and this extended insolent toward the people shaping public opinion. the key word here is the word fate. where are the right little battle lines being drawn, the propaganda war for ukraine. russia's war in cray, one year since the invasion began. take a look back and into the future in the new 1000000 slowly in february on d. w. and what to take moses to was a lie and then pick old middle winning weight lift m a t s. dinah and comedian anthony anderson. have in common. sure. they're all celebrities, but that was the all have diabetes. hundreds of millions of people currently live with the disease worldwide. and if can be fatal,

every 8 seconds someone dies from diabetes, which attacks blood vessels and organs. ah, how can diabetes be prevented? and what rolls to sugar insulin and the pancreas play. find out next and in good shape with that's the pancreas. it's, it's wedged between the stomach, duodenum, and liver. it produces over a leader of digestive juices every day. an important task, just not very glamorous. but the pancreas also has another job regulating blood sugar levels. when we eat, the level of glucose in the blood increases carbohydrates are already broken down

into glucose in the mouth and stomach and migrate into the bloodstream after just half an hour. glucose is the body's main energy source. the brain tissue and muscles as well as red blood cells, depend on it. and this is where the pancreas comes in. it's into chron, tissue known as pancreatic eyelets. registers the increase in blood sugar and produces insulin. the insulin works like a key to the cells. now the bodies cells can absorb glucose. when the blood sugar level drops, excess glucose is converted to glycogen in the liver and stored as a reserve. if the pancreas registers a low blood sugar level, it re activates these reserves by releasing the hormones, glucagon disorders and the regulation of blood sugar are called diabetes.

with type 2 diabetes, the body cells react less and less to the insulin present. the pancreas increases production, but at some point, even that's no longer enough to regulate blood sugar levels with type one diabetes . no insulin is produced at all due to a congenital auto immune disease. for instance, in this case, those affected must assume the function of the pancreas themselves and control their blood sugar and regulate it with insulin injections. because there are consequences if the blood sugar level isn't in the normal range. craig rings, sweating and dizziness can result from low blood sugar levels. whereas high levels trigger 1st when fatigue and in the long term, high blood sugar levels caused damage throughout the body, affecting the eyes,

kidneys, and nerves, and even leading to cardiovascular disease and strokes. so it's a good thing that the pancreas takes its job seriously and keeps an eye on blood sugar levels. oh, roughly 9000000 people suffer from type one diabetes world wide. it's an auto immune disease which causes a person's body to mistakenly attack the pancreas. this vital organ then produces less and less insulin or none at all. type one diabetes often begins in childhood, left untreated. it can be fatal. so suffer as must monitor their blood sugar levels regularly and administer the missing insulin externally with a needle or pump for diabetic children and their parents. that's a big part of their daily lives. filling as mother is picking her up at preschool, she asked the teacher what her daughter has eaten. got her. we had fish with rice

and crew schools. felina has had type one diabetes for a year. now. her insulin dose is controlled via this app. it's invited us and we can see that she ate lunch, then it went up. she also had something with carbohydrates at 1115. so we would expect to have blood sugar level to fall again. and it has about and after since look over the winter foot and canals, what is the south? her blood sugar level remained stable throughout the day. now it's time to go home . it's painful and annoying, but frequent blood sugar testing $81012.00 times a day is part of the daily routine for diabetics, like foreigners and felina. but now they only test their blood sugar once every one or 2 days. and that's just to check that their monitor the working correctly as rick at to him and the thought on hudson, dia baton legit introduced to this technology. and i know

diabetes heck knology is advancing and incredible. right? especially continuous blood sugar monitoring it. it's an incredible burden to pay the quality of life and focus on believes qualitatively meant the most significant technological advance in recent years has seen data from blood sugar monitors being used to directly control and insulin pump. yeah, cool. and with their performance, i'm used to the pump. now i've got it here from i just wanted to it's so small. it isn't a problem any more than mana, an automated insulin dosing system or a i. d combines a continuous blood sugar monitor with an insulin pump. the pump is controlled by an algorithm via smartphone. for example, blood sugar levels are measured every 5 minutes. the algorithm ensures that the

pump delivers enough insulin to keep blood sugar levels within the range of 70 to a $180.00 milligrams per deciliter. the receiver triggers an alarm if there's a risk of hypoglycemia or hyperglycemia. so that measures can be taken in good time . felina needs something sweet now as good as this is tim jeff with site dish fund as well. the good thing is that the system worn with her so early complex and then she never even gets close to becoming properly hypoglycemic. does the anchors canyon does her leash ticket and that's a cooking kind calmed. she just has the strange feeling of it, but all the other science i tremors and in the worst case fainting we've never had with her happened about, you know me. felina is a little whirlwind. she loves acrobatics, and the id system accompanies her every step of the way. does it bother you know,

only when that's just put on at night, then it hurts in the morning the. the monitor can also be worn when bathing, showering, and swimming. the device needs to be replaced every 6 to 14 days, depending on the system has been sent out to vixen. this seems i'm for changing. the monitor is easy. i do it for felina and she does it for me. go and see me. felina recently visited her aunt and uncle's one of you know much so far by his attendance. she was able to show her aunt exactly how to do it really easily. does . tanner determined that her aunt had never done it before me. the mustard is, i'm for us, it is, it said ver, die of itala just keeps a close eye on what's happening in the fast moving market for blood sugar monitors and a thought on halls and her daughter have fairly modern equipment. new monitors, algorithms and pumps are constantly being developed by manufacturers. and a foreign holds is testing this monitor,

which has just come under the market. the predecessor model on her other arm delivers readings about 2 hours after being fitted. the new one takes just 30 minutes. as did you get through that? yeah, this is something is cool. yeah, it's pretty cool. if the nina no longer has a 2 hour gap with no data based on the kind that had, every time she moves, felina has to make sure that the connection to the insulin pump is correctly inserted into her bag. but she managers and so her current id system already gives her much more freedom. darvis a symmetric enough for it means i can relax much more at night because i know that the system will not let her become hypoglycemic. when does that? that's an incredible advantage for parents and for suffer as themselves. before i would set my alarm every 2 hours are in the worst case every hour, just to check the now i can sleep much better, much, much better. no 3rd suspicious, love. type one diabetes is not yet curable,

and so felina, just like her mother, will have to manage the disease for the rest of her life. but automatic insulin dosing makes that much easier to just exact how it recently she said today i didn't even think about having diabetes as a mother that's incredibly moving to her tolerisk of her as the videos on type one diabetes and social media to young people show how they lived their lives with type one diabetes. ah, they provide tips and inform their followers about the latest discoveries and treatments while combating social stigma and exclusion ah khaki khan also wears our insulin pump all the time. she developed type one diabetes at the age of 20 and reading still. it took half a year before

a doctor diagnosed the condition saturday dances and tom had all the symptoms. i drank a lot in los wait, wanted 25 kilos and just 2 weeks it went really quick because i was weak, so weak. i couldn't hold up my table tennis. reckon any more. i kept falling down. as my vision was blurry, i went to various doctors, but none of them thought about testing my flesh again. do you call me anything that's the peaks and i'm on my skin, then doctor's advice, her to change her lifestyle. entirely. one is thought about my mason, but they told me i should give up competitive sport. somebody, hampton, i've played table tennis since i was little. and i was told that due to diabetes, i shouldn't have children voiding the fact that was quite a few years ago about and it wasn't necessarily a false statement since the technology wasn't so well developed. then if you look on the white voc handleywood, hello and welcome to my diabetes. well it high to her of by my reader. and because she wasn't willing to accept that coffee coin became an expert herself,

and she became active on social media and share her knowledge. to day katie corn works as a diabetes counselor and consultant. she's also the german women's table tennis champion and has 3 healthy daughters. it's important to her to break down stereotypes about diabetes as, as not to dispense a very stigmatized disease sung and it's incredible, especially where diabetes is concerned. and if you're a little overweight as well, that it all comes raining down on you through them. but it's really important to note no matter what type of diabetes someone has, then not necessarily to blame for getting it on his dentist from focused on short as a type one diabetic coffee corn will need to take insulin for the rest of her life . on her social media channels, she shares her experiences and tips for monitoring her insulin. my app she hopes to motivate her 10000 followers and do the transfer here for all of the help i provide also helps me. that helps me to engage more with my illness, my neck, with my personal values. i am my diabetes management diabetes management and it

helps me immensely, to be able to help others. i'm mentioned for having a thing ready, so i'd say that it actually gives me strength and will make half docket. mccarty. corn is glad she ignored what doctors told her a decade ago and became a mother. her message is clear, diabetes needn't prevent you from leading a full life. i. in addition to type one diabetic, a growing number of people are contracting type 2 diabetes. in contrast to the auto immune disease type 2 diabetes is by and large and acquired one lot style factors play a big part too much food and 2 little exercise all to common in affluent societies promote its development because constantly consuming carbs means the pancreas never gets a break the story of caspar the sugar addict, casper was fit as

a fiddle and not too big around the middle. yet he'd never deny himself a treat and would eat anything. sweet. sugar you foods provide us with energy. the fastest sugar is a carbohydrates. and when broken down in the body produces the building block glucose and glucose is the key energy source for ourselves. our bodies adapt insulin production to our current blood sugar level is normally between 80 and a $180.00 milligrams per deciliter. each day casper eats candy and he thinks that's just dandy. he never turns down something sugary. that gives him a boost of energy. ah, carbohydrates aren't just found in sweets and granulated sugar. but in many other foods to flour, fruit and milk also contain glucose. you release it or bodies breakdown the

carbohydrates with table sugar and sweet stuff happens fast and our blood sugar rises quickly. right away. the pancreas releases the essential hormone insulin and our blood sugar fold. but plunging blood sugar level is tricky. one thing hunger ah, hunger caspar doesn't like so he feeds his big appetite with sweets each and every day. chocolate holds him in its way because he just can't say no. his belly continues to grow and grow. being overweight, increases the risk of developing type 2 diabetes, but it's not just about the fact that visible on the outside. it's simply an indicator for the far more dangerous, yet hidden belly fat, that forms in our abdominal cavity and around our organs. known as visceral fat,

it secretes chemical messengers which increase our appetite, forcing the pancreas to release more insulin. the problem is, insulin triggers the production of even more fat, missouri at times kasparov bother to know how much his tummy continues to grow, but he doesn't think it's a problem as such. well, that he really, it's that much. it's not just how much we eat that matters, but when, oh, more importantly, when we don't eat, because consuming sweet, so other carbs nonstop means our bodies must constantly produce insulin. yet ourselves, any time to rest in regenerates for people who are overweight, the constant secretion of insulin can mark a start of pre diabetes. at some point this, i was become overburdened and shut down. they no longer react to insulin and become

increasingly desensitized to the hormone resulting in what's known as insulin resistance. but caspar isn't aware of it. he still feels healthy and fit. however, in less than a year, his diabetes will be here. and that can happen is the pancreas tries to keep producing more and more insulin to keep the blood sugar in check. but the insulin no longer has any effect. eventually the pancreas is so overworked and weakened, but it stops producing insulin both together. then the person's blood sugar level go sky high, they are now diabetic. ah, the moral of this tale of woe. sometimes it pays to just say no. so type 2 diabetes can be prevented mainly through an active lifestyle.

and by eating less of that and more of this because while insulin injections can save lives, the shots also have side effects. after being diagnosed with type 2 diabetes lawyer, hildegard so accomplished group consulted a dia, baton just though she was given dietary advice. she was also quickly prescribed. insulin is logan's class, it was crystal clear out. i was told explicitly that i had to leave with the insulin described to me, let her sharing minute hope to have. there was no mention of the side effects of insulin, but very quickly, she found them in her own body becoming sluggish, and having to lie down more and more shame spinoza nicki. it's not as if i, i cakes every afternoon,

but i just put on white bit by bit with with type 2 diabetes. cells become resistant to insulin, meaning the blood sugar level is constantly high insulin injections do bring down the blood sugar level. but more insulin very quickly creates fat reserves. more weight produces more insulin and more insulin causes more weight. an unhealthy vicious cycle if flu and for the early and predominant use of insulin in type 2 diabetes is not a good practice and harms the patient. i'm a high dose of insulin, can even increase the risk of heart attack, of course die gone. there are alternatives for people with type 2 diabetes. modern anti diabetics are more gentle than insulin. they can help diabetics to stabilize their weight. what else we got us covered or even lower body weight was

often they partially reduced blood pressure to and they aren't linked to hypoglycemia. and when i need to do some of these medications, even lower mortality and heart attack rates, which cause hawthorne with on getting a house and talk about one treatment uses g, l, p one analogs. these stimulate the pancreas to release more insulin and reduce appetite excess weight, and the risk of heart attacks and strokes. then there are s g l t 2 inhibitors. they ensure that sugar leaves the body more quickly by a urine. this also leads to a reduction in weight and in the risk of heart attacks and strokes. but despite the scientific evidence, many tied to diag still take insulin. the thank isn't tied to political health scandal that still not being taken seriously or the financial interests of muggles in the health care sector are being treated against the health interests of

patients that puts in else gasket. and she stopped injecting insulin and began taking a modern anti diabetic. he'll take on so accomplished who has lost 20 kilograms. she also eats more protein and vegetables and is very physically active. her blood sugar level has returned to normal. that means type 2 diabetics often don't need any insulin at all. they're already better alternatives. ah, do you like to lift weights at the gym? or do you prefer other forms of exercise? land wise strength training is a real one to drug, especially for those with diabetes. muscles can be very nice to look at. they also give our body stability and help us

move. and we need to use them constantly. but too many of us neglect them. they might want to hear the world health organization's recommendations, at least 2 sessions of strength training per week. so squats pushups weights. and basically anything that reinforces the muscles, but why we are sports medicine specialists, martin holler, who was himself recovering from an injury. when we talked to him, he says, muscles do more than just hold our skeleton together. that we were a nose. cutting muscular muscles have a proper functions being in a way they like an organ on that one that dispatchers messenger substances to the body hormone will not have an effect on our brain, liver, heart and other all your an analog gonna question those messages are

released when muscles contract, in other words, when we move that's why strength training can even be used to treat diseases. monica ganga is 45 and has type 2 diabetes with high blood sugar level consistently high. despite medication, a specialist clinic has expanded her therapy to include weight training which took monica, some getting used to fitness in no way. and i prefer exercise outdoor nordic, wal, king cycling or hiking eoc muscles play a vital role in diabetes treatment. it's in our skeletal muscle as well. with the help of insulin, a high proportion of the sugar that enters our bodies is broken down. di baton rouge's, often see the positive impact that exercise has on the disease. especially the strength training i moved to sets for optimizing your lifestyle with physical

exercise has the added benefit of reducing the medication needed. and most importantly, insulin can be injected in lower doses or less frequently. and in some cases, can we just continued altogether of cassettes? monica geiger is now doing squat exercises and knows exactly why that beneficial for her body with type 2 diabetes. the glucose in the blood has difficulty entering the cells and more muscle mass, however, means more receptors, ensuring that the insulin is more effective. monica geiger can see the benefits of her work out a sensor in her arm tracks her blood sugar level after an initial post breakfast peak. it returns to her targeted range after exercising. yes, ma'am, afterwards, it's down to 89,

so i'm happy. so if you think muscle workouts are just for athletes and budding beef cakes, think again, strong muscles are also great medicine fitness trainer algeria, dam on is an expert when it comes to giving your muscles to work out. here's her latest exercise just for you. hello and welcome. don't you agree with me that we are sitting too much? i have a great exercise that opens up your hips and strengthen your fluids, your thighs, and your hamstrings. let's go. put your feet slightly wider and then your shoulders . then move into squad. bring your elbows in their

side of your knees and together and hold it. remind yourself to have a flat beck. and don't forget to smile with try to hold this exercise for one minute. you can start with 10 seconds, but your big goal is to hold it for one minute and have fun, strengthening those muscles till the next edition of in good shape and bye bye. for with

you in the lives of millions of in turkey and syria. it was a catastrophe. many had predicted, primarily striking, those already struggling to survive. we travel to areas hardest hit and encounter

despair, grief and anger. to 30 minutes on d, w eco. india asks, how do we reduce the ecological footprint a footway? when a bad thing to the doctor stated that i feel good myself. so yeah, that's, that's a win win for me. please do you know when this is driving fluid sustainable production among this guy politically, from the dial guided diode, and then you the end up in the lancet eco india even 90 minutes on d w. ah, [000:00:00;00]

with should we? oh, we treat animals and why hasn't anything changed? does that this is actually a clear violation of animal protection. why do we love some as companions while leading others? yet i never thought about how strange it was that i could pet my dog with one hand while i ate a pork chop with the other. what is the alternative? and how does it taste? it's like the real thing. yeah. will we all be beginning 50 years? i seen very few strong arguments to keep eating out of a documentary series about the future of food with the great ah, this week on t

w. ah ah, ah ah, this is d w. news live from good to presidents can pay for hearts and minds in a we'll divide it up at the war and you cry. babes jack straw. he stays brown. it's jo