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Chiropractic Correlations (2-08-99) The Midterm is February 17. T6 – Pancreas: Dual innervation – vagus and thoracics T5-T9 Both exocrine and endocrine functions Exocrine – digestion Endocrine – glucose balance Digestion: Carbs, fats, proteins Pancreas can get real stressed out by these Endocrine: Diabetes Hypoglycemia (reduced blood sugar) Rapid decrease in blood sugar CNS effect that also affects heart rate and the Pt’s sense of well-being the drop stimulates the adrenal medulla to try to bring the blood sugar back to normal Sharp drop: Weak, dizzy, palpitations, sweating, extreme hunger, even fainting Prolonged drop: Symptoms of cerebral anoxia Headaches, confusion, fainting, ataxia Glucose Tolerance Test: Needs to be at least 5 hours long (preferably 6 hours) Some people were misdiagnosed several years ago when they only did 3-hour tests Diagnosed as diabetic when they were actually hypoglycemic The blood sugar can go up for 3-3 ½ hours, then suddenly drop Other Pts never reach the high point Some Pts always stay low (ex – malabsorption syndrome) Glucometer readings don’t always match the venous blood drawn lab results Venous blood is more accurate, but a nuisance Odd lab results: Labs didn’t like Pts hanging around for hours, so they’d let the Pts wander in and out of the lab during the test Blood sugar organs: Pancreas (most commonly the problem) Liver Adrenals (2nd most common) If any one of these malfunctions, can get an abnormal glucose tolerance test. Some say it’s best to randomly test Pts when they’re symptomatic. Dr. H. likes the glucose tolerance test. It’s a challenge test. It’s reproducible. Pancreas: It’s hard to measure it’s digestive enzymes. It’s a hard call if the Pt doesn’t have fatty stools. It’s one of the most frequently needed digestive enzymes. Viokase (raw pancreas): 2 per hour gave a more ‘normal’ curve (than just taking them with meals) A good, middle-of-the-road product Enzymes: Lipase, trypsin, chymotrypsin, amylase, proteolytic activity Capsules and tablets often did better than enteric-coated ones The enteric coating is to get it past the stomach But – if you don’t have proteolytic enzymes in the pancreas, it’s less likely to dissolve Dietetic Treatment for Diabetics and Hypoglycemics HCF Nutrition Research Foundation, Inc. P.O. Box 22124 Lexington, KY 40522 (606) 276-3119 Muscles: have a lot of free info (or inexpensive) Lats: Easy to test But – easy for the Pt to substitute Pt supine, thumb against side, elbow straight Also - Pts often have tender triceps (can be weak, also) Other Signs: Costal arches – upper left, lower right – tend to be tender Right thenar pad tenderness (not the web) Dry skin Acute Abdominal Pain: Appendix: tend to lie on their right side with their knees bent Acute pancreatitis: tend to sit up in bed with their knees bent Trying to take the stress off the organ and its mucosal covering. Hypoglycemics: Symptoms usually occur between meals (when blood sugar levels decrease) Faintness, tachycardia, irritability, cravings for sweets/food Nutrition: (for both hypoglycemics and diabetics) Raw liver: 4-6 capsules 1st thing in the morning B-complex: mid-afternoon Chromium picolinate (helps the pancreas handle blood sugar) Book – History of Medicine Right before insulin became available, the treatment was to have Pts eat raw liver in the morning (to stabilize their blood sugar during the day). Dr. H. tried this in ~ 1954 Pts said it helped Their blood sugar evened out Added the B-complex later (Dr. Pepper story about the clock set at 10, 2, and 4) Pre-Diabetic: Frequent urination Thirst Burning eyes Dizziness If their blood studies come back normal Try liver plus a B-complex Can also add: 1 Pan 5X per meal OR 4 Zypan per meal If it’s a pancreatic digestive problem 1-2 Pan 5X per meal B-complex at the noon meal If Pt is older, add HCl