Hello, welcome to Wonderfully Made. 00:00:36.13\00:00:38.98 My name is Dr. George Guthrie; 00:00:39.93\00:00:41.52 I am the Medical Director 00:00:41.75\00:00:43.18 at Lifestyle Center of America. 00:00:43.21\00:00:44.58 We are here today to talk to you 00:00:45.37\00:00:46.87 about Type 2 diabetes, 00:00:46.90\00:00:49.04 we have learned some things 00:00:49.78\00:00:51.15 from those people that we treat 00:00:51.18\00:00:53.38 for Type 2 diabetes at Lifestyle 00:00:53.41\00:00:55.56 Center of America and we think you will be 00:00:55.59\00:00:57.46 interested in that. Joining me 00:00:57.49\00:00:59.85 is Dr. Tim Arnott, thank you George 00:00:59.88\00:01:03.35 and it's nice to be here, yes, 00:01:03.38\00:01:04.84 on Wonderfully Made. Well Tim when we 00:01:04.87\00:01:08.79 talk about diabetes some times 00:01:08.82\00:01:12.47 we get stuck as doctors in just 00:01:12.50\00:01:14.26 treating the symptoms, that's correct. 00:01:14.29\00:01:16.71 One of the thing I enjoy about 00:01:17.78\00:01:19.73 being at Lifestyle Center of America 00:01:19.76\00:01:21.19 is we actually deal with the cause of a diseases, 00:01:21.22\00:01:24.17 it's a very rewarding practices 00:01:24.20\00:01:26.79 that we have at the Lifestyle Center of America, 00:01:26.82\00:01:28.96 because individuals come 00:01:28.99\00:01:30.55 and they've actually been down the other road, 00:01:30.58\00:01:34.31 they have had their symptoms treated, 00:01:34.34\00:01:36.65 they'd become frustrated 00:01:36.68\00:01:38.92 and now they are very receptive 00:01:38.95\00:01:40.78 to hearing how they can remove 00:01:40.81\00:01:42.18 the underline cause of their condition. 00:01:42.21\00:01:44.32 And so they are listening and they are ready 00:01:44.82\00:01:47.04 just like a sponge to absorb all the information 00:01:47.07\00:01:49.86 that the Creator has for these individuals. 00:01:49.89\00:01:52.42 And when they are ready, 00:01:52.93\00:01:54.43 we can put them to work dealing 00:01:54.46\00:01:57.34 with the underlying cause. 00:01:57.37\00:01:59.90 Now to help you understand as listeners, 00:02:00.33\00:02:03.47 what we are talking about, 00:02:03.50\00:02:05.34 I suppose we need to explain a little bit, 00:02:05.37\00:02:07.66 you see to put in a nutshell, 00:02:08.33\00:02:10.83 we understand that Type 2 diabetes 00:02:10.86\00:02:13.42 is caused by taking too much energy in 00:02:13.45\00:02:16.90 and not expending enough energy 00:02:17.73\00:02:20.94 and our body develops a resistance 00:02:21.55\00:02:24.86 to the insulin in our body 00:02:25.77\00:02:27.74 and the blood sugar start to go up 00:02:27.77\00:02:29.65 and than the problems come from that, 00:02:29.68\00:02:32.63 well they come from both the high blood sugar 00:02:33.27\00:02:35.23 and the high insulin levels. 00:02:35.26\00:02:36.76 So, the diet and the exercise changes, 00:02:37.37\00:02:40.97 bring a change in the underlying cause, 00:02:41.55\00:02:45.95 that means people actually need less medication. 00:02:46.61\00:02:49.85 That's absolutely right and in fact, 00:02:50.52\00:02:52.66 what we have to share with you on 00:02:52.69\00:02:54.74 this program is we think very exciting, 00:02:54.77\00:02:56.94 in fact the data that we'll be sharing was 00:02:56.97\00:02:59.57 actually presented at some national meetings, 00:02:59.60\00:03:02.49 the American Dietetic Association, 00:03:02.52\00:03:04.66 they actually had a plant based, 00:03:04.69\00:03:07.07 a total plant based diet or 00:03:07.10\00:03:08.47 vegetarian breakout session, 00:03:08.50\00:03:10.43 and the data presented at that session 00:03:10.46\00:03:13.12 came from patients, 00:03:13.15\00:03:14.74 who were doing something a little differently 00:03:14.77\00:03:17.42 and it wasn't the traditional diet 00:03:17.99\00:03:21.72 therapy that was used in initially 00:03:21.75\00:03:23.92 for Type 2 diabetes 00:03:23.95\00:03:25.68 and in also Type 1 diabetes, 00:03:26.29\00:03:28.08 which was a high fat diet; 00:03:28.11\00:03:29.48 and it wasn't high protein diet, 00:03:29.84\00:03:32.45 it was another kind of approach. 00:03:32.48\00:03:34.62 What kind of approach was that Dr. Guthrie? 00:03:34.95\00:03:36.77 Well we discovered that a diet 00:03:37.30\00:03:39.50 that focuses on plants. 00:03:39.70\00:03:41.08 Now sometimes, we say complex carbohydrates, 00:03:41.62\00:03:45.54 but what we really mean is plants 00:03:45.57\00:03:47.32 were the carbohydrates and the fiber 00:03:47.35\00:03:49.73 and the fats and everything 00:03:49.76\00:03:52.62 is a kind of mixed together, 00:03:52.65\00:03:54.02 the way the God designed it. 00:03:54.05\00:03:55.46 And the proportions that only the Creator, 00:03:55.49\00:03:58.34 its wisdoms can actually see 00:03:58.99\00:04:01.36 the benefits and the reasons for. 00:04:01.39\00:04:03.15 And so we're going to be looking at a diet, 00:04:03.71\00:04:05.90 it's a little different, it's actually 00:04:05.93\00:04:07.39 high in carbohydrate, 00:04:07.42\00:04:09.18 but that's not what you might 00:04:09.21\00:04:11.28 have heard in the past, 00:04:11.31\00:04:12.99 when you heard higher carbohydrate. 00:04:13.02\00:04:14.59 What do most people think about George, 00:04:14.62\00:04:16.97 when they higher carbohydrate? 00:04:17.00\00:04:18.68 Well even the scientific literature 00:04:19.18\00:04:20.78 is a bit confused about it, 00:04:20.81\00:04:22.18 when they say complex carbohydrate diet, 00:04:22.21\00:04:24.68 generally what they are testing is actually starches 00:04:24.71\00:04:28.30 that have being purified out of whole food 00:04:28.33\00:04:31.15 and then fed to people and indeed those 00:04:31.18\00:04:33.55 who often enter the body more refined, 00:04:33.58\00:04:36.30 they come in quickly, they tend to cause problems, 00:04:36.33\00:04:39.57 they don't have the fiber 00:04:39.60\00:04:40.97 that the whole plant foods do. 00:04:41.00\00:04:42.74 So basically what you are saying is, 00:04:43.27\00:04:45.37 when you hear high carbohydrate diet, 00:04:45.87\00:04:48.85 usually people are talking about 00:04:49.47\00:04:51.36 white flour and refined sugar 00:04:51.39\00:04:54.83 and this Bagels and Pasta 00:04:55.42\00:04:57.48 and Bread made out of refined flour. 00:04:57.51\00:05:00.10 Indeed that's probably, 00:05:00.13\00:05:01.98 why people shied way from carbohydrates, 00:05:02.01\00:05:05.45 when diabetes was first 00:05:05.48\00:05:07.45 understood to be a sugar problem. 00:05:07.48\00:05:09.00 You see carbohydrates go into the blood, 00:05:09.03\00:05:11.46 they make the sugar go up, 00:05:11.49\00:05:13.69 so it was rational as we started 00:05:14.17\00:05:16.36 to look at the diseases, 00:05:16.39\00:05:17.76 if you could lower the blood sugar, 00:05:17.79\00:05:19.16 you would actually fix the problem. 00:05:19.19\00:05:20.94 Unfortunately as they moved to diets 00:05:22.32\00:05:24.30 high in protein an high in fat 00:05:24.33\00:05:26.27 to try to bring the sugar down, 00:05:26.30\00:05:27.67 it led to more problems, for example 00:05:27.70\00:05:30.68 kidney diseases from too much of the protein. 00:05:30.71\00:05:33.84 So, this is kind of a new approach, 00:05:34.37\00:05:36.96 but it's not new, it's really 00:05:36.99\00:05:38.85 the old approach isn't it? 00:05:38.88\00:05:40.25 Well that's true it is the old approach, 00:05:40.28\00:05:42.53 it's the original approach, 00:05:42.56\00:05:44.08 it's the Creator's approach. 00:05:44.11\00:05:45.77 And the people that heard about this 00:05:46.22\00:05:48.50 at the American Dietetic Association meeting 00:05:48.53\00:05:50.45 this year were just astounded, 00:05:50.48\00:05:52.83 they couldn't what they were seeing, 00:05:52.86\00:05:54.89 for what they were seeing is 00:05:54.92\00:05:57.34 what you see here on this first graphic. 00:05:57.37\00:05:59.90 What they were seeing is that patients 00:05:59.93\00:06:02.16 in a 19 day program at the Lifestyle Center of America, 00:06:02.19\00:06:06.21 who had Type 2 diabetes, actually drop their 00:06:06.24\00:06:10.67 blood sugar significantly and actually 00:06:10.70\00:06:14.58 I would say dramatically on a high carbohydrate, 00:06:14.61\00:06:18.21 total plant diet. And so it's kind of the opposite 00:06:18.24\00:06:22.86 of what you would thing 00:06:22.89\00:06:24.26 would be effective for Type 2 diabetes, 00:06:24.29\00:06:27.07 in fact most individuals thinks you need to be 00:06:27.10\00:06:29.18 on a low carbohydrate diet 00:06:29.21\00:06:30.83 in order to get the blood sugar down. 00:06:30.86\00:06:32.23 But what we actually have seen and see 00:06:32.26\00:06:35.59 every day at the Lifestyle Center of America 00:06:35.62\00:06:37.65 is that blood sugar drop significantly on a high 00:06:37.68\00:06:42.18 carbohydrate diet as long as those 00:06:42.21\00:06:44.11 carbohydrates are whole grains, 00:06:44.14\00:06:45.99 beans, vegetables and fruits, nuts and seeds. 00:06:46.02\00:06:50.32 So that's a really good news. 00:06:51.11\00:06:53.47 It is good news, and the best news 00:06:53.50\00:06:56.44 I think about it is that, 00:06:56.47\00:06:58.10 not only is your blood sugar coming down, 00:06:58.13\00:07:00.08 but those foods that you are eating are 00:07:00.11\00:07:02.62 80 percent water and they are rich in fiber 00:07:02.65\00:07:05.66 and so what else tends to come down, 00:07:05.69\00:07:08.19 as your blood sugar is coming down? 00:07:08.76\00:07:10.43 Well you know when we take someone's 00:07:10.46\00:07:14.48 blood sugar, it's like taking a black 00:07:14.51\00:07:17.22 and white photo; you do the click and 00:07:17.25\00:07:19.29 you know what the blood sugar is right there. 00:07:19.32\00:07:21.75 As physicians we like to able to tell a little more, 00:07:22.32\00:07:27.11 we would like to have a video of the blood sugar, 00:07:27.14\00:07:28.95 so we could actually see what happens 00:07:28.98\00:07:30.77 through the day that would, 00:07:30.80\00:07:32.17 exactly, that would be a lot nicer. 00:07:32.20\00:07:33.57 It's not perfect, but we've come up with 00:07:33.60\00:07:35.87 a couple tools, one of those tools 00:07:35.90\00:07:37.91 that we've used is something called Hemoglobin A1c, 00:07:37.94\00:07:41.80 that is it's the Hemoglobin molecules in the blood, 00:07:41.83\00:07:45.86 which as it's formed has sugar attached to it 00:07:45.89\00:07:49.53 and we know that the amount of sugar attached 00:07:49.56\00:07:52.51 to it is reflected by oh excuse me, 00:07:52.54\00:07:56.11 reflects how high the blood sugars are. 00:07:56.14\00:07:58.61 Well in our program at the Lifestyle 00:07:59.14\00:08:01.37 Center of America, we have 19 days 00:08:01.40\00:08:03.52 to check and see what differences is made. 00:08:03.55\00:08:06.15 It takes about 3 months to see differences 00:08:07.74\00:08:10.77 in Hemoglobin A1c, Hemoglobin A1c takes longer, 00:08:10.80\00:08:13.64 that's correct. So, actually if you look at 00:08:13.67\00:08:15.69 this data one more time, 00:08:15.72\00:08:17.26 you'll actually see that what we used 00:08:17.29\00:08:19.51 was not Hemoglobin A1c, but some thing called 00:08:19.54\00:08:22.96 fructosamine and fructosamine 00:08:22.99\00:08:26.05 is a similar arrangement it's, 00:08:26.08\00:08:29.49 but it's not the Hemoglobin protein, 00:08:29.52\00:08:31.18 it's the Albumin protein another major blood protein 00:08:31.21\00:08:34.76 and it's the amount of Albumin 00:08:34.79\00:08:36.59 that is actually combined with blood sugar. 00:08:36.62\00:08:39.81 And that you can see changes in and about 00:08:40.32\00:08:42.50 two weeks and that's about the time between 00:08:42.53\00:08:45.67 our first blood draw and our second blood draw, 00:08:45.70\00:08:48.47 and so changes in fructosamine actually 00:08:48.50\00:08:51.54 show that you are right, not just a fasting blood 00:08:51.57\00:08:55.62 sugar today and a fasting blood sugar 00:08:55.65\00:08:57.49 a week from now, but the trend of 00:08:57.52\00:09:00.69 blood sugar over a two week period. 00:09:00.72\00:09:03.04 You know folks may not have recognized on that slide, 00:09:03.07\00:09:07.29 there was a little thing up in the corner that said 00:09:07.32\00:09:10.00 p = <0.001, what does that mean to? 00:09:10.03\00:09:14.99 Well actually what that means 00:09:15.02\00:09:17.04 is that the differences between the blood sugar, 00:09:17.07\00:09:20.37 the fructosamine in another words 00:09:20.93\00:09:22.87 the average blood sugar, when they came into the 00:09:22.90\00:09:24.75 program verses the fructosamine level 00:09:24.78\00:09:27.61 or the average blood sugar as 00:09:27.64\00:09:29.07 they departed from the program 00:09:29.10\00:09:30.71 or left the program was statistically different. 00:09:30.74\00:09:33.96 In other words it's only, there is less than one 00:09:33.99\00:09:36.06 chance in a thousand that the difference 00:09:36.09\00:09:39.06 in these two blood sugar readings could be by chance 00:09:39.09\00:09:43.24 and so it's validates that there was real change. 00:09:43.27\00:09:46.84 We like to say as scientist it's statistically 00:09:46.87\00:09:49.89 significant, that's right now statistically significant 00:09:49.92\00:09:52.94 doesn't always mean clinically significant, 00:09:52.97\00:09:55.23 but I think you can agree with me George, 00:09:55.26\00:09:57.85 that when we look at our patients of 00:09:57.88\00:09:59.57 Lifestyle Center of America, 00:09:59.60\00:10:00.99 we can see that truly their 00:10:01.02\00:10:03.54 blood sugars are coming down, 00:10:03.57\00:10:05.29 they feel better and in fact even insulin levels 00:10:05.32\00:10:09.56 are coming down significantly in just 00:10:09.59\00:10:12.58 a couple of week, which is also important. 00:10:12.61\00:10:14.71 That's good, let's see something else I think, 00:10:14.74\00:10:17.30 I think we have another slide that looks 00:10:17.33\00:10:19.01 at weight loss doesn't it? 00:10:19.04\00:10:20.83 Does weight loss or does weight come down 00:10:20.86\00:10:22.97 as people go through this life style change? 00:10:23.00\00:10:25.68 You know one of the things that we tell our patients 00:10:25.71\00:10:28.17 at the Lifestyle Center of America 00:10:28.20\00:10:29.66 is don't focus on weight, 00:10:29.69\00:10:31.61 just focus on the health principals 00:10:31.64\00:10:34.57 that the Creator has provided. 00:10:34.60\00:10:36.15 The total plant diet, the walking program, 00:10:36.18\00:10:40.11 the increase in water intake, 00:10:40.14\00:10:42.86 spending 15 minutes in the sunlight at least 3 days 00:10:42.89\00:10:46.31 a week and getting adequate rest, 00:10:46.34\00:10:48.80 opening the windows get fresh air, 00:10:48.83\00:10:50.50 move away from harmful substances like caffeine 00:10:50.53\00:10:54.26 and alcohol and tobacco and then spending time 00:10:54.29\00:10:57.68 with your Creator. These are the things 00:10:57.71\00:10:59.91 that the Creator would invite us to spend 00:10:59.94\00:11:02.48 our time with him to focus on, 00:11:02.51\00:11:04.08 and when you do that, 00:11:04.11\00:11:05.93 you'll have a side effect 00:11:05.96\00:11:07.33 and that's side effect is weight loss. 00:11:07.36\00:11:09.74 You mean I make a mistake, 00:11:09.77\00:11:11.71 if just focus on my scales. 00:11:11.74\00:11:13.76 Well yes actually it's probably better 00:11:13.79\00:11:17.96 not to spent so much looking at the scales, 00:11:17.99\00:11:20.90 you might want to check at once a week, 00:11:20.93\00:11:22.35 but the reality is that if you are too focused on 00:11:22.38\00:11:25.85 your weight and your weight is not coming down 00:11:25.88\00:11:28.29 as you might like it to, anxiety level can go up, 00:11:28.32\00:11:31.59 stress level may go up and may actually increase 00:11:31.62\00:11:34.00 the difficulty of loosing weight and so, 00:11:34.03\00:11:37.30 but people follow weight researchers follow weight, 00:11:37.33\00:11:40.75 and so we like to follow it as well. 00:11:40.78\00:11:42.60 Well that's an interesting way of looking at it Tim, 00:11:43.23\00:11:46.02 weight loss is a side effect 00:11:46.05\00:11:49.45 of the lifestyle treatment of diabetes. 00:11:49.48\00:11:53.13 Usually we think of drugs having side effects 00:11:53.16\00:11:55.49 and they are being negative, 00:11:55.52\00:11:56.89 and here is a positive side effect. 00:11:56.92\00:11:58.92 It's a very positive side effect and in fact, 00:11:58.95\00:12:02.46 you know researchers have shown that 00:12:02.49\00:12:05.21 if you have tight blood sugar control, 00:12:05.24\00:12:07.54 that you actually reduce your risk of blindness, 00:12:08.16\00:12:11.00 retinopathy if you have diabetes, 00:12:11.03\00:12:12.73 you reduce your risk of kidney 00:12:12.76\00:12:14.81 disease in nephropathy, 00:12:14.84\00:12:16.79 your risk of nerve damage, 00:12:16.82\00:12:18.81 neuropathy, and perhaps even heart disease. 00:12:18.84\00:12:21.50 If you have tight blood sugar control, 00:12:21.53\00:12:23.87 but most of those studies show that the 00:12:23.90\00:12:26.95 individuals that had the tight blood sugar control, 00:12:26.98\00:12:29.20 their weight actually went up over time 00:12:29.23\00:12:32.23 and this is an, a very difficult 00:12:32.26\00:12:33.98 problems in medicine today, 00:12:34.01\00:12:35.98 blood sugar going down, weight going up, 00:12:36.01\00:12:38.67 and what this means is over time 00:12:38.70\00:12:40.55 you're going to have to have more and more medicine 00:12:40.58\00:12:42.59 to keep your, your sugar down. 00:12:42.62\00:12:45.46 Well often people are focusing right on the sugar 00:12:45.49\00:12:48.43 and give some insulin to bring the sugar down 00:12:49.10\00:12:51.53 and insulin tends to make gain weight, 00:12:51.56\00:12:54.12 medications to increase the insulin 00:12:54.15\00:12:56.49 tends to make people gain weight. 00:12:56.52\00:12:57.89 So it just makes a lot more sense to 00:12:57.92\00:13:00.45 treat the cause, to get the calories down, 00:13:00.48\00:13:04.00 to used the plant based diet to, 00:13:04.03\00:13:06.35 to optimize calories and then 00:13:06.38\00:13:08.46 of course use the exercises as well. 00:13:08.49\00:13:10.30 Well don't we have slide that shows 00:13:10.33\00:13:13.15 something about the weight? 00:13:13.18\00:13:14.55 Yes George we do. And we'd like to get 00:13:14.58\00:13:16.32 to that and as we're getting, 00:13:16.35\00:13:18.81 as we're moving to that data, 00:13:18.84\00:13:20.78 we would like to just remind you 00:13:20.81\00:13:22.34 that the first slide showed, 00:13:22.37\00:13:24.56 that the blood sugar comes down 00:13:24.59\00:13:26.76 on a high carbohydrate diet, 00:13:26.79\00:13:29.25 if it's whole grains, beans, vegetables, 00:13:29.28\00:13:32.22 fruits, nuts and seeds. The second slide 00:13:32.25\00:13:35.94 will actually show that not only does 00:13:35.97\00:13:38.32 the blood sugar come down, 00:13:38.35\00:13:39.72 but the weight comes down and in fact it, 00:13:39.75\00:13:43.36 on average comes down about 10 pounds. 00:13:43.39\00:13:46.09 As you can see here, and again each one 00:13:46.12\00:13:48.93 of the slides that you are going 00:13:48.96\00:13:50.33 to see on this program, 00:13:50.36\00:13:51.73 the differences in between 00:13:51.76\00:13:54.14 the parameter at the beginning of the program, 00:13:54.17\00:13:56.93 weight in this case, and the parameter 00:13:56.96\00:14:00.40 at the end to the program, 00:14:00.43\00:14:01.80 19 day program is highly statistically significant 00:14:01.83\00:14:05.67 in fact there is a less than one once chance in 00:14:05.70\00:14:08.04 about thousand that the differences in weight here 00:14:08.07\00:14:10.28 could be by chance. 00:14:10.31\00:14:11.90 And so a 10 pound weight loss in just 19 days, 00:14:11.93\00:14:16.27 that's a very significant thing, 00:14:16.30\00:14:18.50 but the most important thing is that the 00:14:18.53\00:14:20.43 insulin resistance that that weight loss 00:14:20.46\00:14:23.59 represents is a reduction, 00:14:23.62\00:14:25.43 insulin resistance lowered smaller 00:14:25.46\00:14:28.45 and that means you are going to need less insulin 00:14:28.48\00:14:30.94 or less medications, if you have diabetes. 00:14:30.97\00:14:32.78 My weight loss is of side effect, isn't that fun. 00:14:32.81\00:14:35.92 Powerful, now sometimes when we think about 00:14:35.95\00:14:39.69 our weight, we focus on the scales, 00:14:39.72\00:14:42.30 we step on them in the morning and all kind of exhale 00:14:42.33\00:14:45.53 to get them to read a little bit lower 00:14:45.56\00:14:47.99 and try to get him just right, but, 00:14:48.02\00:14:49.77 but even more important than the weight is 00:14:49.80\00:14:52.49 actually how much of the fat that we loose, 00:14:52.52\00:14:56.49 right? Didn't we discover something about 00:14:56.52\00:14:58.94 what happened to people's fat 00:14:58.97\00:15:01.76 storage during the program as well. 00:15:01.79\00:15:03.35 Well actually we did George, 00:15:03.38\00:15:05.61 in fact this was the data coming for about 5 00:15:05.64\00:15:08.66 consecutive programs at the Lifestyle 00:15:08.69\00:15:10.81 Center of America about a year ago, 00:15:10.84\00:15:12.77 these were all patients with Type 2 diabetes, 00:15:12.80\00:15:15.82 and what we see here as the percent body fat 00:15:15.85\00:15:20.17 actually dropped significantly 00:15:20.20\00:15:23.22 in just 19 days. As you can see it's 00:15:23.25\00:15:26.24 highly statistically significant 00:15:26.27\00:15:27.99 and when you are reducing the body fat, 00:15:28.02\00:15:30.63 you are actually reducing the resistance 00:15:30.66\00:15:33.06 that the body has against insulin. 00:15:33.09\00:15:35.80 Which means you're not going to need as much medicine, 00:15:35.83\00:15:38.58 you are not going to need as much to take 00:15:38.61\00:15:40.45 as much insulin if you are on insulin 00:15:40.48\00:15:42.19 and it just means, it's going to be easier 00:15:42.22\00:15:45.11 to treat the condition of diabetes. 00:15:45.14\00:15:48.02 Two percent loss of body fat, 00:15:48.05\00:15:51.44 wow that's a pleasant sort of a thought about 9 00:15:51.47\00:15:56.78 and a half pounds worth of weight, 00:15:56.81\00:15:58.63 my wife has this model, maybe you've seen it, 00:15:58.66\00:16:01.68 it's about a 18 inches long and about 00:16:01.71\00:16:06.47 5 or 6 inches in diameter, 00:16:06.50\00:16:08.22 it suppose to be what 5 pounds of fat looks like, 00:16:08.25\00:16:12.67 it just seems good to me to see that leaving, 00:16:12.70\00:16:15.71 that fat leaving the body, 00:16:15.74\00:16:18.29 it brings improvement to the physiology doesn't it? 00:16:18.32\00:16:21.04 Absolutely, and in fact in just a three month period 00:16:21.07\00:16:24.49 of studies that combined about 1800 calorie diet 00:16:24.52\00:16:28.80 with 30 minutes of vigorous exercise, 00:16:28.83\00:16:32.44 5 days a week, actually showed George that you 00:16:32.47\00:16:35.49 could remove about 25 to 30 percent of 00:16:35.52\00:16:40.64 the fat in an around the organs of 00:16:40.67\00:16:43.51 the abdomen in just that short period of time 00:16:43.54\00:16:46.82 and that means a lot less resistances to insulin, 00:16:46.85\00:16:50.66 because resistance to insulin is often 00:16:50.69\00:16:53.35 centered right in that fat 00:16:53.38\00:16:55.58 that we carry in the mid section. 00:16:55.61\00:16:58.02 Well that's right Tim, 00:16:58.05\00:17:00.01 but you know we've being focusing 00:17:00.04\00:17:01.44 kind on the diet part of this, 00:17:01.47\00:17:03.39 it's important to eat those plants, 00:17:03.42\00:17:05.66 but that was half the equation, 00:17:05.69\00:17:07.36 when we've talked about treating the cause 00:17:07.39\00:17:09.72 of the diseases and the other half of 00:17:09.75\00:17:12.17 that equation is, the exercise component. 00:17:12.20\00:17:14.82 What if we learn about the exercise component, 00:17:15.44\00:17:17.58 well actually if you want to dramatically 00:17:18.16\00:17:21.45 increase your bodies ability 00:17:21.48\00:17:23.59 to take in blood sugar, just use your muscles, 00:17:23.62\00:17:26.64 in fact the muscles will wake up 00:17:27.26\00:17:29.56 and respond to insulin almost immediately upon it, 00:17:29.59\00:17:33.96 upon use and so exercise especially 00:17:33.99\00:17:36.33 the big muscle groups can dramatically 00:17:36.36\00:17:39.00 lower the insulin resistance, 00:17:39.03\00:17:40.96 it can lower the blood sugar level. 00:17:40.99\00:17:42.64 In fact at the Lifestyle Center of America 00:17:42.67\00:17:44.88 we see individuals, who taking insulin 00:17:44.91\00:17:48.08 and if they walk after a meal like an hour, 00:17:48.11\00:17:51.54 hour and a half, two hour after a meal, 00:17:51.57\00:17:53.14 if they walk briskly their blood sugar drops 00:17:53.17\00:17:55.92 dramatically and they actually have to 00:17:55.95\00:17:57.78 cut back on the insulin, that they are going to use 00:17:57.81\00:17:59.81 at the that previous meal, 00:17:59.84\00:18:01.21 if they are going to be doing vigorous 00:18:01.24\00:18:02.61 exercise several hours later. 00:18:02.64\00:18:04.67 Another benefit from treating the cause, 00:18:04.70\00:18:07.07 rather than simply the symptoms, 00:18:07.10\00:18:09.08 absolutely, that's good. 00:18:09.11\00:18:10.48 Well how do we measure fitness? 00:18:10.96\00:18:13.57 Well there are several ways to measure fitness. 00:18:14.11\00:18:17.12 We use some simple methods 00:18:17.69\00:18:19.97 at the Lifestyle Centre, we actually measure 00:18:20.00\00:18:22.75 resting heart rate and you know 00:18:22.78\00:18:25.48 if your resting heart rate drops 00:18:25.51\00:18:27.67 significantly over a period of time, 00:18:27.70\00:18:29.83 you know that your heart is more efficient 00:18:29.86\00:18:32.85 at doing the work of carrying 00:18:32.88\00:18:35.40 you through the day. And so it doesn't have to 00:18:35.43\00:18:37.11 beat as often and so we can actually 00:18:37.14\00:18:40.55 see here, that the resting heart rate dropped 00:18:40.58\00:18:43.49 again significantly in just a 19 day program 00:18:43.52\00:18:48.71 at the Lifestyle Centre and you can see 00:18:48.74\00:18:51.06 it's highly statistically significant difference. 00:18:51.09\00:18:53.61 Now another method of measuring fitness 00:18:54.26\00:18:57.54 that we use, is simply looking at something 00:18:57.57\00:19:00.28 called V02 Max and we estimate this 00:19:00.31\00:19:04.34 by doing a Rockport mile V02 max George, 00:19:04.37\00:19:08.55 what does this mean? 00:19:08.58\00:19:10.37 A V02 max is an interesting measurement. 00:19:11.62\00:19:13.92 What is does is to actually take 00:19:13.95\00:19:16.39 and measure how much oxygen 00:19:16.42\00:19:18.34 you can take into your mouth, 00:19:18.37\00:19:19.74 get into your lungs to your heart, 00:19:19.77\00:19:21.21 out to your muscles, use the oxygen 00:19:21.24\00:19:23.92 turned into carbon dioxide send it back 00:19:23.95\00:19:26.28 to the lungs and then breath out, 00:19:26.31\00:19:28.45 so it's a very good measure of fitness. 00:19:28.48\00:19:30.93 So it actually is showing us that individuals, 00:19:30.96\00:19:35.25 if we can look at the graphic 00:19:35.90\00:19:37.27 one last time individuals, 00:19:37.30\00:19:38.99 who come to the program at the Lifestyle 00:19:39.02\00:19:41.38 Centre of America, they have a certain 00:19:41.41\00:19:43.34 ability to take in and use oxygen. 00:19:43.37\00:19:45.78 And at the end of the program, 00:19:46.24\00:19:47.61 they have an even greater ability 00:19:47.64\00:19:49.28 to use oxygen and that means 00:19:49.31\00:19:51.70 that they are more physically fit. 00:19:51.73\00:19:53.88 What's more than that, there is an improvement 00:19:53.91\00:19:55.93 in their insulin sensitivity as well, 00:19:55.96\00:19:57.90 that is their disease is getting better 00:19:57.93\00:20:00.60 as their fitness improves. 00:20:00.63\00:20:02.00 And so we see the, the validity of treating 00:20:02.03\00:20:06.02 the underlying cause of the condition 00:20:06.05\00:20:09.14 rather than just using medications 00:20:09.17\00:20:11.48 to treat the symptoms. 00:20:11.51\00:20:13.43 Now Dr Guthrie there is particular type of 00:20:13.99\00:20:16.80 exercise that we like to use at the Lifestyle 00:20:16.83\00:20:20.29 Centre of America and it actually intersperses 00:20:20.32\00:20:24.60 a little bit of rest into your exercise program. 00:20:24.63\00:20:27.66 Tell us more about this? 00:20:27.69\00:20:29.06 Oh! I really like this, 00:20:29.46\00:20:31.19 you see I have never really been able to 00:20:31.74\00:20:34.16 exercise as well as I would like to, 00:20:34.19\00:20:36.32 kind of sore, it hurts afterwards, 00:20:37.35\00:20:40.06 when I came to the Lifestyle Centre of America 00:20:40.55\00:20:42.46 about two and a half years ago, 00:20:42.49\00:20:44.34 well I went to our fitness director and I said, 00:20:45.13\00:20:47.58 show me what you do. 00:20:47.61\00:20:48.98 So he put me on the treadmill that actually 00:20:49.01\00:20:51.87 measured my V02 max, came out at 35 liters 00:20:51.90\00:20:57.59 a minute, that's how much oxygen 00:20:57.62\00:20:58.99 I could actually use, get into my muscles 00:20:59.02\00:21:01.80 burn turned into carbon dioxide and then exhaled. 00:21:01.83\00:21:04.98 Well he looked at me and said George 00:21:06.08\00:21:08.72 you are in excellent for a 65-year-old man. 00:21:09.34\00:21:12.54 Well that was a little bit discouraging, 00:21:13.44\00:21:15.63 but then he explained to me how 00:21:16.32\00:21:18.51 to do this intermittent training. 00:21:18.54\00:21:21.70 You see one of the things that is a problem 00:21:22.24\00:21:24.93 for the body with exercise, 00:21:24.96\00:21:26.35 is something called lactic acid. 00:21:26.38\00:21:27.97 Lactic acid is made when our muscles run out 00:21:28.00\00:21:31.12 of oxygen to burn and they end making lactic acid 00:21:31.15\00:21:34.92 instead and lactic acid makes muscles hurt, 00:21:34.95\00:21:37.44 it actually decreases our endorphins in our brain, 00:21:37.47\00:21:42.02 so exercise is not nearly as fun. 00:21:42.05\00:21:44.06 One of our mantras is every minute of 00:21:44.58\00:21:48.25 exercise includes some rest 00:21:48.28\00:21:51.30 and you get credit for that rest. 00:21:51.88\00:21:54.06 So each guest, who comes to the Lifestyle 00:21:54.69\00:21:57.56 Centre of America has a fitness evaluation 00:21:57.59\00:22:00.21 is given a range to keep their heart rate in, 00:22:00.24\00:22:02.74 they get the heart rate up and then 00:22:02.77\00:22:05.27 once it gets up they let it come down 00:22:05.30\00:22:07.29 and that's that rest for each minute. 00:22:07.32\00:22:10.13 Well you know, when it did that for myself 00:22:10.70\00:22:13.48 someone who had never really been able to exercise 00:22:13.51\00:22:15.83 before keep consistent with it. 00:22:15.86\00:22:17.81 My V02 max, when it was measured 00:22:18.41\00:22:21.30 about ten weeks later, 00:22:21.86\00:22:24.58 about a 27 percent increase 00:22:24.61\00:22:30.98 and I didn't hurt. It was something I could 00:22:31.50\00:22:33.77 continue in indeed, it's something I continue to 00:22:33.80\00:22:36.05 this day two and a half years later. 00:22:36.08\00:22:38.38 The good news is that's what most of the people 00:22:39.08\00:22:42.22 who come to Lifestyle Centre have discovered. 00:22:42.25\00:22:44.40 This kind of exercise intermit with some rest 00:22:45.13\00:22:48.72 and some exercise mixed together getting credit 00:22:49.24\00:22:52.09 for all of it as exercise actually 00:22:52.12\00:22:54.14 gets more benefit is more pleasurable 00:22:54.17\00:22:56.39 and more something you can continue, 00:22:56.42\00:22:59.75 to me that's an exciting new perception, 00:23:00.28\00:23:03.73 a new prospective on exercise. 00:23:03.76\00:23:06.32 Now since there is not so much lactic acid, 00:23:06.35\00:23:09.59 there is not so much damage to the tissues 00:23:10.15\00:23:12.69 and people are actually getting better faster, 00:23:12.72\00:23:14.85 rather than having the damaging 00:23:15.55\00:23:17.01 affects of the lactic acid. 00:23:17.04\00:23:18.41 And George the damaging affects of too much 00:23:18.81\00:23:22.21 exercise on the joints and on the heart 00:23:22.24\00:23:25.40 and so it's not just the muscles that benefit, 00:23:25.89\00:23:28.37 but also the joints can benefit. 00:23:28.89\00:23:31.13 I remember when my wife Silvia went through 00:23:31.16\00:23:34.17 the program, the Lifestyle program 00:23:34.20\00:23:36.10 and what she noticed is that prior to 00:23:36.57\00:23:40.61 adopting the intermittent training 00:23:40.64\00:23:42.50 or the mixing rest with exercise. 00:23:42.53\00:23:45.87 You know she would get very winded 00:23:45.90\00:23:48.43 and just feel like total exhausted, 00:23:48.46\00:23:50.60 you know after 20, 30 minutes of exercise, 00:23:50.63\00:23:53.01 but after she adopted the intermittent 00:23:53.04\00:23:54.85 training style of exercise and 00:23:54.88\00:23:57.69 let that heart rate come down about 10 beats 00:23:57.72\00:24:00.24 and then pushed it 10 beats and let it come down 00:24:00.27\00:24:02.69 another 10 beats, that's form of exercise 00:24:02.72\00:24:05.90 the intermittent training allowed 00:24:05.93\00:24:07.98 her to go for 30 minutes 00:24:08.01\00:24:09.42 and she did not feel winded, 00:24:09.45\00:24:10.93 she felt that she could go for even longer. 00:24:10.96\00:24:13.51 And so what it does, is it takes away this 00:24:14.07\00:24:16.40 exhausted feeling of people that did exercise 00:24:16.43\00:24:20.12 and that's one of the reasons that individuals 00:24:20.15\00:24:21.98 quit exercising, they hate this exhausted feeling, 00:24:22.01\00:24:24.41 the truth is you don't have to have that 00:24:24.44\00:24:26.23 exhausted feeling and when your body 00:24:26.26\00:24:28.24 is telling you, you need to take a little break do it 00:24:28.27\00:24:31.74 and you won't miss out on the benefits of exercise, 00:24:31.77\00:24:34.49 in fact a very wise health reformer, 00:24:34.52\00:24:37.85 a number of years ago suggested that 00:24:38.46\00:24:40.72 those in sedentary occupation 00:24:40.75\00:24:42.96 such as physicians and pastors 00:24:42.99\00:24:45.27 should actually walk up and down hills. 00:24:45.30\00:24:47.94 When you think about if George, 00:24:47.97\00:24:49.71 that's a natural form of intermittent training, 00:24:49.74\00:24:52.62 in fact we might address this issue 00:24:52.65\00:24:55.15 do you need a heart rate monitor in order 00:24:55.18\00:24:57.09 to do intermittent training? 00:24:57.12\00:24:58.49 Well I think it's probably helpful those 00:24:58.77\00:25:00.77 who are really sick and who might have 00:25:00.80\00:25:03.80 a heart attack to keep them in their safe range, 00:25:03.83\00:25:05.94 so no I don't know that you would have to 00:25:06.48\00:25:08.99 but I think it probably makes little easier. 00:25:09.02\00:25:11.06 What about you? So well you know 00:25:11.09\00:25:13.20 I've tried it both ways and I think that 00:25:13.23\00:25:15.58 there are advantages and disadvantages, 00:25:15.61\00:25:18.08 but the message we wanna send today is that, 00:25:18.11\00:25:21.23 if you use a heart rate monitor for 00:25:21.26\00:25:23.44 intermittent training that's an excellent 00:25:23.47\00:25:25.34 way to do it, it is probably the most precise way, 00:25:25.37\00:25:27.78 but if, if the cost is an issue 00:25:27.81\00:25:30.46 or if complexity is an issue, 00:25:30.49\00:25:32.61 if you like a more simple approach, that's okay. 00:25:32.64\00:25:35.55 Just walk up and down hills or walk faster 00:25:36.10\00:25:39.23 and then slowdown or some who are able might be 00:25:39.26\00:25:41.93 able to do a little a little jog and then walking, 00:25:41.96\00:25:44.84 but what ever you do walk or exercise 00:25:45.24\00:25:49.07 most days of the week. 00:25:49.10\00:25:50.76 This is very important at getting 00:25:50.79\00:25:52.96 at the underlying cause of type 2 diabetes. 00:25:52.99\00:25:56.83 You know Tim one other things it brings me 00:25:56.86\00:25:58.64 the most pleasure as physician now 00:25:58.67\00:26:00.51 is watching people, who come in with a cane 00:26:00.54\00:26:05.91 or just hardly able to get around sometimes 00:26:05.94\00:26:09.33 the wheelchair and have them come to me 00:26:09.36\00:26:11.23 two weeks later and say, I just walked two miles. 00:26:11.26\00:26:14.77 There is such pleasure in helping people 00:26:15.30\00:26:19.11 get to the route causes of the disease 00:26:19.14\00:26:22.20 rather than simply treating the symptoms, 00:26:22.23\00:26:25.35 because they are actually getting better, 00:26:25.38\00:26:27.75 they are feeling better, their blood sugar numbers 00:26:27.78\00:26:30.89 are coming down as we pointed out they have 00:26:30.92\00:26:33.12 the weight loss side affect 00:26:33.15\00:26:35.78 and they are just feeling better inside. 00:26:35.81\00:26:39.31 It's a really rewarding way to practice medicine. 00:26:39.34\00:26:43.10 And speaking of the inside George 00:26:43.13\00:26:45.49 you know individuals may watch a program 00:26:45.52\00:26:48.44 like this and be asking the question 00:26:48.47\00:26:50.74 in their minds well, so I do all of these 00:26:50.77\00:26:54.13 things and maybe my blood sugar 00:26:54.16\00:26:55.98 will come down and may be I will live a couple 00:26:56.01\00:26:58.69 of years longer, is that really such 00:26:58.72\00:27:01.27 a big deal isn't it worth the effort? 00:27:01.30\00:27:03.27 And I think it's important to point out 00:27:03.77\00:27:05.78 that the probably the most important reason 00:27:05.81\00:27:08.46 to adopt a total plant diet, 00:27:08.49\00:27:10.87 to adopt an exercise program, 00:27:10.90\00:27:12.58 to embrace all of the Creator's natural 00:27:12.61\00:27:14.73 remedies is for the benefit to the mind. 00:27:14.76\00:27:18.60 The importance of clear thinking, 00:27:19.11\00:27:20.82 the increase in the ability to carry on 00:27:20.85\00:27:23.89 that daily devotional life and connect 00:27:23.92\00:27:26.92 with our Creator, that's the ultimate 00:27:26.95\00:27:30.49 and the most powerful reason 00:27:30.52\00:27:32.73 for adopting theses health principles, 00:27:32.76\00:27:34.50 is not just to keep your physician happy, 00:27:34.53\00:27:37.10 but it's to have a better connection 00:27:37.54\00:27:39.25 with your great physician. 00:27:39.28\00:27:40.89 That's right Tim, as our bodies improve 00:27:41.59\00:27:44.44 our brains get clear the circulation to 00:27:44.47\00:27:46.54 our brain is better and we are better 00:27:46.57\00:27:48.75 able to have a relationship 00:27:48.78\00:27:50.41 with our heavenly father. 00:27:50.44\00:27:52.61 Well, if we understand diabetes Type 2 00:27:53.22\00:27:57.06 to be a problem with too much energy in 00:27:57.09\00:27:59.46 and not enough energy out, 00:27:59.49\00:28:01.41 then I suppose it makes sense to treat 00:28:01.44\00:28:04.86 the cause not just the symptoms. 00:28:04.89\00:28:06.47 It's best to exercise, eat a good diet, 00:28:06.50\00:28:11.69 we are wonderful made. 00:28:11.72\00:28:14.04