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Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:09.63,0:00:10.65,Default,,0000,0000,0000,,(MUSIC) As an endocrinologist,
Dialogue: 0,0:00:10.70,0:00:12.41,Default,,0000,0000,0000,,I look after a range of conditions,
Dialogue: 0,0:00:12.45,0:00:14.64,Default,,0000,0000,0000,,and these include patients with diabetes.
Dialogue: 0,0:00:14.73,0:00:14.81,Default,,0000,0000,0000,,Well,
Dialogue: 0,0:00:14.93,0:00:16.09,Default,,0000,0000,0000,,the endocrine,
Dialogue: 0,0:00:16.22,0:00:20.27,Default,,0000,0000,0000,,a part of that is that insulin is made by an endocrine gland
Dialogue: 0,0:00:20.37,0:00:20.57,Default,,0000,0000,0000,,in
Dialogue: 0,0:00:20.65,0:00:22.08,Default,,0000,0000,0000,,the pancreas.
Dialogue: 0,0:00:22.41,0:00:22.56,Default,,0000,0000,0000,,So,
Dialogue: 0,0:00:22.69,0:00:24.65,Default,,0000,0000,0000,,endocrinologists have traditionally
Dialogue: 0,0:00:25.13,0:00:25.25,Default,,0000,0000,0000,,cared
Dialogue: 0,0:00:25.25,0:00:27.17,Default,,0000,0000,0000,,for people with diabetes.
Dialogue: 0,0:00:27.25,0:00:29.24,Default,,0000,0000,0000,,We've done the research in diabetes.
Dialogue: 0,0:00:29.53,0:00:29.61,Default,,0000,0000,0000,,We
Dialogue: 0,0:00:29.65,0:00:31.40,Default,,0000,0000,0000,,monitor people with diabetes,
Dialogue: 0,0:00:31.45,0:00:34.00,Default,,0000,0000,0000,,and we particularly monitor and manage them
Dialogue: 0,0:00:34.33,0:00:34.49,Default,,0000,0000,0000,,to
Dialogue: 0,0:00:34.61,0:00:38.65,Default,,0000,0000,0000,,ensure no complications or to ensure that their complication risk is minimized.
Dialogue: 0,0:00:39.29,0:00:39.37,Default,,0000,0000,0000,,Well,
Dialogue: 0,0:00:39.41,0:00:40.33,Default,,0000,0000,0000,,in terms of diabetes,
Dialogue: 0,0:00:40.37,0:00:41.73,Default,,0000,0000,0000,,when a patient is referred to us,
Dialogue: 0,0:00:41.81,0:00:42.88,Default,,0000,0000,0000,,I think we're looking 
Dialogue: 0,0:00:42.97,0:00:43.16,Default,,0000,0000,0000,,for
Dialogue: 0,0:00:43.17,0:00:44.19,Default,,0000,0000,0000,,several aspects.
Dialogue: 0,0:00:44.37,0:00:44.73,Default,,0000,0000,0000,,First of all,
Dialogue: 0,0:00:44.81,0:00:47.32,Default,,0000,0000,0000,,we want to gauge their understanding of diabetes.
Dialogue: 0,0:00:47.45,0:00:47.84,Default,,0000,0000,0000,,Often,
Dialogue: 0,0:00:47.93,0:00:49.97,Default,,0000,0000,0000,,they may have newly-diagnosed diabetes,
Dialogue: 0,0:00:50.01,0:00:51.08,Default,,0000,0000,0000,,and they really need
Dialogue: 0,0:00:51.33,0:00:51.48,Default,,0000,0000,0000,,to
Dialogue: 0,0:00:51.49,0:00:52.60,Default,,0000,0000,0000,,be taken through
Dialogue: 0,0:00:52.81,0:00:53.08,Default,,0000,0000,0000,,what
Dialogue: 0,0:00:53.17,0:00:54.41,Default,,0000,0000,0000,,diabetes means,
Dialogue: 0,0:00:54.61,0:00:54.88,Default,,0000,0000,0000,,what
Dialogue: 0,0:00:55.08,0:00:57.69,Default,,0000,0000,0000,,they need to do to self-manage diabetes,
Dialogue: 0,0:00:57.79,0:00:59.52,Default,,0000,0000,0000,,what medications they may need,
Dialogue: 0,0:00:59.81,0:00:59.95,Default,,0000,0000,0000,,what
Dialogue: 0,0:01:00.05,0:01:02.16,Default,,0000,0000,0000,,health professionals they may need to see,
Dialogue: 0,0:01:02.49,0:01:02.79,Default,,0000,0000,0000,,and
Dialogue: 0,0:01:02.81,0:01:03.20,Default,,0000,0000,0000,,also
Dialogue: 0,0:01:03.33,0:01:07.10,Default,,0000,0000,0000,,to develop an understanding of how to prevent complications.
Dialogue: 0,0:01:07.45,0:01:08.01,Default,,0000,0000,0000,,On the other hand,
Dialogue: 0,0:01:08.13,0:01:10.57,Default,,0000,0000,0000,,if someone's had diabetes for a little while,
Dialogue: 0,0:01:10.73,0:01:11.68,Default,,0000,0000,0000,,let's say a number of years,
Dialogue: 0,0:01:11.73,0:01:13.01,Default,,0000,0000,0000,,and they are on medications,
Dialogue: 0,0:01:13.13,0:01:14.80,Default,,0000,0000,0000,,they aren't doing particularly well,
Dialogue: 0,0:01:15.01,0:01:15.13,Default,,0000,0000,0000,,then
Dialogue: 0,0:01:15.17,0:01:17.41,Default,,0000,0000,0000,,we'll assess their overall metabolic control,
Dialogue: 0,0:01:17.57,0:01:18.33,Default,,0000,0000,0000,,assess their diet,
Dialogue: 0,0:01:18.45,0:01:19.76,Default,,0000,0000,0000,,their physical activity,
Dialogue: 0,0:01:20.09,0:01:20.21,Default,,0000,0000,0000,,work
Dialogue: 0,0:01:20.37,0:01:22.40,Default,,0000,0000,0000,,out what medications they should be on,
Dialogue: 0,0:01:22.65,0:01:24.64,Default,,0000,0000,0000,,work out what complications we should
Dialogue: 0,0:01:24.77,0:01:25.02,Default,,0000,0000,0000,,be
Dialogue: 0,0:01:25.18,0:01:25.92,Default,,0000,0000,0000,,screening for.
Dialogue: 0,0:01:26.09,0:01:28.04,Default,,0000,0000,0000,,And if there are complications present,
Dialogue: 0,0:01:28.29,0:01:28.59,Default,,0000,0000,0000,,then,
Dialogue: 0,0:01:29.25,0:01:29.45,Default,,0000,0000,0000,,dealing 
Dialogue: 0,0:01:29.45,0:01:30.01,Default,,0000,0000,0000,,with
Dialogue: 0,0:01:30.13,0:01:30.49,Default,,0000,0000,0000,,these
Dialogue: 0,0:01:30.53,0:01:30.97,Default,,0000,0000,0000,,hopefully
Dialogue: 0,0:01:31.09,0:01:31.47,Default,,0000,0000,0000,,fairly
Dialogue: 0,0:01:31.53,0:01:32.29,Default,,0000,0000,0000,,quickly.
Dialogue: 0,0:01:32.67,0:01:36.25,Default,,0000,0000,0000,,There are also other conditions such as depression and sleep apnea,
Dialogue: 0,0:01:36.33,0:01:39.04,Default,,0000,0000,0000,,dental problems which need to be looked for as well,
Dialogue: 0,0:01:39.21,0:01:40.08,Default,,0000,0000,0000,,so we try to give a
Dialogue: 0,0:01:40.25,0:01:42.08,Default,,0000,0000,0000,,holistic approach to a patient.
Dialogue: 0,0:01:42.47,0:01:46.53,Default,,0000,0000,0000,,I think the GP's do a great job with looking after particularly type 2 diabetes.
Dialogue: 0,0:01:46.65,0:01:48.73,Default,,0000,0000,0000,,I think the specialists have an additional,
Dialogue: 0,0:01:48.84,0:01:49.11,Default,,0000,0000,0000,,I guess,
Dialogue: 0,0:01:49.19,0:01:49.92,Default,,0000,0000,0000,,expertise
Dialogue: 0,0:01:50.24,0:01:52.98,Default,,0000,0000,0000,,at dealing with those with type 1 diabetes where,
Dialogue: 0,0:01:53.39,0:01:53.62,Default,,0000,0000,0000,,management
Dialogue: 0,0:01:53.62,0:01:55.96,Default,,0000,0000,0000,,and assessment can be very tricky.
Dialogue: 0,0:01:56.28,0:01:56.69,Default,,0000,0000,0000,,There
Dialogue: 0,0:01:56.75,0:01:59.96,Default,,0000,0000,0000,,are algorithms which one can use for type 2 diabetes,
Dialogue: 0,0:01:59.100,0:02:00.92,Default,,0000,0000,0000,,but with type 1,
Dialogue: 0,0:02:01.15,0:02:02.01,Default,,0000,0000,0000,,I think it takes a,
Dialogue: 0,0:02:02.11,0:02:02.25,Default,,0000,0000,0000,,a,
Dialogue: 0,0:02:02.34,0:02:02.47,Default,,0000,0000,0000,,a,
Dialogue: 0,0:02:02.56,0:02:03.39,Default,,0000,0000,0000,,a specific,
Dialogue: 0,0:02:03.51,0:02:03.93,Default,,0000,0000,0000,,I guess,
Dialogue: 0,0:02:03.100,0:02:04.92,Default,,0000,0000,0000,,set of skills.
Dialogue: 0,0:02:05.80,0:02:07.93,Default,,0000,0000,0000,,So, what does an endocrinologist bring to,
Dialogue: 0,0:02:07.98,0:02:10.75,Default,,0000,0000,0000,,I guess the diabetes patient which the GP may not have?
Dialogue: 0,0:02:10.88,0:02:10.90,Default,,0000,0000,0000,,Well,
Dialogue: 0,0:02:11.14,0:02:11.39,Default,,0000,0000,0000,,first of all,
Dialogue: 0,0:02:11.43,0:02:13.61,Default,,0000,0000,0000,,I guess we have the expertise with the team approach.
Dialogue: 0,0:02:13.86,0:02:14.38,Default,,0000,0000,0000,,I work 
Dialogue: 0,0:02:14.46,0:02:18.49,Default,,0000,0000,0000,,with a team of diabetes educators and a dietician and an excise physiologist,
Dialogue: 0,0:02:18.70,0:02:20.98,Default,,0000,0000,0000,,and I think that one has to understand that the
Dialogue: 0,0:02:20.98,0:02:24.85,Default,,0000,0000,0000,,management of diabetes does not solely consist of drug treatment.
Dialogue: 0,0:02:25.25,0:02:25.49,Default,,0000,0000,0000,,It
Dialogue: 0,0:02:25.51,0:02:26.95,Default,,0000,0000,0000,,can be very complicated
Dialogue: 0,0:02:27.06,0:02:27.21,Default,,0000,0000,0000,,with
Dialogue: 0,0:02:27.26,0:02:28.62,Default,,0000,0000,0000,,lifestyle management,
Dialogue: 0,0:02:29.52,0:02:29.71,Default,,0000,0000,0000,,particular 
Dialogue: 0,0:02:29.71,0:02:31.67,Default,,0000,0000,0000,,diets may need to be prescribed
Dialogue: 0,0:02:31.68,0:02:34.46,Default,,0000,0000,0000,,a particular exercise regimen may need to be prescribed.
Dialogue: 0,0:02:34.75,0:02:38.38,Default,,0000,0000,0000,,There are so many medications now available for type 2 diabetes,
Dialogue: 0,0:02:38.51,0:02:39.00,Default,,0000,0000,0000,,all
Dialogue: 0,0:02:39.31,0:02:39.78,Default,,0000,0000,0000,,with
Dialogue: 0,0:02:41.03,0:02:41.31,Default,,0000,0000,0000,,potential
Dialogue: 0,0:02:41.31,0:02:42.76,Default,,0000,0000,0000,,side effects and some
Dialogue: 0,0:02:42.83,0:02:43.11,Default,,0000,0000,0000,,with
Dialogue: 0,0:02:43.12,0:02:44.27,Default,,0000,0000,0000,,particular benefits.
Dialogue: 0,0:02:44.43,0:02:46.67,Default,,0000,0000,0000,,It can be a very harrowing and complicated
Dialogue: 0,0:02:46.76,0:02:47.66,Default,,0000,0000,0000,,area for
Dialogue: 0,0:02:47.82,0:02:48.10,Default,,0000,0000,0000,,the
Dialogue: 0,0:02:48.10,0:02:49.18,Default,,0000,0000,0000,,general practitioner,
Dialogue: 0,0:02:49.22,0:02:49.77,Default,,0000,0000,0000,,and that's,
Dialogue: 0,0:02:49.78,0:02:50.18,Default,,0000,0000,0000,,again,
Dialogue: 0,0:02:50.46,0:02:52.38,Default,,0000,0000,0000,,because it's our area of study and research,
Dialogue: 0,0:02:52.42,0:02:54.57,Default,,0000,0000,0000,,that's what we are more used to dealing with.
Dialogue: 0,0:02:54.86,0:02:57.54,Default,,0000,0000,0000,,And there're several combinations of medications which are 
Dialogue: 0,0:02:57.54,0:02:57.98,Default,,0000,0000,0000,,harmful
Dialogue: 0,0:02:58.54,0:02:58.77,Default,,0000,0000,0000,,and
Dialogue: 0,0:02:58.98,0:02:59.14,Default,,0000,0000,0000,,shouldn't
Dialogue: 0,0:02:59.14,0:03:00.05,Default,,0000,0000,0000,,be used as well,
Dialogue: 0,0:03:00.06,0:03:02.46,Default,,0000,0000,0000,,and can become very confusing for
Dialogue: 0,0:03:02.50,0:03:02.77,Default,,0000,0000,0000,,the
Dialogue: 0,0:03:02.86,0:03:03.18,Default,,0000,0000,0000,,the
Dialogue: 0,0:03:03.62,0:03:03.85,Default,,0000,0000,0000,,particular
Dialogue: 0,0:03:03.85,0:03:04.50,Default,,0000,0000,0000,,doctor.
Dialogue: 0,0:03:04.97,0:03:06.56,Default,,0000,0000,0000,,So, that's where specialist comes in,
Dialogue: 0,0:03:06.59,0:03:09.59,Default,,0000,0000,0000,,and of course looking after or looking for
Dialogue: 0,0:03:09.95,0:03:11.46,Default,,0000,0000,0000,,complications again,
Dialogue: 0,0:03:11.65,0:03:14.07,Default,,0000,0000,0000,,such as depression and sleep apnea and
Dialogue: 0,0:03:14.27,0:03:15.47,Default,,0000,0000,0000,,looking after their dental work,
Dialogue: 0,0:03:15.50,0:03:15.85,Default,,0000,0000,0000,,etc.,
Dialogue: 0,0:03:16.19,0:03:18.46,Default,,0000,0000,0000,,it can be easy in a specialist setting sometimes,
Dialogue: 0,0:03:18.67,0:03:20.17,Default,,0000,0000,0000,,particularly if the patient's very ill.
Dialogue: 0,0:03:20.70,0:03:23.46,Default,,0000,0000,0000,,So, the patient has a whole range of questions and it's very useful
Dialogue: 0,0:03:23.46,0:03:26.09,Default,,0000,0000,0000,,I think for them to have a list of questions to ask us
Dialogue: 0,0:03:26.42,0:03:26.67,Default,,0000,0000,0000,,and
Dialogue: 0,0:03:26.70,0:03:27.38,Default,,0000,0000,0000,,to
Dialogue: 0,0:03:27.70,0:03:28.17,Default,,0000,0000,0000,,therefore
Dialogue: 0,0:03:28.54,0:03:28.61,Default,,0000,0000,0000,,ask
Dialogue: 0,0:03:28.61,0:03:28.70,Default,,0000,0000,0000,,on
Dialogue: 0,0:03:28.70,0:03:29.91,Default,,0000,0000,0000,,the day rather than
Dialogue: 0,0:03:30.18,0:03:31.33,Default,,0000,0000,0000,,wait till the next time.
Dialogue: 0,0:03:31.66,0:03:31.86,Default,,0000,0000,0000,,I
Dialogue: 0,0:03:31.90,0:03:34.70,Default,,0000,0000,0000,,think patients have to realize and understand that we,
Dialogue: 0,0:03:34.78,0:03:38.73,Default,,0000,0000,0000,,as endocrinologists do acknowledge that diabetes can be a very complex condition
Dialogue: 0,0:03:39.17,0:03:39.37,Default,,0000,0000,0000,,to
Dialogue: 0,0:03:39.45,0:03:40.04,Default,,0000,0000,0000,,look
Dialogue: 0,0:03:40.29,0:03:40.48,Default,,0000,0000,0000,,after.
Dialogue: 0,0:03:40.61,0:03:41.35,Default,,0000,0000,0000,,It can,
Dialogue: 0,0:03:41.41,0:03:43.12,Default,,0000,0000,0000,,it's more than prescribing drugs,
Dialogue: 0,0:03:43.21,0:03:45.49,Default,,0000,0000,0000,,it can be highly distressing for a patient
Dialogue: 0,0:03:45.77,0:03:45.89,Default,,0000,0000,0000,,to
Dialogue: 0,0:03:45.95,0:03:46.93,Default,,0000,0000,0000,,develop diabetes.
Dialogue: 0,0:03:46.97,0:03:49.54,Default,,0000,0000,0000,,So, we want to highlight the benefits of
Dialogue: 0,0:03:49.85,0:03:53.70,Default,,0000,0000,0000,,early treatment and management to prevent problems occurring in the future.
Dialogue: 0,0:03:54.15,0:03:54.39,Default,,0000,0000,0000,,We
Dialogue: 0,0:03:54.48,0:03:56.12,Default,,0000,0000,0000,,like to highlight the benefits,
Dialogue: 0,0:03:56.16,0:03:56.64,Default,,0000,0000,0000,,for example,
Dialogue: 0,0:03:56.68,0:03:58.59,Default,,0000,0000,0000,,of blood testing when you need to,
Dialogue: 0,0:03:58.80,0:03:59.75,Default,,0000,0000,0000,,not doing too much,
Dialogue: 0,0:03:59.76,0:04:00.99,Default,,0000,0000,0000,,but not doing too little.
Dialogue: 0,0:04:01.28,0:04:04.12,Default,,0000,0000,0000,,We like to highlight the benefits of seeing the GPs for regular
Dialogue: 0,0:04:04.12,0:04:07.19,Default,,0000,0000,0000,,checks and seeing the other specialists to ensure no eye disease,
Dialogue: 0,0:04:07.60,0:04:10.04,Default,,0000,0000,0000,,seeing a podiatrist to ensure that there's no foot disease,
Dialogue: 0,0:04:10.12,0:04:10.52,Default,,0000,0000,0000,,etc.
Dialogue: 0,0:04:11.00,0:04:11.11,Default,,0000,0000,0000,,So,
Dialogue: 0,0:04:11.12,0:04:11.44,Default,,0000,0000,0000,,if you like,
Dialogue: 0,0:04:11.48,0:04:11.60,Default,,0000,0000,0000,,we
Dialogue: 0,0:04:11.68,0:04:13.04,Default,,0000,0000,0000,,like to be seen as
Dialogue: 0,0:04:13.75,0:04:13.85,Default,,0000,0000,0000,,one
Dialogue: 0,0:04:13.85,0:04:16.95,Default,,0000,0000,0000,,of the key players in managing diabetes along with the GP,
Dialogue: 0,0:04:17.24,0:04:21.11,Default,,0000,0000,0000,,along with the diabetes educator and dietician if they're required as well. (MUSIC)