Diabetes - A 21st Century Scourge: The Tests You Need

Diabetes reversal requires a holistic approach and as such it requires a higher level of knowledge about one's body and mind. Part of that increased knowledge is getting accurate information about what is going on in your body. Many test exist that can help diabetics keep accurate track of their progress on the path of diabetes reversal. Listed below are several key test that could be utilized based on individual needs.

The Tests

•  HbA1c Test: measures inflammation and would be used as a gauge for progress and necessary adjustments along with the C-reactive protein test
• Gallbladder Function: poor or no gallbladder function inhibits metabolizing fats disrupting metabolic processes. Products such as Ox bile can assist in breaking down dietary fats
• C-reactive Protein Test: measures the amount inflammation in the body which hinders weight loss, increases weight gain and sets up insulin and leptin resistance.
• Thyroid Blood Test: to assess proper thyroid function to eliminate it as a cause of weight gain or difficult weight loss
• Adrenal gland function: to assess proper adrenal gland function to eliminate as a cause of weight gain or difficult weight loss. Adrenal fatigue is associated with excessive stress
• Indirect Calorimetry: measures the absorption of oxygen, carbon dioxide production and the respiratory exchange rate for an accurate gauge of the body’s metabolic processes at rest
•  ALCAT or Sage food sensitivity testing: food sensitivities contribute to inflammation and weight gain
• Yeast/Candida Testing: Candida increases appetite and cravings and must be mitigated for sustained weight loss
• Vitamin D₃ levels: normal range is greater than 32 ng/ml however 50-100 ng/ml is optimal for great health and diabetes reversal (aids with insulin secretion and preventing or reversing insulin resistance)

To be clear not every test need be done. Individual assessment is necessary to know what to keep an eye on so be sure to seek the advice of a trusted healthcare professional.

Diabetes - A 21st Century Scourge: Nutrients for Weight Loss in Diabetics

Every excess pound above your ideal body weight makes developing diabetes or pre­diabetes extremely easy and reversing the condition exceedingly difficult. There are several imperatives regarding diabetes and weight loss. One, movement equals improvement. In order to reduce inflammation and burn off glycogen released when stress hormones are present you must exercise moderately (when able) otherwise weight management will not happen. Second, your meal plan must meet the demands of reversing diabetes. Finally, taking the right supplements in adequate amounts will help you on your way.

Keep in mind that there is no magic bullet out there to get you where you need to go. Depending solely on supplements is a sure way to not meet your goals. Be sure to think of these recommendations as Sherpas helping you up the mountain of diabetes reversal.

The goal here is to nourish the body in such a way as to trigger your body’s natural ability to reduce fat storage and induce fat cell destruction. Supplement recommendations will be divided into sections: Fat burning, appetite suppressants, increased satiety and energy production.

Thermogenic (fat burning):

●      Green tea (or green tea extracts): used for thousands of years for a range of health benefits green tea and its extracts profoundly increases thermogenic activity in the body. This helps your body increase fat burning over a sustained period of time with no side effects (unless you are extremely sensitive to caffeine). 3-­4 cups of green tea daily and/or 100 milligrams of green tea extract is recommended.

●      Fucoxanthin: a component of fucoidan it is derived from edible seaweed. Asian cultures have used and consumed seaweed full of fucoxanthin for thousands of years and have experienced wonderful health benefits as a result. In recent years it has been gaining more and more interest for its thermogenic powers with new human studies supporting this claim. It is also noted for its ability decrease the body’s ability to store abdominal and liver fat. 5 milligrams three times daily is recommended.

Appetite Suppressants:

●      L-­tryptophan and 5­-hydroxytryptophan (5­-HTP): these amino acids help to control carbohydrate and sugar cravings by helping the body produce more serotonin which naturally deters these cravings. 50­-100 milligrams one to three times daily or 100-­300 milligrams before bed. Serotonin Max may be a good place to start. *Special note: if you are taking a SSRI antidepressants or triptans for migraines please consult with your physician before taking these supplements.

●      N­-acetyl L-­tyrosine: a naturally occurring amino acid that helps the body increase

dopamine and norepinephrine which decreases appetite and improves mood. 500-­2,000 milligrams daily taken on an empty stomach usually does the trick. Avoid taking in the late afternoon as it may interfere with sleep.

Increase Satiety:

●      Fiber: fiber does so many wonderful things for the body like help control sugar levels through various mechanisms but the focus here will be on feeling full. Both soluble and insoluble fiber play a significant role in this process.  It is recommended that most people consume at least 30 grams per day (most only get about 14 grams per day). A high quality fiber supplement split up over the course of the day (10 grams 3x daily) will assist with feeling full, reduce cravings and moderate blood sugar levels.

Increase Energy:

●       Acetyl L-­carnitine: supports, protects and regenerates mitochondria and mitochondrial functions. It is also able to cross the blood­-brain barrier to support and energize brain cells and increase the number of neurotransmitters in the brain. Increased energetic output and mitochondrial function (where energy is produced) helps to reduce weight through desiring to move and then doing so!

*Before beginning any supplement regime it is best that you consult your primary healthcare practitioner or doctor.

Diabetes - A 21st Century Scourge: Nutrients for Blood Sugar Stabilization

We covered a substantial portion of the "doom and gloom" associated with diabetes whether it be grim statistics or the physical ailments it causes. With that being covered we have finally come to the portion of this series where we can bring light, hope and great health to those who are most afflicted and their loved ones. 

We will start by identifying three key areas that will assist greatly with stemming the tide of this scourge. These areas will include nutrients for blood sugar stabilization, nutrients to assist in weight loss and important tests to consider if you are diabetic or pre-diabetic. The test will provide important information that will help you figure out what nutrients are most relevant in your fight and what foods to focus on once dietary concerns are addressed.

In this article will begin with nutrients for improving and supporting blood glucose (sugar) stabilization. As we begin to expound on these supplements it is important to remember that no supplement can replace a healthy eating plan, physical activity, and stress reduction techniques.

Vitamins

A good multivitamin is a must. Even if you are following the meal plans and consuming organic or natural products chances are you are not receiving enough vitamins for optimum health. The key word is ‘optimum’ because the government standards for vitamin and mineral intake are for minimum health outcomes. When choosing a multivitamin ensure the vitamins are natural (not synthetic). Synthetic vitamins are not readily bioavailable (able to be absorbed by the body) and can create inflammation which is to be avoided as much as possible. Below are a few vitamins to focus on but all vitamins are important.

o   Biotin - this B vitamin is instrumental in preventing and overcoming insulin resistance. Reversing insulin resistance will cause a decrease in blood sugar levels which should be monitored closely.

○    Vitamin D₃ - this super vitamin acts more like a hormone and has a host of healthy responsibilities. In particular for diabetics D₃ reduces blood glucose levels and increases sensitivity to insulin making insulin more effective. The optimum range for this nutrient in the body is 50 -­ 100 ng/ml so you may be required to take 2,000 ­- 10,000 IU of D₃ daily until optimum levels are reached.

Minerals

Mineral deficiencies is a significant issue for diabetics and prediabetics. Without the proper minerals the body cannot utilize enzymes that control many bodily functions and also help control blood sugar levels. Below are some of the minerals we need to focus on in the fight to reverse diabetes.

o   Chromium Picolinate - this stealth mineral assists the body in the metabolizing of carbohydrates, fats and protein. Most importantly for diabetics is that it is the mineral that causes blood cells to “receive” glucose essentially overcoming insulin resistance. An optimum range for chromium levels is 35 micrograms for men and 25 micrograms for women. However, for most diabetics it will be necessary to consume 200 ­- 1,000 micrograms per day until optimum levels are reached. The form taken should be a picolinate. Highly refined and processed foods rob the body of chromium since these items requires heavy use of chromium for metabolization.

o   Magnesium - essential for pancreatic repair and support. Magnesium assists in stabilizing blood sugar levels by increasing the number of insulin receptors on blood cells. It also restores or repair beta cells (responsible for producing insulin) in the pancreas.

Other Essential Nutrients

o   Cinnamon - cinnamon has been well established as a blood sugar lowering nutrient. 3­6 grams daily have been shown to decrease fasting blood sugar levels by 18­29%. A high quality cinnamon extract is recommended at 250 milligrams twice daily.

o   Omega 3 Fatty Acids - omega 3’s decrease inflammation, lower triglyceride levels, may help prevent insulin resistance and improve glucose tolerance. Those with impaired gallbladder function or had their gallbladder removed will need to supplement with ox bile to sufficiently breakdown fatty acids such as omega 3’s. 500 - 1,000 milligrams of omega 3 fish oil three times per day is recommended. Those with high triglyceride levels should take 4,000 - 5,000 milligrams daily.

o   Alpha Lipoic Acid - this acid reduces oxidative stress which is very important to diabetics. It is both water and fat soluble allowing it to work in all areas of the body. It also reduces insulin sensitivity and impedes oxidation of LDL cholesterol. 300 milligrams twice a day.

This short list is by no means exhaustive but should give some insight on where to start. As always be sure to consult with a medical professional before starting a supplement regimen.

No recommendations or dosages in this article should be construed as medical advice (because it is not).

Diabetes: A 21st Century Scourge - The Ravages of Diabetes Continued

Uncontrolled blood sugar levels is the calling card of Type II diabetes that eventually leads to circulatory issues that are life changing. Foot ulcers, peripheral nerve damage and the accompanying pain, and blindness can result when blood vessels are weakened by the inflammatory action of unregulated blood sugar. Nightmarish as those conditions may be the complications of diabetes can worsen overtime leading to renal failure, heart attacks and stroke.

Diabetic Nephropathy

Silently and slowly high blood glucose levels damages the kidneys of diabetics and pre-diabetics which takes its toll. The kidneys help filter the blood and flush the body of unwanted toxins. Overtime high sugar levels cause the thickening and scarring of nephrons. The process eventually leads to renal (kidney) failure. To make matters worse it can take anywhere from 5 – 10 years before the symptoms of acute kidney damage are experienced. Some of the symptoms include nausea with vomiting, swelling of the legs, headaches, chronic fatigue, and poor appetite. Kidney damage is a leading cause of death in diabetics. As it is kidney function can be a direct correlation to the quality of a person’s life.

Strokes

High blood glucose levels create all sorts of negative domino effects in the body. One part of the domino effect is the scarring and deterioration of blood vessels that occur. The body attempts to repair these blood vessels that are constantly under attack. In doing so the material used to make the repairs “builds up” in the blood vessels creating blockages. Sometimes these blockages occur in arteries and blood vessels that supply blood to brain. When the blockages are severe enough a stroke soon follows. The result of the stroke could lead to paralysis, speech loss, inability to coordinate movement or even death. Smaller strokes could lead to dementia or senility.

Heart Attacks

Diabetes and cardiovascular diseases seem to go hand in hand. Primarily because of the circulatory issues created by having diabetes in the first place. From there it becomes much easier for cardiovascular disease to gain a foothold especially if poor lifestyle habits and predisposition to these diseases exist. Diabetics experience heart attacks more frequently than non-diabetics. Diabetics are also twice as likely to die following a heart attack as non-diabetics.

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!

Slow and Steady Wins the Weight Race!

Generally I do not write articles about myself. Generally. However, I do have a story to tell that I hope will be of inspiration to someone and that is why I’m making an exception. I don’t merely right articles or have an interest in health arbitrarily. There are many reasons for why I write, like a sincere desire to help others, with my own personal struggles not being the least of them. Weight gain, inflammation and severe sinus issues plagued me. If nothing else it proves that I am not immune to the pitfalls of life and more specifically a western diet and lifestyle. If you find yourself in a struggle don’t despair but take comfort in the fact that with knowledge, time and effort most any issue can be mastered and overcome.

How I gained the weight

I can sit on my butt with the best of them. Oh how easy it is to plop down on the couch and watch another mind numbing episode of (fill in the blank here). This is an insidious trap because inactivity feeds off of and breeds more inactivity. The more I sat the heavier I got and the more I didn't want to become active.

I was already about 20 lbs. heavier than normal when I returned to my hometown and then it happened. A combination of home cooking, fast food and the weekly stop at the “soul food” restaurant packed on an additional 20+ lbs. I gradually gained 42 lbs over a 16 year period of time. Sounds familiar? In addition, unbeknownst to me, I was suffering from severe allergic reactions to the inflammatory foods I was consuming. The result was a sinus issue so extreme that I was popping Sudafed twice a day. I blamed the usual suspects like dust, pollen and pet dander even though these never bothered me growing up and I didn’t have a pet to be exposed to pet dander so I don’t know why I considered that one. Grasping at straws I suppose. Add frequent nosebleeds and headaches to the mix and I was miserable and resigned to taking over-the-counter medications.

Stress is often a common denominator when it comes to weight gain among most people and I was no exception. My work in law enforcement was demanding and working many hours off duty left me fatigued which always compounds stress related issues. When you throw in the demands of family and everyday life chronic stress was a constant companion. An annoying, relentless, and pound producing companion! In short, the more cortisol, the more hunger increases and we know what happens next.

How I lost the weight

Although I don’t remember the exact date it happened I do remember the day I woke up startled, expecting to see someone in the room because I could hear them snoring. As I looked around frantically I slowly began to realize I was the only one in the room and it was me I heard snoring. I actually woke myself up and it was then I knew something had to change. At that time I realized I was approximately 40 lbs overweight and slowly falling apart at 32 years of age. Something had to go and I decided it was the weight instead of me. Intuitively I knew I was eating horribly. I confess an extreme weakness for Krystal burgers, soul food and Oreo cookies. Don’t even think about asking me to share! The amount inflammation in my body must have been astounding. Unfortunately, at that time in my life I had just began my journey to better health and sharing with others health related information and was not knowledgeable enough to really help myself. I did know enough to stop the fast food and slow down on the cookies but my food consumption evolution had only just begun. Thankfully I continued, little by little, and discovered the way I should go. Slow and steady does win the race. And when it comes to weight loss slow and steady is wonderful because it provides the stability you need to keep the weight off for good.

As I neared the end of my weight-loss journey I encountered an eating plan geared towards diabetics and those with pre-diabetes. After a few tweaks I reformulated the plan and began to use it and experienced great success. Most of us know how difficult it is to lose those last 5-10 lbs. and I wasn’t excluded. With the anti-inflammation food plan I eliminated or limited significantly sugar, dairy and non-healthy fats intake. Combined with moderate exercise my metabolism skyrocketed and I exceeded my weight goal by two pounds. Before anyone gets the wrong impression please realize that my consistent habits over a three to four year period lead me to my goal. There is no magic formula, no silver bullet. You must be consistent over the long term for sustained success.

Having spent many years in the military I knew exactly what I needed to do to get the weight off from an exercise point of view. Admittedly I hate running. I find it torturous, beneficial, but torturous nonetheless. As you can imagine the weight didn’t come off easily because I found it difficult to commit enough to running but I did it anyway. I have two points to make here. The first is that sometimes you have to do things that you really don’t want to do to achieve your goals. Just make sure they lead to positive results. The second point I want to make is that one should definitely look for activities that excite and connect with you. For me I have found cycling to be a great workout and it has done wonders. Search for what gets you moving and do it. Track your progress, keep raising goals and hold yourself accountable (or find a buddy to help hold you accountable).

I definitely  believe in supplementation. Any supplement that is truly natural and provides non-toxic nourishment for the body I’m all for. Be diligent about what you buy and understand that it is nourishment the body needs not gimmicks. If you’re supplements are chemically based and filled with synthetic materials and synthetic vitamins beware. These things tend to create inflammation and encourages weight gain over the long term.

My primary goal for sharing my story is to let people know that with forethought, perseverance, and consistent change you can begin to lay the groundwork for long term and sustained weight loss. Establishing a sound eating plan and consistent activity will lay a proper foundation in case other issues need to be addressed (e.g. poor thyroid function, adrenal fatigue, the need for cleansing, chronic stress, etc.). I cannot stress enough how important it is to avoid gimmicky diet plans and supplements that could cover up or even exacerbate the issues given as an example above. Gimmicks can mask the true nature of why you are gaining weight or are unable to lose it. If you are interested I will be more than happy to provide my phase one and phase two eating plan food charts. Just email me at thoughtfulhealth@gmail.com and I will forward them to you. Go in good health!

Liquid Death: Diabetes and (Diet) Soda Consumption

Be assured that the title of this article is not too fine a point. It is also not intended to shock you in a 'reality TV' sort of way either but the reality is shocking. If you are diabetic, pre-diabetic or even if you are not this information is imperative to either reverse, mitigate, or prevent diabetes.

Support pancreatic function and while boosting your immune system...naturally!

Blood sugar levels

Most diabetics know to stay away from sugar laden consumables like soda but many pre-diabetics fail to heed the warning. One of the most dangerous aspects of diabetes is the fact that you cannot feel it creeping into your life. Soda increases insulin sensitivity because it contains anywhere between 10-15 teaspoons of sugar per 12 oz. The average American consumes approximately 21 oz. of soda daily. That much sugar entering the bloodstream in a relatively short period of time spikes insulin production and the real trouble begins. Soon the insulin begins knocking on cellular doors trying to usher in sugars that the cells most likely do not need and the cells reject the insulin. After years of seeing insulin show up with something it doesn't want the cells begin to automatically reject the insulin (thus insulin sensitivity). A combination of poor eating habits, little to no exercise and a lack of mineralization only serves to exacerbate the problem.

Chronic Inflammation

What happens to all that insulin and sugar that's rejected by the body? Well, it cannot be allowed to remain in the blood stream or it would begin to do major damage. Enter inflammation. Inflammation is the body's way of identifying trouble areas in the body and trigger the immune system. Once the immune system is activated triglycerides are released which captures the rogue insulin and stores it away in adipose tissue (aka fat). One of the most negative aspects of chronic inflammation is it fatigues the immune system and distracts it from other extremely important duties. Chronic inflammation can also lead to significant weight gain which is another hallmark of diabetes.

Support pancreatic function and while boosting your immune system...naturally!

Caffeine and Cortisol

Most sodas unless otherwise stated contain caffeine. Caffeine in small amounts (100-200 mg over the course of a day) is not harmful and could actually be of benefit to the body. Any more than 200 mg of caffeine and cortisol levels begin to rise significantly. This isn't much of a problem for those who exercise moderately on a regular basis but if you are sedentary or only exercise sporadically this may become an issue. 200 mg of caffeine can raise cortisol levels by 30% within an hour. Cortisol causes the liver and muscles to release stored glycogen and if it does not get used it gets stored as fat. This increases inflammation, weight gain and can ultimately lead to hormone imbalances. In this highly caffeinated world we live in it is easier than ever to over consume it.

The Diet Soda Deception

Here is an important fact I like to share with people especially those who are pre-diabetic. Diet soda is one of the worst things you can do to yourself. Notwithstanding a myriad of other reasons to not drink the stuff diet soda causes significant spikes in insulin. How? The body is hard wired to respond immediately to any influx of sugar. After all the glucose formed from carbohydrates is the body's chief source of fuel. When that super sweet tasting diet drink touches your tongue the body prepares for what it thinks is an inevitable surge in blood sugar levels by producing insulin preemptively. Considering that the artificial sweeteners most often used is up to 300% sweeter than table sugar the body produces a great bit of insulin. At this point the body is awashed with the hormone and it has nothing to do at all. Unfortunately, the blood cells will still see the insulin and think to themselves "There it goes again...that's why we reject it". The more the cells are chronically exposed to insulin the more it rejects it. Adding insult to injury the insulin must be dealt with as previously mentioned by activating the immune system. In addition these same diet drinks often contain caffeine and large amounts release cortisol and we know what happens next (see above)!

What now?

If you're diabetic or pre-diabetic stop or greatly curtail all soda consumption. These simple carbohydrate laden products are extremely detrimental to your health and can make reversing or managing diabetes near impossible. Remember: Wise choices lead to wise outcomes. Go in good health!

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