The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is not intended 00:00:02.96\00:00:04.91 to take the place of personalized 00:00:04.94\00:00:06.59 professional care. The opinions and ideas 00:00:06.62\00:00:09.26 expressed are those of the speaker. 00:00:09.29\00:00:11.25 Viewers are encouraged to draw their own 00:00:11.64\00:00:13.40 conclusions about the information presented. 00:00:13.43\00:00:15.82 Welcome to Wonderfully Made. 00:00:35.51\00:00:36.93 I am happy to be your host for today. 00:00:37.39\00:00:38.90 My name is Claudio Japas. I'm a Student 00:00:38.93\00:00:41.16 at Loma Linda University in the 00:00:41.19\00:00:42.83 preventive care program as a doctoral student. 00:00:42.86\00:00:45.67 Wonderfully Made is a program, where we like to 00:00:47.22\00:00:49.13 bring topics that are pertinent to you, 00:00:49.16\00:00:50.93 that are happening around us, that you maybe 00:00:50.96\00:00:53.78 more informed that you maybe a better educated 00:00:53.81\00:00:56.87 to treat your health and your sickness both. 00:00:56.90\00:01:00.46 Today, we've Dr. Dos Santos. 00:01:01.94\00:01:03.07 He is also professor at Loma Linda University 00:01:03.10\00:01:05.51 in the Preventive Care Program. I'm happy that 00:01:05.54\00:01:07.70 you're here. Welcome Dos Santos. 00:01:07.73\00:01:09.87 Thank you for having me here, it's a pleasure to 00:01:10.62\00:01:13.48 be here and talk again about health and 00:01:14.06\00:01:16.75 prevention. In the preventive care program, 00:01:16.78\00:01:19.86 we are specializing prevention in preventing 00:01:20.28\00:01:23.31 lifestyle in order to counteract the 00:01:24.53\00:01:29.43 chronic disease that we have in our country 00:01:29.46\00:01:32.03 and in the world nowadays. 00:01:32.06\00:01:33.59 Exactly, I like that you say we're try to 00:01:33.62\00:01:36.63 counteract or prevent and one of those diseases 00:01:36.66\00:01:38.93 we're gonna talk about today that disease 00:01:38.96\00:01:41.50 is metabolic syndrome. In fact one out of three 00:01:41.88\00:01:45.45 people in America is going have it, not only 00:01:45.48\00:01:48.54 that, but women over 60, 60 percent of them 00:01:48.57\00:01:51.85 may have it and men over 60, 50 percent. 00:01:51.88\00:01:54.95 So, it's something that's very relevant, 00:01:54.98\00:01:57.43 very present in our society, but that brings up 00:01:57.46\00:02:01.59 the question. What is metabolic syndrome? 00:02:01.62\00:02:04.44 That's a good question, normally when I go in 00:02:05.25\00:02:09.30 the public in our health lecture and ask this 00:02:09.33\00:02:11.97 question. They come out with the answer, 00:02:12.00\00:02:14.83 well it something related to metabolic, 00:02:14.86\00:02:17.44 metabolism and maybe related to weight 00:02:17.47\00:02:20.49 and in fact is related to weight. Weight is one of 00:02:20.52\00:02:25.55 the factors, but there are five major items in 00:02:25.58\00:02:29.75 metabolic syndrome as we can see 00:02:29.78\00:02:31.69 in the graphic. The first is triglycerides. 00:02:31.72\00:02:35.98 If the triglycerides are higher then 150 mg/dL 00:02:36.01\00:02:42.08 or the HDL cholesterol if it's lower then 40 00:02:42.84\00:02:45.92 for men and lower then 50 for women 00:02:45.95\00:02:48.24 and then if the person has big waist 00:02:48.74\00:02:51.81 circumference, would say a big belly. 00:02:51.84\00:02:54.97 More then 40 inches for men and more then 00:02:55.58\00:02:58.35 then 35 inches for female and then we've to 00:02:58.38\00:03:01.83 other factors that are related to blood pressure 00:03:02.92\00:03:06.81 not only they put 130/85, but nowadays we are 00:03:07.32\00:03:11.45 thinking that it should be even less then that 00:03:11.48\00:03:14.15 120/80 and blood glucose levels 00:03:14.18\00:03:17.82 lower then 100 mg/dL. 00:03:17.85\00:03:21.58 Since multiple things right and this maybe a 00:03:21.61\00:03:23.44 little confusing for any people, 00:03:23.47\00:03:25.84 but at least three of these correct. 00:03:25.87\00:03:27.71 Exactly, so we could explain better, in better 00:03:27.74\00:03:32.23 terms. Let's go to the next graphics and then 00:03:32.26\00:03:35.46 we can have an idea. What is the metabolic 00:03:35.49\00:03:38.93 syndrome in simple terms, so everything starts 00:03:38.96\00:03:43.38 with the belly. That's what I changed the name 00:03:43.41\00:03:46.14 to Metabellyc Syndrome and so, if you have a 00:03:46.17\00:03:50.59 excess of fat in the abdomen this is one factor, 00:03:51.44\00:03:54.46 then if you have a problem with lipids 00:03:54.49\00:03:57.14 either triglycerides or HDL, lower HDL 00:03:57.71\00:04:01.14 and high triglycerides. So, you have another 00:04:01.17\00:04:03.87 factor for metabolic syndrome or Metabellyc 00:04:03.90\00:04:06.78 Syndrome and then the other two is 00:04:06.81\00:04:08.71 hypertension and diabetes or high blood pressure 00:04:08.74\00:04:13.42 that is not hypertension is still and a high 00:04:13.45\00:04:16.36 blood glucose that might not to be diabetes yet. 00:04:16.39\00:04:18.89 And to seeing that the first one is very, 00:04:20.00\00:04:21.12 it could be visible or could be seen, 00:04:22.52\00:04:23.98 but that are two or three we need doctors prior 00:04:24.46\00:04:27.19 tested or go somewhere specific for those 00:04:27.22\00:04:29.50 correct and you know the belly we often say 00:04:29.53\00:04:34.41 well. If you eat a good meal you get a round 00:04:34.44\00:04:36.32 belly, right and what else causes, what could be 00:04:36.35\00:04:40.27 causing the high blood pressure or the 00:04:40.30\00:04:42.93 cholesterol? Is that same thing the diet or we are 00:04:42.96\00:04:46.34 talking about other causes for that? 00:04:46.37\00:04:48.35 Well, the original cause is related to excess of 00:04:49.22\00:04:54.07 fat, so that's the primary cause. So, we have a 00:04:54.10\00:04:59.76 graphic to illustrate that is little complicate, 00:04:59.79\00:05:03.17 but I'll try to simplify that. So when you have 00:05:03.20\00:05:06.24 too much fat in the abdomen this fat, 00:05:06.27\00:05:09.62 the cells fat or the fat cells produce some 00:05:09.65\00:05:14.19 substances, produce free fatty acids and that is 00:05:14.22\00:05:17.82 the small type of fat and this excess addition of 00:05:17.85\00:05:23.45 these free fatty acids will cause inflammation 00:05:23.48\00:05:27.17 and one of the substance that is released during 00:05:27.80\00:05:30.66 this inflammation is called TNF alpha 00:05:30.69\00:05:33.79 and TNF alpha will block the receptors of insulin. 00:05:34.54\00:05:38.75 So, when you block the insulin receptor, 00:05:38.78\00:05:41.38 you have high levels of insulin and you have 00:05:41.41\00:05:45.30 high levels of glucose and then you have, 00:05:45.33\00:05:48.50 you will have problems with lipids 00:05:49.34\00:05:51.84 and you will have diabetes. 00:05:51.87\00:05:53.22 So, let me stop there and just make a 00:05:54.38\00:05:56.39 quick summary. So fat cells are impeding the 00:05:56.42\00:06:00.97 insulin from taking the fat, so the more fat cells 00:06:01.00\00:06:04.82 the more resistance the insulin is receiving 00:06:04.85\00:06:08.15 is that correct? That's fine what you're saying, 00:06:08.18\00:06:12.12 the only thing is that mostly this fat that is 00:06:13.17\00:06:16.00 in our belly or in our abdominal. So, this 00:06:16.03\00:06:19.89 abdominal fat is high metabolic and then it 00:06:19.92\00:06:24.71 produces an excess of free fatty acids. Okay. And 00:06:24.74\00:06:28.39 this will. And that's why we are so concerned about the 00:06:28.42\00:06:30.20 belly area and watching the weight 00:06:30.23\00:06:32.26 in that particular area. Yeah. Okay. 00:06:32.29\00:06:34.41 So, if we go to the next slide. I can explain 00:06:35.01\00:06:37.84 a little bit, what is happening with the, 00:06:37.87\00:06:41.17 with the glucose inside of the cells and outside 00:06:41.20\00:06:44.47 of the cells. You have to have glucose in the 00:06:44.50\00:06:49.08 blood outside of the cell and you have insulin 00:06:49.11\00:06:51.98 that is the key and the locker is the 00:06:52.01\00:06:54.42 insulin receptor. So, the next graphic you see 00:06:54.45\00:06:57.85 that when you have insulin in the receptor, 00:06:57.88\00:07:02.12 open up the receptor. You have glucose inside 00:07:02.15\00:07:05.06 of the cell this is a normal pattern. 00:07:05.09\00:07:06.80 The next graphic, you see that there is a 00:07:07.35\00:07:10.46 blockage and this is produced by the 00:07:10.49\00:07:13.12 TNF-alpha produced by the inflammation 00:07:13.15\00:07:16.77 on the free fatty acid is from the, from the 00:07:17.63\00:07:20.62 abdominal fat. So, when you have that. 00:07:20.65\00:07:22.79 You've a blockage, insulin cannot go and open 00:07:23.25\00:07:26.92 the locker and the glucose will not go 00:07:26.95\00:07:29.52 inside of the cell then you have excess of 00:07:29.55\00:07:32.45 glucose with diabetes, excess of insulin 00:07:32.48\00:07:35.82 that will lead to excess of lipids and then excess 00:07:36.31\00:07:40.07 of high blood pressure and all the other 00:07:40.10\00:07:43.66 consequences that go together. 00:07:43.69\00:07:45.65 The ones we are wanna avoid. Exactly. Correct. Yeah. 00:07:47.71\00:07:48.68 Now, insulin resistance, I've heard news that. 00:07:49.16\00:07:52.13 It might be present in some animals or not only 00:07:52.86\00:07:55.80 humans. That sounds little bizarre, 00:07:55.83\00:07:57.72 can animal be a diabetic or insulin resistance also. 00:07:58.47\00:08:02.23 Yes, it's very interesting because 00:08:02.26\00:08:04.64 I was researching for this topic and then 00:08:05.21\00:08:07.49 I found in the literature tour. A queen metabolic 00:08:07.52\00:08:11.93 syndrome, a queen, and then a queen 00:08:11.96\00:08:13.59 like being horses. Okay. 00:08:13.62\00:08:15.80 And then I was thinking what is that and then 00:08:15.83\00:08:18.39 I read about that and I study and I figured out 00:08:18.42\00:08:21.04 that horses can have metabolic syndrome too 00:08:21.07\00:08:24.76 and we've a picture of one horse here with 00:08:24.79\00:08:27.54 metabolic syndrome and this is caused because 00:08:27.57\00:08:31.57 the horse mostly the wild horses like mustangs. 00:08:31.60\00:08:37.09 They are used to go and graze in their fields 00:08:37.64\00:08:40.56 and they have to go far away to find the grass 00:08:41.26\00:08:44.49 and the grass is disperse, when they're 00:08:44.52\00:08:46.84 in their freedom, when they are on the loose, 00:08:46.87\00:08:50.37 but when you, when you put them in a barn 00:08:51.13\00:08:54.96 and feed them with grains with grass 00:08:54.99\00:08:58.50 all day long and they don't do much 00:08:58.53\00:09:01.19 the exercise that they used to do then they get 00:09:01.22\00:09:04.65 fat and they get metabolic syndrome with 00:09:04.68\00:09:08.31 insulin resistance. They will have high levels 00:09:08.34\00:09:11.61 of insulin. So, we could almost do 00:09:11.64\00:09:14.68 a comparison right between the two of them, 00:09:14.71\00:09:16.42 so horses are meant to be free to have lot of 00:09:16.45\00:09:20.43 physical activity to eat, what they're meant 00:09:20.46\00:09:23.12 to eat not too many grains, but eat lot of grass 00:09:23.15\00:09:26.32 and they are healthy that way, but humans 00:09:26.35\00:09:29.51 at lunch like the horses, when we make them 00:09:29.54\00:09:31.89 sedentary and give them a lot of high fat food. 00:09:31.92\00:09:35.52 So we are getting diseases right. 00:09:36.37\00:09:37.69 Then put in some exercise once again like being 00:09:38.23\00:09:40.32 physically active and eating the right kinds of 00:09:40.35\00:09:42.79 foods. How can we prevent metabolic 00:09:42.82\00:09:47.49 syndrome, is there a way to prevent it, 00:09:47.52\00:09:49.19 like maybe hinted on some of those things. 00:09:49.22\00:09:51.31 But maybe you could expand on it 00:09:51.34\00:09:52.88 and tell us some more. 00:09:52.91\00:09:54.01 Well, they mention about the survival of the 00:09:55.24\00:09:58.76 human being and then we are not the 00:09:58.79\00:10:01.74 evolutionists, but they compare this with horses. 00:10:01.77\00:10:05.48 There horses eat when they have and if they 00:10:06.15\00:10:09.86 have a lot of food they eat in the summer 00:10:09.89\00:10:12.29 to prepare for the winter and then when you 00:10:12.78\00:10:15.83 feed them a lot of food they will go fat 00:10:15.86\00:10:20.59 and they will go with metabolic syndrome in the 00:10:20.62\00:10:23.51 same thing, same thing happen to us and then 00:10:23.54\00:10:26.90 many people today that have metabolic 00:10:27.28\00:10:29.97 syndrome belong to those to native Americans 00:10:30.00\00:10:33.93 and to Asians or pacific islanders. They, they 00:10:33.96\00:10:39.11 have enough food for a while and then their 00:10:39.14\00:10:42.42 body was used to accumulate a lot of 00:10:42.45\00:10:46.18 energy for a period because they knew that 00:10:47.94\00:10:50.18 tomorrow they would not have it. 00:10:50.21\00:10:51.91 Right, and so, maybe seasons, where they have 00:10:51.94\00:10:54.92 Exactly and then they should prepare for that. 00:10:54.95\00:10:56.31 Lot of harvest and then the long winter or a 00:10:56.34\00:10:58.94 drought in the summer, 00:10:58.97\00:11:00.06 so that was their custom right to treat that right. 00:11:00.09\00:11:02.90 Exactly so now we have food for this high 00:11:02.93\00:11:06.43 caloric food everyday all day long and so they 00:11:06.46\00:11:10.27 eat that and they never have that period of 00:11:10.30\00:11:12.67 famine and then they got, they got the metabolic 00:11:12.70\00:11:15.71 syndrome. So, we have to be careful to choose 00:11:15.74\00:11:19.11 the right food in the right amounts 00:11:19.14\00:11:21.63 to over come that problem. 00:11:21.66\00:11:23.45 So, we could almost include some behavior 00:11:24.14\00:11:26.59 change here or behavior or temperance we could 00:11:26.62\00:11:29.85 call it and even with healthy foods that are 00:11:29.88\00:11:33.25 maybe on the higher caloric intake to eat 00:11:33.84\00:11:38.02 less of it or in smaller portions or only for 00:11:38.05\00:11:41.04 special occasions and so often and then fall 00:11:41.07\00:11:45.84 into the trap of metabolic syndrome correct. 00:11:45.87\00:11:47.82 Yes, this is the balance between exercise 00:11:48.85\00:11:52.11 and caloric food. So, if you are not exercising 00:11:52.70\00:11:58.12 that much anymore because that's the 00:11:58.15\00:12:00.66 consequence of progress and then you are eating 00:12:01.46\00:12:04.33 a high level of junk food. I would say or I mean 00:12:04.36\00:12:09.79 those that have high density in turn high 00:12:09.82\00:12:14.92 caloric density. So those are the foods that will, 00:12:14.95\00:12:18.20 that will, I mean they are the good for the 00:12:19.09\00:12:21.78 marathon run, you know. You eat an ice cream 00:12:21.81\00:12:24.71 and you better go, go run, but then you will 00:12:24.74\00:12:27.98 eat that and then sit down and watch TV, 00:12:28.01\00:12:30.27 so this imbalance. Yeah, 00:12:31.18\00:12:33.26 we'll cause it to restore and more. 00:12:33.29\00:12:36.15 Unless everyone avoid. Exactly. Yes. Exactly. 00:12:36.18\00:12:38.86 Now, you didn't mention exercise 00:12:39.49\00:12:40.81 and you also mention that marathon runners 00:12:40.84\00:12:42.87 or people that they lot of. We may not all be 00:12:42.90\00:12:45.36 marathon runners, but what exercises might be 00:12:45.39\00:12:47.99 helpful to decrease the risk of metabolic syndrome. 00:12:48.02\00:12:50.82 Well, I think you can do any exercise. Okay. 00:12:52.33\00:12:57.65 Again this depends on the person, but I always 00:12:58.70\00:13:04.27 answer the best exercise is the daily exercise. 00:13:04.30\00:13:07.99 The daily exercise very good. 00:13:08.02\00:13:09.28 And then I, I tell my clients that we should 00:13:09.31\00:13:14.33 change this question how many times should 00:13:14.36\00:13:16.64 I exercise during the week and put a question, 00:13:16.67\00:13:20.12 how many times should we exercise during the day? 00:13:20.15\00:13:22.59 Right and then what that exercise, if we get 00:13:23.74\00:13:27.39 that point where it's daily or after enough. 00:13:27.42\00:13:30.13 What is that during, how is the mechanism to 00:13:30.16\00:13:33.83 counteract the insulin or the insulin 00:13:33.86\00:13:35.87 resistance, I should clarify. 00:13:35.90\00:13:37.64 Yeah, when you do exercise, we can, I can 00:13:38.81\00:13:42.63 show you in the graphics. When you do exercise 00:13:42.66\00:13:45.48 you have very good benefits because 00:13:45.51\00:13:47.74 you have sugar entering the cell in the left side 00:13:48.43\00:13:54.44 of the slide you have, the mechanism that 00:13:54.47\00:13:57.50 exercise makes open the cell membrane and put 00:13:57.53\00:14:01.57 the sugar inside of the cell and dependent of 00:14:01.60\00:14:04.22 their receptor and dependent of their 00:14:04.25\00:14:06.48 insulin mechanism. So, I would guess that 00:14:06.51\00:14:11.92 we have metabolic syndrome because 00:14:12.63\00:14:14.38 we didn't have exercise enough because if you 00:14:14.41\00:14:17.31 had the exercise all the sugar will go inside of 00:14:17.34\00:14:20.20 the cell. Think about the mechanism, you stop 00:14:20.23\00:14:22.69 exercising. Umm! So, the cellblock the, 00:14:22.72\00:14:25.43 the receptors. That can't go inside. 00:14:25.98\00:14:28.21 Can't go so insulin is gonna grow up 00:14:28.24\00:14:30.00 and glucose is gonna go up outside of the cell, 00:14:30.03\00:14:32.93 then you say exercise is the cure for this, 00:14:34.36\00:14:36.57 exercises what caused that, is the cure but. 00:14:36.60\00:14:39.63 For the lack of exercising. Exactly. 00:14:39.66\00:14:41.10 Right. Is the lack of exercising? 00:14:41.13\00:14:43.17 So, once again exercise is not only important 00:14:44.21\00:14:46.51 for just to feel better as we talk before, 00:14:46.54\00:14:49.27 but just specific in this metabolic syndrome 00:14:49.30\00:14:52.27 in taking care of that resistance that insulin 00:14:52.68\00:14:55.70 resistance and that will be in part of it. 00:14:55.73\00:14:57.69 We don't mention metabolic syndrome 00:14:57.72\00:14:59.21 enough, I don't think in our society, 00:14:59.24\00:15:00.73 but we are starting to realize that it's not 00:15:00.76\00:15:03.10 just one thing, but all these diseases are 00:15:03.13\00:15:05.45 interrelated and if we do simple behavior 00:15:05.48\00:15:08.90 change or modifications in our diet or exercise 00:15:08.93\00:15:11.97 that we can help decrease the risk in all 00:15:12.00\00:15:13.89 that or metabolic syndrome as we know is, 00:15:13.92\00:15:15.91 the component of all of these. 00:15:15.94\00:15:17.35 There are two things that I would like to 00:15:18.52\00:15:20.63 emphasize. First is that once you started, 00:15:20.66\00:15:25.13 when you consider this disease, you start with, 00:15:26.65\00:15:31.07 with high blood pressure in the past we say 00:15:31.57\00:15:35.26 well let's treat high blood pressure, 00:15:35.29\00:15:36.62 but is not like that only. You have 00:15:36.65\00:15:39.99 high blood pressure today and tomorrow, 00:15:40.02\00:15:42.08 you might have high blood glucose and you 00:15:42.11\00:15:45.07 have high blood cholesterol 00:15:45.10\00:15:46.59 or on the way around, so these diseases are 00:15:46.62\00:15:50.00 coming together. The diseases are coming 00:15:50.03\00:15:52.49 and then the risk for that is gonna be much 00:15:53.45\00:15:57.72 bigger for heart disease, for strokes and even 00:15:57.75\00:16:01.66 for cancer. The second point is that again 00:16:01.69\00:16:05.91 I will always stress is again, the main thing 00:16:05.94\00:16:09.06 to control the diseases is exercise. So, we have 00:16:09.09\00:16:12.39 to stress out these because this is 00:16:12.42\00:16:14.29 something that people when talk about 00:16:14.32\00:16:16.39 metabolic syndrome or weight or diabetes 00:16:16.42\00:16:19.47 they always think about, Oh! My goodness, 00:16:19.50\00:16:22.41 I'll lose my appetite, my foods, 00:16:22.44\00:16:25.77 my delicious food. Tell me my favorite desert. 00:16:25.80\00:16:27.65 And then that's not the case, it might be the 00:16:27.68\00:16:29.78 case. But that's not the primary thing, 00:16:29.81\00:16:31.39 the primary thing is go back 00:16:31.42\00:16:32.94 to do your daily exercise. 00:16:32.97\00:16:35.81 And physical activity yeah. Physical activity. 00:16:35.84\00:16:37.46 Because maybe somebody doesn't 00:16:37.49\00:16:39.26 like to exercise by running, but they love 00:16:39.29\00:16:41.98 gardening or they like raking the leaves 00:16:42.01\00:16:43.82 or mowing the grass with a push mower 00:16:44.45\00:16:46.36 and those are all forms of physical exercise 00:16:46.73\00:16:48.70 that they can be participating then running. Yeah. 00:16:51.00\00:16:52.32 One of the question when it comes 00:16:54.03\00:16:55.13 to metabolic syndrome. We have been talking 00:16:55.16\00:16:57.63 about exercise and the benefits of exercise, 00:16:57.66\00:16:59.94 but I know that those are diabetic which might 00:17:00.84\00:17:05.66 be those inside the metabolic syndrome 00:17:05.69\00:17:07.51 candidate after watch out for certain risk 00:17:08.36\00:17:11.04 such as shoes or what happens to their feet. 00:17:11.07\00:17:13.96 Tell us more about that and tell us more about 00:17:15.52\00:17:17.17 some other risk that maybe associated with 00:17:17.20\00:17:18.91 metabolic syndrome. Yeah, a person that 00:17:18.94\00:17:23.57 has a high risk of diabetes or have the diabetes, 00:17:23.60\00:17:28.18 he might have a problem with the eyes. Umm! 00:17:28.21\00:17:30.91 And then this is important when he 00:17:31.14\00:17:33.46 does exercise to not to lose the balance 00:17:33.49\00:17:36.23 and then as you mention there 00:17:36.95\00:17:38.83 is a problem with the feet because lack of 00:17:38.86\00:17:41.56 sensitivity and so he has to be careful 00:17:41.59\00:17:44.54 and has to have the checkup, 00:17:44.57\00:17:46.30 constant checkup with doctors regarding 00:17:46.33\00:17:49.65 this and another thing that the person has to be 00:17:49.68\00:17:53.45 careful is the risk of hypoglycemia especially 00:17:53.48\00:17:57.87 for those that are using medication to lower 00:17:57.90\00:18:02.42 blood glucose like insulin or some oral 00:18:02.45\00:18:05.70 hypoglycemic agents. Hypoglycemia being 00:18:06.26\00:18:09.10 low sugar right or having the sugar too 00:18:09.13\00:18:11.86 low, is that correct? Exactly. Yeah. 00:18:11.89\00:18:14.08 Mostly lower then 70 or lower then 60 is not a 00:18:14.11\00:18:19.37 good level and then you will feel dizzy 00:18:19.40\00:18:22.85 and many people consider that as high, 00:18:22.88\00:18:26.23 low blood pressure. Oh! My pressure is down. 00:18:26.26\00:18:29.50 Maybe something else. But is not, is not, 00:18:29.53\00:18:31.33 in general is not blood pressure, is blood sugar 00:18:32.08\00:18:34.73 that is down and then the person can shake, 00:18:34.76\00:18:37.69 the person can get sweaty and get a dizzy 00:18:38.64\00:18:42.55 and sometimes can even faint 00:18:42.58\00:18:45.28 Oh! I'm glad you told us some symptoms 00:18:45.82\00:18:47.14 because not every body may have a test kit 00:18:47.17\00:18:49.83 to know was is at 70 or below, but perhaps some 00:18:49.86\00:18:52.95 of these symptoms maybe present on 00:18:52.98\00:18:54.66 some of you watching on TV right now 00:18:55.21\00:18:57.50 that you may experience some of those things 00:18:57.53\00:18:59.17 and you maybe a question that you may wanna 00:18:59.20\00:19:00.74 take to your doctor. I've been experiencing this 00:19:00.77\00:19:02.82 symptoms, is it hyperglycemia 00:19:02.85\00:19:05.10 and maybe it can be tested and know if that 00:19:05.13\00:19:08.13 is a symptom. Is there anything to be concerned 00:19:08.16\00:19:10.52 about or how do we prevent or how do 00:19:10.55\00:19:12.40 we keep from getting our blood sugar that low? 00:19:12.43\00:19:15.29 Well, I believe one advice is that if you are 00:19:16.51\00:19:20.29 under medication. So, you should have 00:19:20.32\00:19:23.56 something sweet when you do exercise 00:19:23.59\00:19:27.47 or when you go around. I mean we don't advice 00:19:27.50\00:19:30.76 you to eat sugary things, but as the prevention 00:19:30.79\00:19:34.43 of that you better have something sweet if you 00:19:34.46\00:19:37.83 are on insulin or other medication. Because 00:19:37.86\00:19:40.35 when you do exercise you might need that 00:19:40.88\00:19:42.80 and then that's a very important. 00:19:43.68\00:19:45.40 The second thing is that the cause of 00:19:45.43\00:19:48.25 hypoglycemia might be excess of high glycemic 00:19:48.28\00:19:54.13 index foods. Do you know what's that? 00:19:54.16\00:19:56.72 Oh! I know what it is, but perhaps so some 00:19:57.24\00:19:59.64 people watching may not know. 00:19:59.67\00:20:00.83 It's when the food that we eat is 00:20:00.86\00:20:04.27 burn pretty quickly or the sugar it's very 00:20:04.30\00:20:07.45 sugary or healthy refine, so that it's 00:20:07.48\00:20:10.04 consumed. I like to compare it to gasoline 00:20:10.07\00:20:13.27 like there is different ways that we can 00:20:13.30\00:20:15.20 create a fire. One is by coal or wood, 00:20:15.23\00:20:18.23 which burn slowly or more slowly then a 00:20:18.26\00:20:21.13 fuel like gasoline, which gets consume 00:20:21.16\00:20:23.51 really quickly. So, high glycemic foods 00:20:23.54\00:20:25.95 would be like the gasoline equivalent to 00:20:25.98\00:20:28.04 the fire like, not true. Yeah, that's absolutely 00:20:28.07\00:20:31.38 right and then I would say as an example foods 00:20:31.41\00:20:36.05 like sugar, white rice, white bread or ice 00:20:36.08\00:20:41.46 cream. When you eat this food, you will raise 00:20:41.49\00:20:45.55 the blood glucose immediately in a few 00:20:45.58\00:20:48.71 hours. Right. So, foods that I are high 00:20:48.74\00:20:51.54 in fiber like the beans or foods that are rich in 00:20:51.57\00:20:57.18 fiber they will have a progressive increase of 00:20:57.21\00:21:01.42 blood glucose during a period of 4 or 5 hours 00:21:01.45\00:21:04.96 and that's what I believe is good to maintain 00:21:04.99\00:21:08.26 blood glucose levels because when you 00:21:08.29\00:21:10.54 increase blood glucose in a pig. So, insulin will 00:21:10.57\00:21:14.86 be release immediately and then mostly this 00:21:14.89\00:21:17.43 blood glucose go lower then it should be. 00:21:17.46\00:21:19.65 Well goes up really quick must come down 00:21:19.68\00:21:21.20 that quick right. Exactly, yeah. 00:21:21.23\00:21:22.75 And if you're curious to know, what are the 00:21:22.78\00:21:26.57 highly glycemic foods? I would recommend 00:21:26.60\00:21:29.81 maybe looking at our nutrition book or going 00:21:29.84\00:21:31.79 online if you have access to internet to 00:21:31.82\00:21:33.68 check glycemic index and they will show the 00:21:33.71\00:21:37.39 several places, where we can find the list of 00:21:37.42\00:21:40.01 different foods, different items and a 00:21:40.04\00:21:42.04 ranking of which ones are higher then others 00:21:42.07\00:21:44.63 and like Dr. Dos Santos noticed those with high 00:21:44.66\00:21:47.90 fiber are the lower ones, the fruits and vegetables, 00:21:47.93\00:21:50.53 a whole grains. Is there any other types of ways to 00:21:50.56\00:21:53.96 find good fiber. Well, I would say that 00:21:53.99\00:21:57.30 is. It's simple to know even if you don't search 00:21:57.33\00:22:01.74 for that. A high glycemic foods are the 00:22:01.77\00:22:04.91 junk foods that you found in the fast food 00:22:04.94\00:22:07.67 restaurant, that what is pretty easy. 00:22:07.70\00:22:08.67 That's, that's easy. You might find some 00:22:08.68\00:22:11.42 solid there that is low glycemic. Right. So, 00:22:11.45\00:22:14.11 the foods that are solid, that are vegetables 00:22:14.14\00:22:17.01 even fruits and mostly beans are low 00:22:17.04\00:22:21.22 glycemic in these and those are the foods 00:22:21.25\00:22:23.30 are more natural foods that you should 00:22:23.33\00:22:25.66 consume more. Right, I believe you 00:22:25.69\00:22:27.78 have a graphic that will have some of those 00:22:27.81\00:22:30.43 foods with fibers is that correct. Could you 00:22:30.46\00:22:33.29 explain this for us? Yeah, we can take a 00:22:33.32\00:22:34.60 look on this graphic and you see if you look at 00:22:34.63\00:22:37.83 this. You will find what are the foods are, I will 00:22:37.86\00:22:41.25 ask you. What is the food here that has 00:22:41.28\00:22:43.78 higher amount of fiber that you know. 00:22:43.81\00:22:48.70 Well, looking at it, the beans seem to have. 00:22:48.73\00:22:52.60 You got it, I believe beans are the solution 00:22:52.63\00:22:56.67 here and then I always tell my clients, three 00:22:56.70\00:23:00.68 foods to control metabolic syndrome. Do you know 00:23:00.71\00:23:03.23 what they are? First beans, second beans, third 00:23:03.26\00:23:07.91 beans. And so beans are the best of all that right. 00:23:07.94\00:23:12.28 Yeah. Just because of the high fiber correct, but 00:23:12.31\00:23:14.81 it's not the only one. Yeah. Sometimes I have a 00:23:14.84\00:23:18.22 joke to tell, but people say well you said that 00:23:18.25\00:23:21.94 beans are good for metabolic syndrome and to 00:23:21.97\00:23:23.94 lose weight and for diabetes and for 00:23:23.97\00:23:25.74 hypertension. But when I eat beans, I feel 00:23:25.77\00:23:28.87 bloated and then I have gas then I tell them. 00:23:28.90\00:23:32.88 Well if you have gas and if you bloated. 00:23:32.91\00:23:34.99 You're gonna lose, you're gonna weight 00:23:35.02\00:23:37.66 loss. Because there is more air there, but I 00:23:37.69\00:23:43.58 will help you with that so what can help a 00:23:43.61\00:23:46.21 person to eat beans and have lower gas, I have 00:23:46.24\00:23:50.33 two advices. One is use, try to find one type of 00:23:50.36\00:23:56.47 beans and they have 100 of types of beans. 00:23:56.50\00:24:00.04 Umm! Like a Lantos and garbanzo beans are 00:24:00.07\00:24:03.07 the best way to digest for most of the people and 00:24:03.10\00:24:06.22 then you have to find one that or some of 00:24:06.25\00:24:08.60 them that are good for you. The second that is, 00:24:08.63\00:24:11.56 you should soak the beans in water and leave 00:24:11.59\00:24:16.31 that for four hours. Overnight maybe or. 00:24:16.34\00:24:19.17 Yeah, but it is good to leave them four hours, 00:24:19.20\00:24:21.75 change the water and then you can leave longer 00:24:21.78\00:24:25.35 time and do this process for two to four hours, 00:24:25.38\00:24:28.86 two or three times. And that's to help with 00:24:28.89\00:24:31.19 so it won't cause any problem. Then there are 00:24:31.22\00:24:32.48 some enzymes with the water will be washed 00:24:32.51\00:24:36.26 away and those are the enzymes that produce 00:24:36.29\00:24:38.73 gas, when you eat the beans. Exactly. You just 00:24:38.76\00:24:41.04 be careful not to put the water, the beans 00:24:41.07\00:24:43.87 in water for a longtime in the hot 00:24:43.90\00:24:46.50 weather because they came for meant that, 00:24:49.06\00:24:50.03 so, just be careful of that. Not too 00:24:50.04\00:24:51.01 much, not too more. Not too more, yeah. 00:24:51.02\00:24:52.19 Which is the basis of all health matters the 00:24:52.22\00:24:54.41 balance right of healthy, enough healthy and not 00:24:54.44\00:24:58.27 too much healthy because even that too 00:24:58.30\00:24:59.82 much for exercising all day would cause fatigue 00:24:59.85\00:25:02.55 and ware on the body. The problem is we 00:25:02.58\00:25:04.38 usually or on the other side of too little 00:25:04.41\00:25:06.97 exercise or too little healthy foods, but the 00:25:07.00\00:25:09.36 balance is always, where we should be. 00:25:09.39\00:25:11.52 Now, you are speaking about beans and 00:25:11.55\00:25:13.74 metabolic syndrome today and all these 00:25:13.77\00:25:16.39 different benefits and risk that maybe 00:25:16.42\00:25:19.35 associated, if we have it or don't and I know 00:25:19.38\00:25:22.52 many country eat lot of beans especially in 00:25:22.55\00:25:24.54 central America, south America. Brazil is 00:25:24.57\00:25:26.85 the biggest consumer of beans in the world. 00:25:26.88\00:25:31.32 Well, then you should know the answer to my 00:25:31.35\00:25:33.52 question because I wanna to ask is there 00:25:33.55\00:25:36.22 difference in the percentages of metabalic 00:25:36.25\00:25:40.74 syndrome. Yeah. I don't have this statistics for 00:25:40.77\00:25:44.59 metabolic syndrome, but I know that in 00:25:44.62\00:25:46.62 South America. The Brazil is the lower, 00:25:46.65\00:25:50.01 is the lowest country with obesity levels, compare 00:25:50.04\00:25:54.52 to Chile, compare to Argentina other countries 00:25:54.55\00:25:57.26 Brazil is the best one I would say and I 00:25:57.29\00:26:00.06 believe is related to their high bean intake. 00:26:00.09\00:26:03.14 Intake so, we should remember your advice 00:26:03.17\00:26:06.22 and to eat beans, beans and beans. But not too 00:26:06.25\00:26:09.51 many of them. Well, I appreciate that 00:26:09.54\00:26:12.48 everything that we've been learning today 00:26:12.51\00:26:13.77 about glycemic index and before that metabolic 00:26:13.80\00:26:17.11 syndrome. Now, especially that so many 00:26:17.14\00:26:19.26 people in America are it's not diagnoses, 00:26:19.29\00:26:23.56 but under that risk level of high metabolic 00:26:23.59\00:26:26.02 syndrome and the risk levels that stem from 00:26:26.05\00:26:28.25 there are so multiple and so many of them 00:26:28.28\00:26:31.19 and they could hinder the quality of life 00:26:31.22\00:26:33.33 and we all want to extend life, we all want to 00:26:33.36\00:26:35.60 enjoy life, our lives are meant to serve 00:26:35.63\00:26:38.07 others, to serve our God and creator and if we 00:26:38.10\00:26:40.57 are hindering it, if we are stopping that quality 00:26:40.60\00:26:42.94 that opportunity to give. It's almost like doing a 00:26:42.97\00:26:46.21 just favor to the society and to God. So, we 00:26:46.24\00:26:49.79 wanna keep our lives as healthy as possible and 00:26:49.82\00:26:51.98 increase that opportunity of having 00:26:52.01\00:26:56.35 metabolic syndrome or Metabellyc syndrome 00:26:56.38\00:26:59.05 as you called it correct. Now, I've verse in 00:26:59.08\00:27:03.72 Genesis 129 states that when God created man, 00:27:03.75\00:27:08.63 he gave him of all the herbs, he gave him all the 00:27:08.66\00:27:11.88 fruit that bear seeds to eat and it's interesting 00:27:11.91\00:27:15.66 that all these food items are the once that have 00:27:15.69\00:27:18.64 the high fiber and so we should focus on eating 00:27:18.67\00:27:22.00 the natural things that God did the whole grains 00:27:22.03\00:27:24.06 and make that the primary source of our diet 00:27:24.09\00:27:27.36 and we will enjoy so many benefits and we will be 00:27:27.39\00:27:29.93 happier and healthier and able to serve 00:27:29.96\00:27:33.36 God as he wants us to serve him with our lives 00:27:33.39\00:27:36.12 and with our health and those around us 00:27:36.15\00:27:37.89 our neighbors or community. Dr. Dos 00:27:37.92\00:27:40.38 Santos you've been great today, I appreciate 00:27:40.41\00:27:42.48 your presence and you're help out of this 00:27:42.51\00:27:44.04 topic and I'm sure many of the viewers here 00:27:44.07\00:27:46.78 have also appreciated. Thank you so much. 00:27:46.81\00:27:48.92 It was my pleasure to be here. Thank you, I pray 00:27:48.95\00:27:52.72 if you've been watching or listening today that 00:27:52.75\00:27:54.57 you've been blessed by this program that you've 00:27:54.60\00:27:56.27 been encouraged to continue on your 00:27:56.30\00:27:57.98 journey to better health and to continue to ask 00:27:58.01\00:28:00.65 God to help you in every part of it. Join us 00:28:00.68\00:28:03.56 next time for Wonderfully Made for 00:28:03.59\00:28:05.34 another episodes soon to come. 00:28:05.37\00:28:06.86