Diabetes Patient Quotes

Just being kind, for instance. A study in New Zealand of diabetic patients in 2016 found that the proportion suffering severe complications was 40 per cent lower among patients treated by doctors rated high for compassion. As one observer put it, that is ‘comparable to the benefits seen with the most intensive medical therapy for diabetes’.

We don’t give up on our patients with diabetes because they can’t be cured. Instead, we do our best to control their symptoms as best we can and try to work with them to give them the best possible quality of life.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

If you don’t think a mental patient has the right to bring a sawed-off shotgun to the church where his ex-girlfriend is getting married, you’re part of the problem.

A study in New Zealand of diabetic patients in 2016 found that the proportion suffering severe complications was 40 percent lower among patients treated by doctors rated high for compassion.

During my years caring for patients, the most common pathology I saw was not heart disease or diabetes; it was loneliness.” The psychological, social, and moral toll caused by this detachment is horrific.

Among the studies conducted by the Center, four assessed smoked marijuana's ability to alleviate neuropathic pain, a notoriously difficult to treat type of nerve pain associated with cancer, diabetes, HIV/AIDS, spinal cord injury and many other debilitating conditions. Each of the trials found that cannabis consistently reduced patients' pain levels to a degree that was as good or better than currently available medications.

Coming but once a year – and thank fuck for that – the Yuletide brings more than its rightful share of hospital drama. Festive flus and pneumonia keep the respiratory teams busy, while norovirus and food poisoning are the season’s special guest stars for the gastro doctors. Endocrinologists drag patients out of their mince-pie-induced diabetic comas, and the orthopaedic wards heave with elderly patients who’ve gone full Jenga on the ice, shattering their hips like bags of biscuits.

They were determined to create a psychiatry that looked more like the rest of medicine, in which patients were understood to have diseases and in which doctors identified the diseases and then targeted them by treating the body, just as medicine identified and treated cardiac illness, thyroiditis, and diabetes,” wrote Tanya Marie Luhrmann in Of Two Minds.

But “people” went beyond practice. How a doctor interacted with their patient was just as important in helping a sick person as the science and the cost, and so “people” includes that doctor’s personal imprint, or style. Graham’s style had pried out key information from Sam. It had allowed him to evaluate the diabetes with a more precise scientific lens. “People” was medicine’s art.

The most popular game is Cholesterol Canasta, where the plague patients, vivisection victims, and ambulant biohazard bags try to one-up each other with their hellish blood panels and urine tests. For a long time, the undisputed winner was a two-hundred-and-fifty-kilo diabetic with renal insufficiency, fatty liver disease, and food poisoning. The only infection he didn’t have was HIV..

Neuralgic shingles—which primarily attacks the lower extremities, creating nerve pain, numbness, and/or burning in the legs and feet—is often called diabetic neuropathy and misidentified as a complication of diabetes. This is a huge medical myth that needs to be debunked. The sensations a patient is feeling are not neuropathy, which doctors believe means that the nerves in a certain area have died. Rather, the

Antipsychotic medications such as Risperdal, Abilify, or Seroquel can significantly dampen the emotional brain and thus make patients less skittish or enraged, but they also may interfere with being able to appreciate subtle signals of pleasure, danger, or satisfaction. They also cause weight gain, increase the chance of developing diabetes, and make patients physically inert, which is likely to further increase their sense of alienation.

For nearly a hundred years, psychiatry has been striving to apply medical model thinking to psychiatric disorders. In this model, the symptoms besieging patients are sorted into specific disease entities and the causes then identified and removed. For doctors of internal medicine, this works. In the case of diabetes mellitus, for example, the symptoms of urinary frequency, fatigue, and confusion often lead to suspicion of the underlying cause, which is confirmed by blood sugar monitoring and then treated by insulin replacement. But psychiatric symptoms are much harder to sort into diagnoses. People with depression sometimes become paranoid. People with schizophrenia sometimes become depressed. Some people who hear voices have no other symptoms whatsoever, and others who hear voices also fall victim to terrible mood swings. Thus far, the hope that psychiatry would be able to identify homogeneous disease states, uncover the biological underpinnings, and remedy them has been largely a barren one. Kappler's symptoms, however, evolved when the hope for psychiatry's becoming a true medical specialty was bright to the point of being blinding. Over the years he would collect over a dozen diagnoses and cavalierly take a myriad of medicines, but no one would be able to bring him close to confronting the past he had disowned, to stand a chance of making peace with it and, ultimately, overcoming it. (46)

The majority of people living with chronic pain have the symptoms attributed to conditions that are not fully understood, including Spinal Stenosis, Fibromyalgia, Diabetic Neuropathy, Arthritis, and Restless Leg Syndrome. These diagnoses provide a label allowing the patient to be classified and guiding physicians to treat, but often do not reflect the true cause of symptoms. Using approaches presented in Walking Well Again, both patients and clinicians are guided to recognizing and treating the hidden causes of pain, which often results in relief in just one or two days.

When Franklin D. Roosevelt signed the Social Security Act in 1935, old age was defined as sixty-five years, yet estimated life expectancy in the United States at the time was sixty-one years for males and sixty-four years for females.62 A senior citizen today, however, can expect to live eighteen to twenty years longer. The downside is that he or she also should expect to die more slowly. The two most common causes of death in 1935 America were respiratory diseases (pneumonia and influenza) and infectious diarrhea, both of which kill rapidly. In contrast, the two most common causes of death in 2007 America were heart disease and cancer (each accounted for about 25 percent of total deaths). Some heart attack victims die within minutes or hours, but most elderly people with heart disease survive for years while coping with complications such as high blood pressure, congestive heart failure, general weakness, and peripheral vascular disease. Many cancer patients also remain alive for several years following their diagnosis because of chemo-therapy, radiation, surgery, and other treatments. In addition, many of the other leading causes of death today are chronic illnesses such as asthma, Alzheimer’s, type 2 diabetes, and kidney disease, and there has been an upsurge in the occurrence of nonfatal but chronic illnesses such as osteoarthritis, gout, dementia, and hearing loss.63 Altogether, the growing prevalence of chronic illness among middle-aged and elderly individuals is contributing to a health-care crisis because the children born during the post–World War II baby boom are now entering old age, and an unprecedented percentage of them are suffering from lingering, disabling, and costly diseases. The term epidemiologists coined for this phenomenon is the “extension of morbidity.

shake my head. “These aren’t supposed to happen,” I say. “I’m on medication. I’m happy. It’s meant to go away now.” “Steffi,” Jane says, still gentle, still calm. “You know that’s not how it works.” “Why not?” “Because anxiety doesn’t care if you’re happy or not,” she says patiently. “Just like cancer doesn’t care if you’re happy. Or a broken leg. Or diabetes.” “That’s not the same.” “Blaming yourself for your illness will hinder your recovery process,” Jane says. “It won’t help. If you tell yourself you’re not allowed to have panic attacks because you’re ‘meant to be happy,’ it will make you feel worse. It will feed the negative emotions.

So why are we unable to acknowledge the truth? Dr. Fung’s answer is simple: we doctors lie to ourselves. If type 2 diabetes is a curable disease but all our patients are getting worse on the treatments we prescribe, then we must be bad doctors. And since we did not study for so long at such great cost to become bad doctors, this failure cannot be our fault. Instead, we must believe we are doing the best for our patients, who must unfortunately be suffering from a chronically progressive and incurable disease. It is not a deliberate lie, Dr. Fung concludes, but one of cognitive dissonance—the inability to accept a blatant truth because accepting it would be too emotionally devastating.

Being heard by your doctor isn’t just an emotional need but a physical one: patients benefit clinically from feeling cared for. The emotional and the physical, science is learning, are more intertwined than we once understood. Many studies have suggested that emotional care—interpersonal warmth—has a measurable effect on patients’ outcomes. For example, the incidence of severe diabetes complications in patients of doctors who rate high on a standard empathy scale is a remarkable 40 percent lower than in patients whose doctors do poorly on the empathy scale, Danielle Ofri, an internist at New York’s Bellevue Hospital, reports in What Doctors Feel. “This is comparable,” she points out, “to the benefits seen with the most intensive medical therapy for diabetes.

And there were other neural implants being developed back then, including retinal implants, chips that enable a stroke patient to control his computer from his brain, an artificial hippocampus for boosting short-term memory, and many others. If you apply the approximately 30 million–fold increase in capability and over 100,000-fold shrinking in size that has occurred in the past quarter century, we now have much more capable devices that are the size of blood cells. Reader: Still, it’s hard to imagine building something the size of a blood cell that can perform a useful function. Terry2034: Actually, there was a first generation of blood cell–size devices back in your day. One scientist cured type 1 diabetes in rats with a blood cell–size device. It was an excellent example of nanotechnology from

COULD IT BE B12 DEFICIENCY? The neurological symptoms of B12 deficiency that occur in young and middle-aged people are very similar to those in older people. They include the following: • Numbness, tingling, or burning sensations of the hands, feet, extremities, or truncal area, often misdiagnosed as diabetic neuropathy or chronic inflammatory demyelinating polyneuropathy (CIDP) • Tremor, often misdiagnosed as essential tremor or pre-Parkinson’s disease • Muscle weakness, paresthesias, and paralysis, sometimes attributed to Guillain-Barré syndrome • Pain, fatigue, and debility, often labeled as “chronic fatigue syndrome” • “Shaky leg” syndrome (leg trembling) • Confusion and mental fogginess, often misdiagnosed as early-onset dementia • Unsteadiness, dizziness, and paresthesias, often misdiagnosed as multiple sclerosis • Weakness of extremities, clumsiness, muscle cramps, twitching, or foot drop, often misdiagnosed as amyotrophic lateral sclerosis (ALS) • Psychiatric symptoms, such as depression or psychosis (covered in greater length in the next chapter) • Visual disturbances, vision loss, or blindness In contrast, a doctor ignorant about the effects of B12 deficiency can destroy a patient’s life. The

Although these digital tools can improve the diagnostic process and offer clinicians a variety of state-of-the-art treatment options, most are based on a reductionist approach to health and disease. This paradigm takes a divide-and-conquer approach to medicine, "rooted in the assumption that complex problems are solvable by dividing them into smaller, simpler, and thus more tractable units." Although this methodology has led to important insights and practical implications in healthcare, it does have its limitations. Reductionist thinking has led researchers and clinicians to search for one or two primary causes of each disease and design therapies that address those causes.... The limitation of this type of reasoning becomes obvious when one examines the impact of each of these diseases. There are many individuals who are exposed to HIV who do not develop the infection, many patients have blood glucose levels outside the normal range who never develop signs and symptoms of diabetes, and many patients with low thyroxine levels do not develop clinical hypothyroidism. These "anomalies" imply that there are cofactors involved in all these conditions, which when combined with the primary cause or causes bring about the clinical onset. Detecting these contributing factors requires the reductionist approach to be complemented by a systems biology approach, which assumes there are many interacting causes to each disease.

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As Dr. Fauci’s policies took hold globally, 300 million humans fell into dire poverty, food insecurity, and starvation. “Globally, the impact of lockdowns on health programs, food production, and supply chains plunged millions of people into severe hunger and malnutrition,” said Alex Gutentag in Tablet Magazine.27 According to the Associated Press (AP), during 2020, 10,000 children died each month due to virus-linked hunger from global lockdowns. In addition, 500,000 children per month experienced wasting and stunting from malnutrition—up 6.7 million from last year’s total of 47 million—which can “permanently damage children physically and mentally, transforming individual tragedies into a generational catastrophe.”28 In 2020, disruptions to health and nutrition services killed 228,000 children in South Asia.29 Deferred medical treatments for cancers, kidney failure, and diabetes killed hundreds of thousands of people and created epidemics of cardiovascular disease and undiagnosed cancer. Unemployment shock is expected to cause 890,000 additional deaths over the next 15 years.30,31 The lockdown disintegrated vital food chains, dramatically increased rates of child abuse, suicide, addiction, alcoholism, obesity, mental illness, as well as debilitating developmental delays, isolation, depression, and severe educational deficits in young children. One-third of teens and young adults reported worsening mental health during the pandemic. According to an Ohio State University study,32 suicide rates among children rose 50 percent.33 An August 11, 2021 study by Brown University found that infants born during the quarantine were short, on average, 22 IQ points as measured by Baylor scale tests.34 Some 93,000 Americans died of overdoses in 2020—a 30 percent rise over 2019.35 “Overdoses from synthetic opioids increased by 38.4 percent,36 and 11 percent of US adults considered suicide in June 2020.37 Three million children disappeared from public school systems, and ERs saw a 31 percent increase in adolescent mental health visits,”38,39 according to Gutentag. Record numbers of young children failed to reach crucial developmental milestones.40,41 Millions of hospital and nursing home patients died alone without comfort or a final goodbye from their families. Dr. Fauci admitted that he never assessed the costs of desolation, poverty, unhealthy isolation, and depression fostered by his countermeasures. “I don’t give advice about economic things,”42 Dr. Fauci explained. “I don’t give advice about anything other than public health,” he continued, even though he was so clearly among those responsible for the economic and social costs.

While vegetables should be consumed ad libitum, fruit should be consumed in limited quantities. Sure, fruit contains healthy components, such as flavonoids, vitamin C, and fiber. But fruit, especially herbicided, fertilized, cross-bred, gassed, and hybridized fruit, has become too rich in sugar. Year-round access to high-sugar fruits can overexpose you to sugars, sufficient to amplify diabetic tendencies. I tell patients that small servings, such as eight to ten blueberries, two strawberries, a few wedges of apple or orange, are fine; more than that starts to provoke blood sugar excessively.

Gluten is associated with cancers of the mouth and throat, esophagus, small intestines, and lymph nodes. It is also associated with type 1 diabetes as well as thyroid disorders, such as Hashimoto’s, the most commonly diagnosed thyroid dysfunction in America. Many patients achieve normalization of their thyroid function only after adopting a gluten-free diet. Gluten sensitivity is also associated with other autoimmune diseases, such as Sjörgens syndrome and dermatitis herpetiformis. Hair loss, or autoimmune alopecia, is another presentation. It is also associated with depression, migraines, arthritis, fatigue, osteoporosis, and anemia, to name a few.

Here’s the real irony: The human side of medicine—the compassion, communication, and empathy that lie at the heart of the art of medicine—is essential to achieving the outcomes that matter most to the business and science sides of medicine. Within health care, there has been an unyielding assumption embedded in both the protocols of science and the metrics of business: that patients will comply with what their doctors ask them to do. This is why balance matters: Study after study has shown that when the art of medicine disappears, there’s a significant and negative impact on health. When patients don’t feel valued and heard as human beings, their overall sense of well-being and willingness to trust the system will suffer. And then they’re much less likely to follow the steps that can help them manage their diabetes, lose weight, or deal with whatever their specific health challenge may be. If patients don’t feel a connection to their doctors when problems come up, they are less likely to seek help until those problems become much worse and more expensive. In other words, in losing the art of medicine, we’re sabotaging the broader goals we hold for America’s health-care system.

The life of a patient is changed forever when he contracts diabetes. Because diabetes is in certain cases a fatal disease, diabetes can modify the relationships of a patient with his family, friends, or colleagues. Studies show there are two times more depressed people among diabetics than in the general population.

Several studies illustrate the dangers of giving insulin to the adult diabetic. In one such study, when diabetic patients were given insulin, compared to those given metformin (Glucophage), the risk of death from heart attacks tripled.5

Stammzelltherapie Nord-Zypern IVF-Klinik bietet Stammzelltherapie Behandlung dieser Patienten, die der Patient von Autismus, Osteoarthritis und Diabetes-Erkrankungen in Zypern Klinik sind. No 143,Bedrettin Demirel Caddesi Nicosia,99000 +905488289955

Here are a few things yoga nidra can do: Activate the relaxation response and deactivate the stress response (which improves functioning of the sympathetic and parasympathetic nervous systems and the endocrine system). Increase immunity and the ability to fight germs and infections (Kumar 2013a, 82–94) Improve heart functioning by lowering blood pressure and cholesterol (Pandya and Kumar 2007) Decrease pain Improve control of fluctuating blood glucose and symptoms associated with diabetes (Amita et al. 2009) Significantly improve anxiety, depression, and well-being in patients with menstrual irregularities and in those having psychological problems (Rani et al. 2011) Manage pre- and postsurgical conditions (Kumar 2013a, 56) Reduce insomnia and improve sleep: while not intended as a substitute for sleep, one hour of effective yoga nidra practice is equivalent to about four hours of sleep (Kumar 2013a) Increase energy, especially when needed most Reduce worry and enhance clear thinking and problem solving Improve and refresh your outlook Replace mood swings and emotional upsets with greater emotional understanding and stability Develop intuition and increase creativity Improve meditation and enhance its benefits Integrate, heal, and revitalize your body, mind, and spirit Enhance your Self-awareness and ability to experience witness consciousness (defined later in this chapter) Transform thoughts and feelings of separation into a direct experience of wholeness Finally, one of yoga nidra’s prime benefits is that it brings yoga’s essential teachings to life that have been handed down to us over the ages from the Upanishads, Yoga Sutras of Patanjali, Bhagavad Gita, Tantric texts, and others.

Going to doctors and getting a pill for every issue has a subconscious effect to avert personal responsibility, and the motivation for patients to earn back their health is lessened.

LESSONS FROM A WHEAT-FREE EXPERIMENT An interesting fact: Whole wheat bread (glycemic index 72) increases blood sugar as much as or more than table sugar, or sucrose (glycemic index 59). (Glucose increases blood sugar to 100, hence a glycemic index of 100. The extent to which a particular food increases blood sugar relative to glucose determines that food’s glycemic index.) So when I was devising a strategy to help my overweight, diabetes-prone patients reduce blood sugar most efficiently, it made sense to me that the quickest and simplest way to get results would be to eliminate the foods that caused their blood sugar to rise most profoundly: in other words, not sugar, but wheat.

Type 1 diabetes is an autoimmune disease that destroys the insulin-producing beta cells of the pancreas. Insulin falls to extremely low levels. Blood sugar increases, but the hallmark of this condition is severe weight loss. Type 1 diabetes has been described since ancient times. Aretaeus of Cappadocia, a renowned ancient Greek physician, wrote the classic description: ‘Diabetes is... a melting down of flesh and limbs into urine.’ No matter how many calories the patient ingests, he or she cannot gain any weight. Until the discovery of insulin, this disease was almost universally fatal. Insulin levels go waaayyy down. Patients lose a lot of weight.

-2 inhibitors The newest class of medication for type 2 diabetes is the SGLT-2 (sodium-glucose linked transporter) inhibitors. These drugs block the reabsorption of glucose by the kidney, so that it spills out in the urine. This lowers blood sugars, resulting in less insulin production. SGLT-2 inhibitors can lower glucose and insulin levels after a meal by as much as 35 per cent and 43 per cent respectively.21 But what effect do SGLT-2 inhibitors have on weight? Studies consistently show a sustained and significant weight loss in patients taking these drugs.22 Unlike virtually all dietary studies that show an initial weight loss followed by weight regain, this study found that the weight loss experienced by patients on SGLT-2 inhibitors continued for one year and longer.

In Canada, an estimated one in three people lives with at least one chronic disease. Conditions that appeared to increase the risk and severity of COVID-19 included type 2 diabetes, obesity, high blood pressure and other heart conditions, chronic obstructive pulmonary disease (COPD), chronic kidney disease and cancer. All of these conditions have been shown to be associated with inadequate diets and malnutrition, either as a cause or consequence of the disease. We normally associate the word "malnutrition" with undernutrition or starvation. However, malnutrition also applies to overconsumption of calories, protein or fat and frequently results in overweight or obesity. A well-primed immune response depends on good nutrition to function, and malnutrition is known to increase susceptibility to infections. In turn, infection can aggravate malnutrition, since it increases the body's demand for nutrients. This creates a vicious cycle, further increasing vulnerability to infection. In Canada, malnutrition is much more widespread than we would like to believe. A cross-Canada study conducted in eighteen hospitals screened patients for malnutrition on admission and found 45 per cent of them to be malnourished. Those who were malnourished had significantly longer hospital stays than those who were not.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed.

The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet, and in the cause and prevention of disease. —FAMED INVENTOR THOMAS EDISON 1

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed.

In one compelling study, Danish researchers randomized patients with type 2 diabetes into two groups: both were given advice on how to eat a healthy diet, but one group also labored through five or six 30- to 60-minute-long sessions of aerobic exercise a week plus two or three weight sessions per week. After a year, half of those who exercised were able to eliminate their diabetes medications, and another 20 percent were able to reduce their medication levels. Further, the more they exercised, the more they recovered normal function. In contrast, just one-quarter of the dieters were able to reduce their medication, and 40 percent had to increase their medication levels despite receiving excellent, standard health care.24 As we have repeatedly seen, some exercise is better than none, and more is better.

Migraine, like my patient Sarah had, also correlates closely to poor metabolic health. In the ENT otology clinic, we often saw this condition and had limited success in treating it. Sufferers of this debilitating neurological disease—about 12 percent of people in the United States—tend to have higher insulin levels and insulin resistance. A comprehensive review of fifty-six research articles identified links between migraine and poor metabolic health, pointing out that “migraine sufferers tend to have impaired insulin sensitivity.” The review supports the “neuro-energetic” theory of migraine. Additionally, evidence suggests that micronutrient deficiencies in key mitochondrial cofactors may also be a contributing factor of migraine. Research has suggested that migraines could be treated by restoring levels of vitamins B and D, magnesium, CoQ10, alpha lipoic acid, and L-carnitine. Vitamin B12, for instance, is involved in the electron transport chain responsible for the final steps of ATP generation in the mitochondria, and studies have indicated that high doses of B12 can help prevent migraine. These micronutrients usually have fewer side effects than other drugs used to treat migraines, making them a promising option for relief, which can be obtained through a diet rich in these micronutrients, or supplementation. Having high markers of oxidative stress, a key Bad Energy feature, is associated with a significantly higher risk of migraine in women, with some studies suggesting that migraine attacks are a symptomatic response to increased levels of oxidative stress. Less painful and more common tension-type headaches are also linked to high variability (excess peaks and crashes) in blood sugar. Hearing Loss The same story of metabolic ignorance in the ENT department unfolded for auditory problems and hearing loss, one of the most common issues presented to our ENT clinic. We’d typically tell our patients that their auditory decline was inevitable, due to aging and loud concerts in their youth, and we would suggest interventions like hearing aids. Yet insulin resistance is a little-known link to hearing problems. If you have insulin resistance, you are more likely to lose hearing as you age because of poor energy production in the delicate hearing cells and blockage of the small blood vessels that supply the inner ear. One study showed that insulin resistance is associated with age-related hearing loss, even when controlling for weight and age. The likely mechanism for this is that the auditory system requires high energy utilization for its complex signal processing. In the case of insulin resistance, glucose metabolism is disturbed, leading to decreased energy generation. The impact of Bad Energy on hearing is not subtle: A study showed that the prevalence of high-frequency hearing impairment among subjects with elevated fasting glucose levels was 42 percent compared to 24 percent in those with normal fasting glucose. Moreover, insulin resistance is associated with high-frequency mild hearing impairment in the male population under seventy years of age, even before the onset of diabetes. These papers suggest that assessing early metabolic function and levels of insulin resistance is essential in the ENT clinic and counseling individuals on the potential warning signs is paramount.

There are decades worth of rigorous studies that prove irrefutably that the standard American diet (SAD, isn’t it?) is killing us through obesity, high blood pressure, diabetes, and other chronic diseases. And now there are many important studies that confirm undeniably the diet we recommend to all our patients works to curb the scourge of those diseases.

Knowledge (remember) You know enough to be able to recite knowledge by rote (e.g. you can recite the 15 causes of clubbing) Comprehension (understand) You understand the knowledge, so can explain it to others (e.g. you can explain what clubbing is) Application (apply) You can use the knowledge you have to solve problems (you use your knowledge of clubbing to try and work out why the patient in front of you has clubbed fingers) Analysis (analyse) You can use the knowledge you have to compare and contrast with other knowledge and see how it fits in with other people's assumptions and/or hypotheses (e.g. compare and contrast type 1 and type 2 diabetes; compare and contrast the electron as a particle and the electron as an electromagnetic wave) Synthesis (create) You can use knowledge, integrated with other knowledge, to produce new hypotheses (e.g. you know glucose crosses the placenta and that insulin does not; you know that in diabetes glucose tends to run high, so you hypothesise that the baby of a woman with diabetes will produce high levels of insulin itself and so will be at risk of going ‘hypo’ after birth) Evaluation (evaluate) You use your knowledge to assess, critique or judge others

Perhaps the greatest danger in the way that alternative therapists behave is simply the promotion of their own treatments when patients should be in the care of a conventional doctor. There are numerous reports of patients with serious conditions (e.g. diabetes, cancer, AIDS) suffering harm after following irresponsible advice form alternative practitioners instead of following the advice of a doctor.

It is perfectly true that diabetes is a chronic disease, but unlike rheumatism and cancer, it is painless; unlike tuberculosis, it is clean and not contagious, and in contrast to many diseases of the skin, it is not unsightly. Moreover, it is susceptible to treatment, and the downward course of a patient can be promptly checked. Treatment, however, rests in the hands of the patient.

In 2012, the U.S. Food and Drug Administration announced newly mandated safety labeling on statin drugs to warn doctors and patients about their potential for brain-related side effects, such as memory loss and confusion. Statin drugs also appeared to increase the risk of developing diabetes.37 In 2013, a study of several thousand breast cancer patients reported that long-term use of statins may as much as double a woman’s risk of invasive breast cancer.

Statins, particularly potent ones, induce diabetes in at least 1 of 200 individuals treated.

Aldehydes have not yet been officially classified as a toxin, but even so, there have been fewer experiments on humans to date.XIX One exception was a trial in New Zealand on diabetic patients. Those who were fed “thermally stressed” safflower oil had a significantly higher level of markers for oxidative stress than those consuming olive oil. In fact, olive oil has consistently been shown to produce fewer oxidation products than do polyunsaturated oils like soybean and corn. Olive oil, a monounsaturated fat, as you might remember, has only one double bond to react with oxygen, whereas vegetable oils are polyunsaturated, with many double bonds. However, the fats that produce the fewest oxidation products are those without any double bonds: the saturated fats found in tallow, suet, lard, coconut oil, and butter.

require chronic or recurrent treatment with a wide array of medications, some of which could aff ect insulin sensitivity, �-cell function, or other aspects of glucoregulation. Whenever feasible, preference should be given to those agents that are either neutral or beneficial in their eff ects on carbohydrate and lipid metabolism. In the sections that follow, diff erent classes of medications will be discussed with regard to their impact on diabetes risk. These medication classes were selected for discussion based either on (a) their historical association with dysglycemia in clinical practice, (b) extensive utilization for the management of comorbid conditions (e.g., hypertension, dyslipidemia) in diabetic patients, or (c) existing or emerging reports of possible association with

Diabetologists implicitly take the same tack whenever they discuss the need for their diabetic patients to “normalize” blood sugar, while recommending that this be accomplished primarily with “intensive insulin therapy” rather than restricting the carbohydrate content of their diets.

According to a large study from Kaiser Permanente, for every 0.05 increase above 4.72, patients had an additional 6 percent increased risk of developing diabetes in the next ten years (4.82 = 12 percent increased risk, etc.) Above 5 indicates that vascular damage has already occurred and a patient is at risk for having damage to the kidneys and eyes. Why is high fasting blood sugar a problem? High blood sugar causes vascular problems throughout your whole body, including your brain. Over time, it causes blood vessels to become brittle and vulnerable to breakage. It leads not only to diabetes but also to heart disease, strokes, visual impairment, impaired wound healing, wrinkled skin, and cognitive problems. Diabetes doubles the risk for Alzheimer’s disease.

Gestational diabetes mellitus (GDM) refers to glucose intolerance identified during pregnancy. In most patients, it subsides postpartum, although glucose intolerance in subsequent years occurs more frequently in this group of patients.

One mechanism through which tight junctions are opened is zonulin. Zonulin, a protein secreted into the gut by the enterocytes, is supposed to regulate the rapid opening and closing of tight junctions. However, it is now believed that zonulin may play a critical role in the development of autoimmune disease. Patients with celiac disease are known to have increased zonulin levels, stimulating the opening of more tight junctions and probably keeping them open longer. In these patients, the secretion of zonulin is stimulated by the consumption of gluten (or, more specifically, the protein fraction of gluten called gliadin). Increased zonulin production, also in response to gluten, also causes a leaky gut preceding type 1 diabetes.

That and many other cases since then, most of them concerning autoimune diseases, have drilled into my head that patient relief is NOT THE BOTTOM LINE IN standardized medicine - following protocol is. That kind of reasoning works when the protocol in question achieves a cure for a given disease. For diabetes, clearing it hasn't.

When a patient presents with symptoms of diabetes or heart disease, and the treatment is lifelong, the general population accepts the diagnosis as a matter of physical health. Unfortunately, diseases of the brain are classified and perceived differently than diseases of the body. Your brain forms your personality. Your behavior is the result of the disease, of the brain misfiring. It’s easier to separate blame and fault from an impaired kidney or a damaged aorta than from an obsessive, compulsive, phobic person.

Stigma is a terrible word in the world of quiet sufferers. Cold Creek, and its staff of professionals, has worked closely with patients and families to relieve them of the shame associated with mental illness. When a patient presents with symptoms of diabetes or heart disease, and the treatment is lifelong, the general population accepts the diagnosis as a matter of physical health. Unfortunately, diseases of the brain are classified and perceived differently than diseases of the body. Your brain forms your personality. Your behavior is the result of the disease, of the brain misfiring. It’s easier to separate blame and fault from an impaired kidney or a damaged aorta

The Impact of Continuous Glucose Monitors on Diabetes Management Continuous Glucose Monitors (CGMs) have revolutionized diabetes management by providing real-time insights into blood sugar levels. These small wearable devices offer a continuous stream of data, enabling individuals with diabetes to make informed decisions about their health. Unlike traditional glucose meters, which only provide a snapshot of blood sugar levels at a single moment, Continuous Glucose Monitors track fluctuations and trends throughout the day and night. This constant monitoring allows for better glycemic control and reduces the risk of complications associated with diabetes. One of the key benefits of CGMs is their ability to provide immediate feedback on how food, physical activity, and medication affect blood sugar levels. This empowers individuals to make timely adjustments to their lifestyle and treatment plans. Moreover, CGMs offer enhanced convenience by eliminating the need for frequent finger pricks. Instead, users can simply wear the device and receive continuous glucose readings without interruption. Another advantage of Continuous Glucose Monitors is the ability to set customizable alerts and alarms for high or low blood sugar levels. These notifications help individuals to take prompt action to prevent dangerous situations such as hypoglycemia or hyperglycemia. Furthermore, many CGM systems allow for data sharing with healthcare providers, facilitating more personalized and collaborative diabetes management. This improves communication between patients and healthcare professionals, leading to better treatment outcomes. Overall, Continuous Glucose Monitors have improved diabetes management by delivering real-time insights, convenience, and glycemic control. Embracing this technology can empower individuals with diabetes to take control of their health and live fuller, healthier lives.

If you’ve noticed that you’re hungrier and crave unhealthy foods when you don’t get enough sleep, chalk it up to hormones. Studies show that when you sleep only four or five hours a night, the hunger hormone ghrelin spikes—so you feel really hungry the next day. Plus, when you’re sleep deprived, your body releases cortisol. When cortisol goes up, it tells your liver to release its stored glucose. But it also limits insulin. So, your blood sugar levels soar, making you crave foods, usually sugary carbs. Still other research has linked sleep deprivation to depression and anxiety, both prevalent in mid-life, as well as insulin resistance, which is a trigger for high blood pressure, heart disease, and type 2 diabetes.

Using this technique, Baum et al constructed a forest that contained 1,000 decision trees and looked at 84 co-variates that may have been influencing patients' response or lack of response to the intensive lifestyle modifications program. These variables included a family history of diabetes, muscle cramps in legs and feet, a history of emphysema, kidney disease, amputation, dry skin, loud snoring, marital status, social functioning, hemoglobin A1c, self-reported health, and numerous other characteristics that researchers rarely if ever consider when doing a subgroup analysis. The random forest analysis also allowed the investigators to look at how numerous variables *interact* in multiple combinations to impact clinical outcomes. The Look AHEAD subgroup analyses looked at only 3 possible variables and only one at a time. In the final analysis, Baum et al. discovered that intensive lifestyle modification averted cardiovascular events for two subgroups, patients with HbA1c 6.8% or higher (poorly managed diabetes) and patients with well-controlled diabetes (Hba1c < 6.8%) and good self-reported health. That finding applied to 85% of the entire patient population studied. On the other hand, the remaining 15% who had controlled diabetes but poor self-reported general health responded negatively to the lifestyle modification regimen. The negative and positive responders cancelled each other out in the initial statistical analysis, falsely concluding that lifestyle modification was useless. The Baum et al. re-analysis lends further support to the belief that a one-size-fits-all approach to medicine is inadequate to address all the individualistic responses that patients have to treatment. 

Many years later, research by Keiko Hayashi, Ph.D., of the University of Tsukuba in Japan showed the same thing. 12 In Hayashi’s study, diabetic patients watching an hour-long comedy program upregulated a total of 39 genes, 14 of which were related to natural killer cell activity. While none of these genes were directly involved in blood-glucose regulation, the patients’ blood-glucose levels were better controlled than after they listened to a diabetes health lecture on a different day. Researchers surmised that laughter influences many genes involved with immune response, which in turn contributed to the improved glucose control. The elevated emotion, triggered by the patients’ brains, turned on the genetic variations, which activated the natural killer cells and also somehow improved their glucose response—probably in addition to many other beneficial effects. As Cousins said of placebos back in 1979, “The process works not because of any magic in the tablet, but because the human body is its own best apothecary and because the most successful prescriptions are filled by the body itself.

When we review recent studies conducted on eggs and scrutinize the data, we see that the most carefully done studies—with adequate control of confounding variables and with the largest number of participants—show that egg consumption increases the risk of cardiovascular diseases in a dose-response manner, especially in patients with diabetes. This means that the more eggs eaten, the higher the risk. For overweight individuals, the risk of developing diabetes goes up considerably with egg consumption

David Unwin, a general practitioner in England who in 2016 won the National Health Service innovators award for advocating LCHF/ketogenic eating to his patients with diabetes, describes this as “turning everything that was white on your plate to green.” Even with equal or greater calories, the plate on the bottom is part of a weight-loss program (a fad diet, Atkins!); the plate on the top is likely what you’ve been eating all along and has contributed to making you fatter.

The body heeds the myokines’ advice, and as a precaution it releases pro-inflammatory cytokines to protect itself while exercising. As soon as it stops exercising, the body sends in an (anti-inflammatory) cleanup crew to clear away the inflamed mess.40 This cleanup crew is so thorough that they clear up all the inflammation brought on by exercise and then some. With consistent training, practice makes the cleanup crew perfect, and the body becomes less inflamed. A less-inflamed body is not only good for the minds of heart patients, but also for anyone suffering from a chronic inflammatory condition, including patients with type 2 diabetes,41 rheumatoid arthritis,42 even cancer43 — all of whom are also at elevated risk of depression.

And reducing caloric intake proved useless. In a fascinating 1993 study, high-dose insulin allowed virtual normalization of blood sugars in a group of type 2 diabetic patients.8 Starting from zero, the dose was increased to an average of 100 units per day over a period of six months. At the same time, patients decreased their caloric intake by more than 300 calories per day. The patients’ blood sugar levels were great. But what happened to their weight? It increased by an average of 19 pounds (8.7 kilograms)! Despite eating less than ever, patients gained weight like crazy. It wasn’t calories that drove their weight gain. It was insulin.

Therefore, for our experiment, here’s our fundamental question: If you take insulin, will you get fat? The short answer is an emphatic ‘Yes!’ Patients who use insulin regularly and physicians who prescribe it already know the awful truth:4 the more insulin you give, the more obesity you get. Insulin causes obesity. Numerous studies, conducted mostly on diabetic patients, have already demonstrated this fact. Insulin causes weight gain.

Consider what happens to patients with insulinomas—very rare insulin-secreting tumors, usually found in non-diabetics. The estimated incidence is only four cases per million per year. This tumor constantly secretes very large amounts of insulin, causing recurrent episodes of hypoglycemia (low blood sugar). But what happens to body weight? A prospective case series showed that weight gain occurs in 72 per cent of patients.9 Removal of the tumor resulted in cure in twenty-four out of twenty-five cases. Removal of malignant insulinoma led to rapid and sustained weight loss.10

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Diabetes is unique, in that way, with complications often viewed as a result of the patient not working hard enough when in fact they are the result of diabetes.

the Mayo Clinic explains, “Studies show that a lifelong diet rich in soy foods reduces the risk of breast cancer in women . . . Soy contains protein, isoflavones and fiber, all of which provide health benefits.”17 Even women who have breast cancer can benefit from eating more soy. After following tens of thousands of breast cancer patients, a study in the journal Cancer found that women with breast cancer who ate the most soy lived significantly longer.18 That’s great news for soul-food lovers; some of the best southern-inspired plant-based recipes feature delicious soy foods like tofu and edamame.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

One quick note: diabetes ranks as only the seventh or eighth leading cause of death in the United States, behind things like kidney disease, accidents, and Alzheimer’s disease. In 2020, a little more than one hundred thousand deaths were attributed to type 2 diabetes, a fraction of the number due to either cardiovascular disease or cancer. By the numbers, it barely qualifies as a Horseman. But I believe that the actual death toll due to type 2 diabetes is much greater and that we undercount its true impact. Patients with diabetes have a much greater risk of cardiovascular disease, as well as cancer and Alzheimer’s disease and other dementias; one could argue that diabetes with related metabolic dysfunction is one thing that all these conditions have in common.

The Dexcom Continuous Glucose Monitoring System Living with diabetes requires constant vigilance over blood sugar levels. For decades, individuals with diabetes relied on periodic finger pricks to monitor glucose levels, but this method offered only snapshots of a dynamic condition. However, with the advent of continuous glucose monitoring (CGM) systems like Dexcom, managing diabetes has entered a new era of convenience and precision. The Dexcom Continuous Glucose Monitoring system is a game-changer for people with diabetes, offering real-time insights into glucose levels without the need for multiple finger pricks throughout the day. The system consists of a small sensor that is inserted just beneath the skin, typically on the abdomen, and continuously measures glucose levels in the interstitial fluid. This sensor communicates wirelessly with a receiver or compatible smart device, providing users with real-time glucose readings every few minutes. One of the key advantages of the Dexcom CGM system is its ability to track glucose trends over time. By providing continuous data, users can see how their glucose levels respond to food, exercise, medication, and other factors, empowering them to make informed decisions about their diabetes management. Additionally, the system includes customizable alerts for high and low glucose levels, helping users proactively manage their condition and avoid dangerous fluctuations. The Dexcom Continuous Glucose Monitoring system is not only beneficial for individuals with diabetes but also for their caregivers and healthcare providers. Caregivers can remotely monitor the glucose levels of loved ones, offering peace of mind and the ability to intervene quickly in case of emergencies. Healthcare providers can access detailed reports of a patient's glucose data, enabling more personalized treatment plans and adjustments to medication regimens. Furthermore, Dexcom has been at the forefront of innovation in CGM technology, continuously improving the accuracy, reliability, and usability of its systems. Recent advancements include longer sensor wear time, smaller and more comfortable sensors, and integration with insulin pumps and artificial pancreas systems for automated insulin delivery. In conclusion, the Dexcom Continuous Glucose Monitoring system has revolutionized diabetes management by providing real-time insights, customizable alerts, and greater convenience for users. With continuous advancements in technology, Dexcom continues to empower individuals with diabetes to live healthier, more active lives while effectively managing their condition.

In recent years, Continuous Glucose Monitoring (CGM) devices have emerged as a game-changer in diabetes management, offering patients a real-time view of their glucose levels and revolutionizing the way they monitor their condition. Among the pioneers in providing these life-changing devices, Med Supply US stands out as a reliable source, offering CGMs from various renowned brands like Abbott, Dexcom, and more. This article explores the significance of CGM devices and highlights the contribution of Med Supply US in making them accessible to those in need. Understanding CGM Devices: For individuals living with diabetes, maintaining optimal blood glucose levels is crucial to prevent serious health complications. Traditionally, this involved frequent finger-prick tests, which could be inconvenient and sometimes inaccurate. CGM devices, however, have transformed this process by providing continuous and real-time glucose level readings. These devices consist of a small sensor inserted under the skin that measures glucose levels in the interstitial fluid. The data collected is then transmitted to a receiver or a smartphone app, allowing users to track their glucose levels throughout the day and night. Benefits of CGM Devices: The introduction of CGM devices has brought about a paradigm shift in diabetes management due to their numerous benefits: Real-time Monitoring: CGM devices offer a real-time insight into glucose trends, enabling users to make informed decisions about their diet, exercise, and insulin dosages. This real-time feedback empowers individuals to take timely action to maintain their glucose levels within a healthy range. Reduced Hypoglycemia and Hyperglycemia: By providing alerts for both low and high glucose levels, CGMs help users avoid dangerous hypoglycemic episodes and hyperglycemic spikes. This is particularly beneficial during sleep when such episodes might otherwise go unnoticed. Data-Driven Insights: CGM devices generate a wealth of data, including glucose trends, patterns, and even predictive alerts for potential issues. This information can be shared with healthcare providers to tailor treatment plans for optimal diabetes management. Enhanced Quality of Life: The convenience of CGM devices reduces the need for frequent finger pricks, leading to an improved quality of life for individuals managing diabetes. The constant insights also alleviate anxiety related to unpredictable glucose fluctuations. Med Supply US: Bringing Hope to Diabetes Management: Med Supply US has emerged as a prominent supplier of CGM devices, offering a range of options from reputable brands such as Abbott and Dexcom. The availability of CGMs through Med Supply US has made these cutting-edge devices accessible to a wider demographic, bridging the gap between technology and healthcare. Med Supply US not only provides access to CGM devices but also plays a crucial role in educating individuals about their benefits. Through informative resources, they empower users to make informed choices based on their specific needs and preferences. Furthermore, their commitment to customer support ensures that users can seamlessly integrate CGM devices into their daily routines.

Revolutionizing Healthcare: The Role of CGM Devices in Diabetes Management In recent years, Continuous Glucose Monitoring (CGM) devices have emerged as a game-changer in diabetes management, offering patients a real-time view of their glucose levels and revolutionizing the way they monitor their condition. Among the pioneers in providing these life-changing devices, Med Supply US stands out as a reliable source, offering CGMs from various renowned brands like Abbott, Dexcom, and more. This article explores the significance of CGM devices and highlights the contribution of Med Supply US in making them accessible to those in need. Understanding CGM Devices: For individuals living with diabetes, maintaining optimal blood glucose levels is crucial to prevent serious health complications. Traditionally, this involved frequent finger-prick tests, which could be inconvenient and sometimes inaccurate. CGM devices, however, have transformed this process by providing continuous and real-time glucose level readings. These devices consist of a small sensor inserted under the skin that measures glucose levels in the interstitial fluid. The data collected is then transmitted to a receiver or a smartphone app, allowing users to track their glucose levels throughout the day and night. Benefits of CGM Devices: The introduction of CGM devices has brought about a paradigm shift in diabetes management due to their numerous benefits: Real-time Monitoring: CGM devices offer a real-time insight into glucose trends, enabling users to make informed decisions about their diet, exercise, and insulin dosages. This real-time feedback empowers individuals to take timely action to maintain their glucose levels within a healthy range.

Continuous Glucose Monitors are transforming diabetes management by providing real-time data, improving glycemic control, and improving quality of life. We should expect CGMs to become more accessible and user-friendly as technology advances, enhancing the lives of chronic disease patients. Ask your doctor about CGMs if you have diabetes.

Continuous Glucose Monitors are transforming diabetes management by providing real-time data, improving glycemic control, and improving quality of life. We should expect CGMs to become more accessible and user-friendly as technology advances, enhancing the lives of chronic disease patients. Ask your doctor about CGMs if you have diabetes.

Insulin is the primary hormone that tells your body whether to store energy or burn it. When you eat—particularly when you eat the typical high-carb, heavily processed foods that most Americans eat at all hours of the day—your blood glucose levels become elevated to unhealthy ranges. Your body then increases your insulin in an effort to lower those glucose levels. Sadly this results in an enormously foolish medical strategy that many physicians use to treat tens of millions of diabetics—they frequently put type 2 diabetics on insulin in an effort to lower their blood sugar. What they fail to realize is that higher insulin levels, and secondary insulin resistance, are a far more serious issue than elevated glucose. The way to lower insulin and glucose and to treat insulin resistance is to lower your carbohydrate intake and become metabolically flexible, as co-author of The Complete Guide to Fasting and a nephrologist (kidney specialist) in Canada, so eloquently demonstrated in his 2018 case report published in the British Medical Journal. In this report, Dr. Fung was able to use intermittent fasting to reverse insulin resistance and resolve type 2 diabetes for three patients who had their diabetes for 10 to 25 years. All were taking insulin.1 One result of insulin resistance is that you gain weight because higher levels of insulin signal your body to store energy as fat. Another result is that the receptors for insulin in your cells begin to get desensitized, so you need to release more and more insulin in order to move the glucose out of your bloodstream and into your cells. As a result of the insulin resistance, your body is in constant fat-storing mode.

In 1922, a fourteen-year-old boy with type 1 diabetes was resuscitated from a coma—born anew, as it were—by the infusion of insulin extracted from the pancreatic cells of a dog. In 2010, when Emily Whitehead received her infusion of CAR (chimeric antigen receptor) T cells, or twelve years later, when the first patients with sickle cell anemia are surviving, disease-free, with gene-modified blood stem cells, we are transitioning from the century of the gene to a contiguous, overlapping century of the cell.

The fact that insulin increases the formation of fat has been obvious ever since the first emaciated dog or diabetic patient demonstrated a fine pad of adipose tissue, made as a result of treatment with the hormone. REGINALD HAIST AND CHARLES BEST, The Physiological Basis of Medical Practice, 1966

During my years caring for patients, the most common pathology I saw was not heart disease or diabetes,” observed Vivek Murthy, the former surgeon general of the United States. “It was loneliness.” He described it as “a growing health epidemic” that can lead to stress, inflammation, obesity, diabetes, heart disease and early death. It may be one reason suicide rates are at a modern high. Murthy calculates that loneliness and social isolation are even more associated with early death than obesity, and have approximately the same impact on lifespan as smoking fifteen cigarettes a day.

Meds didn’t necessarily revert a person to normalcy, though they might mute the symptoms. Some patients grew attached to their delusions, some ditched the meds as soon as they felt better, and the nasty side effects were for real. Blunted emotions, drowsiness, nausea, tremors, decreased sex drive, high cholesterol and diabetes, and weight

In order to set remission as a goal for our diabetic patients, we need to partner with them in the treatment process. Practitioner and patient should each clearly understand their roles. Effective treatment to the point of remission of any carbohydrate-induced CNCDs including T2DM requires a bimodal approach. Treat the cause and treat the disease.

Cognitive behavioural therapy for carbohydrate addicts begins with abstinence (see definition below) and removal of the drug from a patient’s local environment.

The paper subsequently written by Amos with Redelmeier* showed that, in treating individual patients, the doctors behaved differently than they did when they designed ideal treatments for groups of patients with the same symptoms. They were likely to order additional tests to avoid raising troubling issues, and less likely to ask if patients wished to donate their organs if they died. In treating individual patients, doctors often did things they would disapprove of if they were creating a public policy to treat groups of patients with the exact same illness. Doctors all agreed that, if required by law, they should report the names of patients diagnosed with a seizure disorder, diabetes, or some other condition that might lead to loss of consciousness while driving a car. In practice, they didn’t do this—which could hardly be in the interest even of the individual patient in question. “This result is not just another manifestation of the conflict between the interests of the patient and the general interests of society,” Tversky and Redelmeier wrote, in a letter to the editor of the New England Journal of Medicine. “The discrepancy between the aggregate and the individual perspectives also exists in the mind of the physician. The discrepancy seems to call for a resolution; it is odd to endorse a treatment in every case and reject it in general, or vice versa.” The point was not that the doctor was incorrectly or inadequately treating individual patients. The point was that he could not treat his patient one way, and groups of patients suffering from precisely the same problem in another way, and be doing his best in both cases. Both could not be right. And the point was obviously troubling—

Study after study has shown that overweight and moderately obese patients with certain chronic ailments live longer and do better than normal-weight patients with the same health problems. And many of those problems are the ones most often blamed on obesity, like heart disease, stroke, and diabetes.

Nineteenth-century French physician Apollinaire Bouchardat observed that sugar in the urine of his patients diminished during the four-month-long siege of Paris by the Prussian army in 1870 when food, especially bread, was in short supply; after the siege was over, he mimicked the effect by advising patients to reduce consumption of breads and other starches and to fast intermittently to treat diabetes, despite the practice of other physicians who advised increased consumption of starches.

Chapatis will soon become EXTINCT A renowned cardiologist explains how eliminating wheat can IMPROVE your health. Cardiologist William Davis, MD, started his career repairing damaged hearts through angioplasty and bypass surgeries. “That’s what I was trained to do, and at first, that’s what I wanted to do,” he explains. But when his own mother died of a heart attack in 1995, despite receiving the best cardiac care, he was forced to face nagging concerns about his profession. "I’d fix a patient’s heart, only to see him come back with the same problems. It was just a band-aid, with no effort to identify the cause of the disease.” So he moved his practice toward highly uncharted medical territory prevention and spent the next 15 years examining the causes of heart disease in his patients. The resulting discoveries are revealed in "Wheat Belly", his New York Times best-selling book, which attributes many of our physical problems, including heart disease, diabetes and obesity, to our consumption of wheat. Eliminating wheat can “transform our lives.” What is a “Wheat Belly”? Wheat raises your blood sugar dramatically. In fact, two slices of wheat bread raise your blood sugar more than a Snickers bar. "When my patients give up wheat, weight loss was substantial, especially from the abdomen. People can lose several inches in the first month." You make connections between wheat and a host of other health problems. Eighty percent of my patients had diabetes or pre-diabetes. I knew that wheat spiked blood sugar more than almost anything else, so I said, “Let’s remove wheat from your diet and see what happens to your blood sugar.” They’d come back 3 to 6 months later, and their blood sugar would be dramatically reduced. But they also had all these other reactions: “I removed wheat and I lost 38 pounds.” Or, “my asthma got so much better, I threw away two of my inhalers.” Or “the migraine headaches I’ve had every day for 20 years stopped within three days.” “My acid reflux is now gone.” “My IBS is better, my ulcerative colitis, my rheumatoid arthritis, my mood, my sleep . . .” and so on, and so on". When you look at the makeup of wheat, Amylopectin A, a chemical unique to wheat, is an incredible trigger of small LDL particles in the blood – the number one cause of heart disease. When wheat is removed from the diet, these small LDL levels plummet by 80 and 90 percent. Wheat contains high levels of Gliadin, a protein that actually stimulates appetite. Eating wheat increases the average person’s calorie intake by 400 calories a day. Gliadin also has opiate-like properties which makes it "addictive". Food scientists have known this for almost 20 years. Is eating a wheat-free diet the same as a gluten-free diet? Gluten is just one component of wheat. If we took the gluten out of it, wheat will still be bad since it will still have the Gliadin and the Amylopectin A, as well as several other undesirable components. Gluten-free products are made with 4 basic ingredients: corn starch, rice starch, tapioca starch or potato starch. And those 4 dried, powdered starches are some of the foods that raise blood sugar even higher. I encourage people to return to REAL food: Fruits Vegetables and nuts and seeds, Unpasteurized cheese , Eggs and meats Wheat really changed in the 70s and 80s due to a series of techniques used to increase yield, including hybridization. It was bred to be shorter and sturdier and also to have more Gliadin, (a potent appetite stimulant) The wheat we eat today is not the wheat that was eaten 100 years ago. If you stop eating breads/pasta/chapatis every day, and start eating chicken, eggs, salads and vegetables you still lose weight as these products don’t raise blood sugar as high as wheat, and it also doesn’t have the Amylopectin A or the Gliadin that stimulates appetite. You won’t have the same increase in calorie intake that wheat causes.

For about 60 years type 1 diabetics were treated with insulin extracted from the pancreas of pigs. This wasn’t ideal as the insulin was a relatively minor component of all the proteins in the pig pancreas and required a lot of expensive purification to produce a relatively small amount of the drug. The pig insulin wasn’t quite identical to the normal human version and it wasn’t suitable for some patients. It was also very difficult to ramp up supply quickly when demand increased. In the 1980s, the drug firm Eli Lilly produced and sold human insulin that had been created in genetically modified bacteria. Now, virtually all insulin is made in bacteria or yeast.

Avi-Dekel This CBD strain has a 15.8% CBD level and 1% THC level, and with an indica-to-sativa ratio of 60:40, it delivers medicinal benefits without making the patient high. The Avi-Dekel CBD strain is relatively new and a product of Northern Israel. It is characterized by the gold-colored nuggets and olive green tones of the plant. The Avi-Dekel refreshes the body, relieves pain, and improves the mood, causing a feeling of happiness in the patient. The Avi-Dekel strain is recommended for those suffering from rheumatoid arthritis, colitis, diabetes, digestive problems, sleep disorders, and liver inflammation. The strain has a pleasant and earthy aroma, with nutty and chestnut flavors. Patients can still function normally een after taking Avi-Dekel because it does not cause drowsiness.

Indeed, we’re finding that increasing your salt intake, even above what’s generally considered a normal intake, may help improve your insulin sensitivity. One clinical trial found that compared to consumption of about 3,000 milligrams of sodium per day, those who consumed around 6,000 milligrams of sodium per day significantly lowered their glucose response to a 75-gram oral glucose tolerance test. Moreover, the researchers found that when diabetic patients were placed on the higher-sodium diet, their insulin response improved. The authors were quite emphatic and suggested that some people even supplement with sodium, stating that “an abundant sodium intake may improve glucose tolerance and insulin resistance, especially in diabetic, salt-sensitive, or medicated essential hypertensive subjects.”27

Ames, R. P. 2001. The effect of sodium supplementation on glucose tolerance and insulin concentrations in patients with hypertension and diabetes mellitus. Am J Hypertens 14(7 Pt 1): 653–659.

The bottom line is that insulin use creates a vicious cycle that cuts years off a person’s life. Insulin both blocks cholesterol removal and delivers cholesterol to cells in the blood vessel walls, increasing the risk for heart attacks and strokes. Almost 80 percent of all deaths among diabetics are due to hardening of the arteries, particularly coronary artery disease. Many diabetics turn to their physician for guidance, but oftentimes the well-meaning doctor only worsens the problem by prescribing more insulin. The extra insulin does not just cause heart disease, weight gain, and the eventual worsening of the diabetes; as with type 1 diabetes, insulin can increase the risk of cancer as well. Type 2 diabetic patients exposed to insulin or sulfonylureas, which push the pancreas to produce more insulin, have significantly increased incidence of cancer at multiple sites.8

The bottom line is that insulin use creates a vicious cycle that cuts years off a person’s life. Insulin both blocks cholesterol removal and delivers cholesterol to cells in the blood vessel walls, increasing the risk for heart attacks and strokes. Almost 80 percent of all deaths among diabetics are due to hardening of the arteries, particularly coronary artery disease. Many diabetics turn to their physician for guidance, but oftentimes the well-meaning doctor only worsens the problem by prescribing more insulin. The extra insulin does not just cause heart disease, weight gain, and the eventual worsening of the diabetes; as with type 1 diabetes, insulin can increase the risk of cancer as well. Type 2 diabetic patients exposed to insulin or sulfonylureas, which push the pancreas to produce more insulin, have significantly increased incidence of cancer at multiple sites.

Another example is diabetes mellitus, a disease characterized by excess blood sugar due to insufficient insulin production. Over time, it can cause damage to blood vessels, kidneys, and nerves and lead to blindness. Type 1 diabetes, also known as juvenile-onset or insulin-dependent diabetes, is typically caused by autoimmune damage to the pancreas. Type 2 diabetes, a less serious disease, is linked to genetic and dietary factors. Some animal studies have indicated that CBD can reduce the incidence of diabetes, lower inflammatory proteins in the blood, and protect against retinal degeneration that leads to blindness [Armentano53]. As we have seen, patients have also found marijuana effective in treating the pain of diabetic neuropathy.   A famous example is Myron Mower, a gravely ill diabetic who grew his own marijuana under California’s medical marijuana law, Prop. 215, to help relieve severe nausea, appetite loss, and pain. Mower was arrested and charged with illegal cultivation after being interrogated by police in his hospital bed. In a landmark ruling, People v. Mower (2002), the California Supreme Court overturned his conviction, affirming that Prop. 215 gave him the same legal right to use marijuana as other prescription drugs.   While marijuana clearly provides symptomatic relief to many diabetics with appetite loss and neuropathy, scientific studies have yet to show whether it can also halt disease progression.

The GTT he administered showed severe reactive hypoglycemia (RHG). At that time, one of the many criticisms of Dr. Atkins was that he diagnosed many with RHG. For this he was called a “quack”. After seeing the lab results, I immediately began the Induction phase of his diet and soon felt better, just as his patients did. As long as I ate correctly and didn’t skip meals I rarely experienced my prior symptoms. That remains true to this day. This was my first lesson in the power of practical nutrition (albeit outside of mainstream medical opinion). I am convinced that if I hadn’t followed Dr. Atkins advice I would have had type 2 diabetes long ago. I can thank him for many things but most especially for that.

PHYSICIAN DR. J, M.D. FACP. Dr. J is an American Board Certified physician with extensive training in both outpatient and inpatient medicine. Dr. J is affiliated with all major Central Florida hospitals and also has admitting privileges to all those hospitals. In his outpatient practice, he sees patients with acute and chronic medical problems. He specializes in the management of hypertension, diabetes, hyperlipidemia, chronic kidney disease, and heart disease.

Dark chocolate You are definitely not a diabetic if you do not love chocolate. Chocolate is the weakness of almost all diabetes patients, and they are always advised to avoid this yummy food!

Around half of the authors had a financial conflict of interest, and analysing the findings by who said what gave a dismal but predictable result: people who thought rosiglitazone was safe (or, to be absolutely clear, who had a favourable view on the risk of heart attack after taking it) were 3.38 times more likely to have a financial conflict of interest with manufacturers of diabetes drugs generally, and with GSK in particular, when compared with people who took a dim view of the drug’s safety. Authors who made favourable recommendations about using the drug were similarly three and a half times more likely to have a financial interest. When the analysis was restricted to opinion articles, the link was even stronger: people recommending the drug were six times more likely to have a financial interest.