Diabetes Game Night: Spin the Wheel of Misfortune
Two endocrinologists take on the wheel’s diabetes curveballs, and along the way, two common conditions come up: chronic kidney disease and MASH
Featuring TCOYD’s own Dr. Steve Edelman and Dr. Jeremy Pettus. This video was supported by Bayer and Madrigal.
What if learning about diabetes felt less like a lecture and more like game night? That’s the idea behind TCOYD’s Wheel of Misfortune, a game show where the wheel determines the next diabetes challenge, and quick thinking is essential to stay in the game. The contestants are two endocrinologists who both live with type 1 diabetes, TCOYD founder Dr. Steve Edelman and his longtime co-host, Dr. Jeremy Pettus.
Every spin brings a new challenge, from the everyday curveballs of life with diabetes to bigger health questions that are far more common than most people realize. About 4 in 10 adults with diabetes have chronic kidney disease (CKD) and more than 70% of people with type 2 diabetes may have extra fat in the liver, which leads to a condition called MASH. Both tend to develop quietly, without symptoms, and a few routine tests may catch them early. Today there are more ways than ever to protect your kidneys and liver. Watch the full video to play along, then stay for Steve and Jeremy’s expert guide to CKD and MASH, including the tests worth asking your care team about.
Had my diabetes and liver test a month ago and found that I need to change my eating habits after Doc informed me that I have “Dirty Liver”, in which that I need to eat more salads everyday. Am advised to take blood work again in Jan/ 2027. Thinks am losing weight when advised to eat salads everyday at lunch time. Hope it will help with changes of eating lunch time!
Eating healthy foods like salad is always good, but I really cannot comment on what your doctor meant by “dirty liver”. You can always ask your provider to calculate what your FIB-4 value is, and that will give you a great head start to know if your liver is at risk for developing MASH. You can learn more about it here:
https://tcoyd.org/2026/06/liver-and-diabetes/
Is there a way to get a copy of the transcript to take it to my doctor? They talked to fast to be able to write it down and understand what they are saying.
You can view the transcript directly on youtube here:
https://www.youtube.com/watch?v=lkS3EaMsQnQ
Ask the doctor to slow down in the explanations and tfo make a copy of the transcript of waht was waa said.
Could I cope this info?
If you are looking to copy the transcript, you can do that from YouTube video here:
https://www.youtube.com/watch?v=lkS3EaMsQnQ&t=1s
When taking the UACR test what is the normal range? My total protein value from the Comprehensive Metebalic Panel was 7. Is this good?
I’m glad you’re asking this question, because total protein doesn’t really pertain to the kidney health, as does the urine albumin-creatinine ratio (uACR). Typically, anything less than 30 mg/g is considered normal. This is why it’s so important to specifically ask for the uACR and make sure you’re in the normal range.
Where are the replies to the above comments? Thank you.
Also, I watched the session about CKD. I found it interesting & disappointing that ranges of eGFR & stages of CKD was not more specific.
Can you direct me to more information?
Thank you.
You can find detailed information eGFR and kidney disease on the National Kidney Foundation website here:
https://www.kidney.org/kidney-topics/chronic-kidney-disease-ckd
https://www.kidney.org/kidney-topics/estimated-glomerular-filtration-rate-egfr
After my last blood test, a few months ago, my PCP’s office called and told me I have the beginning stage of fatty liver. Is there anything I should be doing?
The first step would be to find out the details of the test they were referring to. I’d also get your FIB-4 value, and if it’s above 1.3, I would ask your healthcare team about getting a scan of your liver to determine if there’s fibrosis. If your scan is positive, most people are referred to a gastroenterologist who will likely prescribe either Rezdiffra or Ozempic. Your doctors need to orchestrate this, but you do need more information.
Good day – I am a diabetic educator in South Africa and one of patients has a low EGFR. Her doctor did the CYSTATIN C test and it was high – how does this test feature in chronic kidney disease? Thank you
An elevated cystatin C level generally means your kidneys are filtering blood more slowly, which results in a lower eGFR and points toward possible CKD or worsening CKD.
My Regards Dr.Edelman. I had the pleasure of working for you in San Diego. I’ve been a healthy T1 since January, 1960.
Excuse my error…I worked WITH you at BDI.
Dr. Edelman is out on medical leave, but we will forward your comment!
Thankyou.