Sponsored By Energetic Nutrition * Presented By Kirk Hamilton, PA-C * Prescription 2000, Inc.

* Health Associates Medical Group *

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Chronic diseases are preventable and reversible. Heart disease, cancer, stroke, osteoporosis, high blood pressure, diabetes, kidney, eye and progressive neurologic disorders, etc., tax our health care system and economy, and cause great personal suffering, are preventable and sometimes reversible. Diabetes is a chronic disease that is in epidemic proportions in the U.S. and world-wide, and is mostly preventable, and in many cases reversible. I am here to show you this epidemic need not exist.

There are successfully aging cultures from around the world that have minimal diabetes (Okinawan elders, Sardinians, Nicoyans, Hunzans, Tarahumara Indians, etc.). Traditional living Asian and African cultures before modern day urbanization didn’t get diabetes eating their more agrarian, starch and plant-based diets. Type II diabetes (adult onset) becomes dramatically more prevalent in all ethnicities within a generation of their immigration to U.S.. Reversible causes? Excess calories from high fat, high sugar, highly refined carbohydrate diets and increased animal food consumption, environmental toxic exposure, altered bowel flora, vitamin D deficiency (type 1) and early cow’s milk exposure (type 1). ….and sedentary lifestyles! But There Is Good News!...The solution is simple, safe and very cheap!

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Insulin from beta cells in the pancreas drives sugar (glucose) into the cell to produce energy. Lack of insulin or insulin resistance increases blood sugar.   . When sugar can’t get into the cell high blood sugar (glucose) occurs – diabetes.  All cells need sugar (glucose) for energy.

Associated with obesity. Can lead to type 2 diabetes after pregnancy. Genetic predisposition. Usually occurs in children.    . Causes: autoimmune reaction. vitamin D deficiency. Body fails to produce insulin. Results from the body not using insulin properly (insulin resistance). infection. Type 1 diabetes 5-10 % of diabetics. Pre-diabetes Pre-diabetes: blood sugar higher than normal (fasting 100-125) but not high enough for a diagnosis of type 2 diabetes. creating insulin resistance. gut micro-flora imbalance and a sedentary lifestyle. Type 2 diabetes 90-95% of diabetics. eyes & nerves. Still can have adverse health effects on blood vessels. environmental toxicity. kidneys. Placental hormones inhibit insulin’s actions. early cow’s milk exposure. the hormone that allows glucose to enter and fuel your cells. Gestational diabetes 4% of pregnant females develop gestational diabetes. Occurs more frequently with aging.

905 deaths 1 in 3 Americans. population! Diabetes is the 7th leading cause of death in the United States. population Blood sugar problems effect more than a quarter of the U.6 million new cases of diabetes are diagnosed in people aged 20 years and older each   .8.0% of the U.     Diabetes: 24 million children and adults -. 70. will develop diabetes in their lifetime.. Diagnosed: 18 million people .S.S.Undiagnosed: 6 million people. population. Pre-diabetes: 57 million people – 19% of the U. Each day almost 4. and 1 in 2 minorities.400 people are diagnosed with diabetes or 1.S.

5 million.Under 20 years of age . or 10. and Hispanic/Latino Americans. Adults  20 years or older: 23.7% of all people in this age group have diabetes.2 million. or 23. African Americans.2 million adolescents (1 in 6 overweight adolescents) aged 12-19.000 of this age group have diabetes – Mostly type I or insulin dependent diabetes. particularly in American Indians.  Type I diabetes .5 million.  Men 12.  Small percentage.2% of men > 20  Women 11. 0.one in every 400 to 600 children and adolescents.0 million.Children and Adolescents  Pre.22% or 186 . or 11.1% of all people in this age group have diabetes. or 10.  60 years or older: 12.diabetes .  Type 2 diabetes – rare but occurring more frequently in children and adolescents.2% of women > 20 .

nephrotic syndrome.944 Diabetes: 70.651 Cancer: 560.990 Chronic respiratory diseases (COPD.185 Chronic liver disease and cirrhosis 28.311 Accidents (unintentional injuries): 117.847 Kidney Diseases (Nephritis.851 Intentional self-harm (suicide) 33.769 Parkinson’s disease: 20.905 Influenza and Pneumonia: 52.504 Hypertension and hypertensive renal disease: 23.                Heart disease: 615. emphysema): 129. etc): 46. 520 .095 Septicemia: 34.000 plus deaths Alzheimer's disease: 74.136 Assault (homicide): 17.075 Adverse drug reactions 100.187 Stroke (cerebro-vascular diseases): 133.

DIABETES FACTS        220 million people worldwide have diabetes. 55% of diabetes deaths are in women. WHO projects that diabetes deaths will increase by more than 50% in the next 10 years without urgent action. Half of diabetes deaths occur in people under the age of 70 years. Most people with diabetes in low and middle income countries are middle-aged (45-64). Diabetes causes about 5% of all deaths globally each year. not elderly (65+). More than double by 2030. . 80% of diabetes deaths occur in low.and middle-income countries.

Depression Reduce ability to carry out the activities of daily living in elderly. poor wound healing and amputations (more than 60% of non-traumatic amputations are diabetes related).            Heart Disease. . Happens when nerves to the stomach are damaged or stop working. reduced sensation Pregnancy complications Periodontal diseases and dental disease increase Infections and illness increase Neuropathy and nerve damage Foot complications. blindness Kidney disease (nephropathy) / kidney transplantation Sexual dysfunction – erectile dysfunction. stroke Eye Complications (retinopathy).where the stomach takes too long to empty. Gastro paresis . high blood pressure.

autoimmune trigger.  Women who had gestational diabetes.  Overweight  Sedentary  People with low HDL cholesterol. or who have had a baby weighing 9 pounds or more at birth.  People over age 45  Family history of diabetes. and American Indians and Alaska Natives).  Certain racial and ethnic groups (e. high blood pressure.  Early infection. Asian Americans and Pacific Islanders. high triglycerides. environmental exposure?  ***Early dairy product introduction and/or vitamin D insufficiency? Who is at Greater Risk for Type 2 Diabetes (Lifestyle Disease)?  People with pre-diabetes. Hispanic/Latino Americans. .g. Non-Hispanic Blacks..Who is at Greater Risk for Type 1 Diabetes?  Siblings and children of type 1 diabetics.

Type 1 Diabetes Frequent urination Unusual thirst Extreme hunger Unusual weight loss Extreme fatigue Irritability  Type 2 Diabetes Any of the type 1 symptoms Frequent infections Blurred vision Cuts/bruises that are slow to heal Tingling/numbness in the hands/feet Recurring skin. gum or bladder infections *Often people with type 2 diabetes have no symptoms .

What You Can Do   Notice mid-section weight gain and reduced physical activity. you are overweight and sedentary…. Especially if they are looking at the patient’s fasting glucose. weight.DO SOMETHING NOW!  What Your Doctor Can Do  Diabetes is simple for clinicians to pick up. Ask your doctor each visit to check your urine and fasting blood sugar especially if your are overweight or gaining weight. sugar in the urine. insulin. HbA1c and blood fats. Be proactive if your blood sugar is 95 mg/d or more. ↑Central Weight + ↑blood sugar + ↑sedentary lifestyle = Diabetes II Environmental Toxins. Abnormal Bacteria (2nd) .

Pre-diabetes .blood sugar 100-125 mg/dl fasting. Diabetes – blood sugar ≥ 126 mg/dl after 8 hour fast. . blood sugar 140-199 mg/dl 2 hours after 75 gm of glucose or a meal. Pre -diabetes or impaired glucose tolerance (IGT). central weight gain and sedentary lifestyle. Diabetes – blood sugar ≥ 200 mg/dl 2 hours after 75 grams of glucose. a meal or any time.  Start paying attention to a FBS >90 mg/dl.     Normal blood sugar 70-(90)100 mg/dl fasting.

pre-diabetics $25 billion and gestational diabetics $623 million).Direct and Indirect Costs of Diabetes in the United States    Total annual economic cost of diabetes in 2007 .org/content/26/3/917.full $218 billion total diabetic costs (add in undiagnosed $18 billion. work loss.3 times greater for diagnosed diabetics compared to non-diabetics.$116 billion.  Direct diabetes related medical expenditures . Indirect costs – $58 billion (Disability.diabetesjournals. premature death) This is an increase of $18 billion from 2002. http://care. Medical expenditures are 2.   .$174 billion.

nutrition transition. the increasing epidemic of type 2 diabetes in Asia has far-reaching public health and socioeconomic implications. rates of overweight and obesity are increasing sharply.”    . driven by economic development. characterized by rapid rates of increase over short periods and onset at a relatively young age and low body mass index. with a disproportionate burden among the young and middle aged. normal body weight with increased abdominal adiposity) is common in Asian populations. Prevention and control of diabetes should be a top public health priority in Asian populations. “ “Type 2 diabetes is an increasing epidemic in Asia.” “The "metabolically obese" phenotype (ie. “With increasing globalization and East-West exchanges.” “In 2007. Similarly. more than 110 million individuals in Asia were living with diabetes. and increasingly sedentary lifestyles.

families. WHO estimates that over the next 10 years (20062015). stroke and diabetes alone.   . Most people with diabetes in low and middle income countries are middle-aged (45-64) impacting the work force. China will lose $558 billion in foregone national income due to heart disease. health systems and countries. Diabetes and its complications impose significant economic consequences on individuals.

etc. sugars.  Diets high in fats and oils.  Processed foods versus whole foods.  Excess calories. Obesity and excess weight. selenium  Abnormal bacteria – probiotics  Nutritional deficiencies – vitamin D.  Lack of physical activity.  Environmental toxicity – ↑GGT – Glutathione need – NAC. meats. cheeses and refined grains. .

). Am J Clin Nutr. …RESULTS: For children. whereas the predicted weight gain was somewhat higher: 10. Epub 2009  Oct 14.90(6):1453-6.44 lbs). OBJECTIVE: The objective was to determine the relative contributions of increased energy intake and reduced physical activity to the US obesity epidemic. 2009 Dec. A reversal of the increase in energy intake of approximately 2000 kJ/d (500 kcal/d) for adults and of 1500 kJ/d (350 kcal/d) for children would be needed for a reversal to the mean body weights of the 1970s. CONCLUSIONS: Increased energy intake appears to be more than sufficient to explain weight gain in the US population. For adults. . the measured weight gain was 4. or a combination of both. Population approaches to reducing obesity should emphasize a reduction in the drivers of increased energy intake.0 kg (8.8 lbs).0 kg (8. the measured weight gain was 8. Alternatively.92 lbs.6 kg (18. large compensatory increases in physical activity (eg.8 kg (22.Increased food energy supply is more than sufficient to explain the US epidemic of obesity. DESIGN: We predicted the changes in weight from the changes in estimated energy intakes in US children and adults between the 1970s and 2000s. BACKGROUND: The major drivers of the obesity epidemic are much debated and have considerable policy importance for the population-wide prevention of obesity. would achieve the same outcome. 110-150 min of walking/d).8 lbs). and the predicted weight gain for the increased energy intake was identical at 4.

NHANES.6 30.40 30 20.2 26 17.1 15. 1988-94 and 2001-2004). (NHES.8 10 0 Men 1960-62 1971-74 1976-80 1988-94 Women 2001-2004 Note: Obesity is defined as a BMI of 30.7 16.0 or higher. Source: Health.2 12.8 34 Percent of Population 20 10. Age-adjusted prevalence of obesity in Adults ages 20-74 by sex and survey. 1960-62. 1976-80. NCHS.7 12. United States. 2006. 1971-74. .

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overweight and obesity are now dramatically on the rise in low.  “Once considered a problem only in high-income countries. approximately 2. particularly in urban settings.and middle-income countries.2 billion) and more than 700 million will be obese (10% of population).” .3 billion adults will be overweight (30% of the world’s population of 7. At least 20 million children under the age of 5 years are overweight globally in 2005.WHO’s latest global projections (2005)  By 2015.

S. Only 7% of U. gets 3 or more servings of whole grains. Average use of added fats and oils in 2000 was 67 percent above annual average use in the 1950s. 18% since mid 1970s. mostly refined grains. 2172 (1970) = 603) This 28% increase in daily calories provides enough energy for 1 lb of weight gain (3500 calories) every 6 days compared to 1970! . Caloric sweeteners record high in 1999.         Eating more food-away-from-home: 32% vs. Meat consumption record high in 2000. Grains consumption has risen since 1950s. Easy access to more and higher calorie dense foods. Today Americans are consuming 600 more calories per person each day than in 1970 (2775 (2007)vs. Cheese increase 287% from 1950s to 2000.

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2008.. .D. page 59. M. Eat For Health. by Joel Fuhrman.

M. obesity and other chronic diseases increase. eat refined Western diet – 50% of adults diabetes. Daphne Miller.htm)     . Large population studies from Asian and African countries where rice. Mexico – 80% carbohydrate diet – no diabetes. http://diabetes. People in these countries ate more carbohydrates than those in North America and Europe yet diabetes and weight problems were less.niddk. added sugars. protein and animal foods (and calories) while starchy foods are reduced.. 2008. grains.nih. When these populations migrate to North America and adopt the Western diet diabetes.D. beans and noodles were dietary staples showed diabetes to be rare. starchy vegetables. (The Jungle Effect. Genetically related Pima Indians in Arizona.gov/DM/pubs/pima/obesity/obesity. Tarahumara Indians. The diet becomes much higher in added fats and oils.

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nuts/seeds or avocados) can reduce intramyocellular fat and restore appropriate insulin action and glucose utilization of carbohydrate – The body’s optimal fuel! When fat is gone out of the cell both blood sugar and insulin levels drop because carbohydrate is being burned efficiently again. no dairy. no added oils.   . increasing blood sugar and insulin. Getting fat out of the cell by weight loss and dietary fat restriction (no animal products. Extra fat in the muscle cell (intramyocellular) is like “gum in a lock.” inhibiting insulin’s action.

Toxicity may effect diabetic expression – chronically elevated GGT plus obesity increase diabetes risk. Beneficial gastrointestinal flora – improves insulin resistance and obesity.    Genetic predisposition to type II – Lifestyle determines expression. Glutathione increase with 1000-2000 mg/d Nacetylcystiene and selenium 200-400 mcg/d may be of benefit. .

13% take both insulin and oral medication. Type 2 diabetics can be controlled with an exercise program. Diet and exercise are still very important.Treating Diabetes “Conventionally”  Type 1 diabetes – people must have insulin by injection or a pump.    . and 16% do not take either insulin or oral medications. Among adults with diagnosed diabetes: 14% take insulin only. 57% take oral medication only. losing excess weight and may need oral medication. diet. Many people with diabetes also need to take medications to control their cholesterol and blood pressure.

Check your bloods sugar and weight daily. Detoxification: antioxidant diet. Notify your physician of weight loss and BS reduction. . NAC. Continue your health education and reinforcement. Normalize weight. Daily multivitamin/mineral. selenium. Eat an antioxidant. not just control or live with it!”           Eat a whole food diet. Reduce your medications with weight and BS drop. vitamin D and probiotic. phytonutrient rich plant-based diet. Exercise daily.“Have the mentality that you are going to REVERSE your diabetes.

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Eat Unrefined, Complex Carbohydrates – whole or sprouted grains, beans, starchy root vegetables in general have a lower glycemic index….They are good for diabetics! High carbohydrate fiber-rich foods have a slow blood sugar absorption reducing stress on the pancreas (gland that produces insulin). High fiber –carbohydrate rich foods have more volume and less calories encouraging weight loss which improves insulin’s actions. High fiber-carbohydrate rich foods are low in fat, reducing fat in the cell which improves insulin’s action. If the grain product is “enriched” it has the fiber and the germ removed losing vitamins, minerals, good fats and a higher glycemic state. Avoid the “whites” – white flour, white potatoes, white bread, white rice, etc.

The positive influence that physical activity has on health has been well established. Among adults, regular physical activity has been associated with a reduced risk of stroke, impaired glucose tolerance, type 2 diabetes, mortality, and cardiovascular disease incident events. Engaging in physical activity daily has also proven to be helpful in both losing weight and maintaining weight loss…(2000 and 2005 National Health Interview Surveys).

In fact. reversing the disease. “….   Most type II diabetes are overweight. Overweight leads to insulin resistance (GGT ?). the insulin resistance improves and the available insulin once again becomes adequate.”  .” “Often when a person with type II diabetes loses weight. reducing to a more desirable body weight is the main treatment of individuals with type II diabetes.

              Multivitamin/Mineral.000 iu per day Vitamin E mixed tocopherols 400 iu/d Chromium picolinate 200-800 micrograms per day Magnesium 300-600 mg per day Selenium 200-400 mcg per day Zinc 20-40 mg per day Alpha lipoic acid 300-1200 mg per day Omega-3 (fish oil) 1-2 grams per day N-acetylcysteine 1000-2000 mg per day Flaxseed 2 tablespoons ground per day Probiotics 10-20 billion bacteria daily . Vitamin D and Probiotic B complex 50-100 mg per day Vitamin C 500-2000 mg per day Vitamin D 2000-10.

Goal .m. Urine negative for sugar. 2 hrs after eating less than 140 mg/dL Hemoglobin A1c – average blood sugar over the last 3 months.     Weigh yourself daily. preferably morning and evening. vitamin D > 50 nmol/L. 1st goal < 7.. and non-fasting in the p. permanent goal < 6. triglycerides < 150 mg/dL.fasting blood sugar less than 90 mg/dL. Check glucose fasting a. protein and ketones.m.   . Lipids LDL < 100 mg/dL.

A low fat diet of vegetables. A sedentary lifestyle is a significant and modifiable risk factor diabetes (II). oils. Type I diabetes may possibly be prevented with the avoidance of infant cow’s milk introduction. cause insulin to not work correctly. A low-fat. whole food. . resulting in poor sugar utilization. sugars. high fiber plant-based diet can reduce “intramyocellular fat”. animal foods. fruit. beans. Environmental toxicity and/or altered intestinal flora may increase the risk insulin resistance and obesity. refined carbohydrates. added fats. Diabetes is increasing rapidly in all age groups with “modernization” of the diet and lifestyle in the United States. Obesity is a very significant and modifiable risk factor for diabetes (II). infant and childhood vitamin D normalization. nuts and seeds can do this. Carbohydrates do not cause diabetes – excess calories from fat. and periconceptional. Diabetes (II) epidemic could be stop within one generation (actually within months). reduce weight and improve insulin’s action and sugar utilization in the cell reversing or dramatically improving the diabetic condition and subsequent health risks. whole grains. cheeses in conjunction with a sedentary lifestyle. developed and developing countries world wide.          The Diabetes Epidemic Does Not Have To Happen and Can Be Reversed! Diabetes (I & II) is rare in cultures eating their traditional unprocessed diets. as fast as it has come on with aggressive lifestyle change in diet and exercise.

MD.D. 2007. Neal Barnard   Kirk Hamilton@prescription2000.D. Healthy at 100. 2001. The Blue Zone: Lessons For Living Longer From The People Who Live Lived The Longest. James Anderson Diabetes Reversal Without Drugs .D. Daphne Miller.D.And How You Can Too. M.D. 277 pages.D.Books on Diabetes Prevention.An Interview With Daphne Miller. com  www. M. .Why They Work and How to Bring Them Home. Staying Healthy Today Interviews On Diabetes Prevention. 484 pages.D. Joel Fuhrman. Ph. Eat To Live: The Revolutionary Formula For Fast and Sustained Weight Loss. John Robbins. . M.. 2008.com Questions??? . Treatment & Reversal       Dr. Treatment and Reversal        Chronic Disease Prevention and Real Health Care Reform Using Lessons from Indigenous Diets From Around The World . D. Diabetes Reversal with The McDougall Program – An Interview With John McDougall. Joel Fuhrman Diabetes Reversal In Less Than 60 Days – A Case Study Diabetes Reversal With The Portfolio Diet . The Okinawa Program: How the World’s Longest-Lived People Achieve Everlasting Health . Ph.An Interview With Dr. 2003. David Jenkins Diabetes Reversal With The HCF Diet – An Interview With Dr.. Dan Buettner.prescription2000. The Jungle Effect: A Doctor Discovers the Healthiest Diets From Around the World . 292 pages. 2008. Willcox. 357 pages. Bradley J.An Interview With Dr.D. 2007. 370 pages. Neal Barnard’s Program for Reversing Diabetes by Neal Barnard. M. Diabetes Reversal With The “Eat For Health” Approach – An Interview With Dr.272 pages. M.. Craig Willcox. Makoto Suzuki. M.

– vegan diets and diabetes.drmcdougall. – www.Research and medical abstracts have shown diabetes reversal with a very low-fat. – Dietary Portfolio. Jenkins. Anderson.com The Eat For Health Program. J. plant-based diet mainly using 4 food groups – vegetables.drfuhrman. whole food. whole grains and beans for more than 40 years. Ph. M.D.D. M. John McDougall. Key Researchers: Neal Barnard.D. James W.D. M. DSc. – www. Glycemic Index and diabetes. high fiber.D. Successful Diabetes Reversal In Clinical Practice The McDougall Program. David A.. fruit. Joel Fuhrman.D.com . M. M.. – HCF Diet and diabetes.

The Okinawa Program: How the World’s Longest-Lived People Achieve Everlasting Health . Dan Buettner. 277 pages. 370 pages. 2008. 2007. Reviews the 25 Year Okinawa Centenarian Study. California. Nicoyans. Okinawans. National Geographic Society (Sardinians. Peru.D. 2001. (Excellent overview of successfully aging societies and their lifestyles: Abkhazians. Willcox C. Pakistan. John Robbins. Caucasus. The Jungle Effect: A Doctor Discovers the Healthiest Diets From Around the World Why They Work and How to Bring Them Home.      .In Successfully Aging Cultures Type I and/or Type II Diabetes Is Rare  Healthy at 100. Okinawa). 2008. Daphne Miller. Costa Rica. 357 pages. Italy. Centenarians of Okinawa with lessons for modern society). 484 pages.And How You Can Too. Vilcabambans. M. . Suzuki M. The Blue Zone: Lessons For Living Longer From The People Who Lived The Longest. Adventists. Hunzans. Willcox BJ.

vegans had lower fasting plasma triglycerides and glucose… IMCL levels were significantly lower in the soleus muscle . A vegan diet can lower intramyocellular fat and improve the sugar metabolism lower blood sugar and insulin levels…good for diabetics.59(2):291-8. with lower IMCL (intramyocellular lipid) accumulation and beta-cell protective. Also. RESULTS: Vegans had a significantly lower systolic blood pressure and higher dietary intake of carbohydrate… and polyunsaturated fat . Eur J Clin Nutr. CONCLUSION: Vegans have a food intake and a biochemical profile that will be expected to be cardioprotective.Veganism and its relationship with insulin resistance and intramyocellular lipid. with a significantly lower glycemic index . especially if overweight! . 2005 Feb.

James.“High Fiber Diet For Diabetes: Safe and Effective Treatment ” …The high complex carbohydrate. 15% to 20% protein (minimum of 45 gm/d) and 20% to 25% fat (less than 10% saturated fat).D. high fiber diet for home use includes 50 to 60% calories from carbohydrates (2/3rds of which are complex carbohydrates). M. glycosylated hemoglobin and blood lipids. Serum cholesterol levels are reduced 30% for type I diabetes and 24% for type II. August 1990. 200 mg or less of cholesterol daily and 40 to 50 gm total dietary fiber (25 gm/1000 kcal) and 10 to 15 gm soluble fiber daily.88(2):157-168. Their recommendations for a high carbohydrate. psyllium and soy fiber. beans. M. reduce the risk to cardiovascular disease. Postgraduate Medicine. can significantly lower blood lipids. Water soluble fibers are particularly effective coming from oat bran and dried beans. Anderson. reduce insulin and oral hypoglycemic medications or eliminate them all together. This diet includes 70% calories as complex carbohydrates with 35 gm of dietary fiber…can reduce insulin requirements by 30% to 40% for type I patients and 75% to 100% for type II diabetic patients.D. 9535 Anderson. help maintain desirable body weight. Excellent water soluble fiber sources are oat bran. James W. oatmeal. . high fiber diet advocated by Dr. oat bran muffins. In most cases insulin has been discontinued after ten to 21 days of dietary treatment in type II patients. reduce fasting blood sugar.

administered under medical supervision. Recent Advances In Carbohydrate Nutrition And Metabolism In Diabetes Mellitus The last decade has brought a tremendous turnaround in nutritional recommendations for diabetes management. high-fat diets to high-carbohydrate.Management Of Obesity In Diabetes Mellitus …Hypo caloric high-fiber diets have been found to be effective in achieving weight loss.8 Suppl:61S-67S. 1992 Sep-Oct. Anderson JW .18(5):407-10. as well as aiding in glycemic and lipid control. Very low calorie diets. lowfat diets…. are useful for obese NIDDM patients with 18-55 kilograms of weight to lose…Diabetes Educ. Anderson JW et al. moving from lowcarbohydrate. high-fiber.J Am Coll Nutr. 1989.

New Perspectives In Nutrition Management Of Diabetes Mellitus. Diet remains the cornerstone in the management of diabetes mellitus… The current consensus diabetes diet recommends 55 to 60 percent of energy as carbohydrate. 1988 Nov 28. therefore. 12 to 20 percent as protein. Fiber appears to have distinct benefits in improving glucose and lipid levels.85(5A):159-65. Anderson JW et al. . and less than 30 percent fat. an intake of up to 40 g per day… Am J Med. Total cholesterol intake should be less than 300 mg per day.

Serum cholesterol values dropped from 206 on the control diets to 147 on the HCF diet… Am J Clin Nutr.High-Carbohydrate. high plant fiber (HCF) diet than on the control diet. On the HCF diets. 1979 Nov. Anderson JW et al.32(11):2312-21. The average insulin dose was reduced from 26 units/day on the control diets to 11 on the HCF diets. High-fiber Diets For Insulintreated Men With Diabetes Mellitus …The daily dose of insulin was lower for each patient on the high-carbohydrate. . insulin therapy could be discontinued in nine patients receiving 15 to 20 units/day and in two patients receiving 32 units/day. Fasting and 3-hr postprandial plasma glucose values were lower in most patients on the HCF diets than on the control diets despite lower insulin doses.

compared with non-vegetarians. reduced intramyocellular lipid concentrations.67(5):255-63.Barnard ND. Vegetarian and vegan diets also improve plasma lipid concentrations and have been shown to reverse atherosclerosis progression. Jenkins DJ. 2009. In clinical trials in individuals with type 2 diabetes. In clinical studies. and decreased iron stores mediate the influence of plant-based diets on glycemia.Vegetarian and vegan diets offer significant benefits for diabetes management. …individuals following vegetarian diets are about half as likely to develop diabetes. Although this effect is primarily attributable to greater weight loss. Nutr Rev. . et al. evidence also suggests that reduced intake of saturated fats and high-glycemic-index foods. increased intake of dietary fiber and vegetable protein. May. low-fat vegan diets improve glycemic control to a greater extent than conventional diabetes diets. the reported acceptability of vegetarian and vegan diets is comparable to other therapeutic regimens… Vegetarian And Vegan Diets In Type 2 Diabetes Management.

After adjustment for baseline values. . . urinary albumin reductions were greater in the vegan group (15.29(8):1777-83. Including all participants. Jenkins DJ. These improvements were greater with a low-fat vegan diet.A Low-fat Vegan Diet Improves Glycemic Control And Cardiovascular Risk Factors In A Randomized Clinical Trial In Individuals With Type 2 Diabetes..5 kg in the vegan group and 3. RESULTS: 43% (21 of 49) of the vegan group and 26% (13 of 50) of the ADA group participants reduced diabetes medications. HbA(1c) (A1C) decreased 0.1 kg in the ADA group…LDL cholesterol fell 21.96 percentage points in the vegan group and 0. 2006 Aug.56 points in the ADA group. A1C fell 1. Body weight decreased 6..9 mg/24 h). et al.2% in the vegan group and 10.7% in the ADA group.. Barnard ND. CONCLUSIONS: Both a low-fat vegan diet and a diet based on ADA guidelines improved glycemic and lipid control in type 2 diabetic patients.. Diabetes Care.9 mg/24 h) than in the ADA group (10.38 points in the ADA group.23 points in the vegan group compared with 0.

vegan diet was associated with significant weight loss in overweight postmenopausal women. Am J Med. plant-based diet on body weight. …An index of insulin sensitivity increased from 4.118(9):991-7. despite the absence of prescribed limits on portion size or energy intake. metabolism.6 to 5. And Insulin Sensitivity. Metabolism. 2005 Sep. and insulin sensitivity. . Plant-based Dietary Intervention On Body Weight.7 in the intervention group… CONCLUSION: Adoption of a low-fat. PURPOSE: This study investigated the effect of a low-fat. while controlling for exercise in free-living individuals. Barnard ND et al.The Effects Of A Low-fat.

Barnard ND. .Type 2 Diabetes And The Vegetarian Diet “…there is reason to believe that vegetarian diets would have advantages in the treatment of type 2 diabetes…the use of whole-grain or traditionally processed cereals and legumes has been associated with improved glycemic control in both diabetic and insulin-resistant individuals. almonds). one of the major complications of diabetes. The vegetarian diet. which may be part of the vegetarian diet. and plant sterols. proteinuria. 2003 Sep. contains a portfolio of natural products and food forms of benefit for both the carbohydrate and lipid abnormalities in diabetes. In combination. …” Am J Clin Nutr. and renal acid load and in the long term reduce the risk of developing renal disease in type 2 diabetes. In addition. Kendall CW. Jenkins DJ. reduce serum lipids. fibers from oats and barley). Long-term cohort studies have indicated that whole-grain consumption reduces the risk of both type 2 diabetes and cardiovascular disease.78(3 Suppl):610S-616S. therefore. viscous fibers (eg. Anderson JW et al. substituting soy or other vegetable proteins for animal protein may also decrease renal hyper filtration. Furthermore. soy proteins. nuts (eg. these plant food components may have a very significant impact on cardiovascular disease.

86 to 8. for the control group. medication use was discontinued in one and reduced in three.7 to 7.75 mmol/L (195 to 141 mg/dl). Of six experimental group subjects on oral hypoglycemic agents. compared to 3. CONCLUSION: The use of a low-fat. 1999 Aug. Controlled. 8 kg for the control group . from 10.64 mmol/L (179 to 157 mg/dl). The mean weight loss was 7. was significantly greater than the 12% decrease. Barnard ND et. the 28% mean reduction in fasting serum glucose of the experimental group. No patient in the control group reduced medication use. from 9.2 kg in the experimental group. Insulin was reduced in both experimental group patients on insulin. Vegetarian Diet …Eleven subjects with NIDDM recruited from the Georgetown University Medical Center or the local community were randomly assigned to a low-fat vegan diet (seven subjects) or a conventional low-fat diet (four subjects)…. Pilot Intervention Using A Low fat. al  .Toward Improved Management Of NIDDM: A Randomized.29(2):87-91. vegetarian diet in patients with NIDDM was associated with significant reductions in fasting serum glucose concentration and body weight in the absence of recommendations for exercise. Prev Med.

“…Medical charts obtained from 4. . 1994 Dec. Barnard RJ.84 mmol/l. Of the 243 not taking medication. The ratio of total to high-density lipoprotein cholesterol was reduced by 13%. 76% reduced their fasting glucose levels to < or = 7.587 participants in a lifestyle modification program were screened for patients with NIDDM.Diet And Exercise In The Treatment Of NIDDM. The Need For Early Emphasis.45 mmol/l.0 to 8. A total of 652 patients was identified…Fasting glucose level was reduced from 10. and of the 319 initially taking anti-hypertension drugs. and 71% of 197 subjects taking oral hypoglycemic agents and 39% of 212 taking insulin were able to discontinue their medication. Blood pressure was significantly reduced. Serum total and low-density lipoprotein cholesterol were reduced by 22% and triglycerides by 33%. et al. Diabetes Care.17(12):1469-72. 34% had their medication discontinued.

Epub 2007 May 3. Atrazine.gov/pubmed?term=29[volume]+AND+11[issue]+AND+2567[page]+AND+2006 [pdat]    . http://www. 2007 Jun. Nov:29 (11)2567 http://www. Diabetes Care. Causes Mitochondrial Dysfunction And Insulin Resistance.30(3):622-8. 2006.ncbi. Clin Chem.gov/pubmed?term=30[volume]+AND+3[issue]+AND+622[page]+AND+2007[p dat] A strong dose-response relation between serum concentrations of persistent organic pollutants and diabetes: results from the National Health and Nutrition Examination Survey 1999-2002: response to Lee et al.gov/pubmed?term=53[volume]+AND+6[issue]+AND+1092[page]+AND+2007[ pdat] Association between serum concentrations of persistent organic pollutants and insulin resistance among non.nlm.ncbi.nih.ncbi.nih.nlm.ncbi.nlm.gov/pubmed?term=4[volume]+AND+4[issue]+AND+e5186[page]+AND+2009[ pdat] A strong interaction between serum gamma-glutamyltransferase and obesity on the risk of prevalent type 2 diabetes: results from the Third National Health and Nutrition Examination Survey. http://www.nih. http://www.nih. Chronic Exposure To The Herbicide. Diabetes Care. Diabetes Care. author reply 2568. 2007 Mar. 2006 Nov.53(6):1092-8.29(11):2567.diabetic adults: results from the National Health and Nutrition Examination Survey 1999-2002.nlm.

the measured weight gain was 8.0 kg (8. or a combination of both.6 kg (18. DESIGN: We predicted the changes in weight from the changes in estimated energy intakes in US children and adults between the 1970s and 2000s. OBJECTIVE: The objective was to determine the relative contributions of increased energy intake and reduced physical activity to the US obesity epidemic.    Increased food energy supply is more than sufficient to explain the US epidemic of obesity. CONCLUSIONS: Increased energy intake appears to be more than sufficient to explain weight gain in the US population. the measured weight gain was 4. For adults. Alternatively.90(6):1453-6. BACKGROUND: The major drivers of the obesity epidemic are much debated and have considerable policy importance for the population-wide prevention of obesity. and the predicted weight gain for the increased energy intake was identical at 4.Pubmed_Results Note: A reduction of 500 kcal/d = 1 lb of fat calorie per week. large compensatory increases in physical activity (eg. Population approaches to reducing obesity should emphasize a reduction in the drivers of increased energy intake.8 lbs). Am J Clin Nutr.8 kg (22. 2009 Dec.nlm. …RESULTS: For children.PEntrez.gov/pubmed/19828708?itool=EntrezSystem2.Pubmed. http://www.ncbi.) . 110-150 min of walking/d).nih. whereas the predicted weight gain was somewhat higher ( 10.92 lbs.0 kg (8.44 lbs). would achieve the same outcome. A reversal of the increase in energy intake of approximately 2000 kJ/d (500 kcal/d) for adults and of 1500 kJ/d (350 kcal/d) for children would be needed for a reversal to the mean body weights of the 1970s. Epub 2009 Oct 14. .8 lbs).

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