
Blood Sugar Seniors, Food Bank Cuts, Tariffs: China
Season 2025 Episode 68 | 27mVideo has Closed Captions
Heart arrhythmias and cognitive damage. Local food banks losing funding. Reciprocal tariffs.
Doctors are now worried that hypoglycemia may cause falls, broken bones, heart arrhythmias and cognitive damage. Local food banks are feeling the effects of the abrupt cancellation of government funding for programs that help them feed and distribute food to those in need. On April 2, resident Trump announced so-called reciprocal tariffs on imports from about 90 nations.
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Arizona Horizon is a local public television program presented by Arizona PBS

Blood Sugar Seniors, Food Bank Cuts, Tariffs: China
Season 2025 Episode 68 | 27mVideo has Closed Captions
Doctors are now worried that hypoglycemia may cause falls, broken bones, heart arrhythmias and cognitive damage. Local food banks are feeling the effects of the abrupt cancellation of government funding for programs that help them feed and distribute food to those in need. On April 2, resident Trump announced so-called reciprocal tariffs on imports from about 90 nations.
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Learn Moreabout PBS online sponsorship>>> COMING UP NEXT ON ARIZONA HORIZON: A LOCAL ECONOMIST JOINS US TO HELP MAKE SENSE OF THE PRESIDENT'S USE OF TARIFFS AND THE THREAT OF TARIFFS AS TRADE POLICY.ALSO TONIGHT: HOW THE CANCELLATIONS OF GOVERNMENT FUNDING IMPACT LOCAL FOOD BANKS.AND, THE THREAT OF HYPOGLYCEMIA AMONG SENIORS FIGHTING DIABETES.
THOSE STORIES AND MORE, NEXT, ON ARIZONA HORIZON.
>>> GOOD EVENING AND WELCOME TO ARIZONA HORIZON.
I'M TED SIMONS.
ANOTHER WILD RIDE ON WALL STREET, AS STOCKS ROCKETED TO MAJOR GAINS AFTER PRESIDENT TRUMP BACKED DOWN ON HIS LATEST TARIFF THREATS.THE DOW CLOSED NEARLY 3,00 POINTS, OR 7.
8 PERCENT; NASDEQ WAS UP MORE THAN 18 HUNDRED POINTS, OR 12PERCENT; AND THE S&P CLOSED UP NEARLY 500 POINTS, OR 9ANDA HALF PERCENT.
OVERALL, IT WAS THE MARKET'S BEST DAY IN 16 YEARS.
THE MARKET RALLY, AGAIN, CAME AFTER THE PRESIDENT SAID THAT HE WOULD BACK DOWN ON TARIFFS ON MOST OF THE WORLD FOR THE NEXT 90 DAYS.THE PAUSE DOES NOT INCLUDE CHINA.
INDEED, THE PRESIDENT SAID HE WAS AGAIN "RAISING" TARIFFS ON CHINA.
THOSE TARIFFS NOW STAND AT 125 PERCENT.
TODAY'S INCREASE WAS IN RESPONSE TO BEIJING ADDING ITS OWN 50 PERCENT LEVY ON AMERICAN GOODS, WHICH WAS ITSELF IN RESPONSE TO EARLIER U.S. TARIFFS.
THE STOCK MARKET'S VOLATILITY, THE ON AGAIN OFF AGAIN TARIFFS - ALL, APPARENTLY, PART OF THE PLAN.
>> THIS WAS DRIVEN BY THE PRESIDENT'S STRATEGY.
WE HAD A LONG TALK ON SUNDAY.
THIS WAS HIS STRATEGY ALL ALONG.
YOU MIGHT SAY HE GOATED CHINA INTO A BAD POSITION.
THEY RESPONDED.
THEY HAVE SHOWN THEMSELVES TO THE WORLD TO BE THE BAD ACTORS.
WE ARE WILLING TO COOPERATE WITH OUR ALLEYS AND TRADING PARTNERS THAT DIDN'T RETALIATE.
IT WASN'T A HARD MESSAGE.
DON'T RETALIATE AND THINGS WILL TURNOUT WELL.
BUT DEMOCRATS ON CAPITOL HILL, NOT IMPRESSED.
>> THIS IS CHAOS.
THIS IS GOVERNMENT BY CHAOS.
HE CHANGES THINGS FROM DAY-TO-DAY.
ADVISERS ARE FIGHTING AMONG THEMSELVES AND CALLING EACH OTHER NAMES.
YOU CANNOT RUN A COUNTRY WITH SUCH CHAOS.
>> THE WHIP LASH DRAMA INVOLVING TARIFFS AND THE STOCK MARKET IS GOING ON AS REPUBLICANS IN CONGRESS TRY TO COME UP WITH A BUDGET THAT INCLUDES THE PRESIDENT'S SPENDING AND TAX CUT PLANS.
THE WHITE HOUSE IS ENDORSING A SENATE PROPOSAL, BUT THAT PLAN IS FINDING ROUGHER SLEDDING AMONG CONSERVATIVES IN THE HOUSE, LIKE ARIZONA CONGRESSMAN ANDY BIGGS.
>> THEIR PLAN IS UNSERIOUS THE BOTTOM LINE IS.
IF YOU LOOK AT THE SENATE PLAN.
WE SEE THEY ARE PROPOSING $4 BILLION IN CUTS OVER 10 YEARS.
WE HAVE A $2.25 TRILLION PER YEAR STRUCTURAL DEFICIT.
THEY ARE NOT ADDRESSING IT.
>> ARIZONA CONGRESSMAN DAVID SCHWEIKERT IS ON THE SAME PAGE, SAYING ON HIS WEBSITE THAT THE SENATE PLAN IS, QUOTE, "MORE BUSINESS AS USUAL AT A TIME WHEN THAT'S EXACTLY WHAT WE'RE TRYING TO AVOID.
">> ONE MORE HEADLINE, THIS A HEALTH NOTE: A NEW STUDY FINDS THAT MORE PEOPLE W/TYPE1 DIABETES ARE USING GLP1 DRUGS, LIKE OZEMPIC, DESPITE THOSE DRUGS INTENDED TO BE USED FOR TYPE2 DIABETES.
INDEED, MEDICATION LABELS ON THE DRUGS SPECIFICALLY SAY THAT THEY ARE NOT INTENDED FOR USE WITH TYPE1 DIABETES.
BUT THE STUDY FINDS THAT MANY DOCTORS ARE PRESCRIBING GLP1 DRUGS OFF LABEL FOR THEIR TYPE1 PATIENTS, ESPECIALLY THOSE WITH OBESITY.
>>> AS WE MENTIONED, PRESIDENT TRUMP TODAY ANNOUNCED TODAY A 90DAY PAUSE ON HIS LATEST ROUND OF TARIFFS FOR ALL COUNTRIES EXCEPT FOR CHINA, WHICH WAS HIT WITH EVEN MORE TARIFFS, AMOUNTING TO A LEVY OF 125PERCENT.
WHAT DOES ALL THIS VOLATILITY MEAN FOR THE ECONOMY IN THE NEAR AND LONG TERM?
JOINING US NOW IS ECONOMIST JIM ROUNDS, PRESIDENT OF ROUNDS CONSULTING.
GOOD TO HAVE YOU HERE.
THANK YOU FOR JOINING US.
CHINA UP TO 125%.
WHAT ARE YOUR THOUGHTS?
>> IMPROVEMENT IN THE STOCK MARKET, BECAUSE IT'S THE FIRST TIME I HAVE SEEN THAT KIND OF IMPROVEMENT.
I WAS DEPRESSED BECAUSE MY THRESHOLD IS 36,000.
THAT SHOWS THAT THERE IS A LOT GOING INTO THAT'S NOT BASED ON ECONOMICS.
THIS IS POLITICS.
NOT JUST AN ADJUSTMENT FOR TRADE IMBALANCE LANCES AND NOT THAT WE SPENT TOO MUCH OVER THE PRIOR TERM.
WE ARE SEEING IMPACTS BEYOND THE TARIFFS.
WE HAVE TO KEEP IN MIND AS WE IMPOSE THESE WE ARE PAYING FOR IT.
WE ADD TO THE EXTRA COSTS.
WHEN WE SPOKE ABOUT THIS BEFORE THESE PRICES NEVER CAME DOWN.
WE MIGHT HAVE ANOTHER 10% OR GROWTH IN INFLATION.
MAKING IT HARD FOR PEOPLE TO MAKE ENDS MEET.
THERE MIGHT BE A PLAN.
I DON'T BELIEVE WHAT I HEARD IN THE INTRO.
THIS IS ALL STRATEGY.
WE HAD THIS PLANNED OUT.
WE ARE TALKING GOVERNMENT AND GOVERNMENT IS NOT THAT SAVVY.
>> JUST THE BACK AND FORTH ACTIVITY.
WE HEARD NO TARIFF NEGOTIATIONS.
WE HEARD MADE FOR INDIVIDUAL COUNTRIES.
MONEY IS POURING IN ON A LEVEL WE HAVE NOT SEEN.
OKAY, FINE, NONE OF THAT IS CHINA.
WHERE DOES CHINA FIT IN?
>> CHINA IS A DIFFERENT ENTITY.
IT IS NOT JUST THE TARIFFS.
>> IT'S THE BIGGEST VIOLATOR OF PROPERTY RIGHTS VIOLATIONS.
IF SOMEONE IMPLATES IN CHINA.
THEY REVERSE ENGINEER IT.
THE PRESIDENT IS TRYING TO PUNISH CHINA BUT SAYING QUIT DOING ALL OF THIS STUFF.
SAME THING WITH MEXICO WHEN HE SAID WE WANT YOU TO WORK ON THE DRUG TRADE ISSUES.
THE OTHER COUNTRIES YOU HAVE 10% ON US AND WE'LL PUT 10% ON YOU.
WE WILL HOLD BACK FOR A WHILE.
>> SEEMS LIKE THERE IS A WAY TO DO THIS WITHOUT THE SLEDGEHAMMER AND WITHOUT THE BLACK AND WHITE NOW OR NEVER.
SEEMS LIKE YOU CAN GET THERE, AM I WRONG.
>> YES AND NO.
IN SOME CASES, LIKE CHINA IS JUST 10 TIMES MORE COMPLICATED BECAUSE OF THESE ISSUES.
YOU MIGHT NEED ADDITIONAL THREATS.
THERE IS BIGGER RISKS BEYOND THE STOCK MARKET WHEN YOU GO TO A FINANCIAL BATTLE WITH A COUNTRY WITH THAT KIND OF WEAPONRY AND SIZE.
WITH THE SMALLER COUNTRIES, THOSE ARE THE ONES WHERE THEY SAY WE HAD A 10% TARIFF BEFORE.
WE WILL BE WILLING TO GET RID OF IT.
THERE IS SO MUCH ON THEIR PLATE AND REALIZES THEY ARE NOT THE SAME.
YOU HAVE TO HAVE A DIFFERENT STRATEGY.
POSTPONING THESE TIT FOR TAT TARIFFS FOR A WHILE IS TO FIGURE OUT HOW YOU WANT TO HANDLE THE DIFFERENT CLASSES AND COUNTRIES.
THE FACT THAT THEY SIGNALED INITIALLY, WE WILL HOLD OFF FOR A MONTH.
UNLOAD IT AND THEY HAVE THE HUGE SHOCK ON THE STOCK MARKET.
WE WILL SIGNAL A BIT.
WE WILL KEEP STOCK.
>> THE GOVERNMENT SAID, THE ADMINISTRATION SAID ALL OF THIS ACTIVITY WAS NECESSARY TO RETURN MANUFACTURING TO THE UNITED STATES.
THAT WILL TAKE A LONG TIME TO HAPPEN.
DOES THAT MAKE SENSE TO YOU.
THIS KIND OF STRATEGY AND CHAOS AND VOLATILITY.
CALL IT WHAT YOU WILL TO RETURN MANUFACTURING.
>> I DON'T WANT TO RETURN IT TO RUBBER DUCKS.
THAT'S NOT HELPING THE ECONOMY.
BOTH CAN BENEFIT.
THERE IS AN ARGUMENT, THE ARGUMENT PUT OUT THERE IS WHAT IF APPLE BRINGS EVERYTHING BACK TO THE U.S., WILL IT BE PERFECT?
SAY THE COMPETITORS, THE PRICE OF SAMSUNG PHONE WENT UP TO $2,800 NOW.
APPLE'S PHONE WILL BE $2,700.
WHY WOULDN'T THEY RAISE THEIR PRICE TO RIGHT UNDER THE COMPETITOR.
PRICES WILL GO UP REGARDLESS OF WHERE IT'S MANUFACTURED.
WE MUST BE REALLY CAREFUL.
I DON'T THINK YOU WILL SEE ALL OF THE PRODUCTS IN THESE HIGH TECH CARS.
WE HAVE 20 DIFFERENT COUNTRIES IN SOME CASES.
IT'S COMPLICATED.
>> SOUNDS LIKE THE ADMINISTRATION WOULD LIKE TO RETURN WHERE YOU HAVE FACTORIES AND PEOPLE STANDING IF LINE AND DOING WHAT YOU SEE IN OTHER COUNTRIES.
WILL THAT RETURN TO THIS COUNTRY?
>> WE HAVE A HUGE NATIONAL DEBT.
WHAT THEY ARE TALKING ABOUT IS TARIFFS WILL PAY THAT DOWN AND WE'LL CUT GOVERNMENT.
YOU CAN'T GET RID OF THE NATIONAL DEBT.
IT WENT UP BY 10 TRILLION IN THE LAST FOUR YEARS.
THE ONLY WAY TO DO THAT IS INCREASE PRODUCTIVITY.
WE MUST INVEST IN THE CHECKUPS MANUFACTURING.
CONTINUE TO INVEST IN ELEVATING EVERYBODY THAT KID, THAT WAS GOING TO DROPOUT OF HIGH SCHOOL HAS TO DROPOUT.
NOW THEY HAVE TO GO TO COLLEGE.
WE NEED TO LIFT EVERYBODY UP.
THAT'S HOW WE GET OUT OF THE MESS.
IT'S NOT BRINGING PLASTIC TOYS AND WE HAVE THE TARIFFS ON TOP OF THAT INSTEAD OF ONE DOLLARS STORES WE HAVE TWO DOLLARS STORES.
>> BOTTOM LINE, ARE WE HEADED FOR A RECESSION AND SOME ARE SAYING WE ARE IN A RECESSION?
>> WE ARE NOT IN A RECESSION.
WE ARE POTENTIALLY HEADED FOR ONE.
THE TARIFFS WILL PUT A STRAIN ON THINGS.
SOME OF THE SEVERE CUTS AT THE FEDERAL GOVERNMENT LEVEL, AS SOON AS THOSE TRIGGER, WE'LL BE IN A RECESSION.
ECONOMIST BELIEVE, THERE IS A 60% CHANCE OF A RECESSION THIS YEAR.
I'D LIKE TO END ON A POSITIVE NOTE FOR THE ADMINISTRATION.
WE SHOULD HAVE DEALT WITH THIS FOR DECADES.
IT'S THE ACCEPTANCE BY THE PUBLIC TO DO SOMETHING ABOUT IT.
WE SHOULD HAVE DEALT WITH PROPERTY RIGHTS ISSUES LONG AGO.
WE DIDN'T HAVE BOLD LEADERS BACK THEN.
NOW WE HAVE ONE I'D SAY IS OVERLY BOLD.
I DON'T KNOW HOW THIS WILL TURNOUT.
I DO THIS FOR A LIVING.
I DON'T HAVE ANY IDEA HOW THIS WILL TURNOUT.
THAT'S WHY YOU WILL SEE THE STOCK MARKET FALL BY ANOTHER THOUSAND OR TWO.
GO UP BY ANOTHER THOUSAND.
>> BOND YIELDS ARE RISING.
>> WHAT IS HAPPENING ABOUT THAT.
THIS WAS A SAFE HAY VON.
PEOPLE ARE NOT GOING THERE ANY MORE.
>> THE MODEL IS DIFFERENT.
YOU WOULD NORMALLY SEE EXTRA RISK.
BIT CALL WOULD FOUL LOW A CERTAIN PATTERN.
WE ARE NOT GETTING CLEAR ENOUGH SIGNALS.
I 'LIKE D.C. TO SAY, THIS IS ROUGHLY WHAT YOU'D DO.
GREENSPAN WOULD DO THAT BY TUGGING ON AN EARLOBE.
MAYBE HE NEEDS TO SCRATCH HIS CHIN IF HE RAISES TARIFFS.
>> ALWAYS A PLEASURE AND INTERESTING.
THANK YOU FOR JOINING US.
>> THANK YOU.
>>> THE TRUMP ADMINISTRATION ANNOUNCED CUTS TO PROGRAMS IS MAKING FOR CONSIDERABLE CONCERN.
AMONG LOCAL AGENCIES THAT PROCURE AND DISTRIBUTE FOOD TO THOSE IN NEED.
TO LEARN MORE, WE WELCOME APRIL BRADHAM, SHE'S THE CEO OF THE ARIZONA FOOD BANK NETWORK.
CANCELLATION OF GOVERNMENT FUNDS.
TELL US MORE ABOUT WHAT YOU DO?
>> IT'S BEEN IN THE MEDIA QUITE A BIT.
CANCELLATIONS OF FOOD GOING THROUGH THE PROGRAM.
IT PROVIDES FOOD FROM U.S.
GROWERS TO FOOD BANKS.
THE FUNDS OR FOOD THAT WAS CANCELED.
THE TRUCKLOADS OF FOOD THAT WAS CANCELED WAS CONSIDERED A BONUS.
THE PROGRAM IS STILL INTACT WE ARE GRATEFUL ABOUT THAT.
THAT PROVIDES 20% OF THE FOOD ARIZONA GIVES OUT.
THE BONUS LOADS HURT BECAUSE FOOD BANKS ARE STRETCHED THIN AND WE ARE SEEING UNPRECEDENTED DEMAND.
HAVING THE LOADS TAKEN AWAY, CAUSES A BIT OF A SCRAMBLE FOR FOOD BANKS TO MEET THOSE NEEDS.
THEY ARE HERE AND INNOVATIVE AND FOCUSING ON THE NEED AND MAKING SURE THEY BACKFILL THE LOADS.
>> IS THAT THE LOCAL FOOD COOPERATIVE.
>> IT'S SEPARATE.
>> THE EMERGENCY FOOD ASSISTANCE PROGRAM.
>> THE LOCAL FOOD ASSISTANCE PROGRAM IS OPEN TO LOCAL GROWERS.
>> THAT WAS CUT FOR FUTURE FUNDING.
>> THE WERE RENT FUNDING WE HAVE IN PLACE STILL MAINTAINED IN ARIZONA THE WAY THE CONTRACT WAS STRUCTURED UNTIL THE END OF FEBRUARY.
WE ARE STILL PURCHASING FROM GROWERS TODAY AND GRATEFUL FOR THEIR PARTNERSHIP.
IN MARCH THE FUNDS ARE NO LONGER AVAILABLE.
WE HOPE TO SEE THAT IN THE FARM BILL AND FUTURE PROGRAMMING.
>> THE LOCAL FOOD FOR SCHOOLS COOPERATIVE AGREEMENT.
>> THIS GOES TO THE SCHOOLS ENTIRELY.
WE WORK CLOSELY WITH THE DEPARTMENT OF EDUCATION.
I DON'T KNOW THE SPECIFIC IMPACTS.
THIS IS A PROGRAM BUYING FROM LOCAL GROWERS.
>> WE ARE TALKING ABOUT A NUMBER OF PROGRAMS RECEIVING X BUT NOW RECEIVING Y.
YOU MENTIONED NEXT MARCH.
>> FOR THE LOCAL FOOD PURCHASING.
>> RIGHT NOW THE AGREEMENT IS THROUGH MARCH.
UNDERSTANDING THE NEED TO GET HEALTHY FOOD TO THE FOOD BANKS.
GREAT FOR THE GROWERS THAT ESCALADE THE CONCERNS.
THE EMERGENCY FOOD ASSISTANCE PROGRAM IS A CORE PROGRAM.
IT'S ADDITIONAL BONUS LOADS THAT WERE CANCELED.
>> RIGHT, RIGHT.
>> WE WILL GO THROUGH PURCHASING AND MAKE SURE THEY KNOW THE NEED WE ARE FACING RIGHT NOW.
>> I'D IMAGE THIS IS CHANGING PLANS AND PREPARATIONS.
ARE THE GOAL PODIATRISTS MOVING?
>> IT DOES.
THE ONE THING I'LL SAY IS FOOD BANKS ARE INNOVATIVE.
THEY WILL MEET THE NEEDS OF THE COMMUNE.
WE ARE IN A UNIQUE OPPORTUNITY AND TIME.
THEY ARE SEEING 50,000 ARIZONANS PER MONTH THEY COME TO GET FOOD.
THAT'S UP SUBSTANTIALLY IF WE TALK ABOUT PRE-COVID-19 TIMES 450,000.
LAST YEAR 600,000.
WE CONTINUE TO SEE A CLIMB BASED ON THE FOOD PRICES AND FAMILIES CHOOSING BETWEEN RENT AND FOOD.
BANKS ARE STRETCHING THEIR RESOURCES TO MEET THE NEEDS BETWEEN TRYING TO GET MORE TOE NATIONS FROM THE COMMUNITY AND AGRICULTURE PARTNERS.
WE ARE ALSO PURCHASING QUITE A BIT OF FOOD AND REALLY TRYING TO GET AS MUCH FOOD TO ALL OF THOSE IN NEED AS POSSIBLE.
>> BEFORE YOU GO.
THE FOOD BANK NETWORK IS A COALITION.
TRUE?
>> YES.
>> EXPLAIN THAT?
>> FOR REGIONAL FOOD BANKS IN THE STATE WE HAVE FIVE MEMBERS.
THEY PROVIDE FOOD TO THOUSANDS OF AGENCY PARTNERS.
WE SERVE ALL 15 COUNTIES FOR THE STATE OF ARIZONA.
THAT'S WHERE THE NUMBERS COME FROM.
>> BEST OF LUCK TO YOU APRIL BRADHAM.
YOU NEVER KNOW WHAT WILL HAPPEN DAY BY DAY.
>> THANK YOU FOR HAVING ME.
>>> DOCTORS INCREASE CONCERN OVER DIABETES AMONG SENIORS.
WHO WIND UP WITH HYPO GLYCEMIA OR LOW BLOOD SUGAR.
RECOMMENDATIONS INCLUDE NOT MONITORING BLOOD SUGAR SO CLOSELY AND EVEN KEEPING A1C LEVELS "HIGHER.
DR. AMIT SHAH FROM THE MAYO CLINIC JOINS US FOR MORE ON THIS.
>> WE HAVE BEEN TALKING ABOUT THIS FROM EMERGENCY ROOM DOCTORS THAT COME TO THEM.
WE SEE IT ALL OF A TIME.
IT'S TO WELL CONTROLLED.
>> HYPOGLYCEMIA IS WHAT?
>> YOU GET HUNGRY, HUNGRIER WE HAVE MILD AMOUNTS OF THAT.
YOU CAN END UP WITH PROBLEMS.
IT COULD BE CONFUSION OR COMA.
A BLOOD SUGAR IF WE LOW 70.
>> DO PATIENTS WITH DIABETES, FOCUSING ON TYPE TWO DIABETES.
DO THEY GET THE LOW I'D THINK THEY SHOULD BE AT A LEVEL GOING ABOVE THAT.
>> IT DEPENDS ON THE TYPE OF MEDICATION YOU ARE ON.
BOTH ARE ON INSULIN.
THAT'S THE WORST OFFENDER.
THEY ARE STILL VERY IN EXPENSIVE.
IT'S HYPOGLYCEMIA CAUSING MEDICATION.
>> IF YOU ARE A SENIOR AND WATCHING FOR YEARS YOU TRY TO KEEP IT AS CLOSE TO NORMAL AS YOU CAN YOUR DOCTOR SAID THINGS ARE GETTING TOO LOW.
IT WILL TAKE YEARS FOR YOU TO SEE THE HARM OF IT.
YOU CAN HAVE HYPOGLYCEMIA JUST ONCE.
YOUR AWARENESS GOES DOWN AS YOU AGE.
YOU DON'T FEEL SWEATY OR CLAMMY.
WITH THE WAY YOUR KIDNEYS WORK A HOST OF CHANGES MAKE THE OTHER PERSON MORE VENERABLE WHEN YOU ARE ON THESE TYPES OF MEDICATIONS.
>> CAN IT.
>> A LOT OF PATIENTS AT NIGHTTIME OR TAKE YOUR REGULAR MEDICINES.
YOU MISS A MALE OR SKIP A MEAL.
IF YOU DON'T EAT WELL THAT DAY.
THAT'S WHEN THEY DON'T REALIZE IT AND AT NIGHTTIME IT'S BAD FOR A LOT OF PATIENTS.
THESE DEVICES, YOU KNOW, THEY ALARM A LOT OF TIMES IN THE MIDDLE OF THE NIGHT.
>> WE DID A STORY IN HEADLINES REGARDING OZEMPIC AND GLP1s THAT ARE BEING USED FOR PEOPLE WITH TYPE ONE DIABETES.
HAVE YOU HEARD THIS?
ARE YOU PRESCRIBING THIS?
>> IT IS OFF LABEL.
IT CAN BE USED.
THIS IS A GREAT EXAMPLE WHEN YOU START THE MEDICATIONS YOU MUST DE-PRESCRIBE THE INSULIN.
THEY ARE LOSING WEIGHT AND GLUCOSE IS GOING BETTER.
MAYBE YOU SHOULD REDUCE OTHER MEDICATIONS THAT CAUSES PROBLEMS.
IF YOU HAVE LOSS OF WEIGHT OR OTHER CAUSES IT'S HYPERGLYCEMIC.
THAT'S MY GOAL.
>> IS IT A SENSE OF PAYING TOO MUCH ATTENTION OR TOO MUCH CONFIDENCE OR TRUST IN THE MEDICATIONS OR NOT ENOUGH.
>> IT'S RECOGNIZING THAT NOT TOO HIGH.
THIS IS TRUE FOR GLUCOSE.
YOU CAN BE TOO SKINNY OR OBESE.
WE KNOW FOR RISKS YOU HAVE TO FIND THE SWEET SPOT.
FOR AN A1C THEY CAN AIM FOR 8% IF YOU MUST HAVE THEM ON AN INSULIN TYPE OF MEDICATION.
NOW, IF WE CAN DO IT SAFELY AND GET BELOW SEVEN WITH A MEDICATION THAT NEVER CAUSES HYPOGLYCEMIA LIKE METFORMIN THAT NEVER CAUSES THIS.
>> IF YOU HAD HYPOGLYCEMIA IN THE PAST DOES THAT MEAN THE RISK FACTOR IS HIGHER FOR YOU?
>> DEFINITELY.
IF YOU HAD ONE EPISODE YOU MIGHT WANT TO TALK ABOUT A CONTINUOUS GLUCOSE MONITOR.
THEY CAN ALARM YOU WHEN IT'S DIPPING.
TALK TO YOUR DOCTOR ABOUT REDUCING MEDICATIONS.
IT DOESN'T MAKE SENSE.
IF IT TAKES TEN YEARS FOR A COMPLICATION TO HAPPEN THAT'S REALLY TIGHT CONTROL.
>> THANK YOU VERY MUCH.
DR.AMIT SHAH.
THIS IS INTERESTING.
I NEVER THOUGHT ABOUT NOT WORRYING ABOUT YOUR A1C.
>> THANK YOU.
>> NICE TO BE HERE.
>> THAT'S IT FOR NOW.
I'M TED SIMONS.
THANK YOU FOR JOINING US.
HAVE A GREAT

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