The following program presents principles designed 00:00:01.98\00:00:03.03 to promote good health and is not intended to take 00:00:03.04\00:00:05.56 the place of personalized professional care. 00:00:05.57\00:00:08.12 The opinions and ideas expressed are those of the speaker. 00:00:08.13\00:00:12.00 Viewers are encouraged to draw 00:00:12.01\00:00:13.39 their own conclusions about the information presented. 00:00:13.40\00:00:16.44 Hello, I'm Dr. Emerson, I'm Medical Director 00:00:38.05\00:00:40.99 at Eden Valley Lifestyle Center. I wanted to share 00:00:41.00\00:00:43.22 with you today some concepts about diabetes. 00:00:43.23\00:00:47.00 Our's is continuing on the talk we've done previously. 00:00:47.01\00:00:51.62 And in that talk we discovered that diabetes state can actually 00:00:51.63\00:00:56.41 be brought on fairly quickly with oils and animal fats. 00:00:56.42\00:01:02.92 Dr. Sweeney did this in 1927 with six medical students. 00:01:04.23\00:01:07.75 They were able to induce the diabetic state 00:01:07.76\00:01:09.35 in about two days. He was unable to do the same 00:01:09.36\00:01:12.13 thing with high sugar, or a high starch diet. 00:01:12.14\00:01:15.66 We found that this has been confirmed in human studies 00:01:16.91\00:01:20.21 and animals studies since then. 00:01:20.22\00:01:23.27 At this time we'd also like to look at some other aspects 00:01:23.54\00:01:26.41 that can effect insulin resistance and diabetes. 00:01:26.42\00:01:34.71 What we found initially was that when you take a sugar or starch, 00:01:36.22\00:01:41.85 its a review, your blood sugar would go up, 00:01:41.86\00:01:44.31 the pancreas would sense that, release insulin and insulin 00:01:44.32\00:01:47.32 would act as a little key, which would go into the cells 00:01:47.33\00:01:49.80 of each of the doors, open up the doors, 00:01:49.81\00:01:51.85 allow the sugar to leave the blood 00:01:51.86\00:01:53.33 and go in the cells and be burned. 00:01:53.34\00:01:55.29 This will bring your blood sugar down. 00:01:55.30\00:01:56.53 And that's the way it's suppose to work. 00:01:56.54\00:01:58.18 We found as the animals products, the fats, 00:01:58.46\00:02:01.05 the oils will tend to go in to the body when they're ingested 00:02:01.06\00:02:04.93 and then plug up those insulin receptors. 00:02:04.94\00:02:07.25 So that now when you take a sugar or starch, 00:02:07.26\00:02:09.26 blood sugar goes up, insulin is released, 00:02:09.27\00:02:10.98 can't get in the key holes, doors are shut 00:02:10.99\00:02:13.54 and the blood sugars rise, because they have nowhere to go. 00:02:14.21\00:02:16.68 And, that was essentially what we covered. 00:02:16.69\00:02:19.30 That's how insulin resistance can be induced 00:02:19.31\00:02:22.69 actually fairly quickly. There are some other factors 00:02:22.70\00:02:25.75 that we now know effect diabetes as well. 00:02:25.76\00:02:30.33 Among those are understanding of what fiber does for us, 00:02:30.71\00:02:35.58 fiber in the plant foods, also something called 00:02:35.59\00:02:38.15 the glycemic index of foods, in carbohydrates. 00:02:38.16\00:02:41.23 And also, something found in grains, that whole grains have, 00:02:42.53\00:02:46.53 which help protect us against diabetes, 00:02:46.54\00:02:48.77 but refined grains do not have. So, firstly what, 00:02:48.78\00:02:53.77 what does fiber do to protect us from diabetes. 00:02:55.65\00:03:00.27 Actually one of the things fiber does is it acts as a sponge. 00:03:00.48\00:03:04.58 It, when it's eaten with sugars or carbohydrates, 00:03:04.59\00:03:09.50 it hangs on the fluid and sugar, and that fiber helps release 00:03:09.51\00:03:13.97 the sugar into the blood stream from the gut slowly, overtime. 00:03:13.98\00:03:19.24 When fiber is not there, 00:03:19.96\00:03:21.40 we tend to get a rather severe jolt of sugar, 00:03:21.41\00:03:25.07 which is released in the blood stream fairly quickly. 00:03:25.83\00:03:28.30 This is illustrating some tests done with apple juice and apples 00:03:28.97\00:03:34.76 What they found is that if a person eats an apple, 00:03:35.13\00:03:37.79 which has the sugar with the fiber, 00:03:38.23\00:03:41.61 the sugar is in the gut and it's absorbed by the fiber 00:03:41.93\00:03:47.33 and it's released into the blood stream fairly slowly. 00:03:47.34\00:03:51.05 The sugar rises, the pancreas senses this, 00:03:51.23\00:03:54.18 releases a normal amount of insulin and this helps 00:03:54.19\00:03:58.13 slow the rise and helps prevent the blood sugar 00:03:58.14\00:04:00.85 from going too high. If it gets to stays below 150 00:04:00.86\00:04:04.43 and then it starts coming back down and as the sugar drops, 00:04:04.44\00:04:08.98 the insulin levels drop as well and the sugar plateaus 00:04:08.99\00:04:13.81 at about 100 or 90 or so and does not drop too low. 00:04:13.82\00:04:18.02 And this is the way it's supposed to work. 00:04:18.03\00:04:20.66 If on the other hand, we take that same apple, 00:04:21.00\00:04:24.14 the same calories, same 100 calories 00:04:24.15\00:04:26.24 and take it in the form of apple juice. We find is, 00:04:26.25\00:04:30.73 when that's entered into the gut, the sugar goes into 00:04:30.74\00:04:34.19 the blood stream very quickly. There is no fiber 00:04:34.20\00:04:36.66 to slow it down. The blood sugar starts to go up 00:04:36.67\00:04:39.47 fairly quickly, fairly dramatically. 00:04:39.48\00:04:41.29 The pancreas kind of overreacts, releases a lot of insulin 00:04:41.30\00:04:45.52 to prevent the blood sugar from going too high. 00:04:45.53\00:04:48.63 While the insulin load goes into the blood, 00:04:48.95\00:04:53.10 it starts, the sugar coming down again. 00:04:53.11\00:04:56.17 This time the sugar comes down, but as it approaches say normal 00:04:56.18\00:05:00.63 at a 100 or 90, there is no more sugar in the gut 00:05:00.64\00:05:06.25 coming into the blood stream, because its come in so quickly, 00:05:06.26\00:05:09.46 there is nothing left. So, the sugar supply to the blood 00:05:09.47\00:05:12.05 is cut off, but there is still a lot of insulin 00:05:12.06\00:05:14.68 in the blood and that drives the blood sugar too low. 00:05:14.69\00:05:18.63 This will make a person hypoglycemic maybe in hour 00:05:18.64\00:05:22.38 or two hours after the high sugaring meal. 00:05:22.39\00:05:25.78 And this is where they may get hypoglycemic, 00:05:25.79\00:05:28.39 have a hypoglycemic reaction, get shaky, 00:05:28.40\00:05:30.30 tremor-y and at that point they feel a need to 00:05:30.31\00:05:35.44 have a coffee break. 00:05:35.45\00:05:36.42 And, this is where the 10 O'clock coffee break comes in 00:05:36.43\00:05:38.85 people needing to get something to get their sugars up again. 00:05:38.86\00:05:43.10 They will take many times a caffeinated beverage, 00:05:43.56\00:05:46.01 which can stimulate blood sugar rise even without sugar 00:05:46.02\00:05:49.50 and then they have a sugary meal which sends 00:05:49.51\00:05:52.03 the blood sugar up again. This causes a blood sugar 00:05:52.04\00:05:57.62 drop again and the cycle is repeated. 00:05:57.63\00:06:00.58 And this is a cyclic problem then, that happens around noon 00:06:01.13\00:06:06.39 or 2 O'clock in the afternoon 00:06:06.40\00:06:10.17 after they have a sugary meal at lunch, 00:06:10.18\00:06:12.39 they get another spike and drop. 00:06:12.40\00:06:15.03 Then at 2 O'clock they need another sugar fix, 00:06:15.04\00:06:18.62 things go up, they come crashing down 00:06:18.63\00:06:21.46 around 5 O'clock, you have to have meal. 00:06:21.47\00:06:23.71 And the meal is another sugary meal, 00:06:23.72\00:06:26.73 it causes blood sugar to go up and around 7 O'clock 00:06:26.74\00:06:29.49 it comes crashing down. You've to have another snack 00:06:29.50\00:06:32.47 and then you go to sleep and hopefully you can make it 00:06:32.48\00:06:36.09 through the night without having another sugar dive. 00:06:36.10\00:06:39.42 I experienced this in college and it occurred to me in college 00:06:39.43\00:06:42.69 I said this is strange, you know, 00:06:42.70\00:06:43.75 I used to be able to go from breakfast to lunch 00:06:43.76\00:06:46.13 without having to have a 10 O'clock sugar fix. 00:06:46.14\00:06:50.25 And, when I went back to a high fiber diet, 00:06:50.26\00:06:55.64 plant-based diet without the sugary spikes, 00:06:55.65\00:06:59.95 I was able to go from breakfast to lunch without having 00:06:59.96\00:07:03.84 a hypoglycemic episode or needing the coffee breaks. 00:07:03.85\00:07:07.52 Another factor in foods that can help 00:07:10.65\00:07:14.28 even out your blood sugars, especially 00:07:14.29\00:07:16.67 if you are diabetic is a concept of a glycemic index. 00:07:16.68\00:07:20.03 Glycemic index is how fast sugar goes from your gut 00:07:20.04\00:07:25.88 into your bloodstream and if this happens slowly, 00:07:25.89\00:07:30.54 you have a low glycemic index food. 00:07:30.55\00:07:33.21 If you have a high glycemic index food, 00:07:33.22\00:07:35.17 the same 100 calories will go into your bloodstream 00:07:35.18\00:07:37.19 very quickly and cause a sugar spike and you're at risk 00:07:37.20\00:07:41.85 for that hypoglycemic episode again. 00:07:41.86\00:07:44.08 High glycemic index foods, sugar, table sugar has about 00:07:44.46\00:07:49.60 the same high glycemic index as refined white flour. 00:07:49.61\00:07:56.07 Potatoes, white potatoes have a high glycemic index. 00:07:56.08\00:08:00.28 The low glycemic index foods which are the best especially 00:08:00.29\00:08:03.43 for people coming off of the diabetic state would be the 00:08:03.44\00:08:07.94 lentils, beans, peas, these are the legume families. 00:08:07.95\00:08:11.97 They release their sugar into the bloodstream 00:08:12.53\00:08:14.53 very slowly over a long period of time. 00:08:14.54\00:08:16.49 Even sweet potatoes have a low glycemic index. 00:08:17.07\00:08:19.71 And, you can actually go to nutrition books 00:08:19.72\00:08:21.85 and get tables of food with different glycemic indexes. 00:08:21.86\00:08:25.41 They have shown that... we've experienced that 00:08:25.42\00:08:28.89 if you want to even out your blood sugars. 00:08:28.90\00:08:31.22 If you have large bowl of beans or lentils for breakfast, 00:08:31.23\00:08:36.03 one or two bowls, you will find that you are able to last 00:08:36.04\00:08:40.35 from breakfast o usually about 2 O'clock in the afternoon, 00:08:40.36\00:08:42.96 without getting hungry or having those crashes. 00:08:42.97\00:08:46.87 It's very effective for diabetics and helping them 00:08:47.81\00:08:51.52 control the blood sugars. Another aspect of foods 00:08:51.53\00:08:56.64 that can help prevent diabetes are the whole grains. 00:08:56.65\00:09:00.70 They have found that whole grains can decrease 00:09:00.71\00:09:03.43 insulin resistance. They also reduce your risk 00:09:03.44\00:09:07.78 of diabetes and your risk of heart disease. 00:09:07.79\00:09:10.17 And this is independent of the fiber that's in the whole grains 00:09:10.18\00:09:15.00 So, we believe that it has something to do with 00:09:15.01\00:09:17.79 the phytochemicals that are in whole grains which are 00:09:17.80\00:09:20.51 removed when you take out the bran and the germ. 00:09:20.52\00:09:25.41 In processing foods, the grains, the bran, 00:09:27.30\00:09:35.87 the outside covering of the grain, as well as the germ 00:09:35.88\00:09:38.58 are many times removed and those have over 90 percent 00:09:38.59\00:09:42.76 of the phytochemicals. And these chemicals 00:09:42.77\00:09:44.94 are chemicals your body uses to help 00:09:44.95\00:09:49.12 prevent diabetes and also help prevent cancers. 00:09:49.13\00:09:52.29 This strengthens your immune system, 00:09:52.59\00:09:54.05 you can't get these phytochemicals 00:09:54.06\00:09:55.44 from animal products, they have to be obtained in your foods. 00:09:55.45\00:09:58.83 And, whole grains are one of the best sources of these, 00:09:58.84\00:10:01.61 and we believe that's one of the reasons why 00:10:01.62\00:10:03.89 whole grains can prevent diabetes. 00:10:03.90\00:10:06.97 We want to talk another, about another concept in diabetes now. 00:10:08.84\00:10:12.74 If you recall, Dr. Anderson was able to get diabetics 00:10:13.69\00:10:18.14 who were on their pills, about 90 percent 00:10:18.15\00:10:20.53 of them off their pills on a plant-based diet. 00:10:20.54\00:10:22.81 If they were taking insulin, he was able to get about 00:10:22.82\00:10:25.75 75 percent of the patients on insulin off their medications. 00:10:25.76\00:10:30.89 The question is, why wasn't it a 100 percent? 00:10:30.90\00:10:34.86 Was there something else going on which was 00:10:34.87\00:10:37.18 preventing that small percentage from being 00:10:37.19\00:10:40.06 able to be come off their pills and the answer is yes. 00:10:40.07\00:10:44.20 There is something that we now understand 00:10:44.21\00:10:45.80 is called beta cell burnout. Beta cell burnout is 00:10:45.81\00:10:53.50 when the beta cells in the pancreas 00:10:54.44\00:10:57.25 which produce the insulin start burning out. 00:10:57.26\00:11:00.84 They stop being able to produce and release insulin. 00:11:00.85\00:11:04.69 They've found that unless you have beta cell burnout, 00:11:08.11\00:11:11.84 the insulin resistance will not progress to diabetes. 00:11:11.85\00:11:16.77 In other words, in order to get diabetes, 00:11:17.08\00:11:19.58 you've got to have insulin resistance, 00:11:19.59\00:11:21.13 plus this beta cells burnout. Now we are again, 00:11:21.88\00:11:24.66 we are talking about Type 2 diabetes. 00:11:24.67\00:11:26.43 They did some baboon studies to illustrate this. 00:11:27.88\00:11:31.59 They took some normal healthy baboons, 00:11:32.21\00:11:34.62 they gave them nicotinic acid, which causes marked insulin 00:11:34.63\00:11:38.99 resistance in the doses that they gave them to these baboons. 00:11:39.00\00:11:41.89 But, the baboons responded by just increasing the amount of 00:11:42.35\00:11:46.33 insulin they released and they overcame this insulin resistance 00:11:46.34\00:11:49.72 And, this allowed them to prevent their blood sugars 00:11:49.73\00:11:53.33 from going too high. Next, they took some baboons 00:11:53.34\00:11:59.24 and this time they destroyed half of the pancreas 00:11:59.25\00:12:04.52 with a special poison. Now their pancreas was only half there. 00:12:04.53\00:12:09.49 Now when they gave them the nicotinic acid 00:12:09.50\00:12:11.72 the insulin resistance rose, 00:12:11.73\00:12:13.54 the pancreas tried to compensate by releasing more insulin, 00:12:13.55\00:12:17.10 but was unable to do so, because half of it was missing 00:12:17.11\00:12:20.03 and they went on to develop diabetes. 00:12:20.46\00:12:23.69 So they needed the both components to develop diabetes, 00:12:24.85\00:12:28.14 insulin resistance plus beta cell burnout. 00:12:28.15\00:12:31.74 They have also observed that in humans there is a particular 00:12:32.47\00:12:37.82 rare genetic dysfunction which causes 00:12:37.83\00:12:43.53 a severe insulin resistance. But, many times these patients 00:12:43.54\00:12:46.74 do not develop diabetes because their pancreas 00:12:46.75\00:12:50.01 is able to just produce more insulin and compensate for it, 00:12:50.02\00:12:55.03 so the blood sugars can stay in the normal range. 00:12:55.04\00:12:58.12 What they have found with beta cell burnout is that it occurs, 00:13:00.66\00:13:05.27 or starts to occur 12 years before the diagnosis of diabetes 00:13:05.28\00:13:10.15 And, this is also where you can find 00:13:10.83\00:13:12.66 insulin resistance starting to increase. 00:13:13.42\00:13:16.21 What they are finding is that for about 12 years 00:13:16.22\00:13:18.79 before the diagnosis of diabetes, 00:13:18.80\00:13:23.44 until after about 12 years they are then diagnosed with diabetes 00:13:23.45\00:13:28.14 What happens as the insulin resistance increases initially 00:13:28.67\00:13:31.36 is the pancreas just releases more insulin 00:13:31.37\00:13:33.83 to compensate for it. So insulin levels actually go up, 00:13:33.84\00:13:37.74 up, until the time of diagnosis, 00:13:37.75\00:13:41.22 say at 12 years after the start of this process. 00:13:41.23\00:13:44.88 During that time of increasing insulin 00:13:45.73\00:13:47.61 resistance beta cell function is continuing to drop. 00:13:47.62\00:13:52.32 Now beta cell function, God has produced us with a big reserve, 00:13:52.98\00:13:58.69 so that they may, a normal person maybe able to produce 00:13:58.70\00:14:01.51 maybe say 10 times as much insulin 00:14:01.52\00:14:04.38 as they would really need. But by the time of diagnosis 00:14:04.39\00:14:08.45 of diabetes, that beta cell function is 50 percent, 00:14:08.46\00:14:12.18 it may only be able to produce maybe five times as much insulin 00:14:12.19\00:14:14.89 or somewhere in that neighborhood. 00:14:14.90\00:14:17.01 And at this time, the insulin resistance 00:14:18.08\00:14:20.36 however has increased to a point where it may need 00:14:20.37\00:14:22.75 that much more insulin to keep the blood sugars controlled. 00:14:22.76\00:14:27.52 So after 12 years the pancreas can no longer keep up with the 00:14:27.86\00:14:31.85 insulin resistance and now the blood sugar starts to rise. 00:14:31.86\00:14:36.41 And, now the doctors say oh, your blood sugars are rising 00:14:36.74\00:14:40.37 and you get diagnosed with diabetes. 00:14:40.38\00:14:42.81 What causes beta cell burnout? Well there are many theories, 00:14:47.58\00:14:52.43 some thoughts were that well high blood sugars 00:14:54.55\00:14:56.73 would be toxic to the pancreatic cells 00:14:56.74\00:14:59.34 or there are some glycosylation of pro teins or sugars 00:14:59.35\00:15:02.41 were combined with the proteins in the pancreas 00:15:02.42\00:15:03.96 and that would cause damage or amyloid deposition. 00:15:03.97\00:15:07.78 But all of these processes required high blood sugars. 00:15:07.79\00:15:10.95 And, as we noted, this beta cell burnout 00:15:10.96\00:15:13.46 occurs 12 years before the diagnosis of diabetes 00:15:13.47\00:15:17.47 when the blood sugars are normal. 00:15:17.48\00:15:18.98 So, they had to understand or find a different mechanism 00:15:19.68\00:15:23.05 and they found that the mechanism was most likely 00:15:23.06\00:15:25.47 is what they call lipotoxicity. 00:15:25.48\00:15:28.23 When you have insulin resistance, two things happen, 00:15:28.24\00:15:32.96 your triglycerides go up, 00:15:32.97\00:15:35.57 that's the fat in the blood and insulin levels rise. 00:15:35.58\00:15:39.48 Now insulin not only drives sugar into cells to be burned 00:15:39.49\00:15:45.98 or stored. It not only drives 00:15:45.99\00:15:48.37 sugar into those cells to be stored, 00:15:48.38\00:15:50.10 but insulin will also drive fat into fat cells to be stored. 00:15:50.11\00:15:54.14 It will drive fat into liver cells causing fatty liver, 00:15:54.15\00:15:58.62 but it can also cause dry fat into pancreatic cells 00:15:58.63\00:16:02.87 which can cause beta cell burnout. 00:16:02.88\00:16:05.79 It could be toxic to those pancreatic cells. 00:16:05.80\00:16:08.92 What we found also is that this has been 00:16:10.30\00:16:14.05 confirmed with the Pima Indians and Caucasians. 00:16:14.06\00:16:18.43 What they found is that if they give a high fat diet 00:16:18.44\00:16:23.26 to these groups of people, very soon, 00:16:23.94\00:16:27.29 the beta cell function starts decreasing. 00:16:27.30\00:16:32.33 And it's related to the fat in the diet, 00:16:32.34\00:16:34.35 the insulin resistance and the high triglycerides 00:16:34.36\00:16:38.13 and the increase in insulin that is being produced, 00:16:38.14\00:16:41.30 causing that lipotoxicity in the pancreas. 00:16:41.31\00:16:44.93 Well, many patients want to know, 00:16:45.97\00:16:49.54 how do I know if my pancreas is working, 00:16:49.55\00:16:52.84 or how well it's working? 00:16:52.85\00:16:54.35 If their pancreas is working well, 00:16:56.80\00:16:59.82 if they are producing enough insulin, 00:16:59.83\00:17:03.49 then if we just get rid of the insulin resistance, 00:17:03.50\00:17:06.35 we would expect to be able to get them off the medications. 00:17:06.36\00:17:08.85 However, if their pancreas is working at a very low level, 00:17:08.86\00:17:13.18 where they are not producing much insulin at all, 00:17:13.19\00:17:16.35 even though you get rid of the insulin resistance, 00:17:16.36\00:17:18.66 you still have a second problem where you're not producing 00:17:18.99\00:17:22.16 enough insulin and they still need insulin to maintain 00:17:22.17\00:17:26.75 their blood sugars. So, how do I know, how do I know? 00:17:26.76\00:17:29.59 Well, there is a test called C-terminal peptide, 00:17:30.08\00:17:32.55 which you can ask your doctor about. 00:17:32.56\00:17:34.77 You can obtain, it's just a simple blood test. 00:17:34.78\00:17:37.49 What happens is insulin is, starts as proinsulin 00:17:38.06\00:17:44.65 and it's protein and to turn it into insulin, 00:17:45.36\00:17:49.60 one of the ends is broken off, that's called the 00:17:49.85\00:17:51.86 C- terminal peptide end, it's broken off 00:17:51.87\00:17:55.17 and kind of thrown away into the blood 00:17:55.18\00:17:56.83 and what's left is your insulin, the insulin goes out 00:17:56.84\00:17:59.29 and does the work it's suppose to do. 00:17:59.30\00:18:00.93 But, the C-terminal peptide floats around the blood stream 00:18:01.24\00:18:04.51 and its level can let you know how much you're producing. 00:18:04.52\00:18:09.92 Now, if I inject insulin there is no 00:18:09.93\00:18:13.38 C- terminal peptide in the insulin I'm injecting. 00:18:13.39\00:18:16.46 So, even if a patient is taking insulin, 00:18:16.47\00:18:19.30 we can measure their C- peptide and it will tell us 00:18:19.31\00:18:22.01 how much insulin that person is making, 00:18:22.02\00:18:24.72 even apart from the insulin they are getting injected. 00:18:25.28\00:18:28.55 So, what's normally done is we give a sugary meal 00:18:30.80\00:18:34.78 or something to drive the sugar up above 150. 00:18:34.79\00:18:37.94 This will stimulate the pancreas to release 00:18:37.95\00:18:40.96 as much insulin as it can. 00:18:40.97\00:18:42.72 And then once the blood sugar is above 150 00:18:43.63\00:18:46.64 we draw a blood test and we measure the C-peptide level. 00:18:46.65\00:18:50.15 If a C-peptide level is four or above, 00:18:50.16\00:18:53.74 that generally indicates fairly good pancreatic function 00:18:53.75\00:18:58.30 and you would have a very good chance of getting 00:18:58.31\00:19:00.45 off your medicines, if you were to change your diet 00:19:00.46\00:19:04.52 and get rid of the insulin resistance. 00:19:04.53\00:19:05.87 If on the other hand it's two or less, chances are not as good, 00:19:06.22\00:19:10.89 chances are less likely that you are going to be able to get off 00:19:10.90\00:19:13.89 your medications even if you get rid of the insulin resistance, 00:19:13.90\00:19:18.19 because you're still going to need to produce 00:19:18.20\00:19:20.70 more insulin and that may take sometime to correct. 00:19:20.71\00:19:24.19 Well the next question that would 00:19:25.75\00:19:27.18 follow is beta cell burnout reversible? 00:19:27.19\00:19:31.50 And the good news is there is evidence that yes it is. 00:19:32.33\00:19:35.01 There are some drugs, TCD's they are called. 00:19:36.36\00:19:39.73 They're a class of drug which helps decrease 00:19:41.48\00:19:45.68 insulin resistance, as well as decrease triglyceride levels. 00:19:45.69\00:19:51.44 And, these two factors tend to increase 00:19:51.77\00:19:55.78 the function of the beta cell 00:19:55.79\00:19:57.69 if the medicines are started soon enough. 00:19:57.70\00:20:00.77 They can increase and some tests have shown 00:20:02.49\00:20:04.97 as much as 60% increase in beta cell function 00:20:04.98\00:20:07.94 in as little as 6 months. 00:20:07.95\00:20:10.28 The problem with these is that they are some side effects 00:20:12.17\00:20:14.70 and they will cause usually 5 to 10 pound 00:20:14.71\00:20:17.11 weight gain during that time period. 00:20:17.12\00:20:19.94 Something most diabetics would like to avoid. 00:20:19.95\00:20:22.17 On the other hand, if you move to a plant based diet, 00:20:23.74\00:20:27.60 you can also drop your triglycerides, 00:20:27.61\00:20:30.84 decrease insulin resistance and beta cell function can increase. 00:20:30.85\00:20:35.47 It may take 3, 6 months, 12 months, 00:20:35.48\00:20:38.06 it may take sometime for that beta cell function to increase. 00:20:38.07\00:20:41.72 But if a person persist on it, 00:20:41.73\00:20:44.67 this is something that they can hope for 00:20:45.46\00:20:47.51 and actually measure and follow 00:20:47.52\00:20:50.10 and see if the pancreas is indeed getting better. 00:20:50.11\00:20:53.57 The nice thing about a plant based diet 00:20:53.58\00:20:55.32 is it doesn't cause the weight gain that the TCD's will cause. 00:20:55.33\00:21:00.41 In fact it can cause in general a weight loss, 00:21:00.42\00:21:04.17 and that's something that again most 00:21:04.18\00:21:06.31 diabetics are looking forward to. 00:21:06.32\00:21:08.35 Well, at the beginning of our first talk on diabetics 00:21:10.18\00:21:14.28 we described a lady who came into our office 00:21:14.29\00:21:17.53 and I wanted to tell you the rest of the story. 00:21:17.54\00:21:19.59 If you remember her name is Tony, 00:21:19.60\00:21:21.27 and she came into the office she rolled in, 00:21:21.28\00:21:23.57 in a wheel chair. 5Ft 3, she is actually 00:21:23.58\00:21:26.37 325 pounds she was blind from a diabetics 00:21:26.38\00:21:30.11 she was on 44 units of insulin a day. 00:21:30.12\00:21:33.39 She had high blood pressure, she had high cholesterol. 00:21:34.42\00:21:37.38 And, as you now know 00:21:38.20\00:21:39.51 this is all part of the insulin resistance syndrome. 00:21:39.52\00:21:41.99 Its part of the insulin resistance that she has 00:21:42.00\00:21:46.32 and it was causing all of these problems. 00:21:46.33\00:21:48.65 She had... the blindness was from a diabetic retinopathy 00:21:48.66\00:21:52.94 a common side effect of diabetes. 00:21:52.95\00:21:56.29 Well, I shared with her basically the things 00:21:56.75\00:22:00.66 that I shared with you and she did something 00:22:00.67\00:22:06.48 very strange, very unusual, 00:22:06.61\00:22:07.96 something we weren't really excepting, 00:22:08.17\00:22:09.76 she actually did everything we asked her to do. 00:22:10.31\00:22:13.99 She was in a wheel chair, she wasn't able to exercise 00:22:15.25\00:22:19.54 or get around much at all, but she moved to plant based diet. 00:22:19.68\00:22:24.89 No calorie restriction in a wheel chair, 00:22:25.22\00:22:27.44 no real exercise. But within about 2 months, 00:22:27.61\00:22:32.53 her blood pressure started coming down. 00:22:33.00\00:22:37.84 And as the blood pressure comes down, 00:22:38.14\00:22:39.67 we had to start taking her off her blood pressure medicines 00:22:40.35\00:22:43.07 or it would go too low. In about 2 months, 00:22:43.25\00:22:46.38 she was off of her blood pressure medicines 00:22:46.69\00:22:50.20 not needing that anymore. 00:22:50.23\00:22:51.38 She continued on her program 00:22:51.52\00:22:53.20 and we had to start decreasing her insulin level, 00:22:53.83\00:22:57.38 her insulin doses because her blood sugars 00:22:57.51\00:23:00.30 were starting to go too low. 00:23:00.31\00:23:01.98 Her blood sugars started coming down 00:23:03.57\00:23:05.52 and also we followed her cholesterol levels, 00:23:06.62\00:23:10.04 her cholesterol levels started coming down. 00:23:10.31\00:23:12.88 At the end of one year, her cholesterol had dropped 00:23:13.45\00:23:19.99 so low that we had to take her off 00:23:20.00\00:23:21.83 of her cholesterol medicines. 00:23:21.84\00:23:23.45 And at the end of a year she was off of her insulin. 00:23:24.34\00:23:27.65 She's gotten off of her insulin. 00:23:27.73\00:23:28.99 She was just on some oral medications at that time. 00:23:29.16\00:23:31.13 The other amazing thing we found was that 00:23:32.20\00:23:34.64 her weight started dropping. 00:23:34.65\00:23:36.57 She went from 325 down to 211 in 2 years. 00:23:37.36\00:23:44.44 That was approximately a pound a week 00:23:44.88\00:23:47.34 with no calorie restriction, no exercise, 00:23:47.63\00:23:50.65 she was in a wheel chair 00:23:50.75\00:23:51.72 and just by changing to a plant-based diet. 00:23:52.72\00:23:57.08 She was then able to get a knee surgery 00:23:58.23\00:24:01.88 from orthopedic surgeon and she started walking again. 00:24:01.89\00:24:05.56 And as long as she stayed on the program, 00:24:06.40\00:24:08.49 blood sugar stayed good, blood pressure stayed good, 00:24:09.18\00:24:11.91 cholesterol stayed good. If she strayed off the program, 00:24:11.92\00:24:15.39 started having animal products again. 00:24:15.93\00:24:17.54 Blood sugars will start to rise, cholesterol rise, 00:24:18.27\00:24:20.89 blood pressure would rise, weight would rise. 00:24:21.05\00:24:22.59 She had to come back on track to even it out again. 00:24:22.61\00:24:26.01 And, she did very well as long as 00:24:26.46\00:24:28.87 she stayed on the program. 00:24:28.88\00:24:30.72 So, the take home message is that, 00:24:31.38\00:24:34.82 what we found is that on a animal based diet, 00:24:35.70\00:24:39.87 American diet, lot of fats will go in 00:24:40.09\00:24:42.73 and plug up those insulin receptors. 00:24:42.74\00:24:44.34 So that when you take a sugar starch 00:24:44.58\00:24:45.98 blood sugar goes up, insulin is released 00:24:45.99\00:24:47.76 can't get in the key holes, 00:24:48.07\00:24:49.34 doors are stuck and the blood sugars rise, 00:24:49.80\00:24:52.01 that's insulin resistance. When this happens 00:24:52.02\00:24:54.70 the pancreas compensates by releasing more insulin. 00:24:55.05\00:24:58.51 That insulin tends to drive fat into fat cells, 00:24:59.15\00:25:03.82 making people heavy, drives fat into liver cells 00:25:04.70\00:25:07.99 causing fatty liver, drives fat into pancreatic cells 00:25:08.23\00:25:12.50 causing beta cell burn out. 00:25:12.95\00:25:15.27 And with time the beta cells will start to burn out, 00:25:15.83\00:25:19.38 you have decreased production of insulin 00:25:19.39\00:25:22.73 and with time then you'll have both beta cell miss function, 00:25:23.04\00:25:27.96 not enough insulin being able to be produced 00:25:28.38\00:25:30.38 to compensate for the insulin resistance 00:25:30.70\00:25:32.52 that the American diet has. 00:25:32.81\00:25:34.82 If you choose like Tony did, to go on a plant based diet 00:25:35.33\00:25:39.11 this can reverse. 00:25:40.13\00:25:41.16 Insulin resistance generally reverses within 3 or 4 days, 00:25:41.40\00:25:45.14 sometimes a week or two, usually 3 or 4 days. 00:25:45.93\00:25:49.32 Beta cell function on the other hand 00:25:49.64\00:25:51.70 may take 3, 6 months or longer before 00:25:51.71\00:25:56.00 it can recover and recoup. 00:25:56.05\00:25:59.27 So, for patients who are on diabetic medications, 00:25:59.87\00:26:04.36 wanting to make a change, 00:26:04.74\00:26:06.71 we encourage you to work with your doctor, 00:26:07.24\00:26:09.17 say, you know I'm gonna try a lifestyle change. 00:26:09.22\00:26:11.20 I want to be letting you know, what my blood sugars are 00:26:12.48\00:26:14.27 as the blood sugars come down 00:26:14.48\00:26:16.06 stay in touch with your doctor, so he can adjust your insulin, 00:26:16.52\00:26:19.23 so that your blood sugars don't go too low. 00:26:19.69\00:26:22.49 You want to keep in touch with him, 00:26:22.84\00:26:24.39 so that you can make those adjustments as needed. 00:26:25.02\00:26:28.98 And, as you make these changes what should occur, 00:26:29.66\00:26:33.81 what you should be watching for, 00:26:34.03\00:26:35.17 is blood sugar should be dropping, 00:26:35.38\00:26:37.21 blood pressure should be dropping. 00:26:37.49\00:26:39.03 You would need to keep your doctor apprised to those, 00:26:39.52\00:26:41.54 so that if needed he can adjust your blood pressures down. 00:26:41.61\00:26:44.76 Weight should be dropping, 00:26:45.96\00:26:46.96 cholesterol levels should be dropping, 00:26:47.06\00:26:49.01 and again it would be good 00:26:49.34\00:26:50.52 to keep a check on your cholesterol, 00:26:50.53\00:26:52.01 because if you're on cholesterol medicines 00:26:52.09\00:26:53.75 you do have a good chance 00:26:53.80\00:26:55.08 of being able to get off your cholesterol medicines. 00:26:55.09\00:26:58.20 So you want to keep in touch with him, keep him appraised, 00:26:58.79\00:27:00.90 so that you're not over medicating yourself. 00:27:01.56\00:27:03.59 These are things that God has given us, 00:27:05.24\00:27:10.90 the plant-based foods, which can strengthen the body. 00:27:11.13\00:27:14.41 In many cases, reverse and heel 00:27:14.48\00:27:16.83 the body even after many damage has been done. 00:27:16.84\00:27:19.42 As we move back to the original diet 00:27:19.99\00:27:23.27 that was given to us in the Garden of Eden. 00:27:23.37\00:27:24.83 We find that many diseases and illnesses 00:27:25.17\00:27:27.59 can in fact reverse and improve. 00:27:28.06\00:27:30.86 So, I encourage you to take a challenge, 00:27:31.50\00:27:35.40 try some of these lifestyle changes 00:27:36.42\00:27:38.76 and I wish you God's blessing and His health, 00:27:39.46\00:27:44.69 for He does desire you to be in good health. 00:27:45.12\00:27:47.89 We thank you for listening 00:27:49.04\00:27:50.16 and we hope that you can experience the health 00:27:50.75\00:27:57.47 and strength that God desires you to have. 00:27:58.06\00:28:01.25 Again, thank you for listening. 00:28:01.98\00:28:04.28 We hope you'll tune in again next time for more talks. 00:28:04.44\00:28:07.67