioneer-phife-attention-to-diabetes","authors":["3205"],"categories":["stateofhealth_11"],"tags":["stateofhealth_2598","stateofhealth_118","stateofhealth_2519"],"featImg":"stateofhealth_163769","label":"stateofhealth"},"stateofhealth_158331":{"type":"posts","id":"stateofhealth_158331","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"158331","score":null,"sort":[1457634027000]},"guestAuthors":[],"slug":"he-rescued-a-dog-then-the-dog-rescued-him","title":"He Rescued A Dog. Then The Dog Rescued Him","publishDate":1457634027,"format":"video","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Eric O'Grey knew he was in trouble. His weight had ballooned to 320 pounds, and he was spending more than $1,000 a month on medications for high blood pressure, Type 2 diabetes and high cholesterol.\u003c/p>\n\u003cp>In 2010, a physician told him to buy a funeral plot, because he would need it in five years. He was 51 years old.\u003c/p>\n\u003cp>So he went to talk with a naturopathic doctor about losing weight. She said: Get a shelter dog.\u003c/p>\n\u003cp>O'Grey was surprised, but he took that advice, heading to the Humane Society Silicon Valley near his home in San Jose. He told the shelter, \"I want an obese middle-aged dog, like me.\" That's how he met Peety.\u003c/p>\n\u003cp>Peety needed to be walked, so Eric and Peety walked, for at least a half-hour a day. O'Grey, who was working as an area sales manager for GE appliances, shifted to a \u003ca href=\"http://www.worldofvegan.com/inspiring-vegan-weight-loss-story/\" target=\"_blank\">plant-based diet\u003c/a>. Over the course of a year, he lost 140 pounds. Peety lost 25. O'Grey got off the meds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It wasn't just the walks with Peety that transformed O'Grey's life. The dog helped keep him from backsliding into his old, unhealthful ways. \"He looked at me like I was the best person on the planet, and I wanted to become the person he thought I was.\"\u003c/p>\n\u003cp>Their story might have ended there. But Carol Novello, president of the Humane Society Silicon Valley, had been trying to make the point that helping animals improves the lives of humans, too. She was finding that a tough sell, so she started looking for stories that made the case. \"A while ago, Eric O'Grey submitted his story, and I just loved it.\"\u003c/p>\n\u003cp>Novello, a former tech executive, asked David Whitman, executive producer of the Tech Awards of Silicon Valley, what they could do with Eric and Peety's story. He came up with the idea of the \u003ca href=\"http://www.hssv.org/betterfuture/mutual-rescue/faq.html?referrer=https://www.google.com/\" target=\"_blank\">Mutual Rescue\u003c/a> initiative, which includes a \u003ca href=\"http://hssv.convio.net/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=16063&_ga=1.201837714.286648895.1457468764#intro\" target=\"_blank\">contest\u003c/a> where people can share stories of how a shelter animal changed their lives. The winning tale gets a video made about their rescue story. Donors to the HSSV funded the production of the \u003ca href=\"https://www.youtube.com/watch?v=Rm0qYRWQpZI\" target=\"_blank\">Eric and Peety video\u003c/a> as an example.\u003c/p>\n\u003cp>\"It's really about the transformation and the impact that animals can have on our lives,\" Novello says.\u003c/p>\n\u003cp>Since the contest opened in February, the HSSV has received hundreds of stories, many of which focus on health. \"We may do a Mutual Rescue weight-loss series,\" Novello says. \"There are a lot of them.\"\u003c/p>\n\u003cp>Sure, stories are nice, but do \u003ca href=\"http://www.cdc.gov/healthypets/health-benefits/\" target=\"_blank\">pets really improve human health\u003c/a>? No less an authority than the Centers for Disease Control and Prevention says yes. Having a pet can help decrease blood pressure, cholesterol, triglycerides and feelings of loneliness, the CDC says, while increasing opportunities for exercise and socializing with other humans. And there's \u003ca href=\"https://petpartners.org/about-us/who-we-are/\" target=\"_blank\">increasing evidence\u003c/a> that interaction with pets helps people cope with challenges, including PTSD, Alzheimer's and the end of life.\u003c/p>\n\u003cp>I know our shelter kitties make my family happier, even though they haven't helped me lose weight. And watching the Eric and Peety video has to be good for my heart, though it makes me reach for the tissues every time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He transformed me into a completely different person,\" O'Grey says in the video. \"I think about it now: Who rescued whom? Did I rescue him, or did he rescue me?\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Rescued+A+Dog.+Then+The+Dog+Rescued+Him+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"Eric O'Grey was 51, obese and suffering from diabetes and high cholesterol when he took home an overweight shelter dog. It changed his life.","status":"publish","parent":0,"modified":1457660663,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":586},"headData":{"title":"He Rescued A Dog. Then The Dog Rescued Him | KQED","description":"Eric O'Grey was 51, obese and suffering from diabetes and high cholesterol when he took home an overweight shelter dog. It changed his life.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"He Rescued A Dog. Then The Dog Rescued Him","datePublished":"2016-03-10T18:20:27.000Z","dateModified":"2016-03-11T01:44:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"158331 http://ww2.kqed.org/stateofhealth/?p=158331","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/03/10/he-rescued-a-dog-then-the-dog-rescued-him/","disqusTitle":"He Rescued A Dog. Then The Dog Rescued Him","videoEmbed":"https://www.youtube.com/watch?v=Rm0qYRWQpZI","nprByline":"Nancy Shute\u003cbr /> NPR","nprImageAgency":"via Mutual Rescue/YouTube","nprStoryId":"469785736","nprApiLink":"http://api.npr.org/query?id=469785736&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/03/10/469785736/he-rescued-a-dog-then-the-dog-rescued-him?ft=nprml&f=469785736","nprRetrievedStory":"1","nprPubDate":"Thu, 10 Mar 2016 12:16:00 -0500","nprStoryDate":"Thu, 10 Mar 2016 10:49:00 -0500","nprLastModifiedDate":"Thu, 10 Mar 2016 12:16:31 -0500","path":"/stateofhealth/158331/he-rescued-a-dog-then-the-dog-rescued-him","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eric O'Grey knew he was in trouble. His weight had ballooned to 320 pounds, and he was spending more than $1,000 a month on medications for high blood pressure, Type 2 diabetes and high cholesterol.\u003c/p>\n\u003cp>In 2010, a physician told him to buy a funeral plot, because he would need it in five years. He was 51 years old.\u003c/p>\n\u003cp>So he went to talk with a naturopathic doctor about losing weight. She said: Get a shelter dog.\u003c/p>\n\u003cp>O'Grey was surprised, but he took that advice, heading to the Humane Society Silicon Valley near his home in San Jose. He told the shelter, \"I want an obese middle-aged dog, like me.\" That's how he met Peety.\u003c/p>\n\u003cp>Peety needed to be walked, so Eric and Peety walked, for at least a half-hour a day. O'Grey, who was working as an area sales manager for GE appliances, shifted to a \u003ca href=\"http://www.worldofvegan.com/inspiring-vegan-weight-loss-story/\" target=\"_blank\">plant-based diet\u003c/a>. Over the course of a year, he lost 140 pounds. Peety lost 25. O'Grey got off the meds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It wasn't just the walks with Peety that transformed O'Grey's life. The dog helped keep him from backsliding into his old, unhealthful ways. \"He looked at me like I was the best person on the planet, and I wanted to become the person he thought I was.\"\u003c/p>\n\u003cp>Their story might have ended there. But Carol Novello, president of the Humane Society Silicon Valley, had been trying to make the point that helping animals improves the lives of humans, too. She was finding that a tough sell, so she started looking for stories that made the case. \"A while ago, Eric O'Grey submitted his story, and I just loved it.\"\u003c/p>\n\u003cp>Novello, a former tech executive, asked David Whitman, executive producer of the Tech Awards of Silicon Valley, what they could do with Eric and Peety's story. He came up with the idea of the \u003ca href=\"http://www.hssv.org/betterfuture/mutual-rescue/faq.html?referrer=https://www.google.com/\" target=\"_blank\">Mutual Rescue\u003c/a> initiative, which includes a \u003ca href=\"http://hssv.convio.net/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=16063&_ga=1.201837714.286648895.1457468764#intro\" target=\"_blank\">contest\u003c/a> where people can share stories of how a shelter animal changed their lives. The winning tale gets a video made about their rescue story. Donors to the HSSV funded the production of the \u003ca href=\"https://www.youtube.com/watch?v=Rm0qYRWQpZI\" target=\"_blank\">Eric and Peety video\u003c/a> as an example.\u003c/p>\n\u003cp>\"It's really about the transformation and the impact that animals can have on our lives,\" Novello says.\u003c/p>\n\u003cp>Since the contest opened in February, the HSSV has received hundreds of stories, many of which focus on health. \"We may do a Mutual Rescue weight-loss series,\" Novello says. \"There are a lot of them.\"\u003c/p>\n\u003cp>Sure, stories are nice, but do \u003ca href=\"http://www.cdc.gov/healthypets/health-benefits/\" target=\"_blank\">pets really improve human health\u003c/a>? No less an authority than the Centers for Disease Control and Prevention says yes. Having a pet can help decrease blood pressure, cholesterol, triglycerides and feelings of loneliness, the CDC says, while increasing opportunities for exercise and socializing with other humans. And there's \u003ca href=\"https://petpartners.org/about-us/who-we-are/\" target=\"_blank\">increasing evidence\u003c/a> that interaction with pets helps people cope with challenges, including PTSD, Alzheimer's and the end of life.\u003c/p>\n\u003cp>I know our shelter kitties make my family happier, even though they haven't helped me lose weight. And watching the Eric and Peety video has to be good for my heart, though it makes me reach for the tissues every time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He transformed me into a completely different person,\" O'Grey says in the video. \"I think about it now: Who rescued whom? Did I rescue him, or did he rescue me?\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Rescued+A+Dog.+Then+The+Dog+Rescued+Him+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/158331/he-rescued-a-dog-then-the-dog-rescued-him","authors":["byline_stateofhealth_158331"],"categories":["stateofhealth_12"],"tags":["stateofhealth_118","stateofhealth_2519","stateofhealth_117"],"featImg":"stateofhealth_158347","label":"stateofhealth"},"stateofhealth_102167":{"type":"posts","id":"stateofhealth_102167","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"102167","score":null,"sort":[1446568477000]},"guestAuthors":[],"slug":"lake-county-native-americans-learn-power-of-exercise-to-fight-diabetes","title":"Lake County Native Americans Learn Power of Exercise to Fight Diabetes","publishDate":1446568477,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>Johnny Gonzales kneels next to his client, Jorje Mendez, who is struggling through the last set of pushups at the gym.\u003c/p>\n\u003cp>“Give me eight of them!” says Gonzales, 59. “Be strict. This is where all the gains are made right here. If you can do this, you can do anything!”\u003c/p>\n\u003cp>It's a pretty typical gym in an atypical setting. Gonzales works with patients of the Lake County Tribal Health Clinic, and the gym is within the clinic itself.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/231367075\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Patients diagnosed with prediabetes who enroll in a program to lose weight are eligible for work with Gonzales -- free of charge.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The clinic, which targets members of the six local Pomo tribes in the county, also offers classes on healthy eating and other lifestyle changes that can reduce the risk of diabetes.\u003c/p>\n\u003cfigure id=\"attachment_102193\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut.jpg\">\u003cimg class=\"wp-image-102193 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-400x267.jpg\" alt=\"Trainer Johny Gonzales coaches Jorje Mendez through a set of exercises at Lake County Tribal Health Consortium. Increasing physical activity is a key goal of the clinic's diabetes prevention program.\" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trainer Johnny Gonzales coaches Jorje Mendez through a set of exercises at Lake County Tribal Health Consortium. Increasing physical activity is a key goal of the clinic's diabetes prevention program. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Mendez, 33, an accountant and father of five, was a cross-country champion at Clear Lake High during his younger days, but settled into a more sedentary lifestyle that involved “eating a lot -- and [drinking] a lot of alcohol.” His weight ballooned to 300 pounds.\u003c/p>\n\u003cp>He decided to join the clinic's program after he was diagnosed as prediabetic. Grueling sessions with Gonzales three times a week have helped him lose over 45 pounds, he says.\u003c/p>\n\u003cp>“I feel better now,” says Mendez. “Other places you got to pay a fortune; I don’t have that. So I’m blessed to come here.”\u003c/p>\n\u003cp>Access to this gym and Gonzales' training sessions are a game changer for patients like Mendez, who wouldn't be able to afford it otherwise. In Lake County, a quarter of the population lives below the federal poverty level, and the median household income of $36,548 is much lower than the statewide average.\u003c/p>\n\u003cp>The clinic’s local efforts target a rapidly growing disease among Native Americans, who are twice as likely to be diagnosed with diabetes compared with non-Hispanic whites, according to the U.S. Department of Health and Human Services’ \u003ca href=\"http://www.ihs.gov/MedicalPrograms/Diabetes/HomeDocs/Resources/FactSheets/2012/Fact_sheet_AIAN_508c.pdf\" target=\"_blank\">Indian Health Service\u003c/a>. Particularly alarming is the impact of the disease among Native young people ages 10 to 19. That population is nine times more likely to be diagnosed with Type 2 diabetes than non-Hispanic white children.\u003c/p>\n\u003cp>Gonzales, who has worked with the Lake County Tribal Health Consortium since 2002, says that reality requires immediate attention.\u003c/p>\n\u003cp>“We are seeing it. We have kids that are 12 years old that weigh 240, 250. So they are candidates for diabetes,” says Gonzales. “When you see a 12-year-old kid that is prediabetic, that is pretty sad. A lot of it is lack of education to that kid, or their parents just don’t know.”\u003c/p>\n\u003cp>Gonzales, a former Marine, says Native American communities in Lake County face challenges that make them susceptible to diabetes. He has witnessed how lack of physical activity and healthy foods can take a toll in people's bodies.\u003c/p>\n\u003cp>“A lot of aching and pains weren’t due to injuries. It’s because they were inactive,” says Gonzales of clients living at Big Valley Rancheria, one of the local Pomo reservations. “Their challenge is trying to eat healthy. On this reservation and some of the other reservations, it’s not the healthiest food.”\u003c/p>\n\u003cfigure id=\"attachment_102194\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1.jpg\">\u003cimg class=\"wp-image-102194 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-400x267.jpg\" alt='Johny Gonzales shows off a food guide for patients in the Lake County Tribal Health clinic diabetes prevention program. He recommends clients to stay away from processed foods and to \"get off the couch.\" ' width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Johnny Gonzales shows off a food guide for patients in the Lake County Tribal Health clinic diabetes prevention program. He recommends that clients stay away from processed foods and 'get off the couch.' \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even with those challenges, Gonzales remains evangelical about the healing powers of physical activity. It’s a deep-seated belief stemming from his personal experience after he hurt his back while working as a welder. Doctors told him he couldn’t do construction work anymore and recommended surgery. At the time, Gonzales balked at the procedure and chose instead to swim and exercise to strengthen his back.\u003c/p>\n\u003cp>“I noticed that when I was active I didn’t hurt nearly as bad, but when I wasn’t active I hurt all the time,” says Gonzales. “I didn’t want to depend on meds all the time, so I had to be active. That’s when I started pursuing becoming a trainer.”\u003c/p>\n\u003cp>Gonzales tells his clients that physical activity and perseverance are great medicines to combat diabetes and other ills. That helps him stay optimistic while on his job, which includes leading exercise workshops at nearby reservations. Participants often crowd the training, he says, though at other times nobody shows up. That doesn't dampen his passion for the job.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Things tend to move a little slow in native country. Sometimes we just have to take baby steps,” he says. “And as a provider, you can’t give up or they give up themselves.”\u003c/p>\n\n","blocks":[],"excerpt":"Tribal health clinic includes on-site gym and free training sessions for patients at high risk of developing diabetes.","status":"publish","parent":0,"modified":1446577160,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":906},"headData":{"title":"Lake County Native Americans Learn Power of Exercise to Fight Diabetes | KQED","description":"Tribal health clinic includes on-site gym and free training sessions for patients at high risk of developing diabetes.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Lake County Native Americans Learn Power of Exercise to Fight Diabetes","datePublished":"2015-11-03T16:34:37.000Z","dateModified":"2015-11-03T18:59:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"102167 http://ww2.kqed.org/stateofhealth/?p=102167","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/11/03/lake-county-native-americans-learn-power-of-exercise-to-fight-diabetes/","disqusTitle":"Lake County Native Americans Learn Power of Exercise to Fight Diabetes","path":"/stateofhealth/102167/lake-county-native-americans-learn-power-of-exercise-to-fight-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Johnny Gonzales kneels next to his client, Jorje Mendez, who is struggling through the last set of pushups at the gym.\u003c/p>\n\u003cp>“Give me eight of them!” says Gonzales, 59. “Be strict. This is where all the gains are made right here. If you can do this, you can do anything!”\u003c/p>\n\u003cp>It's a pretty typical gym in an atypical setting. Gonzales works with patients of the Lake County Tribal Health Clinic, and the gym is within the clinic itself.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/231367075&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/231367075'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Patients diagnosed with prediabetes who enroll in a program to lose weight are eligible for work with Gonzales -- free of charge.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The clinic, which targets members of the six local Pomo tribes in the county, also offers classes on healthy eating and other lifestyle changes that can reduce the risk of diabetes.\u003c/p>\n\u003cfigure id=\"attachment_102193\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut.jpg\">\u003cimg class=\"wp-image-102193 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-400x267.jpg\" alt=\"Trainer Johny Gonzales coaches Jorje Mendez through a set of exercises at Lake County Tribal Health Consortium. Increasing physical activity is a key goal of the clinic's diabetes prevention program.\" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17291_IMG_9342.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trainer Johnny Gonzales coaches Jorje Mendez through a set of exercises at Lake County Tribal Health Consortium. Increasing physical activity is a key goal of the clinic's diabetes prevention program. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Mendez, 33, an accountant and father of five, was a cross-country champion at Clear Lake High during his younger days, but settled into a more sedentary lifestyle that involved “eating a lot -- and [drinking] a lot of alcohol.” His weight ballooned to 300 pounds.\u003c/p>\n\u003cp>He decided to join the clinic's program after he was diagnosed as prediabetic. Grueling sessions with Gonzales three times a week have helped him lose over 45 pounds, he says.\u003c/p>\n\u003cp>“I feel better now,” says Mendez. “Other places you got to pay a fortune; I don’t have that. So I’m blessed to come here.”\u003c/p>\n\u003cp>Access to this gym and Gonzales' training sessions are a game changer for patients like Mendez, who wouldn't be able to afford it otherwise. In Lake County, a quarter of the population lives below the federal poverty level, and the median household income of $36,548 is much lower than the statewide average.\u003c/p>\n\u003cp>The clinic’s local efforts target a rapidly growing disease among Native Americans, who are twice as likely to be diagnosed with diabetes compared with non-Hispanic whites, according to the U.S. Department of Health and Human Services’ \u003ca href=\"http://www.ihs.gov/MedicalPrograms/Diabetes/HomeDocs/Resources/FactSheets/2012/Fact_sheet_AIAN_508c.pdf\" target=\"_blank\">Indian Health Service\u003c/a>. Particularly alarming is the impact of the disease among Native young people ages 10 to 19. That population is nine times more likely to be diagnosed with Type 2 diabetes than non-Hispanic white children.\u003c/p>\n\u003cp>Gonzales, who has worked with the Lake County Tribal Health Consortium since 2002, says that reality requires immediate attention.\u003c/p>\n\u003cp>“We are seeing it. We have kids that are 12 years old that weigh 240, 250. So they are candidates for diabetes,” says Gonzales. “When you see a 12-year-old kid that is prediabetic, that is pretty sad. A lot of it is lack of education to that kid, or their parents just don’t know.”\u003c/p>\n\u003cp>Gonzales, a former Marine, says Native American communities in Lake County face challenges that make them susceptible to diabetes. He has witnessed how lack of physical activity and healthy foods can take a toll in people's bodies.\u003c/p>\n\u003cp>“A lot of aching and pains weren’t due to injuries. It’s because they were inactive,” says Gonzales of clients living at Big Valley Rancheria, one of the local Pomo reservations. “Their challenge is trying to eat healthy. On this reservation and some of the other reservations, it’s not the healthiest food.”\u003c/p>\n\u003cfigure id=\"attachment_102194\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1.jpg\">\u003cimg class=\"wp-image-102194 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-400x267.jpg\" alt='Johny Gonzales shows off a food guide for patients in the Lake County Tribal Health clinic diabetes prevention program. He recommends clients to stay away from processed foods and to \"get off the couch.\" ' width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/11/RS17292_IMG_9344.JPG-qut-1-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Johnny Gonzales shows off a food guide for patients in the Lake County Tribal Health clinic diabetes prevention program. He recommends that clients stay away from processed foods and 'get off the couch.' \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even with those challenges, Gonzales remains evangelical about the healing powers of physical activity. It’s a deep-seated belief stemming from his personal experience after he hurt his back while working as a welder. Doctors told him he couldn’t do construction work anymore and recommended surgery. At the time, Gonzales balked at the procedure and chose instead to swim and exercise to strengthen his back.\u003c/p>\n\u003cp>“I noticed that when I was active I didn’t hurt nearly as bad, but when I wasn’t active I hurt all the time,” says Gonzales. “I didn’t want to depend on meds all the time, so I had to be active. That’s when I started pursuing becoming a trainer.”\u003c/p>\n\u003cp>Gonzales tells his clients that physical activity and perseverance are great medicines to combat diabetes and other ills. That helps him stay optimistic while on his job, which includes leading exercise workshops at nearby reservations. Participants often crowd the training, he says, though at other times nobody shows up. That doesn't dampen his passion for the job.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Things tend to move a little slow in native country. Sometimes we just have to take baby steps,” he says. “And as a provider, you can’t give up or they give up themselves.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/102167/lake-county-native-americans-learn-power-of-exercise-to-fight-diabetes","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_118","stateofhealth_58","stateofhealth_2533","stateofhealth_2519"],"featImg":"stateofhealth_102201","label":"stateofhealth_2363"},"futureofyou_34158":{"type":"posts","id":"futureofyou_34158","meta":{"index":"posts_1591205157","site":"futureofyou","id":"34158","score":null,"sort":[1441383356000]},"guestAuthors":[],"slug":"why-google-is-going-all-in-on-diabetes","title":"Why Google is Going All in on Diabetes","publishDate":1441383356,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Millions of people with diabetes prick their finger more than five times a day to monitor their blood glucose levels. And that's a painful and expensive process.\u003c/p>\n\u003cp>But now, Google's Life Sciences division is putting its immense resources behind new initiatives aimed at helping them better live with the disease.\u003c/p>\n\u003cp>\"It's really hard for people to manage their blood sugar,\" said Jacquelyn Miller, a Google Life Sciences spokeswoman, in an interview with KQED. \"We're hoping to take some of the guesswork out of it.\"\u003c/p>\n\u003cp>Earlier this week the new Google Life Sciences unit announced that diabetes is the company's first major disease target. It may come as a surprise that Google, a company that helps people search online for flights and restaurants, and dabbles in other ventures like self-driving cars, is investing in new therapies to treat disease.\u003c/p>\n\u003cp>But according to Michael Chae, executive director of the Bay Area Chapter at the American Diabetes Association, Google's decision is a no brainer. It's a highly lucrative opportunity -- in 2012, the total cost of managing diabetes was $245 billion in the U.S. alone -- and the timing is just right for technology companies to enter the field.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"There's been an explosion of wearables, data and analytics,\" he said. \"People with diabetes are more comfortable living in a measured world.\"\u003c/p>\n\u003cp>Chae envisions a future where people with diabetes can measure their blood glucose levels on a continuous basis, using painless methods. One of Google's emerging products is a contact lens embedded with a glitter-sized sensor that can measure glucose levels in tears. \"There's a whole lot of innovation at once,\" he said.\u003c/p>\n\u003cp>\u003cstrong>'I Didn't Feel Like a Normal Human Being'\u003c/strong>\u003c/p>\n\u003cp>The methods that Cyrus Khambatta uses to manage his Type 1 diabetes haven't changed much in the past decade.\u003c/p>\n\u003cp>Khambatta, \u003ca href=\"http://www.mangomannutrition.com\">a nutritionist\u003c/a> based in San Francisco was diagnosed with the disease at the age of 22. Each day, he pricks his finger between six and 10 times. He uses a lancet to draw a little blood, which he adds to a test strip, and feeds the strip into a glucose meter to check his blood sugar levels.\u003c/p>\n\u003cp>Before meals and exercise, he injects himself with a syringe filled with insulin. He dials up the amount of insulin based on the data from the glucose meter. The insulin required at any given time is related to many factors, including stress, sleep, exercise and diet, Khambatta explained, and involves a high attention to detail combined with some degree of guesswork.\u003c/p>\n\u003cp>\"Unlike a migraine or acne, diabetes management is all about developing an understanding and manipulation of numbers over time,\" he said. \"Diabetes is very quantitative.\"\u003c/p>\n\u003cfigure id=\"attachment_34870\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-34870\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/unnamed-800x600.jpg\" alt=\"Khambatta regulates his insulin levels with a glucose meter, syringe and lancet. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed.jpg 1046w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Khambatta regulates his insulin levels with a glucose meter, syringe and lancet. \u003ccite>(Cyrus Khambatta )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Khambatta describes his style for managing disease as \"old school\" compared to some of his peers. Many other diabetes sufferers use more modern alternatives for glucose monitoring, such as a patch with \u003ca href=\"http://www.dexcom.com/continuous-glucose-monitoring\">tiny needle-based sensors under the skin\u003c/a>, which connects to a transmitter and an insulin pump.\u003c/p>\n\u003cp>But for Khambatta, these options still require a good deal of effort, as the sensor needs to be changed every two to three days, and they serve as a constant visual reminder of his condition. When he tried them, he said: \"I didn't feel like a normal human being.\"\u003c/p>\n\u003cp>In the near future, he said he also hopes that companies will develop non-invasive, continuous glucose monitoring, which wouldn't draw blood or cause pain or trauma.\u003c/p>\n\u003cp>\"That's the holy grail,\" said Cameron Sepah, medical director from \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>, a San Francisco-based company that focuses on technology for diabetes prevention. Sepah said such a sophisticated blood sugar-tracking system could be paired with a device that delivers insulin, and thus act as an \"artificial pancreas.\"\u003c/p>\n\u003cp>\"Health companies have been working on this for years,\" he said. \"But Google has a history of taking on very ambitious projects.\"\u003c/p>\n\u003cp>\u003cstrong>Why Google? \u003c/strong>\u003c/p>\n\u003cp>Google made a name for itself with search technology, but it has dabbled in more ambitious \"moonshot\" projects from self-driving cars to stratospheric Internet balloons.\u003c/p>\n\u003cp>The life sciences' team, which initially worked with Google's secretive research arm Google X, spun out from the Google search engine business in August. Both entities will be held under an umbrella organization \u003ca href=\"http://www.theguardian.com/technology/2015/aug/10/google-alphabet-parent-company\">called Alphabet. \u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's really hard for people to manage their blood sugar. We're hoping to take some of the guesswork out of it.'\u003cbr>\n\u003ccite>Jacquelyn Miller, spokesperson for Google Life Sciences\u003c/cite>\u003c/aside>\n\u003cp>The life sciences unit is led by molecular biologist Andy Conrad, who has helped the company secure partnerships with top drug makers and medical device companies. Conrad seems to be taking a different tack than the \u003ca href=\"http://www.informationweek.com/healthcare/electronic-health-records/5-reasons-why-google-health-failed/d/d-id/1098623?\">the ill-fated \"Google Health\u003c/a>\" team, which offered a personal health record product and closed in 2011 because of a lack of traction, by seeking the input and assistance of more established players in the medical sector.\u003c/p>\n\u003cp>Google Life Sciences earlier this week announced a partnership with \u003ca href=\"http://www.sanofi.us/l/us/en/index.jsp\">Sanofi\u003c/a>, maker of an insulin inhaler and a slew of other products for people with diabetes. It is also working with \u003ca href=\"http://www.jnj.com/\">Johnson & Johnson \u003c/a>on \u003ca href=\"http://ww2.kqed.org/futureofyou/robotics-surgeons-google-jandj\">surgical robots\u003c/a>; Novartis and Dexcom on \u003ca href=\"https://www.novartis.com/news/media-releases/novartis-license-google-smart-lens-technology\">diabetes-related projects\u003c/a>, and Biogen on\u003ca href=\"http://www.bloomberg.com/news/articles/2015-01-27/google-biogen-seek-reasons-for-advance-of-multiple-sclerosis\"> potential treatments for multiple sclerosis\u003c/a>.\u003c/p>\n\u003cp>But the diabetes opportunity appears to be the primary focus. Data and analytics is Google's area of expertise, and as Miller puts it, diabetes management is fundamentally an \"information problem.\"\u003c/p>\n\u003cp>Patients with diabetes lack clear information about how variables like nutrition and exercise affect their blood sugar levels, she said. And these kind of insights could help them adjust their insulin levels and avoid serious outcomes, like stroke, heart disease and hypoglycemia.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But don't expect any of the products from the Life Sciences team to hit the market next week. Given the technical challenges and the regulatory requirements, experts say, it could take years before any new device reaches patients.\u003c/p>\n\n","blocks":[],"excerpt":"\"It's really hard for people [with diabetes] to manage their blood sugar,\" Google told KQED. \"We're hoping to take some of the guesswork out of it.\"","status":"publish","parent":0,"modified":1477274349,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1063},"headData":{"title":"Why Google is Going All in on Diabetes | KQED","description":""It's really hard for people to manage their blood sugar," Google told KQED. "We're hoping to take some of the guesswork out of it."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why Google is Going All in on Diabetes","datePublished":"2015-09-04T16:15:56.000Z","dateModified":"2016-10-24T01:59:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"34158 http://ww2.kqed.org/futureofyou/?p=34158","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/04/why-google-is-going-all-in-on-diabetes/","disqusTitle":"Why Google is Going All in on Diabetes","source":"Future of You","path":"/futureofyou/34158/why-google-is-going-all-in-on-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Millions of people with diabetes prick their finger more than five times a day to monitor their blood glucose levels. And that's a painful and expensive process.\u003c/p>\n\u003cp>But now, Google's Life Sciences division is putting its immense resources behind new initiatives aimed at helping them better live with the disease.\u003c/p>\n\u003cp>\"It's really hard for people to manage their blood sugar,\" said Jacquelyn Miller, a Google Life Sciences spokeswoman, in an interview with KQED. \"We're hoping to take some of the guesswork out of it.\"\u003c/p>\n\u003cp>Earlier this week the new Google Life Sciences unit announced that diabetes is the company's first major disease target. It may come as a surprise that Google, a company that helps people search online for flights and restaurants, and dabbles in other ventures like self-driving cars, is investing in new therapies to treat disease.\u003c/p>\n\u003cp>But according to Michael Chae, executive director of the Bay Area Chapter at the American Diabetes Association, Google's decision is a no brainer. It's a highly lucrative opportunity -- in 2012, the total cost of managing diabetes was $245 billion in the U.S. alone -- and the timing is just right for technology companies to enter the field.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"There's been an explosion of wearables, data and analytics,\" he said. \"People with diabetes are more comfortable living in a measured world.\"\u003c/p>\n\u003cp>Chae envisions a future where people with diabetes can measure their blood glucose levels on a continuous basis, using painless methods. One of Google's emerging products is a contact lens embedded with a glitter-sized sensor that can measure glucose levels in tears. \"There's a whole lot of innovation at once,\" he said.\u003c/p>\n\u003cp>\u003cstrong>'I Didn't Feel Like a Normal Human Being'\u003c/strong>\u003c/p>\n\u003cp>The methods that Cyrus Khambatta uses to manage his Type 1 diabetes haven't changed much in the past decade.\u003c/p>\n\u003cp>Khambatta, \u003ca href=\"http://www.mangomannutrition.com\">a nutritionist\u003c/a> based in San Francisco was diagnosed with the disease at the age of 22. Each day, he pricks his finger between six and 10 times. He uses a lancet to draw a little blood, which he adds to a test strip, and feeds the strip into a glucose meter to check his blood sugar levels.\u003c/p>\n\u003cp>Before meals and exercise, he injects himself with a syringe filled with insulin. He dials up the amount of insulin based on the data from the glucose meter. The insulin required at any given time is related to many factors, including stress, sleep, exercise and diet, Khambatta explained, and involves a high attention to detail combined with some degree of guesswork.\u003c/p>\n\u003cp>\"Unlike a migraine or acne, diabetes management is all about developing an understanding and manipulation of numbers over time,\" he said. \"Diabetes is very quantitative.\"\u003c/p>\n\u003cfigure id=\"attachment_34870\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-34870\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/unnamed-800x600.jpg\" alt=\"Khambatta regulates his insulin levels with a glucose meter, syringe and lancet. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/unnamed.jpg 1046w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Khambatta regulates his insulin levels with a glucose meter, syringe and lancet. \u003ccite>(Cyrus Khambatta )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Khambatta describes his style for managing disease as \"old school\" compared to some of his peers. Many other diabetes sufferers use more modern alternatives for glucose monitoring, such as a patch with \u003ca href=\"http://www.dexcom.com/continuous-glucose-monitoring\">tiny needle-based sensors under the skin\u003c/a>, which connects to a transmitter and an insulin pump.\u003c/p>\n\u003cp>But for Khambatta, these options still require a good deal of effort, as the sensor needs to be changed every two to three days, and they serve as a constant visual reminder of his condition. When he tried them, he said: \"I didn't feel like a normal human being.\"\u003c/p>\n\u003cp>In the near future, he said he also hopes that companies will develop non-invasive, continuous glucose monitoring, which wouldn't draw blood or cause pain or trauma.\u003c/p>\n\u003cp>\"That's the holy grail,\" said Cameron Sepah, medical director from \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>, a San Francisco-based company that focuses on technology for diabetes prevention. Sepah said such a sophisticated blood sugar-tracking system could be paired with a device that delivers insulin, and thus act as an \"artificial pancreas.\"\u003c/p>\n\u003cp>\"Health companies have been working on this for years,\" he said. \"But Google has a history of taking on very ambitious projects.\"\u003c/p>\n\u003cp>\u003cstrong>Why Google? \u003c/strong>\u003c/p>\n\u003cp>Google made a name for itself with search technology, but it has dabbled in more ambitious \"moonshot\" projects from self-driving cars to stratospheric Internet balloons.\u003c/p>\n\u003cp>The life sciences' team, which initially worked with Google's secretive research arm Google X, spun out from the Google search engine business in August. Both entities will be held under an umbrella organization \u003ca href=\"http://www.theguardian.com/technology/2015/aug/10/google-alphabet-parent-company\">called Alphabet. \u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's really hard for people to manage their blood sugar. We're hoping to take some of the guesswork out of it.'\u003cbr>\n\u003ccite>Jacquelyn Miller, spokesperson for Google Life Sciences\u003c/cite>\u003c/aside>\n\u003cp>The life sciences unit is led by molecular biologist Andy Conrad, who has helped the company secure partnerships with top drug makers and medical device companies. Conrad seems to be taking a different tack than the \u003ca href=\"http://www.informationweek.com/healthcare/electronic-health-records/5-reasons-why-google-health-failed/d/d-id/1098623?\">the ill-fated \"Google Health\u003c/a>\" team, which offered a personal health record product and closed in 2011 because of a lack of traction, by seeking the input and assistance of more established players in the medical sector.\u003c/p>\n\u003cp>Google Life Sciences earlier this week announced a partnership with \u003ca href=\"http://www.sanofi.us/l/us/en/index.jsp\">Sanofi\u003c/a>, maker of an insulin inhaler and a slew of other products for people with diabetes. It is also working with \u003ca href=\"http://www.jnj.com/\">Johnson & Johnson \u003c/a>on \u003ca href=\"http://ww2.kqed.org/futureofyou/robotics-surgeons-google-jandj\">surgical robots\u003c/a>; Novartis and Dexcom on \u003ca href=\"https://www.novartis.com/news/media-releases/novartis-license-google-smart-lens-technology\">diabetes-related projects\u003c/a>, and Biogen on\u003ca href=\"http://www.bloomberg.com/news/articles/2015-01-27/google-biogen-seek-reasons-for-advance-of-multiple-sclerosis\"> potential treatments for multiple sclerosis\u003c/a>.\u003c/p>\n\u003cp>But the diabetes opportunity appears to be the primary focus. Data and analytics is Google's area of expertise, and as Miller puts it, diabetes management is fundamentally an \"information problem.\"\u003c/p>\n\u003cp>Patients with diabetes lack clear information about how variables like nutrition and exercise affect their blood sugar levels, she said. And these kind of insights could help them adjust their insulin levels and avoid serious outcomes, like stroke, heart disease and hypoglycemia.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But don't expect any of the products from the Life Sciences team to hit the market next week. Given the technical challenges and the regulatory requirements, experts say, it could take years before any new device reaches patients.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/34158/why-google-is-going-all-in-on-diabetes","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_309","futureofyou_131","futureofyou_80"],"featImg":"futureofyou_34595","label":"source_futureofyou_34158"},"stateofhealth_64117":{"type":"posts","id":"stateofhealth_64117","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"64117","score":null,"sort":[1440012815000]},"guestAuthors":[],"slug":"californians-better-insured-but-more-obese-and-diabetic-says-survey","title":"Californians Better Insured, But More Obese and Diabetic, Says Survey","publishDate":1440012815,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Findings from the California Health Interview Survey, which queried 48,000 residents in 2013-14.","status":"publish","parent":0,"modified":1440012987,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":384},"headData":{"title":"Californians Better Insured, But More Obese and Diabetic, Says Survey | KQED","description":"Findings from the California Health Interview Survey, which queried 48,000 residents in 2013-14.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Californians Better Insured, But More Obese and Diabetic, Says Survey","datePublished":"2015-08-19T19:33:35.000Z","dateModified":"2015-08-19T19:36:27.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"64117 http://ww2.kqed.org/stateofhealth/?p=64117","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/19/californians-better-insured-but-more-obese-and-diabetic-says-survey/","disqusTitle":"Californians Better Insured, But More Obese and Diabetic, Says Survey","path":"/stateofhealth/64117/californians-better-insured-but-more-obese-and-diabetic-says-survey","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/64117/californians-better-insured-but-more-obese-and-diabetic-says-survey","authors":["80"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_118","stateofhealth_99","stateofhealth_365","stateofhealth_117"],"featImg":"stateofhealth_17893","label":"stateofhealth"},"stateofhealth_24623":{"type":"posts","id":"stateofhealth_24623","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24623","score":null,"sort":[1426785449000]},"guestAuthors":[],"slug":"why-insulin-is-so-expensive-in-the-u-s","title":"Why Insulin Is So Expensive in the U.S.","publishDate":1426785449,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_24625\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-19-at-10.09.29-AM.png\">\u003cimg class=\"size-large wp-image-24625\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-19-at-10.09.29-AM-640x426.png\" alt=\"A nurse in 1938 checks the amount of insulin in a needle. For many decades, the only insulin available to people with diabetes came from the pancreases of cattle or pigs. Insulin from animals is still available outside the U.S. — and cheaper than a recombinant DNA version. (Bettmann/Corbis)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse in 1938 checks the amount of insulin in a needle. For many decades, the only insulin available to people with diabetes came from the pancreases of cattle or pigs. Insulin from animals is still available outside the U.S. — and cheaper than a recombinant DNA version. (Bettmann/Corbis)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anders Kelto,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/03/19/393856788/why-is-u-s-insulin-so-expensive\" href=\"http://www.npr.org/blogs/health/2015/03/19/393856788/why-is-u-s-insulin-so-expensive\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Dr. Jeremy Greene sees a lot of patients with diabetes that's out of control.\u003c/p>\n\u003caside class=\"pullquote alignleft\">More than 90 years after insulin was developed, there are no low-cost options available today. \u003c/aside>\n\u003cp>In fact, he says, sometimes their blood sugar is \"so high that you can't even record the number on their glucometer.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.hopkinshistoryofmedicine.org/content/jeremy-greene\">Greene\u003c/a>, a professor of medicine and history of medicine at Johns Hopkins University, started asking patients at his clinic in Baltimore why they had so much trouble keeping their blood sugar stable. He was shocked by their answer: the high cost of insulin.\u003c/p>\n\u003cp>Greene decided to call some local pharmacies, to ask about low-cost options. He was told no such options existed.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Only then did I realize there is no such thing as generic insulin in the United States in the year 2015,\" he says.\u003c/p>\n\u003cp>Greene wondered why that was the case. Why was a medicine more than 90 years old so expensive? He started looking into the history of insulin, and has \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMms1411398\">published a paper\u003c/a> about his findings in this week's issue of the \u003cem>New England Journal of Medicine\u003c/em>.\u003c/p>\n\u003cp>The story of insulin, it turns out, starts back in the late 1800s. That's when scientists discovered a link between diabetes and damaged cells in the pancreas — cells that produce insulin.\u003c/p>\n\u003cp>In the early 1920s, researchers in Toronto extracted insulin from cattle pancreases and gave it to people who had diabetes, as part of a clinical trial. The first patient was a 14-year-old boy, who made a dramatic recovery. Most others recovered as well. Soon, insulin from pigs and cattle was being produced and sold on a massive scale around the world.\u003c/p>\n\u003cdiv id=\"res393881578\" class=\"bucketwrap image large\">\n\u003cdiv class=\"imagewrap\">\n\u003cp>\u003cimg class=\"img alignnone\" src=\"http://media.npr.org/assets/img/2015/03/18/insulin-production_sq-26b52a203998117570dac24e7cd8e9d122a61561-s800-c85.jpg\" alt=\"Acids, alcohol and pancreatic tissue were separated, bathed and mixed in this laboratory of a 1946 insulin factory in Bielefeld, Germany.\" width=\"800\" height=\"800\">\u003c/p>\n\u003c/div>\n\u003cdiv class=\"credit-caption\">\n\u003cdiv class=\"caption\">\n\u003cp>Acids, alcohol and pancreatic tissue were separated, bathed and mixed in this laboratory of a 1946 insulin factory in Bielefeld, Germany.\u003c/p>\n\u003c/div>\n\u003cp>\u003cspan class=\"credit\">Chris Ware/Getty Images\u003c/span>\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003cp>But for some, the early forms of the medicine weren't ideal. Many people required multiple injections every day, and some developed minor allergic reactions.\u003c/p>\n\u003cp>Over the next few decades, scientists figured out how to produce higher-quality insulin, Greene says. They made the drug purer, so recipients had fewer bad reactions. They also made the substance able to last longer in the bloodstream, which led to more stable blood sugar levels and less frequent injections.\u003c/p>\n\u003cp>\"All of these innovations helped to make insulin a little bit safer, a little bit more effective,\" Greene says.\u003c/p>\n\u003cp>Then, in the 1970s, scientists developed a new technique they could use for insulin production, called recombinant DNA technology. It involves putting the human gene for insulin into bacteria, which then produce large quantities of the hormone.\u003c/p>\n\u003cp>Then, a funny thing happened, Greene says: \"The older [animal] insulin, rather than remaining around on the market as a cheaper, older alternative, disappeared from the market.\"\u003c/p>\n\u003cp>Greene says there's no one reason that companies stopped producing the older animal versions, but they clearly felt it would not be profitable.\u003c/p>\n\u003cp>\u003ca href=\"http://www.hopkinsmedicine.org/gim/clinical/gss/Riggs.html\">Dr. Kevin Riggs\u003c/a>, a professor of medicine at Johns Hopkins and co-author of the new insulin study, says the newer, recombinant version of insulin may have had some advantages in terms of convenience and fewer side effects. But there was probably something else at work — doctors being influenced by marketing.\u003c/p>\n\u003cp>The company that made the new form of insulin, called Humulin, launched a large marketing effort aimed at doctors and patients shortly after its release.\u003c/p>\n\u003cp>But newer drugs aren't\u003cem> \u003c/em>always better, says \u003ca href=\"http://explore.georgetown.edu/people/ajf29/\">Dr. Adriane Fugh-Berman\u003c/a>, a professor of medicine and pharmacology at Georgetown University. That's partly because drug companies don't have to prove that a new drug is better than what is already on the market — they just have to prove that it's not worse.\"In government-funded studies that have compared older drugs to newer drugs, often older drugs come out looking better or equal to newer drugs,\" Fugh-Berman says.\u003c/p>\n\u003cp>For example, some patients have found that animal-derived forms of insulin work better for them, she says. They cause less variability in blood sugar, and fewer episodes of hypoglycemia.\u003c/p>\n\u003cp>And while those older kinds of insulin are not available in the U.S., they are available elsewhere.\u003c/p>\n\u003cp>\"In Canada, there actually is still an animal-derived insulin on the market, and that was really due to the efforts of consumer advocates,\" Fugh-Berman says.\u003c/p>\n\u003cp>As the older versions have vanished in the U.S., newer versions have stayed expensive. The drug can cost up to $400 a month. Because of that high cost, many of the estimated 29 million people living with diabetes in the U.S. can't afford it.\u003c/p>\n\u003cp>Some industry analysts expect insulin costs to fall in the future. That's because the most recent insulin patents have expired, paving the way to more competition. The FDA has also decided to allow \u003ca href=\"http://www.npr.org/blogs/health/2015/03/10/388668910/fda-decision-signals-new-competition-for-some-of-the-costliest-drugs\">biosimilar\u003c/a> versions of insulin onto the market. These are substances that act in a similar way to existing forms, but are not necessarily identical.\u003c/p>\n\u003cp>\"But there's concern that the cost savings [with biosimilar insulin] will be nowhere near as robust as they have been with [other types of] generic drugs,\" Greene says.\u003c/p>\n\u003cp>\"Rather than reducing costs by 80 percent, as many generics have done, they might reduce costs by 40 percent,\" Riggs says.\u003c/p>\n\u003cp>Greene says the point of their recent study about insulin costs isn't to simply blame the drug industry. \"We do not believe that there is a conspiracy to keep insulin expensive,\" he says.\u003c/p>\n\u003cp>Rather, he says, incremental improvements in the drug — and the disappearance of older versions, which aren't as profitable — are more likely explanations.\u003c/p>\n\u003cp>Greene says innovations in insulin over the past 90 years have been significant. But, he says, it's important to ask this question: \"Do these innovations merit the loss of affordable insulin?\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>For patients at his clinic who can't afford insulin, Greene says, the answer is clear. A more affordable version is needed.\u003c/p>\n\n","blocks":[],"excerpt":"More than 90 years after insulin was developed, there are no low-cost options available today.","status":"publish","parent":0,"modified":1426870099,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1058},"headData":{"title":"Why Insulin Is So Expensive in the U.S. | KQED","description":"More than 90 years after insulin was developed, there are no low-cost options available today.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why Insulin Is So Expensive in the U.S.","datePublished":"2015-03-19T17:17:29.000Z","dateModified":"2015-03-20T16:48:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24623 http://blogs.kqed.org/stateofhealth/?p=24623","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/03/19/why-insulin-is-so-expensive-in-the-u-s/","disqusTitle":"Why Insulin Is So Expensive in the U.S.","path":"/stateofhealth/24623/why-insulin-is-so-expensive-in-the-u-s","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24625\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-19-at-10.09.29-AM.png\">\u003cimg class=\"size-large wp-image-24625\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-19-at-10.09.29-AM-640x426.png\" alt=\"A nurse in 1938 checks the amount of insulin in a needle. For many decades, the only insulin available to people with diabetes came from the pancreases of cattle or pigs. Insulin from animals is still available outside the U.S. — and cheaper than a recombinant DNA version. (Bettmann/Corbis)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A nurse in 1938 checks the amount of insulin in a needle. For many decades, the only insulin available to people with diabetes came from the pancreases of cattle or pigs. Insulin from animals is still available outside the U.S. — and cheaper than a recombinant DNA version. (Bettmann/Corbis)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anders Kelto,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/03/19/393856788/why-is-u-s-insulin-so-expensive\" href=\"http://www.npr.org/blogs/health/2015/03/19/393856788/why-is-u-s-insulin-so-expensive\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Dr. Jeremy Greene sees a lot of patients with diabetes that's out of control.\u003c/p>\n\u003caside class=\"pullquote alignleft\">More than 90 years after insulin was developed, there are no low-cost options available today. \u003c/aside>\n\u003cp>In fact, he says, sometimes their blood sugar is \"so high that you can't even record the number on their glucometer.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.hopkinshistoryofmedicine.org/content/jeremy-greene\">Greene\u003c/a>, a professor of medicine and history of medicine at Johns Hopkins University, started asking patients at his clinic in Baltimore why they had so much trouble keeping their blood sugar stable. He was shocked by their answer: the high cost of insulin.\u003c/p>\n\u003cp>Greene decided to call some local pharmacies, to ask about low-cost options. He was told no such options existed.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Only then did I realize there is no such thing as generic insulin in the United States in the year 2015,\" he says.\u003c/p>\n\u003cp>Greene wondered why that was the case. Why was a medicine more than 90 years old so expensive? He started looking into the history of insulin, and has \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMms1411398\">published a paper\u003c/a> about his findings in this week's issue of the \u003cem>New England Journal of Medicine\u003c/em>.\u003c/p>\n\u003cp>The story of insulin, it turns out, starts back in the late 1800s. That's when scientists discovered a link between diabetes and damaged cells in the pancreas — cells that produce insulin.\u003c/p>\n\u003cp>In the early 1920s, researchers in Toronto extracted insulin from cattle pancreases and gave it to people who had diabetes, as part of a clinical trial. The first patient was a 14-year-old boy, who made a dramatic recovery. Most others recovered as well. Soon, insulin from pigs and cattle was being produced and sold on a massive scale around the world.\u003c/p>\n\u003cdiv id=\"res393881578\" class=\"bucketwrap image large\">\n\u003cdiv class=\"imagewrap\">\n\u003cp>\u003cimg class=\"img alignnone\" src=\"http://media.npr.org/assets/img/2015/03/18/insulin-production_sq-26b52a203998117570dac24e7cd8e9d122a61561-s800-c85.jpg\" alt=\"Acids, alcohol and pancreatic tissue were separated, bathed and mixed in this laboratory of a 1946 insulin factory in Bielefeld, Germany.\" width=\"800\" height=\"800\">\u003c/p>\n\u003c/div>\n\u003cdiv class=\"credit-caption\">\n\u003cdiv class=\"caption\">\n\u003cp>Acids, alcohol and pancreatic tissue were separated, bathed and mixed in this laboratory of a 1946 insulin factory in Bielefeld, Germany.\u003c/p>\n\u003c/div>\n\u003cp>\u003cspan class=\"credit\">Chris Ware/Getty Images\u003c/span>\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003cp>But for some, the early forms of the medicine weren't ideal. Many people required multiple injections every day, and some developed minor allergic reactions.\u003c/p>\n\u003cp>Over the next few decades, scientists figured out how to produce higher-quality insulin, Greene says. They made the drug purer, so recipients had fewer bad reactions. They also made the substance able to last longer in the bloodstream, which led to more stable blood sugar levels and less frequent injections.\u003c/p>\n\u003cp>\"All of these innovations helped to make insulin a little bit safer, a little bit more effective,\" Greene says.\u003c/p>\n\u003cp>Then, in the 1970s, scientists developed a new technique they could use for insulin production, called recombinant DNA technology. It involves putting the human gene for insulin into bacteria, which then produce large quantities of the hormone.\u003c/p>\n\u003cp>Then, a funny thing happened, Greene says: \"The older [animal] insulin, rather than remaining around on the market as a cheaper, older alternative, disappeared from the market.\"\u003c/p>\n\u003cp>Greene says there's no one reason that companies stopped producing the older animal versions, but they clearly felt it would not be profitable.\u003c/p>\n\u003cp>\u003ca href=\"http://www.hopkinsmedicine.org/gim/clinical/gss/Riggs.html\">Dr. Kevin Riggs\u003c/a>, a professor of medicine at Johns Hopkins and co-author of the new insulin study, says the newer, recombinant version of insulin may have had some advantages in terms of convenience and fewer side effects. But there was probably something else at work — doctors being influenced by marketing.\u003c/p>\n\u003cp>The company that made the new form of insulin, called Humulin, launched a large marketing effort aimed at doctors and patients shortly after its release.\u003c/p>\n\u003cp>But newer drugs aren't\u003cem> \u003c/em>always better, says \u003ca href=\"http://explore.georgetown.edu/people/ajf29/\">Dr. Adriane Fugh-Berman\u003c/a>, a professor of medicine and pharmacology at Georgetown University. That's partly because drug companies don't have to prove that a new drug is better than what is already on the market — they just have to prove that it's not worse.\"In government-funded studies that have compared older drugs to newer drugs, often older drugs come out looking better or equal to newer drugs,\" Fugh-Berman says.\u003c/p>\n\u003cp>For example, some patients have found that animal-derived forms of insulin work better for them, she says. They cause less variability in blood sugar, and fewer episodes of hypoglycemia.\u003c/p>\n\u003cp>And while those older kinds of insulin are not available in the U.S., they are available elsewhere.\u003c/p>\n\u003cp>\"In Canada, there actually is still an animal-derived insulin on the market, and that was really due to the efforts of consumer advocates,\" Fugh-Berman says.\u003c/p>\n\u003cp>As the older versions have vanished in the U.S., newer versions have stayed expensive. The drug can cost up to $400 a month. Because of that high cost, many of the estimated 29 million people living with diabetes in the U.S. can't afford it.\u003c/p>\n\u003cp>Some industry analysts expect insulin costs to fall in the future. That's because the most recent insulin patents have expired, paving the way to more competition. The FDA has also decided to allow \u003ca href=\"http://www.npr.org/blogs/health/2015/03/10/388668910/fda-decision-signals-new-competition-for-some-of-the-costliest-drugs\">biosimilar\u003c/a> versions of insulin onto the market. These are substances that act in a similar way to existing forms, but are not necessarily identical.\u003c/p>\n\u003cp>\"But there's concern that the cost savings [with biosimilar insulin] will be nowhere near as robust as they have been with [other types of] generic drugs,\" Greene says.\u003c/p>\n\u003cp>\"Rather than reducing costs by 80 percent, as many generics have done, they might reduce costs by 40 percent,\" Riggs says.\u003c/p>\n\u003cp>Greene says the point of their recent study about insulin costs isn't to simply blame the drug industry. \"We do not believe that there is a conspiracy to keep insulin expensive,\" he says.\u003c/p>\n\u003cp>Rather, he says, incremental improvements in the drug — and the disappearance of older versions, which aren't as profitable — are more likely explanations.\u003c/p>\n\u003cp>Greene says innovations in insulin over the past 90 years have been significant. But, he says, it's important to ask this question: \"Do these innovations merit the loss of affordable insulin?\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For patients at his clinic who can't afford insulin, Greene says, the answer is clear. A more affordable version is needed.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24623/why-insulin-is-so-expensive-in-the-u-s","authors":["8344"],"categories":["stateofhealth_13"],"tags":["stateofhealth_118","stateofhealth_461"],"featImg":"stateofhealth_24625","label":"stateofhealth"},"stateofhealth_23778":{"type":"posts","id":"stateofhealth_23778","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"23778","score":null,"sort":[1422914342000]},"guestAuthors":[],"slug":"california-ranks-dead-last-in-spending-on-diabetes-prevention","title":"California Ranks Dead Last in Spending on Diabetes Prevention","publishDate":1422914342,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_23779\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-e1422914274182.jpg\">\u003cimg class=\"size-large wp-image-23779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov,\u003c/strong> \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org/news/lots-of-responsibility-for-in-home-care-providers-but-no-training-required/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California spends less per person than any state on diabetes prevention programs, even as one in 12 California adults is estimated to suffer from the chronic disease, according to a new \u003ca href=\"http://www.auditor.ca.gov/reports/summary/2014-113\">report\u003c/a> from the California state auditor.\u003c/p>\n\u003cp>Using only federal grants, California spent just 3 cents per person on diabetes prevention in the 2012-2013 fiscal year, compared with New York’s 42 cents per person in state and federal money that year, the report noted.\u003c/p>\n\u003cp>No state funding is available for diabetes prevention in California, although the Department of Public Health has solicited the federal grants for programs in some counties, according to the report. The audit takes the agency to task for not doing more.\u003c!--more-->\u003c/p>\n\u003cp>A California Department of Public Health spokesman said no one was available for comment on Friday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Because of declines in federal funding, California in 2012 shuttered nine regional centers devoted to reducing gestational diabetes. Now it has just a \u003ca href=\"http://www.cdph.ca.gov/programs/cdapp/Pages/default.aspx\" target=\"_blank\">website\u003c/a> with information on the condition, which \u003ca href=\"http://www.cdc.gov/pcd/issues/2014/13_0415.htm\" target=\"_blank\">can affect nearly 10 percent of pregnancies\u003c/a>.\u003c/p>\n\u003cp>But the state is not alone in underfunding prevention efforts, according to advocates.\u003c/p>\n\u003cp>“I know we’re on the bottom of the pile on this, but what money is out there for diabetes is just a pittance across the country, when you look at the size of the problem of diabetes,” said Michael Chae, executive director of the American Diabetes Association’s regional office in Oakland. “I’d say you could take this report for most large states and it would read similarly.”\u003c/p>\n\u003cp>Diabetes is a chronic disease that occurs when the body either cannot make enough insulin to control blood sugar (Type 1) or cannot process insulin normally (Type 2). Although diabetes can be controlled with medications and lifestyle changes, including diet and exercise, the yearly health care and related costs of the disease have been estimated at $27.5 billion in California alone, according to the American Diabetes Association.\u003c/p>\n\u003cp>The state auditor’s report acknowledged that the state public health agency appropriately spends its federal dollars. It also recently received new federal grants for diabetes prevention efforts in four counties. But the report faulted the agency for not doing more to identify additional funding and for not expanding programs to other counties with high diabetes rates. Auditors were able to identify two additional federal grants totaling $1 million that the state could have applied for but did not.\u003c/p>\n\u003cp>The auditor described the public health agency’s stated goal of preventing diabetes in 380,000 people by 2022 as “lofty.” It concluded, however, that the agency “will need to do more than it has been able to in the past with its limited funding.”\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html\" target=\"_blank\">nearly 30 million Americans live with diabetes\u003c/a> and about \u003ca href=\"http://www.cdc.gov/diabetes/newsroom/rates.html\" target=\"_blank\">1.7 million people are newly diagnosed\u003c/a> each year, according to the U.S. Centers for Disease Control and Prevention. \u003ca href=\"http://www.cdph.ca.gov/programs/cdcb/Documents/Heart%20DiseaseDiabetesPrev%20Fact%20Sheet.pdf\" target=\"_blank\">More than 2.3 million\u003c/a> California adults report they have been diagnosed with diabetes and many others are considered to have the disease but do not know it. Still others are considered to be at high risk, or “prediabetic,” based on their blood sugar levels.\u003c/p>\n\u003cp>Chae and other diabetes advocates said they have tried repeatedly over the years to persuade lawmakers to devote state money to diabetes prevention, to little avail.\u003c/p>\n\u003cp>It’s challenging to convince lawmakers and the public to devote more money to diabetes prevention, Chae said, because the disease is often unfairly characterized as a lifestyle problem caused by poor choices such as unhealthful eating and inadequate exercise. In addition, it progresses slowly, and symptoms are often invisible for years.\u003c/p>\n\u003cp>However, years of state reliance on federal grants alone has resulted in uncoordinated programs and staffers who come and go as the grants do, said Joan Werblun, a retired nurse and longtime advocate who helped found the \u003ca href=\"http://diabetescoalitionofcalifornia.org/\" target=\"_blank\">Diabetes Coalition of California\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“When you get these grants, you’re so tied into the specifics of the grants, and most of the time, it’s about data collection on how the grant is going,” Werblun said. “That’s where the money’s going. The state’s very happy to point at their projects, but they’re very small and there’s no continuation when the money’s gone. What we need are more people in the communities doing the work.”\u003c/p>\n\n","blocks":[],"excerpt":"The state spent just 3 cents per person on diabetes prevention in 2012-2013.\r\n","status":"publish","parent":0,"modified":1422926196,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":771},"headData":{"title":"California Ranks Dead Last in Spending on Diabetes Prevention | KQED","description":"The state spent just 3 cents per person on diabetes prevention in 2012-2013.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Ranks Dead Last in Spending on Diabetes Prevention","datePublished":"2015-02-02T21:59:02.000Z","dateModified":"2015-02-03T01:16:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"23778 http://blogs.kqed.org/stateofhealth/?p=23778","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/02/02/california-ranks-dead-last-in-spending-on-diabetes-prevention/","disqusTitle":"California Ranks Dead Last in Spending on Diabetes Prevention","path":"/stateofhealth/23778/california-ranks-dead-last-in-spending-on-diabetes-prevention","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23779\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-e1422914274182.jpg\">\u003cimg class=\"size-large wp-image-23779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov,\u003c/strong> \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org/news/lots-of-responsibility-for-in-home-care-providers-but-no-training-required/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California spends less per person than any state on diabetes prevention programs, even as one in 12 California adults is estimated to suffer from the chronic disease, according to a new \u003ca href=\"http://www.auditor.ca.gov/reports/summary/2014-113\">report\u003c/a> from the California state auditor.\u003c/p>\n\u003cp>Using only federal grants, California spent just 3 cents per person on diabetes prevention in the 2012-2013 fiscal year, compared with New York’s 42 cents per person in state and federal money that year, the report noted.\u003c/p>\n\u003cp>No state funding is available for diabetes prevention in California, although the Department of Public Health has solicited the federal grants for programs in some counties, according to the report. The audit takes the agency to task for not doing more.\u003c!--more-->\u003c/p>\n\u003cp>A California Department of Public Health spokesman said no one was available for comment on Friday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because of declines in federal funding, California in 2012 shuttered nine regional centers devoted to reducing gestational diabetes. Now it has just a \u003ca href=\"http://www.cdph.ca.gov/programs/cdapp/Pages/default.aspx\" target=\"_blank\">website\u003c/a> with information on the condition, which \u003ca href=\"http://www.cdc.gov/pcd/issues/2014/13_0415.htm\" target=\"_blank\">can affect nearly 10 percent of pregnancies\u003c/a>.\u003c/p>\n\u003cp>But the state is not alone in underfunding prevention efforts, according to advocates.\u003c/p>\n\u003cp>“I know we’re on the bottom of the pile on this, but what money is out there for diabetes is just a pittance across the country, when you look at the size of the problem of diabetes,” said Michael Chae, executive director of the American Diabetes Association’s regional office in Oakland. “I’d say you could take this report for most large states and it would read similarly.”\u003c/p>\n\u003cp>Diabetes is a chronic disease that occurs when the body either cannot make enough insulin to control blood sugar (Type 1) or cannot process insulin normally (Type 2). Although diabetes can be controlled with medications and lifestyle changes, including diet and exercise, the yearly health care and related costs of the disease have been estimated at $27.5 billion in California alone, according to the American Diabetes Association.\u003c/p>\n\u003cp>The state auditor’s report acknowledged that the state public health agency appropriately spends its federal dollars. It also recently received new federal grants for diabetes prevention efforts in four counties. But the report faulted the agency for not doing more to identify additional funding and for not expanding programs to other counties with high diabetes rates. Auditors were able to identify two additional federal grants totaling $1 million that the state could have applied for but did not.\u003c/p>\n\u003cp>The auditor described the public health agency’s stated goal of preventing diabetes in 380,000 people by 2022 as “lofty.” It concluded, however, that the agency “will need to do more than it has been able to in the past with its limited funding.”\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html\" target=\"_blank\">nearly 30 million Americans live with diabetes\u003c/a> and about \u003ca href=\"http://www.cdc.gov/diabetes/newsroom/rates.html\" target=\"_blank\">1.7 million people are newly diagnosed\u003c/a> each year, according to the U.S. Centers for Disease Control and Prevention. \u003ca href=\"http://www.cdph.ca.gov/programs/cdcb/Documents/Heart%20DiseaseDiabetesPrev%20Fact%20Sheet.pdf\" target=\"_blank\">More than 2.3 million\u003c/a> California adults report they have been diagnosed with diabetes and many others are considered to have the disease but do not know it. Still others are considered to be at high risk, or “prediabetic,” based on their blood sugar levels.\u003c/p>\n\u003cp>Chae and other diabetes advocates said they have tried repeatedly over the years to persuade lawmakers to devote state money to diabetes prevention, to little avail.\u003c/p>\n\u003cp>It’s challenging to convince lawmakers and the public to devote more money to diabetes prevention, Chae said, because the disease is often unfairly characterized as a lifestyle problem caused by poor choices such as unhealthful eating and inadequate exercise. In addition, it progresses slowly, and symptoms are often invisible for years.\u003c/p>\n\u003cp>However, years of state reliance on federal grants alone has resulted in uncoordinated programs and staffers who come and go as the grants do, said Joan Werblun, a retired nurse and longtime advocate who helped found the \u003ca href=\"http://diabetescoalitionofcalifornia.org/\" target=\"_blank\">Diabetes Coalition of California\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“When you get these grants, you’re so tied into the specifics of the grants, and most of the time, it’s about data collection on how the grant is going,” Werblun said. “That’s where the money’s going. The state’s very happy to point at their projects, but they’re very small and there’s no continuation when the money’s gone. What we need are more people in the communities doing the work.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/23778/california-ranks-dead-last-in-spending-on-diabetes-prevention","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_118"],"featImg":"stateofhealth_23779","label":"stateofhealth"},"stateofhealth_22419":{"type":"posts","id":"stateofhealth_22419","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22419","score":null,"sort":[1415632743000]},"guestAuthors":[],"slug":"ucsf-initiative-links-sugar-science-to-your-health","title":"UCSF Initiative Links 'Sugar Science' to Your Health","publishDate":1415632743,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22428\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-e1415408861531.jpg\">\u003cimg class=\"size-large wp-image-22428\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>These days, sugar is pretty close to everywhere in the American diet. You probably know that too much sugar is probably not great for your health.\u003c/p>\n\u003cp>Now, a new initiative from UC San Francisco is spelling out the health dangers in clear terms. The project is called \"sugar science,\" and science there is.\u003c/p>\n\u003cp>A team of researchers distilled 8,000 studies and research papers, and found strong evidence showing overconsumption of added sugar overloads vital organs and contributes to three major chronic illnesses: heart disease, Type 2 diabetes and liver disease.\u003c!--more-->\u003c/p>\n\u003cp>While there are no federal guidelines recommending a limit on sugar consumption, the American Heart Association (AHA) recommends cutting our consumption way down. Right now, the average American consumes the equivalent of \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" href=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" target=\"_blank\">19.5 teaspoons \u003c/a>a day in added sugars. The AHA says men should cut that down to no more than \u003ca title=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" target=\"_blank\">9 teaspoons and women should consume less than 6 teaspoons\u003c/a>.\u003c/p>\n\u003cp>UCSF Professor Laura Schmidt is lead investigator on the project. \"Right now, the reality is that our consumption of sugar is out of whack, and until we bring things back into balance, we need to focus on helping people understand what the consequences are to having the average American … consume too much added sugar.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As part of its outreach, Schmidt's team has created a\u003ca title=\"Sugar Science\" href=\"http://sugarscience.org\" target=\"_blank\"> user-friendly website\u003c/a> and is partnering with health departments across the country to spread the word. The website includes downloadable resources, including television commercials, that public health officials can localize for their own cities.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176317993&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"And that's what sugar science is all about,\" Schmidt says. \"It's about translating the information that's locked up in the medical journals and sharing it with the public in ways that are understandable.\"\u003c/p>\n\u003cp>Health departments from San Francisco to New York City have already agreed to participate in outreach. In a statement, the New York Department of Health called Sugar Science a \"wonderful resource\" and said it was \"\u003cspan style=\"color: #000000\">something that can be used by researchers, the public health community and those who just want thorough information.\"\u003c/span>\u003c/p>\n\u003cp>Schmidt is quick to point to the food environment as a driver in the increase of obesity that America has seen in the last generation. \"It's not like Americans suddenly lost their willpower,\" she says. \"The only major change in the diet that explains the obesity epidemic is this steep rise in added sugar consumption that started in the 1980s.\"\u003c/p>\n\u003cp>That sugar isn't just making us fat, she says, \"it's making us sick.\"\u003c/p>\n\u003cp>Schmidt insists the team, which includes researchers from UC Davis and Emory University, is not \"anti-sugar.\" Instead, it's really about knowing how much sugar is too much.\u003c/p>\n\u003cp>But knowing how much sugar you're eating can be challenging. Some key facts on the Sugar Science website are these:\u003c/p>\n\u003cul>\n\u003cli>Added sugar is hiding in 74 percent of packaged foods. (\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" target=\"_blank\">Proposed changes\u003c/a> to the nutrition label would change this by including a separate line for added sugars.)\u003c/li>\n\u003cli>A common type of sugar can damage your liver -- just like too much alcohol.\u003c/li>\n\u003cli>One 12-ounce can of soda a day can increase your risk of dying of heart disease by one-third.\u003c/li>\n\u003c/ul>\n\u003cp>The site also includes tips on concrete steps that people can take to cut down on sugar. \u003ca title=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" href=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" target=\"_blank\">The most straightforward\u003c/a> way to cut down on sugar is to stop drinking sugar-sweetened drinks, like sodas, sports drinks and energy drinks, the researchers say. More than one-third of added sugar in the diet \u003ca title=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" href=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" target=\"_blank\">comes from sugary drinks\u003c/a>. They also recommend reading nutrition labels. While there are 61 different names for sugar on ingredients labels, the UCSF team says that \"if the chemical name has an 'ose' at the end—as in dextrose, fructose, lactose —- it’s likely to be added sugar.\"\u003c/p>\n\u003cp>\u003cstrong>Seeing Diabetes as the AIDS Crisis of This Generation\u003c/strong>\u003c/p>\n\u003cp>Dean Schillinger is also part of the Sugar Science team. He's a primary care doctor at San Francisco General Hospital. He first came to San Francisco in 1990 at the peak of the AIDS epidemic. \"At that point, one out of every two patients we admitted was a young man dying of AIDS,\" he says. At that time, there were no treatments, little any doctor could do.\u003c/p>\n\u003cp>Today, he says, there are good treatments, and it's rare to admit someone to the hospital dying of AIDS.\u003c/p>\n\u003cp>Instead, Schillinger says, that same ward, Ward 5A, where young men died of AIDS is now filled with diabetes patients.\u003c/p>\n\u003cp>\"I feel like we are with diabetes where we were in 1990 with the AIDS epidemic,\" Schillinger said. \"The ward is overwhelmed with diabetes –- they're getting their limbs amputated, they're on dialysis. And these are young people. They are suffering the ravages of diabetes in the prime of their life.\"\u003c/p>\n\u003cp>But unlike AIDS, where activists pushed hard for action from researchers and governments, there's little activist response for diabetes \"because it affects low-income communities disproportionately,\" Schillinger said. \"We're at the point where we need a public health response to it.\"\u003c/p>\n\u003cp>The timing of the SugarScience launch is not a coincidence. The UC researchers waited until after the election last week voters in Berkeley and San Francisco were considering soda tax measures. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Measure D in Berkeley passed \u003c/a>with 75 percent of the vote. Schmidt says that since the university is a public institution, it could not be seen as trying to sway votes with the announcement of the new initiative.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sugar Science was funded by a grant from the\u003ca title=\"http://www.arnoldfoundation.org\" href=\"http://www.arnoldfoundation.org\" target=\"_blank\"> Laura and John Arnold Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"'Sugar Science' distills more than 8,000 scientific papers on the health effects of added sugar. It's not pretty.","status":"publish","parent":0,"modified":1415770284,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":941},"headData":{"title":"UCSF Initiative Links 'Sugar Science' to Your Health | KQED","description":"'Sugar Science' distills more than 8,000 scientific papers on the health effects of added sugar. It's not pretty.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCSF Initiative Links 'Sugar Science' to Your Health","datePublished":"2014-11-10T15:19:03.000Z","dateModified":"2014-11-12T05:31:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"22419 http://blogs.kqed.org/stateofhealth/?p=22419","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/11/10/ucsf-initiative-links-sugar-science-to-your-health/","disqusTitle":"UCSF Initiative Links 'Sugar Science' to Your Health","path":"/stateofhealth/22419/ucsf-initiative-links-sugar-science-to-your-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22428\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-e1415408861531.jpg\">\u003cimg class=\"size-large wp-image-22428\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>These days, sugar is pretty close to everywhere in the American diet. You probably know that too much sugar is probably not great for your health.\u003c/p>\n\u003cp>Now, a new initiative from UC San Francisco is spelling out the health dangers in clear terms. The project is called \"sugar science,\" and science there is.\u003c/p>\n\u003cp>A team of researchers distilled 8,000 studies and research papers, and found strong evidence showing overconsumption of added sugar overloads vital organs and contributes to three major chronic illnesses: heart disease, Type 2 diabetes and liver disease.\u003c!--more-->\u003c/p>\n\u003cp>While there are no federal guidelines recommending a limit on sugar consumption, the American Heart Association (AHA) recommends cutting our consumption way down. Right now, the average American consumes the equivalent of \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" href=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" target=\"_blank\">19.5 teaspoons \u003c/a>a day in added sugars. The AHA says men should cut that down to no more than \u003ca title=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" target=\"_blank\">9 teaspoons and women should consume less than 6 teaspoons\u003c/a>.\u003c/p>\n\u003cp>UCSF Professor Laura Schmidt is lead investigator on the project. \"Right now, the reality is that our consumption of sugar is out of whack, and until we bring things back into balance, we need to focus on helping people understand what the consequences are to having the average American … consume too much added sugar.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As part of its outreach, Schmidt's team has created a\u003ca title=\"Sugar Science\" href=\"http://sugarscience.org\" target=\"_blank\"> user-friendly website\u003c/a> and is partnering with health departments across the country to spread the word. The website includes downloadable resources, including television commercials, that public health officials can localize for their own cities.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176317993&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"And that's what sugar science is all about,\" Schmidt says. \"It's about translating the information that's locked up in the medical journals and sharing it with the public in ways that are understandable.\"\u003c/p>\n\u003cp>Health departments from San Francisco to New York City have already agreed to participate in outreach. In a statement, the New York Department of Health called Sugar Science a \"wonderful resource\" and said it was \"\u003cspan style=\"color: #000000\">something that can be used by researchers, the public health community and those who just want thorough information.\"\u003c/span>\u003c/p>\n\u003cp>Schmidt is quick to point to the food environment as a driver in the increase of obesity that America has seen in the last generation. \"It's not like Americans suddenly lost their willpower,\" she says. \"The only major change in the diet that explains the obesity epidemic is this steep rise in added sugar consumption that started in the 1980s.\"\u003c/p>\n\u003cp>That sugar isn't just making us fat, she says, \"it's making us sick.\"\u003c/p>\n\u003cp>Schmidt insists the team, which includes researchers from UC Davis and Emory University, is not \"anti-sugar.\" Instead, it's really about knowing how much sugar is too much.\u003c/p>\n\u003cp>But knowing how much sugar you're eating can be challenging. Some key facts on the Sugar Science website are these:\u003c/p>\n\u003cul>\n\u003cli>Added sugar is hiding in 74 percent of packaged foods. (\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" target=\"_blank\">Proposed changes\u003c/a> to the nutrition label would change this by including a separate line for added sugars.)\u003c/li>\n\u003cli>A common type of sugar can damage your liver -- just like too much alcohol.\u003c/li>\n\u003cli>One 12-ounce can of soda a day can increase your risk of dying of heart disease by one-third.\u003c/li>\n\u003c/ul>\n\u003cp>The site also includes tips on concrete steps that people can take to cut down on sugar. \u003ca title=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" href=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" target=\"_blank\">The most straightforward\u003c/a> way to cut down on sugar is to stop drinking sugar-sweetened drinks, like sodas, sports drinks and energy drinks, the researchers say. More than one-third of added sugar in the diet \u003ca title=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" href=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" target=\"_blank\">comes from sugary drinks\u003c/a>. They also recommend reading nutrition labels. While there are 61 different names for sugar on ingredients labels, the UCSF team says that \"if the chemical name has an 'ose' at the end—as in dextrose, fructose, lactose —- it’s likely to be added sugar.\"\u003c/p>\n\u003cp>\u003cstrong>Seeing Diabetes as the AIDS Crisis of This Generation\u003c/strong>\u003c/p>\n\u003cp>Dean Schillinger is also part of the Sugar Science team. He's a primary care doctor at San Francisco General Hospital. He first came to San Francisco in 1990 at the peak of the AIDS epidemic. \"At that point, one out of every two patients we admitted was a young man dying of AIDS,\" he says. At that time, there were no treatments, little any doctor could do.\u003c/p>\n\u003cp>Today, he says, there are good treatments, and it's rare to admit someone to the hospital dying of AIDS.\u003c/p>\n\u003cp>Instead, Schillinger says, that same ward, Ward 5A, where young men died of AIDS is now filled with diabetes patients.\u003c/p>\n\u003cp>\"I feel like we are with diabetes where we were in 1990 with the AIDS epidemic,\" Schillinger said. \"The ward is overwhelmed with diabetes –- they're getting their limbs amputated, they're on dialysis. And these are young people. They are suffering the ravages of diabetes in the prime of their life.\"\u003c/p>\n\u003cp>But unlike AIDS, where activists pushed hard for action from researchers and governments, there's little activist response for diabetes \"because it affects low-income communities disproportionately,\" Schillinger said. \"We're at the point where we need a public health response to it.\"\u003c/p>\n\u003cp>The timing of the SugarScience launch is not a coincidence. The UC researchers waited until after the election last week voters in Berkeley and San Francisco were considering soda tax measures. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Measure D in Berkeley passed \u003c/a>with 75 percent of the vote. Schmidt says that since the university is a public institution, it could not be seen as trying to sway votes with the announcement of the new initiative.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sugar Science was funded by a grant from the\u003ca title=\"http://www.arnoldfoundation.org\" href=\"http://www.arnoldfoundation.org\" target=\"_blank\"> Laura and John Arnold Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22419/ucsf-initiative-links-sugar-science-to-your-health","authors":["240"],"categories":["stateofhealth_11","stateofhealth_12"],"tags":["stateofhealth_118","stateofhealth_167","stateofhealth_461","stateofhealth_161"],"featImg":"stateofhealth_22453","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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