Weight Management and Diabetes in American Society

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Weight Management and Diabetes in American Society

• Dr. Andrew R. Dyer
• Chiropractic Physician
• Back to Health Center
• Dayton, OH

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Does Being Thin Mean You Are Healthy?
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(No Transcript)
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Community Diabetes Lecture

• How long do you want to live? How long do people
  live with diabetes?
• 19 million people currently diagnosed with
  diabetes in US (Fastest growing dis)
• 41 million people are developing it.
• Symptoms of diabetes
• Current medical treatment and medications
  glucophage, pumps, sprays
• What are the long term complications?
• 80 die of heart disease
• Kidney disease, failure, dialysis (21,000/mo),
  transplant (150,000)
• Vision problems leading to blindness
• Peripheral neuropathy leading to amputations
• What is diabetes?
• Food, digestion, liver
• Hypoglycemia, Hyperinsulinism, Insulin
  Resistance-Syndrome X, Diabetes,
• Drugs impair liver function and digestion,
  receptor sights, insulin
• 98 Billion spent on diabetes in 1997. The
  current medical treatment causes the patient to
  progress needing more and more treatment/drugs
  etc.
• Diet, vitamins
• Urinalysis and blood testing with proper analysis

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Diabetes The Whole StoryHow 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

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Longevity Mostly, its a matter of choice, but
over all children today wont 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

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Cost the US 98 billion in 1997
Cost of Diabetes

• 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.

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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.

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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

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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

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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.

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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

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Diabetes associated factorsThis is not a
comprehensive list.

• Aricept
• Cortizone
• Prednisone
• Dyazide
• Entex
• Flovent
• Zestril

• Furosemide
• Lasix
• Ortho Novum
• Pamelor
• Paxil
• Toprol
• HCTZ

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Nutrients
Secondary Chromium Picolinate/GTF Vanadium Nia
cinamide Fenugreek Gymnema Sylvestre Bitter
Melon
Primary (All diabetics should be on these
nutrients) Vit C Vit E Magnesium EPA
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Whats 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.

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Newsweek September 4, 2000
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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.

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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, 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.

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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.

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Case Dawn Diamond
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Case Dawn Diamond
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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 were doing is working.

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61 yr old female, 53, 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!!!

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Another Successful Patient
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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 didnt 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

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Heres what she did
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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.

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Weight Issues

• Dietary Choices
• Portion Control
• Avoid three main things White Sugar/Flour,
  Additives/Preservatives, Diet and Regular Soda.

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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)

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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

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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.

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16 yr old female

• Height 52
• 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 wasnt increased at
  all.
• Her body was functioning more OPTIMALLY.

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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.

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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.

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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.

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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.

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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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Back to Health Center

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• Dayton, OH 45429
• 937-433-3241
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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.