SECOND OPINION | MYTH OR MEDICINE | Type II Diabetes | BCBS


ANNOUNCER: BLUE CROSS BLUE SHIELD IS A PROUD
SPONSOR OF SECOND OPINION. LIVE FEARLESS ANNOUNCER: IF YOU HAVE TYPE 2 DIABETES, YOU
MAY HAVE HEARD THAT LOSING WEIGHT CAN GET YOU OFF INSULIN AND OTHER MEDICATIONS. AND PERHAPS THE MORE WEIGHT LOSS, THE BETTER
THE OUTCOME. DOES THIS MEAN SIGNIFICANT WEIGHT LOSS CAN
CURE TYPE 2 DIABETES? IS THIS MYTH OR MEDICINE? DR. STEPHEN HAMMES: LOSING A LOT OF WEIGHT WILL
CURE TYPE 2 DIABETES. THIS IS A MYTH, AND I’LL TELL YOU WHY. MY NAME IS STEVE HAMMES, AND I’M THE CHIEF
OF THE DIVISION OF ENDOCRINOLOGY AT THE UNIVERSITY OF ROCHESTER MEDICAL CENTER. TO EXPLAIN WHY WEIGHT LOSS WON’T CURE TYPE
2 DIABETES, IT’S IMPORTANT TO FIRST UNDERSTAND WHAT GOES WRONG IN TYPE 2 DIABETES. THERE ARE BASICALLY TWO PROBLEMS. THE FIRST IS THAT THE BODY DEVELOPS A RESISTANCE
TO INSULIN, WHICH IS THE HORMONE THAT REGULATES GLUCOSE LEVELS. AND THIS DIRECTLY CORRELATES WITH WEIGHT,
SO THE HEAVIER YOU ARE, THE MORE INSULIN RESISTANCE YOU HAVE. THE SECOND THING THAT GOES WRONG IS THERE’S
AN INTRINSIC DEFECT IN THE PANCREAS, WHICH IS THE ORGAN THAT MAKES INSULIN. SO, THEN, YOU CAN IMAGINE, IF YOU CAN LOSE
WEIGHT, THE INSULIN RESISTANCE WILL IMPROVE, AND EVEN THIS DAMAGED PANCREAS MIGHT NOW BE
ABLE TO KEEP UP, AND SO THE DIABETES WILL APPEAR TO GO AWAY. BUT THIS INTRINSIC PROBLEM WITH THE PANCREAS
NEVER REALLY DISAPPEARS. SO IF THE WEIGHT COMES BACK ON, OR SOMETIMES
JUST WITH TIME OR WITH STRESS, THEN THIS DEFECTIVE PANCREAS CAN NO LONGER KEEP UP, AND THEN THE
DIABETES WILL RETURN. AND THAT’S MEDICINE. ANNOUNCER: NOT SURE IF IT’S MYTH OR MEDICINE? CONNECT WITH US ONLINE. WE’LL GET TO WORK AND GET YOU A SECOND OPINION. ANNOUNCER: BLUE CROSS BLUE SHIELD IS A PROUD
SPONSOR OF SECOND OPINION. LIVE FEARLESS

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