The following
program presents principles
00:00:01.98\00:00:02.95
designed to promote
good health and is not
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intended to take the place of
00:00:04.79\00:00:06.04
personalized professional care.
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The opinions and
ideas expressed are those
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of the speaker.
Viewers are encouraged to
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draw their own conclusions
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about the information presented.
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Hi and welcome
to Wonderfully Made.
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My name is Sheryl McWilliams and
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I would like to
introduce you to Dr. Timothy
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Howe, who is our
guest on the show today.
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Welcome Dr.
Howe. Thank you Sheryl.
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It's a pleasure to be
with you to speak about health.
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We certainly are
Wonderfully Made.
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We are, I understand
you are an internal medicine
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specialist, a medical
doctor and we are gonna
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be talking about a
topic today that is very near
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and dear to my heart
and that is diabetes.
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I have numerous
individuals in my family
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who are diabetic and
I need to learn as much
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about this as it possibly can.
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You know diabetes
is really a wonderful
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disease to have if you
have to have a disease.
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As William Osler once
said the best way to live
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a long time is to get a
chronic disease and take
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care of yourself
and that's diabetes.
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There is hope for diabetics.
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Well good. Tell
us about that hope.
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Tell me, help me understand
what diabetes really is.
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Diabetes is a
condition where you have too
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much sugar in the
blood. We need sugar in our
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blood without it we
die, but if you get too much
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sugar in the blood you have
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problems, lots of problems.
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What makes the
blood sugar go up?
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There are two types of diabetes,
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type I and type
II. And the blood sugar
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goes up for
different reasons in each
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type of diabetes.
First of all, I have to
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introduce another
concept with diabetes.
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There is another word
and that word is insulin.
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Because to
understand diabetes, you have to
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understand insulin.
Insulin is like a key
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in the door, insulin
opens the door and allow
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sugar to go from the
blood stream into the cell.
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Without insulin, you
can't get sugar out of
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the blood and into
the cell. So you eat,
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the food goes down
and is digested, enters
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the blood stream and
then you got problems
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because if you have
no insulin you can't get
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the sugar out of the
blood stream and you die
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of starvation because
you don't get that sugar
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in where you wanted.
That's type I diabetes,
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we used to say that's
childhood onset diabetes,
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but we don't call it
childhood onset diabetes
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anymore, we call it type
I. Type II is a different
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disease and yet
it's really the same.
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The difference is you
have plenty of insulin
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in fact in early
type I diabetes or type II
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diabetes, you have
more insulin then normal
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and you say well how can
this be type I no insulin
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and your sugar goes up.
Type II more than normal
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and your sugar still goes up.
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Well, in type II
diabetes the problem is you have
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got the key but it
doesn't fit in the lock.
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It fits in but you have
to turn in, turn in, turn in
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and we call it insulin
resistance, but it just
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doesn't work and so
you eat and the sugar is,
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the food is digested
and then the sugar is
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absorbed into the
blood stream but there is a
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delay in getting it
out of the blood stream
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and as a result of that
delay the sugar builds up
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in the blood stream
very similarly to type I
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and you get all the
same problems that you do
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in type I and type II
equally even though there
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mechanisms are
slightly different.
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So, when you eat the
food that you eat turns into
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sugar and then insulin helps
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this food to get
into the blood cell.
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That's correct, of
course, the foods that we eat
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are all different in
how they are absorbed.
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If you took a soda that
had fructose and sucrose
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or corn syrup that's a
usual sweetener plus you
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say you took sugar and
it was in water, add some
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coloring in it, we
call it soda a little
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fizz and you drank
it down, like that okay,
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that sugar is gonna
hit your blood stream very,
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very rapidly, where is
if you had a potato and
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you baked it and you
ate it with the skin on
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the sugar still going
to enter into your blood
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stream quite rapidly
but not as rapidly as
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if you had a soda. If
you took that potato and
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you mixed it with some
broccoli and some whole
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wheat bread and a
few other things then the
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sugar absorption
into the blood is going
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to be even slower
and it allows the insulin
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more time down stream
to get the sugar out of the
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blood and into the
cell where it belongs.
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You have mentioned
insulin, so what exactly
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is that, where
does it come from?
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Insulin comes from
the pancreas, it's made in
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the islet cells of the
pancreas and it is made in
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response to sugar in the blood.
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The body senses
the blood sugar level
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and it makes
insulin accordingly.
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Okay interesting,
you mentioned that if we
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eat certain kinds of
foods that it will slow down
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the rate at which sugar
enters the blood tell me
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what it is about those
foods, the broccoli and
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the potato with the skin
on that helps that process?
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If you think of our
foods as I mentioned if
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you eat just pure
sugar that sugar is absorbed
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in your mouth,
it's absorbed in your
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stomach, it's
absorbed in the small intestine
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and it enters very quickly.
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If you are a type I
diabetic and you have
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a very low blood
sugar and you get very
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lethargic and or
having an insulin reaction,
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you can put just sugar
in the mouth and it will
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bring them out of the
slow blood sugar and it's
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absorbed very rapidly,
but if you eat broccoli
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or if you took broccoli
and put it in your mouth
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it would take a very
long time for them to get the
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sugar out of it
because you have to break the
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broccoli down, you have
to break down the fiber,
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you have to separate
it, you have to break down
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the carbohydrate
from complex carbohydrate
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which is really it's
sugar hooked together,
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you have one
sugar molecule and then
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another and
another and another in a
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long chain that's
called the starch and your body
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has to break those off
one at a time, it requires
00:07:06.06\00:07:09.01
a lot of work and then
gradually it feeds that
00:07:09.04\00:07:12.34
sugar into your system and helps
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keep the blood sugar normal.
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So, whatever you
are saying is we should
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eat a lot of fiber because fiber
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helps to keep
our blood sugar down?
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Fiber helps slow
the absorption of sugar
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from our foods
into our bodies, yes.
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Okay interesting.
Most of the people in my
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family who have they
all have type II diabetes,
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most of them are overweight.
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What role does
weight have in this process?
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Well it's interesting,
let me tell you a story, okay.
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Let's pretend that you
and your husband are on
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a vacation and you
decide this vacation we really
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wanna live it up.
We are gonna go to a
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really fine hotel
and so you go to a city
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and you think well
I wonder which hotel
00:08:03.51\00:08:05.71
will be the best hotel
and you say well I think
00:08:06.15\00:08:09.92
probably a busy one
will be the best hotel.
00:08:09.95\00:08:12.37
So, you go to the
hotel and you look in there
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people just going in
and going in and you say
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this must be a really good one.
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So, you get out of your
car and you enter in the
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lobby and it's very
busy. There are people
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everywhere and as
soon as you come in
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you start looking
around for one of the bellhops
00:08:29.57\00:08:31.95
to take your
luggage and to go with you
00:08:31.98\00:08:34.62
and you check in and
it's so busy, it take so
00:08:34.65\00:08:38.72
while to find a
bellhop but then he gets hold
00:08:38.75\00:08:41.48
of you and takes your
arm and takes your luggage
00:08:41.51\00:08:43.90
and the way you go
you through the lobby,
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it's a beautiful lobby,
you can tell well this is
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wonderful hotel,
although it's very busy
00:08:49.11\00:08:51.35
and you go through the
door and into the hallway
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and in the hallway
it's just jammed there,
00:08:55.87\00:08:58.37
bellhops everywhere
and they are holding
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on to peoples arms
and you go down and
00:09:00.72\00:09:03.16
he say let me see
how your room is, oh yes
00:09:03.19\00:09:05.89
here it is, and so
you knock on the door and
00:09:05.92\00:09:09.18
he knocks there and he
say why you are knocking
00:09:10.64\00:09:12.84
and he said well, I
just want to make sure that
00:09:12.87\00:09:15.37
no one is in the room.
You say, well isn't this
00:09:15.40\00:09:17.28
our room and he say
but we have to make sure
00:09:17.31\00:09:19.66
in this hotel, we are very busy.
00:09:19.69\00:09:21.11
So he knocks on the
door and he starts to open it
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and he can't get it
open and he said sometimes
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I really have to
push hard on these doors,
00:09:27.39\00:09:29.27
so he puts his
shoulder there and he gives a
00:09:29.30\00:09:31.55
mighty push and lone
behold there is someone
00:09:31.58\00:09:34.73
behind the door,
trying to hold it shut and the
00:09:34.76\00:09:38.15
person in the room
says look you have already
00:09:38.18\00:09:41.29
interrupted my
sleep twice tonight,
00:09:41.32\00:09:43.13
we only have two beds,
yes they are double beds
00:09:43.43\00:09:45.72
but we already have
four people and we are
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not gonna have anymore.
I just won't have it, okay.
00:09:47.45\00:09:52.08
And you say my,
this is a strange hotel.
00:09:52.54\00:09:54.94
You know, that's really what
00:09:56.09\00:09:57.06
the problem is
in type II diabetes.
00:09:57.09\00:09:59.33
You coming in are sugar.
00:10:01.01\00:10:02.56
The hallway is
your blood vessel.
00:10:04.18\00:10:06.33
The room is the cell
and in type-II diabetes
00:10:07.64\00:10:11.54
the problem is not with insulin.
00:10:11.57\00:10:14.36
He is doing his
job the best he can.
00:10:14.39\00:10:16.53
The problem is
with the management,
00:10:16.96\00:10:19.04
they have double
booked every room,
00:10:19.29\00:10:20.98
and you go down to
the cell and pour insulin,
00:10:22.01\00:10:24.62
he's got your stuff and
he is trying his best to
00:10:24.65\00:10:27.28
get the door open and
shut it back but there is
00:10:27.31\00:10:30.02
already too much sugar
in that cell or too much fat
00:10:30.05\00:10:33.07
or too much calories
in the cell and so he is
00:10:33.10\00:10:36.95
having a hard time
opening the door and
00:10:36.98\00:10:40.07
there is the bottom line problem
00:10:40.10\00:10:41.96
with type-II
diabetes. We often portray it as
00:10:41.99\00:10:45.70
insulin resistance.
Well, it is true that
00:10:45.73\00:10:49.44
insulin, the
Bellhop, who took you down the
00:10:49.47\00:10:52.31
hall to the room has
a hard time getting the
00:10:52.34\00:10:56.15
door open, but it's
not because he's not trying
00:10:56.18\00:10:59.76
to do his job,
it's because down in the
00:10:59.79\00:11:03.78
lobby they've
double booked everything,
00:11:04.14\00:11:07.03
that is they have
eaten too much for too long
00:11:07.69\00:11:10.95
and you can, you can
reverse type-II diabetes
00:11:11.87\00:11:14.65
if you get it early
enough with careful diet,
00:11:14.68\00:11:18.55
restricting the amount
of a gassed sugar calories
00:11:19.54\00:11:25.53
that you take, also
restricting the times
00:11:25.56\00:11:29.58
when you take it,
those poor bellhops you know
00:11:29.61\00:11:32.16
there is check in and
a check out time at most
00:11:32.19\00:11:34.46
hotels, well at this
hotel that you went to they
00:11:34.49\00:11:37.37
are accepting people
around the clock instead
00:11:37.40\00:11:40.06
of having regular
times for guest to
00:11:40.09\00:11:42.19
check in and check out.
Like eating we should eat
00:11:42.22\00:11:45.46
regularly and we
should eat the right amount so
00:11:45.49\00:11:49.00
that we can fill the
rooms. Now let's take this
00:11:49.03\00:11:51.55
illustration a little
longer, little further,
00:11:51.58\00:11:54.30
you know what the
problem is with the
00:11:54.82\00:11:55.95
diabetes really?
The problem is the sugar
00:11:55.98\00:11:59.86
in the blood, where it
builds up, it is really
00:12:00.29\00:12:04.69
hard on the blood
vessels, you know let's go
00:12:04.72\00:12:09.22
go back to the illustration.
There you are with the
00:12:09.25\00:12:11.26
Bellhop and
you're starting down the
00:12:11.29\00:12:14.92
hallway, and as
you enter that hallway
00:12:14.95\00:12:19.19
there is sugar everywhere,
and bellhops everywhere,
00:12:19.69\00:12:23.41
what's the
hallway gonna look like?
00:12:23.44\00:12:25.10
It's gonna be crowded.
It's gonna to be crowded.
00:12:25.67\00:12:27.74
It's gonna to be a
mess and furthermore,
00:12:28.15\00:12:30.85
you know what
insulin doesn't just
00:12:30.88\00:12:32.73
put sugar into
cells. Insulin does a lot of
00:12:32.76\00:12:36.07
other things just
like a Bellhop would.
00:12:36.10\00:12:38.18
Insulin says to the
management, look we've
00:12:38.90\00:12:42.21
got so many people in
this hotel, we need to
00:12:42.24\00:12:46.41
build some more rooms,
insulin is a growth factor
00:12:46.44\00:12:50.21
and it signals
back to management,
00:12:50.57\00:12:52.70
hey we need to
build some more rooms.
00:12:52.95\00:12:55.21
We need to increase
this, so the Bellhop takes
00:12:55.24\00:12:59.12
sugar down to the cell
but he also says alright
00:12:59.15\00:13:01.85
let's start construction,
so not only are you in
00:13:02.04\00:13:04.91
that hallway with
all your sugar friends,
00:13:04.94\00:13:07.16
and not so good
friends in this case,
00:13:07.84\00:13:10.00
you're having wheelbarrows going
00:13:10.50\00:13:12.06
down the hallway
full of cholesterol,
00:13:12.09\00:13:14.40
because
cholesterol is a basic building
00:13:14.43\00:13:16.75
block of all cell
walls, all hotel rooms okay.
00:13:16.78\00:13:20.87
So let's going down
there, and you've got
00:13:21.10\00:13:23.51
that whole hallway
jammed up and pretty
00:13:23.54\00:13:25.94
soon the
cockpits warren and sugar
00:13:25.97\00:13:28.65
it doesn't always get
into the cell where it belongs,
00:13:28.68\00:13:31.45
it gets changed and
folded into closets and
00:13:31.48\00:13:34.37
everywhere else and
we got a mess and what we
00:13:34.40\00:13:36.98
really need to do to
this poor hotel is we need to
00:13:37.01\00:13:40.49
stop, just stop for a
minute, stop accepting
00:13:42.20\00:13:45.76
guests for a while and
allow repair to take place.
00:13:45.92\00:13:49.68
Often times if we just
take people and we say to
00:13:50.33\00:13:53.34
them alright cut back on
the amount of food you're
00:13:53.37\00:13:55.39
eating or try two
meals a day at regular times,
00:13:55.42\00:14:00.38
so if it's your time
to clean up in between
00:14:00.74\00:14:03.18
that will take
care of the problem.
00:14:03.66\00:14:05.00
Another thing that's
helpful if you've ever
00:14:05.72\00:14:07.88
been to a hotel
where there is a demanding
00:14:07.91\00:14:09.84
person, I want
my room right now,
00:14:09.87\00:14:12.15
oh yes, get rid of
those. You know you want
00:14:12.18\00:14:15.03
people to come in.
They say no problem.
00:14:15.06\00:14:17.76
I've got time. That's
like our high fiber foods,
00:14:17.79\00:14:20.77
no problem there is
time. You drink a soda,
00:14:21.54\00:14:24.36
it's, I want to be in
there right now and in they
00:14:24.55\00:14:27.45
go and poor bellhop has
to work to get him to the
00:14:27.48\00:14:30.56
room right away and we
got problems, and that's
00:14:30.59\00:14:33.94
really what happens
with our body is we feed at
00:14:33.97\00:14:37.35
the wrong kind of
food, quick sugar boom,
00:14:37.38\00:14:40.59
and then the insulin
has to work really hard,
00:14:41.14\00:14:43.28
really fast to get
into the cell or we overeat
00:14:43.31\00:14:47.62
even if good foods at
a wrong times, you know
00:14:47.75\00:14:51.23
you might have heard of
the stuff called grazing.
00:14:51.99\00:14:54.91
They say oh we need to graze.
00:14:55.92\00:14:57.43
We need to graze to lose weight,
00:14:57.95\00:14:59.18
and eat a little
bit all the time.
00:14:59.33\00:15:00.84
Like the little sheep,
00:15:00.87\00:15:01.84
chewing all day long.
That's right. It's really
00:15:01.85\00:15:03.40
good to do that
if you are a cow.
00:15:03.43\00:15:05.08
If you got three stomachs,
but you know what cows do?
00:15:05.92\00:15:08.36
They regurgitate and
chew their cud and you
00:15:10.30\00:15:13.05
know, I don't know
they gonna do that, you know
00:15:13.08\00:15:14.59
Sheryl if you eat all
day long you are gonna
00:15:14.62\00:15:18.31
regurgitate too. You
have that acid reflux
00:15:18.34\00:15:21.49
and acid reflux is
epidemic for that same reason.
00:15:21.52\00:15:24.50
It's all from this
problem eating too much,
00:15:25.12\00:15:27.68
eating demanding food,
I want results right now
00:15:28.84\00:15:33.97
that's it quick sugar
and it's also from eating at
00:15:34.00\00:15:39.07
irregular times
instead of eating you know just
00:15:39.10\00:15:41.83
on time three meals a
day or for type-II diabetics,
00:15:42.73\00:15:46.85
not type I, type II
diabetics especially
00:15:46.88\00:15:50.21
if they are not
already on medicine for it,
00:15:50.24\00:15:52.40
if they are on
medicine, you gonna be careful.
00:15:52.57\00:15:54.25
But if you are not
on medicine, or if they
00:15:54.63\00:15:56.07
have early type II
diabetes two meals a day,
00:15:56.10\00:15:59.04
gives time for
repair, gives pancreas time to
00:15:59.52\00:16:02.74
build up insulin for
the next on-slot of the gas.
00:16:03.03\00:16:06.46
Interesting, so
insulin is a growth
00:16:07.93\00:16:10.58
hormone and it
doesn't necessarily
00:16:10.61\00:16:12.47
cause us to grow
up, but rather out.
00:16:12.50\00:16:15.20
Oh, you know, insulin
does when we are small,
00:16:15.49\00:16:18.89
it helps us grow up, but
it causes a lot of problems
00:16:18.92\00:16:22.46
when we are big.
You know, I say to my
00:16:22.49\00:16:24.87
male patients, I say
you know you can tell
00:16:24.90\00:16:27.34
whether your insulin
levels are too high or not.
00:16:27.37\00:16:29.47
All you have to do is
look down and see if you can
00:16:29.79\00:16:33.10
see, oh there it
is, see if you can see
00:16:33.13\00:16:35.36
your belt buckle.
If you can't see your
00:16:35.39\00:16:38.00
belt buckle your insulin
level is too high because
00:16:38.03\00:16:40.97
insulin puts that weight
right around your middle.
00:16:41.00\00:16:43.73
Now with woman
that's not always, you know,
00:16:44.30\00:16:46.39
helpful because they
have other things between
00:16:47.07\00:16:49.31
their belt and their
chin and we men do, they get
00:16:49.34\00:16:53.01
in the way, but the
way women can do it is,
00:16:53.04\00:16:55.42
if they want, you want
to have your hips bigger
00:16:55.89\00:16:59.59
than your waist and
if your waist is bigger
00:16:59.62\00:17:01.58
than your hips
you are in trouble.
00:17:01.61\00:17:03.28
You have got too
high in insulin level.
00:17:03.69\00:17:05.24
Now some of that
maybe genetic, but most of
00:17:05.27\00:17:08.31
it can be controlled by how
00:17:08.34\00:17:10.62
we eat and what we eat.
00:17:10.65\00:17:11.91
What role does
physical activity play?
00:17:12.84\00:17:14.78
Physical activity is
an interesting thing.
00:17:15.65\00:17:17.90
If you think of what
we were really doing with
00:17:17.97\00:17:21.18
sugar, when you put it
into the cell the only way
00:17:21.55\00:17:24.47
really to get it
out is to burn it.
00:17:24.50\00:17:27.33
Now Unfortunately, when
you go to the hotel they
00:17:27.79\00:17:29.76
don't burn you up to
make room for the next guest,
00:17:29.79\00:17:32.10
but in your body when
you put energy whether
00:17:32.13\00:17:35.14
it's fat or sugar into
the cell, the only way to get
00:17:35.17\00:17:39.23
rid of it is to use it and
so either you got to eat less
00:17:39.26\00:17:43.62
than you want to
or you have got to
00:17:43.65\00:17:45.33
get out and
exercise. It's interesting.
00:17:45.36\00:17:47.98
Insulin works
better after exercise.
00:17:48.57\00:17:51.17
Best thing that you
can do after you eat is to
00:17:51.69\00:17:54.56
have a little light exercise.
00:17:54.60\00:17:56.42
If you want to eat
more fine burn more,
00:17:57.31\00:17:59.98
you can take that too
far, I mean you can be
00:18:01.35\00:18:03.48
running 24 hours
a day, and you know,
00:18:03.51\00:18:06.01
and push it too far,
but most of us don't have
00:18:07.05\00:18:09.38
to worry about over exercise.
00:18:09.41\00:18:11.36
We need to exercise
on average about 30-60
00:18:11.98\00:18:16.57
minutes everyday or
at least six days a week
00:18:16.60\00:18:19.63
and if we do that our
insulin works better why?
00:18:20.09\00:18:23.57
Because when it goes
knocking on the cells
00:18:23.99\00:18:25.97
doors the cell says,
yeah come right in and
00:18:26.00\00:18:29.27
bring that sugar, I
want to burn it rather than
00:18:29.30\00:18:32.19
not here, I don't
want anymore you forget
00:18:32.72\00:18:35.39
it and that's what
happens in type II diabetes.
00:18:35.42\00:18:38.16
Insulin resistance is
really a management problem.
00:18:38.55\00:18:42.09
It's right here and
right here, it's not down
00:18:42.39\00:18:44.55
in our pancreas.
The poor old pancreas
00:18:44.58\00:18:47.33
in type II initially type II
00:18:47.36\00:18:49.25
A we call it
makes plenty of insulin,
00:18:49.28\00:18:51.80
but after a while it
gets tired and it says
00:18:52.91\00:18:56.65
oh, I'm making all
these insulin molecules
00:18:56.68\00:19:01.04
and they keep
calling for more and it gets
00:19:01.51\00:19:04.86
tired and it stops
making enough insulin
00:19:04.89\00:19:07.61
and then often
even in type II diabetes
00:19:08.05\00:19:11.53
you need to add insulin
to keep the sugar normal.
00:19:11.96\00:19:14.64
Now as I tell my
patients, I say you don't
00:19:15.52\00:19:17.66
have to do what I want you to.
00:19:17.69\00:19:19.34
If you want to stay
fat, you want to eat the
00:19:20.41\00:19:22.40
wrong food that's
fine, I've got enough pills
00:19:22.43\00:19:24.80
and enough
insulin to keep your sugar
00:19:25.04\00:19:26.68
normal if you will just do it.
00:19:26.71\00:19:28.11
But that isn't the
best way, the best way
00:19:29.84\00:19:33.18
is to give your
pancreas a break poor thing so
00:19:33.55\00:19:36.66
overworked,
working it day and night,
00:19:36.69\00:19:39.03
you know all the
time. So, what would a
00:19:39.76\00:19:42.92
person like myself
with a strong family
00:19:42.95\00:19:45.55
history of diabetes,
what would I need to do in
00:19:45.58\00:19:48.46
order to avoid developing
that particular disease?
00:19:48.49\00:19:51.78
Well unfortunately as
you have said, diabetes
00:19:51.81\00:19:55.51
is genetic to some
extent and I always
00:19:55.54\00:19:58.94
tell my patients. I
say the most important
00:19:58.97\00:20:01.11
thing for you to
do is choose your
00:20:01.14\00:20:02.57
parents carefully.
That's number one. You know.
00:20:02.60\00:20:06.24
I will work on
that, that's the point.
00:20:06.51\00:20:07.75
But you know its
interesting I say that
00:20:08.56\00:20:11.23
but if you look back at
the last 20 years in America,
00:20:11.42\00:20:16.12
the last 30 years,
obesity rates have just been sky
00:20:16.99\00:20:20.91
rocketing, they
just been going way up.
00:20:20.94\00:20:23.24
And right
behind it its diabetes.
00:20:23.88\00:20:26.76
Now, you can't tell
me that the genetics have
00:20:27.30\00:20:29.54
changed in this country markedly
00:20:29.57\00:20:31.55
in the last 30 years.
00:20:31.58\00:20:33.10
It doesn't happen that rapidly.
00:20:33.92\00:20:35.62
What's happening we
all started gaining weight,
00:20:36.11\00:20:38.62
we are eating
differently then we ever have,
00:20:39.44\00:20:41.51
we are eating more
sugar, we are eating more
00:20:41.70\00:20:44.18
saturated fat and saturated
fat also is hard on the
00:20:44.21\00:20:48.50
pancreas and makes it
difficult for the islet
00:20:48.53\00:20:51.32
cells to make insulin,
so a more saturated fat
00:20:51.35\00:20:55.89
were grazing all the
time. We don't sit down and
00:20:55.92\00:20:58.46
have a meal like we
should and we are not
00:20:58.49\00:21:01.55
following that good
information that the Lord
00:21:01.58\00:21:03.95
gave us many years
ago, two meals a day for
00:21:03.98\00:21:07.12
almost to everyone,
not everyone but certainly
00:21:07.15\00:21:09.91
if you have a
family history of diabetes
00:21:09.94\00:21:11.78
two meals a day, your
body is best ready for
00:21:12.32\00:21:16.33
sugar, for calories
in the morning don't skip
00:21:16.68\00:21:20.22
breakfast whatever
you do if you have that
00:21:20.46\00:21:22.52
history of diabetes get
up and eat your breakfast
00:21:22.55\00:21:25.53
and then a good meal in
noon or at early afternoon
00:21:26.12\00:21:29.88
and then let give that
whole body time to clean
00:21:30.31\00:21:33.74
the hotel and get things
all set up because if you
00:21:33.77\00:21:36.70
don't, you gonna
corrupt the arteries.
00:21:36.73\00:21:39.00
Now here is the
problem with diabetes.
00:21:39.03\00:21:41.23
I can tell you all
the big complications
00:21:42.36\00:21:44.97
and here they are.
Diabetes is the number
00:21:45.00\00:21:47.69
one cause in this
country today of amputations,
00:21:47.72\00:21:51.26
cutting off your
legs. It's the number one
00:21:51.85\00:21:54.57
cause of
blindness. It's the number one
00:21:54.60\00:21:57.50
cause of kidney
failure. It's the, you have a
00:21:57.53\00:22:00.92
markedly increased
risk for a heart attack
00:22:00.95\00:22:03.78
with diabetes and
you have a markedly
00:22:03.81\00:22:06.06
increased risk of stroke.
Those are all blood vessel
00:22:06.09\00:22:09.33
diseases; you think back
to the poor old hotel with
00:22:09.36\00:22:13.69
the arteries, the
hallways all jammed up.
00:22:13.72\00:22:16.60
You want to have nice
clean arteries and the
00:22:17.47\00:22:20.77
best way to do that is
to normalize your blood
00:22:20.80\00:22:23.23
sugar through proper eating.
00:22:23.26\00:22:24.77
Now if you not gonna
do that I have got all
00:22:26.29\00:22:29.08
kinds of pills I can give you.
00:22:29.11\00:22:30.50
You won't feel
well long but I have got
00:22:30.96\00:22:32.81
you know I, the
drug companies are out
00:22:32.84\00:22:35.23
there making them faster
then I keep up with them.
00:22:35.26\00:22:37.58
We've just had about
three or four new ones
00:22:37.96\00:22:40.20
for type II diabetes this year.
00:22:40.23\00:22:42.13
And there are
wonderful medicines if you can't
00:22:42.91\00:22:45.24
get the management to obey you.
00:22:45.27\00:22:46.82
You know, but
talk to the management,
00:22:47.30\00:22:49.08
slow down that sugar absorption
00:22:49.11\00:22:50.81
you do really well.
So, for an individual
00:22:50.84\00:22:54.49
who already has
diabetes what I hear you are
00:22:54.52\00:22:57.04
saying is that it
is possible to, through
00:22:57.07\00:23:01.16
lifestyle through
what we choose to eat,
00:23:01.19\00:23:03.92
how you chose to
move in terms of physical
00:23:04.39\00:23:06.90
activity to
manage our blood sugar.
00:23:06.93\00:23:09.44
Let's take a look at
type I diabetes first.
00:23:09.86\00:23:12.63
Type I
diabetes, I can't make the
00:23:12.66\00:23:15.23
pancreas come
back. Now there is some
00:23:15.26\00:23:17.44
evidence in type I.
If you have it in your
00:23:17.47\00:23:19.59
family, and you
don't want to pass it on to
00:23:19.62\00:23:22.54
your children,
don't have them drink any
00:23:22.57\00:23:27.25
milk or milk products
for the first two years
00:23:27.39\00:23:30.57
of life because its
there is an autoimmune
00:23:30.60\00:23:32.55
process there. Is
this cow's milk or
00:23:32.58\00:23:34.68
kind of milk?
Cow's milk, cow's milk.
00:23:34.71\00:23:36.73
Its very interesting
but that's number one if
00:23:36.99\00:23:40.84
you have type I in
your family and you don't
00:23:40.87\00:23:42.84
wanted to go on,
momma's milk only for
00:23:42.87\00:23:46.98
the first year and
don't introduce cows milk for
00:23:47.01\00:23:50.48
at least two years
or any you know yogurt
00:23:50.51\00:23:52.65
or cheese or anything
else, just leave it out
00:23:52.68\00:23:55.80
and that will
markedly reduce the risk of
00:23:56.18\00:23:58.75
developing type I,
type II if you have it think
00:23:58.78\00:24:03.85
about the
illustration. Give time for your
00:24:03.88\00:24:07.46
body to assimilate
that food and don't eat
00:24:07.49\00:24:10.55
a calorie you are
not planning on burning,
00:24:10.58\00:24:12.47
because you know
if you pack on that
00:24:13.66\00:24:15.59
weight for tomorrow
and the next day and
00:24:15.62\00:24:18.31
a next day think
of insulin and what he
00:24:18.34\00:24:20.49
is doing and what he
has to do to get that
00:24:20.52\00:24:23.48
sugar out of the blood
and into the cell and the
00:24:23.51\00:24:26.20
cell in need it. And
if you eat food that's
00:24:26.23\00:24:30.58
high in fiber, and
you stay away from refine
00:24:30.61\00:24:34.08
carbohydrates and
you have two meals a day
00:24:34.11\00:24:37.35
and you exercise regularly,
00:24:38.06\00:24:40.12
much of the time
you can reverse diabetes
00:24:42.61\00:24:44.75
and I can tell you even
its late, even if you've
00:24:44.78\00:24:48.28
had diabetes a long
time you can reduce the
00:24:48.31\00:24:51.76
amount of medicine
that you are taking
00:24:51.79\00:24:53.54
in every case you
can. If you are on insulin
00:24:53.91\00:24:57.45
you can reduce the amount
of insulin you are taking,
00:24:57.94\00:25:00.31
but you know the
important thing to
00:25:01.62\00:25:03.33
remember is if you
don't, you don't have
00:25:03.36\00:25:05.31
any another change,
don't worry because if
00:25:05.34\00:25:08.28
you are willing to
check your sugar regularly
00:25:08.31\00:25:10.57
and follow your
sugar and keep it as
00:25:11.82\00:25:14.25
normal as
possible. If you keep your
00:25:14.28\00:25:17.93
blood pressure
normal and you keep your
00:25:17.96\00:25:23.00
cholesterol
down, normal and even
00:25:23.03\00:25:26.68
below if you have
diabetes, you can live
00:25:26.71\00:25:30.54
with diabetes for a
very long time and live well.
00:25:30.57\00:25:33.33
Diabetes is not a
death now, it isn't.
00:25:33.88\00:25:37.69
It is reversible,
it is preventable,
00:25:38.31\00:25:40.46
but if you not gonna go
that way it's still every
00:25:40.79\00:25:44.51
treatable and it should
be treated and it should
00:25:44.54\00:25:48.49
be treated well, you
know. So, we can live well
00:25:48.52\00:25:51.95
with diabetes by,
you can, by eating well.
00:25:51.98\00:25:54.44
Yes, you mentioned
eating foods that are
00:25:54.47\00:25:56.27
reach in fiber to help
release the blood sugar,
00:25:56.30\00:26:00.92
the sugar into
the blood more slowly.
00:26:01.23\00:26:02.93
You mentioned not
grazing, not eating
00:26:03.40\00:26:06.16
lots of meals and
there is fair bit of
00:26:06.44\00:26:08.02
controversy out
there. There are those who
00:26:08.05\00:26:09.82
promote eating many
small meals but what
00:26:09.85\00:26:11.84
I hear you saying is
two meals, three meals at
00:26:11.87\00:26:14.36
the most,
through physical activity
00:26:14.39\00:26:17.47
and through
managing, making sure that our
00:26:18.14\00:26:21.24
blood sugar is
within normal ranges and
00:26:21.27\00:26:23.66
our blood pressure
and that's sort of thing,
00:26:23.69\00:26:25.65
what other words
of wisdom would you
00:26:26.00\00:26:27.56
share for those who
either want to control
00:26:27.59\00:26:30.46
their diabetes or who
want to prevent diabetes.
00:26:30.49\00:26:32.97
Well, let's just go
over the A, B, C's of
00:26:33.52\00:26:35.81
diabetes, and I
really touched on.
00:26:35.84\00:26:37.60
The first one we say
A1C, that's hemoglobin A1C.
00:26:37.63\00:26:41.40
That is the measure
of how your sugar has
00:26:42.29\00:26:44.50
been on average for
the last three months,
00:26:44.53\00:26:47.14
and every
diabetic should know their
00:26:48.07\00:26:50.55
hemoglobin A1C.
No question about it.
00:26:50.58\00:26:53.31
If you don't know
it, call your doctor,
00:26:53.34\00:26:55.93
if he doesn't know it
go in and say I want one.
00:26:55.96\00:26:58.56
Your hemoglobin A1C
should be six and half
00:26:59.20\00:27:03.36
or less, why?
Because for every one point,
00:27:03.39\00:27:08.04
it's over four your
risk of having heart attack
00:27:08.63\00:27:11.56
goes up, and it
goes up 20 percent.
00:27:11.59\00:27:15.47
So number one, you
want you're A1C under
00:27:15.64\00:27:18.39
six and half.
Number two you want your
00:27:18.42\00:27:20.31
blood pressure
at 120/80 or less.
00:27:20.34\00:27:23.29
That's what you
want it, 120/80 or less,
00:27:24.42\00:27:27.43
and number three
you want your LDL
00:27:28.24\00:27:30.44
cholesterol,
that LDL cholesterol,
00:27:30.47\00:27:34.00
you want that
under 100, probably down
00:27:34.45\00:27:38.91
in the 80's. If
you do those things
00:27:39.34\00:27:41.66
your diabetes is
gonna be in good control
00:27:42.45\00:27:44.71
even if you don't
want to do what I tell you
00:27:45.17\00:27:46.74
to do with diet and exercise.
00:27:46.77\00:27:48.48
So it's oblivious to
me that we really are
00:27:48.96\00:27:51.40
fearfully and wonderfully made.
00:27:51.57\00:27:53.43
What I learned
today was that if you have
00:27:54.29\00:27:57.07
diabetes or like
me, in case of, you know
00:27:57.10\00:28:00.25
you want to prevent
it that there are things
00:28:00.28\00:28:01.69
that we can do
through what we chose to eat,
00:28:01.72\00:28:03.73
how you chose to
live. Doctor Howe
00:28:04.18\00:28:05.81
I would like to thank you for
00:28:05.84\00:28:06.81
joining us today
and thank you guests.
00:28:06.82\00:28:08.63