time now for sunday housecall. >> welcome as always. joining us dr. marc siegel, professor of medicine. he's also arthur of the inner pulse, unlocking the secret code of sicness and health. >> and dr. samadi. good to see both of you. >> great to see you. >> hope you had a good week. >> yes. we want to start with something amazing. there is a stunning report on diabetes showing that 29 million people in the united states now suffer from the disease. that's up from 26 million in 2010. what's more, one in foyer people with diabetes don't even know

they have it. first of all, what's causing this epidemic, i'd say? >> it's a real epidemic. we're losing the battle unfortunately. we're gaining about 1 million diabetic patients a year. now we have 29 million. but it's a silent killer. because you may have diabetes without even knowing it. it's the pre-diabetics that we're worried about. what does it mean? your sugar level is high, not high enough to be diabetic. the way to detect it is to look for the symptoms. it's important to know what they are. if you have frequent urination. you're constantly thirsty, you have blurry vision, you have a cut or a wound and it takes a long time for it to heal. you should see your doctor. what they should do is besides your blood sugar, they should get a hee mow glow bin a 1-c.

it shows a record of what your blood sugar has been for the last three months. if it's over 6.5, that's diabetics and we have to start treating you. >> i want to grab dr. siegel's point on this story as well. why is this happening? >> i'm going to answer that in a second, but i want to emphasize david's point. i check that on every single patient that comes into the office. why? because we have one out of three americans now pre-diabetic. it's happening because of all of our weight game. almost two-thirds of americans are overweight. the pancreas produces a hormone called insulin. we take in sugar. the bigger we are, the more insulin we need. that pank kree yas can't produce

it. i have to look at the combination of diabetes and other risks. high blood pressure. people are at big risks for a heart disease or a stroke. >> all of this seems to be leading to lifestyle and what we're eating. >> bin goe. we have a problem with junk food here in the united states. we're a sedentary society. if you simply get up and exercise every day, even if it's just walking and change your diet choices. if you get rid of all the fats and shy gars you eat -- >> but what's a mediterranean diet? >> it's fruit and vegetables. it's nuts, it's olive oil, it's sauces, fish, not a lot of meats or processed foods. >> i think what we have is the inhaernt problem in our behavior. it's a behavioral problem we

have. we are passing on this problem to our children. about 17% of children are heading toward diabetes. the age between 15 and 19-year-old is a group that's really on a rise with diabetic. and to go back to answer your question, is it the chicken or the egg first? it's obesity causes diabetes or diabetes cause obesity and everything else. if you have type one, your body and not secreting insulin. that's mostly in children and that's a different type of diabetes. we're talking about a life style diabetes. this is really in rich countries where there's a lot of money as a result of food, it's cheap. so as a result of obesity, your insulin doesn't function. you may have it. but it's almost like a key and a lock where the receptors won't work. that's why losing weight and trying to get rid of the fat can

help treat it. >> does it get rid of it completely? >> i'll answer that in a second. type one diabetic has an auto immune disease. it's genetic. it's not purely related to weight. type one, no matter skinny or fat, you still can have diabetes. type two is related to weight. so, yes, i can prevent this. if they exercise and drop weight, i have about a 20 to 30% chance of them never getting diabetes over the next five years. >> can you get rid of it if you get it? >> you can get rid of it if you get it if it's type two. there's hope. you're not stuck with this. >> and the reason why this is important, even if you don't get rid of it completely, the fact that it can affect your kidneys, it can cause kidney disease. it can lead to amputation. it can cause blindness.

even if you don't completely getting rid of it, when you come in with a shy gar of 400, by bringing it down closer to normal with touch of insulin he can fix it for you. $245 billion of the health care cost is going to diabetes. so start getting out there. start losing weight. exercise, watch what you're eating and all these processed food that you have is the cause of the problem. >> we're talking about things that you pop in the micro wave. >> david just made a huge point. it's a combination of lifestyle plus the medication when they need it. nurse whispered to me, he's still drinking that strawberry soda. if we can't get the behavior to improve, we end up chasing our tail. >> if you have family mist of genetics of diabetes, these are very high-risk groups and they

should be monitored on a regular basis. don't let this go on. the effect of kai beats with stay in your system for many, many years. >> you're talking about kids too. they're not out there running around like we did playing jump rope or whatever you did as a kid. they're sitting at computers. >> when the parents go to these fast food rurnts and ordering all this food, the kids are following the same kind of behavior. marc did a segment about some of the fast foods, and i said, i promise you a year later, they have not incorporated all the fruits and vegetables and apples that you talk about. >> i have to go -- >> we're going to talk about lunch programs in a few months. the kids are still lining up and eats the pizza and soda. >> it's about moderation. we have to move on. do you feel tired and run down?

i'm talking about all the time. well it may have to to do with how you spend your time when you're awake and nothing to do at all with the amount of time you sleep. we'll talk about it when we come back. if you wear a denture, touch it with your tongue. if your denture moves, it can irritate your gums. try fixodent plus gum care. it helps stop denture movement and prevents gum irritation. fixodent. and forget it. that's keeping you from the healthcare you deserve. at humana, we believe if healthcare changes, if it becomes simpler... if frustration and paperwork decrease... if grandparents get to live at home instead of in a home... the gap begins to close.

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test.

new findings show lack of sleep may not be the only thing draining your energy. instead, it may have a lot on do with how well you take care of yourself during the day when you're out and about. dr. siegel, is there a magic secret to what we should be doing during the day? >> i want people out there to know, if you come to my office, the first thing i'm going to check you for, for medical causes, do you have thyroid disease. do you have diabetes that we just talked about that we haven't diagnosed. depression is a huge cause of fatigue. if i get all that out of the

way, then i look at how much alcohol are you drinking, are you breaking your cycle and waking up in the middle of the night when the wine wears off. >> we're saying it's just not about broken sleep. we're talking about during the day. >> exactly. are you exercising. if you exercise, it will help you a lot. there's a study that shows if you cut out a person's regular exercise, it will increase their fatigue. are you stressed? >> everybody's stressed. >> it increases your fatigue. depression increases your fatigue. caffeine. we've talked on the show, david has brought to my attention the solitaire effects of coffee. we're both big fans. he's converted me. the problem is though we have too much caffeine. >> that's the reason why there's art of drinking coffee. i'm glad you brought it up.

you can't just drink three or four cups all the way to 11:00 p.m. i drink no milk and sugar. i drink it black and it's also three to four cups a day. every research shows if you're drinking four cup you will have the medical effect of it. but you stop after 5:00 p.m. i think we're doing so many things and it's jam packed on our schedule. if you look at your parents and my parents, they were not texting all day long. we're not drinking enough. i keep saying get your seven, eight glasses of water a day. if you're dehydrated, you're not going to have enough fluid in your system. that's called dehydration. your sleep, how many times we've spoken about sleep apnea. obesity causes sleep apnea. you may be getting seven hours

sleep -- >> but it's not good sleep. >> you lie down in bed, you have your eye phone, you're texting, your computer and tv is going. >> and then you wake up in the morning and you're ready to go to work, you skip the breakfast. >> don't skip the breakfast, right? >> a lot of people think that because they're sleeping, they're okay. but the body is still working during the night also. your heart is pumping. when you get up, you need to refuel and make sure -- and if you don't, that's what you get really hungry and take all the carbohydrates. exercise. we keep talking about exercise. i know you work out least three times a week. >> four times. not this week though. >> so you've had the influence on you. >> junk food is another big problem. you start with that junk food, it gives you a spike of sugar, then insulin. >> but it takes you feel to

happy. >> only temporarily. you have that candy bar, you get happy. it wears off, you get fatigue. >> i understand, doc. be careful about your coffee intake, make sure you exercise during the day, cut off the coffee at a certain time. and don't exercise too late at night. pit some of those machines away. >> i give you one secret. listen very carefully. learn how to say no. i'm telling you -- >> that's big. >> this is my biggest problem because i want to keep all the patients happy. sometimes you have to learn -- >> how to say no. >> my little tip is exercise every day. stick to your routine even if it's just walking. >> take the stairs if you can. nearly every aspect in our lives is available online, right? we're talking about the computer stuff. guess what, including your medical records. coming up, our doctors have tips on protecting your privacy.

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all right. now back to sunday housecall and our weekly segment, should i worry. in which we talk about everything that worries us. one viewer writes, my medical records are available online, should i worry. >> well, there are good things and bad things about this. the fact that it's come into our life has made a lot of things very easy because simultaneously the patients can look at records and labs and we can also find out what's going on. in some ways, it reduces medical errors. the purpose of this is to really control this and reduce the numbers. people can make an appointment

online, they have their medications, cut down on visits to the office. on the other hand, you have the legal issues going on. a lot of people can privacy is . that comes with any kind of technology. do not be surprised technology. so don't be surprised if you find that some of the very detailed information, sexual transmitted disease, cancer information. >> can someone take that information, use it against you smoi? >> no question. there's a lot of hackers out there. they did a study in 2013. 94% of healthcare organizations have had data breaches. they report 21 million data breaks over the past three years. >> what do they do with them? >> because eric, social security number is there, private medical information is there, they can get your credit card information, your insurance

information. there's of course a financial concern. but there's also the privacy issue. people in my office --

and unauthorized people could be trapped.

thank you, they are one of the most important indicators of what is going on in your body: your nails, yes, so, lou do you know if you have something to worry about? our doctors will tell us what we need to look for, all coming up. you mean you win. yes i do. the citi thankyou preferred card earn two times the thankyou points with no annual fee. to apply, go to citi.com/thankyoucards. when folks think about wthey think salmon and energy. but the energy bp produces up here creates something else as well: jobs all over america. engineering and innovation jobs. advanced safety systems & technology.

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>> when is the last time you had a good look at your nails? for most of us it has been a while but you may not be able to keep away from looking at your nails the most indicator of what is happening in your body. doctor, right in so, what are some of the things you can find out from what is going on in your body? >> we do not have tosspot an instrument in, no scope, just look at nails. if they are pale, possibly anemic, white, you could have liver hows f there is a band under your nail and it is

growing or changing, a melanoma can look like that but it is rare. that is a possible. if you have blue nails i worry about lung disease. if someone has lung disease and i see their finger nails getting more blue i worry. >> how blue? >> blue-blue. not bright ocean blue but blue. >> and the white marks in. >> the bottom line, as doctor you can get a tremendous amount of inflammation the same way a good dentist can look in the mouth and find out what is going on with the health you can look at nail and find out. if you have the grandfathers -- grooves on your i nail that is inflammation and look for the rest of the body to find out what going on. the blue-collar which is dark blue is because there is not enough oxygen getting there. do you have breathing problems?

>> a blockage? >> yes. he is becoming an honorary medical doctor. >> if you have vascular disease, or if it is really pale, not only anemia or low blood count it could be a sign of kidney disease. we are getting a lot of inflammation. what you want to know, the one that is a yellow nail, the fungus, out of shape, you want to make sure you treat it and see a doctor for antifungal. >> yellow looking is hard to treat. also, stress, if someone is boating nails they cannot slope at night, i will show you my nails...biting your finger nails, a sign of anxiety or stress and we have to deal with it. >> anything about how they grow? sometimes it seems they grow fast and other times not at all. >> if they grow well it is a good time.

>> if your nail is not growing look at the calcium or vitamin e level. obviously sit great for hair, nails and if we don't get all of the inflammation out we will put this on facebook and you will have the information. >> women should take a break from nail polish. >> great point. women that use the nails, always covered, that is not good. >> and the base of the nails is where you get a tremendous amount of inflammation. >> next week, we will do the eyes and ears. i bet there are a lot of clues. >> and your psa next week. >> we will get it done. >> good to see you. >> that is going to do it for us. >> all the trick medical information here each sunday, as always, thank you for watching. .

>> thank you for joining us. > on buzzr fourth weekend. >> from new york this sunday, president obama blaming the media for blaming substance. >> if you want the news, you say, washington is a mess and the bake attitude is everything is just crazy up there. >> is he using the media as a scapegoat for the problems and the paralysis? >> monica lewinsky in the first television interview blames the media in part for humiliating her after the affair with bill clinton. >> to be called stupid and ditzy, it was excruciating.