Welcome to "Reverse
Diabetes Naturally."
00:00:28.49\00:00:30.86
I'm Doctor David DeRose,
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president of
Compass Health Consulting,
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and your host for
this exciting journey.
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It's the simple
things you can do
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to make a
difference with diabetes.
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You might even be wondering,
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"Why speak about diabetes?
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How important is it?"
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If you've tuned
into this episode,
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you're thinking
about this condition.
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Diabetes is one of the leading
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metabolic
conditions in the world.
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If you look at the
statistics, diabetes
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is one of America
s great epidemics.
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It's largely due to
rising numbers of individuals
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with what we
call type 2 diabetes.
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Let's stop right here and
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give a few definitions.
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When I was in medical school,
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there was no such
thing as type 1 and
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type 2 diabetes.
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We spoke about
children, and juvenile diabetes.
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Heavy adults had
adult-onset diabetes.
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Those terms became
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confusing when
we started finding
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young people with
what looked very much like
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the same type of
diabetes seen in adulthood.
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The name type 2
diabetes was assigned.
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to the type of
diabetes that occurs
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as a result of
insulin resistance.
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This is insulin not working
the way it should in the body.
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We'll speak
more about that soon.
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On the other
hand, juvenile diabetes
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was given the
designation "type 1 diabetes."
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This is typically an
autoimmune process typically.
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The body is
attacking itself. In this case,
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It's attacking the
islet (or beta) cells, the
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producing cells in the pancreas
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that make insulin.
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Type 1 diabetes can occur
in adulthood, though uncommon.
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What we're seeing
today is an epidemic
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in the Western world
(and the United States),
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driven by diabetes
of the type 2 variety.
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If you look at how
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broad the scope of the
epidemic is, it's staggering.
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Some 25 million
Americans have the condition.
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That amounts to 8
percent to the population.
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This represents a
26 percent increase
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from 2005. Seven
million of those individuals
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are undiagnosed.
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How would we know
how many are undiagnosed?
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It's simply based
on population data.
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Experts will do a
screening event in a region.
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They'll find that there
are "X" number of people
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who have diabetes
and didn't know it.
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What that amounts to is about
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27 to 30 percent
who have diabetes
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are unaware that
they have the condition.
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If you look at it in other ways,
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roughly 11 percent of
Americans over 20 have diabetes.
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By the time we
get to the age of 65,
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over one-quarter
of the US population
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has diabetes. As for
the impact of diabetes,
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There are different
ways to calculate death
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statistics in the United States.
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One way calls it the
seventh leading cause of death.
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At any given age,
people with diabetes
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are about twice as likely to die
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as people who
don't have the condition.
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There's a human cost
that transcends the numbers.
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Even if someone does
not die from diabetes,
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they're likely to
have serious complications.
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This affects their ability
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to live and have a high-quality
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existence from day to day.
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The most common
diabetic complication
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is nerve damage, known
as diabetic neuropathy.
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Sixty to seventy
percent of diabetics
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have mild to severe
forms of nerve damage.
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This can influence sensation
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in the hands and
feet. You might ask,
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"What difference does it make?"
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It makes a huge difference.
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One of the big problems with
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loss of foot
sensation is increased risk
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of foot damage.
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I'm thinking of
things that sound innocuous,
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like a little sore on your foot.
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A sore that you're
unaware of can grow.
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With diabetes,
healing is impaired.
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A little sore,
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something that
seems insignificant,
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sets the stage for
foot and leg amputations.
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Other things caused by
diabetic neuropathy include
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digestive problems.
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Your digestive
system is controlled by
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nervous system input
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from the brain, and
also from the autonomic, or
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automatic nervous system.
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When that's not
functioning properly,
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you can have digestive problems.
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These nerve-related problems
may not seem significant
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if you're not dealing with them.
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I've had
patients who couldn't work
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because of burning
pain in their legs.
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I've had patients
who could not sleep
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because of severe
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diabetic neuropathy symptoms.
It's not just loss of sensation,
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it's abnormal sensation as well.
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Let's come back
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to that sensation equation
and connection with amputations.
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Are you aware that some 60,000
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to 80,000 amputations
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occur each year
in the United States
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because of diabetes alone?
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About 60 percent
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of non-traumatic,
lower-limb amputations
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are caused by diabetes.
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Nerve problems affect quality
of life, but so can vision.
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If you look at the
leading cause of blindness
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among adults 20
to 74 years of age,
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you are looking
diabetes square in the face.
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Some 12,000 to
24,000 cases of blindness
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each year in
America are from diabetes.
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Diabetes causes damage
to small blood vessels.
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If those blood vessels
are in the back of the eye,
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you'll get
something called diabetic
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retinopathy. Some 4.2 million
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Americans with
diabetes over the age of 40
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have significant
diabetic neuropathy.
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Two-thirds to three-quarters
of a million people
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actually have retinopathy so bad
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that they are at risk
of severe vision loss.
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The good news is simply this:
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diabetic
complications can be reversed.
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I have seen people
with diabetic neuropathy
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have their
neuropathic symptoms improve.
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I've seen people with diabetic
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retinopathy
dramatically improve.
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Even with diabetic nephropathy
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(kidney problems),
there is some evidence
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you can slow the
progression, maybe reverse it.
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How do you do it?
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That's what we'll talk
about in this presentation.
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We're talking
about reversing diabetes
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naturally. I'll
be honest with you.
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The foundation is
lifestyle. Lifestyle practices
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are powerful in
reversing this disease.
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If you've tuned into
our other presentations
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in the LifeStart
series, you'll recall a powerful
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mnemonic (a
memory device), which is
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technically called an
acronym. It helps us remember
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nine natural
therapies or strategies
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that can help
reverse disease processes.
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Diabetes is
included on that list.
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Before we go any further
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speaking about diabetes, its
reversibility and strategies,
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I want you to
see the big picture--
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LifeStart. Let me walk
you through the elements.
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The "L" stands for Liquids.
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Our choice of beverages
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has a role in diabetes
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(whether we develop it,
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have it, and how
well it's controlled).
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Liquids are
important in diabetes.
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The "I" stands for
Interpersonal Relationships.
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Being connected with
others is a powerful,
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health-giving
factor. It can help you
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with your diabetes. If
you have social support,
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if you're socially
connected with people,
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you will actually do
better with this condition.
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The "F" stands for Foods.
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We'll take a look
at what dietary choices
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are most important
for reversing diabetes
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naturally. Then we have the "E."
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"E" stands for
Exercise, of vital importance
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as we're dealing
with the diabetic state.
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This is LifeStart: L-I-F-E . . .
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"S" is for Sunshine.
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Let me tell you
something about sunshine.
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We're not going to
speak all that much about it.
00:10:06.47\00:10:10.14
Vitamin D is important in
00:10:10.17\00:10:13.24
helping the immune
system function optimally.
00:10:13.27\00:10:16.24
One of the
places in the world that
00:10:16.28\00:10:18.28
is challenged when it comes
to sunshine is Scandinavia.
00:10:18.31\00:10:21.92
Some years ago, they
started giving children
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supplements of
vitamin D. What they found
00:10:25.49\00:10:29.36
is a dramatic
decrease of type 1 diabetes.
00:10:29.39\00:10:36.13
If you are
making this connection,
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auto immunity, type 1
diabetes, and vitamin D
00:10:38.43\00:10:43.30
have a role. Sunlight is
best way to make vitamin D.
00:10:43.34\00:10:48.78
If you live in
Scandinavia or are stationed
00:10:48.81\00:10:52.58
in Antarctica, you're
not getting much sunshine
00:10:52.61\00:10:56.45
during the winter months.
00:10:56.48\00:10:57.99
You need to take a
vitamin D supplement.
00:10:58.02\00:11:00.42
Let's move on with
the LifeStart acronym.
00:11:00.46\00:11:03.59
"T" stands for Temperance.
00:11:03.63\00:11:05.73
This is the concept of
doing good things in moderation,
00:11:05.76\00:11:09.03
totally avoiding those
things that are harmful.
00:11:09.06\00:11:12.60
We'll speak about
that to some extent.
00:11:12.63\00:11:15.90
"A" is for Air--fresh air.
00:11:15.94\00:11:18.47
I've spoken about
this in other settings.
00:11:18.51\00:11:21.44
The biggest pollutant, as
human health consequences,
00:11:21.48\00:11:25.75
is nothing that
any factory does.
00:11:25.78\00:11:28.52
It is cigarette smoke.
00:11:28.55\00:11:30.35
If you're a smoker,
you're exposing your body
00:11:30.39\00:11:33.29
to chemicals that
are actually impairing
00:11:33.32\00:11:36.79
your entire metabolic picture.
00:11:36.83\00:11:39.29
Diabetes is
among the risk factors
00:11:39.33\00:11:42.63
of individuals who
smoke. There's increased risk
00:11:42.66\00:11:45.33
of that condition. There's
a few more elements in the
00:11:45.37\00:11:50.14
acronym. We'll come back and
00:11:50.17\00:11:51.54
give you a bigger picture
we've talked about "LIFE."
00:11:51.57\00:11:55.81
We've talked about S-T-A . . .
00:11:55.84\00:11:59.58
"R" is for Rest.
00:11:59.61\00:12:02.12
If you're cutting
yourself short on sleep,
00:12:02.15\00:12:06.45
you ramp up your
stress hormone levels.
00:12:06.49\00:12:09.52
As stress hormone levels go up,
00:12:09.56\00:12:13.03
so do blood
sugars. Higher stress
00:12:13.06\00:12:16.20
puts you in a state
predisposed to diabetes.
00:12:16.23\00:12:19.67
I have seen patients
00:12:19.70\00:12:21.97
with diabetes,
their main risk factor
00:12:22.00\00:12:24.64
undiagnosed. It was sleep apnea.
00:12:24.67\00:12:28.18
If you have a
problem with snoring
00:12:28.21\00:12:32.01
and you actually
stop breathing at night,
00:12:32.05\00:12:35.65
have someone observe you.
00:12:35.68\00:12:37.52
If you stop
breathing at night, this is
00:12:37.55\00:12:39.42
a hallmark of sleep
apnea. "A" means "without," and
00:12:39.45\00:12:47.40
"PNEA" refers to breathing.
00:12:47.40\00:12:49.80
When you stop breathing
00:12:49.83\00:12:51.73
multiple times at night,
00:12:51.77\00:12:53.87
that's the characteristic
of that sleep apnea state.
00:12:53.90\00:12:57.47
Your brain is arousing
00:12:57.51\00:13:00.41
multiple times through the
night. You may not wake up,
00:13:00.44\00:13:03.41
but your sleep is interrupted.
00:13:03.45\00:13:05.18
Stress hormone
levels are higher.
00:13:05.21\00:13:07.15
That in itself can set
the stage for diabetes.
00:13:07.18\00:13:10.82
Adequate rest is important.
That's just one illustration.
00:13:10.85\00:13:13.89
The last point that
I'd like to talk about is
00:13:13.92\00:13:17.03
Trust in Divine Power.
00:13:17.06\00:13:18.69
It's the last point
I like to talk about.
00:13:18.73\00:13:21.36
There was a time in my
life when I thought there
00:13:21.40\00:13:25.80
was no spiritual being that
00:13:25.83\00:13:28.67
was willing to
guide us and help us.
00:13:28.70\00:13:30.37
As a physician, I
realize this is important today.
00:13:30.41\00:13:33.64
I've seen my patients get
significant help, realizing
00:13:33.68\00:13:37.05
there is a loving Creator.
00:13:37.08\00:13:39.01
He wants to aid
them in lifestyle change.
00:13:39.05\00:13:41.58
That's not what you believe?
00:13:41.62\00:13:44.32
I've got nothing to
urge. I'm just saying that
00:13:44.35\00:13:46.82
spirituality has
powerful health-giving benefits,
00:13:46.86\00:13:50.16
especially in the
area of lifestyle change.
00:13:50.19\00:13:51.93
That's the focus
00:13:51.96\00:13:53.06
of LifeStart. We want
to help you change things
00:13:53.09\00:13:55.73
that will help (at least in
this case) reverse diabetes.
00:13:55.76\00:13:58.90
With that background,
00:13:58.93\00:14:00.94
let me extend the
dialogue just a little bit.
00:14:00.97\00:14:03.51
Some of you tuning in
00:14:03.54\00:14:05.11
may say, "I don't have diabetes.
Why am I watching this?"
00:14:05.14\00:14:08.74
You need to be concerned.
00:14:08.78\00:14:10.11
Everyone needs to be
concerned about diabetes.
00:14:10.15\00:14:12.61
Let me tell you two reasons why.
00:14:12.65\00:14:14.42
Even if you don't
have diabetes today,
00:14:14.45\00:14:16.58
there's a likelihood you
have what's called pre-diabetes.
00:14:16.62\00:14:22.99
Pre-diabetes is a state
00:14:23.02\00:14:25.29
before you develop
diabetes .You have higher
00:14:25.33\00:14:27.86
blood sugars than optimal,
00:14:27.86\00:14:29.43
but have not reached
the criteria for diabetes.
00:14:29.46\00:14:32.60
Let me illustrate that
with fasting blood sugar.
00:14:32.63\00:14:35.60
If your fasting
blood sugar is below 100,
00:14:35.64\00:14:38.81
most people
consider that normal.
00:14:38.84\00:14:41.21
I actually
consider "normal" below 80.
00:14:41.24\00:14:43.81
Between 81 and 99
00:14:43.85\00:14:47.48
is what I
consider "higher normal."
00:14:47.52\00:14:49.98
Once you get to 100,
everyone feels this is abnormal.
00:14:50.02\00:14:53.29
"Impaired fasting glucose"
was the term used for years.
00:14:53.32\00:14:59.43
That didn't stick
with lay people, so we
00:14:59.46\00:15:02.63
switched to the
term "pre-diabetes."
00:15:02.66\00:15:05.20
If you're in the
range of 100 to 125 for
00:15:05.23\00:15:08.27
fasting blood
sugar (when you wake up),
00:15:08.30\00:15:11.31
then you have pre-diabetes.
00:15:11.34\00:15:13.01
if your blood
sugars are 126 and above,
00:15:13.04\00:15:16.54
that meets the
definition of diabetes.
00:15:16.58\00:15:19.15
There's also
criteria for blood sugar,
00:15:19.18\00:15:21.12
two hours after a meal,
00:15:21.15\00:15:22.55
where you could
also be pre-diabetic.
00:15:22.58\00:15:25.82
If you want more
information, we have
00:15:25.85\00:15:27.49
some additional details
00:15:27.52\00:15:29.02
in our free resources.
00:15:29.06\00:15:30.63
We have a study guide
that goes along with this.
00:15:30.66\00:15:33.16
You can access that
at lifestartseminars.com.
00:15:33.19\00:15:37.57
Maybe I went through that
00:15:37.60\00:15:39.57
LifeStart acronym
too quickly. Even if
00:15:39.60\00:15:44.11
it was the right pace
but want more information,
00:15:44.14\00:15:47.34
you can get a free e book
00:15:47.38\00:15:50.68
at lifestartseminars.com.
00:15:50.71\00:15:53.98
Let's talk about why you need
00:15:54.02\00:15:56.58
to be concerned if
you've got pre-diabetes.
00:15:56.62\00:15:58.72
You may not even be aware of it.
00:15:58.75\00:16:00.29
Pre-diabetes
actually affects some 25 to
00:16:00.32\00:16:03.93
35 percent of the US population.
00:16:03.96\00:16:07.50
As we get into our
are sixties and beyond,
00:16:07.50\00:16:10.53
you're talking about half the
population with pre-diabetes.
00:16:10.57\00:16:14.84
We need to be
concerned about this.
00:16:14.87\00:16:17.77
The message is simply this:
00:16:17.81\00:16:19.27
with the LifeStart principles,
00:16:19.31\00:16:21.11
you can reverse
the pre-diabetic state.
00:16:21.14\00:16:24.51
In fact, the
research indicates that
00:16:24.55\00:16:27.75
two of those
LifeStart principles
00:16:27.78\00:16:30.39
(more than any other)
are especially powerful
00:16:30.42\00:16:33.22
in reversing the
pre-diabetic state.
00:16:33.25\00:16:36.29
It was looked at within the
Diabetes Prevention Program.
00:16:36.32\00:16:39.96
What was found involves one
element of LifeStart, Exercise.
00:16:40.00\00:16:44.77
Thirty minutes a day of
moderate, physical exercise
00:16:44.80\00:16:49.07
was combined with the "F" and
00:16:49.10\00:16:52.71
the "L" (the
liquids in the foods).
00:16:52.74\00:16:54.84
That's where we
get our calories.
00:16:54.88\00:16:56.75
The focus was on helping
people lose 5 to 10 percent
00:16:56.78\00:17:01.02
of their body weight.
00:17:01.05\00:17:03.72
Think about this now.
00:17:03.75\00:17:05.72
If you weigh 200
pounds and you're 5'2",
00:17:05.75\00:17:08.62
your ideal weight may be
00:17:08.66\00:17:10.56
as high as a 120 pounds.
00:17:10.59\00:17:12.33
You're a young lady
at 200 pounds, saying,
00:17:12.36\00:17:15.36
"I've got to lose 80
pounds." You don't have
00:17:15.40\00:17:18.33
to lose the whole 80
pounds to get benefit. At
00:17:18.37\00:17:20.44
200 pounds, a 5
percent weight loss
00:17:20.47\00:17:23.27
would be 10 pounds.
00:17:23.30\00:17:26.64
You drop those 10 pounds,
00:17:26.68\00:17:29.01
combined with 30
minutes of exercise daily.
00:17:29.04\00:17:36.05
You've made some
dietary changes as well.
00:17:36.08\00:17:38.32
Maybe you left
off the soft drinks.
00:17:38.35\00:17:40.36
If I want to talk about
one thing, I'll do it now.
00:17:40.39\00:17:45.46
If you want to look
and a cause of diabetes,
00:17:45.49\00:17:49.63
many researchers point
fingers at soft drinks.
00:17:49.66\00:17:53.37
There's high
fructose corn syrup and
00:17:53.40\00:17:57.31
concentrated
calories in those beverages.
00:17:57.34\00:17:59.84
If you leave those things off,
00:17:59.87\00:18:01.91
you can get a tremendous aid to
00:18:01.94\00:18:03.61
losing weight.
If you lose weight,
00:18:03.65\00:18:05.41
it's going to help
whether you have diabetes,
00:18:05.45\00:18:07.35
pre-diabetes, or
simply at risk for diabetes
00:18:07.38\00:18:13.42
without having pre-diabetes.
00:18:13.46\00:18:15.79
Focus on things like water
00:18:15.82\00:18:18.43
as a beverage
(zero calories in water).
00:18:18.46\00:18:21.23
Stay away from soft
drinks, especially those
00:18:21.26\00:18:25.90
sweetened with
caloric sweeteners.
00:18:25.93\00:18:29.04
Since we're talking about it,
00:18:29.07\00:18:32.11
I'll go one step further.
00:18:32.14\00:18:34.14
Artificial sweeteners,
those zero-calorie soft drinks,
00:18:34.18\00:18:37.78
are not your friend,
either. Research indicates
00:18:37.81\00:18:40.92
that some consume more calories
00:18:40.95\00:18:44.45
after drinking them.
00:18:44.49\00:18:46.19
On top with that, it's
00:18:46.22\00:18:48.22
cultivating that same
sweet tooth that got you
00:18:48.26\00:18:51.16
into the problem
you have to begin with.
00:18:51.19\00:18:53.60
If you want more
information about
00:18:53.63\00:18:55.33
behavioral change,
00:18:55.36\00:18:57.10
we've got resources
00:18:57.13\00:18:58.67
on the LifeStart
website. One I'd recommend
00:18:58.70\00:19:01.10
is my DVD "Changing
Bad Habits for Good."
00:19:01.14\00:19:04.94
It speaks about these
principles. Making clean breaks
00:19:04.97\00:19:08.81
with bad habits is
so powerful. We need to
00:19:08.84\00:19:12.88
make sure we get the whole
00:19:12.91\00:19:14.08
picture with pre-diabetes.
00:19:14.12\00:19:15.82
In the Diabetes
Prevention Program,
00:19:15.85\00:19:18.12
30 minutes of exercise a day and
00:19:18.15\00:19:20.19
moderate physical activity meant
00:19:20.22\00:19:22.26
a 5 to 10 percent weight loss.
00:19:22.29\00:19:24.96
It led to a 58 percent
00:19:24.99\00:19:28.33
decreased risk of
developing diabetes.
00:19:28.36\00:19:31.03
This is powerful.
00:19:31.07\00:19:32.53
You can keep
diabetes from ever coming
00:19:32.57\00:19:36.34
into your household by simply
00:19:36.37\00:19:38.81
following the
LifeStart principles.
00:19:38.84\00:19:40.54
Two of the most
important are foods
00:19:40.58\00:19:44.65
and exercise. Don't
forget liquids, often
00:19:44.68\00:19:48.38
a significant
source of calories.
00:19:48.42\00:19:51.89
Let's hasten on at
this point and mention
00:19:51.92\00:19:54.22
one other important
group that needs concern.
00:19:54.26\00:19:57.29
if you have a
family history of diabetes,
00:19:57.33\00:20:01.36
you are an individual
who should be concerned.
00:20:01.40\00:20:06.40
If you don't
have a family history,
00:20:06.43\00:20:08.64
carrying extra
weight and inactive,
00:20:08.67\00:20:11.47
these are risk
factors for type 2 diabetes.
00:20:11.51\00:20:14.48
We're trying to
encourage you to simply
00:20:14.51\00:20:17.88
catch the message
and grab lifestyle.
00:20:17.91\00:20:21.05
Hold on, however you grab it,
00:20:21.08\00:20:24.72
and say, "I'm going
to make these LifeStart
00:20:24.75\00:20:27.12
changes, so that I'm
not affected by diabetes."
00:20:27.16\00:20:31.73
Let me just
make one other point.
00:20:31.76\00:20:33.90
There are some people
00:20:33.93\00:20:35.70
who have been
genetically gifted with a
00:20:35.73\00:20:39.50
very good pancreas.
00:20:39.53\00:20:42.00
Their pancreas is good, no
matter the insulin resistance.
00:20:42.04\00:20:46.74
No matter how difficult it
is for insulin to do its job,
00:20:46.78\00:20:51.01
the pancreas
produces more insulin.
00:20:51.05\00:20:53.45
They will never
develop diabetes.
00:20:53.48\00:20:55.45
The problem is, if you're not
00:20:55.48\00:20:57.39
following these
LifeStart principles,
00:20:57.42\00:21:00.09
you'll have more
insulin resistance.
00:21:00.12\00:21:03.39
Insulin is not going
to work as it should.
00:21:03.43\00:21:05.33
Your pancreas ramps
up insulin production,
00:21:05.36\00:21:09.83
and you never get diabetes.
00:21:09.86\00:21:11.90
Just because you
never develop diabetes,
00:21:11.93\00:21:14.20
that doesn't mean
there aren't problems.
00:21:14.24\00:21:17.41
Insulin resistance,
even without diabetes,
00:21:17.44\00:21:20.94
tends to lower good cholesterol.
00:21:20.98\00:21:23.24
The HDL goes down.
00:21:23.28\00:21:25.01
Bad cholesterol (the
LDL) becomes more damaging.
00:21:25.05\00:21:28.75
Another bad blood
fat, triglycerides, rises.
00:21:28.78\00:21:32.19
Are you hearing this?
00:21:32.22\00:21:33.36
If you have problems
with your blood fats,
00:21:33.39\00:21:36.59
it may result be the result
00:21:36.62\00:21:39.46
of insulin resistance.
00:21:39.49\00:21:41.80
All of us need to
be concerned about
00:21:41.83\00:21:46.80
this very important epidemic
00:21:46.84\00:21:49.20
affecting Americans.
00:21:49.24\00:21:51.97
Whether we have
diabetes, pre-diabetes,
00:21:52.01\00:21:55.51
or are in danger of
developing diabetes,
00:21:55.54\00:22:02.42
we need to be concerned.
00:22:02.45\00:22:04.42
The insulin-resistant state
00:22:04.45\00:22:06.99
really sets us up
00:22:07.02\00:22:10.23
for significant problems.
00:22:10.26\00:22:12.53
I want to encourage you
00:22:12.56\00:22:14.23
to catch the important message.
00:22:14.30\00:22:18.07
We need to take action.
00:22:18.10\00:22:20.10
Let's go now to a real
00:22:20.14\00:22:22.00
example of how diabetes,
00:22:22.04\00:22:25.67
insulin resistance,
00:22:25.71\00:22:27.24
and related
conditions can be kept at bay.
00:22:27.28\00:22:29.71
We're going to
look at a population
00:22:29.74\00:22:32.61
with some of the highest
diabetes rates in the world.
00:22:32.65\00:22:36.42
This is where
researchers have learned
00:22:36.45\00:22:38.95
the power of lifestyle, perhaps
00:22:38.99\00:22:40.99
as nowhere else.
00:22:41.02\00:22:42.36
Some of you may know I host a
00:22:42.39\00:22:44.16
weekly radio show, "American
Indian Living." I work with
00:22:44.19\00:22:47.83
people of Native American
ancestry on a regular basis.
00:22:47.86\00:22:51.03
You may not be surprised to know
00:22:51.07\00:22:53.00
that one of the world's most
00:22:53.03\00:22:54.37
diabetic-prone people are
of Native American descent.
00:22:54.40\00:22:58.87
The famous Strong Heart Study
looked at native Americans.
00:22:58.91\00:23:02.81
It looked at
populations of Native Americans
00:23:02.84\00:23:06.68
in three US regions.
This was the Dakotas,
00:23:06.72\00:23:09.45
Oklahoma, and Arizona.
00:23:09.48\00:23:11.49
In this study of adults,
00:23:11.52\00:23:14.92
about one-third in
the Dakotas had diabetes.
00:23:14.96\00:23:19.86
Forty percent in
Oklahoma had the condition.
00:23:19.89\00:23:22.90
Two-thirds of those
in Arizona had diabetes.
00:23:22.93\00:23:28.10
Why such staggering rates?
00:23:28.14\00:23:30.17
Is it something just
about Native Americans?
00:23:30.21\00:23:32.47
Do they have to have diabetes?
00:23:32.51\00:23:33.94
The evidence says "no." There's
00:23:33.98\00:23:35.88
amazing data from the
Gila River Indian Reservation.
00:23:35.91\00:23:39.71
(in the the Phoenix area today).
00:23:39.75\00:23:42.92
At the turn of the
century (around 1900),
00:23:42.95\00:23:47.52
we have good data showing only a
00:23:47.56\00:23:49.56
only a single case
of diabetes among 4,000
00:23:49.59\00:23:53.03
individuals on that reservation.
00:23:53.06\00:23:55.13
Forty years
later, in 21 individuals
00:23:55.16\00:23:58.93
(the population
had not changed much) ,
00:23:58.97\00:24:03.04
the prevalence of
diabetes and the number affected
00:24:03.07\00:24:05.71
dramatically
increased twenty fold.
00:24:05.74\00:24:07.78
It was still less than 1 percent
00:24:07.81\00:24:09.61
of the population with diabetes.
00:24:09.64\00:24:11.21
Today, if you go to Gila River
00:24:11.25\00:24:13.38
Indian Reservation
and look at those over 35,
00:24:13.42\00:24:16.72
50 percent will have diabetes.
00:24:16.75\00:24:19.02
What this
indicates is not a disease
00:24:19.05\00:24:21.39
that is just from genetics.
00:24:21.42\00:24:23.06
Yes, Native Americans
in populations like the
00:24:23.09\00:24:25.79
Pimas are
genetically predisposed.
00:24:25.83\00:24:29.10
Lifestyle is
superimposed. How do we know?
00:24:29.13\00:24:32.43
A wonderful study
00:24:32.47\00:24:34.04
published (in the 90's)
in Diabetes Care looked at
00:24:34.07\00:24:37.51
people of Pima ancestry.
00:24:37.54\00:24:39.64
There are pima Indians
00:24:39.67\00:24:41.84
living in
Arizona, as well as Mexico.
00:24:41.88\00:24:46.01
We know, by actual
genetic measurements,
00:24:46.05\00:24:48.78
historical observations,
and language similarities,
00:24:48.82\00:24:52.09
these are cousins.
00:24:52.12\00:24:53.56
What's so fascinating is, these
populations live differently.
00:24:53.59\00:24:57.69
Native Americans of
Pima ancestry in Arizona
00:24:57.73\00:25:01.56
are less active than
their cousins in Mexico.
00:25:01.60\00:25:07.37
It's very
physical, active living
00:25:07.40\00:25:09.20
in rural Mexico for Pimas.
00:25:09.24\00:25:11.67
We looked at diet,
which is fascinating.
00:25:11.71\00:25:14.78
A high-fiber diet, with
00:25:14.81\00:25:16.21
very little in the
way of animal products,
00:25:16.24\00:25:18.71
characterized the
diet of those in Mexico.
00:25:18.75\00:25:21.65
There's high
animal product intake
00:25:21.68\00:25:24.05
with the Arizona Pimas and
00:25:24.09\00:25:25.29
a lot of animal fat in
the diet (over 40 percent
00:25:25.32\00:25:29.42
by some measurements).
00:25:29.46\00:25:30.86
Are you starting
to get the picture?
00:25:30.89\00:25:32.39
Two populations,
genetically similar,
00:25:32.43\00:25:35.13
have very different
lifestyles. Exercise and
00:25:35.16\00:25:38.07
dietary factors differ.
00:25:38.10\00:25:39.67
What do we see when
it comes to diabetes?
00:25:39.70\00:25:41.60
Look at the Mexican
00:25:41.64\00:25:44.21
Pima women in that study.
00:25:44.24\00:25:46.47
About 1 in 10 women in
their thirties had diabetes.
00:25:46.51\00:25:50.11
It was about 4 times that much
00:25:50.15\00:25:52.48
in the Arizona Pima women.
00:25:52.51\00:25:54.62
Looking at Mexican
Pima men in their forties,
00:25:54.65\00:25:58.85
only about 6
percent had diabetes.
00:25:58.89\00:26:01.49
There's nearly 9
times (over 50 percent)
00:26:01.52\00:26:04.93
of the Arizona men
with the condition.
00:26:04.96\00:26:07.50
What does this
tell us? Lifestyle
00:26:07.50\00:26:11.27
largely drives diabetes.
00:26:11.30\00:26:13.84
As one of my
00:26:13.87\00:26:15.77
endocrinology
professors told me,
00:26:15.80\00:26:19.54
Simple practices,
as embodied in that
00:26:25.11\00:26:29.35
LifeStart mnemonic,
00:26:29.38\00:26:31.22
can prevent
diabetes from occurring.
00:26:31.25\00:26:35.29
Eat less animal fat and
00:26:35.32\00:26:37.63
things lower in
caloric density (more
00:26:37.66\00:26:41.13
fruits and vegetables).
Eat less animal products.
00:26:41.16\00:26:44.60
Fasting (an
application of temperance)
00:26:44.63\00:26:49.14
can be used
under medical direction
00:26:49.17\00:26:52.21
to help reset the metabolism
00:26:52.24\00:26:54.34
in people with diabetes.
00:26:54.38\00:26:55.88
Hopefully, I've
given you a window
00:26:55.91\00:26:58.68
into how you can
reverse the diabetic state.
00:26:58.71\00:27:01.55
Get serious about
your diet and exercise.
00:27:01.58\00:27:05.45
Control stress,
make sure you're resting.
00:27:05.49\00:27:07.99
In short, that's LifeStart.
00:27:08.02\00:27:10.26
I have a whole
four-hour series on
00:27:10.29\00:27:12.63
"Reversing Diabetes Naturally."
00:27:12.66\00:27:14.60
I can't condense it into
a 30-minute presentation.
00:27:14.63\00:27:18.10
I'm giving you
all the tools you need
00:27:18.13\00:27:20.54
to make dramatic
changes in your lifestyle.
00:27:20.57\00:27:22.70
What if you have
diabetes, taking medication?
00:27:22.74\00:27:25.61
Before making dramatic
changes, talk with your doctor.
00:27:25.64\00:27:28.74
Your insulin needs will change.
00:27:28.78\00:27:30.95
If not insulin, you
may be on oral medications
00:27:30.98\00:27:34.08
that need to be readjusted.
00:27:34.12\00:27:36.25
We've got more
resources, if you need them.
00:27:36.28\00:27:38.65
We've got a
study guide available.
00:27:38.69\00:27:41.62
We've got a more
extensive DVD series.
00:27:41.66\00:27:44.53
We've got the program
notes and more information
00:27:44.56\00:27:48.86
about other programs
that make a difference.
00:27:48.90\00:27:51.93
You won't want to forget that
00:27:51.97\00:27:54.04
we even have personalized help.
00:27:54.07\00:27:56.20
We've got a
health coaching program
00:27:56.24\00:27:57.94
on the LifeStart website.
00:27:57.97\00:27:59.57
Tap into it all at
lifestartseminars.com.
00:27:59.61\00:28:04.01
From all of us with LifeStart,
00:28:04.05\00:28:05.95
I'm doctor David DeRose,
00:28:05.98\00:28:07.52
wishing you the
very best success
00:28:07.55\00:28:10.35
in addressing diabetes
00:28:10.39\00:28:11.95
and its risk factors.
00:28:11.99\00:28:26.97