How to Treat Prediabetes with Diet

Lifestyle Medicine Is the Standard of Care for Prediabetes
Nutritional Facts

For people with prediabetes, lifestyle modification is considered “the cornerstone of diabetes prevention.” Diet-wise, this means individuals with prediabetes or diabetes should aim to reduce their intake of excess calories, saturated fat, and trans fat. Too many of us consume a diet with too many solid fats and added sugars. Thankfully the latest dietary guidelines aim to shift consumption towards more plant-based foods.

Lifestyle modification is now the foundation of the American Association of Clinical Endocrinology guidelines, the European Diabetes Association guidelines, and the official standards of care for the American Diabetes Association. Dietary strategies include reducing intake of fat and increasing intake of fiber (meaning unrefined plant foods, including whole grains).

The recommendation to consume more whole grains is based on research showing that eating lots of whole grains is associated with reduced risk of developing type 2 diabetes. New research even suggests that whole grains may protect against prediabetes in the first place.

According to the American Diabetes Association’s official standards of care (which you can see in my video Lifestyle Medicine Is the Standard of Care for Prediabetes), dietary recommendations should focus on reducing saturated fat, cholesterol and trans fat intake (meat, dairy, eggs and junk food). Recommendations should also focus on increasing omega 3’s, soluble fiber and phytosterols, all three of which can be found together in flax seeds; an efficient, but still uncommon, intervention for prediabetes. In one study, about two tablespoons of ground flax seed a day decreased insulin resistance (the hallmark of the disease).

If the standards of care for all the major diabetes groups say that lifestyle is the preferred treatment for prediabetes because it’s safe and highly effective, why don’t more doctors do it? Unfortunately, the opportunity to treat this disease naturally is often unrecognized. Only about one in three patients report ever being told about diet or exercise. Possible reasons for not counseling patients include lack of reimbursement, lack of resources, lack of time, and lack of skill.

It may be because doctors aren’t getting paid to do it. Why haven’t reimbursement policies been modified? One crucial reason may be a failure of leadership in the medical profession and medical education to recognize and respond to the changing nature of disease patterns.

“The inadequacy of clinical education is a consequence of the failure of health care and medical education to adapt to the great transformation of disease from acute to chronic. Chronic disease is now the principal cause of disability, consuming three quarters of our sickness-care system. Why has there been little academic response to the rising prevalence of chronic disease?”

How far behind the times is the medical profession? A report by the Institute of Medicine on medical training concluded that the fundamental approach to medical education “has not changed since 1910.”

Dr Greger

Meat alert on the Hill

Congress Blogicon

 Announced in the quiet of Congressional recess, new data published this week by Consumer Reports indicates that ground beef often contains bacteria that causes sickness in humans and resists drug treatment. Congress should take note. Fortunately, the United States Department of Agriculture already rolled out meat substitutes in school lunches nationwide, replacing meat with equally protein-rich alternatives. It’s part of a shift in national dietary guidelines, and it’s long overdue. Our current approach to diets is not only unhealthy but also unsustainable.

Federally appointed health experts serving on the Dietary Guidelines Advisory Committee agree with this assessment and recommend a rethink on the future of American food and nutrition programs. Congress will want to pay attention, as the committee’s findings will have a major impact on what we eat.

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In submitting a scientific report to the Secretaries of the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Agriculture (USDA), this year’s committee recommended less meat and more plants as essential for the health of America’s population and the planet. Hundreds of prominent environmental and health leaders agree, submitting a letter to HHS Secretary Silvia Matthews Burwell and Agriculture Secretary Tom Vilsack, encouraging the adoption of sustainability standards and considerations.Influencing the Dietary Guidelines for Americans, a document published every five years by the HHS and USDA that guides U.S. food programs and nutrition policies, is a competitive space as innumerable meat and dairy industries are also interested in altering outcomes and have been fighting the committee’s recommendations. Industry realizes how big of a deal it is for HHS and USDA’s own Dietary Guidelines Advisory Committee to call for plant-based diets.

It’s unsurprising that industry would be on the defensive. The impact of the guidelines on American health and environment is substantial. It comes with the added benefit of modifying the National School Lunch Program and MyPlate (previously known as the food pyramid) and impacting millions of American diets, and millions of square miles of American farmland as well.

Industry shouldn’t drive our country’s dietary priorities, however, if it flies in the face of what we already know regarding what’s good for the planet and good for the American people.

There is no question that a plant-based diet is key to sustainability and our survival.

On the production front, for example, we know that a unit of beef protein contributes 150 times more greenhouse gas (GHG) emissions than a unit of soy protein. That’s a whopper of a difference. Pork and chicken also have a heavy carbon footprint but are only 20 to 25 times heavier in GHGs than soy. Additionally, cows, and their methane, are responsible for 65 percent of livestock emissions, more than any other species, and beef production requires nearly 30 times more grazing land than chicken or pork production.

Going further, when you consider organic farming versus conventional methods, the gains are even more pronounced as organic agriculture captures significantly more carbon than non-organic and industrial-scale farming, which is often much more water and resource intensive.  Organic farming’s health and environmental benefits, by avoiding pesticides, herbicides, hormones and genetic engineering, are also clear.

But it’s not just the environment that benefits from this and an immediate implementation of the committee’s dietary recommendations. Our health benefits as well. We need to shift away from diets featuring a heavy intake of meats (along with refined sugars and fats and oils), all of which is expected to increase agricultural emissions by 80 percent by 2050. By doing what’s sustainable for the planet, we also help prevent diabetes, heart disease, colorectal, ovarian and breast cancer, obesity, high blood pressure, and other diseases that lower life expectancy.

The good news is that we can do all of this without costing consumers more. By reducing animal products, we’re cutting out the middle person, which in this case is the cow, pig or chicken, and we’re going directly to the source: plants. We increase agricultural efficiency and effectiveness and ultimately feed more people. A Dutch study predicts that roughly 10.4 million square miles of grazing land would be immediately available, as well as 386,000 square miles of land that is currently growing crops for livestock.

As our population continues to grow (the U.S. has one of the fastest population growth rates in the developed world), we must think creatively and courageously about more sustainable diets. We simple do not have sufficient energy and water resources for a diet heavy in animal protein. The science committee points another path forward for HHS and USDA, and it’s one we must adopt soon. Do it for the health of this country. Do it for the American people. Do it for the heartland.

Shank is a professor at George Mason University’s School for Conflict Analysis and Resolution and writes in his personal capacity.

What Causes Diabetes?

Nutritional Facts

· June 26th 2015 ·

Saturated fat can be toxic to the insulin-producing beta cells in the pancreas, explaining why animal fat consumption can impair insulin secretion, not just insulin sensitivity.

Doctor’s Note

This is an installment in my year-long intermittent video series on the intricacies of the development of diabetes. Here are the first four with a bunch more to come:

Science Confirms Turmeric As Effective As 14 Drugs

Science Finds Ancient Spice Turmeric As Effective As 14 Drugs

Turmeric is one the most thoroughly researched plants in existence today.  Its medicinal properties and components (primarily curcumin) have been the subject of over 5600 peer-reviewed and published biomedical studies.  In fact, our five-year long research project on this sacred plant has revealed over 600 potential preventive and therapeutic applications, as well as 175 distinct beneficial physiological effects. This entire database of 1,585 ncbi-hyperlinked turmeric abstracts can be downloaded as a PDF at ourDownloadable Turmeric Document page, and acquired either as a retail item or with 200 GMI-tokens, for those of you who are already are members and receive them automatically each month.

Given the sheer density of research performed on this remarkable spice, it is no wonder that a growing number of studies have concluded that it compares favorably to a variety of conventional medications, including:

  • Lipitor/Atorvastatin(cholesterol medication): A 2008 study published in the journal Drugs in R & D found that a standardized preparation of curcuminoids from Turmeric compared favorably to the drug atorvastatin (trade name Lipitor) on endothelial dysfunction, the underlying pathology of the blood vessels that drives atherosclerosis, in association with reductions in inflammation and oxidative stress in type 2 diabetic patients. [i]  [For addition curcumin and ‘high cholesterol’ research – 8 abstracts]
  • Corticosteroids (steroid medications): A 1999 study published in thejournal Phytotherapy Research found that the primary polyphenol in turmeric, the saffron colored pigment known as curcumin, compared favorably to steroids in the management of chronic anterior uveitis, an inflammatory eye disease.[ii]  A 2008 study published in Critical Care Medicine found that curcumin compared favorably to the corticosteroid drug dexamethasone in the animal model as an alternative therapy for protecting lung transplantation-associated injury by down-regulating inflammatory genes.[iii] An earlier 2003 study published in Cancer Lettersfound the same drug also compared favorably to dexamethasone in a lung ischaemia-repurfusion injury model.[iv]  [for additional curcumin and inflammation research – 52 abstracts]
  • Prozac/Fluoxetine & Imipramine  (antidepressants): A 2011 study published in the journal Acta Poloniae Pharmaceutica found that curcumin compared favorably to both drugs in reducing depressive behavior in an animal model.[v] [for additional curcumin and depression research – 5 abstracts]
  • Aspirin (blood thinner): A 1986 in vitro and ex vivo study published in the journal Arzneimittelforschung found that curcumin has anti-platelet and prostacyclin modulating effects compared to aspirin, indicating it may have value in patients prone to vascular thrombosis and requiring anti-arthritis therapy.[vi]  [for additional curcumin and anti-platelet research]
  • Anti-inflammatory Drugs: A 2004 study published in the journalOncogene found that curcumin (as well as resveratrol) were effective alternatives to the drugs aspirin, ibuprofen, sulindac, phenylbutazone, naproxen, indomethacin, diclofenac, dexamethasone, celecoxib, and tamoxifen in exerting anti-inflammatory and anti-proliferative activity against tumor cells.[vii] [for additional curcumin and anti-proliferativeresearch – 15 abstracts]
  • Oxaliplatin (chemotherapy drug): A 2007 study published in theInternational Journal of Cancer found that curcumin compares favorably with oxaliplatin as an antiproliferative agenet in colorectal cell lines.[viii][for additional curcumin and colorectal cancer research – 52 abstracts]
  • Metformin (diabetes drug): A 2009 study published in the journalBiochemitry and Biophysical Research Community explored how curcumin might be valuable in treating diabetes, finding that it activates AMPK (which increases glucose uptake) and suppresses gluconeogenic gene expression  (which suppresses glucose production in the liver) in hepatoma cells. Interestingly, they found curcumin to be 500 times to 100,000 times (in the form known as tetrahydrocurcuminoids(THC)) more potent than metformin in activating AMPK and its downstream target acetyl-CoA carboxylase (ACC). [ix]

Another way in which turmeric and its components reveal their remarkable therapeutic properties is in research on drug resistant- and multi-drug resistant cancers.  We have two sections on our site dedicated to researching natural and integrative therapies on these topics, and while there are dozens of substances with demonstrable efficacy against these chemotherapy- and radiation-resistant cancers, curcumin tops both lists:

We have found no less than 54 studies indicating that curcumin can induce cell death or sensitize drug-resistant cancer cell lines to conventional treatment.[x]

We have identified 27 studies on curcumin’s ability to either induce cell death or sensitize multi-drug resistant cancer cell lines to conventional treatment.[xi]

Considering how strong a track record turmeric (curcumin) has, having been used as both food and medicine in a wide range of cultures, for thousands of years, a strong argument can be made for using curcumin as a drug alternative or adjuvant in cancer treatment.

Or, better yet, use certified organic (non-irradiated) turmeric in lower culinary doses on a daily basis so that heroic doses won’t be necessary later in life after a serious disease sets in.  Nourishing yourself, rather than self-medicating with ‘nutraceuticals,’ should be the goal of a healthy diet.  [learn more at Sayer Ji’s new collaborative project EATomology]

Resources

600 Reasons Turmeric May Be The World’s Most Important Herb

FRN

Dec 28, 2014

By Sayer Ji • Originally published on Greenmed.info

There is a medicinal spice so timelessly interwoven with the origins of human culture and metabolism, so thoroughly supported by modern scientific inquiry, as to be unparalleled in its proven value to human health and well-being.

Indeed, turmeric turns the entire drug-based medical model on its head. Instead of causing far more side effects than therapeutic ones, as is the case for most patented pharmaceutical medications, turmeric possesses hundreds of potential side benefits, having been empirically demonstrated to positively modulate over 160 different physiological pathways in the mammalian body.

While no food or herb is right for everyone, and everything has the potential for unintended, adverse side effects, turmeric is truly unique in its exceptionally high margin of safety vis-à-vis the drugs it has been compared with, e.g. hydrocortisone, ibuprofen, chemotherapy agents. Furthermore, nothing within the modern-day pharmaceutical armamentarium comes even remotely close to turmeric’s 6,000 year track record of safe use in Ayurvedic medicine.

Despite its vast potential for alleviating human suffering, turmeric will likely never receive the FDA stamp of approval, due to its lack of exclusivity, patentability and therefore profitability. Truth be told, the FDA’s “gold standard” for proving the value of a prospective medicinal substance betrays the age old aphorism: “he who owns the gold makes the rules,” and unless an investor is willing to risk losing the 800+ million dollars that must be spent upfront, the FDA-required multi-phased double-blind, randomized clinical trials will not occur. For additional details on this rather seedy arrangement read my article on the topic: Why The Law Forbids The Medicinal Use of Natural Substances.

At GreenMedInfo.com, we have reviewed over 5,000 study abstracts from the National Library of Medicine’s bibliographic database known as MEDLINE and have discovered over 600 potential health benefits of turmeric, and/or its primary polyphenol known as curcumin. These can be viewed on ourturmeric research page which is dedicated to disseminating the research on the topic to a larger audience.

Some of the most amazing demonstrated properties include:

Again, what is so amazing is not that turmeric may have value in dozens of health conditions simultaneously, or that it may improve conditions that are completely resistant to conventional treatment, but that there are over six hundred additional health conditions it may also be valuable in preventing and/or treating. Consider also the fact that turmeric grows freely on the Earth, and you will understand why its very existence threatens billions of dollars in pharmaceutical industry revenue.

Learn more about this research in the video below (keeping in mind that it is several years old and needing some updating), and please spread the information to others who may benefit from learning more on the topic.

From Ocean Robbins, Food Revolution Network CEO:

Many of our members have been asking how much curcumin to take, how to take it in a bioavailable form, and where to get curcumin from a source they can trust. The challenge with taking full advantage of the curcumin in turmeric is low bioavailability. Personally, I love mixing fresh and dried turmeric into all sorts of foods – and I always try to include black pepper with it, because studies show that piperine (found in black pepper) helps to increase absorbability. But now Quantum Wellness Botanical Institute has developed a curcumin supplement that includes a potent delivery enhancer (made using organic lecithin and organic turmeric oil) which they say has been found to increase bioavailability by 500%. Their supplement is 100% vegetarian, organic, soy-free and non-GMO. Click here if you’d like to find out more.

About Sayer Ji: Sayer Ji is the founder of GreenMedInfo.com, an author, educator, Steering Committee Member of the Global GMO Free Coalition (GGFC), and an advisory board member of the National Health Federation.

Click here for some tips on how to enjoy turmeric. Or post your favorite ways in the comments, below!

Ginger for Migraines

Nutritional Facts

· June 10th 2015 ·

An eighth teaspoon of powdered ginger found to work as well as the migraine headache drug sumatriptan (Imitrex) without the side-effects.

Doctor’s Note

These are my favorite kind of videos to do, offering something that is immediately practical, cheap, safe, and effective to reduce suffering. If this kind of information helps you or someone you love I hope you’ll consider making a tax-deductible donation to help keep this website going. I don’t personally accept any financial compensation but do have a growing staff and server costs to cover and any help you could give would be much appreciated (and there are perks!).

For more on ginger root:

Avoiding aspartame (Aspartame and the Brain) and using lavender may also help (Lavender for Migraine Headaches). If you have cluster headaches, ask your physician about capsaicin (Hot Sauce in the Nose for Cluster Headaches?).

If you haven’t yet, you can subscribe to my videos for free by clicking here.

Discover the Surprising Truth About the GI

GI.

Short for the Glycemic Index.

Okay, maybe you’ve heard of it.

Maybe you haven’t.

But the weight loss industry is currently abuzz about your Glycemic Index; on the cover of a recent diet book The New Glucose Revolution, it’s even being touted as ‘the dietary solution for lifelong health.’

So what’s the real truth?

Let’s begin at the beginning.

Fruit pile isolated on white background

The Glycemic Index was conceived in 1981 by a scientist named David Jenkins at the University of Toronto. It was initially developed as a tool for the dietary management of type 1 diabetes; Jenkins was investigating the impact of different carbohydrates on blood sugar levels.

The Glycemic Index (GI) ranks carbohydrate-containing food based on how quickly they elevate blood sugar levels. High GI values are associated with carbohydrates that are quickly ingested, spiking blood sugar levels. Conversely, a low GI value is given to carbohydrates that are slowly digested, releasing glucose gradually into the bloodstream. Most refined carbohydrate-rich foods have a high GI while non-starchy vegetables, fruits and legumes tend to have a low GI.

While an interesting concept, the Glycemic Index remains both problematic and incomplete in terms of giving us real nutritional guidance.May14_GI_Illustrative7

To begin with, the GI is highly variable and somewhat unreliable. A number of factors influence the GI value including the physical structure of the carbohydrate, how the food is processed and prepared and the presence of other nutrients in the food (protein, fat). Complicating matters more, the GI can vary between individuals and even fluctuate in the same individual.

Secondly, the GI is incomplete as an assessment tool. When choosing the best foods to eat, it is essential to consider its nutrients rather than evaluating it solely on its GI. Some high GI foods are brimming over with nutrients while some low GI foods are poor in nutritional value. A potato chip enjoys a lower GI but is devoid of nutritional value while a baked potato with its higher GI is packed with healthful nutrients.

Probably the biggest flaw with the GI is it assesses carbohydrates in isolation. The reality is that most of the time carbohydrates are consumed within the context of a ‘mixed meal’ alongside proteins and fats. This is extremely important because proteins and fats also have a direct effect on the blood glucose response and GI.Heap of mixed rice on white background

Several studies clearly demonstrate that when you add protein to a meal containing carbohydrates, the blood sugar may decrease but your insulin response spikes dramatically. In other words, the presence of protein exponentially increases the insulin spike compared to what it would be if the carbohydrate had been ingested on its own. (The same is true when you mix fat with carbohydrates).

What’s more, some protein- and fat-rich foods release as much insulin as carbohydrate-rich foods (and meat protein alone may induce insulin secretion as high as pure glucose.) This is all the more important given the fact that high insulin levels are linked to a number of diseases including obesity, metabolic syndrome, and type 2 diabetes.

Ample evidence exists showing that a plant-based diet—i.e. a diet that is 100% free of animal protein–naturally optimizes blood sugar levels and enjoys a relatively low daily insulin secretion (despite its high consumption of carbohydrates.)

Not convinced? David Jenkins (the man who invented the GI in the first place!) himself eats a whole food plant-based diet. He explains that plant-based eaters are thinner, have lower cholesterol and blood pressure levels, a reduced risk of coronary heart disease, type 2 diabetes and lower cancer rates.

So maybe it’s time to stop worrying about a food’s GI count. And simply start digging into all the whole grains, fruits and vegetables, beans and lentils, nuts and seeds with their great wealth of enriching nutrients.

Vitamin E

Vitamin E

You may have heard of Vitamin E buzzing around the beauty industry, or heard of foods rich in this vitamin to help protect your skin and even fight the looks of aging. And you’d be right in that your skin is one of the biggest benefits that this vitamin can provide for your health, but it’s also important for other functions in the body as well.  Vitamin E is a powerful, fat-soluble antioxidant that helps protect cell membranes against damage caused by free radicals and prevents the oxidation of LDL cholesterol. The term vitamin E encompasses a group of eight compounds, called tocopherols and tocotrienols, that comprise the vitamin complex as it is found in nature.

Vitamin E is a fat-soluble vitamin that acts as an  antioxidant in the body. It helps protect cell membranes against free radicals that cause damage to your skin and also prevents the oxidation of unhealthy cholesterol (LDL) that can lead to heart disease. Vitamin E is found abundantly in plant-based sources, as you’ll learn more about below.

Work this important vitamin into your diet with out tips, recipes, and learn more about how Vitamin E can benefit you.

  • OVERVIEW

    Vitamin E is crucial for the maintenance of skeletal, cardiac, and smooth muscle. It also assists in the formation of red blood cells and helps to maintain stores of other vitamins, such as Vitamin A, K, and the important minerals iron and selenium. Since it is a fat-soluble vitamin, it’s important that you eat enough healthy fats in your diet (preferably with meals) so your body can absorb the Vitamin E you’re also eating. Since Vitamin E is found in some plant-based sources of healthy fats, it’s quite easy to make sure you get enough. Though a deficiency in this vitamin is rare, it’s helpful to make it a point to eat foods with Vitamin E on a regular basis.

  • BENEFITS

    Vitamin E plays a role in immune system health, protects the heart against oxidative stress that leads to disease, prevents against cancer, Alzheimer’s, and even some diabetes-related health issues.

  • DAILY RECOMMENDED INTAKE

    The DRI (daily recommended intake) of Vitamin E for adults ages 14 and older is 15 milligrams. or 22-23 international units (IU). Mothers who are breastfeeding should increase their dosage to 19 mg (or 28.5 IU). Keep in mind that if you take a supplement with additional Vitamin E, there’s a small risk of toxicity since most multivitamins don’t have enough to cause an overdose when taken in combination of dietary sources, however, you should be sure to keep all sources (through your diet and supplements) away from high heat temperatures and exposure to air since it can cause the vitamin to go rancid and lose potency.

  • DIETARY SOURCES

    Good sources of Vitamin E in a plant-based diet are:

    • all nuts
    • all seeds
    • avocados
    • spinach
    • rice bran tocotrienols
    • wheat germ (contains 100 percent in just a tablespoon!)
    • whole grains
    • broccoli
    • mango
    • tomatoes
    • kiwi fruit
    • Swiss chard
    • olives
    • mustard greens
    • asparagus
    • beet greens
    • turnip greens

This content provided above is for informational purposes only and is not a substitute for medical advice, diagnosis or treatment.