Transcript Weight Management and Diabetes in American Society

Weight Management and
Diabetes in American
Society
Dr. Andrew R. Dyer
Chiropractic Physician
Back to Health Center
Dayton, OH
Does Being Thin Mean You Are
Healthy?
Diabetes: The Whole Story
How you feel is no indication of how
healthy you are.
Fastest growing disease in every
age group
More common in developed
countries
More common in the affluent in all
countries
Longevity: Mostly, it’s a matter of choice, but over all children
today won’t live as long as their grandparents.
How long do you want to live?
Life expectancy 77.2 years-a record high
for children born in 2001
– Girls: 79.8 years
– Boys: 74.4 years
USA Today 10-6-2003 National Center for Health
Statistics
How long do you want to be free to:
– Walk
– See
– Spend time the way you want
Cost
of
Diabetes
Cost the US $98 billion in 1997
Indirect costs, including disability
payments, time lost from work, and
premature death, totaled $54 billion
Medical costs for diabetes care,
including hospitalizations, medical
care, and treatment supplies, totaled
$44 billion.
Diabetes 1 & 2 are multi-factorial
Direct Causes:
– Viruses
– Auto-immune disease
– Vaccinations
–Refined carbohydrates
– Drugs:
Steroids- asthma, lupus, ms etc.
Blood pressure drugs,
antibiotics etc.
Pg. 41
Diabetes 1 & 2 are multi-factorial cont.
Other factors:
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Genetics
Vanadium
Chromium
Manganese
Dairy
Aspartame
– Processed meats, hot dogs, bacon, sausage,
bologna, pork- 46% increase when frequently
eaten
– 39% increase with hydrogenated fats
– Pop/colas
– Coffee, caffeine
– Refined carbohydrates
Pg. 41
FDA approved Exubera by Pfizer, Inc
and Inhaled Insulin
Jan 26, 2006
It will be much more expensive then insulin shots
Regular insulin will still be needed to some
degree
Effect of Insulin on sinus passages and lung
tissue long term is unknown
Current known side effects: coughing, sore
throat, dry throat, dry mouth
There is some concern about chronic inhalation of
a growth protein directly onto the lungs
Consistent dosage
– Must inhale exactly with the same speed and depth
– Having sinus conditions and colds will lower absorption
– Smoking may alter/increase absorption
Pg. 41
Insulin Side Effects
Some adverse effects of insulin injections are a
higher risk for hypoglycemia, significant weight
gain leading to adverse effects on blood pressure
and cholesterol levels, hypokalemia,
lipodystrophy, hypersensitivity, and increased
insulin antibody production.
Common side effects from insulin injections
include allergic reaction such as itching or
hives, acne, swelling in the face or hands,
tingling or swelling in the throat or mouth,
tightness in the chest, breathing trouble;
seizures, fainting, and red, itchy, or swollen
skin where the injection was given.
Pg. 41
Diabetes: Symptoms
NO SYMPTOMS in the early stages
increased thirst
increased urination
change in urine
fatigue
vision problems: frequent prescription
changes
poor healing
edema
neuropathy
Pg. 41
Diabetes: associated factors
This is not a comprehensive list.
Aricept
Cortizone
Prednisone
Dyazide
Entex
Flovent
Zestril
Furosemide
Lasix
Ortho Novum
Pamelor
Paxil
Toprol
HCTZ
Nutrients
Primary:
(All diabetics should be on
these nutrients)
Vit C
Vit E
Magnesium
EPA
Secondary:
Chromium Picolinate/GTF
Vanadium
Niacinamide
Fenugreek
Gymnema Sylvestre
Bitter Melon
What’s going on down there?
The cells within the
pancreas are
responsible for
producing insulin in
order to package
and store glucose.
A healthy liver is
responsible for
over 500 bodily
functions.
Newsweek
September 4,
2000
Diabetes Risk on the Rise?
A study from Cornell University, published
in the Journal of the American College of
Nutrition, 1986, which found that children
who develop diabetes mellitus were twice
as likely to have been fed soy.
A November 1994 warning was published
in Pediatrics in which the Nutrition
Committee of the American Academy of
Pediatrics advised against the use of soy
formulas due to the diabetes risk.
40% of U.S. Adults
Revised Definition Means Millions More Have PreDiabetes "Pre-diabetes" — a condition that raises
a person's risk of developing type 2 diabetes,
heart disease, and stroke — is far more common
in America than previously believed, according to
a new HHS estimate released today. About 40
percent of U.S. adults ages 40 to 74 — or 41
million people — currently have the condition,
which is marked by blood glucose levels that are
higher than normal but not yet diabetic. Many
people with pre-diabetes go on to develop type 2
diabetes within 10 years.
How can someone with Diabetes
get healthier?
Have they been tested by a qualified
nutritionist?
Dietary modifications, along with the
use of proper vitamins and
supplements work very effectively.
Blood analysis is the key to finding
out if other processes in the body are
preventing efficient sugar handling.
Case
Dawn
Diamond
Diabetes, Extreme Fatigue, Recent
Loss of Vision,Digestive Problems,
Recurrent Sinus Infections
Patient DM 5586, a 59 year old female, presented on 9/11/97
All natural therapy, no drugs were used!!!
January 14, 1998: 4 months on the program
 Hemoglobin A1C reduced from 13.7 down to 6.3
 Glucose dropped from 353 down to 99.
 Triglycerides dropped from 633 down to 207.
 She was very adamant about not doing any medical treatment or therapy.
 She had to stick very carefully to the natural program we designed.
 Vision almost back to normal
 Sinus infections are gone
 Digestion is normal.
 Energy is greatly increased.
**I must recommend that if you are diabetic you have to test yourself
regularly. If you are taking insulin, you cannot just suddenly stop taking it.
Case Dawn Diamond
1st Test 2nd Test 3rd Test
Test Description
Result
Result
Result
Homeostatic
Date
9/11/1997 11/11/1997 9/23/1998
Glucose
353
232
99
85.00 - 100.00
Hemoglobin A1C
13.7
9.7
6.3
4.60 - 5.40
Cholesterol
205
175
211
150-180
Triglycerides
633
250
207
80-115
T3
30
30
33.1
35-40
T7
2.01
2.79
3.08
2.6-3.6
Coronary Risk
6.8
6.6
6.2
0-4
Erythrocyte Sed Rate
14
5.7
7
0-8
Clinical
65-109
4.5-5.7
100-199
10-199
24-39
1.2-4.9
0-5
0-30
What Did She Do?
Did we give her the Diabetic vitamin of the
month?
Did we suggest she follow the Diabetic
Diet?
She stuck very closely to the guidelines
that we were able to lay out for her based
on what was seen in her blood tests. She
also monitored her sugar levels at home
daily.
The progress that was seen is well
documented and by the numbers. If the
numbers look better, than we know that
what we’re doing is working.
61 yr old female, 5’3”, 117 lbs
10 yr history of chronic drug abuse
(crack/cocaine)
Known diagnosis of Hepatitis C
She did not know until after our
testing that her liver condition may
have been aggravated by a condition
called hemochromatosis.
4 months on the program… Results
on next page!!!
Another Successful Patient
This lady was very highly
motivated…
She had complete faith in the program but
it waivered a little bit the first few weeks
She called me almost daily the first two
weeks on the program
She didn’t feel great when her sugars
where over 300…
After four months her sugars are
averaging between 117-149 when she
monitors them three times per week
Here’s what she did…
Remember this…
This is a vitamin and supplement program
that was specifically recommended for this
patient based on her test results.
These are not the only things we asked
her to change and her dietary
commitments were key to her success as
well.
This list of vitamins and supplements are
not the same ones that every patient that
has diabetes would be recommended.
Weight Issues
Dietary Choices
Portion Control
Avoid three main things: White
Sugar/Flour, Additives/Preservatives,
Diet and Regular Soda.
FAT NATION: USA
1/3 (33%) of all adults are obese: 59 million
people
23% in 1994
15% in 1980
Only 1 in five consider themselves obese (People
consistently underestimate their weight
15% of children age 6-19 were seriously
overweight: 9 million which is triple the number
in 1980
Journal of American Medical Association, 10-2002
Dayton Daily News, 10-9-2002 (2000
government survey)
Weighty Health Problems
Obese people spend 36% more for health
services and 77% more for medications
than the average American.
This is more than twice as much as the
costs incurred by smoking.
The health costs and condition of an
average obese individual and a person of
optimum weight could be compared to the
average 50-year-old versus a 30-year-old.
RAND Corp. Health Affairs, March 2002
The Day After: Experts Puzzled Over Increased
Death Rate in ACCORD Study from Heartwire — a professional
news service of WebMD February 7, 2008 (Bethesda, MD)
–Group receiving intensive glucose lowering showed a higher
mortality rate than those receiving standard care.
The goal of the study was to have patients A1C to be below 6.0
and glucose close to 100.
“we have done extensive analyses and not identified a cause
for the increased mortality.”
Too Many Interventions?
Buse's personal belief: "The patients enrolled in this study were
quite vulnerable in that they were relatively old (average age
62). The intensive group had extremely rigorous treatment,
with some patients taking four shots of insulin and three pills
and checking their blood-sugar levels four times a day. Perhaps
this was just too many drugs at too high a dosage, and the
effort required just stressed them out too much. I think our
conclusion is therefore that we should not be zealots about
lowering blood sugar at all costs. We must understand that
there are risks and benefits and one size probably does not fit
all patients," he said.
16 yr old female
Height 5’2”
Weight 169 lbs.
Blood analysis done 2-16-2006.
After 14 days on the program, her mother
called me to say that the young girl had
lost 13 lbs already.
She was following a good clean diet,
taking supplements, and exercise wasn’t
increased at all.
Her body was functioning more
OPTIMALLY.
Saccharin
Many studies on animals have shown
that saccharin can cause cancer of the
urinary bladder.
– In other rodent studies, saccharin has
caused cancer of the uterus, ovaries, skin,
blood vessels, and other organs.
– Other studies have shown that saccharin
increases the potency of other cancercausing chemicals.
– The best epidemiology study (done by the
National Cancer Institute) found that the use
of artificial sweeteners (saccharin and
cyclamate) was associated with a higher
incidence of bladder cancer.
Saccharin,
Heed the label warning?
In May 2000, the U.S.
Department of Health and
Human Services removed
saccharin from its list of cancercausing chemicals.
Later that year, Congress passed
a law removing the warning
notice that likely will result in
increased use in soft drinks and
other foods and in a slightly
greater incidence of cancer.
Aspartame
Sold commercially as Equal and
NutraSweet.
The three components
–
–
–
–
Aspartic acid
Methanol
Phenylalanine
These components break down into
formaldehyde, formic acid and
diketopiperazine, a chemical which can cause
brain tumors.
– All of these substances are known to be toxic
to humans.
Questions have arisen about the quality
of the cancer tests, which should be
repeated.
Aspartame
Some persons have reported adverse
behavioral effects (dizziness,
hallucinations, headache) after
drinking diet soda.
There is little evidence that this or
other artificial sweeteners have
helped people lose weight. Indeed,
since 1980, consumption of artificial
sweeteners and rates of OBESITY
have both soared.
Remember the Final Foundation
The years of eating sub-optimal food
leads to the gradual development of
disease.
You cannot correct it without a
nutritionist who does metabolic
testing (bloodwork) to determine
exactly what you need
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