UNDERSTANDING TYPE 2 DIABETES

Similar documents
Low carbohydrate diets- do they have a place?

Why do we care? 20.8 million people. 70% of people with diabetes will die of cardiovascular disease. What is Diabetes?

DIABETES OVERVIEW WHAT IS DIABETES?

Type 2 Diabetes Prevention. By: Montano Labadia And Mary Rose Cairel

Hemoglobin. What is it? Why is iron important? What food sources contain iron?

Progression to Diabetes: Hyperinsulinemia and Beta Cell Fatigue. By James L. Holly, MD Your Life Your Health The Examiner March 16, 2017

Monthly WellPATH Spotlight November 2016: Diabetes

Diabetes: Assessing your risk

Objectives 10/11/2013. Diabetes- The Real Cost of Sugar. Diabetes 101: What is Diabetes. By Ruth Nekonchuk RD CDE LMNT

Living Well with Diabetes

Preventing Diabetes. prevent or delay type 2 diabetes from

ILSI SEA Region - Optimum Health & Nutrition for our Ageing population. Australia - October

Objectives. Objectives. Alejandro J. de la Torre, MD Cook Children s Hospital May 30, 2015

Rick Fox M.A Health and Wellness Specialist

Approximately one third of the 15.7 million Americans who are estimated to have diabetes

Diabetes AN OVERVIEW. Diabetes is a disease in which the body is no longer

Each Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.

What is diabetes? Community Health Education Lecture Series November 18, Cara L. Kilroy, ANP-BC

Diabetes. What is diabetes?

Common Diabetes-related Terms

Health Risk Reduction. Printable Materials

Prediabetes. Clinical Health Education. 7/1//2014 Chronic Conditions Management Department

Prediabetes 101. What is it and what can I do about it? Intermountainhealthcare.org/diabetes

SLEEP IN THE FACE OF CANCER AND DIABETES

Am I at Risk for Type 2 Diabetes?

The Endocrine Pancreas (Chapter 10) *

Biochemistry of Nutrition. Prof K Syed Department of Biochemistry & Microbiology University of Zululand Room no. 247

UNIT 2 DIABETES REVIEW

Diabetes Education 1/23/2014

Evolve180 / Ideal Northwest Health Profile

Diabetes-Facing it Head On! Going for the 3 Increases: Increase in Health, Increase in Happiness & Increase in Energy

POST-TRANSPLANT DIABETES. What Every Patient Needs to Know

Helpful Hints for Taking Care of Your Diabetes. Farahnaz Joarder, MD and Don Kain, MA, RD,CDE Harold Schnitzer Diabetes Health Center

Diabetes Refresher Head to Toe

Training Your Caregiver: Diabetes

Sugar metabolism and degenerative diseases

UNDERSTANDING. Excess Weight. and its Role in Type 2 Diabetes

Nutrition & Healthy Lifestyles. Nurse Navigator and Nurse Practitioner - Heidi Eve-Cahoon CNP

ADDRESSING CHRONIC DISEASES

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association

Diabetes Mellitus Definition

An Overview Of Diabetes And Endocrinology.

Diabetes Mellitus. Disclaimer. Multimedia Health Education

Goals of today s talk. How to Stop Prediabetes from Becoming Diabetes. Goals of today s talk. Type 2 diabetes mellitus

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association

INFLAMATION AND CANCER

Michele Helfgott, MD, FACOG

Combining Complex Pathophysiologic Concepts: Diabetes Mellitus

Magic Potions: Evidence-Based Diet Solutions for Diabetes and Weight Management Monica A. Dixon, Ph.D., R.D.

Screening for diabetes

Chapter 8 & 9 DIABETES - HYPERTENSION - ELDERS

Diabetes. What you need to know

The studies are also probing into the association of diets high in sugar and fats to this most common diabetes.

Modesto Gastroenterology Medical Corporation

Strategies for Managing Co-Morbid Diabetes and Depression in Primary Care

COMBAT SYNDROME X, Y, AND Z, THE UNIFYING DISEASE CONCEPT OF THE METABOLIC SYNDROME AND THEIR MANAGEMENT

Diabetes Education Columbus Community Hospital Stacy Biesel RN, CDE

Macronutrients and Dietary Patterns for Glucose Control

Medical Nutrition Therapy for Diabetes Mellitus. Raziyeh Shenavar MSc. of Nutrition

Diabetes- A Silent Killer

EMBRACING FAT FOR A HEALTHY HEART IS A NOTION BASED ON FLAWED SCIENCE

Understanding. Prediabetes. and Excess Weight

An Overview of Diabetes

Am I at Risk for Type 2 Diabetes?

How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all

DIABETES SELF MANAGEMENT EDUCATION / NUTRITION COUNSELING INITIAL ASSESSMENT. NAME Today s Date

How to End the Obesity and Diabetes Crisis in America and the World

Information for people with diabetes. diabetes. glossary of. terms

SLIM & SASSY WEIGHT MANAGEMENT LOSE THE FAT, FIND YOUR LIFE dōterra International, LLC

Diabetes Mellitus. Diabetes Mellitus. Insulin. Glucose. Classifications of DM. Other glucose regulating Hormones

Stroke Awareness. Presented by Jai Cho, MD Director of Stroke Unit Department of Neurology Kaiser Permanente, Santa Clara Medical Center.

Diagnosis of Diabetes National Diabetes Information Clearinghouse

Diabetes. HED\ED:NS-BL 037-3rd

LECOM Health Ophthalmology

Diabetes: Top 20 Foods To Eat To Control Your Blood Sugar And Reverse Your Diabetes By Melanie White

Diabetes: Prevention and Maintenance

Lecture Outline Chapter 4- Part 2: The Carbohydrates

Diabetes A to Z Bingo! Donna Tall Bear, MS CHES Certified Health Coach Instructor, Department of Health and Exercise Science

Blood pressure and kidney disease

DIABETES AWARENESS TYPES, RISKS AND CONTROL

Manage Diabetes with Small Changes

diet? What are the quantities? What are their eating habits? There must be many wrong eating habits in their daily life.

Alcohol Consumption among Adults Diagnosed With Diabetes or Prediabetes, New Mexico,

A Closer Look at The Components Of a Balanced Diet

Diabesity. Metabolic dysfunction that ranges from mild blood glucose imbalance to full fledged Type 2 DM Signs

Diabetes Mellitus Type 2

Diabetes School October 2016

Food for Thought January 26, 2012

Diabetes for CNAs. This course has been awarded two (2.0) contact hours. This course expires on August 31, 2017.

The Weight Loss Dilemma: Evidence-Based Use of Dietary Supplements. Stephen Holt M.D., LLD(Hon), MRCP(UK), FRCP(C), FACG, FACP, FACN, FACAM

Do you exercise? Yes No If yes, what kind? How often?

Diabetes Mellitus Type 2

VIPUL M DESAI

Coach on Call. Thank you for your interest in Lifestyle Changes as a Treatment Option. I hope you find this tip sheet helpful.

V. N. Karazin Kharkiv National University Department of internal medicine Golubkina E.O., ass. of prof., Shanina I. V., ass. of prof.

DIABETES. Type 2 PATIENT GUIDE

Diabetes 101 A Medical Assistant Training Module

RISK FACTORS OR COMPLICATIONS AND RECOMMENDED TREATMENT GOALS AND FREQUENCY OF EVALUATION FOR ADULTS WITH DIABETES

Maria B. Martinez Marjorie Rosier

Care Bundle. Adult patients with Type 2 Diabetes

Transcription:

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

The Scope of the Challenge 2 The People

The Scope of the Challenge 3 The Economic Impact

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.

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.

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

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.

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.

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 STANDARD TREATMENT IS NOT WORKING AND IS TOO EXPENSIVE

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.

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

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