Download Diabetes - Leaves Of Life UK

An Epidemic
“There is no such thing as ‘a
little touch of sugar.’ Diabetes
is serious -- whether you take
insulin or not.”
Type II Diabetes
A Continuum
Factors
• Overeating, even of good food, but
especially of refined carbohydrates (sugar)
and fats
• Possibly: some trace mineral deficiencies,
especially chromium, magnesium, and
vanadium
• Insufficient exercise
• Aging
• Heredity
Afflictions of Diabetics
 Life expectancy shortened by 5-10 years or more
 Contributes to 160,000 deaths a year
 2-12 times greater risk for heart disease
 2-4 times risk for stroke
 #1 cause of adult blindness
 Factor in half of all foot and leg amputations
 Over 50,000 diabetics on dialysis or have
transplant yearly
 Cause of peripheral neuropathy
 Increased risk of breast and uterine cancers
Revised Diagnostic Criteria for
Type II Diabetes
l Fasting plasma glucose of 126 or greater
l 2-hour postprandial plasma glucose of 200 or greater.
(Both should be repeated and confirmed.)
Half the adults with diabetes are
currently undiagnosed.
1. Testing for diabetes should be considered in all individuals
at age 45 years and above, and, if normal, it should be
repeated at three-year intervals.
2. Testing should be considered at a younger age or be
carried out more frequently in individuals who:
l are obese (120% ideal body weight)
l have a first-degree relative with diabetes
l are members of high-risk ethnic populations (e.g., AfricanAmerican, Hispanic, Native American)
l have delivered a baby weighing >9 lb or have been diagnosed
with GDM
l are hypertensive (140/90)
l have an HDL cholesterol level 35 mg/dl and/or a triglyceride
level  250 mg/dl
l on previous testing, had IGT or IFG
Chromium & Magnesium - 1
l Organically bound to brewer's yeast is best absorbed
l Called "Glucose Tolerance Factor" because it helped
restore normal carbohydrate tolerance in early diabetic
animals.
Deficiencies
l Highly refined carbohydrate foods (white flour, white rice,
sugar products) are low in chromium and cause rapid loss
of it from body tissues.
l Fats interfere with absorption
l Excess zinc, calcium, iron, manganese interfere with
absorption and utilization
l Stress, such as malnutrition and blood loss
Magnesium
 One of the most prevalent minerals in the body
l Absorption is interfered with by:
• High intake of calcium
• Phosphate, oxalic acid (spinach, rhubarb), poorly digested fats
 RDA: Adult men: 350 mg; Adult women: 280mg
 Processing grains causes loss of most Mg
 Refined sugar, alcohol, fats, oils=0
l
Excessive cooking in a lot of water causes losses
 Rich sources: peanut flour, sesame seeds, soy flour, wheat
bran, wheat germ
 Good sources: Blackstrap molasses, nuts, peanut butter, whole
grains, whole wheat flour, yeast
 Fair sources: Avocados, bananas, breads, beef, cornmeal,
dried fruits, fish, olives, most leafy vegetables
Chromium & Magnesium - 2
Good Dietary Sources
l Blackstrap molasses, apple peels, banana, corn products,
potatoes, whole wheat, wheat bran (cheese, egg, liver L)
l Fair sources: Carrots, green beans, oranges, spinach,
strawberries
l Recent Report: High doses of Chromium Polynicotinate (1000
mcgm/day) can reverse mild to moderate Type II Diabetes in 6-8
months.
l Report July 1997 from Johns Hopkins: Low serum magnesium
may be a strong independent predictor of Type II Diabetes.
Principles of Treatment
 Fasting
l
Short-term, medical supervision
 Vegetarian Diet
 Exercise
Fasting
 Short-term, 3-5 days
 Medical supervision
 Stop all medications, drink only water or
herb teas
 Check blood glucose 3 times a day
 Stop fast when glucose falls to normal, or
if glucose rises instead of falling
Vegetarian Diet
 Diet should be total vegetarian, lowfat, high fiber, mostly natural
unrefined vegetables, whole grains
with a few nuts, and moderate use of
fruits; raw foods in abundance.
 Makes counting calories and
exchange diets largely unnecessary.
Exercise
> Numerous studies show that exercise can
both prevent and reduce Type II diabetes
> German study in 1996: “Increased physical activity delays
the onset of non-insulin dependent diabetes or even
prevents the disease in about 50% of susceptible
individuals…”
> From Medical College of SC, 1998: “In a study of about
1,500 men and women, researchers found that people who
exercised-even moderately-made more efficient use of
insulin to metabolize food.” (Previous studies had shown
vigorous exercise was beneficial, but this study showed
that even a 30 minute stroll daily significantly reduced the
risk of diabetes).
mericans eat too much food. They
eat too much meat, too much fat especially saturated fat - too much
cholesterol, too much salt, too much sugar.
They should cut their consumption of these
and increase their consumption of fruits,
vegetables, and cereal products - especially
whole grains.
Dr. Mark Hegsted, Professor Emeritus of Nutrition, Harvard University
Results of Blood Sugar
Control for Type I Diabetics
76% reduction in diabetic retinopathy
54% reduction in significant kidney disease
60% reduction in peripheral neuropathy
35% decrease in cardiovascular risk
Meat & Death from Diabetes
Risk ratio in Seventh-day Adventist men
Use of Meat
Risk Ratio
Less than 1 day per week
6 or more days per week
1.0
3.8X
Diabetic Benefits of a HighCarbohydrate, High-Fiber Diet
 H levels of serum cholesterol and triglycerides
 H blood pressure in those with hypertension
 Promotes discontinuation of insulin therapy for
NIDDM
 H risk of death from heart disease
 Improves GI function
 H body weight in obese
 H risk of kidney damage
 H insulin requirements
 Improves glycemic control
Diseases Associated with
a Low Fiber Diet
Diabetes mellitus
Hemorrhoids
Constipation
Bowel cancer
Appendicitis
Bowel polyps
Vericose veins
Heart disease
Hiatus hernia
Strokes
Diverticular disease
Gallbladder disease
Eight Cancers Linked to
Sugar Consumption








Colon cancer
Rectal cancer
Breast cancer
Ovarian cancer
Uterine cancer
Prostate cancer
Kidney cancer
Cancers of the nervous system
Sugar Weakens White Blood Cells’
Ability to Destroy Bacteria
Teaspoons of sugar
0
6
12
18
24
# bacteria destroyed
14.0
10.0
5.5
2.0
1.0
Hidden Sugars in Foods
(teaspoons)
Banana spilt
Soft drinks
Canned fruit
(light syrup)
Chocolate cake
Chocolate candy
Fruit pie
Ice cream
Donut, glazed
Jam, jelly
3 scoops
12 oz
1 serving
1 (4 oz slice)
1 oz
1 slice
1 scoop
1 each
1 Tbs
24
10-12
8
8
7
7
5
4
3
Statistics
One year excess medical costs for diabetics:
$3,494 per person
Ref. Shelby, J.V., et al, Excess Costs of
Care for Patients with Diabetes…
2.4 X that of controls Medical
Diabetes Care 20; No. 9:136. August 1997
World Epidemic Predicted
WHO estimates 135 million worldwide
300 million by 2025
2.8 million die of diabetic complications each year.
"Unless we do something drastic, I expect diabetes to become one of the
major killers in the world in the year 2010." (Jack Jarrell, president of the
International Diabetes Federation.) "I don't think bringing in more drugs is
going to help."
Risk of Macrovascular (large blood vessel) disease:
1.5-2 X more often in diabetics
"Much of the risk of macrovascular complications occurs with impaired
glucose tolerance before the onset of overt NIDDM."
Ref: Diabetes care 20:#8; p. 1225. July 1997.
How to calculate waist-to-hip ratio
1. Have patient stand relaxed, without pulling in the
stomach and measure the waist at the level of the navel.
2. Measure the patients hips over the buttocks where the
hips are the largest.
3. Divide the waist measurement by the hip measurement.
Examples:
Waist 36”, Hips 40”; Ratio = 0.9
Waist 46”, Hips 38”; Ratio = 1.2
(The American heart Association recommends that a woman’s
waist-hip ratio be no more that 0.80, and a man’s no more than
1.00. The Dietary Guidelines committee of the U.S. Department
of Agriculture and Health & Human Services recommends a ratio
of 0.80 for women and 0.95 for men.)
“Checking patient’s waist-hip ratios should be as routine as
checking their weight.”
(Norman Kaplan, M.D., Professor of Medicine,
University of Texas in Dallas)