UNDERSTANDING TYPE 2 DIABETES

Transcription

1 1 UNDERSTANDING TYPE 2 DIABETES PUTTING IT INTO REMISSION WITH A LOW-CARB HIGH-FAT DIET Jacqueline A. Eberstein, R.N. Director of Protocol, HEALcare

2 The Scope of the Challenge 2 The People

3 The Scope of the Challenge 3 The Economic Impact

4 What is Type 2 Diabetes? 4 Condition of carbohydrate intolerance $9 BILLIONS Blood sugar or glucose is increased primarily after eating carbs especially carbs with a $9 BILLIONS high sugar response High quantities of carbs will also increase blood sugar $6 BILLIONS Insulin is produced in special cells in the pancreas to carry sugar into the cells for energy $4 BILLIONS Habitual consumption of high carb drinks and foods over stress the pancreas by increasing blood sugar and increasing the need for more insulin in an attempt to maintain normal blood sugar levels $900,000 Develop insulin resistance and high insulin levels 2017 HEAL Clinics. All Rights Reserved.

5 Diabetes 5 A Nutritional Wear and Tear Disease Insulin resistance with hyperinsulinism. Insulin resistance, hyperinsulinism with impaired glucose tolerance AKA prediabetes. Diabetes with low or virtually no insulin production. Burnout of the islet cells of the pancreas. STAGE 2 STAGE 4 STAGE 6 STAGE 1 STAGE 3 STAGE 5 Insulin resistance of cells. Insulin resistance and reactive hypoglycemia or unstable blood sugar. Diabetes with high insulin resistance and hyperinsulinism.

6 Dangers of Hyperinsulinaemia 6 Neuropsychiatric Alzheimer s / other dementias Peripheral neuropathy Retinopathy Neuro-psychiatric disorders Parkinson s disease Autism Gastrointestinal Diabetes: type 2 / gestational Hypertriglyceridemia Non-alcoholic fatty liver disease Ulcerative colitis Endocrine Chronic inflammation Fatty liver Obesity PCOS Cancer Breast, ovarian, colon, bladder, pancreas, liver, prostrate Urology Nephropathy, 2017 HEAL Clinics. erectile All Rights dysfunction Reserved. Tinnitus Vertigo Meniere s disease Periodontal disease Circulatory Atherosclerosis Cardiomyopathy Endothelial dysfunction (microvascular disease and peripheral vascular disease) Stroke Thrombosis (DVT) Hypertension Skeletal Osteoporosis Inflammation Osteoarthritis Rheumatoid arthritis Source: Catherine Crofts

7 The Blood Sugar Roller Coaster 7 What happens when you routinely consume lots of carbs Increased Blood Sugar Increased Insulin Secretion Increased Body Fat Storage Carbohydrate Consumption Low Blood Sugar Low Energy And Mood Swings Carbohydrate Cravings Source: Atkins Nutritionals, Inc.

8 Who is at Risk? 8 for Type 2 Diabetes Overweight/obese Metabolic syndrome $9 BILLIONS Poor quality, high glycemic carbs Sedentary lifestyle Elevated blood sugar Abnormal lipids $9 BILLIONS $6 BILLIONS Age Family history High blood pressure $4 BILLIONS Ethnicity: Asians, African-Americans, Hispanic-American, Pacific Islanders, Gestational diabetes Native Americans PCOS 2017 HEAL Clinics. All Rights Reserved.

9 Standard Treatment 9 of Type 2 Diabetes No one size fits all diet. Still based on USDA and AHA guidelines Count your carbs to space them and cover $9 BILLIONS with medications and/or insulin Consider cultural and food preferences Limit saturated fats, use vegetable oils A pills and needles approach that will increase over time $9 BILLIONS $6 BILLIONS According to a paper in the New England Journal of Medicine, 2013, Achievement of Be careful with protein, limit sweets. Carb heavy diet Use mostly whole grains goals in U.S. diabetes Care, 33-49% patients on meds for DM are not meeting targets for blood sugar, blood pressure or cholesterol control. Only 14 % meet all OK to consume legumes, starches etc. three targets 2017 HEAL Clinics. All Rights Reserved.

10 10 STANDARD TREATMENT IS NOT WORKING AND IS TOO EXPENSIVE

11 Low-Carb High-Fat 11 Approach to Diabetes Control both the quality and quantity of carbohydrate foods to avoid elevation of blood sugar causing the need for more insulin $9 BILLIONS Begin to lower or eliminate injectable meds for blood sugar $9 BILLIONS first $6 BILLIONS Moderating insulin allows one to begin to use stored fat for energy leading to fat loss comfortably without hunger or cravings. Don t count calories Losing fat helps to normalize insulin resistance $4 BILLIONS Preserve beta-cells: insulin producing cells in pancreas Our ultimate goal is to put diabetes into remission $900,000 No needles or pills for most 2017 HEAL Clinics. All Rights Reserved.

12 Improves Overall Health 12 Decrease risks of Improve blood pressure, People with type 2 Improves overall quality diabetes complications- lipids, inflammation, diabetes increased risk of life eyes, brain, heart headaches incl. migraine, for Alzheimer s and disease, stroke, GERD, moods, skin certain cancers peripheral vascular conditions, PCOS. Prevent disease, nerve damage full blown type 2 diabetes, and kidney disease gastrointestinal complaints and some heart irregularities

13 Take Home Message 13 TAKEAWAY 1 TAKEAWAY 2 TAKEAWAY 3 One can have prediabetes or full blown type 2 diabetes for years with no symptoms, while damage is being done to many areas of the body. Unlike people with type 1 diabetes, it is not until late stage type 2 diabetes that one sees unexplained weight loss, increased hunger, increased thirst and increased urination. HEALcare provides diagnosis and expertise that is often not done in many healthcare settings. It also provides guidance and support for a permanent remission.

14 14 THANK YOU Jacqueline A. Eberstein, R.N. Director of Protocol, HEALcare