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

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

Each day almost 4. will develop diabetes in their lifetime.. Diagnosed: 18 million people . Pre-diabetes: 57 million people – 19% of the U.0% of the U.S.8. and 1 in 2 minorities. population! Diabetes is the 7th leading cause of death in the United States.905 deaths 1 in 3 Americans. population.Undiagnosed: 6 million people. population Blood sugar problems effect more than a quarter of the U. 70.     Diabetes: 24 million children and adults -.400 people are diagnosed with diabetes or 1.6 million new cases of diabetes are diagnosed in people aged 20 years and older each   .S.S.

2% of men > 20  Women 11. 0. particularly in American Indians.  Type 2 diabetes – rare but occurring more frequently in children and adolescents.0 million.2% of women > 20 .22% or 186 .  Type I diabetes .  Men 12. Adults  20 years or older: 23. or 23.one in every 400 to 600 children and adolescents. African Americans.7% of all people in this age group have diabetes.000 of this age group have diabetes – Mostly type I or insulin dependent diabetes.  60 years or older: 12.5 million.Under 20 years of age .Children and Adolescents  Pre.5 million. or 11. or 10.  Small percentage. and Hispanic/Latino Americans.1% of all people in this age group have diabetes.2 million adolescents (1 in 6 overweight adolescents) aged 12-19.2 million.diabetes . or 10.

769 Parkinson’s disease: 20.504 Hypertension and hypertensive renal disease: 23.136 Assault (homicide): 17.187 Stroke (cerebro-vascular diseases): 133.651 Cancer: 560.905 Influenza and Pneumonia: 52.990 Chronic respiratory diseases (COPD.847 Kidney Diseases (Nephritis. etc): 46.095 Septicemia: 34.944 Diabetes: 70. emphysema): 129. nephrotic syndrome. 520 .075 Adverse drug reactions 100.                Heart disease: 615.851 Intentional self-harm (suicide) 33.311 Accidents (unintentional injuries): 117.000 plus deaths Alzheimer's disease: 74.185 Chronic liver disease and cirrhosis 28.

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

Happens when nerves to the stomach are damaged or stop working.where the stomach takes too long to empty. stroke Eye Complications (retinopathy). Gastro paresis . Depression Reduce ability to carry out the activities of daily living in elderly. .            Heart Disease. high blood pressure. 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. poor wound healing and amputations (more than 60% of non-traumatic amputations are diabetes related).

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

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 .

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

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

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

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

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

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

or a combination of both.8 kg (22. For adults. 110-150 min of walking/d). 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. whereas the predicted weight gain was somewhat higher: 10.Increased food energy supply is more than sufficient to explain the US epidemic of obesity.92 lbs.0 kg (8.44 lbs). and the predicted weight gain for the increased energy intake was identical at 4. OBJECTIVE: The objective was to determine the relative contributions of increased energy intake and reduced physical activity to the US obesity epidemic.8 lbs). .90(6):1453-6.6 kg (18. would achieve the same outcome. CONCLUSIONS: Increased energy intake appears to be more than sufficient to explain weight gain in the US population. Alternatively.). Population approaches to reducing obesity should emphasize a reduction in the drivers of increased energy intake. the measured weight gain was 4. Am J Clin Nutr. DESIGN: We predicted the changes in weight from the changes in estimated energy intakes in US children and adults between the 1970s and 2000s. the measured weight gain was 8. large compensatory increases in physical activity (eg. 2009 Dec. …RESULTS: For children.0 kg (8. Epub 2009  Oct 14.8 lbs). BACKGROUND: The major drivers of the obesity epidemic are much debated and have considerable policy importance for the population-wide prevention of obesity.

8 34 Percent of Population 20 10. NCHS. 1971-74.2 26 17. 2006. NHANES. (NHES.1 15. Age-adjusted prevalence of obesity in Adults ages 20-74 by sex and survey. . 1976-80. 1960-62. United States.7 16.0 or higher.7 12. 1988-94 and 2001-2004).40 30 20. Source: Health.2 12.6 30.8 10 0 Men 1960-62 1971-74 1976-80 1988-94 Women 2001-2004 Note: Obesity is defined as a BMI of 30.

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2 billion) and more than 700 million will be obese (10% of population). overweight and obesity are now dramatically on the rise in low.and middle-income countries. particularly in urban settings.  “Once considered a problem only in high-income countries.WHO’s latest global projections (2005)  By 2015. approximately 2.3 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.” .

Average use of added fats and oils in 2000 was 67 percent above annual average use in the 1950s. gets 3 or more servings of whole grains.S. Only 7% of U. Caloric sweeteners record high in 1999. Grains consumption has risen since 1950s. Easy access to more and higher calorie dense foods. Meat consumption record high in 2000. 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! .         Eating more food-away-from-home: 32% vs. Cheese increase 287% from 1950s to 2000. Today Americans are consuming 600 more calories per person each day than in 1970 (2775 (2007)vs. 18% since mid 1970s.

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

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

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no dairy.   .” inhibiting insulin’s action. 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 added oils. Extra fat in the muscle cell (intramyocellular) is like “gum in a lock. Getting fat out of the cell by weight loss and dietary fat restriction (no animal products. increasing blood sugar and insulin.

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

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

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

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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).

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

Vitamin D and Probiotic B complex 50-100 mg per day Vitamin C 500-2000 mg per day Vitamin D 2000-10.              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 .

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

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

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

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

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

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

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

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

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

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

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

5 kg in the vegan group and 3. et al.23 points in the vegan group compared with 0. Jenkins DJ. Including all participants. CONCLUSIONS: Both a low-fat vegan diet and a diet based on ADA guidelines improved glycemic and lipid control in type 2 diabetic patients..A Low-fat Vegan Diet Improves Glycemic Control And Cardiovascular Risk Factors In A Randomized Clinical Trial In Individuals With Type 2 Diabetes.7% in the ADA group..2% in the vegan group and 10. A1C fell 1. These improvements were greater with a low-fat vegan diet.96 percentage points in the vegan group and 0.9 mg/24 h) than in the ADA group (10..29(8):1777-83. RESULTS: 43% (21 of 49) of the vegan group and 26% (13 of 50) of the ADA group participants reduced diabetes medications.38 points in the ADA group. . urinary albumin reductions were greater in the vegan group (15. After adjustment for baseline values.9 mg/24 h). . Barnard ND. HbA(1c) (A1C) decreased 0. 2006 Aug. Diabetes Care. Body weight decreased 6..1 kg in the ADA group…LDL cholesterol fell 21.56 points in the ADA group.

. while controlling for exercise in free-living individuals. vegan diet was associated with significant weight loss in overweight postmenopausal women. …An index of insulin sensitivity increased from 4. Barnard ND et al. And Insulin Sensitivity. metabolism. Metabolism. plant-based diet on body weight.7 in the intervention group… CONCLUSION: Adoption of a low-fat.118(9):991-7. Am J Med. PURPOSE: This study investigated the effect of a low-fat. Plant-based Dietary Intervention On Body Weight. and insulin sensitivity. despite the absence of prescribed limits on portion size or energy intake.The Effects Of A Low-fat. 2005 Sep.6 to 5.

In addition. reduce serum lipids. …” Am J Clin Nutr. which may be part of the vegetarian diet. and plant sterols. Jenkins DJ. . soy proteins. Kendall CW. Barnard ND. these plant food components may have a very significant impact on cardiovascular disease. therefore. fibers from oats and barley). Furthermore. The vegetarian diet. almonds). In combination.78(3 Suppl):610S-616S. nuts (eg. viscous fibers (eg. one of the major complications of diabetes. proteinuria. substituting soy or other vegetable proteins for animal protein may also decrease renal hyper filtration. and renal acid load and in the long term reduce the risk of developing renal disease in type 2 diabetes. contains a portfolio of natural products and food forms of benefit for both the carbohydrate and lipid abnormalities in diabetes.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. 2003 Sep. Long-term cohort studies have indicated that whole-grain consumption reduces the risk of both type 2 diabetes and cardiovascular disease. Anderson JW et al.

was significantly greater than the 12% decrease. 1999 Aug.7 to 7. al  . 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)….86 to 8. for the control group.2 kg in the experimental group.Toward Improved Management Of NIDDM: A Randomized. 8 kg for the control group . medication use was discontinued in one and reduced in three. Pilot Intervention Using A Low fat. The mean weight loss was 7. Insulin was reduced in both experimental group patients on insulin. Barnard ND et. the 28% mean reduction in fasting serum glucose of the experimental group. No patient in the control group reduced medication use.75 mmol/L (195 to 141 mg/dl). Controlled. Of six experimental group subjects on oral hypoglycemic agents. from 10. 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.64 mmol/L (179 to 157 mg/dl). Prev Med. from 9.29(2):87-91. compared to 3. CONCLUSION: The use of a low-fat.

The Need For Early Emphasis.84 mmol/l.Diet And Exercise In The Treatment Of NIDDM.587 participants in a lifestyle modification program were screened for patients with NIDDM.0 to 8. 1994 Dec. 34% had their medication discontinued. A total of 652 patients was identified…Fasting glucose level was reduced from 10. and 71% of 197 subjects taking oral hypoglycemic agents and 39% of 212 taking insulin were able to discontinue their medication. Barnard RJ. The ratio of total to high-density lipoprotein cholesterol was reduced by 13%.17(12):1469-72. Serum total and low-density lipoprotein cholesterol were reduced by 22% and triglycerides by 33%. “…Medical charts obtained from 4. Of the 243 not taking medication. et al. and of the 319 initially taking anti-hypertension drugs. Blood pressure was significantly reduced. . 76% reduced their fasting glucose levels to < or = 7. Diabetes Care.45 mmol/l.

nih.nih.ncbi. 2006.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.29(11):2567. Diabetes Care. Clin Chem.nih. author reply 2568. Chronic Exposure To The Herbicide.nlm.ncbi. Epub 2007 May 3. 2007 Mar. 2006 Nov.ncbi. http://www. Diabetes Care.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.nih.nlm. Nov:29 (11)2567 http://www. 2007 Jun.30(3):622-8. http://www. Causes Mitochondrial Dysfunction And Insulin Resistance.ncbi. http://www.diabetic adults: results from the National Health and Nutrition Examination Survey 1999-2002.nlm. Diabetes Care.gov/pubmed?term=29[volume]+AND+11[issue]+AND+2567[page]+AND+2006 [pdat]    .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. Atrazine.53(6):1092-8.

6 kg (18.ncbi. BACKGROUND: The major drivers of the obesity epidemic are much debated and have considerable policy importance for the population-wide prevention of obesity. 110-150 min of walking/d).Pubmed.8 kg (22.Pubmed_Results Note: A reduction of 500 kcal/d = 1 lb of fat calorie per week.8 lbs). large compensatory increases in physical activity (eg. whereas the predicted weight gain was somewhat higher ( 10.0 kg (8. …RESULTS: For children. 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.nih. . and the predicted weight gain for the increased energy intake was identical at 4. CONCLUSIONS: Increased energy intake appears to be more than sufficient to explain weight gain in the US population.8 lbs). OBJECTIVE: The objective was to determine the relative contributions of increased energy intake and reduced physical activity to the US obesity epidemic. or a combination of both. DESIGN: We predicted the changes in weight from the changes in estimated energy intakes in US children and adults between the 1970s and 2000s. would achieve the same outcome. http://www.0 kg (8. For adults. the measured weight gain was 4.90(6):1453-6. Alternatively.    Increased food energy supply is more than sufficient to explain the US epidemic of obesity.92 lbs. Am J Clin Nutr.44 lbs).) .nlm. Epub 2009 Oct 14.gov/pubmed/19828708?itool=EntrezSystem2.PEntrez. the measured weight gain was 8. Population approaches to reducing obesity should emphasize a reduction in the drivers of increased energy intake. 2009 Dec.