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Posts with tag ControllingDiabetes

Should you seek a dietician over a doctor?

Thomas Smith began reviewing scientific literature after conventional medicine failed him in controlling diabetes. Smith found research that shows dietary toxins impair cell membrane function. These toxins include trans fatty acids and refined sugars. Cells begin to have trouble absorbing nutrients, and the blood sugar rises. Over time, this results in chronic elevated blood and urine sugar levels. Sounds like a growing epidemic, doesn't it?

This damage to cell membranes, caused by a poor diet, can be repaired. The diabetic syndrome can be cured by eliminating all processed fats and oils. The protocol calls for supplementing high-dose Omega-3 fatty acids. This protocol normalizes blood sugars because the body is continuously repairing cell membranes by using the fats and oils available in the diet. One caution: the speed of recovery is related to the length of the illness. Some Type 2 diabetics may require up to one year for dramatic reductions in blood sugar.

A gaping hole exists between conventional medicine and diet. Conventional medicine claims that the cause of Type 2 diabetes is unknown. Medical doctors, as practitioners of conventional medicine, are not trained to explain how it happened. They treat symptoms with medicine. The business of medicine is medicine. The business of diabetes would be devasted if the cure was as simple as diet. The explanation Thomas Smith provides in his empirical studies is fascinating and I encourage anybody with competing or supporting evidence to open the debate.

Diabetes Complications - the White Elephant

A white elephant is a supposedly valuable possession whose upkeep exceeds its usefulness, and it is therefore a liability. Every type 2 diabetic is a valuable possession to someone: a mother, a father, a sister, a brother, a daughter, a son...you get the picture. But when it comes to the complications of the disease - it costs the U.S. health system an extra $22.9 billion a year to treat these complications.

"It is a pretty significant wake-up call for people, or should be. It really points out the importance of managing the disease," said Willard Manning, a health economist at the University of Chicago who worked on the report.

Dr. Daniel Einhorn says "the fact that people are still getting complications means we are not using our tools effectively enough," When people fail to follow their diet, exercise and drug treatment plans, the disease leads to complications that boost the total health bill to $57.1 billion. "Either the patient doesn't recognize they have it and complications develop, or they are not good about adhering to their doctor's orders," he said, adding, "We've got to do a better job of managing the disease." Dr. Einhorn serves on the board of the American Association of Clinical Endocrinologists.

Of course, it's the patient -- NOT the drugs they are using. It couldn't possibly be the drugs.

Caveman Therapy Session and Diabetes Care

I love the Geico commercial with the Caveman-- the one where he's in the therapist's office and his phone rings . He says, "My mother's calling. I'll put it on speaker." According to a recent study published in the medical journal Diabetes Care, researchers have found that family communication and problem-solving skills are important for helping young people with type 1 diabetes to manage the condition. Specially tailored family therapy can help teens with type 1 diabetes keep their blood sugar levels under control.

A family-based behavioral therapy program was specifically tailored to address diabetes-related family issues. The program consisted of 12 sessions offered over six months, and included training in "behavioral contracting" techniques for family members and a 1-week parental simulation of living with type 1 diabetes. For their study, the researchers randomly assigned 104 families of teens with poorly controlled type 1 diabetes to the behavioral family therapy program, standard care, or a multifamily support group that included educational elements. While levels of A1C, a measurement of long-term blood glucose control, fell in all three groups over the first six months, A1C levels climbed again in the standard-care and support-group kids, but remained low for the behavioral family therapy group up to 18 months after the program began.

Researchers concluded that the efficacy of a family-based behavioral therapy approach is more effective in improving diabetes control. There is power in numbers especially when it comes to any family affair. See mom and dad - told you so!

Overeating Overtime -- Too Much to Handle

Overeating can shut down a natural brain function that is key to preventing common cardiovascular and diabetic diseases..

Researchers found that chronic overeating can overwhelm the neural pathway that regulates the amount of fats flowing into the bloodstream from the liver. The liver is partly responsible for regulating fats entering the blood stream. It produces triglyceride fats the body can turn into LDL (bad) cholesterol, which can cause arteriosclerosis and blood vessel blockage. Glucose can enter the brain when levels are elevated in the bloodstream. When glucose enters the brain, it is broken down into an acidic substance known as lactate. Lactate signals the liver to stop making fat. It appears that chronic overeating can overwhelm the brain's ability to metabolize glucose into lactate. When lactate is no longer produced -- the signal to stop the liver from releasing fat into the blood stops, too. As small arteries get clogged, they create the circulatory problems common in type 2 diabetes, linked to overeating, obesity, and limb amputations.

Smaller portions, less glucose in the brain, better traffic flow. After all - nobody likes getting mixed signals. Let's do all we can to keep the lines of communimcation (and our arteries) open.

New Pill Could be Better than Byetta

A small molecule has been identified that controls diabetes in mice and may pave the way to the development of easier treatment for adult-onset diabetes.

This key molecule, called Boc5, can stimulate insulin function and reduce body weight by 20%. The molecule stimulates the production of the glucagon-like peptide1 (GLP1), responsible for metabolizing glucose. The study intended to discover ways to sensitize insulin by stimulating production of GLP1. Boc5 is not powerful enough to become a diabetes or weight loss drug. But researchers suggest that similar compounds could join the latest generation of diabetes drugs, called "incretin mimetics." The first FDA-approved incretin mimetic was Byetta. A second such drug, with the generic name liraglutide, is in clinical trials.

The problem with the existing FDA approved incretin mimetic treatments is that they are large molecules that must be administered through injection. Boc5 is a small fry with big potential. Being a smaller molecule gives hope for a new generation in diabetes treatment in the form of a pill many of us would be happy to swallow.

The Key to Outliving Diabetes

Many of us fear what we do not know, which could be why the diagnosis of diabetes is so harrowing. Fear no more. Amy Tenderich has teamed up with Dr. Richard Jackson, MD of the Joslin Diabetes Center to shed some light on the heaps of material we must digest to control our diabetes. Amy and Dr. Jackson have simply explained it all in Know Your Numbers, Outlive Your Diabetes: 5 Essential Health Factors You Can Master to Enjoy a Long and Healthy Life (Marlowe Diabetes Library).

The book is a priceless addition to any diabetic library. It begins by explaining the five tests that are the cornerstones for monitoring your overall health with diabetes. These tests are: A1c, blood pressure, lipids, microalbumin, and an annual eye exam. You may think you know it all because you've been there, done that. But do you really know - what it tests, why it's done, and what your numbers should look like? After you learn what those tests mean to you and your health - Amy and Dr. Jackson help you develop a plan of action. They build a road, paved with easy to understand (and explained remarkably well) information about nutrition, medicine, organic treatments, support, and specialized shopping sites for diabetes.

I was impressed beyond my expectations. Knowing the award winning caliber of work Amy produces, and the integrity of Dr. Jackson's work with Joslin Diabetes Center and Harvard Medical - I was looking for a good guidebook on diabetes care. No ma'am. This book is AWESOME! I knew it would be good, Amy. You've outdone yourself, once again. I hope this book motivates everyone who reads it to know their numbers and outlive their diabetes. And when it does - remember us little people, ok? Thanks a million, Amy!

Hostility and stress predict insulin resistance

Just another reason to be nice...a study reveals that people with high stress and high hostility levels have an increased risk of developing insulin resistance. This means that the body's response to insulin begins to slow down and blood sugars rise. This increases the likelihood of developing diabetes.

Previous research has shown that insulin resistance is associated with stress and certain personality factors, including hostility. Researchers hypothesized that hostility may interact with stress to affect insulin resistance. The study measured levels of norepinephrine in the urine. Norepinephrine is an indicator of stress. The Cook-Medley Hostility scale was used to measure hostility. (What kind of world do we live in that actually warrants a scientific scale to measure hostility!?!?) Insulin resistance was measured by the homeostatic model assessment index, 2-hour post-challenge glucose, and insulin levels after factoring in the influence of nine other risk factors. The study found that there is a statistical interaction between hostility and stress level in gauging insulin resistance. People with higher levels of hostility don't always have worse insulin resistance, but they do when they are under stress, especially high levels of chronic stress.

The team also found that not all components of hostility are related to insulin resistance. For instance, cynicism is a personality trait that is strongly related to insulin resistance. I'm telling you, the more I read into this study, the more I realize I need an attitude adjustment. And it continues.... because people with high hostility (especially high cynicism) tend to have worse insulin resistance under stress, it is important to target this population for preventive interventions. Anytime the severity of a situation rises to "intervention" status -- it takes on a whole new meaning. This begs the question -- who wants to brave an intervention for a hostile and stressed looming diabetic? Not it!

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