Participants: David DeRose MD (Host)
Series Code: LIF
Program Code: LIF000012A
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00:28 Welcome to "Reverse Diabetes Naturally."
00:30 I'm Doctor David DeRose, 00:32 president of Compass Health Consulting, 00:35 and your host for this exciting journey. 00:38 It's the simple things you can do 00:40 to make a difference with diabetes. 00:43 You might even be wondering, 00:45 "Why speak about diabetes? 00:47 How important is it?" 00:49 If you've tuned into this episode, 00:53 you're thinking about this condition. 00:56 Diabetes is one of the leading 00:59 metabolic conditions in the world. 01:03 If you look at the statistics, diabetes 01:05 is one of America s great epidemics. 01:07 It's largely due to rising numbers of individuals 01:11 with what we call type 2 diabetes. 01:13 Let's stop right here and 01:15 give a few definitions. 01:17 When I was in medical school, 01:20 there was no such thing as type 1 and 01:22 type 2 diabetes. 01:23 We spoke about children, and juvenile diabetes. 01:28 Heavy adults had adult-onset diabetes. 01:34 Those terms became 01:38 confusing when we started finding 01:42 young people with what looked very much like 01:46 the same type of diabetes seen in adulthood. 01:49 The name type 2 diabetes was assigned. 01:52 to the type of diabetes that occurs 01:56 as a result of insulin resistance. 01:59 This is insulin not working the way it should in the body. 02:02 We'll speak more about that soon. 02:05 On the other hand, juvenile diabetes 02:08 was given the designation "type 1 diabetes." 02:11 This is typically an autoimmune process typically. 02:16 The body is attacking itself. In this case, 02:19 It's attacking the islet (or beta) cells, the 02:23 producing cells in the pancreas 02:25 that make insulin. 02:28 Type 1 diabetes can occur in adulthood, though uncommon. 02:32 What we're seeing today is an epidemic 02:35 in the Western world (and the United States), 02:37 driven by diabetes of the type 2 variety. 02:43 If you look at how 02:46 broad the scope of the epidemic is, it's staggering. 02:50 Some 25 million Americans have the condition. 02:53 That amounts to 8 percent to the population. 02:56 This represents a 26 percent increase 03:00 from 2005. Seven million of those individuals 03:06 are undiagnosed. 03:10 How would we know how many are undiagnosed? 03:15 It's simply based on population data. 03:18 Experts will do a screening event in a region. 03:23 They'll find that there are "X" number of people 03:27 who have diabetes and didn't know it. 03:29 What that amounts to is about 03:30 27 to 30 percent who have diabetes 03:35 are unaware that they have the condition. 03:37 If you look at it in other ways, 03:40 roughly 11 percent of Americans over 20 have diabetes. 03:44 By the time we get to the age of 65, 03:47 over one-quarter of the US population 03:51 has diabetes. As for the impact of diabetes, 03:55 There are different ways to calculate death 03:58 statistics in the United States. 04:01 One way calls it the seventh leading cause of death. 04:07 At any given age, people with diabetes 04:10 are about twice as likely to die 04:14 as people who don't have the condition. 04:17 There's a human cost that transcends the numbers. 04:23 Even if someone does not die from diabetes, 04:28 they're likely to have serious complications. 04:30 This affects their ability 04:32 to live and have a high-quality 04:36 existence from day to day. 04:38 The most common diabetic complication 04:41 is nerve damage, known as diabetic neuropathy. 04:45 Sixty to seventy percent of diabetics 04:48 have mild to severe forms of nerve damage. 04:51 This can influence sensation 04:56 in the hands and feet. You might ask, 04:59 "What difference does it make?" 05:02 It makes a huge difference. 05:04 One of the big problems with 05:06 loss of foot sensation is increased risk 05:09 of foot damage. 05:11 I'm thinking of things that sound innocuous, 05:17 like a little sore on your foot. 05:19 A sore that you're unaware of can grow. 05:22 With diabetes, healing is impaired. 05:26 A little sore, 05:27 something that seems insignificant, 05:30 sets the stage for foot and leg amputations. 05:34 Other things caused by diabetic neuropathy include 05:38 digestive problems. 05:39 Your digestive system is controlled by 05:43 nervous system input 05:45 from the brain, and also from the autonomic, or 05:48 automatic nervous system. 05:50 When that's not functioning properly, 05:53 you can have digestive problems. 05:55 These nerve-related problems may not seem significant 06:00 if you're not dealing with them. 06:02 I've had patients who couldn't work 06:04 because of burning pain in their legs. 06:07 I've had patients who could not sleep 06:10 because of severe 06:11 diabetic neuropathy symptoms. It's not just loss of sensation, 06:15 it's abnormal sensation as well. 06:17 Let's come back 06:18 to that sensation equation and connection with amputations. 06:22 Are you aware that some 60,000 06:24 to 80,000 amputations 06:27 occur each year in the United States 06:29 because of diabetes alone? 06:31 About 60 percent 06:33 of non-traumatic, lower-limb amputations 06:37 are caused by diabetes. 06:42 Nerve problems affect quality of life, but so can vision. 06:46 If you look at the leading cause of blindness 06:49 among adults 20 to 74 years of age, 06:51 you are looking diabetes square in the face. 06:55 Some 12,000 to 24,000 cases of blindness 06:59 each year in America are from diabetes. 07:03 Diabetes causes damage to small blood vessels. 07:06 If those blood vessels are in the back of the eye, 07:09 you'll get something called diabetic 07:11 retinopathy. Some 4.2 million 07:16 Americans with diabetes over the age of 40 07:19 have significant diabetic neuropathy. 07:23 Two-thirds to three-quarters of a million people 07:28 actually have retinopathy so bad 07:31 that they are at risk of severe vision loss. 07:36 The good news is simply this: 07:40 diabetic complications can be reversed. 07:44 I have seen people with diabetic neuropathy 07:48 have their neuropathic symptoms improve. 07:51 I've seen people with diabetic 07:53 retinopathy dramatically improve. 07:57 Even with diabetic nephropathy 08:00 (kidney problems), there is some evidence 08:03 you can slow the progression, maybe reverse it. 08:06 How do you do it? 08:08 That's what we'll talk about in this presentation. 08:11 We're talking about reversing diabetes 08:14 naturally. I'll be honest with you. 08:18 The foundation is lifestyle. Lifestyle practices 08:25 are powerful in reversing this disease. 08:28 If you've tuned into our other presentations 08:31 in the LifeStart series, you'll recall a powerful 08:35 mnemonic (a memory device), which is 08:39 technically called an acronym. It helps us remember 08:42 nine natural therapies or strategies 08:47 that can help reverse disease processes. 08:51 Diabetes is included on that list. 08:53 Before we go any further 08:55 speaking about diabetes, its reversibility and strategies, 08:58 I want you to see the big picture-- 09:01 LifeStart. Let me walk you through the elements. 09:06 The "L" stands for Liquids. 09:08 Our choice of beverages 09:09 has a role in diabetes 09:12 (whether we develop it, 09:13 have it, and how well it's controlled). 09:16 Liquids are important in diabetes. 09:19 The "I" stands for Interpersonal Relationships. 09:24 Being connected with others is a powerful, 09:27 health-giving factor. It can help you 09:31 with your diabetes. If you have social support, 09:34 if you're socially connected with people, 09:36 you will actually do better with this condition. 09:39 The "F" stands for Foods. 09:41 We'll take a look at what dietary choices 09:45 are most important for reversing diabetes 09:48 naturally. Then we have the "E." 09:51 "E" stands for Exercise, of vital importance 09:55 as we're dealing with the diabetic state. 09:58 This is LifeStart: L-I-F-E . . . 10:02 "S" is for Sunshine. 10:04 Let me tell you something about sunshine. 10:06 We're not going to speak all that much about it. 10:10 Vitamin D is important in 10:13 helping the immune system function optimally. 10:16 One of the places in the world that 10:18 is challenged when it comes to sunshine is Scandinavia. 10:21 Some years ago, they started giving children 10:25 supplements of vitamin D. What they found 10:29 is a dramatic decrease of type 1 diabetes. 10:36 If you are making this connection, 10:38 auto immunity, type 1 diabetes, and vitamin D 10:43 have a role. Sunlight is best way to make vitamin D. 10:48 If you live in Scandinavia or are stationed 10:52 in Antarctica, you're not getting much sunshine 10:56 during the winter months. 10:58 You need to take a vitamin D supplement. 11:00 Let's move on with the LifeStart acronym. 11:03 "T" stands for Temperance. 11:05 This is the concept of doing good things in moderation, 11:09 totally avoiding those things that are harmful. 11:12 We'll speak about that to some extent. 11:15 "A" is for Air--fresh air. 11:18 I've spoken about this in other settings. 11:21 The biggest pollutant, as human health consequences, 11:25 is nothing that any factory does. 11:28 It is cigarette smoke. 11:30 If you're a smoker, you're exposing your body 11:33 to chemicals that are actually impairing 11:36 your entire metabolic picture. 11:39 Diabetes is among the risk factors 11:42 of individuals who smoke. There's increased risk 11:45 of that condition. There's a few more elements in the 11:50 acronym. We'll come back and 11:51 give you a bigger picture we've talked about "LIFE." 11:55 We've talked about S-T-A . . . 11:59 "R" is for Rest. 12:02 If you're cutting yourself short on sleep, 12:06 you ramp up your stress hormone levels. 12:09 As stress hormone levels go up, 12:13 so do blood sugars. Higher stress 12:16 puts you in a state predisposed to diabetes. 12:19 I have seen patients 12:22 with diabetes, their main risk factor 12:24 undiagnosed. It was sleep apnea. 12:28 If you have a problem with snoring 12:32 and you actually stop breathing at night, 12:35 have someone observe you. 12:37 If you stop breathing at night, this is 12:39 a hallmark of sleep apnea. "A" means "without," and 12:47 "PNEA" refers to breathing. 12:49 When you stop breathing 12:51 multiple times at night, 12:53 that's the characteristic of that sleep apnea state. 12:57 Your brain is arousing 13:00 multiple times through the night. You may not wake up, 13:03 but your sleep is interrupted. 13:05 Stress hormone levels are higher. 13:07 That in itself can set the stage for diabetes. 13:10 Adequate rest is important. That's just one illustration. 13:13 The last point that I'd like to talk about is 13:17 Trust in Divine Power. 13:18 It's the last point I like to talk about. 13:21 There was a time in my life when I thought there 13:25 was no spiritual being that 13:28 was willing to guide us and help us. 13:30 As a physician, I realize this is important today. 13:33 I've seen my patients get significant help, realizing 13:37 there is a loving Creator. 13:39 He wants to aid them in lifestyle change. 13:41 That's not what you believe? 13:44 I've got nothing to urge. I'm just saying that 13:46 spirituality has powerful health-giving benefits, 13:50 especially in the area of lifestyle change. 13:51 That's the focus 13:53 of LifeStart. We want to help you change things 13:55 that will help (at least in this case) reverse diabetes. 13:58 With that background, 14:00 let me extend the dialogue just a little bit. 14:03 Some of you tuning in 14:05 may say, "I don't have diabetes. Why am I watching this?" 14:08 You need to be concerned. 14:10 Everyone needs to be concerned about diabetes. 14:12 Let me tell you two reasons why. 14:14 Even if you don't have diabetes today, 14:16 there's a likelihood you have what's called pre-diabetes. 14:23 Pre-diabetes is a state 14:25 before you develop diabetes .You have higher 14:27 blood sugars than optimal, 14:29 but have not reached the criteria for diabetes. 14:32 Let me illustrate that with fasting blood sugar. 14:35 If your fasting blood sugar is below 100, 14:38 most people consider that normal. 14:41 I actually consider "normal" below 80. 14:43 Between 81 and 99 14:47 is what I consider "higher normal." 14:50 Once you get to 100, everyone feels this is abnormal. 14:53 "Impaired fasting glucose" was the term used for years. 14:59 That didn't stick with lay people, so we 15:02 switched to the term "pre-diabetes." 15:05 If you're in the range of 100 to 125 for 15:08 fasting blood sugar (when you wake up), 15:11 then you have pre-diabetes. 15:13 if your blood sugars are 126 and above, 15:16 that meets the definition of diabetes. 15:19 There's also criteria for blood sugar, 15:21 two hours after a meal, 15:22 where you could also be pre-diabetic. 15:25 If you want more information, we have 15:27 some additional details 15:29 in our free resources. 15:30 We have a study guide that goes along with this. 15:33 You can access that at lifestartseminars.com. 15:37 Maybe I went through that 15:39 LifeStart acronym too quickly. Even if 15:44 it was the right pace but want more information, 15:47 you can get a free e book 15:50 at lifestartseminars.com. 15:54 Let's talk about why you need 15:56 to be concerned if you've got pre-diabetes. 15:58 You may not even be aware of it. 16:00 Pre-diabetes actually affects some 25 to 16:03 35 percent of the US population. 16:07 As we get into our are sixties and beyond, 16:10 you're talking about half the population with pre-diabetes. 16:14 We need to be concerned about this. 16:17 The message is simply this: 16:19 with the LifeStart principles, 16:21 you can reverse the pre-diabetic state. 16:24 In fact, the research indicates that 16:27 two of those LifeStart principles 16:30 (more than any other) are especially powerful 16:33 in reversing the pre-diabetic state. 16:36 It was looked at within the Diabetes Prevention Program. 16:40 What was found involves one element of LifeStart, Exercise. 16:44 Thirty minutes a day of moderate, physical exercise 16:49 was combined with the "F" and 16:52 the "L" (the liquids in the foods). 16:54 That's where we get our calories. 16:56 The focus was on helping people lose 5 to 10 percent 17:01 of their body weight. 17:03 Think about this now. 17:05 If you weigh 200 pounds and you're 5'2", 17:08 your ideal weight may be 17:10 as high as a 120 pounds. 17:12 You're a young lady at 200 pounds, saying, 17:15 "I've got to lose 80 pounds." You don't have 17:18 to lose the whole 80 pounds to get benefit. At 17:20 200 pounds, a 5 percent weight loss 17:23 would be 10 pounds. 17:26 You drop those 10 pounds, 17:29 combined with 30 minutes of exercise daily. 17:36 You've made some dietary changes as well. 17:38 Maybe you left off the soft drinks. 17:40 If I want to talk about one thing, I'll do it now. 17:45 If you want to look and a cause of diabetes, 17:49 many researchers point fingers at soft drinks. 17:53 There's high fructose corn syrup and 17:57 concentrated calories in those beverages. 17:59 If you leave those things off, 18:01 you can get a tremendous aid to 18:03 losing weight. If you lose weight, 18:05 it's going to help whether you have diabetes, 18:07 pre-diabetes, or simply at risk for diabetes 18:13 without having pre-diabetes. 18:15 Focus on things like water 18:18 as a beverage (zero calories in water). 18:21 Stay away from soft drinks, especially those 18:25 sweetened with caloric sweeteners. 18:29 Since we're talking about it, 18:32 I'll go one step further. 18:34 Artificial sweeteners, those zero-calorie soft drinks, 18:37 are not your friend, either. Research indicates 18:40 that some consume more calories 18:44 after drinking them. 18:46 On top with that, it's 18:48 cultivating that same sweet tooth that got you 18:51 into the problem you have to begin with. 18:53 If you want more information about 18:55 behavioral change, 18:57 we've got resources 18:58 on the LifeStart website. One I'd recommend 19:01 is my DVD "Changing Bad Habits for Good." 19:04 It speaks about these principles. Making clean breaks 19:08 with bad habits is so powerful. We need to 19:12 make sure we get the whole 19:14 picture with pre-diabetes. 19:15 In the Diabetes Prevention Program, 19:18 30 minutes of exercise a day and 19:20 moderate physical activity meant 19:22 a 5 to 10 percent weight loss. 19:24 It led to a 58 percent 19:28 decreased risk of developing diabetes. 19:31 This is powerful. 19:32 You can keep diabetes from ever coming 19:36 into your household by simply 19:38 following the LifeStart principles. 19:40 Two of the most important are foods 19:44 and exercise. Don't forget liquids, often 19:48 a significant source of calories. 19:51 Let's hasten on at this point and mention 19:54 one other important group that needs concern. 19:57 if you have a family history of diabetes, 20:01 you are an individual who should be concerned. 20:06 If you don't have a family history, 20:08 carrying extra weight and inactive, 20:11 these are risk factors for type 2 diabetes. 20:14 We're trying to encourage you to simply 20:17 catch the message and grab lifestyle. 20:21 Hold on, however you grab it, 20:24 and say, "I'm going to make these LifeStart 20:27 changes, so that I'm not affected by diabetes." 20:31 Let me just make one other point. 20:33 There are some people 20:35 who have been genetically gifted with a 20:39 very good pancreas. 20:42 Their pancreas is good, no matter the insulin resistance. 20:46 No matter how difficult it is for insulin to do its job, 20:51 the pancreas produces more insulin. 20:53 They will never develop diabetes. 20:55 The problem is, if you're not 20:57 following these LifeStart principles, 21:00 you'll have more insulin resistance. 21:03 Insulin is not going to work as it should. 21:05 Your pancreas ramps up insulin production, 21:09 and you never get diabetes. 21:11 Just because you never develop diabetes, 21:14 that doesn't mean there aren't problems. 21:17 Insulin resistance, even without diabetes, 21:20 tends to lower good cholesterol. 21:23 The HDL goes down. 21:25 Bad cholesterol (the LDL) becomes more damaging. 21:28 Another bad blood fat, triglycerides, rises. 21:32 Are you hearing this? 21:33 If you have problems with your blood fats, 21:36 it may result be the result 21:39 of insulin resistance. 21:41 All of us need to be concerned about 21:46 this very important epidemic 21:49 affecting Americans. 21:52 Whether we have diabetes, pre-diabetes, 21:55 or are in danger of developing diabetes, 22:02 we need to be concerned. 22:04 The insulin-resistant state 22:07 really sets us up 22:10 for significant problems. 22:12 I want to encourage you 22:14 to catch the important message. 22:18 We need to take action. 22:20 Let's go now to a real 22:22 example of how diabetes, 22:25 insulin resistance, 22:27 and related conditions can be kept at bay. 22:29 We're going to look at a population 22:32 with some of the highest diabetes rates in the world. 22:36 This is where researchers have learned 22:38 the power of lifestyle, perhaps 22:41 as nowhere else. 22:42 Some of you may know I host a 22:44 weekly radio show, "American Indian Living." I work with 22:47 people of Native American ancestry on a regular basis. 22:51 You may not be surprised to know 22:53 that one of the world's most 22:54 diabetic-prone people are of Native American descent. 22:58 The famous Strong Heart Study looked at native Americans. 23:02 It looked at populations of Native Americans 23:06 in three US regions. This was the Dakotas, 23:09 Oklahoma, and Arizona. 23:11 In this study of adults, 23:14 about one-third in the Dakotas had diabetes. 23:19 Forty percent in Oklahoma had the condition. 23:22 Two-thirds of those in Arizona had diabetes. 23:28 Why such staggering rates? 23:30 Is it something just about Native Americans? 23:32 Do they have to have diabetes? 23:33 The evidence says "no." There's 23:35 amazing data from the Gila River Indian Reservation. 23:39 (in the the Phoenix area today). 23:42 At the turn of the century (around 1900), 23:47 we have good data showing only a 23:49 only a single case of diabetes among 4,000 23:53 individuals on that reservation. 23:55 Forty years later, in 21 individuals 23:58 (the population had not changed much) , 24:03 the prevalence of diabetes and the number affected 24:05 dramatically increased twenty fold. 24:07 It was still less than 1 percent 24:09 of the population with diabetes. 24:11 Today, if you go to Gila River 24:13 Indian Reservation and look at those over 35, 24:16 50 percent will have diabetes. 24:19 What this indicates is not a disease 24:21 that is just from genetics. 24:23 Yes, Native Americans in populations like the 24:25 Pimas are genetically predisposed. 24:29 Lifestyle is superimposed. How do we know? 24:32 A wonderful study 24:34 published (in the 90's) in Diabetes Care looked at 24:37 people of Pima ancestry. 24:39 There are pima Indians 24:41 living in Arizona, as well as Mexico. 24:46 We know, by actual genetic measurements, 24:48 historical observations, and language similarities, 24:52 these are cousins. 24:53 What's so fascinating is, these populations live differently. 24:57 Native Americans of Pima ancestry in Arizona 25:01 are less active than their cousins in Mexico. 25:07 It's very physical, active living 25:09 in rural Mexico for Pimas. 25:11 We looked at diet, which is fascinating. 25:14 A high-fiber diet, with 25:16 very little in the way of animal products, 25:18 characterized the diet of those in Mexico. 25:21 There's high animal product intake 25:24 with the Arizona Pimas and 25:25 a lot of animal fat in the diet (over 40 percent 25:29 by some measurements). 25:30 Are you starting to get the picture? 25:32 Two populations, genetically similar, 25:35 have very different lifestyles. Exercise and 25:38 dietary factors differ. 25:39 What do we see when it comes to diabetes? 25:41 Look at the Mexican 25:44 Pima women in that study. 25:46 About 1 in 10 women in their thirties had diabetes. 25:50 It was about 4 times that much 25:52 in the Arizona Pima women. 25:54 Looking at Mexican Pima men in their forties, 25:58 only about 6 percent had diabetes. 26:01 There's nearly 9 times (over 50 percent) 26:04 of the Arizona men with the condition. 26:07 What does this tell us? Lifestyle 26:11 largely drives diabetes. 26:13 As one of my 26:15 endocrinology professors told me, 26:25 Simple practices, as embodied in that 26:29 LifeStart mnemonic, 26:31 can prevent diabetes from occurring. 26:35 Eat less animal fat and 26:37 things lower in caloric density (more 26:41 fruits and vegetables). Eat less animal products. 26:44 Fasting (an application of temperance) 26:49 can be used under medical direction 26:52 to help reset the metabolism 26:54 in people with diabetes. 26:55 Hopefully, I've given you a window 26:58 into how you can reverse the diabetic state. 27:01 Get serious about your diet and exercise. 27:05 Control stress, make sure you're resting. 27:08 In short, that's LifeStart. 27:10 I have a whole four-hour series on 27:12 "Reversing Diabetes Naturally." 27:14 I can't condense it into a 30-minute presentation. 27:18 I'm giving you all the tools you need 27:20 to make dramatic changes in your lifestyle. 27:22 What if you have diabetes, taking medication? 27:25 Before making dramatic changes, talk with your doctor. 27:28 Your insulin needs will change. 27:30 If not insulin, you may be on oral medications 27:34 that need to be readjusted. 27:36 We've got more resources, if you need them. 27:38 We've got a study guide available. 27:41 We've got a more extensive DVD series. 27:44 We've got the program notes and more information 27:48 about other programs that make a difference. 27:51 You won't want to forget that 27:54 we even have personalized help. 27:56 We've got a health coaching program 27:57 on the LifeStart website. 27:59 Tap into it all at lifestartseminars.com. 28:04 From all of us with LifeStart, 28:05 I'm doctor David DeRose, 28:07 wishing you the very best success 28:10 in addressing diabetes 28:11 and its risk factors. |
Revised 2017-01-06