In part 1 of this Exclusive Interview, Alpana Shukla talks with Diabetes in Control Medical Editor Joy Pape about the purpose and findings in the Food Order Studies.

In part 2 of this Exclusive Interview, Alpana Shukla talks with Diabetes in Control Medical Editor Joy Pape about the differences between the real-world food order study and protein preloading.

In part 3 of this Exclusive Interview, Alpana Shukla talks with Diabetes in Control Medical Editor Joy Pape about the relevance of the study for people with any type of diabetes or no diabetes.

In part 4 of this Exclusive Interview, Alpana Shukla talks with Diabetes in Control Medical Editor Joy Pape about the effects of food order on satiety and weight management.

In part 5, the conclusion of this Exclusive Interview, Alpana Shukla talks with Diabetes in Control Medical Editor Joy Pape about the future of this research and plans for the next study.

This is about one patient but the situation is not unusual for many patients who have type 2 diabetes and take insulin. Woman, 67 years of age, type 2 diabetes, taking Tresiba 15u every day at 11am and Victoza every morning upon arising, about 8am. She wears a CGM. Glucose levels were in target range for some time. Family reported patient was having some subtle cognitive changes. We did send her for neurologic evaluation.

Many people who have diabetes, especially type 2 diabetes, tell me they have no one to talk with about their diabetes. Why, with all the education and tools we have, do people who have diabetes still feel this way? My patients who have excess weight or obesity tell me the same thing. We may not have as much clinical information on that as we do diabetes as of yet, but the patients tell me the same thing.

George A. Bray, M.D., MACP, MACE is a Boyd Professor Emeritus at the Pennington Biomedical Research Center of Louisiana State University in Baton Rouge, Louisiana, and Professor of Medicine Emeritus at the Louisiana State University Medical Center in New Orleans.  After graduating from Brown University summa cum laude in 1953, Bray entered Harvard Medical School graduating magna cum laude in 1957. His post-doctoral training included an internship at The Johns Hopkins Hospital, Baltimore, MD, a fellowship at the NIH, residency at the Strong-Memorial Hospital, University of Rochester, a fellowship at the National Institute for Medical Research in London and at the Tufts-New England Medical Center in Boston.   In 1970, he became Director of the Clinical Research Center at the Harbor UCLA Medical Center, and organized of the First Fogarty International Center Conference on Obesity at NIH in 1973. Bray also Chaired the Second International Congress on Obesity in Washington DC in 1977. In 1989 he became the first Executive Director of the Pennington Biomedical Research Center in Baton Rouge, a post he held until 1999. He is a Master of the American College of Physicians, Master of the American College of Endocrinology and Master of the American Board of Obesity Medicine. Bray founded the North American Association for the Study of Obesity in 1982 (now The Obesity Society), and he was the founding editor of its journal, Obesity Research, as well as co-founder of the International Journal of Obesity and the first editor of Endocrine Practice, the official journal of the American College of Endocrinologists.

In this Exclusive Interview transcript, George Bray talks with Diabetes in Control Medical Editor Joy Pape during the AACE 2018 convention in Boston about viewing obesity as a chronic disease process and the future of treatment.

In this Exclusive Interview, George Bray talks with Diabetes in Control Medical Editor Joy Pape during the AACE 2018 convention in Boston about the disease process of obesity.