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

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: – 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 Pre Diabetes "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 diabetes within 10 years.

, 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

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

Test Description Date Glucose Hemoglobin A1C Cholesterol Triglycerides T3 T7 Coronary Risk Erythrocyte Sed Rate 1st Test Result 2nd Test Result 3rd Test Result 9/11/1997 11/11/1997 9/23/1998 353 13.7

232 9.7

99 6.3

205 633 30 2.01

6.8

14 175 250 30 2.79

6.6

5.7

211 207 33.1

3.08

6.2

7 Homeostatic 85.00 - 100.00

4.60 - 5.40

150-180 80-115 35-40 2.6-3.6

0-4 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 Heart

wire

— 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. effort required just stressed them out too much.

there are risks and benefits and Perhaps this was just too many drugs at too high a dosage, and the I think our conclusion is therefore that we should not be zealots about lowering blood sugar at all costs. We must understand that 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 cancer causing 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 cancer causing 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.

NutraSweet. – Aspartic acid – Methanol

Aspartame

Sold commercially as Equal and The three components – 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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Dr. Merkle and Dr. Dyer co-host “Back to Health: Your Guide to Better Living” You can hear more of these topics and ideas every Saturday from 11am-12pm on AM 1290 WHIO and 95.7 FM.