Hello and welcome to Health For A Lifetime. 00:00:48.40\00:00:51.25 I'm your host Don Mackintosh. 00:00:51.45\00:00:54.28 and we are glad today to have 00:00:54.48\00:00:56.13 Dr. Neil Nedley with us 00:00:56.24\00:00:57.21 from Ardmore, Oklahoma. Welcome, Dr. Nedley. 00:00:57.62\00:00:59.82 Thank you. Good to be here. 00:01:00.02\00:01:01.41 Today we're going to be talking about a very important subject, 00:01:01.71\00:01:06.15 a subject which touches the lives of some 16 million 00:01:06.35\00:01:10.12 Americans. The subject we'll be addressing is diabetes. 00:01:10.32\00:01:13.74 Diabetes is a condition that 00:01:14.04\00:01:18.35 has seen a 700% increase in the last 10 years. 00:01:18.55\00:01:23.52 And the sobering fact is there's about 50% of people 00:01:23.75\00:01:28.64 who have diabetes don't even know that they have it. 00:01:28.84\00:01:31.03 Isn't that right, Dr. Nedley? 00:01:31.23\00:01:32.39 That's correct. Half of all people that have diabetes 00:01:32.59\00:01:35.57 currently are unaware of it. 00:01:35.77\00:01:37.20 So they don't know that they have this condition 00:01:37.40\00:01:40.07 and in just a few moments we're going to ask Dr. Nedley 00:01:40.27\00:01:44.26 about the different types of diabetes 00:01:44.46\00:01:46.24 and kind of get a little bit more specific. 00:01:46.34\00:01:48.70 But as a result of today's program you could learn 00:01:48.84\00:01:52.08 information that could really save you from a lot of problems 00:01:52.18\00:01:56.91 in the future. So we hope that you stay with us 00:01:57.01\00:01:58.69 this entire half hour. 00:01:58.79\00:02:00.46 Now I want to mention something else: Dr. Nedley is not only 00:02:00.76\00:02:03.84 a physician who has a busy medical practice 00:02:04.04\00:02:06.86 who does a lot of lecturing and helping people prevent disease 00:02:07.06\00:02:10.41 but he's also an author. And he's just recently published 00:02:10.61\00:02:14.05 a book entitled Proof Positive. 00:02:14.16\00:02:16.44 And this is an excellent resource. 00:02:16.65\00:02:19.27 Some of the things that we're covering today... 00:02:19.47\00:02:20.71 I believe there is a chapter in your book even on 00:02:20.81\00:02:22.77 what we're talking about today. Correct. 00:02:22.87\00:02:25.31 Well Dr. Nedley, let's just get started with... 00:02:25.44\00:02:28.02 with maybe a more precise definition of diabetes. 00:02:28.22\00:02:31.99 What is diabetes? 00:02:32.02\00:02:33.22 What can result if someone develops diabetes? 00:02:33.52\00:02:39.50 Well, diabetes really is too high a blood sugar 00:02:39.70\00:02:42.79 in the bloodstream. 00:02:42.99\00:02:44.73 And so if you have a blood sugar 00:02:45.03\00:02:47.12 that is greater than 125, 00:02:47.32\00:02:50.41 uh, you really have diabetes. 00:02:50.61\00:02:53.13 It would probably need to be checked twice 00:02:53.33\00:02:54.90 in the fasting state. 00:02:55.00\00:02:56.67 But if you have fasted overnight and in the morning 00:02:56.75\00:03:00.31 your blood sugar is greater than 125, 00:03:00.51\00:03:02.37 you have diabetes. 00:03:02.57\00:03:04.82 And that doesn't tell you what type you have 00:03:05.12\00:03:07.56 but it does tell you that indeed diabetes is part of 00:03:07.76\00:03:12.55 what is going on. So what types of diabetes are there? 00:03:12.75\00:03:15.73 It's the blood sugar is over 120. Are there different types? 00:03:15.94\00:03:18.16 Well there is type 1 diabetes which is the juvenile 00:03:18.36\00:03:22.44 diabetes which children get mainly from a viral infection 00:03:22.64\00:03:26.07 that affects the pancreas 00:03:26.27\00:03:27.93 and that pancreas can no longer put out insulin appropriately. 00:03:28.13\00:03:31.20 And those individuals will need to be on insulin for life 00:03:31.40\00:03:35.79 in order to live. Without insulin, they would 00:03:36.19\00:03:39.32 actually go into ketoacidosis and die. 00:03:39.52\00:03:41.96 That's not the most common type of diabetes, however. 00:03:42.16\00:03:45.49 The most common type is adult-onset diabetes... 00:03:45.79\00:03:48.74 what we call type 2 diabetes... 00:03:48.94\00:03:50.92 meaning that these individuals are not dependent on insulin 00:03:51.22\00:03:55.24 for life. Another term we use for it is non-insulin dependent 00:03:55.44\00:03:59.06 diabetes mellitus. 00:03:59.26\00:04:01.22 And these individuals have high blood sugar. 00:04:01.52\00:04:03.88 But their high blood sugar is based upon two reasons: 00:04:04.08\00:04:07.32 one is they have the gene for diabetes 00:04:07.52\00:04:09.47 and secondly they have the lifestyle that was conducive 00:04:09.68\00:04:14.56 to bringing about diabetes. 00:04:14.66\00:04:16.78 So what you're saying is that there are some things 00:04:17.08\00:04:19.72 that we can do things about - 00:04:19.82\00:04:21.51 that is, the lifestyle issues - 00:04:21.71\00:04:23.57 and then there are genetic factors that we really 00:04:23.77\00:04:25.87 don't have control over. Is that right? 00:04:25.97\00:04:28.55 That's correct. But even though you have the genetic factor 00:04:28.66\00:04:31.39 you do not have to develop diabetes. 00:04:31.60\00:04:34.27 If you're on an appropriate lifestyle, 00:04:34.47\00:04:37.12 you probably will never develop diabetes your entire life. 00:04:37.32\00:04:40.29 Well that's good news. I have another question for you, 00:04:40.49\00:04:42.81 however. And that question is: besides elevated blood sugar 00:04:42.92\00:04:46.56 which only would show up if you've got your blood drawn 00:04:46.76\00:04:49.36 are there any other ways you can know that you perhaps 00:04:49.56\00:04:52.26 are developing diabetes? And then maybe what are some 00:04:52.46\00:04:54.91 of the complications if you do develop it? 00:04:55.01\00:04:56.69 Well some of the early symptoms are really drinking a lot of 00:04:56.89\00:05:00.08 water... feeling thirsty 00:05:00.18\00:05:01.81 and feeling the need to drink water abundantly 00:05:02.02\00:05:04.96 throughout the day and then urinating a lot. 00:05:05.16\00:05:07.22 Those are the classic symptoms of what we call polyuria 00:05:07.52\00:05:11.60 and polydypsia. 00:05:11.70\00:05:13.00 And then also eating a lot but actually losing weight 00:05:13.20\00:05:17.32 even though you're eating quite a bit. 00:05:17.52\00:05:19.00 Those symptoms only happen, however, when the blood sugar 00:05:19.20\00:05:22.86 is very high. And for most non-insulin dependent 00:05:23.06\00:05:28.02 diabetics - in other words, the adult-onset diabetic - 00:05:28.23\00:05:30.98 they may not get into those symptoms at all 00:05:31.18\00:05:33.71 and they may feel normal. 00:05:33.91\00:05:36.16 But unfortunately, a lot of bad things are going on 00:05:36.26\00:05:38.96 in their body because they don't know they have diabetes. 00:05:39.16\00:05:41.44 They're not on the appropriate lifestyle 00:05:41.64\00:05:43.27 and then before they know it 00:05:43.48\00:05:44.86 their first symptom might be a complication. 00:05:45.06\00:05:47.21 Hmmm. So is it then good for us to at some time in our life 00:05:47.41\00:05:50.69 have that blood screening and really find out? 00:05:50.89\00:05:53.18 It is very good. In fact, the American Diabetes Association 00:05:53.38\00:05:56.55 recommends that every American know what that is 00:05:56.65\00:05:59.06 on a yearly basis: what your fasting blood sugar is. 00:05:59.16\00:06:02.75 And that's something we recommend for all of our 00:06:02.95\00:06:05.75 patients as well. 00:06:05.85\00:06:06.85 OK, let's say you... maybe someone watching 00:06:07.06\00:06:10.29 today says: "Look, I'm going to get my blood sugar checked. 00:06:10.49\00:06:13.08 I think that perhaps I've had some of these signs 00:06:13.28\00:06:15.87 and these symptoms and I just want to get it checked out. " 00:06:15.97\00:06:17.81 Is it something they should put off for a while? 00:06:18.99\00:06:21.51 Or what are the afflictions that come as a result 00:06:21.71\00:06:24.60 of diabetes? Is it something they need to take care of 00:06:24.81\00:06:26.94 right away? They really need to take care of it right away. 00:06:27.04\00:06:30.18 Anyone who may be a diabetic or who is a diabetic 00:06:30.38\00:06:33.85 needs to really treat this disease seriously 00:06:34.05\00:06:36.72 and needs to really get on the appropriate lifestyle 00:06:36.73\00:06:40.15 to treat it adequately. 00:06:40.35\00:06:41.82 The afflictions that occur 00:06:42.12\00:06:43.42 as a result of diabetes are as follows: 00:06:43.53\00:06:46.83 However, just because you're a diabetic 00:07:34.54\00:07:37.37 doesn't mean that these things necessarily will come about. 00:07:37.57\00:07:40.30 They can be prevented through a program that we're going to be 00:07:40.50\00:07:43.73 talking about today. 00:07:43.84\00:07:45.35 And that is yet another complication of diabetes - 00:07:57.01\00:08:00.08 significant complication - and that is renal failure. 00:08:00.38\00:08:03.80 Well, each of those things we listed... I mean, that's 00:08:04.00\00:08:05.91 something you just want to avoid if at all possible. 00:08:06.01\00:08:08.28 Exactly. That would certainly underline 00:08:08.48\00:08:10.58 the necessity of those watching today or any of us that 00:08:10.68\00:08:14.01 might have some of those signs and symptoms 00:08:14.21\00:08:16.76 of taking care of it. But you've given us some hope, too. 00:08:16.86\00:08:19.92 You know, if we control our blood sugars, 00:08:21.68\00:08:24.04 what can be the result of that? 00:08:24.34\00:08:26.85 We control the blood sugars and also get on a lifestyle 00:08:27.15\00:08:30.56 that's conducive to preventing the complications - 00:08:30.76\00:08:33.73 in other words, keeping the blood pressure under control, 00:08:33.86\00:08:36.06 keeping the cholesterol and the triglycerides under control 00:08:36.26\00:08:39.51 as well as the blood sugars - then you can look forward 00:08:39.71\00:08:43.76 to a much better lifestyle than the average diabetic. 00:08:43.96\00:08:46.98 Unfortunately, the average diabetic, however, 00:08:47.28\00:08:49.64 does not really take this disease seriously enough 00:08:49.84\00:08:53.24 and doesn't really get on the appropriate lifestyle program. 00:08:53.44\00:08:56.40 And unfortunately, they then begin to suffer the whole list 00:08:56.60\00:09:00.83 of complications that we've mentioned. 00:09:00.97\00:09:02.86 So what I hear you saying... You're speaking today 00:09:03.17\00:09:05.80 as a medical doctor, as an internist, as someone who 00:09:06.00\00:09:08.77 stays up on the latest scientific research. 00:09:08.97\00:09:11.09 What are the problems that you're seeing 00:09:11.29\00:09:14.09 in the way diabetics are treated today. I mean 00:09:14.29\00:09:16.26 you've mentioned that they don't take it seriously enough 00:09:16.46\00:09:18.73 but are there even problems in what they're being told 00:09:18.93\00:09:21.84 about their disease... about how to handle that? 00:09:22.05\00:09:26.39 Yes, there has been a change in regards to 00:09:26.69\00:09:30.36 how science has developed in regards to the treatment 00:09:30.56\00:09:34.02 of diabetes and the lifestyle for diabetes. 00:09:34.12\00:09:36.36 For instance, years ago we used to recommend 00:09:36.56\00:09:40.83 a high protein and a high fat diet 00:09:41.03\00:09:43.06 and a very low carbohydrate diet in diabetics. 00:09:43.26\00:09:47.51 And it worked actually pretty well for controlling 00:09:47.71\00:09:49.98 the blood sugars, but their cholesterols and triglycerides 00:09:50.08\00:09:53.52 went off the scale. 00:09:53.72\00:09:55.00 And as a result, their heart disease, stroke, 00:09:55.20\00:09:57.92 and all of these things that we've mentioned... 00:09:58.12\00:09:59.73 leg amputations went off the scale. 00:09:59.93\00:10:01.87 So even though their blood sugars were better controlled 00:10:02.07\00:10:04.20 they were suffering compli- cations at a very high rate. 00:10:04.40\00:10:06.86 And the new scientific method for treating diabetes 00:10:07.16\00:10:11.56 is that of not only keeping the blood sugars under control 00:10:11.76\00:10:15.87 but also the cholesterol, the triglycerides, 00:10:16.07\00:10:18.23 and the blood pressure through lifestyle means... 00:10:18.24\00:10:21.00 which means an entirely different type of diet 00:10:21.20\00:10:23.96 for diabetics. 00:10:24.06\00:10:25.13 Well talk, then, about what some of the results can be 00:10:25.33\00:10:28.54 from following that program. Maybe give us some practical 00:10:28.75\00:10:31.03 ideas about how to do that. 00:10:31.13\00:10:32.73 Well, first of all, keeping the blood sugar under control 00:10:32.83\00:10:35.37 will produce some definite benefits. 00:10:35.57\00:10:38.80 This study was done in the type 1 diabetic or the insulin- 00:10:39.00\00:10:42.54 dependent diabetic. And these individuals were 00:10:42.64\00:10:45.95 checking their blood sugars frequently four times a day 00:10:46.05\00:10:48.68 and getting on a program that was going to adequately 00:10:48.88\00:10:51.61 control the blood sugars. 00:10:51.71\00:10:53.08 And as a result they had: 00:10:53.28\00:10:55.04 So by getting on a good program 00:11:18.75\00:11:20.18 and keeping those sugars down we can go a long way 00:11:20.28\00:11:23.38 in preventing some of the complications. 00:11:23.58\00:11:26.14 But we need to prevent the major complications as well 00:11:26.34\00:11:29.94 including the heart disease, stroke, etc. 00:11:30.14\00:11:32.52 And that's where the new- fangled diet comes in. 00:11:32.72\00:11:35.15 So what you're saying is that we... 00:11:36.50\00:11:38.54 Even if we have type 1 diabetes, 00:11:38.74\00:11:41.12 this is not type 2 you're talking... this is talking about 00:11:41.32\00:11:44.15 juvenile onset. Right. In other words, those that 00:11:44.29\00:11:46.84 have it and they know they're going to have it 00:11:47.04\00:11:48.32 their whole life and have to have some kind of way 00:11:48.42\00:11:50.59 to control that - um hmm - with lifestyle factors they can 00:11:50.69\00:11:54.11 grossly or... not grossly but just in a real positive way 00:11:54.31\00:11:58.71 their outview is much more optimistic if they're following 00:12:00.60\00:12:03.53 the proper lifestyle. Correct. 00:12:03.63\00:12:05.34 Um, another thing you mentioned had to do with those... 00:12:05.55\00:12:08.41 retinopathies which are in the eye. 00:12:08.51\00:12:11.76 I was talking to an ophthalmologist the other day 00:12:11.96\00:12:14.04 that said that many cases of diabetes are first diagnosed 00:12:14.24\00:12:17.50 when someone goes and sees their eye doctor. 00:12:17.70\00:12:20.08 Yes. And unfortunately by the time they have the retinopathy 00:12:20.28\00:12:24.30 they will already have advanced diabetes and they have other 00:12:25.55\00:12:28.50 complications going on as well. 00:12:28.60\00:12:30.42 And so again it underscores the need 00:12:30.62\00:12:34.43 for people to get screened for this disease 00:12:34.63\00:12:37.20 so they can know about it up front and prevent that 00:12:37.40\00:12:39.52 retinopathy from occurring. 00:12:39.62\00:12:41.31 You have mentioned in terms of dietary things 00:12:41.51\00:12:43.77 to have a high carbohydrate diet 00:12:43.97\00:12:46.31 and certain fats... lower in fats. 00:12:46.52\00:12:49.94 Doesn't have to be a high-protein diet. 00:12:50.14\00:12:52.50 Are there any foods specifically we should avoid 00:12:52.80\00:12:56.47 if we are diagnosed with diabetes? 00:12:56.67\00:12:58.92 Well one of the foods that we need to avoid actually 00:12:59.12\00:13:01.67 is meat. This was the old diet, actually, for diabetics 00:13:01.87\00:13:07.52 was meat based because it was low in carbohydrates. 00:13:07.72\00:13:10.37 But meat is very high in cholesterol. 00:13:10.57\00:13:12.59 It is high in saturated fat 00:13:12.80\00:13:14.51 and it is going to dramatically increase the cholesterol, 00:13:14.71\00:13:19.08 triglycerides, and also the blood pressure. 00:13:19.28\00:13:21.83 And those three things combined with having a background 00:13:22.03\00:13:25.42 of diabetes is going to put heart disease, 00:13:25.52\00:13:27.67 stroke, peripheral vascular disease, amputation, 00:13:27.87\00:13:30.72 and those type of things off the scale. 00:13:30.82\00:13:32.61 And so one study actually that was done 00:13:32.81\00:13:36.59 in a group of patients showed that those that were eating 00:13:36.69\00:13:40.43 meat frequently had a much higher risk of the end 00:13:40.53\00:13:44.76 product of many diabetics and that is death. 00:13:44.96\00:13:48.31 In fact, one study among Seventh-day Adventists 00:13:48.51\00:13:53.26 showed those that use meat six or more days per week 00:13:53.46\00:13:58.13 who were also diabetic had a 3.8-fold increased 00:13:58.33\00:14:02.42 risk of dying compared with diabetics 00:14:02.52\00:14:06.19 who were also Seventh-day Adventists but they ate 00:14:06.39\00:14:09.11 meat less than 1 day per week. 00:14:09.31\00:14:11.57 And this we find true in other studies as well: 00:14:11.77\00:14:14.50 the more meat consumed the greater the risk of 00:14:14.70\00:14:17.87 the complications and the greater risk of death 00:14:17.97\00:14:20.69 for diabetes. And so we need to get away from this old 00:14:20.89\00:14:24.51 school thinking. And I tell you as a physician 00:14:24.61\00:14:26.71 it's hard to really tell patients who have been told 00:14:26.92\00:14:31.11 for years that they have to eat more meat because 00:14:31.22\00:14:33.42 they're diabetic to go the other way. 00:14:33.52\00:14:35.38 But that's exactly what they need to do. 00:14:35.58\00:14:37.53 That's interesting. 00:14:37.83\00:14:39.13 Also probably as a scientist 00:14:39.23\00:14:40.85 why is it... I want to ask you 00:14:40.95\00:14:42.47 this question: why do they study 00:14:42.57\00:14:44.35 Seventh-day Adventists in these studies? 00:14:44.45\00:14:46.32 And you know why do they pick those groups? And... 00:14:46.62\00:14:49.26 and I've seen several studies like this. 00:14:49.46\00:14:53.29 Yes, well actually there is a group of 25,000 people 00:14:53.49\00:14:57.90 that were studied in California 00:14:58.10\00:15:00.83 among the Seventh-day Adventist population. 00:15:01.03\00:15:03.38 And really the US government spent I think over $12 million 00:15:03.41\00:15:06.97 studying this group of people 00:15:07.17\00:15:08.70 simply because their lifestyle habits among themselves 00:15:08.90\00:15:12.86 and compared with the general population 00:15:13.06\00:15:15.03 were different enough that you can find out 00:15:15.14\00:15:17.49 through a large group of people 00:15:17.69\00:15:18.91 what diseases may come about 00:15:19.01\00:15:20.41 as a result of lifestyle differences. 00:15:20.51\00:15:22.93 About 50% of Seventh-day Adventists do not consume meat. 00:15:23.13\00:15:26.79 The other 50% do in different amounts. 00:15:26.99\00:15:29.58 And then there's the smoking differences, 00:15:29.78\00:15:32.93 the caffeine differences, etc. that can bring about 00:15:33.13\00:15:35.84 a very beautiful study in regards to what diseases 00:15:36.04\00:15:39.63 might result from which lifestyle patterns. 00:15:39.83\00:15:42.50 So in other words, there's different sub-groups that can be 00:15:43.41\00:15:45.52 easily studied... those who, say, do one thing 00:15:45.62\00:15:49.03 but not other things and... Correct. 00:15:49.13\00:15:51.30 And those that follow more plant based all across the board 00:15:51.51\00:15:54.07 seem to do better. That's right. 00:15:54.27\00:15:56.19 The more plant based the longer the life expectancy 00:15:56.49\00:16:00.48 and the happier the life while living it with less disease. 00:16:00.68\00:16:03.90 You mentioned a few moments ago that one of the reasons 00:16:04.10\00:16:07.15 we don't want to eat meat is because of the high saturated 00:16:07.35\00:16:10.94 fat. Does that mean we can eat certain types of fats? 00:16:11.04\00:16:15.03 Yeah, there are some fats 00:16:15.23\00:16:17.14 that are actually good for a diabetic. 00:16:17.24\00:16:19.12 The poly-unsaturated fat will tend to lower 00:16:19.32\00:16:21.83 the cholesterol some. And actually as far as controlling 00:16:22.03\00:16:25.54 blood sugar and not adversely affecting cholesterol 00:16:25.64\00:16:29.38 mono-unsaturated fats come out on top 00:16:29.48\00:16:32.00 as far as the diabetic is concerned. 00:16:32.20\00:16:34.04 And what are some of those? 00:16:34.07\00:16:35.43 Foods that are high in mono-unsaturated fat such as: 00:16:35.63\00:16:40.49 Avocadoes would be next 00:17:01.28\00:17:03.22 on the list in regard to 00:17:03.32\00:17:04.82 mono-unsaturated fat. 00:17:04.96\00:17:06.29 And that rounds out very good 00:17:06.49\00:17:09.29 type of fat foods as far as 00:17:09.39\00:17:11.35 the diabetic is concerned. 00:17:11.49\00:17:12.72 So just because there shouldn't 00:17:12.93\00:17:14.78 be meat in the diet doesn't mean 00:17:14.88\00:17:18.01 that they have to be on a very low-fat diet. 00:17:18.14\00:17:20.61 In fact, control of the blood sugars comes about 00:17:20.81\00:17:23.33 more easily as a result of utilizing these 00:17:23.53\00:17:26.83 mono-unsaturated fats in the diet. 00:17:26.93\00:17:28.89 What other foods are better to keep 00:17:29.09\00:17:32.60 a stable and normal blood sugar would you say? 00:17:32.70\00:17:36.72 Well, other foods are really the complex carbohydrates 00:17:36.75\00:17:39.38 or carbohydrates that are combined with fiber 00:17:39.59\00:17:42.57 where the sugar is absorbed very slowly from the 00:17:42.77\00:17:46.86 intestinal tract so the body can handle it more readily. 00:17:46.96\00:17:50.44 Dr. Anderson was the first one to use this diet 00:17:51.98\00:17:54.64 in Kentucky. And he showed that: 00:17:54.84\00:17:57.27 Which is another important factor for diabetics that are 00:18:26.00\00:18:30.11 overweight. If they lose weight, 00:18:30.31\00:18:31.81 their body will be able to handle the sugar much better. 00:18:32.01\00:18:34.78 This is actually a revolutionary diet: a high carbohydrate diet. 00:18:46.75\00:18:51.77 And by the way, sugar is a carbohydrate 00:18:51.97\00:18:54.40 and so that's why originally the meat diet was recommended 00:18:54.60\00:18:59.32 because meat is low in carbohydrates. 00:18:59.52\00:19:01.22 But if it's the right kind of carbohydrates... meaning 00:19:01.43\00:19:04.62 that it's the complex carbohydrates and the natural 00:19:04.82\00:19:07.47 carbohydrates - the unrefined carbohydrates - 00:19:07.57\00:19:10.22 it actually helps to discontinue insulin and improve blood sugar 00:19:10.42\00:19:14.67 control WHILE improving the cholesterol, triglycerides, 00:19:14.87\00:19:18.61 blood pressure, and even weight of the diabetic. 00:19:18.81\00:19:21.29 So what you're saying is different than what we hear 00:19:21.49\00:19:24.28 many times in current popular literature 00:19:24.48\00:19:27.37 that we should have that high protein and 00:19:27.47\00:19:31.23 high fat and then we should have... What about snacks? 00:19:31.43\00:19:33.79 Should we have 5, 6, 7 snacks during the day 00:19:33.99\00:19:36.18 like many times is suggested? 00:19:36.28\00:19:37.83 Actually it's better for diabetics to eat their large 00:19:38.03\00:19:41.02 meal at breakfast time, 00:19:41.12\00:19:42.66 eat their second largest meal 00:19:42.86\00:19:44.69 at lunch and to eat a light 00:19:44.80\00:19:46.57 supper with no snacks whosever. 00:19:46.67\00:19:49.51 The only exception might be diabetics who are on an insulin 00:19:49.74\00:19:52.57 regimen where it peaks at nighttime. 00:19:52.67\00:19:55.52 And those individuals may need a nighttime snack. 00:19:55.72\00:19:59.33 But with all the insulin regimens available today 00:19:59.43\00:20:01.95 I do not have any of my patients on a nighttime snack. 00:20:02.15\00:20:05.42 I tailor their insulin - if they need any - 00:20:05.62\00:20:07.72 so that it peaks at mealtime and not in the middle of the night 00:20:07.92\00:20:11.25 so that they don't need to be worrying about snacking 00:20:11.46\00:20:13.53 before going to bed. 00:20:13.63\00:20:14.93 So out of all the thousands of patients you have 00:20:15.13\00:20:17.27 you don't have anybody that needs a midnight snack. 00:20:17.47\00:20:20.26 Correct. You talk a little bit about foods that have 00:20:20.46\00:20:24.48 fiber in them. What kind of foods are those? 00:20:24.51\00:20:27.39 Where do we get fiber? 00:20:27.59\00:20:28.87 Well the type of fiber that is best for a diabetic is 00:20:29.07\00:20:31.75 what we call the soluble fiber. 00:20:31.95\00:20:33.74 That's a different kind of fiber that helps the 00:20:33.94\00:20:36.36 gut necessarily... or prevents constipation. 00:20:36.56\00:20:40.52 Soluble fiber is what is going 00:20:40.72\00:20:42.84 to prevent the sugar 00:20:42.94\00:20:44.27 from being absorbed very rapidly 00:20:44.47\00:20:45.96 and slows the absorption 00:20:46.06\00:20:48.55 of sugar. 00:20:48.65\00:20:49.90 And those are excellent foods for a diabetic 00:21:10.32\00:21:13.44 and they will decrease the absorption of sugar 00:21:13.64\00:21:16.62 and help the body to be able to handle it much more readily. 00:21:16.82\00:21:19.50 Anything else we should do 00:21:19.70\00:21:22.28 if we're diagnosed as having diabetes? 00:21:22.48\00:21:25.07 Well, we've mentioned weight loss for those that are 00:21:25.27\00:21:27.09 overweight but exercise also is very important. 00:21:27.20\00:21:30.91 Exercise works just like insulin in a diabetic. 00:21:31.11\00:21:34.61 Actually, it will push the sugar 00:21:34.74\00:21:39.08 into the cell and away from the 00:21:39.19\00:21:41.09 bloodstream... thus bringing sugar down. 00:21:41.19\00:21:43.71 This study was done in 00:21:44.11\00:21:45.94 those as far as preventing 00:21:46.04\00:21:47.62 diabetes is concerned. They had 00:21:47.82\00:21:49.04 a family history of diabetes 00:21:49.14\00:21:50.71 and they had high blood pressure 00:21:50.91\00:21:53.42 and obesity... 00:21:53.52\00:21:55.19 at least some of those risk factors for diabetes. 00:21:55.39\00:21:57.77 And those individuals that were 00:21:57.97\00:21:59.71 on an exercise program 00:21:59.81\00:22:01.43 decreased their risk of developing diabetes 00:22:01.64\00:22:03.54 by 50% as long as they were exercising. 00:22:03.74\00:22:06.77 And as you can see there, 00:22:06.87\00:22:07.95 3500 calories of energy 00:22:08.05\00:22:11.17 expended per week 00:22:11.27\00:22:12.42 compared with those that were 00:22:12.52\00:22:14.25 expending less than 500 calories 00:22:14.35\00:22:16.02 in exercise where they had 00:22:16.12\00:22:17.91 a high risk of developing diabetes. 00:22:18.04\00:22:20.46 Not only will exercise 00:22:20.76\00:22:21.86 help treat diabetes, but for those with a family history - 00:22:21.96\00:22:25.27 those that have the gene for diabetes - 00:22:25.47\00:22:27.62 it can prevent them from ever developing the disease 00:22:27.82\00:22:30.25 as long as they stay on a regular exercise program. 00:22:30.45\00:22:33.38 So what you're saying with exercise is... 3500... 00:22:33.68\00:22:36.91 What was it a week? Calories expended in exercise. 00:22:37.05\00:22:41.00 How much exercise is that for someone? 00:22:41.10\00:22:42.89 Well, walking an hour will expend about 600 calories. 00:22:43.09\00:22:46.66 And so you need to do the equivalent of brisk walking 00:22:46.86\00:22:50.61 an hour a day every day per week 00:22:50.81\00:22:54.00 to get above that 3500 calories. 00:22:54.20\00:22:56.30 Now if you're running for 20 or... for about 30 minutes - 00:22:56.50\00:23:00.11 20 or 30 minutes - you'll expend that same amount. 00:23:00.31\00:23:02.84 You don't need to necessarily do the brisk walking part. 00:23:03.04\00:23:05.66 But there are charts that you can get a hold of - 00:23:05.89\00:23:08.51 actually our book has them - where it will tell you 00:23:08.54\00:23:11.23 how much energy is being expended for each activity. 00:23:11.43\00:23:14.65 As we were talking before the program 00:23:14.85\00:23:17.04 you know, about diabetes you mentioned that one of your 00:23:17.24\00:23:20.39 largest concerns was in an area of what people eat today. 00:23:20.59\00:23:26.57 Why don't you tell those that are watching a little bit more 00:23:26.77\00:23:29.76 about this. Well, one of my biggest concerns 00:23:29.86\00:23:33.14 is that Americans have not gotten the message on sugar. 00:23:33.34\00:23:35.90 Fat consumption actually has gone down recently in America. 00:23:36.31\00:23:40.53 Cholesterol intake has gone down. 00:23:40.67\00:23:42.57 Somehow we've gotten that message out 00:23:42.77\00:23:44.28 so many Americans have changed their life there. 00:23:44.38\00:23:46.64 But sugar consumption continues to increase. 00:23:46.94\00:23:50.10 The average person in America, Don, 00:23:50.30\00:23:52.88 eats 147 pounds of sugar per year. Wow! 00:23:53.08\00:23:59.03 That is straight sucrose... I mean, refined sugar... 00:23:59.23\00:24:03.94 that they are consuming every year. 00:24:04.14\00:24:06.96 And I myself consume far less than a pound per year. 00:24:07.16\00:24:12.55 That means someone else is probably consuming 00:24:12.79\00:24:14.90 about 300 pounds of sugar when you consider 00:24:15.00\00:24:17.82 all the averages. 00:24:17.92\00:24:19.14 Well how do we know how much sugar a food has? 00:24:19.44\00:24:22.12 Well, really we need to get a hold of the labels again 00:24:22.42\00:24:27.08 and take a look as far as how much sugar 00:24:27.28\00:24:30.07 each one of the foods have. 00:24:30.17\00:24:32.41 There are hidden sugars in food. 00:24:32.71\00:24:34.09 You can see, malted milk 00:24:34.19\00:24:35.85 just 12 oz, 42 tsp of sugar. 00:24:36.05\00:24:40.86 Wow! That is a large amount of sugar. 00:24:41.06\00:24:43.03 Soft drinks - 12 oz - 00:24:43.06\00:24:45.00 10-12 tsp of sugar. 00:24:45.20\00:24:47.00 And that's where most Americans 00:24:47.10\00:24:48.51 are getting that 147 pounds from 00:24:48.62\00:24:51.28 is from the soft drinks. 00:24:51.56\00:24:52.72 Soft drink consumption is dramatically increased 00:24:52.82\00:24:55.04 in this country. 00:24:55.15\00:24:56.22 Those are empty calories. 00:24:56.42\00:24:57.74 There really is no good nutrition in them whatsoever. 00:24:57.94\00:25:01.19 But yet people are suffering 00:25:01.49\00:25:04.50 from the complications 00:25:04.70\00:25:05.93 of drinking soft drinks. 00:25:06.13\00:25:08.82 Canned fruit if it's the kind 00:25:08.92\00:25:12.57 that has sugar added - 00:25:12.67\00:25:13.81 and unless it says it doesn't 00:25:14.01\00:25:15.59 it really does have sugar added. 00:25:15.69\00:25:17.14 Just light syrup 8 tsp of sugar. 00:25:17.24\00:25:19.45 That nice chocolate cake 00:25:19.55\00:25:21.37 just a 4 oz slice - 8 tsp sugar. 00:25:21.57\00:25:24.25 And then chocolate candy - 00:25:24.55\00:25:26.36 just that one little 1 oz size - 00:25:26.46\00:25:28.03 7 tsp of sugar. 00:25:28.24\00:25:29.65 So when you add all those teaspoons up 00:25:29.85\00:25:31.75 it doesn't take long for you to consume pounds of sugar 00:25:31.96\00:25:36.40 on a yearly basis. 00:25:36.60\00:25:37.81 As I saw you going through that list, you know, 00:25:49.61\00:25:52.37 I look at that list and I say: "How many people just eat 00:25:52.57\00:25:54.99 one candy bar or one doughnut 00:25:55.02\00:25:57.68 or one scoop of ice cream? " 00:25:57.78\00:25:59.14 I think the problem is that we just can't have one. 00:25:59.34\00:26:02.59 As the common commercial says "you can't just have one. " 00:26:02.70\00:26:05.47 So what does the sugar do once it gets there? 00:26:05.77\00:26:08.47 We have about a minute and a half. Tell us: 00:26:08.67\00:26:11.84 why is sugar so dangerous? 00:26:12.04\00:26:13.83 Well sugar, even for a non-diabetic, 00:26:14.03\00:26:15.85 will decrease their ability to fight infection. 00:26:16.05\00:26:17.98 I think that's one of the reasons why we see 00:26:18.18\00:26:20.39 January through March being 00:26:20.49\00:26:21.86 high hospital seasons 00:26:21.96\00:26:23.43 where everyone with infectious 00:26:23.53\00:26:24.93 diseases gets admitted 00:26:25.03\00:26:26.31 based on what they ate for the 00:26:26.41\00:26:27.56 Christmas holidays. Hmmm. 00:26:27.66\00:26:29.24 But notice, 24 tsp of sugar will 00:26:29.34\00:26:33.04 decrease the amount of bacteria 00:26:33.14\00:26:34.76 that one white blood cell can 00:26:34.86\00:26:37.55 destroy down to one. 00:26:37.66\00:26:39.01 Where if they had no sugar 00:26:39.21\00:26:40.57 on board, that same white blood cell will be able to 00:26:40.67\00:26:43.14 destroy 14 bacteria. 00:26:43.24\00:26:45.71 And notice there's a continuum. 00:26:45.91\00:26:47.27 The more tsp of sugar consumed 00:26:47.48\00:26:49.30 the less that neutrophil - 00:26:49.51\00:26:51.45 or that white blood cell - 00:26:51.55\00:26:52.62 is able to destroy bacteria 00:26:52.72\00:26:54.43 and the higher the risk of infection. 00:26:54.53\00:26:55.93 In addition, there is a high risk of cancer 00:26:56.23\00:26:59.17 associated with sugar consumption. 00:26:59.37\00:27:00.83 Thank you for being with us today, Dr. Nedley. 00:27:20.70\00:27:23.00 And thank you for joining us. 00:27:23.20\00:27:25.26 I think that all of us who have been listening 00:27:25.46\00:27:27.32 have found practical tips 00:27:27.52\00:27:29.94 to have health for a lifetime. 00:27:30.14\00:27:33.77