Participants: George Guthrie, Tim Arnott
Series Code: WM
Program Code: WM000330
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00:36 Hello, welcome to Wonderfully Made.
00:39 My name is Dr. George Guthrie; 00:41 I am the Medical Director 00:43 at Lifestyle Center of America. 00:45 We are here today to talk to you 00:46 about Type 2 diabetes, 00:49 we have learned some things 00:51 from those people that we treat 00:53 for Type 2 diabetes at Lifestyle 00:55 Center of America and we think you will be 00:57 interested in that. Joining me 00:59 is Dr. Tim Arnott, thank you George 01:03 and it's nice to be here, yes, 01:04 on Wonderfully Made. Well Tim when we 01:08 talk about diabetes some times 01:12 we get stuck as doctors in just 01:14 treating the symptoms, that's correct. 01:17 One of the thing I enjoy about 01:19 being at Lifestyle Center of America 01:21 is we actually deal with the cause of a diseases, 01:24 it's a very rewarding practices 01:26 that we have at the Lifestyle Center of America, 01:28 because individuals come 01:30 and they've actually been down the other road, 01:34 they have had their symptoms treated, 01:36 they'd become frustrated 01:38 and now they are very receptive 01:40 to hearing how they can remove 01:42 the underline cause of their condition. 01:44 And so they are listening and they are ready 01:47 just like a sponge to absorb all the information 01:49 that the Creator has for these individuals. 01:52 And when they are ready, 01:54 we can put them to work dealing 01:57 with the underlying cause. 02:00 Now to help you understand as listeners, 02:03 what we are talking about, 02:05 I suppose we need to explain a little bit, 02:08 you see to put in a nutshell, 02:10 we understand that Type 2 diabetes 02:13 is caused by taking too much energy in 02:17 and not expending enough energy 02:21 and our body develops a resistance 02:25 to the insulin in our body 02:27 and the blood sugar start to go up 02:29 and than the problems come from that, 02:33 well they come from both the high blood sugar 02:35 and the high insulin levels. 02:37 So, the diet and the exercise changes, 02:41 bring a change in the underlying cause, 02:46 that means people actually need less medication. 02:50 That's absolutely right and in fact, 02:52 what we have to share with you on 02:54 this program is we think very exciting, 02:56 in fact the data that we'll be sharing was 02:59 actually presented at some national meetings, 03:02 the American Dietetic Association, 03:04 they actually had a plant based, 03:07 a total plant based diet or 03:08 vegetarian breakout session, 03:10 and the data presented at that session 03:13 came from patients, 03:14 who were doing something a little differently 03:17 and it wasn't the traditional diet 03:21 therapy that was used in initially 03:23 for Type 2 diabetes 03:26 and in also Type 1 diabetes, 03:28 which was a high fat diet; 03:29 and it wasn't high protein diet, 03:32 it was another kind of approach. 03:34 What kind of approach was that Dr. Guthrie? 03:37 Well we discovered that a diet 03:39 that focuses on plants. 03:41 Now sometimes, we say complex carbohydrates, 03:45 but what we really mean is plants 03:47 were the carbohydrates and the fiber 03:49 and the fats and everything 03:52 is a kind of mixed together, 03:54 the way the God designed it. 03:55 And the proportions that only the Creator, 03:58 its wisdoms can actually see 04:01 the benefits and the reasons for. 04:03 And so we're going to be looking at a diet, 04:05 it's a little different, it's actually 04:07 high in carbohydrate, 04:09 but that's not what you might 04:11 have heard in the past, 04:13 when you heard higher carbohydrate. 04:14 What do most people think about George, 04:17 when they higher carbohydrate? 04:19 Well even the scientific literature 04:20 is a bit confused about it, 04:22 when they say complex carbohydrate diet, 04:24 generally what they are testing is actually starches 04:28 that have being purified out of whole food 04:31 and then fed to people and indeed those 04:33 who often enter the body more refined, 04:36 they come in quickly, they tend to cause problems, 04:39 they don't have the fiber 04:41 that the whole plant foods do. 04:43 So basically what you are saying is, 04:45 when you hear high carbohydrate diet, 04:49 usually people are talking about 04:51 white flour and refined sugar 04:55 and this Bagels and Pasta 04:57 and Bread made out of refined flour. 05:00 Indeed that's probably, 05:02 why people shied way from carbohydrates, 05:05 when diabetes was first 05:07 understood to be a sugar problem. 05:09 You see carbohydrates go into the blood, 05:11 they make the sugar go up, 05:14 so it was rational as we started 05:16 to look at the diseases, 05:17 if you could lower the blood sugar, 05:19 you would actually fix the problem. 05:22 Unfortunately as they moved to diets 05:24 high in protein an high in fat 05:26 to try to bring the sugar down, 05:27 it led to more problems, for example 05:30 kidney diseases from too much of the protein. 05:34 So, this is kind of a new approach, 05:36 but it's not new, it's really 05:38 the old approach isn't it? 05:40 Well that's true it is the old approach, 05:42 it's the original approach, 05:44 it's the Creator's approach. 05:46 And the people that heard about this 05:48 at the American Dietetic Association meeting 05:50 this year were just astounded, 05:52 they couldn't what they were seeing, 05:54 for what they were seeing is 05:57 what you see here on this first graphic. 05:59 What they were seeing is that patients 06:02 in a 19 day program at the Lifestyle Center of America, 06:06 who had Type 2 diabetes, actually drop their 06:10 blood sugar significantly and actually 06:14 I would say dramatically on a high carbohydrate, 06:18 total plant diet. And so it's kind of the opposite 06:22 of what you would thing 06:24 would be effective for Type 2 diabetes, 06:27 in fact most individuals thinks you need to be 06:29 on a low carbohydrate diet 06:30 in order to get the blood sugar down. 06:32 But what we actually have seen and see 06:35 every day at the Lifestyle Center of America 06:37 is that blood sugar drop significantly on a high 06:42 carbohydrate diet as long as those 06:44 carbohydrates are whole grains, 06:46 beans, vegetables and fruits, nuts and seeds. 06:51 So that's a really good news. 06:53 It is good news, and the best news 06:56 I think about it is that, 06:58 not only is your blood sugar coming down, 07:00 but those foods that you are eating are 07:02 80 percent water and they are rich in fiber 07:05 and so what else tends to come down, 07:08 as your blood sugar is coming down? 07:10 Well you know when we take someone's 07:14 blood sugar, it's like taking a black 07:17 and white photo; you do the click and 07:19 you know what the blood sugar is right there. 07:22 As physicians we like to able to tell a little more, 07:27 we would like to have a video of the blood sugar, 07:28 so we could actually see what happens 07:30 through the day that would, 07:32 exactly, that would be a lot nicer. 07:33 It's not perfect, but we've come up with 07:35 a couple tools, one of those tools 07:37 that we've used is something called Hemoglobin A1c, 07:41 that is it's the Hemoglobin molecules in the blood, 07:45 which as it's formed has sugar attached to it 07:49 and we know that the amount of sugar attached 07:52 to it is reflected by oh excuse me, 07:56 reflects how high the blood sugars are. 07:59 Well in our program at the Lifestyle 08:01 Center of America, we have 19 days 08:03 to check and see what differences is made. 08:07 It takes about 3 months to see differences 08:10 in Hemoglobin A1c, Hemoglobin A1c takes longer, 08:13 that's correct. So, actually if you look at 08:15 this data one more time, 08:17 you'll actually see that what we used 08:19 was not Hemoglobin A1c, but some thing called 08:22 fructosamine and fructosamine 08:26 is a similar arrangement it's, 08:29 but it's not the Hemoglobin protein, 08:31 it's the Albumin protein another major blood protein 08:34 and it's the amount of Albumin 08:36 that is actually combined with blood sugar. 08:40 And that you can see changes in and about 08:42 two weeks and that's about the time between 08:45 our first blood draw and our second blood draw, 08:48 and so changes in fructosamine actually 08:51 show that you are right, not just a fasting blood 08:55 sugar today and a fasting blood sugar 08:57 a week from now, but the trend of 09:00 blood sugar over a two week period. 09:03 You know folks may not have recognized on that slide, 09:07 there was a little thing up in the corner that said 09:10 p = <0.001, what does that mean to? 09:15 Well actually what that means 09:17 is that the differences between the blood sugar, 09:20 the fructosamine in another words 09:22 the average blood sugar, when they came into the 09:24 program verses the fructosamine level 09:27 or the average blood sugar as 09:29 they departed from the program 09:30 or left the program was statistically different. 09:33 In other words it's only, there is less than one 09:36 chance in a thousand that the difference 09:39 in these two blood sugar readings could be by chance 09:43 and so it's validates that there was real change. 09:46 We like to say as scientist it's statistically 09:49 significant, that's right now statistically significant 09:52 doesn't always mean clinically significant, 09:55 but I think you can agree with me George, 09:57 that when we look at our patients of 09:59 Lifestyle Center of America, 10:01 we can see that truly their 10:03 blood sugars are coming down, 10:05 they feel better and in fact even insulin levels 10:09 are coming down significantly in just 10:12 a couple of week, which is also important. 10:14 That's good, let's see something else I think, 10:17 I think we have another slide that looks 10:19 at weight loss doesn't it? 10:20 Does weight loss or does weight come down 10:23 as people go through this life style change? 10:25 You know one of the things that we tell our patients 10:28 at the Lifestyle Center of America 10:29 is don't focus on weight, 10:31 just focus on the health principals 10:34 that the Creator has provided. 10:36 The total plant diet, the walking program, 10:40 the increase in water intake, 10:42 spending 15 minutes in the sunlight at least 3 days 10:46 a week and getting adequate rest, 10:48 opening the windows get fresh air, 10:50 move away from harmful substances like caffeine 10:54 and alcohol and tobacco and then spending time 10:57 with your Creator. These are the things 10:59 that the Creator would invite us to spend 11:02 our time with him to focus on, 11:04 and when you do that, 11:05 you'll have a side effect 11:07 and that's side effect is weight loss. 11:09 You mean I make a mistake, 11:11 if just focus on my scales. 11:13 Well yes actually it's probably better 11:17 not to spent so much looking at the scales, 11:20 you might want to check at once a week, 11:22 but the reality is that if you are too focused on 11:25 your weight and your weight is not coming down 11:28 as you might like it to, anxiety level can go up, 11:31 stress level may go up and may actually increase 11:34 the difficulty of loosing weight and so, 11:37 but people follow weight researchers follow weight, 11:40 and so we like to follow it as well. 11:43 Well that's an interesting way of looking at it Tim, 11:46 weight loss is a side effect 11:49 of the lifestyle treatment of diabetes. 11:53 Usually we think of drugs having side effects 11:55 and they are being negative, 11:56 and here is a positive side effect. 11:58 It's a very positive side effect and in fact, 12:02 you know researchers have shown that 12:05 if you have tight blood sugar control, 12:08 that you actually reduce your risk of blindness, 12:11 retinopathy if you have diabetes, 12:12 you reduce your risk of kidney 12:14 disease in nephropathy, 12:16 your risk of nerve damage, 12:18 neuropathy, and perhaps even heart disease. 12:21 If you have tight blood sugar control, 12:23 but most of those studies show that the 12:26 individuals that had the tight blood sugar control, 12:29 their weight actually went up over time 12:32 and this is an, a very difficult 12:34 problems in medicine today, 12:36 blood sugar going down, weight going up, 12:38 and what this means is over time 12:40 you're going to have to have more and more medicine 12:42 to keep your, your sugar down. 12:45 Well often people are focusing right on the sugar 12:49 and give some insulin to bring the sugar down 12:51 and insulin tends to make gain weight, 12:54 medications to increase the insulin 12:56 tends to make people gain weight. 12:57 So it just makes a lot more sense to 13:00 treat the cause, to get the calories down, 13:04 to used the plant based diet to, 13:06 to optimize calories and then 13:08 of course use the exercises as well. 13:10 Well don't we have slide that shows 13:13 something about the weight? 13:14 Yes George we do. And we'd like to get 13:16 to that and as we're getting, 13:18 as we're moving to that data, 13:20 we would like to just remind you 13:22 that the first slide showed, 13:24 that the blood sugar comes down 13:26 on a high carbohydrate diet, 13:29 if it's whole grains, beans, vegetables, 13:32 fruits, nuts and seeds. The second slide 13:35 will actually show that not only does 13:38 the blood sugar come down, 13:39 but the weight comes down and in fact it, 13:43 on average comes down about 10 pounds. 13:46 As you can see here, and again each one 13:48 of the slides that you are going 13:50 to see on this program, 13:51 the differences in between 13:54 the parameter at the beginning of the program, 13:56 weight in this case, and the parameter 14:00 at the end to the program, 14:01 19 day program is highly statistically significant 14:05 in fact there is a less than one once chance in 14:08 about thousand that the differences in weight here 14:10 could be by chance. 14:11 And so a 10 pound weight loss in just 19 days, 14:16 that's a very significant thing, 14:18 but the most important thing is that the 14:20 insulin resistance that that weight loss 14:23 represents is a reduction, 14:25 insulin resistance lowered smaller 14:28 and that means you are going to need less insulin 14:30 or less medications, if you have diabetes. 14:32 My weight loss is of side effect, isn't that fun. 14:35 Powerful, now sometimes when we think about 14:39 our weight, we focus on the scales, 14:42 we step on them in the morning and all kind of exhale 14:45 to get them to read a little bit lower 14:48 and try to get him just right, but, 14:49 but even more important than the weight is 14:52 actually how much of the fat that we loose, 14:56 right? Didn't we discover something about 14:58 what happened to people's fat 15:01 storage during the program as well. 15:03 Well actually we did George, 15:05 in fact this was the data coming for about 5 15:08 consecutive programs at the Lifestyle 15:10 Center of America about a year ago, 15:12 these were all patients with Type 2 diabetes, 15:15 and what we see here as the percent body fat 15:20 actually dropped significantly 15:23 in just 19 days. As you can see it's 15:26 highly statistically significant 15:28 and when you are reducing the body fat, 15:30 you are actually reducing the resistance 15:33 that the body has against insulin. 15:35 Which means you're not going to need as much medicine, 15:38 you are not going to need as much to take 15:40 as much insulin if you are on insulin 15:42 and it just means, it's going to be easier 15:45 to treat the condition of diabetes. 15:48 Two percent loss of body fat, 15:51 wow that's a pleasant sort of a thought about 9 15:56 and a half pounds worth of weight, 15:58 my wife has this model, maybe you've seen it, 16:01 it's about a 18 inches long and about 16:06 5 or 6 inches in diameter, 16:08 it suppose to be what 5 pounds of fat looks like, 16:12 it just seems good to me to see that leaving, 16:15 that fat leaving the body, 16:18 it brings improvement to the physiology doesn't it? 16:21 Absolutely, and in fact in just a three month period 16:24 of studies that combined about 1800 calorie diet 16:28 with 30 minutes of vigorous exercise, 16:32 5 days a week, actually showed George that you 16:35 could remove about 25 to 30 percent of 16:40 the fat in an around the organs of 16:43 the abdomen in just that short period of time 16:46 and that means a lot less resistances to insulin, 16:50 because resistance to insulin is often 16:53 centered right in that fat 16:55 that we carry in the mid section. 16:58 Well that's right Tim, 17:00 but you know we've being focusing 17:01 kind on the diet part of this, 17:03 it's important to eat those plants, 17:05 but that was half the equation, 17:07 when we've talked about treating the cause 17:09 of the diseases and the other half of 17:12 that equation is, the exercise component. 17:15 What if we learn about the exercise component, 17:18 well actually if you want to dramatically 17:21 increase your bodies ability 17:23 to take in blood sugar, just use your muscles, 17:27 in fact the muscles will wake up 17:29 and respond to insulin almost immediately upon it, 17:33 upon use and so exercise especially 17:36 the big muscle groups can dramatically 17:39 lower the insulin resistance, 17:40 it can lower the blood sugar level. 17:42 In fact at the Lifestyle Center of America 17:44 we see individuals, who taking insulin 17:48 and if they walk after a meal like an hour, 17:51 hour and a half, two hour after a meal, 17:53 if they walk briskly their blood sugar drops 17:55 dramatically and they actually have to 17:57 cut back on the insulin, that they are going to use 17:59 at the that previous meal, 18:01 if they are going to be doing vigorous 18:02 exercise several hours later. 18:04 Another benefit from treating the cause, 18:07 rather than simply the symptoms, 18:09 absolutely, that's good. 18:10 Well how do we measure fitness? 18:14 Well there are several ways to measure fitness. 18:17 We use some simple methods 18:20 at the Lifestyle Centre, we actually measure 18:22 resting heart rate and you know 18:25 if your resting heart rate drops 18:27 significantly over a period of time, 18:29 you know that your heart is more efficient 18:32 at doing the work of carrying 18:35 you through the day. And so it doesn't have to 18:37 beat as often and so we can actually 18:40 see here, that the resting heart rate dropped 18:43 again significantly in just a 19 day program 18:48 at the Lifestyle Centre and you can see 18:51 it's highly statistically significant difference. 18:54 Now another method of measuring fitness 18:57 that we use, is simply looking at something 19:00 called V02 Max and we estimate this 19:04 by doing a Rockport mile V02 max George, 19:08 what does this mean? 19:11 A V02 max is an interesting measurement. 19:13 What is does is to actually take 19:16 and measure how much oxygen 19:18 you can take into your mouth, 19:19 get into your lungs to your heart, 19:21 out to your muscles, use the oxygen 19:23 turned into carbon dioxide send it back 19:26 to the lungs and then breath out, 19:28 so it's a very good measure of fitness. 19:30 So it actually is showing us that individuals, 19:35 if we can look at the graphic 19:37 one last time individuals, 19:39 who come to the program at the Lifestyle 19:41 Centre of America, they have a certain 19:43 ability to take in and use oxygen. 19:46 And at the end of the program, 19:47 they have an even greater ability 19:49 to use oxygen and that means 19:51 that they are more physically fit. 19:53 What's more than that, there is an improvement 19:55 in their insulin sensitivity as well, 19:57 that is their disease is getting better 20:00 as their fitness improves. 20:02 And so we see the, the validity of treating 20:06 the underlying cause of the condition 20:09 rather than just using medications 20:11 to treat the symptoms. 20:13 Now Dr Guthrie there is particular type of 20:16 exercise that we like to use at the Lifestyle 20:20 Centre of America and it actually intersperses 20:24 a little bit of rest into your exercise program. 20:27 Tell us more about this? 20:29 Oh! I really like this, 20:31 you see I have never really been able to 20:34 exercise as well as I would like to, 20:37 kind of sore, it hurts afterwards, 20:40 when I came to the Lifestyle Centre of America 20:42 about two and a half years ago, 20:45 well I went to our fitness director and I said, 20:47 show me what you do. 20:49 So he put me on the treadmill that actually 20:51 measured my V02 max, came out at 35 liters 20:57 a minute, that's how much oxygen 20:59 I could actually use, get into my muscles 21:01 burn turned into carbon dioxide and then exhaled. 21:06 Well he looked at me and said George 21:09 you are in excellent for a 65-year-old man. 21:13 Well that was a little bit discouraging, 21:16 but then he explained to me how 21:18 to do this intermittent training. 21:22 You see one of the things that is a problem 21:24 for the body with exercise, 21:26 is something called lactic acid. 21:28 Lactic acid is made when our muscles run out 21:31 of oxygen to burn and they end making lactic acid 21:34 instead and lactic acid makes muscles hurt, 21:37 it actually decreases our endorphins in our brain, 21:42 so exercise is not nearly as fun. 21:44 One of our mantras is every minute of 21:48 exercise includes some rest 21:51 and you get credit for that rest. 21:54 So each guest, who comes to the Lifestyle 21:57 Centre of America has a fitness evaluation 22:00 is given a range to keep their heart rate in, 22:02 they get the heart rate up and then 22:05 once it gets up they let it come down 22:07 and that's that rest for each minute. 22:10 Well you know, when it did that for myself 22:13 someone who had never really been able to exercise 22:15 before keep consistent with it. 22:18 My V02 max, when it was measured 22:21 about ten weeks later, 22:24 about a 27 percent increase 22:31 and I didn't hurt. It was something I could 22:33 continue in indeed, it's something I continue to 22:36 this day two and a half years later. 22:39 The good news is that's what most of the people 22:42 who come to Lifestyle Centre have discovered. 22:45 This kind of exercise intermit with some rest 22:49 and some exercise mixed together getting credit 22:52 for all of it as exercise actually 22:54 gets more benefit is more pleasurable 22:56 and more something you can continue, 23:00 to me that's an exciting new perception, 23:03 a new prospective on exercise. 23:06 Now since there is not so much lactic acid, 23:10 there is not so much damage to the tissues 23:12 and people are actually getting better faster, 23:15 rather than having the damaging 23:17 affects of the lactic acid. 23:18 And George the damaging affects of too much 23:22 exercise on the joints and on the heart 23:25 and so it's not just the muscles that benefit, 23:28 but also the joints can benefit. 23:31 I remember when my wife Silvia went through 23:34 the program, the Lifestyle program 23:36 and what she noticed is that prior to 23:40 adopting the intermittent training 23:42 or the mixing rest with exercise. 23:45 You know she would get very winded 23:48 and just feel like total exhausted, 23:50 you know after 20, 30 minutes of exercise, 23:53 but after she adopted the intermittent 23:54 training style of exercise and 23:57 let that heart rate come down about 10 beats 24:00 and then pushed it 10 beats and let it come down 24:02 another 10 beats, that's form of exercise 24:05 the intermittent training allowed 24:08 her to go for 30 minutes 24:09 and she did not feel winded, 24:10 she felt that she could go for even longer. 24:14 And so what it does, is it takes away this 24:16 exhausted feeling of people that did exercise 24:20 and that's one of the reasons that individuals 24:22 quit exercising, they hate this exhausted feeling, 24:24 the truth is you don't have to have that 24:26 exhausted feeling and when your body 24:28 is telling you, you need to take a little break do it 24:31 and you won't miss out on the benefits of exercise, 24:34 in fact a very wise health reformer, 24:38 a number of years ago suggested that 24:40 those in sedentary occupation 24:42 such as physicians and pastors 24:45 should actually walk up and down hills. 24:47 When you think about if George, 24:49 that's a natural form of intermittent training, 24:52 in fact we might address this issue 24:55 do you need a heart rate monitor in order 24:57 to do intermittent training? 24:58 Well I think it's probably helpful those 25:00 who are really sick and who might have 25:03 a heart attack to keep them in their safe range, 25:06 so no I don't know that you would have to 25:09 but I think it probably makes little easier. 25:11 What about you? So well you know 25:13 I've tried it both ways and I think that 25:15 there are advantages and disadvantages, 25:18 but the message we wanna send today is that, 25:21 if you use a heart rate monitor for 25:23 intermittent training that's an excellent 25:25 way to do it, it is probably the most precise way, 25:27 but if, if the cost is an issue 25:30 or if complexity is an issue, 25:32 if you like a more simple approach, that's okay. 25:36 Just walk up and down hills or walk faster 25:39 and then slowdown or some who are able might be 25:41 able to do a little a little jog and then walking, 25:45 but what ever you do walk or exercise 25:49 most days of the week. 25:50 This is very important at getting 25:52 at the underlying cause of type 2 diabetes. 25:56 You know Tim one other things it brings me 25:58 the most pleasure as physician now 26:00 is watching people, who come in with a cane 26:05 or just hardly able to get around sometimes 26:09 the wheelchair and have them come to me 26:11 two weeks later and say, I just walked two miles. 26:15 There is such pleasure in helping people 26:19 get to the route causes of the disease 26:22 rather than simply treating the symptoms, 26:25 because they are actually getting better, 26:27 they are feeling better, their blood sugar numbers 26:30 are coming down as we pointed out they have 26:33 the weight loss side affect 26:35 and they are just feeling better inside. 26:39 It's a really rewarding way to practice medicine. 26:43 And speaking of the inside George 26:45 you know individuals may watch a program 26:48 like this and be asking the question 26:50 in their minds well, so I do all of these 26:54 things and maybe my blood sugar 26:56 will come down and may be I will live a couple 26:58 of years longer, is that really such 27:01 a big deal isn't it worth the effort? 27:03 And I think it's important to point out 27:05 that the probably the most important reason 27:08 to adopt a total plant diet, 27:10 to adopt an exercise program, 27:12 to embrace all of the Creator's natural 27:14 remedies is for the benefit to the mind. 27:19 The importance of clear thinking, 27:20 the increase in the ability to carry on 27:23 that daily devotional life and connect 27:26 with our Creator, that's the ultimate 27:30 and the most powerful reason 27:32 for adopting theses health principles, 27:34 is not just to keep your physician happy, 27:37 but it's to have a better connection 27:39 with your great physician. 27:41 That's right Tim, as our bodies improve 27:44 our brains get clear the circulation to 27:46 our brain is better and we are better 27:48 able to have a relationship 27:50 with our heavenly father. 27:53 Well, if we understand diabetes Type 2 27:57 to be a problem with too much energy in 27:59 and not enough energy out, 28:01 then I suppose it makes sense to treat 28:04 the cause not just the symptoms. 28:06 It's best to exercise, eat a good diet, 28:11 we are wonderful made. |
Revised 2014-12-17