- Hello, welcome to Health For a Lifetime. 00:00:50.72\00:00:52.24 I'm your host Don Mackintosh. 00:00:52.27\00:00:53.46 Today we're going to be talking about diabetes and sugar. 00:00:53.49\00:00:56.83 And talking about these subjects which are related in ways 00:00:57.02\00:01:01.25 that we will understand more fully. 00:01:01.29\00:01:03.23 This is Dr. Neal Nedley. 00:01:03.26\00:01:04.34 Dr. Nedley, we're glad that you are with us again. 00:01:04.38\00:01:06.14 - Thank you, it's good to be here. 00:01:06.17\00:01:07.83 - You have a ministry that is both clinical and you're a 00:01:07.87\00:01:12.62 physician in internal medicine but also in education. 00:01:12.66\00:01:17.38 We appreciate the time you spend here at 3ABN. 00:01:17.42\00:01:19.65 I get all kinds of comments about people that are watching 00:01:19.69\00:01:23.90 these programs and they are very helpful. 00:01:23.94\00:01:25.47 - We certainly hope this one is too. 00:01:25.50\00:01:28.35 - We are going to be talking about sugar, diabetes, fiber, 00:01:28.38\00:01:33.95 and all these different things and how they interact. 00:01:33.98\00:01:37.58 - Yes, and actually I have a title of one of my chapters 00:01:37.61\00:01:41.23 in Proof Positive entitled Sweet Tooth - Bitter Harvest. 00:01:41.26\00:01:44.84 The sweet tooth does lead to a bitter harvest. 00:01:44.88\00:01:48.65 I've met a lot of diabetics who when they're first diagnosed 00:01:48.69\00:01:52.39 with diabetes say, 00:01:52.43\00:01:53.87 "I'm not going to let this disease change me. " 00:01:53.90\00:01:56.65 If they say that, the disease is going to change them in ways 00:01:56.69\00:02:01.15 that they have no control over. 00:02:01.19\00:02:02.33 What they're meaning is, 00:02:02.36\00:02:03.70 "I'm not going to change the way I'm eating, what I'm doing 00:02:03.74\00:02:07.22 I don't want to have to change and so I won't let this disease 00:02:07.26\00:02:10.71 change me, I'll just take the drugs and insulin and control 00:02:10.74\00:02:13.64 it that way. 00:02:13.67\00:02:14.64 But if they have that approach, the disease is going to change 00:02:14.65\00:02:17.78 them in ways they have no control over. 00:02:17.81\00:02:19.83 For instance: diabetic retinopathy. 00:02:19.86\00:02:22.61 81% chance if your diabetes is uncontrolled or if you have 00:02:22.64\00:02:28.05 it long enough, you're going to get into eye disease. 00:02:28.08\00:02:30.52 The leading cause of blindness in the United States is diabetes 00:02:30.55\00:02:35.23 that has not been controlled. 00:02:35.26\00:02:36.92 Neuropathy - very painful condition in that it can lead 00:02:36.95\00:02:41.06 to loss of limbs, even. 00:02:41.09\00:02:42.65 Decrease in circulation. 00:02:42.68\00:02:44.02 Heart attack 4 times as likely in diabetics. 00:02:44.05\00:02:46.76 Strokes remarkably more likely in diabetics. 00:02:46.79\00:02:50.16 If you have a stroke, nephropathy, kidney disease 00:02:50.19\00:02:54.54 as well - half of the people in every dialysis center 00:02:54.57\00:02:57.91 in the country are there because of uncontrolled diabetes 00:02:57.94\00:03:03.21 in their lifetime. 00:03:03.24\00:03:05.12 And they wouldn't have needed dialysis had it 00:03:05.15\00:03:07.12 not been for that. 00:03:07.15\00:03:08.81 So these things dramatically change people's lives. 00:03:08.84\00:03:12.01 And it is because they didn't want to change 00:03:12.04\00:03:13.18 their life earlier that now their life is changed 00:03:13.21\00:03:17.08 severely for the worse in ways that are irreversible 00:03:17.11\00:03:19.79 at this point. 00:03:19.82\00:03:21.17 So we tell people when they're first diagnosed with diabetes - 00:03:21.20\00:03:24.42 first borderline elevation in blood sugar - 00:03:24.45\00:03:27.96 this is the time to get serious, to change your life now 00:03:27.99\00:03:31.70 so that your life can maintain a high quality for a long time. 00:03:31.73\00:03:36.91 - So diabetes, has it really skyrocketed also because 00:03:36.94\00:03:41.05 of the obesity in America and around the world? 00:03:41.08\00:03:42.32 - Yes, it has. The higher the weight 00:03:42.35\00:03:45.30 the higher the diabetes rate. 00:03:45.33\00:03:47.74 The waistlines are increasing and diabetes goes up as well. 00:03:47.77\00:03:51.43 Now 1/3 of Americans are either diabetic or pre-diabetic. 00:03:51.46\00:03:56.34 In other words they are a borderline diabetic 00:03:56.37\00:03:58.76 not quite to the point of being a frank diabetic. 00:03:58.79\00:04:01.96 But the pre-diabetics as well - fasting blood sugar is greater 00:04:01.99\00:04:05.97 than 95 for instance, but maybe not as high as 125 which is 00:04:06.00\00:04:09.60 what is required to diagnose diabetes. 00:04:09.63\00:04:12.56 Those people also have an increased risk of all the 00:04:12.59\00:04:16.11 diseases I mentioned. 00:04:16.14\00:04:17.56 - OK, so it's not something to just minimize, 00:04:17.59\00:04:20.15 it's not something to sweep under the rug, 00:04:20.18\00:04:22.27 you really need to know your numbers. 00:04:22.30\00:04:23.85 - That's right, really need to know your numbers. 00:04:23.88\00:04:26.47 - Talk with us about what it is we can do to prevent or 00:04:26.50\00:04:31.72 avoid... what kind of things should we be involved in doing? 00:04:31.75\00:04:35.78 - One of the things we need to recognize is the standard diet 00:04:35.81\00:04:39.40 that has been used for years for diabetics is a diet that 00:04:39.43\00:04:42.04 is going to worsen the complications of the disease. 00:04:42.07\00:04:45.31 For years diabetics have thought that meat 00:04:45.34\00:04:50.26 was a good food for that. 00:04:50.29\00:04:51.27 - Why have they thought that? 00:04:51.30\00:04:52.69 - They thought that because meat is a 00:04:52.72\00:04:54.15 carbohydrate deficient food. 00:04:54.18\00:04:55.90 Since the disease is associated with high blood sugars 00:04:55.93\00:04:59.53 its thought, let's not eat anything with carbohydrates 00:04:59.56\00:05:02.60 and then our sugars will be controlled. 00:05:02.63\00:05:04.83 And it's true, transiently, if you eat a carbohydrate 00:05:04.86\00:05:07.67 deficient diet, your blood glucoses may appear to be 00:05:07.70\00:05:12.14 controlled, but unfortunately meat is high in cholesterol, 00:05:12.17\00:05:16.73 high in saturated fat, it is high in animal protein, 00:05:16.76\00:05:21.84 and those substances dramatically increase the 00:05:21.87\00:05:24.84 complications of the diabetes. 00:05:24.87\00:05:28.09 In other words - heart disease, stroke, and kidney disease. 00:05:28.12\00:05:31.27 On the one hand you may be comforting yourself that your 00:05:31.30\00:05:33.74 blood sugars seem to be more controlled for the short term, 00:05:33.77\00:05:37.84 but in the long run you're exhilarating your risk of 00:05:37.87\00:05:40.49 complications and worse yet exhilarating your risk of death. 00:05:40.52\00:05:44.52 We have a graphic that illustrates this: 00:05:44.55\00:05:50.30 What we recommend for our diabetics is to take note of 00:06:09.23\00:06:12.67 this, the less you eat meat the better. 00:06:12.70\00:06:15.00 And really, if you're eating meat not at all 00:06:15.03\00:06:18.93 your risk of complications of diabetes is far better. 00:06:18.97\00:06:22.85 - OK, because of all the other things it increases: 00:06:22.88\00:06:26.73 hyperinsulinemia, hypercholesterolemia, 00:06:26.76\00:06:29.37 all those different things are what they call 00:06:29.40\00:06:31.60 the deadly quartet, right? 00:06:31.63\00:06:33.63 - That's right. 00:06:33.66\00:06:34.63 - You take one away, but you still have the trio playing. 00:06:34.64\00:06:36.84 OK, so avoiding the meat - then what do you put 00:06:38.04\00:06:40.88 in the place of that? 00:06:40.91\00:06:42.28 - Well, what you put in the place of that is 00:06:42.31\00:06:44.09 complex carbohydrates that are low in saturated fat. 00:06:44.13\00:06:48.66 Then you end up still controlling the blood sugar. 00:06:48.69\00:06:53.19 If you can control the blood sugar 00:06:53.23\00:06:54.43 with complex carbohydrates. 00:06:54.47\00:06:56.49 - So, like what? 00:06:56.53\00:06:57.50 - Those are whole grains. 00:06:57.52\00:06:59.05 Refined grains are going to have more of your 00:06:59.09\00:07:01.51 simple carbohydrates, not the complex. 00:07:01.55\00:07:04.13 And so you want whole grains, whole vegetables, 00:07:04.17\00:07:08.29 and nuts in moderation. 00:07:08.32\00:07:11.14 - So whole grains, like the whole cob of corn 00:07:11.18\00:07:15.94 instead of cream corn? 00:07:15.98\00:07:19.18 - Yes, that would be an example, although corn 00:07:19.22\00:07:22.94 is normally classified as a vegetable not a grain. 00:07:22.98\00:07:26.67 Instead of white bread, whole wheat bread. 00:07:26.70\00:07:30.64 Instead of white rice, brown rice. 00:07:30.67\00:07:34.37 The idea is to get whole grains. 00:07:34.40\00:07:38.02 - What are the benefits from doing that? 00:07:38.06\00:07:40.99 - Benefits of doing that is your post perandial blood sugar 00:07:41.03\00:07:43.74 don't skyrocket like it does with white bread 00:07:43.77\00:07:46.45 For instance, the blood sugars will be much more controlled. 00:07:46.48\00:07:51.08 The whole grain also lowers the cholesterol level by binding 00:07:52.74\00:07:58.09 on the cholesterol in the gut and removing it. 00:07:58.12\00:08:01.04 - What about a high fiber diet? Does it help at all? 00:08:01.07\00:08:04.66 - Absolutely! High fiber is an essential part 00:08:04.70\00:08:07.22 of a diabetic's diet. 00:08:07.25\00:08:09.69 What fiber will do... There's actually two types 00:08:09.73\00:08:15.09 of fiber - two main types of fiber. 00:08:15.12\00:08:17.34 Sometimes we talk about fiber - that would be like talking about 00:08:17.37\00:08:21.66 vitamin- which vitamin are you talking about? 00:08:21.70\00:08:25.73 Well there's a number of different fibers, there's 00:08:25.77\00:08:27.73 pectins, gums, and each one of them have different role to play 00:08:27.76\00:08:33.82 but the two main groups of fibers are your 00:08:33.85\00:08:37.59 insoluble fiber and then the soluble fiber. 00:08:37.62\00:08:41.28 The insoluble fiber is what most people think about when they 00:08:41.32\00:08:43.99 think of fiber because that's the fiber that helps 00:08:44.03\00:08:47.92 constipation, it prevents varicose veins, hemorrhoids, 00:08:47.95\00:08:51.92 and that's fiber that's really good for your colon. 00:08:51.95\00:08:55.46 That fiber is abundantly available in most fruits, 00:08:55.49\00:08:58.96 vegetables, grains, and even nuts. 00:08:58.99\00:09:02.07 So, if you're eating a whole plant based diet 00:09:02.11\00:09:04.64 you're going to get plenty of insoluble fiber. 00:09:04.67\00:09:07.14 However, the soluble fiber is a little harder to come by. 00:09:07.17\00:09:10.53 But this is what is going to lower your cholesterol level 00:09:10.56\00:09:13.89 because it binds onto cholesterol in the gut 00:09:13.92\00:09:16.53 and removes it. 00:09:16.57\00:09:17.85 It's also going to lower your blood sugar levels 00:09:17.88\00:09:20.58 because it allows for a much slower absorption of the glucose 00:09:20.62\00:09:26.07 after it's broken down than when the soluble fiber 00:09:26.10\00:09:29.16 is not on board, so it significantly controls the 00:09:29.19\00:09:32.29 post-perdanial blood sugars and prevents those spikes 00:09:32.33\00:09:35.40 in blood sugar. 00:09:35.43\00:09:36.40 - Well, we have a couple graphics that we want to look at 00:09:36.43\00:09:39.76 - That was a study that was done by Dr. Anderson in Kentucky. 00:10:10.90\00:10:15.70 He was one of the first to demonstrate this. 00:10:15.73\00:10:17.18 - What do you mean by glycemic control? 00:10:17.22\00:10:20.07 - Well, glycemic control is really those post-perdanial 00:10:20.11\00:10:23.62 sugars - post meal blood sugars. 00:10:23.65\00:10:25.28 What we are looking for in a diabetic is a post-meal 00:10:25.32\00:10:28.73 blood sugar less than 140 one hour after they eat. 00:10:28.76\00:10:32.42 For anyone who is a diabetic listening today, I would 00:10:32.45\00:10:36.07 recommend... You know a lot of diabetics 00:10:36.11\00:10:38.51 they check their fasting blood sugar or their pre-meal 00:10:38.54\00:10:40.42 blood sugars, they might do this routinely... 00:10:40.45\00:10:43.16 but I recommend in my diabetics at least twice a week get a 00:10:43.20\00:10:46.28 post perdanial blood sugar reading. 00:10:46.31\00:10:47.81 Get a blood sugar reading one hour afterwards. 00:10:47.84\00:10:51.30 A lot of diabetics are fairly controlled with four meals 00:10:51.33\00:10:54.32 and they have no clue that their blood sugar is spiking at 300 00:10:54.35\00:10:57.28 after a meal and half of their day is spent in the 00:10:57.32\00:11:01.24 post perdanial state. 00:11:01.27\00:11:02.53 So they might be missing half of their readings 00:11:02.56\00:11:05.15 and so when we do the hemoglobin A1C, which is their 00:11:05.19\00:11:07.96 average blood sugars throughout the day, we might find 00:11:07.99\00:11:11.09 high readings and we look at their fasting blood sugars - 00:11:11.13\00:11:14.19 Wow, something is not co-relating here. 00:11:14.23\00:11:16.56 And that's when we have to get the post perdanial blood sugars 00:11:16.60\00:11:19.73 and find out. 00:11:19.77\00:11:20.74 - Why would those be so different? 00:11:20.75\00:11:22.53 - Well, because if they're on certain medications for instance 00:11:22.57\00:11:27.28 medications can control the basal blood sugars 00:11:27.31\00:11:31.29 and will not control the post perdanial blood sugars. 00:11:31.32\00:11:36.39 It outstrips the ability of the medicine to control it - 00:11:36.42\00:11:41.46 post meals. 00:11:41.49\00:11:42.91 One of those medicines for instance is Glucophage 00:11:42.94\00:11:46.39 or Metformin. 00:11:46.42\00:11:47.51 Metformin does well in controlling the basal or 00:11:47.55\00:11:51.00 the pre meal blood sugars, but it does very little to control 00:11:51.03\00:11:55.15 the post meal blood sugars. 00:11:55.18\00:11:56.78 - So why don't you just put them on that to begin with, 00:11:56.82\00:11:59.21 medications that will help with that? 00:11:59.24\00:12:01.17 - There aren't too many medications that help 00:12:02.94\00:12:06.23 with post perdanial other than insulin. 00:12:06.27\00:12:08.52 There's another one called Starlex that helps with that. 00:12:08.56\00:12:12.97 Starlex doesn't do very well with pre meals and also 00:12:13.00\00:12:17.38 those medicines can have side effects as well. 00:12:17.41\00:12:20.48 Yes, we have to use them in a number of diabetics 00:12:20.51\00:12:23.55 to try to control them. 00:12:23.58\00:12:24.87 But the best way of controlling it, clearly, is through diet 00:12:24.90\00:12:28.98 and physical activity and exercise. 00:12:29.02\00:12:31.64 - Irregardless, if your on medication? 00:12:31.68\00:12:34.26 That's right. 00:12:34.30\00:12:35.46 And you'll need a lot less medicine if you're habitually 00:12:35.49\00:12:39.94 exercising and we recommend exercise after meals - 00:12:39.98\00:12:43.01 moderate exercise after meals is a very effective way of 00:12:43.05\00:12:46.33 bringing that blood sugar 280 down to about 00:12:46.37\00:12:48.60 140 an hour post meal. 00:12:48.63\00:12:50.14 - So you talked about good sources of 00:12:50.17\00:12:52.39 soluble and insoluble fiber and I think we have a graphic 00:12:52.43\00:12:55.60 on that as well. 00:12:55.64\00:12:56.61 - Yes, we have a graphic on the soluble fiber: 00:12:56.62\00:12:59.78 A lot of people don't realize carob, although it's naturally 00:13:39.65\00:13:42.55 sweet, is very high in soluble fiber and is a very good food 00:13:42.58\00:13:45.44 for a diabetic as long as they don't dump sugar into it 00:13:45.47\00:13:48.04 you really don't need to because carob has natural 00:13:48.08\00:13:50.51 sweetness to it. 00:13:50.54\00:13:51.51 - Well, that's good news, you can have some things 00:13:51.52\00:13:52.57 that are sweet. 00:13:52.60\00:13:53.71 That's right, and good for you, and will help control your 00:13:53.75\00:13:57.36 post perdanial blood sugars. 00:13:57.40\00:13:58.69 - We're talking with Dr. Neal Nedley, 00:13:58.72\00:14:00.10 we're talking about diabetes, if you have that diagnosis 00:14:00.13\00:14:04.35 or if you are pre-diabetic, this program is especially for you 00:14:04.38\00:14:08.35 and for everyone in a country where diabetes is sky-rocketing. 00:14:08.38\00:14:12.32 Join us when we come back to talk more 00:14:12.35\00:14:14.31 about this important subject. 00:14:14.35\00:14:16.31 Are you confused about the endless stream of new and often 00:14:19.40\00:14:23.44 contradictory health information, 00:14:23.47\00:14:25.51 with companies trying to sell new drugs, 00:14:25.54\00:14:28.11 special interest groups paying for studies that spin the facts? 00:14:28.14\00:14:31.33 Where can you find a common sense approach to health? 00:14:31.36\00:14:34.67 One way is to ask for your free copy of Dr. Arnott's 00:14:34.71\00:14:37.99 24 realistic ways to improve your health. 00:14:38.02\00:14:40.37 Dr. Timothy Arnott and the Lifestyle Center of America 00:14:40.41\00:14:43.59 produced this helpful booklet of 24 short practical 00:14:43.63\00:14:46.77 health tips: 00:14:46.81\00:14:47.78 for example: 00:14:53.37\00:14:54.34 If you're looking for help not hype, 00:15:06.72\00:15:08.13 then this booklet's for you. 00:15:08.16\00:15:09.78 - Welcome back. 00:15:19.52\00:15:20.50 We're talking with Dr. Neil Nedley. 00:15:20.53\00:15:21.87 We're talking about diabetes. 00:15:21.90\00:15:23.38 And we've talked about, first of all, the problems 00:15:23.41\00:15:26.27 that can come from diabetes. 00:15:26.31\00:15:27.54 Dr. Nedley, this is not something to minimize at all. 00:15:27.57\00:15:32.61 You said blindness can come from this 00:15:32.65\00:15:34.41 all these small capillaries are first off effected 00:15:34.44\00:15:37.48 and everything that has small capillaries feeding it, 00:15:37.52\00:15:40.52 is at risk - kidneys, all these other things. 00:15:40.56\00:15:43.88 - Yes, it effects a lot of organ systems and causes 00:15:43.91\00:15:47.87 a lot of misery in this world. 00:15:47.90\00:15:49.59 It's really misery that is preventable. 00:15:49.63\00:15:53.52 Diabetes can be prevented in and of itself even though there's 00:15:53.55\00:15:57.12 a genetic basis for it. 00:15:57.16\00:15:59.01 You can have the bad genes for diabetes and never end up with 00:15:59.04\00:16:02.81 the disease if you're eating a good diet and if you're 00:16:02.84\00:16:04.74 exercising regularly. 00:16:04.78\00:16:06.44 You can live into your 80's without ever getting it. 00:16:06.48\00:16:08.47 And if you don't ever get diabetes, you don't have to 00:16:08.50\00:16:10.46 worry about the complications. 00:16:10.50\00:16:12.25 If you do get diabetes, you still don't have to have the 00:16:12.28\00:16:14.63 complications if you follow the program that we're 00:16:14.67\00:16:17.06 outlining here today. 00:16:17.09\00:16:18.35 - So we've said avoid meat, and then we said replace meat 00:16:18.38\00:16:22.31 with complex carbohydrates. 00:16:22.34\00:16:24.98 We said add soluble fiber... 00:16:25.02\00:16:27.59 - soluble fiber, legumes, as you noticed lima beans, 00:16:27.63\00:16:30.62 kidney beans - quite high in the soluble fiber 00:16:30.65\00:16:32.76 carob, another legume... 00:16:32.80\00:16:34.52 - And now you want to talk to us about monounsaturated fats. 00:16:34.56\00:16:40.47 - Yes, this is the type of fat that is best for controlling 00:16:40.51\00:16:46.38 blood sugars. 00:16:46.42\00:16:47.39 Now, diabetics need fat in their diet. 00:16:47.40\00:16:50.30 All of us need fat in our diet. 00:16:50.34\00:16:53.90 But most Americans are getting too much fat. 00:16:53.93\00:16:57.04 Most Americans are getting way too much saturated fat 00:16:57.07\00:16:59.63 and so are diabetics. 00:16:59.67\00:17:01.02 Saturated fat is going to drive the cholesterol levels up, 00:17:01.06\00:17:04.00 its going to cause the HDL cholesterol to go down 00:17:04.04\00:17:08.34 Polyunsaturated fat is better for diabetics because it will 00:17:08.38\00:17:11.92 lower their triglycerides, and lower particularly their 00:17:11.95\00:17:15.46 cholesterol levels. 00:17:15.49\00:17:17.40 There's a type of polyunsaturated fat 00:17:17.44\00:17:19.68 called Omega 3 fats that are particularly 00:17:19.71\00:17:21.88 useful for diabetics because of doing both of those things 00:17:21.92\00:17:25.24 controlling the cholesterol as well as the triglycerides. 00:17:25.28\00:17:29.47 But the type of fat that is most left out when we discuss fat 00:17:29.51\00:17:33.67 is monounsaturated fat - that's kind of between the 00:17:33.71\00:17:37.10 saturated fat and the polyunsaturated fat. 00:17:37.14\00:17:40.35 Monounsaturated means it's just one double bond 00:17:40.38\00:17:43.30 involved in the molecule. 00:17:43.34\00:17:45.82 Saturated fat, there's no double bond - 00:17:45.86\00:17:48.18 it's completely saturated. 00:17:48.22\00:17:49.73 The polyunsaturated has at least two or three or maybe 00:17:49.76\00:17:52.34 more double bonds in the fat molecule. 00:17:52.37\00:17:55.99 The advantage of the monounsaturated fat is this 00:17:56.02\00:17:58.86 helps to control the blood sugars and it also improves 00:17:58.90\00:18:02.09 the HDL which tends to be a little low in diabetics. 00:18:02.12\00:18:04.96 HDL is the good cholesterol that we like to have 00:18:05.00\00:18:07.81 up instead of down. 00:18:07.84\00:18:09.82 - So what are some foods that are... 00:18:09.85\00:18:11.81 - Well, we have a graphic: 00:18:11.85\00:18:13.05 - Now, what if you have gallbladder disease? 00:18:55.99\00:18:58.87 - If you have gallbladder disease you want to eat 00:18:58.90\00:19:03.37 a low fat diet. 00:19:03.40\00:19:04.45 You'll still need to eat some fat, but you'll want a 00:19:04.48\00:19:07.32 lower fat diet. 00:19:07.35\00:19:08.44 Even diabetics - I'm not recommending those foods 00:19:08.48\00:19:11.33 that we listed, that they eat an abundance of them. 00:19:11.36\00:19:14.18 Olives might be OK to do that. 00:19:14.21\00:19:16.06 But the olive oil, even the pecans and macadamia - 00:19:16.09\00:19:20.36 basically we're just recommending a fist-full a day. 00:19:20.39\00:19:24.92 That will help them significantly and it's not a 00:19:24.96\00:19:28.80 large amount, but a fist-full of nuts spread out or 00:19:28.84\00:19:32.61 at one meal a day isn't going to cause a significant problem 00:19:32.65\00:19:37.19 with your gallbladder. 00:19:37.23\00:19:38.46 - You know lots of times when people say they have diabetes, 00:19:38.49\00:19:41.68 lots of times they say, "I have sugar. " 00:19:41.71\00:19:43.52 - Yes, that's right - high blood sugar. 00:19:43.55\00:19:47.05 - High blood sugar is what they're talking about. 00:19:47.08\00:19:48.25 "I got the sugar," but what can you tell us about sugar 00:19:48.28\00:19:53.66 as it relates to diabetes? 00:19:53.69\00:19:55.50 - Sugar is not good for a diabetic. 00:19:55.53\00:19:59.23 Their sugars are already high and if we poor on more sugar 00:19:59.26\00:20:01.77 in the diet their going to go up higher yet. 00:20:01.80\00:20:03.49 Refined sugar is not a good nutrient, it's an empty calorie, 00:20:03.52\00:20:10.41 it doesn't have nutrients with it. 00:20:10.44\00:20:12.30 We recommend avoidance of refined sugar. 00:20:12.33\00:20:17.22 Sugar does some other things, too, besides just causing the 00:20:17.25\00:20:20.18 blood sugar levels to go up and that will increase the 00:20:20.21\00:20:23.96 complications of the disease when the blood sugars are higher 00:20:23.99\00:20:26.62 the eye disease, kidney disease, heart disease, 00:20:26.65\00:20:29.18 all of that becomes even higher yet. 00:20:29.21\00:20:32.12 But in addition, it decreases the ability of their white 00:20:32.15\00:20:35.56 blood cells to destroy bacteria. 00:20:35.59\00:20:39.21 The average nutrifill - one nutrifil - which is a type of 00:20:39.24\00:20:43.94 white blood cell, can destroy a number of bacteria 00:20:43.98\00:20:48.24 But when you have sugar on board it goes down significantly 00:20:48.27\00:20:52.02 This study on the screen is from Loma Linda University 00:20:52.05\00:20:55.58 showing that the average nutrifil will destroy: 00:20:55.62\00:20:57.79 You've cut the ability of the nutrifil by over 90% 00:21:19.34\00:21:23.68 by consuming that 24 teaspoons of sugar. 00:21:23.71\00:21:26.68 - Let's say that you had a Root Beer Float. 00:21:26.72\00:21:29.61 - Root Beer Float would be close to that 24 teaspoons. 00:21:29.65\00:21:34.14 Malted milk, for instance, very high. 00:21:34.17\00:21:39.26 I've seen some malted milks have up to 42 teaspoons of sugar. 00:21:39.29\00:21:45.37 - 42 TEASPOONS?! - 42 teaspoons of sugar. 00:21:45.41\00:21:48.41 - How do you get that much in there? 00:21:48.45\00:21:51.05 - Good question. It's packed in there. 00:21:51.09\00:21:53.62 It's disguised with a liquid, and with the chocolate 00:21:53.66\00:21:57.36 and all of that type of thing. 00:21:57.40\00:21:58.37 You know whenever you have chocolate on board 00:21:58.39\00:22:00.25 there's a lot of sugar. 00:22:00.29\00:22:01.26 Although cocoa can have some antioxidant properties, 00:22:02.18\00:22:05.28 cocoa is very bitter. 00:22:05.31\00:22:06.77 So to get that bitterness out of there, they have to dump 00:22:06.81\00:22:10.22 in a lot of sugar and the same is true 00:22:10.25\00:22:12.28 of the malted or chocolate milk. 00:22:12.32\00:22:14.70 They have the cocoa in there but they have to dump in a 00:22:14.73\00:22:16.98 lot more sugar so it doesn't taste like there's 00:22:17.01\00:22:19.12 42 teaspoons in there - but there is. 00:22:19.16\00:22:23.32 - Can we go back to the fat for a minute because you said 00:22:23.35\00:22:26.03 that monounsaturated fats are helpful for the diabetic. 00:22:26.06\00:22:28.70 But you said that saturated fats are not helpful. 00:22:28.74\00:22:33.15 Tell me what the saturated fat do, why is it not helpful? 00:22:33.19\00:22:37.18 - Saturated dramatically increases the liver's production 00:22:37.21\00:22:41.17 of cholesterol. 00:22:41.20\00:22:42.17 Diabetics already tend to have a cholesterol problem 00:22:42.21\00:22:46.32 just because of their diabetes 00:22:46.35\00:22:48.07 and they add saturated fat, it's like adding fuel to the fire 00:22:48.11\00:22:51.34 significantly increasing their cholesterol levels. 00:22:51.38\00:22:55.59 In addition it does also decrease the sensitivity 00:22:55.63\00:22:59.80 of their cells to insulin. 00:22:59.84\00:23:01.62 So blood sugars can go up. 00:23:01.65\00:23:03.36 If we put someone on a saturated fat diet even though 00:23:03.39\00:23:06.00 it's low in carbohydrates, their blood sugars will actually go up 00:23:06.04\00:23:08.98 because of the decrease in sensitivity to insulin. 00:23:09.01\00:23:12.44 - So the insulin is not allowing the sugar they 00:23:12.48\00:23:15.75 do eat to even go in their cells? 00:23:15.79\00:23:17.77 - That's right, the insulin is not being able to do its work 00:23:17.81\00:23:20.93 because the cells are resistant to it. 00:23:20.97\00:23:23.75 The pancreas of many diabetics, the type 2 diabetics, 00:23:23.79\00:23:27.33 the pancreas is still working to some extent. 00:23:27.37\00:23:29.89 It's still putting out insulin, in fact the average diabetic 00:23:29.92\00:23:32.88 when they are diagnosed, they're putting out four times as much 00:23:32.92\00:23:35.84 insulin from their pancreas as a non-diabetic. 00:23:35.87\00:23:38.36 They are trying to control those elevated blood sugars, but 00:23:38.39\00:23:42.31 its outstripping the pancreas ability to be able to produce 00:23:42.35\00:23:46.24 the insulin. 00:23:46.27\00:23:47.29 The problem is not a under-production of insulin 00:23:47.32\00:23:50.81 but the problem is actually an under-sensitivity 00:23:50.85\00:23:54.30 What we call insulin resistance syndrome. 00:23:54.34\00:23:58.50 Some people have identified that or abbreviated that - IRS. 00:23:58.54\00:24:05.49 Of course with the IRS, you pay now or you pay later. 00:24:05.53\00:24:10.06 The diabetic it's the same thing. 00:24:10.09\00:24:13.50 If they don't pay now, in other words, change now 00:24:13.53\00:24:16.54 they will pay later - dramatically. 00:24:16.58\00:24:19.99 - Alright, so that explains the fat. 00:24:20.03\00:24:21.42 We've talked a little bit about the sugar, but you have more 00:24:21.46\00:24:24.60 concerns about the sugar than just decreasing the ability 00:24:24.63\00:24:27.74 to get rid of bacteria. 00:24:27.77\00:24:29.47 - That's right. 00:24:30.09\00:24:31.06 There are other problems with excess sugar in the diet. 00:24:31.07\00:24:34.84 Those problems, actually, can lead to what we call 00:24:34.87\00:24:40.52 free radicals. 00:24:40.55\00:24:41.52 There was an interesting study done on someone just consuming 00:24:41.54\00:24:45.59 a soda pop vs. water. 00:24:45.62\00:24:47.56 When they consume a soda pop the amount of free radicals 00:24:47.60\00:24:50.53 in their blood stream dramatically go up. 00:24:50.56\00:24:53.29 Free radicals increase the risk of cancers, increase the risk of 00:24:53.32\00:24:56.91 athersclerosis and water, of course, will not do that. 00:24:56.95\00:25:00.62 The excess sugar in the diet will. 00:25:00.65\00:25:02.42 - So free radicals are like these things 00:25:02.46\00:25:04.57 are just banging off everything, right? 00:25:04.61\00:25:06.65 - They're banging off, they can change genetic material, 00:25:06.69\00:25:09.31 they can destroy, they can cause premature aging, a number of 00:25:09.34\00:25:14.04 things that the free radicals do. 00:25:14.07\00:25:16.58 The slide that we have show: 00:25:16.62\00:25:21.64 There hasn't been a lot of studies done on the risk factors 00:25:51.48\00:25:54.75 for cancers of the nervous system 00:25:54.79\00:25:56.13 but we know that's one of them. 00:25:56.16\00:25:57.43 That would be brain cancer and spinal tube cancer. 00:25:57.46\00:26:00.23 - We've got a lot of information I want to bring together in just 00:26:00.90\00:26:02.96 a practical question. 00:26:03.00\00:26:04.13 A diabetic gets up in the morning, what should he do 00:26:04.16\00:26:06.13 in the morning all the way through the evening? 00:26:06.17\00:26:08.95 - Well, the first thing he ought to do is exercise. 00:26:08.98\00:26:11.73 - Before breakfast? 00:26:11.77\00:26:13.62 - Before breakfast is good or after breakfast, either one. 00:26:13.65\00:26:17.88 We would recommend if they're having problems with their 00:26:17.91\00:26:21.72 fasting blood sugars being elevated to exercise before. 00:26:21.75\00:26:25.49 If they are not, their fasting blood sugar's are controlled, 00:26:25.52\00:26:28.19 it's probably better for them to exercise after breakfast 00:26:28.23\00:26:30.86 if they can. 00:26:30.90\00:26:31.87 - What should they have for breakfast?... 00:26:31.88\00:26:33.23 Oatmeal, whole grains... 00:26:33.27\00:26:37.00 - Oatmeal is excellent, they could have some toast, 00:26:37.03\00:26:41.23 they could have some pecans on their toast or pecan butter. 00:26:41.26\00:26:46.26 - What about a banana or apple? 00:26:46.30\00:26:47.34 - Banana and apple are OK, now the tropical fruits we would 00:26:47.38\00:26:50.15 recommend they avoid... the mangoes, even grapes, 00:26:50.18\00:26:56.73 those type of things can raise those 00:26:56.77\00:26:58.14 post perandial blood sugars. 00:26:58.18\00:26:59.39 - After breakfast, what do they do? 00:26:59.42\00:27:00.42 No meals in between meals? 00:27:00.45\00:27:02.51 - That's right, nothing in between meals. 00:27:02.54\00:27:04.41 If need be they exercise after the meal to control the 00:27:04.44\00:27:10.48 post perandial blood sugars. 00:27:10.51\00:27:11.74 At lunch time we emphasize the vegetables primarily. 00:27:11.78\00:27:15.26 Legumes are excellent for the diabetic at lunch. 00:27:15.30\00:27:18.75 Then at supper little, if anything. 00:27:18.78\00:27:22.84 In fact the more they eat in the evening, the greater the 00:27:22.87\00:27:25.83 complications of diabetes. 00:27:25.87\00:27:27.55 - We've been talking with Dr. Neal Nedley 00:27:27.59\00:27:29.30 We've talked about some things that offer hope to those who 00:27:29.34\00:27:33.12 have the diagnosis of diabetes. 00:27:33.16\00:27:34.87 Of course it's better to avoid it, but if you do, you've got 00:27:34.91\00:27:37.77 a game-plan and you have some resources as well 00:27:37.81\00:27:40.84 If you go to nedleypublishing. com 00:27:40.88\00:27:43.72 you can get Dr. Nedley's book, Proof Positive, 00:27:43.75\00:27:46.48 and other materials to help you or call us here at 3ABN. 00:27:46.51\00:27:49.38 We hope as a result that you will have health - and that's 00:27:49.41\00:27:52.24 not just for now, but for a life-time. 00:27:52.27\00:27:56.42