Hello and welcome to
Health for a Lifetime.
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I'm your host Don Mackintosh.
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We're glad that
you've joined us.
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Today we're talking
about a very important subject.
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Many Americans are struggling
with a disease called diabetes.
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Perhaps you
yourself struggle with this.
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I'm sure that if you don't
you know someone that does.
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Today we're going to be joined
with someone who is really an
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expert in dealing with this.
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He is a specialist
in internal medicine.
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His name is Dr. Victor Herry.
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He's from the Washington,
D.C. area where he practices
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and has done so
for over 20 years.
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Dr. Herry, we're
glad you're with us today.
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Thank you.
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You know, diabetes is
something that many people
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have heard about.
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There may be someone
out there that doesn't know
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what diabetes is.
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What is it exactly?
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Diabetes actually is a group of
disorders in the body resulting
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in elevated blood
sugar in the blood stream.
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Underlying all of this is
maybe a defect in the pancreas.
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The pancreas is that organ
lies right below the stomach and
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that produces insulin.
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In some people the
insulin production is not enough
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or absent.
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In some people the insulin
production is adequate but the
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body is not accepting
the insulin to push the sugar
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into the blood cell.
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The blood sugar
remains in the blood stream.
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It causes an elevation of
blood sugar and so it is called
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diabetes or hyperglycemia
- elevated blood sugar.
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They talk about two types
of diabetes - type 1, type 2
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What's the
difference between those?
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There are two types.
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Type 1 is sometimes referred
to as juvenile onset diabetes.
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That has to do with the death
of the cells in the pancreas
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that produces insulin -
the absence of those cells.
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It is an autoimmune cell.
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The body destroys those cells,
the beta cells of the pancreas.
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so that young person
does not produce insulin.
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That usually is from birth
or it can happen at any time.
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Anytime from the age 1 to age 18
before the person is an adult.
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Now, you say the
body attacks itself.
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Why does it happen?
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Do they know why it happens?
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Why it happens we're not sure.
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It's just autoimmune and
that happens with many other
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kinds of diseases.
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The basis of it we're not
quite sure why it happens.
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Then there is the type 2.
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The type 2 used to be
called adult onset diabetes.
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However, because now it is found
in children it is called type 2
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and not adult onset anymore.
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The reason for that is because
of changing in life style.
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We find that we have
young children who are markedly
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overweight who do not exercise
and as a result of that the
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sugar in the blood
stream becomes so high that they
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develop diabetes.
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So its changed from being
adult onset to type 2 and that's
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really a warning shot.
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That makes this
program even more important.
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That's right because children
have type 2 diabetes now.
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So what are the
symptoms of diabetes?
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How can I know I have it?
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There could be
multiple symptoms.
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One of the things one must
remember is that if you have
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a family history of diabetes
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then one is to
look for diabetes.
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Some of the things
like increased thirst.
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One finds that one
wants to drink water.
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They're thirsty all the time.
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Increased thirst
is an indication.
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Or one goes to the
restroom a lot to pass water.
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That too is an indication
that there is diabetes.
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So increased thirst, increased
running to the bathroom
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to pass water.
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Increased eating, eating a
lot, that may be an indication
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that there is diabetes.
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So those are some of the
symptoms that one would find
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that might indicate and of
course there's a family history
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that that person has diabetes.
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But the only way you can
know is to check the numbers.
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Got to check the numbers
- so what are normal numbers
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when you get them checked?
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Before one eats, if one is in a
fasting state, that is you have
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not eaten before midnight, and
early in the morning, let's say
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6:00, you're going to
check your blood sugar.
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If your blood sugar is greater
than 110 it indicates that
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you may be diabetic.
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Your body is not
handling sugar properly.
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That's a different number than
when I went to nursing school.
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A number of years
ago they said 120.
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But it is now even going down.
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As a matter of fact they're
now thinking of putting it
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down to 100.
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So 100 to 110 fasting
blood sugar in the morning.
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Now, 2 hours after a normal meal
if your blood sugar is greater
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than 140 and even greater than
200 then the indications are
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that you are diabetic.
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So 2 hours after eating.
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We call that post prandial.
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You actually draw
the blood right then?
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Yes, draw the blood
2 hours after one eats.
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The only way you can really
know then is by those tests?
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Yes, because what happens
is there are many people who
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have had
observations of themselves.
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For instance, patients would
come and say, "I've been loosing
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a lot of weight and I
notice I've been running to the
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bathroom. "
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Weight loss, running to the
bathroom frequently, I've been
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hungry all the time, I've been
drinking a lot of water - those
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are indications but even then,
even before that state comes,
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if there's a family history one
should annually check to make
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sure that there is no
indication that the blood sugar
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is running high.
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So we've talked about
what it is, type 1 and type 2.
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We've talked
about some symptoms.
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You also have down,
what are the causes?
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What causes diabetes?
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First of all I mentioned
that diabetes can be genetic.
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So that through the genes.
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However, the environment is
very important both the internal
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and the external environment.
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What do I mean by that?
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Now a person who is over
weight is subject to diabetes.
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So one cause of
diabetes is obesity.
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If we notice that we are
becoming heavier and heavier
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every day because we
eat and we do not exercise.
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Ok, so lack of exercise.
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That's one cause.
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Another cause of diabetes, as
I mentioned, increased weight,
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obesity, lack of exercise, bad
habits of eating, eating foods
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high in carbohydrates,
overwhelming the body so that
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the body cannot handle those.
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Foods high in carbohydrates
would be like potatoes, rice,
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pasta.
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I'm not saying that they
are not good, I'm saying if you
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eat too much of them the body
is overloaded with the sugar
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and glucose so your
body cannot handle it.
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So you've got to watch that.
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We hear about the
glycemic index of foods.
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So you're saying foods
high in the glycemic index?
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No, I'm glad you mentioned
glycemic index - that's correct.
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We also have carbohydrates
in almost everything we eat.
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However, the natural complex
carbohydrates are broken down
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very easily.
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Whereas, the ones that I have
mentioned in the refined foods
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tend to go through the
body very slowly and as a result
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converted to glucose into
the blood stream which the body
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cannot handle.
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As a result these
individuals develop diabetes.
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The complex carbohydrates
are broken down slower and these
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processed foods
are broken down faster?
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The natural foods are
broken down faster, yes.
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And that causes
it just to spike?
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Spike in the blood stream.
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So who is it that is
really developing diabetes?
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You've mentioned that it's
happening with younger people
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now, but what are
the at risk populations?
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The at risk populations
people are the black Americans.
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They are at risk for diabetes.
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Why is it that
they have such a risk?
00:10:07.10\00:10:09.57
It's probably both
genetic and lifestyle.
00:10:09.60\00:10:12.64
There are certain areas of
the United States, for instance
00:10:12.67\00:10:16.12
in the South East where that
population diabetes is very,
00:10:16.15\00:10:21.32
very high in that
African American population.
00:10:21.35\00:10:24.75
The lifestyle there in terms
of what people eat and in many
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cases lack of exercise activity
resulting in a high incidence
00:10:31.72\00:10:36.01
of diabetes.
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So tell me specifically
what are they eating?
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Foods that are high in
carbohydrates, fat, foods that
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produce high cholesterol and
as a result you have increased
00:10:47.31\00:10:51.96
size and result in diabetes.
00:10:51.99\00:10:55.91
Those are the components
of the foods but give me some
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dishes, what are the names?
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Rice, pasta, potatoes,
ham hocks, all of those.
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Ok, all of those
different things.
00:11:09.37\00:11:10.72
People are going to go,
"Oh, no!" because they are
00:11:10.75\00:11:14.06
very tasty foods.
00:11:14.09\00:11:16.34
Ok, Black Americans and who
else are at risk populations?
00:11:16.37\00:11:20.92
The elderly.
00:11:20.95\00:11:22.42
As you age you tend to
loose some of your beta cells
00:11:22.45\00:11:28.19
and as a result if your diet is
improper then you are at risk.
00:11:28.22\00:11:32.68
Just getting older?
00:11:32.71\00:11:34.44
Yes.
00:11:34.47\00:11:36.04
The elderly Americans, the
Black Americans, any others?
00:11:36.07\00:11:40.96
Those who don't exercise.
00:11:40.99\00:11:42.60
So that could be young or old.
00:11:42.63\00:11:45.10
We've talked about what it is,
the causes, and who develops it.
00:11:45.13\00:11:50.94
What about risk factors?
00:11:50.97\00:11:52.80
Anything different
we could add there?
00:11:52.83\00:11:54.55
Now I've mentioned some of
the risk factors in diabetes.
00:11:54.58\00:11:58.41
I've mentioned exercise,
and I'm coming back to diet,
00:11:58.44\00:12:04.38
coming back to weight
gain, and age is a risk factor.
00:12:04.41\00:12:11.34
If you notice we've mentioned
genetics as a risk factor.
00:12:11.37\00:12:16.14
Know your genetics.
00:12:16.17\00:12:17.14
If your mother, your father,
an aunt or an uncle has diabetes
00:12:17.15\00:12:21.33
it means then that you
might be prone to the disease.
00:12:21.36\00:12:25.19
Therefore, you
need to take precaution.
00:12:25.22\00:12:27.72
That precaution you need to
take, first of all is to check
00:12:27.75\00:12:30.90
with your physician
for an annual physical.
00:12:30.93\00:12:33.21
Additionally, you need to
be active in your lifestyle.
00:12:33.24\00:12:37.93
You need to exercise.
00:12:37.96\00:12:39.92
What are some of
the effects of diabetes?
00:12:39.95\00:12:42.71
In other words, again people
say, "Look I got a little more
00:12:42.74\00:12:45.28
sugar in my system, I'm
just sweeter than I used to be!"
00:12:45.31\00:12:48.65
What are some of the effects of
having high sugar in your blood?
00:12:48.68\00:12:54.36
Here is what high sugar does.
00:12:54.39\00:12:56.89
1. It reduces the
oxygen capacity of the blood
00:12:56.92\00:13:01.01
and you need
oxygen for clear thinking.
00:13:01.04\00:13:03.35
It increases atherosclerosis
- the plaques that build up
00:13:03.38\00:13:09.08
on the vessel sides.
00:13:09.11\00:13:10.49
So diabetes increases that.
00:13:10.52\00:13:13.40
It also increases the
risk for heart attack.
00:13:13.43\00:13:16.88
The person who is diabetic is
two and a half times more likely
00:13:16.91\00:13:22.30
to get a heart attack
than the person who is not.
00:13:22.33\00:13:24.80
It also increases stroke.
00:13:24.83\00:13:27.74
Diabetes also increases stroke.
00:13:27.77\00:13:32.19
So we talked about
increased heart attacks,
00:13:32.22\00:13:34.84
increased strokes, and
increased heart failure.
00:13:34.87\00:13:40.33
All of those are
the consequences.
00:13:40.36\00:13:43.24
Not only that but you
notice that in some blindness.
00:13:43.27\00:13:47.39
Because of the fact of
the elevated blood sugar
00:13:47.42\00:13:52.75
causes premature growth
of additional blood vessels.
00:13:52.78\00:13:57.38
These tiny blood vessels
choke off the sight and so
00:13:57.41\00:14:03.71
blindness come as
a result of diabetes.
00:14:03.74\00:14:06.86
Increased amputation, loss of
limbs because diabetes tend to
00:14:06.89\00:14:14.78
effect the very
tiny vessels first.
00:14:14.81\00:14:17.35
The vessels of the eye,
the vessels of the extremities,
00:14:17.38\00:14:21.95
the vessels of the kidneys
- the tiny vessels - those are
00:14:21.98\00:14:26.76
effected by diabetes.
00:14:26.79\00:14:28.30
That's why in African Americans,
for instance, who have a high
00:14:28.33\00:14:32.06
incidence of diabetes there
is also high incidence of renal
00:14:32.09\00:14:36.06
failure in African Americans.
00:14:36.09\00:14:38.93
That is because of both
diabetes and hypertension.
00:14:38.96\00:14:42.93
When you have the combination
of diabetes and hypertension
00:14:42.96\00:14:47.48
it is extremely important that
you control your blood pressure
00:14:47.51\00:14:52.76
and that you
lower your blood sugar.
00:14:52.79\00:14:54.91
Because any of those
can lead to premature death.
00:14:54.94\00:14:58.49
All of these things you have
mentioned have to do with the
00:14:58.52\00:15:01.56
smallest capillaries like your
eyes, the kidneys, and all these
00:15:01.59\00:15:05.00
different things.
00:15:05.03\00:15:06.00
This really seems to effect,
first of all, where the small
00:15:06.01\00:15:09.12
intricate vessels are
and just impacting that.
00:15:09.15\00:15:14.82
We're talking
with Dr. Victor Herry.
00:15:14.85\00:15:15.97
We're talking about diabetes.
00:15:16.00\00:15:17.59
It's a dangerous disease.
00:15:17.62\00:15:19.44
It's not just something to
just say, "Hey, I'm sweeter than
00:15:19.47\00:15:21.84
the day before. "
00:15:21.87\00:15:22.84
We've got to take care of it.
00:15:22.87\00:15:23.90
I think you're going to find
real good news when you come
00:15:23.93\00:15:27.69
back in the second
half of our program.
00:15:27.72\00:15:29.70
We hope you join us.
00:15:29.73\00:15:30.70
Are you confused about the
endless stream of new and often
00:15:33.20\00:15:37.24
contradictory
health information?
00:15:37.27\00:15:39.15
With companies
trying to sell new drugs?
00:15:39.18\00:15:41.73
Special interest groups paying
for studies that spin the facts?
00:15:41.76\00:15:44.89
Where can you find a
common sense approach to health?
00:15:44.92\00:15:48.04
One way is to ask for
your free copy of Dr. Arnott's
00:15:48.07\00:15:51.45
24 Realistic Ways
To Improve Your Health.
00:15:51.48\00:15:54.22
Dr. Timothy Arnott in the
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00:15:54.25\00:15:57.22
produced this helpful booklet
of 24 short, practical health
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tips based on:
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and much more.
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Welcome back.
00:16:33.10\00:16:34.07
We're talking
with Dr. Victor Herry.
00:16:34.08\00:16:35.57
We're talking about diabetes.
00:16:35.60\00:16:36.92
We've learned that
it is a deadly disease
00:16:36.95\00:16:39.76
impacting the small capillaries
and vessels of the body.
00:16:39.80\00:16:44.06
We've learned that it's
something not to just say,
00:16:44.09\00:16:47.48
"I'm sweet, I've
got sweeter blood. "
00:16:47.52\00:16:50.62
It really causes problems.
00:16:50.66\00:16:51.98
We've learned the causes,
the risk factors, and as we've
00:16:52.01\00:16:55.55
talked to Dr. Herry, though,
we've also started to get a
00:16:55.59\00:16:59.06
glimmer of something we hope to
get much brighter in this half
00:16:59.09\00:17:03.18
which is hope and help for
you if you have type 2 diabetes,
00:17:03.21\00:17:07.26
isn't that right, Dr. Herry?
00:17:07.29\00:17:08.55
That's correct.
00:17:08.58\00:17:09.55
Now I want to emphasis also
that world wide there are about
00:17:09.56\00:17:12.64
150 million
diabetics according to the
00:17:12.68\00:17:16.58
World Health Organization.
00:17:16.61\00:17:18.82
And what is noticed, too, is
that in the developing countries
00:17:18.86\00:17:22.94
there's an increase in
the growth of diabetes.
00:17:22.98\00:17:26.62
That means that as
these countries become more
00:17:26.66\00:17:30.26
Westernized and change their
diet and lifestyle they develop
00:17:30.29\00:17:34.89
diabetes.
00:17:34.93\00:17:36.46
So it's a risk factor to
be an American or be in a
00:17:36.49\00:17:39.02
Western country.
00:17:39.06\00:17:40.14
That's right.
00:17:40.17\00:17:41.18
We eat too many bad things.
00:17:41.21\00:17:42.65
And so these underdeveloped
countries are now getting a
00:17:42.69\00:17:47.07
burden that they cannot afford.
00:17:47.11\00:17:48.67
So diabetes is a
problem world wide.
00:17:48.70\00:17:52.91
You specialize in
preventive health.
00:17:52.95\00:17:57.09
You're part of the preventive
care network, you and the group
00:17:57.12\00:18:01.00
of physicians
there in Washington, D.C.
00:18:01.04\00:18:02.94
While you treat with
traditional medicine and
00:18:02.97\00:18:06.38
are very up on that, you want
to prevent things like diabetes.
00:18:06.42\00:18:11.60
What can we do to prevent it
and what do we do if we have it
00:18:11.64\00:18:16.79
and want to see it reversed?
00:18:16.82\00:18:19.99
If a person is markedly
over weight and has developed
00:18:20.02\00:18:28.09
diabetes because of obesity,
when that person looses weight
00:18:28.13\00:18:32.58
then we see a reversal in
the body's ability to control
00:18:32.62\00:18:37.04
the blood sugar.
00:18:37.08\00:18:38.41
So if one wants to talk about
"curing" of diabetes in some
00:18:38.44\00:18:43.60
instances as weight loss...
weight loss is the big thing...
00:18:43.63\00:18:48.75
Now in addition to
that there is exercise.
00:18:48.79\00:18:53.88
As you exercise the
body uses up more sugar.
00:18:53.91\00:18:59.96
Exercise and weight
loss become important.
00:19:00.00\00:19:05.98
Now it must also be remembered
that when you gain weight
00:19:06.01\00:19:10.15
there are some people
who gain weight in different
00:19:10.18\00:19:12.53
parts of the body.
00:19:12.56\00:19:13.71
So if your weight gain is in
the trunk area, in the potbelly
00:19:13.74\00:19:18.23
kind of weight gain, where a
lot of the fat is concentrated
00:19:18.27\00:19:22.73
around the abdomen.
00:19:22.76\00:19:24.00
Person's of that nature
are at high risk for diabetes
00:19:24.04\00:19:28.08
if they're not yet diabetic.
00:19:28.11\00:19:30.56
Because the fat cells tend
to inhibit the insulin and as a
00:19:30.59\00:19:36.37
result the insulin cannot do
its job in terms of getting the
00:19:36.40\00:19:42.15
blood sugar into the cells.
00:19:42.18\00:19:44.12
It is very important therefore,
that we try to loose weight.
00:19:44.15\00:19:50.40
Or not gain weight.
00:19:50.44\00:19:52.39
That can be done
by eating properly.
00:19:52.43\00:19:54.70
In terms of prevention,
to answer your question
00:19:54.73\00:19:58.63
specifically, then
one needs to eat properly.
00:19:58.67\00:20:02.49
Nuts, grains, vegetables,
fruits, those are some of the
00:20:02.53\00:20:07.64
things as opposed to the
high carbohydrate content -
00:20:07.67\00:20:12.74
white bread as
opposed to grain wheat bread,
00:20:12.78\00:20:15.63
white rice as
opposed to brown rice,
00:20:15.67\00:20:19.14
or any of those
high carbohydrate meals.
00:20:19.18\00:20:22.58
Many times you have people say,
"Well, I'm a diabetic because I
00:20:22.62\00:20:26.79
guess I've been
eating too much sugar. "
00:20:26.82\00:20:28.77
That's really not the issue?
00:20:28.81\00:20:30.48
It is not the issue.
00:20:30.52\00:20:31.49
The issue is fat you're saying?
00:20:31.52\00:20:33.24
The issue is fat.
00:20:33.28\00:20:34.30
The issue is overloading
the body with carbohydrates
00:20:34.34\00:20:37.96
which eventually
changes into sugar.
00:20:37.99\00:20:39.73
Because of that there are
certain defects in the body
00:20:39.76\00:20:44.17
that results.
00:20:44.20\00:20:45.25
The defects in the body will
result in the liver because the
00:20:45.28\00:20:50.42
liver stores sugar
in the form of glycogen.
00:20:50.45\00:20:55.56
So the liver has to break down
glycogen and as a result of that
00:20:55.59\00:20:59.60
the liver itself, at night when
you're sleeping, has to make
00:20:59.64\00:21:03.61
sure that the brain
gets enough glucose.
00:21:03.65\00:21:05.53
If you have too much storage
of glycogen when the liver
00:21:05.57\00:21:09.58
breaks that down and your body
cannot handle that extra sugar
00:21:09.62\00:21:12.75
then of course you
have increased sugar
00:21:12.78\00:21:14.48
in your blood stream.
00:21:14.51\00:21:15.48
That's why it's elevated
when you get up in the morning.
00:21:15.49\00:21:19.18
In addition to that the muscles
not taking up enough of the -
00:21:19.21\00:21:24.74
they can't get
enough of the sugar
00:21:24.77\00:21:27.05
because there is a defect there.
00:21:27.09\00:21:29.30
That's why exercise
becomes important because as you
00:21:29.33\00:21:32.47
exercise it reduces those
receptors and allow them to take
00:21:32.50\00:21:36.46
handle the blood sugar so
the blood sugar can go right in.
00:21:36.50\00:21:40.43
So really you just
have to be on the move.
00:21:40.46\00:21:43.41
On the move, exercise every day,
eat appropriately and properly,
00:21:43.45\00:21:49.03
and please, please
do not gain any weight.
00:21:49.07\00:21:53.11
Now you know the typical
American... I graduated from
00:21:53.14\00:21:56.90
college, just used myself - I
hope I'm not a typical American,
00:21:56.94\00:22:00.71
in some senses, but I think
it's pretty easy to gain weight
00:22:00.75\00:22:04.24
just maybe a pound or two a
year and then it just kind of
00:22:04.28\00:22:07.74
adds up.
00:22:07.78\00:22:08.75
So you have to be at this from
very young to be on top of it.
00:22:08.76\00:22:13.27
That's true.
00:22:13.31\00:22:15.29
Let me give you an example.
00:22:15.33\00:22:17.62
If you were to exercise
for 20 minutes, let's say on a
00:22:17.66\00:22:21.88
treadmill, at
3.5 miles per hour.
00:22:21.92\00:22:27.15
You would only
burn about 200 calories.
00:22:27.18\00:22:29.91
Wow, that's not very many.
00:22:29.95\00:22:32.06
That's not many calories.
00:22:32.09\00:22:34.22
That's only a sliver of cake.
00:22:34.25\00:22:36.31
Or less than a
glass of ice cream.
00:22:36.35\00:22:39.85
It shows you that diet
is important in that aspect.
00:22:39.89\00:22:46.23
You said 20 minutes at 3.5 miles
an hour you only burn a little
00:22:46.26\00:22:51.33
over 200 calories.
00:22:51.37\00:22:53.01
That's like one M&M.
00:22:53.04\00:22:54.62
So it's important to
recognize what you put in.
00:22:54.65\00:23:00.99
If your lifestyle is sedentary
it means that your caloric
00:23:01.03\00:23:08.37
intake must
match your lifestyle.
00:23:08.40\00:23:10.03
I'm sure you find patients
that are well down the road.
00:23:10.07\00:23:13.48
They are in so much trouble
that it's very hard for them to
00:23:13.51\00:23:16.89
even exercise.
00:23:16.92\00:23:18.29
What do you do
with a person like that?
00:23:18.32\00:23:20.13
Everyone can exercise
but you need medication.
00:23:20.17\00:23:24.84
Medication is important.
00:23:24.87\00:23:26.96
The medications are oral
medications that can be used
00:23:26.99\00:23:32.63
for the treatment of diabetes.
00:23:32.67\00:23:34.51
Or there is insulin and multiple
forms of insulin today to treat
00:23:34.54\00:23:38.59
diabetes.
00:23:38.63\00:23:39.61
In the type 1 diabetic,
of course, insulin is all
00:23:39.64\00:23:43.10
important because
that's all they can use.
00:23:43.14\00:23:44.80
In the type 2 diabetic you can
use oral agents or pills so that
00:23:44.83\00:23:54.18
those pills help
to reduce the sugar.
00:23:54.22\00:23:57.67
But you have to
help it by exercising
00:23:57.71\00:24:00.68
however little
you can every day.
00:24:00.71\00:24:03.62
You have to move, walk,
swim, whatever form of exercise
00:24:03.65\00:24:08.04
you can use.
00:24:08.08\00:24:09.09
Because that helps
to lower blood sugar.
00:24:09.13\00:24:11.43
I've interviewed other
people and some of these
00:24:11.47\00:24:14.65
lifestyle programs.
00:24:14.68\00:24:15.65
Once you start exercising
a lot of people can actually
00:24:15.66\00:24:19.78
go off those pills.
00:24:19.81\00:24:21.49
Why is it that they are
able to go off those pills
00:24:21.52\00:24:24.41
after they start exercising?
00:24:24.45\00:24:25.68
When you exercise you burn up
a lot of glucose - that's one.
00:24:25.71\00:24:31.96
Two - you loose fat.
00:24:31.99\00:24:33.07
By loosing fat, by
loosing weight, then the body's
00:24:33.11\00:24:38.31
consumption of glucose drops.
00:24:38.35\00:24:42.17
The body's
consumption of insulin drops.
00:24:42.21\00:24:44.60
Not only that
but physiologically
00:24:44.63\00:24:47.14
the receptors, there are some
00:24:47.17\00:24:49.71
on the cells of the body
that are receptors, and those
00:24:49.74\00:24:54.81
receptors are better able
to take insulin and that brings
00:24:54.85\00:25:00.42
sugar into the cells.
00:25:00.46\00:25:02.58
So the fat gets out of the way,
the receptors become available
00:25:02.61\00:25:07.07
and then the insulin can
do its work getting the sugar
00:25:07.11\00:25:10.68
into the blood cell.
00:25:10.72\00:25:11.86
True or false
from listening to this?
00:25:11.89\00:25:13.60
If you're on insulin you're in
worse shape than if you're just
00:25:13.64\00:25:16.44
taking a pill?
00:25:16.47\00:25:17.44
I would not say that.
00:25:17.45\00:25:20.52
That's not the
right way to put it.
00:25:20.56\00:25:23.91
But if your insulin is
only one form of treatment.
00:25:23.95\00:25:27.32
Because we have many different
agents today some physicians
00:25:27.36\00:25:33.58
choose to exhaust the
agents before using insulin.
00:25:33.61\00:25:36.79
Some physicians,
however, use insulin very
00:25:36.83\00:25:40.97
early in the treatments.
00:25:41.01\00:25:42.43
So it depends upon choice.
00:25:42.46\00:25:43.82
However, it means we have
the kind of ometarian we need
00:25:43.85\00:25:49.23
to treat the disease.
00:25:49.27\00:25:50.46
But even though we
have that there is an
00:25:50.50\00:25:54.65
increase in diabetes.
00:25:54.69\00:25:56.58
The increase is due to lifestyle
and I want to emphasize that.
00:25:56.61\00:26:02.41
Lifestyle - lack of exercise,
weight gain, not eating the
00:26:02.44\00:26:08.62
right things,
or eating too much.
00:26:08.65\00:26:12.40
Your patient come in, you show
them what to eat, and how to
00:26:13.47\00:26:17.30
exercise and you give
them medicine if they need help
00:26:17.34\00:26:20.73
the short term.
00:26:20.77\00:26:21.74
But you try to get
them off that if possible.
00:26:21.75\00:26:23.55
That's correct.
00:26:23.59\00:26:24.56
Now you see a lot
of people with this?
00:26:24.57\00:26:28.23
You said it was a high
risk population in terms of
00:26:28.26\00:26:30.47
African American as well.
00:26:30.50\00:26:32.15
Any closing
thought you would have
00:26:32.18\00:26:35.29
on the treatment of diabetes?
00:26:35.33\00:26:37.56
Yes, because diabetes is such a
heavy burden on the health care
00:26:37.60\00:26:42.86
industry it is extremely
important that if there's a
00:26:42.89\00:26:49.06
family history of diabetes
that you incorporate into your
00:26:49.10\00:26:52.84
lifestyle those things that
can prevent you from getting
00:26:52.88\00:26:56.59
the disease.
00:26:56.62\00:26:57.59
If you have the disease
you must remember the negative
00:26:57.60\00:27:03.60
effect of the disease on the
human body, the increased risk
00:27:03.63\00:27:07.60
of heart attacks, the increased
risk of strokes, the increased
00:27:07.64\00:27:11.76
risk of loosing your limbs,
the increased risk of blindness,
00:27:11.79\00:27:15.54
and because of all of these
it is extremely important to get
00:27:15.58\00:27:19.30
that sugar number down
below 100 or 110 in the morning.
00:27:19.33\00:27:27.24
And 2 hours after you eat so
that exercise becomes important.
00:27:27.28\00:27:31.52
Eating the right
things become important.
00:27:31.56\00:27:33.93
So it all goes
back to what do I eat.
00:27:33.97\00:27:36.31
As you eat, so you are.
00:27:36.34\00:27:38.59
You are what you eat.
00:27:38.62\00:27:40.80
We've been talking
with Dr. Victor Herry.
00:27:40.84\00:27:43.29
We've heard bad news
today about diabetes and what it
00:27:43.32\00:27:46.11
can do to you but we've
also heard some good news
00:27:46.14\00:27:50.44
and that is you can start
to address it, even perhaps
00:27:50.47\00:27:54.34
reverse parts of it or
all of it with God's help.
00:27:54.37\00:27:58.17
We're glad you've joined
us for Health for a Lifetime.
00:27:58.20\00:28:00.96