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The Legal Drug Dealer Podcast

Getting Pharmacy as a Profession Closer to The Patient

February 4, 2020

Pre-Diabetes

With Theresa Morrow PharmD and Marilena Grittani, RPh

We all have heard of Diabetes, but do you know what Pre Diabetes is?


Well, we have Dr. Theresa Morrow, PharmD, who is an expert in this area and is going to educate us, with her sweet personality and her very relatable story.


She is also developing a workshop where she will guide, support, and instruct you on what to do after you get diagnosed as Pre-Diabetic.

Some of the most relevant points she made are:

  • I’m just a Coal Miner’s Daughter. I grew up in South West Virginia, that is rural, Appalachian Virginia. It’s at the corner in about 30 minutes from the state of West Virginia. But when I graduated, there was great shortage of pharmacists

  • We mix that IV medicine so we have a sterile room just like it’s an operating room. We mix the medicine in that sterile room. And then we package it and deliver it to the patient’s home where they can actually have the medicine at home so they can get better over time

  • And I’m trying to do some stuff on the side with what I really care about what matters to me, which is the pre diabetes

  • I am working on creating a workshop called Pre-Diabetes Plan. And in that plan, I want to help people with pre diabetes. And I have a passion for that, because I have pre diabetes. I’ve had it for 10 years, and I have such a struggle.

  • When you’re of a certain age like I am, and you have insulin resistance, and so many things that contribute to the weight gain, it’s just very difficult. And it’s discouraging, and you feel like you feel hopeless.

  • If you’re overweight, you probably should be checking it much younger and there are screening recommendations on when all that should be done. So if you don’t know what your A1C is, I would say talk to your doctor and see if you qualify for that.

  • She had three toes amputated before she was ever diagnosed as a diabetic. Which, you know, we kept saying she’s got to be a diabetic and they can’t say No, she’s not. No, she’s not. And you know, so now I hope today that would never happen. But still, that is an example that shows you can’t just look at one point in time about what your blood sugars are doing because it does fluctuate and when it fluctuate, it can damage the nerves in your body and and affect your kidneys and so many things that are affected…

"I want to help people with pre diabetes. And I have a passion for that, because I have pre diabetes. I've had it for 10 years, and I have such a struggle. And I just know, so many of my friends have been diagnosed and everybody has questions about it.."

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Listen To The Episode Here

If you think that you or someone you know can benefit from the information shared in this episode, please share it with them. 

And don’t forget that, if you are subscribed to our mailing list, you got the informational sheet that Dr. Teresa Morrows prepared for you. On this occasion is The Pre-Diabetes Plan, The Ultimate Quick Start Guide

As an attachment to our weekly email, but if you are not subscribed, make sure you subscribe to it, and you will get immediate access to it, and you will be up-to-date for future episodes.

Theresa is not only super knowledgable. She knows how to explain stuff the way that we all get it!!!!!
Let me know what you think about our interview!!!

comments@thelegaldrugdealer.com

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Thank you!

"...patients that are diabetic are putting an extra burden in their families, and they know it! They understand it and that affects their psyche, as well"

The Special Picture that I Requested

Theresa sent me the photo of her little patient, a little monkey!

A-DO-RA-BLE!!!

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Episode Transcripts

0:04
Hola! Marilena Grittani here. Welcome to The Legal drug dealer Podcast. I am a registered pharmacist and also your host.

0:13
Today I have for you Dr. Theresa Morrow and she is part of a legal drug dealers family. That means that her sister, her brother in law on herself or pharmacist, so just like my family.

0:24
Anyways she is a very nice pharmacist and she’s very down to earth and an awesome clinical pharmacist as well with extensive experience in hospital and admixture or home health. She will explain a little bit about that. She’s has a special passion for diabetic patients is because actually is a personal matter. Her mother is a diabetic patient that have had not the best experience and she herself Theresa is also pre diabetic. So she is dedicated to her community in Virginia mountains where where she leaves There’s not that many resources for them so she is there to take care of them and she’s dedicated to her community, I will recommend that you stay all the way until the end because she has a little something for you that I don’t want you to miss because even if it’s not for you my work for somebody you know, or one of your family members of one of your loved ones, so don’t miss it. Okay to stay on until the end.

1:25
Let’s just start talking to Teresa now.

1:28
Welcome Teresa to The Legal Drug Dealer Podcast is my pleasure to have you here. And I know a lot of our listeners are going to be very happy that you came on to tell us about what they are worried about that is diabetes, or if they’re just diagnosed as pre diabetic. So, welcome to the show.

1:48
Thank you. I appreciate you having me.

1:51
Absolutely. So Theresa tells us about you and when and how and why you became a pharmacist.

1:58
I became a pharmacist. Cuz my sister worked in a pharmacy she was she was in retail, meaning the pharmacies where patients just walk in and get the regular medicine like blood pressure, those kind of things. And she said she was gonna do that. So I was like, Okay, sounds good. Because I had no idea what I wanted to be. How many of us do at that age?

2:21
I know. How old were you like 1718?

2:25
Exactly. 17. Yes, ma’am.

2:27
So how long ago was that? When did you graduate?

2:30
I graduated high school in 1982. I graduated in 1987. From pharmacy school, and I’ve been a pharmacist for 33 years now.

2:40
Just a little bit, not that long. So throughout those 33 years, what kind of pharmacist job have you had? What did you do?

2:52
Well, I am unusual. I like to tell people I’m just a Coal Miner’s Daughter. I grew up in South West Virginia, that is rural, Appalachian Virginia. It’s at the corner in about 30 minutes from the state of West Virginia. But when I graduated, there was great shortage of pharmacists. So I came home, and I worked in a hospital job for 18 years. And I was able to be near my family. And my twin sister became a pharmacist and she came home and worked here as well. So we stayed in the area and have been a part of our community that we grew up in and very blessed and are we raised our kids here too.

3:30
So I worked in a hospital for 18 years. Then I opened my own pharmacy, and I was a home infusion pharmacists, which that’s when you take medicine that you would normally get in a hospital and you can’t stay in the hospital any longer because of the insurance or you don’t want to or whatever the many reasons are and you need that IV medicine at home. We mix that IV medicine so we have a sterile room just like it’s an operating room. We mix the medicine in that sterile room. And then we package it and deliver it to the patient’s home where they can actually have the medicine at home so they can get better over time.

4:09
So we’re talking about the medications that are given directly to the vein to the patient. And then Who does that? Who puts them on the patient? No?

4:19
Well, yes, sometimes the they, they have certain kind of IV lines that they can do it themselves that we give, or they have home nursing that comes in. But nursing usually can only come in once a week and do the dressing changes in the patients actually get trained. And, of course, as things have evolved, there’s there’s so easy for people to use. I tell people all the time, my dad who has just turned 80 learn to do it for my mom, and if he can, he’s stubborn. I love him, but he’s very stubborn, and doesn’t want to learn anything new and he can do it from my mom. So most people can learn to do it.

4:54
It’s just a connector right? It’s very easy. You just need to have your hands clean. and wipe it with a little alcohol. Right? And then just connect them and infuse. Okay, well, now we know that that’s something that pharmacists do as well. So that’s what you did and your own pharmacy.

5:13
Yes, I opened my own pharmacy after I left my hospital job. And then because of the economy here, I and we needed to grow more. So I sold the business to somebody who had deeper pockets than I did. And he actually hired me and now I’m working for him and still running the same pharmacy. And I’m trying to do some stuff on the side with what I really care about what matters to me, which is the pre diabetes.

5:39
Yeah, true. And so that is your you said that you’re in the mountains. So are you You are a way from everything and anything right? How far are you from a big town?

6:43
Um, I am right in the corner. So I’m about an hour from a city called Bristol, Tennessee. So that’s, that’s a fairly big there’s an airport near there. Roanoke, Virginia Tech. Most people know where tech is. So I’m about an hour and a half. From there, so those are probably the biggest cities near us. But now there are some towns near us that are a little larger than that.

7:09
okay, so I’m asking because if a patient needs to be in the big hospital or needs to be served, they need to travel that so you can they can be discharged from these big hospitals and come home. And then the services that you provide with your home health care, allows them to come home and the family to be close by and for them to be more comfortable, right?

7:32
Oh, yes, yes. And most of the time our patients go to local hospitals, which are still a drive. Local hospitals are at least an hour away from each other in that in the general areas. So they might have an hour to get to a local hospital that can be limited services and then they would be med flighted or taken by ambulance at that point to a larger facility. And when they have a need, we can provide the IVs home if they have a need for that…

8:00
I remember being in a little town called Ridgecrest California working there, and, and the oncology department and patients that had cancer. And I remember the nurses asking us, the pharmacist and other employees to donate money so we can give them money for the gas so they could go see the oncologist when we didn’t have one in town. Or if they get a specific test that we couldn’t provide at the hospital. They didn’t even have money to pay for gas, if they had a car, or if a friend could help but they didn’t have money to pay the gas. So it is, I mean, it’s all kinds of situations and thank you for being mindful for that for taking care of your community and for supporting these people that otherwise would be lost.

8:46
Yeah, it’s been a real privilege and just being able to help these people and they’re so appreciative of what we do for them.

8:54
That is really good too… you love what to do, and they love that you do it for them. Because nobody else do it. So there you go. Perfect. So, tell me something about what is it that you’re working on that you said, you just hinted there that you’re trying to do something different? What is it that you want to do? Give us the gossip, because it’s not here yet, but it’s coming.

9:16
Yeah, I am working on creating a workshop called Pre-Diabetes Plan. And in that plan, I want to help people with pre diabetes. And I have a passion for that, because I have pre diabetes. I’ve had it for 10 years, and I have such a struggle. And I just know, so many of my friends have been diagnosed and everybody has questions about it. And we all know, every doctor is going to tell us exercise more and lose weight and eat less. And yes, we all know that we should do that. But it’s not that simple.

9:50
It’s not a switch that you just turn on and off.

9:54
I wish it was and so it’s really frustrating for those of us to hear and especially You know, you see these really small size two women telling you Oh, it’s so simple do it like this and touting these diet plans, and we’ve all tried them. And no offense to those ladies, because I’m sure they work hard in their own way. But I just don’t think they get it. And when you’re of a certain age like I am, and you have insulin resistance, and so many things that contribute to the weight gain, it’s just very difficult. And it’s discouraging, and you feel like you feel hopeless. I’ve watched my mom who has diabetes, she was diagnosed about probably about 15 years ago, and she over the time has lost all 10 toes. And you know, back then, maybe it was longer that she was diagnosed, I can really can’t remember. But there they didn’t have the tests that we have now. And so we have tests that tell us a lot of stuff. And so she struggled more than I did and I don’t wish that for anyone. Her life is difficult and I, I really would like to prevent that for anyone who, is interested and wants to learn more about prediabetes or maybe they know some but just want to collaborate. I love talking about it and learning stuff myself.

11:17
Good. Well just for the record, I was rolling my eyes when you were talking about the size two girls saying that is so easy, whatever is not.

11:26
Okay, so now we know why you have passion for diabetes. And it’s not only because of your mom, that I want to say that is somebody special in your life and, and now you’re taking care of her not only as a pharmacist, but also as a daughter. And patients that are diabetic are puttimg an extra burden in their families and they know they understand and that affects their psyche as well. So whenever they hear that they get the diagnosis pre diabetic, a lot of bad things happen in their minds and having somebody that have gone through it, and have survived it and still in the “pre” stages of the disease, which is that even though you’re not 100% there, you control it so far, it might be more relatable for them to hear from somebody that have been able to do it. So I think it’s going to be great for you to relate them, literally.

12:23
Well, I think that most people progress to pre from pre diabetes to diabetes and four years according to the statistics, and because I’ve been I feel like a failure because I still have the weight on me. And I know what that feels like. But I’ve lost 25 pounds, I hope I will loose more. And I think that there are people out there that feel the same way I did. So I’ve just decided to share and if there are people who are interested, then maybe we can reach and help them so that there is hope for them.

12:56
Okay, so why don’t you tell me like in general definitions, what is the sugars? Because as some people call it, is that they come and they eat a lot of sugar, and that’s what they get it… Is that what the problem is?

13:09
I know it wish it was that simple. We could all just quit eating sugar.

13:13
No, I can’t. But for the record, I cannot.

13:16
Oh, that’s me, too me. That is for sure. So pre diabetes occurs for many reasons, but probably the biggest thing and I use this term, I think earlier, when we were talking insulin resistance, so Insulin is a hormone that is released by our pancreas and it reduces our sugar in our blood. So our blood sugar should be always at a certain constant level. And when it goes really high, that’s problematic. It’s hurting our organs, our brain, it’s hurting everything, and especially our nerves in our feet, which is why you hear about people who have diabetic feet. If you’ve ever heard that And then if it goes really low, then you’re foggy headed, you can’t think. Now most people who are type two diabetes, there’s two different kinds of diabetes and I’m talking to people who would be type two, which means they became a diabetic as an adult. So most people who are type two diabetics would not struggle with low blood sugars so much that it would be dangerous. However, they might feel bad. They feel bad when their sugars are swinging all over the place. We want a constant blood sugar level.

14:32
I tested my husband, who he and I were eating the exact same thing. He is tall, he’s six, two, I’m five, two, and he doesn’t have a weight problem. I mean, we could all lose weight, but he really doesn’t struggle with weight like I do. And we were eating the exact same thing. And his blood sugar. There’s a monitor you can put on your arm that will measure it continuously all the time, and his little level never wavered. It was Like a little tiny wave or all around the needle, and then there was mine that was like high and low and high and low the whole time. And we were eating the same foods we were eating oatmeal, which is healthy causes my blood sugar goes crazy high. I can’t have oatmeal without some other things at it. And those are the things that I can teach people what I’ve learned, but even there, it’s not always what works for me, it was going to work for you if everyone is so different. So trying to control your blood sugar is important, but how you got there is all related to genetics, exercise and activity. It’s so many factors. What we eat obviously is a huge part of it, but it’s just not black and white and simple.

15:46
And it’s not that you cause it to yourself. You might help the disease to progress, but it’s not that you did it because you ate too much candy or chocolate like I do.

15:59
Yeah, no, there are People who eat horribly horribly and I’m quite jealous

16:03
Me too!

16:03
They don’t have the same problems and so it’s not something that we should feel guilty about. And but we can improve and if we don’t take steps to improve, then you have very devastating consequences and that’s what I want to educate people about. So they don’t have the kind of quality of life I’m watching my mom suffer with and I want to change it for myself. I don’t want to live like that ever, of course.

16:30
I want to make a parenthesis really quick here by saying something that I normally say and I know it’s annoying, but I want to repeat it as many times as I can in my life.

16:41
We are not the same. We are completely different the same example that Theresa was talking about the her husband and herself that were eating the same food, it worked differently in their body. So when a patient comes and tells me Oh, but I’m taking this drug because my cousin that has a friend that is married to A neighbor that he’s ex boyfriend was a doctor, told him that for him, it was good too good to do this. I’m going to do the same thing. You know? No, no, because you’re different. You could be siblings, the same mom and the same dad and you have different bodies and your body reacts differently. So not because it worked for me is going to work for you. So please, one stop asking “Oh, what did you do so it will work for me” medication wise, because it’s not the same. And please don’t tell people we use this because it worked for me. Because number one, you’re not a doctor. And number two, you guys are different. So please stop it! Please. I’m gonna be mad at you if I heard you saying something like that. Yeah, you listener I’m talking to you! So anyways, that was the point for emphasis close. Let’s just continue talking about pre diabetes. So Theresa, tell us what is the difference between pre and actual diabetes? How do you know that your pre?

18:01
Okay, you find out if you’re pre diabetes by a certain tests, we call it A1C. And if you’re over 50, which is usually demographic that I speak to, you should know what your A1C is, I think everyone should know what it is. If you’re overweight, you probably should be checking it much younger and there are screening recommendations on when all that should be done. So if you don’t know what your A1C is, I would say talk to your doctor and see if you qualify for that. But if your A1C is a certain level, then you know that you have progressed to diabetes, and your goal is to keep it under a certain level. So then the numbers that we shoot for if it’s over 5.5, then you’re pre diabetic. If you’re above six, then you’re a diabetic. So, from six to seven, typically, they will treat with diet, Education exercise. When he goes about seven, then most people start treating you for diabetes. That is really individualized. Again, that’s not a one blanket statement. You wouldn’t work with your physician and what is best for you. Do you have other conditions like blood pressure problems, different things going on then, your physician would help you decide whether you need a medication or not. And there are even some physicians who prescribe Metformin is a medication that many people take for diabetes. And there are some physicians that will actually prescribe the Metformin when their patients are just pre diabetic trying to prevent it from going to turn into a diabetes. I have been pre-diabetic going on 10 years now. And there are times it goes completely where I’m not even in that class. It’s under the level, at times I go back over so I’m it’s hit or miss. I go up and down, depending on the season of my life when you’re more stressed stress is something we didn’t even talk about pre-diabetes is hugely a thing with stress. And sleep. When you’re not getting enough sleep, your blood sugar’s go high when you’re having an infection, your blood sugar’s can go high.

20:17
I remember when I was working in the hospital, and even in retail when I was explaining to my patients why Metformin, which is a very common drug works… whenever we get older stuff, get, you know, not working the same way. And it’s like if you had, I don’t know 100 little areas on your pancreas that produces insulin. And then with time when we get older because things get deteriorated because we’re not 23 anymore, then instead of 100, you end up having 27 that are working. So the capacity for your pancreas to make enough insulin is decreased considerably. So then, you cannot have enough insulin to handle all the sugars that you eat in general. Metformin, I saw it all my life I’m please don’t judge me. But I thought it was like the the boss of the factory saying “you guys need to work your lazy people need to get producing insulin” So whenever the patient takes Metformin, the beta cells that are the cells that are inside of the pancreas producing insulin, they’re like”Oh, we need to work, the boss is here” and they produce a little bit more. So that way, they get a little bit more stimulated to do the job that they were supposed to do that they’re not doing as well anymore. So that’s why in early stages, doctors recommended. Of course, it would depend of the patient because everybody’s different. Didn’t we say that? What do you think?

21:46
I think that’s a great analogy. perfect analogy. Yeah, everybody is different. And there are people who have renal dysfunction. The kidneys don’t work as well who can’t take Metformin, my mom’s an example of that. She cannot Take that medication so and that problem also comes from diabetes. It gets worse because of that. Absolutely. Yeah, she was able to take it up to some point and then that when there was that damage, she could no longer take it. And you know, the crazy thing is she has tons and tons of problems. Like I said, she has 10 toes amputated, the biggest thing and she has a one right now, on her foot. She’s we’re trying to save her foot. But this is the crazy thing. She was not on any medication. If she knew she was going in for a test, she would not eat like they told her she would probably not eat bad on that night. And so she would be fasting when she went in for the test because that was back before they had a test that could look at it over a long period of time, which they do now they have that A1C test that looks at it for three months, but back then they only had tests that looked at a single point time. Her blood sugar was not elevated so she was not. She had three toes amputated before she was ever diagnosed as a diabetic. Which, you know, we kept saying she’s got to be a diabetic and they can’t say No, she’s not. No, she’s not. And you know, so now I hope today that would never happen. But still, that is an example that shows you can’t just look at one point in time about what your blood sugars are doing because it does fluctuate and when it fluctuate, it can damage the nerves in your body and and affect your kidneys and so many things that are affected…

23:28
well i think that that is very common that people “cheat” between quotations. It’s like when you’re going to the dentist you brush right before you go there and they’re like, Oh, you have clean teeth but you never do with that day you did. Who wins with that? You’re not embarrassed but then you’re not being diagnosed with what you need help with. Like if your mother wouldn’t done that. And then she would have been diagnosed with enough time she probably wouldn’t have lost toes that early. That is something that I want every listener that is listening Our conversation today when you “cheat” between quotations, you fix it right before you go to be tested by the doctor, then you are cheating yourself. The doctor does not care because the doctor is not sick, you are the one that needs help. So please don’t do that. Just go do exactly what you know, that you do every day. And then whenever they tested, they’re gonna say, Okay, this is bad or this is good. But if you change the parameters, like what you ate the night before, if you didn’t eat for three days, whatever people have done crazy stuff that they have told me, then it’s not going to be realistic, and then they will not be able to help you. Now what is you said that A1C is something that tells us if you’re diabetic or not, and it lasts three months? What’s the deal with that?

24:46
So A1C will measure red blood cells in our bodies, and it actually can tell the doctor what the sugar actually has men and that’s how they set these guidelines on. If A1C is a certain level Then you’re considered a pre diabetic or your normal or you’re a diabetic, then they make changes on that. So that way they’re avoiding What happened to my mom, which is looking at one point in time, which could be a fluke. And that way, if you’re just having a bad day, and your sugar went up one time, nobody’s overreacting. But if you’re chronically having blood sugar problems, they’re going to know and be able to talk with you about it and help you get help.

25:27
A little story. It’s a little story about a patient that brought me the test, and I saw the results. And she said, I don’t know what the problem is why I keep having urine infections. And but look, my glucometer says said, this is normal. I’m okay. I is under 120. I’m okay. Why is this happening to me? I’m not a diabetic. So I’m reading her tests. And I said, Yes, you are. Her agency was almost nine. I’m like, Yes, you are,”but I have regular readings at home” and I said, Yeah, because at that moment you are. But the A1C test, which is the one that, as you said, uses red blood cells that live for three months. So basically they grabbed those guys and they said,”Okay, tell me the gossip what happened in the past three months?” And then they’ll sell say, “Well, let me just say these People have been crazy eating crazy stuff, and they should know they shouldn’t. And they have a high A1C” they tattletale on you. So it does not matter how much you cheated the night before, because the A1C is going to uncover the truth. So that is something very important that we need to keep in mind. Please don’t cheat yourself because you need to be helped because the problem with high glucose levels or diabetes is that it affects other organs. And you mentioned that to Theresa.

26:50
Yes, it does.

26:52
And also the periphery, which is your fingers on your toes. What is that? Why is that? The first thing that goes back Why is it the toes always.

27:02
So there are tiny blood vessels down in our toes and our fingers, the nerves down there also get affected. There’s a test that people can do on their feet. And they can take a sharp pointed edge and put it on the bottom of their foot. And if they’re diabetic, and they don’t know you’re putting it there, then they can’t even feel it. They have no feeling whatsoever in their feet. So if they step on something, or if an injury occurs, and they don’t know it, and then because the injuries there, then they have an open sore or wound and it becomes infected. And if you’re a diabetic, if you have high blood sugar, that’s what do bugs love to eat? They like to say you’re feeding the bad organisms that are causing the infection to get worse. And then it goes and gets really serious and gets to the bone. And that’s a disease called Osteomyelitis. and that just means the infections in the bone and they can try the IV medications that I provided my pharmacy, but oftentimes that doesn’t work and they actually have to amputate, which is what happened with my mom, sometimes it’s effective. And other times it’s not, then the sad thing is, then it will just spread. Patients end up losing legs even and lots more than toes. It can be really debilitating for patients.

28:28
and affecting their lives and their loved ones because then they cannot walk or they need to use a wheelchair or crutches, basically those bacteria that are there and that those micro bugs that are there that just have a party with that excessive amount of sugar and they just start having babies like rabbits and then they progress and they get all the way to the bone and then it’s hard to get them out. It’s like you can’t evict them like the IV antibiotics. The ones that you put in your veins is telling”you to leave”and they’re like”nope, is too comfortable here”. We’re Going to stay. And that is a problematic progress to the point that the patient loses limbs. And sometimes the patient ends up doing dialysis because their kidneys don’t work anymore.

29:12
Yeah, and it can affect their eyes, because those small vessels are in our eyes as well, and they can become blind from the diabetes control. So it’s really something that we need to realize, and this is the scary thing. In America, there are so many people that have pre-diabetes, and so many of them are undiagnosed. So it’s important to know what your blood sugar is. Something like 80 million people in the United States that have pre-diabetes.

29:42
So then what we need to do is to monitor our agency, make sure it’s within the limits. Everybody should know that over 55 you said I’m not there yet, but I’m coming towards it. So I don’t even know mine. Shame on me. I need to go take it. I haven’t had a test this year. But Theresa one thing that worries most people, and I’m saying that because I have patients asking me that: is like, well, I’m already diabetic, I’m already going to be blind and loose my legs. So what’s the point of doing sacrifices or changing anything, I just want to live my life happy. Even if I have to die in two months, how much truth is it there?

30:21
Well, the sad thing is, diabetes is not a quick killer. So you’re going to suffer many, many years for what you consider is living my life for something really good. And that’s that’s also the false thing. You don’t have to give up everything to make make changes that would reverse that diabetes. There are people who can reverse diabetes and become normal with some changes in their life, but you have to be committed. But even if you’re not willing to do that, those kind of changes, you can make enough small changes where it’s not going to get worse, and you’re not going to have those serious complications. So I really think it’s important that you talk to dietitians, physicians, pharmacists, nurses, there are a lot of people who can give the education. But just like every pharmacist has something that they know about a little more than others. Just keep asking questions. If your pharmacist can’t help you, they can connect you with someone who can. There are all kinds of resources. And because diabetes is such an epidemic in our country, there are a lot of resources out there and a lot of information online that would help you make some changes.

31:32
Okay, I agree with that and I support it, but you need to be careful to who you ask. You have to talk to somebody that knows you, that is an expert in the in the management of diabetes, and then they know also your specific situation… not only with your weight, your history if your parents have had it, if you have other diseases that might make it worse to handle and also blood tests to find out where you are And then make decisions. Everybody’s different. It’s not that because your neighbor, the neighbor took care of it, I never checked him. And then he ended up losing his whole leg. That means that you will have the same thing. If you catch it in time, like everything, you catch it early, and then you get somebody like Theresa that is going to help you manage you pre-diabetic phase that you so you never get out of it. And if you do, you’re going to be non-diabetic, not too diabetic, it’s going to be much better. So, Teresa, I want you to give us the gossip of the inside of what’s going to happen. What are you going to bring these people, if they want to participate with the events that you’re going to have? That workshop that you were talking about. It is called pre diabetes plan, right? Yes. What are you what are you going to teach them there? What is that that you’re preparing? How is that going to help them?

32:57
everybody just talks about diet and exercise. Eyes. And yes, those things are important. But there’s so many other factors we’ve got to look at, we’ve got to look at gut health, we’ve got to look at sleep, we’ve got to look at what kind of exercise we’re doing. There’s so many different things that we need to check, stress, we got to get the stress relievers in there. So in the workshops, I’m going to work with really small groups of people. So we can break down and have conversations like you and I are because we’re online doing this, and you just can’t sit down and ask your doctor, all the questions you want to ask in 10 minutes or 15 minutes and even a pharmacist, it’s a struggle, you have limited time. So I want to be more available to answer the questions people have, and work with them through the plan that I’ve created. That’s worked for me, and I’m still a work in progress. I have weight still to lose. it’s a struggle every day and I know that it always will be. But you know, I’m happy. I’m living my life. I’m doing everything I want to do and there are days I eat cake and cookies and pizza and things like that I just don’t do it every day.

34:04
So you are still at the “pre” level which is what you where you want to be pre or not even

34:11
my goal is to be not even and you know when I’m having a good year and this year’s not been a good here my mom’s having a lot of health problems and we know stress causes running from here and there, not eating as regularly or as healthy as I should. It’s creep back up there a little bit but it’s on the way down I checked it so it’s not but it’s close and I hope in another three months or so you’ll hear me say course you know January came so everybody probably started a healthy plan.

34:46
The gyms are full of people!

34:49
So I joined the crowd and started the healthy plan.

34:54
So what people need to do to know when your workshops are going to be ready They can check out my website at TeresaMorrow.com, I will have all the information there eventually a course that they can take online where they can do a self assessment through it and then have that information anytime at their fingertips. So that is something that’s a work in progress, the workshop will be first. And that will be an individualized plan, but there will be more information coming after that.

35:27
So you are committed to this, this is not something that you’re doing for a week. This is what you want to do for our patients. As a good pharmacist that you are, you just want to help our patients and our population that is having issues. So you are committed to this and that’s what you’re dedicating your future pharmacy career to do.Right?

35:47
And that’s exactly right.

35:48
And that makes you an expert and that’s why you need to get people like Theresa to help you handle this. So I heard that you have something for my listeners, would you tell us what you have?

35:59
Yeah, I have a worksheet that has a it’s called the Pre-diabetes plan, the ultimate Quick Start Guide, and it’s just some basic information. Some of it will walk you through how you can get started on living a healthier life that would prevent you from either becoming a pre-diabetic, or if you are pre-diabetic, it’s going to stop it from progressing. And even if you’re diabetic, depending on if you’re on medicine or not, you’d want to consult with your physician but it wouldn’t even help someone who has already creeped up into diabetes.

36:33
So we’re going to have that in the show notes and the transcript in the website that has all the information and even in your phone whenever you’re listening to this, you will have a link there that you just have to touch it and you will take you to Theresa’s ultimate Quick Start Guide for pre-diabetes plan. I love that I would want to have it to not only because it’s important to know, but also maybe I can take some advice from it. And that is one thing that I wanted to say not necessarily you have to be the target of this education let’s say, it’s not you the one that has pre diabetes, or diabetes, and maybe it’s your parents, maybe your children, maybe it’s your in laws, and you need to have this education so you can help and support them because education is power. And with that, you can help so this is not just for those that are diabetic. Or if you know somebody that might take advantage of this document that Theresa have prepared for us, spread the voice, tell them about it, maybe print it and give it to them or send them the information so they can listen to our conversation, share podcasts, so then more people learn and understand this, and then they can take advantage of it. So it will be in the show notes. It will be on the website. I will put enough information there so you just have to click for it. So anything else that you want to say Theresa about diabetes before we move on to a couple more questions that are more personal?

37:57
Oh, sure. Well, I just want everybody to know that You’re not alone, if you struggle with pre diabetes, or diabetes, that there are 100 million Americans who are now living with diabetes or pre-diabetes. That’s crazy. That’s so many people. So, you know, we shouldn’t be embarrassed or ashamed. We should be looking for the solution, the answer to change it.

38:19
It’s more than the fourth of the population of the whole country. One of every four Okay, so don’t forget that you are not alone.

38:27
Okay, now, let me just ask you a mean question. What is something that have happened to you in a pharmacy setting that you were not that happy the way that you were treated by a patient? What is something that you can say that could reflect that so for people to understand how we feel when you treat us like that?

38:47
Oh, my goodness. I had a patient come in, did not understand how the process work to get medication. Their prescription was no longer active because you know, a prescription if you’re getting a pain medication, is only allowed to be filled for six months from when it’s written. So it was expired and he was angry. He was screaming and yelling and cussing, and I don’t do retail. I usually am in the other side doing infusion. I was kind of taken aback from that and he was not happy. And he kept asking, Where did I go to pharmacy school? He was, he was not a happy camper at all like

39:32
That’s something so common, unfortunately. But if you go check episode number two, you will you will learn that pharmacy has a lot of laws. And it’s not that we’re mean and we don’t want to give them to you. We have to obey the law, because we can lose our license if we don’t. So it’s not that we’re mean or we don’t want to help you out. It’s just that we have to play by the rules, or else or then we get in jail so that you know for me it’s not an option period or I don’t think it’s for you. Either Theresa. But yet we understand that most of the time when people react like that is because they’re under a lot of stress because they’re in pain, because they’re frustrated because they don’t understand the process. But that doesn’t mean that we are not human beings that whenever we’re treated like that we hurt. Yeah, that hurts.

40:18
And you know, that gentleman was I was filling in somewhere and they were like, he’s never acted that way. And, and they just couldn’t believe. So they felt like it was also the the gentleman that is the pharmacist there is a man and they felt like there might have been some bias towards he, you know, didn’t want to speak to me because he was an older gentleman and didn’t want to talk to a female. I don’t know if that was the case.

40:43
He had a relationship with the other person. He trusted the other person and not you, which is understandable, but that doesn’t mean that you will not follow into law because as I said in episode number two, we have to study a whole big, fat book of laws, to know what we can do. What we cannot do is not, that we are mean again, I repeat that now.

41:04
On the other hand, I want to ask another question, what is something funny that happened to you in a pharmacy that doesn’t happen anywhere else that you want to tell us about?

41:14
probably the funniest thing, maybe it’s The Sweetest Thing. Oh, one of my patients was a monkey, a little monkey TV and the customer brought in to get a compounded medication because we also do that for the patients. And they set it on the counter and it just kept reaching like a little baby waiting to be picked up. It was the sweetest little thing.

41:40
So, you can prove it. Maybe I need to send me the picture so I can put it in there for people to see it. That was lovely. Yeah. Okay, so I’m just making sure that you remember to send it so I will put it in website on the page that is about this episode. And then they will be able to see the little Monkey, if you guys saw go to the legaldrugdealer.com/8 , you will have all the notes with Teresa link for the ultimate Quick Start Guide for pre diabetes plan and also the picture with the monkey. So you get to see that I also publish transcripts of this every single word that we said. Sometimes I wish that wasn’t the case. But it is. Is also there for those patients that are not that good listening. They rather they rather read it, they’re available that there as I said thelegaldrugdealer.com/8. So Teresa, anything else that you want to say before we close it was so much fun. Thank you for telling us all this because you know you are the expert and I want to my listeners to understand what it is and how to help themselves and how to help others and to know that there is resources,that is not just a physician that takes five minutes to see you and then they go that I’m people that are specialists and experts that can help help them one on one direct and support and guide and educate them. People like you so thank you for taking the time to let us know that teach us that.

43:08
That thank you for the invitation. I enjoyed being here and can’t wait to talk to you again.

43:14
Okay, if you have anything else that’s it, thank you for your time and go take care of your patients and your mom Have a good one, Theresa.

43:21
Bye.

43:22
So whether you think i think it was a great, it was very informative. And Teresa was the Down to Earth as I told you she was going to be so it’s very relatable for you guys that have struggled with pre-diabetes and diabetes itself.

43:39
So I invite you to follow Theresa on her social media as well as her page because she is launching a course specifically for pre-diabetic patients very soon. We will have her back whenever her course is ready so we can make it official here. But for now you can start following her webpage instagram and her Facebook. All of them are going to be in the show notes as links for you to follow super easy.

44:06
So that’s it for this episode. Thank you so much for listening. Please subscribe to the podcast, give us a review. And if you have a question, send them to me at comments@thelegaldrugdealer.com, and I will respond to you directly. Or I will link on my solo episode where I will answer all your questions. Also, visit thelegaldrugdealer.com, look around and see what I have there for you. And while you’re there, follow us on Instagram and join our private Facebook group community and subscribe to our mailing list so you will not miss a detail.

44:43
Next week I will be talking to you about what we did the past three episodes talking about compounding drugs with Dr. Angela Solis, bioidenticals, or hormonal replacement with Dr. Sharzad Green and also pre diabetes with Dr. Theresa Morrow. In addition to that, I will be talking a little bit about our bonus episode about the corona virus. And all you need to know about it an extra stuff that we might have available then, and also a little bit about my personal life. I guess that I will answer a couple of questions that I received on my email. If you have any other questions, please make sure I get them at comment@the legaldrugdealer.com, and I will be happy to answer them in my next solo episode.

45:32
So this is it. I’m done.

45:34
But before I go, and just in case no one has told you today, I wanted to take a minute to remind you of how awesome you are. And how lucky are those that have you in their lives.

45:44
Thank you for being the awesome you that you are!

45:48
Have a wonderful rest of your day.

45:50
This is Marilena Grittani, The Legal Drug Dealer.

45:54
Bye for now!

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