Participants: Don Mackintosh (Host), Neil Nedley
Series Code: HFAL
Program Code: HFAL000227
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00:50 - Hello, welcome to Health For a Lifetime.
00:52 I'm your host Don Mackintosh. 00:53 Today we're going to be talking about diabetes and sugar. 00:57 And talking about these subjects which are related in ways 01:01 that we will understand more fully. 01:03 This is Dr. Neal Nedley. 01:04 Dr. Nedley, we're glad that you are with us again. 01:06 - Thank you, it's good to be here. 01:07 - You have a ministry that is both clinical and you're a 01:12 physician in internal medicine but also in education. 01:17 We appreciate the time you spend here at 3ABN. 01:19 I get all kinds of comments about people that are watching 01:23 these programs and they are very helpful. 01:25 - We certainly hope this one is too. 01:28 - We are going to be talking about sugar, diabetes, fiber, 01:33 and all these different things and how they interact. 01:37 - Yes, and actually I have a title of one of my chapters 01:41 in Proof Positive entitled Sweet Tooth - Bitter Harvest. 01:44 The sweet tooth does lead to a bitter harvest. 01:48 I've met a lot of diabetics who when they're first diagnosed 01:52 with diabetes say, 01:53 "I'm not going to let this disease change me. " 01:56 If they say that, the disease is going to change them in ways 02:01 that they have no control over. 02:02 What they're meaning is, 02:03 "I'm not going to change the way I'm eating, what I'm doing 02:07 I don't want to have to change and so I won't let this disease 02:10 change me, I'll just take the drugs and insulin and control 02:13 it that way. 02:14 But if they have that approach, the disease is going to change 02:17 them in ways they have no control over. 02:19 For instance: diabetic retinopathy. 02:22 81% chance if your diabetes is uncontrolled or if you have 02:28 it long enough, you're going to get into eye disease. 02:30 The leading cause of blindness in the United States is diabetes 02:35 that has not been controlled. 02:36 Neuropathy - very painful condition in that it can lead 02:41 to loss of limbs, even. 02:42 Decrease in circulation. 02:44 Heart attack 4 times as likely in diabetics. 02:46 Strokes remarkably more likely in diabetics. 02:50 If you have a stroke, nephropathy, kidney disease 02:54 as well - half of the people in every dialysis center 02:57 in the country are there because of uncontrolled diabetes 03:03 in their lifetime. 03:05 And they wouldn't have needed dialysis had it 03:07 not been for that. 03:08 So these things dramatically change people's lives. 03:12 And it is because they didn't want to change 03:13 their life earlier that now their life is changed 03:17 severely for the worse in ways that are irreversible 03:19 at this point. 03:21 So we tell people when they're first diagnosed with diabetes - 03:24 first borderline elevation in blood sugar - 03:27 this is the time to get serious, to change your life now 03:31 so that your life can maintain a high quality for a long time. 03:36 - So diabetes, has it really skyrocketed also because 03:41 of the obesity in America and around the world? 03:42 - Yes, it has. The higher the weight 03:45 the higher the diabetes rate. 03:47 The waistlines are increasing and diabetes goes up as well. 03:51 Now 1/3 of Americans are either diabetic or pre-diabetic. 03:56 In other words they are a borderline diabetic 03:58 not quite to the point of being a frank diabetic. 04:01 But the pre-diabetics as well - fasting blood sugar is greater 04:06 than 95 for instance, but maybe not as high as 125 which is 04:09 what is required to diagnose diabetes. 04:12 Those people also have an increased risk of all the 04:16 diseases I mentioned. 04:17 - OK, so it's not something to just minimize, 04:20 it's not something to sweep under the rug, 04:22 you really need to know your numbers. 04:23 - That's right, really need to know your numbers. 04:26 - Talk with us about what it is we can do to prevent or 04:31 avoid... what kind of things should we be involved in doing? 04:35 - One of the things we need to recognize is the standard diet 04:39 that has been used for years for diabetics is a diet that 04:42 is going to worsen the complications of the disease. 04:45 For years diabetics have thought that meat 04:50 was a good food for that. 04:51 - Why have they thought that? 04:52 - They thought that because meat is a 04:54 carbohydrate deficient food. 04:55 Since the disease is associated with high blood sugars 04:59 its thought, let's not eat anything with carbohydrates 05:02 and then our sugars will be controlled. 05:04 And it's true, transiently, if you eat a carbohydrate 05:07 deficient diet, your blood glucoses may appear to be 05:12 controlled, but unfortunately meat is high in cholesterol, 05:16 high in saturated fat, it is high in animal protein, 05:21 and those substances dramatically increase the 05:24 complications of the diabetes. 05:28 In other words - heart disease, stroke, and kidney disease. 05:31 On the one hand you may be comforting yourself that your 05:33 blood sugars seem to be more controlled for the short term, 05:37 but in the long run you're exhilarating your risk of 05:40 complications and worse yet exhilarating your risk of death. 05:44 We have a graphic that illustrates this: 06:09 What we recommend for our diabetics is to take note of 06:12 this, the less you eat meat the better. 06:15 And really, if you're eating meat not at all 06:18 your risk of complications of diabetes is far better. 06:22 - OK, because of all the other things it increases: 06:26 hyperinsulinemia, hypercholesterolemia, 06:29 all those different things are what they call 06:31 the deadly quartet, right? 06:33 - That's right. 06:34 - You take one away, but you still have the trio playing. 06:38 OK, so avoiding the meat - then what do you put 06:40 in the place of that? 06:42 - Well, what you put in the place of that is 06:44 complex carbohydrates that are low in saturated fat. 06:48 Then you end up still controlling the blood sugar. 06:53 If you can control the blood sugar 06:54 with complex carbohydrates. 06:56 - So, like what? 06:57 - Those are whole grains. 06:59 Refined grains are going to have more of your 07:01 simple carbohydrates, not the complex. 07:04 And so you want whole grains, whole vegetables, 07:08 and nuts in moderation. 07:11 - So whole grains, like the whole cob of corn 07:15 instead of cream corn? 07:19 - Yes, that would be an example, although corn 07:22 is normally classified as a vegetable not a grain. 07:26 Instead of white bread, whole wheat bread. 07:30 Instead of white rice, brown rice. 07:34 The idea is to get whole grains. 07:38 - What are the benefits from doing that? 07:41 - Benefits of doing that is your post perandial blood sugar 07:43 don't skyrocket like it does with white bread 07:46 For instance, the blood sugars will be much more controlled. 07:52 The whole grain also lowers the cholesterol level by binding 07:58 on the cholesterol in the gut and removing it. 08:01 - What about a high fiber diet? Does it help at all? 08:04 - Absolutely! High fiber is an essential part 08:07 of a diabetic's diet. 08:09 What fiber will do... There's actually two types 08:15 of fiber - two main types of fiber. 08:17 Sometimes we talk about fiber - that would be like talking about 08:21 vitamin- which vitamin are you talking about? 08:25 Well there's a number of different fibers, there's 08:27 pectins, gums, and each one of them have different role to play 08:33 but the two main groups of fibers are your 08:37 insoluble fiber and then the soluble fiber. 08:41 The insoluble fiber is what most people think about when they 08:44 think of fiber because that's the fiber that helps 08:47 constipation, it prevents varicose veins, hemorrhoids, 08:51 and that's fiber that's really good for your colon. 08:55 That fiber is abundantly available in most fruits, 08:58 vegetables, grains, and even nuts. 09:02 So, if you're eating a whole plant based diet 09:04 you're going to get plenty of insoluble fiber. 09:07 However, the soluble fiber is a little harder to come by. 09:10 But this is what is going to lower your cholesterol level 09:13 because it binds onto cholesterol in the gut 09:16 and removes it. 09:17 It's also going to lower your blood sugar levels 09:20 because it allows for a much slower absorption of the glucose 09:26 after it's broken down than when the soluble fiber 09:29 is not on board, so it significantly controls the 09:32 post-perdanial blood sugars and prevents those spikes 09:35 in blood sugar. 09:36 - Well, we have a couple graphics that we want to look at 10:10 - That was a study that was done by Dr. Anderson in Kentucky. 10:15 He was one of the first to demonstrate this. 10:17 - What do you mean by glycemic control? 10:20 - Well, glycemic control is really those post-perdanial 10:23 sugars - post meal blood sugars. 10:25 What we are looking for in a diabetic is a post-meal 10:28 blood sugar less than 140 one hour after they eat. 10:32 For anyone who is a diabetic listening today, I would 10:36 recommend... You know a lot of diabetics 10:38 they check their fasting blood sugar or their pre-meal 10:40 blood sugars, they might do this routinely... 10:43 but I recommend in my diabetics at least twice a week get a 10:46 post perdanial blood sugar reading. 10:47 Get a blood sugar reading one hour afterwards. 10:51 A lot of diabetics are fairly controlled with four meals 10:54 and they have no clue that their blood sugar is spiking at 300 10:57 after a meal and half of their day is spent in the 11:01 post perdanial state. 11:02 So they might be missing half of their readings 11:05 and so when we do the hemoglobin A1C, which is their 11:07 average blood sugars throughout the day, we might find 11:11 high readings and we look at their fasting blood sugars - 11:14 Wow, something is not co-relating here. 11:16 And that's when we have to get the post perdanial blood sugars 11:19 and find out. 11:20 - Why would those be so different? 11:22 - Well, because if they're on certain medications for instance 11:27 medications can control the basal blood sugars 11:31 and will not control the post perdanial blood sugars. 11:36 It outstrips the ability of the medicine to control it - 11:41 post meals. 11:42 One of those medicines for instance is Glucophage 11:46 or Metformin. 11:47 Metformin does well in controlling the basal or 11:51 the pre meal blood sugars, but it does very little to control 11:55 the post meal blood sugars. 11:56 - So why don't you just put them on that to begin with, 11:59 medications that will help with that? 12:02 - There aren't too many medications that help 12:06 with post perdanial other than insulin. 12:08 There's another one called Starlex that helps with that. 12:13 Starlex doesn't do very well with pre meals and also 12:17 those medicines can have side effects as well. 12:20 Yes, we have to use them in a number of diabetics 12:23 to try to control them. 12:24 But the best way of controlling it, clearly, is through diet 12:29 and physical activity and exercise. 12:31 - Irregardless, if your on medication? 12:34 That's right. 12:35 And you'll need a lot less medicine if you're habitually 12:39 exercising and we recommend exercise after meals - 12:43 moderate exercise after meals is a very effective way of 12:46 bringing that blood sugar 280 down to about 12:48 140 an hour post meal. 12:50 - So you talked about good sources of 12:52 soluble and insoluble fiber and I think we have a graphic 12:55 on that as well. 12:56 - Yes, we have a graphic on the soluble fiber: 13:39 A lot of people don't realize carob, although it's naturally 13:42 sweet, is very high in soluble fiber and is a very good food 13:45 for a diabetic as long as they don't dump sugar into it 13:48 you really don't need to because carob has natural 13:50 sweetness to it. 13:51 - Well, that's good news, you can have some things 13:52 that are sweet. 13:53 That's right, and good for you, and will help control your 13:57 post perdanial blood sugars. 13:58 - We're talking with Dr. Neal Nedley, 14:00 we're talking about diabetes, if you have that diagnosis 14:04 or if you are pre-diabetic, this program is especially for you 14:08 and for everyone in a country where diabetes is sky-rocketing. 14:12 Join us when we come back to talk more 14:14 about this important subject. 14:19 Are you confused about the endless stream of new and often 14:23 contradictory health information, 14:25 with companies trying to sell new drugs, 14:28 special interest groups paying for studies that spin the facts? 14:31 Where can you find a common sense approach to health? 14:34 One way is to ask for your free copy of Dr. Arnott's 14:38 24 realistic ways to improve your health. 14:40 Dr. Timothy Arnott and the Lifestyle Center of America 14:43 produced this helpful booklet of 24 short practical 14:46 health tips: 14:53 for example: 15:06 If you're looking for help not hype, 15:08 then this booklet's for you. 15:19 - Welcome back. 15:20 We're talking with Dr. Neil Nedley. 15:21 We're talking about diabetes. 15:23 And we've talked about, first of all, the problems 15:26 that can come from diabetes. 15:27 Dr. Nedley, this is not something to minimize at all. 15:32 You said blindness can come from this 15:34 all these small capillaries are first off effected 15:37 and everything that has small capillaries feeding it, 15:40 is at risk - kidneys, all these other things. 15:43 - Yes, it effects a lot of organ systems and causes 15:47 a lot of misery in this world. 15:49 It's really misery that is preventable. 15:53 Diabetes can be prevented in and of itself even though there's 15:57 a genetic basis for it. 15:59 You can have the bad genes for diabetes and never end up with 16:02 the disease if you're eating a good diet and if you're 16:04 exercising regularly. 16:06 You can live into your 80's without ever getting it. 16:08 And if you don't ever get diabetes, you don't have to 16:10 worry about the complications. 16:12 If you do get diabetes, you still don't have to have the 16:14 complications if you follow the program that we're 16:17 outlining here today. 16:18 - So we've said avoid meat, and then we said replace meat 16:22 with complex carbohydrates. 16:25 We said add soluble fiber... 16:27 - soluble fiber, legumes, as you noticed lima beans, 16:30 kidney beans - quite high in the soluble fiber 16:32 carob, another legume... 16:34 - And now you want to talk to us about monounsaturated fats. 16:40 - Yes, this is the type of fat that is best for controlling 16:46 blood sugars. 16:47 Now, diabetics need fat in their diet. 16:50 All of us need fat in our diet. 16:53 But most Americans are getting too much fat. 16:57 Most Americans are getting way too much saturated fat 16:59 and so are diabetics. 17:01 Saturated fat is going to drive the cholesterol levels up, 17:04 its going to cause the HDL cholesterol to go down 17:08 Polyunsaturated fat is better for diabetics because it will 17:11 lower their triglycerides, and lower particularly their 17:15 cholesterol levels. 17:17 There's a type of polyunsaturated fat 17:19 called Omega 3 fats that are particularly 17:21 useful for diabetics because of doing both of those things 17:25 controlling the cholesterol as well as the triglycerides. 17:29 But the type of fat that is most left out when we discuss fat 17:33 is monounsaturated fat - that's kind of between the 17:37 saturated fat and the polyunsaturated fat. 17:40 Monounsaturated means it's just one double bond 17:43 involved in the molecule. 17:45 Saturated fat, there's no double bond - 17:48 it's completely saturated. 17:49 The polyunsaturated has at least two or three or maybe 17:52 more double bonds in the fat molecule. 17:56 The advantage of the monounsaturated fat is this 17:58 helps to control the blood sugars and it also improves 18:02 the HDL which tends to be a little low in diabetics. 18:05 HDL is the good cholesterol that we like to have 18:07 up instead of down. 18:09 - So what are some foods that are... 18:11 - Well, we have a graphic: 18:55 - Now, what if you have gallbladder disease? 18:58 - If you have gallbladder disease you want to eat 19:03 a low fat diet. 19:04 You'll still need to eat some fat, but you'll want a 19:07 lower fat diet. 19:08 Even diabetics - I'm not recommending those foods 19:11 that we listed, that they eat an abundance of them. 19:14 Olives might be OK to do that. 19:16 But the olive oil, even the pecans and macadamia - 19:20 basically we're just recommending a fist-full a day. 19:24 That will help them significantly and it's not a 19:28 large amount, but a fist-full of nuts spread out or 19:32 at one meal a day isn't going to cause a significant problem 19:37 with your gallbladder. 19:38 - You know lots of times when people say they have diabetes, 19:41 lots of times they say, "I have sugar. " 19:43 - Yes, that's right - high blood sugar. 19:47 - High blood sugar is what they're talking about. 19:48 "I got the sugar," but what can you tell us about sugar 19:53 as it relates to diabetes? 19:55 - Sugar is not good for a diabetic. 19:59 Their sugars are already high and if we poor on more sugar 20:01 in the diet their going to go up higher yet. 20:03 Refined sugar is not a good nutrient, it's an empty calorie, 20:10 it doesn't have nutrients with it. 20:12 We recommend avoidance of refined sugar. 20:17 Sugar does some other things, too, besides just causing the 20:20 blood sugar levels to go up and that will increase the 20:23 complications of the disease when the blood sugars are higher 20:26 the eye disease, kidney disease, heart disease, 20:29 all of that becomes even higher yet. 20:32 But in addition, it decreases the ability of their white 20:35 blood cells to destroy bacteria. 20:39 The average nutrifill - one nutrifil - which is a type of 20:43 white blood cell, can destroy a number of bacteria 20:48 But when you have sugar on board it goes down significantly 20:52 This study on the screen is from Loma Linda University 20:55 showing that the average nutrifil will destroy: 21:19 You've cut the ability of the nutrifil by over 90% 21:23 by consuming that 24 teaspoons of sugar. 21:26 - Let's say that you had a Root Beer Float. 21:29 - Root Beer Float would be close to that 24 teaspoons. 21:34 Malted milk, for instance, very high. 21:39 I've seen some malted milks have up to 42 teaspoons of sugar. 21:45 - 42 TEASPOONS?! - 42 teaspoons of sugar. 21:48 - How do you get that much in there? 21:51 - Good question. It's packed in there. 21:53 It's disguised with a liquid, and with the chocolate 21:57 and all of that type of thing. 21:58 You know whenever you have chocolate on board 22:00 there's a lot of sugar. 22:02 Although cocoa can have some antioxidant properties, 22:05 cocoa is very bitter. 22:06 So to get that bitterness out of there, they have to dump 22:10 in a lot of sugar and the same is true 22:12 of the malted or chocolate milk. 22:14 They have the cocoa in there but they have to dump in a 22:17 lot more sugar so it doesn't taste like there's 22:19 42 teaspoons in there - but there is. 22:23 - Can we go back to the fat for a minute because you said 22:26 that monounsaturated fats are helpful for the diabetic. 22:28 But you said that saturated fats are not helpful. 22:33 Tell me what the saturated fat do, why is it not helpful? 22:37 - Saturated dramatically increases the liver's production 22:41 of cholesterol. 22:42 Diabetics already tend to have a cholesterol problem 22:46 just because of their diabetes 22:48 and they add saturated fat, it's like adding fuel to the fire 22:51 significantly increasing their cholesterol levels. 22:55 In addition it does also decrease the sensitivity 22:59 of their cells to insulin. 23:01 So blood sugars can go up. 23:03 If we put someone on a saturated fat diet even though 23:06 it's low in carbohydrates, their blood sugars will actually go up 23:09 because of the decrease in sensitivity to insulin. 23:12 - So the insulin is not allowing the sugar they 23:15 do eat to even go in their cells? 23:17 - That's right, the insulin is not being able to do its work 23:20 because the cells are resistant to it. 23:23 The pancreas of many diabetics, the type 2 diabetics, 23:27 the pancreas is still working to some extent. 23:29 It's still putting out insulin, in fact the average diabetic 23:32 when they are diagnosed, they're putting out four times as much 23:35 insulin from their pancreas as a non-diabetic. 23:38 They are trying to control those elevated blood sugars, but 23:42 its outstripping the pancreas ability to be able to produce 23:46 the insulin. 23:47 The problem is not a under-production of insulin 23:50 but the problem is actually an under-sensitivity 23:54 What we call insulin resistance syndrome. 23:58 Some people have identified that or abbreviated that - IRS. 24:05 Of course with the IRS, you pay now or you pay later. 24:10 The diabetic it's the same thing. 24:13 If they don't pay now, in other words, change now 24:16 they will pay later - dramatically. 24:20 - Alright, so that explains the fat. 24:21 We've talked a little bit about the sugar, but you have more 24:24 concerns about the sugar than just decreasing the ability 24:27 to get rid of bacteria. 24:30 - That's right. 24:31 There are other problems with excess sugar in the diet. 24:34 Those problems, actually, can lead to what we call 24:40 free radicals. 24:41 There was an interesting study done on someone just consuming 24:45 a soda pop vs. water. 24:47 When they consume a soda pop the amount of free radicals 24:50 in their blood stream dramatically go up. 24:53 Free radicals increase the risk of cancers, increase the risk of 24:56 athersclerosis and water, of course, will not do that. 25:00 The excess sugar in the diet will. 25:02 - So free radicals are like these things 25:04 are just banging off everything, right? 25:06 - They're banging off, they can change genetic material, 25:09 they can destroy, they can cause premature aging, a number of 25:14 things that the free radicals do. 25:16 The slide that we have show: 25:51 There hasn't been a lot of studies done on the risk factors 25:54 for cancers of the nervous system 25:56 but we know that's one of them. 25:57 That would be brain cancer and spinal tube cancer. 26:00 - We've got a lot of information I want to bring together in just 26:03 a practical question. 26:04 A diabetic gets up in the morning, what should he do 26:06 in the morning all the way through the evening? 26:08 - Well, the first thing he ought to do is exercise. 26:11 - Before breakfast? 26:13 - Before breakfast is good or after breakfast, either one. 26:17 We would recommend if they're having problems with their 26:21 fasting blood sugars being elevated to exercise before. 26:25 If they are not, their fasting blood sugar's are controlled, 26:28 it's probably better for them to exercise after breakfast 26:30 if they can. 26:31 - What should they have for breakfast?... 26:33 Oatmeal, whole grains... 26:37 - Oatmeal is excellent, they could have some toast, 26:41 they could have some pecans on their toast or pecan butter. 26:46 - What about a banana or apple? 26:47 - Banana and apple are OK, now the tropical fruits we would 26:50 recommend they avoid... the mangoes, even grapes, 26:56 those type of things can raise those 26:58 post perandial blood sugars. 26:59 - After breakfast, what do they do? 27:00 No meals in between meals? 27:02 - That's right, nothing in between meals. 27:04 If need be they exercise after the meal to control the 27:10 post perandial blood sugars. 27:11 At lunch time we emphasize the vegetables primarily. 27:15 Legumes are excellent for the diabetic at lunch. 27:18 Then at supper little, if anything. 27:22 In fact the more they eat in the evening, the greater the 27:25 complications of diabetes. 27:27 - We've been talking with Dr. Neal Nedley 27:29 We've talked about some things that offer hope to those who 27:33 have the diagnosis of diabetes. 27:34 Of course it's better to avoid it, but if you do, you've got 27:37 a game-plan and you have some resources as well 27:40 If you go to nedleypublishing. com 27:43 you can get Dr. Nedley's book, Proof Positive, 27:46 and other materials to help you or call us here at 3ABN. 27:49 We hope as a result that you will have health - and that's 27:52 not just for now, but for a life-time. |
Revised 2014-12-17