Diabetes: A 21st Century Scourge - Causes of Diabetes Continued

As we continue to discuss the causes of diabetes there are two significant contributors that must be discussed. Seldom mentioned in most dialogue regarding this scourge are the massive amounts of medications that is consumed the world over and the staggering result of unmitigated stress on our bodies.

Medications

Watch most any pharmaceutical commercial and you will likely notice that about 20 seconds of a 30 second commercial is about all the terrible things the medicine may do to you. Of those 20 seconds a few sound something like this: “Be sure to tell your doctor if you have a liver condition or poor liver function” or “Liver test may be necessary to check liver function”. There are a multitude of reasons why these pronouncements are important but for the sake of this article we will stick with the diabetic angle.

Poor liver function is a death sentence. This may sound ominous and a bit over the top but consider what the liver does (e.g. cleanse the blood, regulate metabolism) and the picture becomes clear. A Poor liver leads to a poor life and possibly diabetes. Medications can slow liver function by creating the need for continuous cleansing of highly toxic substances. These substances may be specifically toxic to the liver breaking down cellular function which decreases the organ’s efficiency.

Also, some medications can actually slow down metabolic processes in the liver causing it to become fatty and sluggish. A fatty liver has great difficulty controlling fasting glucose levels. A fatty liver also increases the incidence of insulin resistance. It is estimated that some 80% of people suffering from Type II diabetes have fat in their liver.

Stress

When it comes to silent killers stress, in my opinion, is second only to inflammation. Chronic stress is a major health issue these days and it comes from multiple sources. Family and other relationships, traffic jams, even video games can induce stress responses in the body. One of the chief responses is elevated cortisol levels. Cortisol is released into the blood stream to give the body a boost of energy to accommodate the “fight or flight” response to stressful situations by increasing blood glucose levels. When cortisol is constantly released it increases blood glucose constantly and insulin resistance is not far behind because the cells do not actually need the energy. Once insulin resistance sets in Type II diabetes rears its hideously ugly head.

In addition, because the body does not actually need to fight or run the extra glucose in the blood stream has to go somewhere. That is when the body produces visceral and abdominal fight to store the unused glucose. This type of fat is extra special and not in a good way. It tends to adversely affect the metabolism essentially becoming its own endocrine system and affecting the hormones that either stimulate or decrease hunger. The net effect is a downward spiral alternating between unmitigated stress, increased abdominal and visceral fat, and increased appetite. All this leads to continuous elevated blood glucose levels and increased insulin resistance. Combined with the cumulative effect of chronic stress we are left with nothing short of diabetic trouble.

Diabetes: A 21st Century Scourge - Part I

The Introduction

Sadness is staring an avoidable tragedy in the face and blinking. Have you had the chance to ponder the chart above? In each block are a group of numbers representing various regions of the world. The number at the top of the box represents the number of known Type 2 diabetics as of 2003. The number under it is the projected number of diabetes cases in 2025 with the correlating percent increase under each. By 2025 it is projected that there will be a 62% increase in diabetic patients worldwide. The cynic in me says to invest heavily in diabetes medications and paraphernalia. The optimist in me says I should lend a hand. Digressing to my better nature and refusing to enrich myself on the backs of those who suffer by causing suffering I offer the beginning of my multi-pronged diabetes project (more information will be given on the project at a date sometime in the future). 

Sadness is also having to witness triple digit increases projected in parts of the world that are already stressed and void of much hope. It is interesting that shortages of the most basic needs (food, water, medical attention) in these areas abound but a metabolic syndrome often associated with indulgent eating or consuming way more sugar than the body can handle would become a scourge. More on this point and why it is happening in a later article. 

Type 2 diabetes, also known as diabetes mellitus, is a metabolic disorder that occurs when the cells in the body become so resistant to insulin that blood sugar levels can no longer be controlled by the body (this is a simplistic definition and will be expounded upon later). Often medical intervention is undertaken and treatment can include having to take insulin shots, prescription medications and the need to check blood sugar levels often. The American Diabetes Association estimated that diabetes treatment in the U.S. alone cost more than $245 billion in 2012. If price levels remain the same that would mean an increased expenditure of $140 billion bringing the total to $385 billion annually by 2025 just in the U.S.! That would be more than the GDP of the Federated States of Micronesia (in other words a small country).

Sadness surrounds us but it does not have to remain or persist. We have the power to change it and ourselves. There is a growing contingent of well informed and well-meaning people who are helping to either prevent the scourge of diabetes or bring balance to those who have the condition reversing it and freeing would be lifelong diabetics from their conditional prisons. Let the word go out, if it is not already known, that diabetes is a condition not a disease. It is not something you catch but something you develop and what is done can be undone no matter what the cynics and robbers of joy and health say.

This series will focus on some of the causes, health implications, and modalities concerning diabetes mellitus and is designed to offer and inspire hope for what is a seemingly overwhelming epidemic. Have faith, be strong and let us share this ride together!

The Story of Cholesterol: The Next Generation (Our Children)

The pharmaceutical industry has its eye on what could be one of the most lucrative demographics that can be tapped into: our children. With obesity rates among young people on a steady rise it was only a matter time before higher cholesterol rates were observed with an eagerness to address it with statin drugs.

Other than the elderly our children are the most vulnerable of us all. That is why special care must be undertaken to ensure a healthy and prosperous start to life. Could statin drug use in our children be the start they need?

The Effects

No one knows for sure the long term effects of statin drugs on children. The reason for this is that no long term studies have been conducted to show efficacy (benefit or harm). What is known is how it affects adults in a relatively short span of time and most often the news is not good.

Also we must consider the fact that statins lower cholesterol by inhibiting the production of hormones especially sex hormones (e.g. testosterone and estrogen). In children this could be potentially devastating altering how their bodies develop forever by interfering with puberty and proper growth. It is known that statin drugs communicate with the pituitary gland blocking or discontinuing certain hormonal functions stunting biological processes.

Children, eating habits, and exercise

According to the Centers for Disease Control childhood obesity rates have doubled in children and tripled in adolescents in the past 30 years. In 2010 it was estimated that nearly 1/3 of all children were overweight or obese. With these statistics there are some doctors and pharmaceutical reps chomping at the bit to get statins into the mouths of children but it doesn't have to be so.

Children tend to eat the way their parents eat. In fact, it is highly likely that if the parents are sedentary, fast food junkies so to will the children likely be. It is estimated that 1/3 of all adults in the U.S. are obese so the estimate for children makes sense. After all the apple doesn't fall far from the tree. We live in a world where we seek the path of least resistance which means we sometimes take short cuts with our health and the health of our children by doing the least possible by way of exercise and activity. We should encourage children to be more active by word and by deed. Children must be told and shown how and why to be active because their very lives depend on it. The same goes for eating habits. A healthy meal plan for the entire family is a great way to get kids involved in healthful and nourishing eating habits that will last their lifetimes.

Medications have their place but long term habitual use in our children will only lead to devastating consequences during or before early adulthood. After all, when you really get down to it, do we really expect an 11 year old child to take statins for 40-60 years without consequences when we know what it does to fully grown adults? Can you imagine the potential profit base for pharmaceutical companies over the same period of time? The average annual per patient cost for a statin is $800 X 60 (years) X 14,000,000 (number of children between the age of 6 and 17 years old that are considered obese or overweight as of 2012) = $672 billion (yes, billion with a B). This number does not take into account the portion of money covered by insurance which is covered by those who pay premiums. It also does not take into account the money that will be spent on other health issues as a result of statin drug use. What is very sad is that the figure above may be overstated because the assumption is a child of 11 would survive until their 70th birthday while taking a statin drug which is unlikely.

More fruits and vegetables, less processed and fast food and a little more movement will allow our children to grow healthy and strong while allowing parents and premium payers alike to keep our money and sanity.