Participants: Don Miller, Agatha Thrash
Series Code: HYTH
Program Code: HYTH000149
00:01 Diabetes is probably the physician's favorite, easiest
00:05 disease to treat when it is type 2 diabetes.
00:10 Very difficult to treat in type 1 in some patients.
00:14 But type 2 diabetes responds with some very simple things
00:18 often with a very profound response...
00:21 And at Uchee Pines Institute, where I am home-based,
00:25 the treatment of diabetics is one of my very favorite
00:29 patients, so I hope you will stay by during this next
00:33 half an hour while we talk about some of the ways that
00:37 we treat diabetics
00:39 at Uchee Pines Institute.
01:02 Welcome to "Help Yourself to Health"
01:03 with Dr. Agatha Thrash of Uchee Pines Institute.
01:06 And now, here's your host, Dr. Thrash.
01:11 There are many ways to treat the diabetic...
01:14 Most of them having to do with life style.
01:16 Even the very fine advice that we give to people
01:20 who have diabetes to be very careful about their
01:24 spiritual life.
01:25 Spiritual life is important for the diabetic because
01:28 of the lifestyle changes that are necessary.
01:31 And with lifestyle changes, we need to be able to lean
01:34 on the guidance of the Lord
01:36 to have the power that the Holy Spirit and the sacrifice
01:40 of our Divine Savior.
01:43 We need to have all of this power and this guidance
01:47 so that the lifestyle changes that we make can be effective
01:50 for us in our lives.
01:52 Now since food is one of the important things
01:55 having to do with the changes that a diabetic needs to make,
02:00 I have asked one of the very good cooks at Uchee Pines,
02:03 Valerie Schreiber, to help me
02:05 and I'm sure that you will see that she is a very good cook.
02:09 Valerie, what do you have here for us today.
02:12 Well, I have some fun things that we were working on
02:16 up there in the kitchen.
02:17 Are you sure these things can be used by a diabetic?
02:19 They look like they are very forbidden foods... I know.
02:22 That's what's so nice about it, is they look forbidden but
02:24 they actually are very healthy for you and rich in fiber...
02:29 especially this one right here I want to show you.
02:31 This is just an apple pie... fresh apple pie.
02:36 This has not been cooked at all.
02:38 And it's very, very easy to make.
02:40 You just put her apples, you wash them real good,
02:45 you don't have to peel the skin off,
02:46 you core them and you just put it through a food processor
02:49 and that will chop them up real good.
02:51 And then you just put 2 cups of apple juice concentrate,
02:55 About 3-1/2 tablespoons of tapioca
02:58 Whiz that all up together
03:00 Put your apples in it
03:02 Make a pie crust and this is a real simple pie crust.
03:05 Just grind up oats and coconut...
03:07 And if you want, you can put a little ground nuts in it
03:09 Just press it right into your pie shell
03:12 Pour this in and, of course, I decorated it a little bit here
03:15 but you don't have to do that
03:17 But it's kind of fun to do, where you can just take an apple
03:19 and you can cut it and just lay pieces around just like this
03:24 and then cut another apple.
03:25 It makes it kind of very appetizing and appealing for
03:27 your family for the first time if they have an
03:29 unbaked apple pie.
03:30 But I'm here to tell you, this is SO delicious...
03:33 And you can eat it for breakfast!
03:35 That's what's so nice about it...
03:37 This isn't one of these illegal pies that, you know,
03:39 you have to be careful.
03:40 You can eat this as a food for breakfast... it's full of fiber!
03:43 A main dish? A main dish!
03:46 I tell you, when I first learned that, I said...
03:48 "This is the way to go... I can have PIE for breakfast. "
03:51 I thought that was the greatest thing I ever heard about!
03:53 It convinced me to change my lifestyle completely just
03:58 from that point.
03:59 Okay, now this one here...
04:01 Ooh... this one is beautiful!
04:03 It's kiwi and we have some walnuts
04:08 and we did a Jell-O mold.
04:10 Now this is a very simple Jell-O mold...
04:13 And, all you have to do is get a can of this Juicy Juice,
04:17 you see here and you just put a cup of boiling water
04:23 and you put some of this Emes gelatin...
04:26 about 3 tablespoonsful in it,
04:28 a can of this...
04:30 another 1-1/2 cups of water
04:34 just blend it up, put it in a mold
04:36 and that's it!
04:37 And you can, if you want, you can chop up some fruit
04:40 and put some fruit in there.
04:41 But it makes an absolutely delicious dessert
04:46 and real easy to make...
04:48 And then you can do, like you've seen me here,
04:50 you can add some fruits to it if you want.
04:52 And if, you're eating at a main meal,
04:54 then you wouldn't have your fruits,
04:56 but you could have the plain Jell-O without fruits
04:58 and it would be an okay dessert to have.
05:01 That sounds good!
05:03 And I believe that I can do that myself.
05:05 Can I find these recipes in an ordinary cookbook?
05:09 Well, maybe not in an ordinary cookbook, Dr. Agatha...
05:12 But in your local health food store,
05:13 you'll find wonderful cookbooks that are out there today,
05:16 that have all of these excellent recipes that you've seen me
05:19 cooking here on the show, or the fresh recipes.
05:23 But one other thing I wanted to tell you about is...
05:25 There is a new product out,
05:26 we don't know a whole lot about it but it's from
05:28 the herb family and that is "Stevia. "
05:30 Now, Stevia is 300 times stronger than sugar...
05:34 sweeter than sugar, I should say.
05:36 And, so you have to be very careful, use very small amounts
05:40 and this is perfectly good for a diabetic to use.
05:43 And there is a cookbook out that is on Stevia.
05:46 In fact, there's a couple of them.
05:47 I don't agree with everything that's in all the recipes but
05:50 you can learn to improvise...
05:51 If they were to say, use milk, you'd use soymilk...
05:54 that type of a thing.
05:55 But they will show you how to use Stevia,
05:58 not just in desserts but in various other dishes
06:01 that you will cook and can sweeten them quite well.
06:05 And does not affect you as a diabetic.
06:07 Hmm.. sounds very good and it's hopeful that diabetics
06:11 can broaden the whole scope of what they can eat.
06:15 And that is a help, because often a diabetic
06:19 feels that there are so few things that they can eat
06:22 and especially, they can't have anything sweet
06:24 and they shouldn't eat anything fat...
06:26 But if they learn just a few things,
06:28 then that helps them to know that they can have a good
06:31 dietary without having to circumscribe everything that
06:36 they eat.
06:37 Now the course of a diabetic through his lifetime
06:41 often goes something like this...
06:43 The baby, who is going to become a type 2 diabetic,
06:47 is born of a mother who has type 2 diabetes in her family
06:52 or the father has type 2 diabetes in his family,
06:55 and often it's both.
06:57 And then what happens is that the baby goes a little bit
07:01 post maturely before being born...
07:04 So that the baby is born weighing more than 8 pounds,
07:07 or even more than 9 pounds...
07:09 sometimes even more than 10 pounds.
07:11 Such a baby has to be very careful all of the life
07:16 making certain that weight gain is not a feature
07:19 of their life style...
07:21 Because weight gain is probably the most important
07:24 single factor having to do with bringing on diabetes type 2
07:28 Now diabetes type 1, is an altogether different disease.
07:33 It has to do with a reduction in the amount of insulin
07:38 produced by the pancreas;
07:40 whereas type 2 diabetes has plenty of insulin on board.
07:44 In fact, it has a very high insulin level.
07:48 Maybe 2, 3, 4 times the normal level of insulin.
07:53 Then... what is the problem?
07:55 Well, the problem is... that through the lifetime
07:58 of the person, they gain more and more weight,
08:02 ...they overeat more and more times
08:05 ...they eat more and more sugar
08:07 ...more and more fat
08:09 Until finally the poor pancreas says, although it is producing
08:13 more and more insulin all the time and the insulin
08:16 levels in the blood are constantly going up...
08:18 Even though all of this is happening,
08:20 the pancreas finally says...
08:22 "I have made my best effort, I can't face tomorrow. "
08:28 So, the pancreas produces a little less insulin.
08:33 Then, the blood sugar goes up.
08:35 Before that, the blood sugar had stayed steady
08:38 in the normal range,
08:40 although the insulin level was high, in the high range,
08:44 above the high normal.
08:46 And then when the insulin level cannot continue to go up,
08:50 as the weight continues to go up,
08:53 then the blood sugar goes up.
08:56 And at that point, we begin to see the signs of diabetes.
09:01 As the blood sugar rises when the insulin level fails,
09:05 at that point, we can make the diagnosis of diabetes.
09:10 Now this is the natural course of diabetes
09:13 and Don Miller is going to discuss a feature of
09:16 diabetes with you now...
09:18 that feature of diabetes being the way that we can treat
09:24 diabetes with lifestyle.
09:26 Don Miller.
09:27 Lifestyle is what God has given us to treat our bodies
09:30 right in the first place.
09:32 And the old saying and it's a new saying too is that
09:35 "I'd rather prevent a disease, than to try to treat a disease"
09:41 And basically type 2 diabetes is a lifestyle-related illness.
09:45 It's not something that we're going to get because
09:48 of some unknown thing...
09:50 it's the way we live our lives.
09:52 There are a few things that predispose to type 2 diabetes
09:57 and some of those major things are being overweight,
10:00 and living the wrong type of a lifestyle.
10:03 And so, the same thing that's going to keep us
10:06 from getting diabetes,
10:08 many times will help us to treat the diabetes.
10:12 Now you're not going to basically get over the
10:14 diabetes once you have it
10:15 But you can find ways to maintain yourself
10:19 in a proper way.
10:21 I've known juvenile diabetics, type 1's, who seemed to be
10:27 in perfect health... well into their 30s.
10:30 No neuropathy, no eye problems,
10:33 everything is going fine because they had learned how
10:36 to control themselves.
10:37 They knew ALL about lifestyle
10:40 and they kept themselves under control.
10:42 Well, the type 2 diabetic has the same options.
10:46 He or she can practice good lifestyle,
10:49 or she can let it go and he can let it go
10:52 and really have some major problems because
10:54 there are a lot of problems associated with diabetes.
10:57 So let's just mention some of the simple things we can do
11:00 as far as our lifestyle to allow ourselves
11:04 to handle our type 2 diabetes a little bit better.
11:08 One, is regularity.
11:09 We need to be regular in all that we do
11:11 and I'll tell you why...
11:12 When you have something like diabetes,
11:15 your body is working hard to try to maintain you.
11:19 And when you are not on a regular basis,
11:21 your body really works a lot harder.
11:23 We work on the thing called "a circadian rhythm"
11:27 and, at mealtime, your body gets ready for meals.
11:31 Right now, my salivary glands are not full of saliva because
11:35 I've already eaten and it's going to be a while
11:37 before I eat again.
11:39 And so, everything has been concentrated...
11:42 it's sitting there in a very concentrated form.
11:44 But it knows when it's time for me to eat
11:47 because I eat on a pretty regular basis
11:49 and about an hour away from mealtime,
11:53 I start getting a reconstitution of the salivary juices
11:58 and by the time it's time to eat,
12:01 I have a full complement of salivary amylase
12:05 and all these digestive juices,
12:07 not only in my salivary glands but in my stomach
12:10 ...everything is ready to receive that meal.
12:12 If I eat off schedule,
12:14 I go through all that energy of producing these things
12:18 ...it looks around, sees no food,
12:20 puts it all away...
12:21 Then all of a sudden I start eating again,
12:23 and now I don't have good saliva
12:25 I'm going to have incomplete digestion
12:27 and I'm going to have some real problems down the line.
12:30 Also, we have to have a rest period between our meals.
12:35 It's best to have... the very BEST program is a
12:38 2- meal-a-day plan.
12:39 Some people eat one meal a day...
12:41 they start before breakfast and they end
12:43 just before they go to bed.
12:44 But we need a 2-meal-a-day plan.
12:47 And it's the time just in between those 2 meals
12:50 we call the "interdigestive phase"
12:53 And what happens during that time
12:55 is our body is able to clean itself.
12:58 Everything has gone through... and then we sort of have a
13:00 reverse motion in our intestinal tract
13:03 and it sort of cleans the walls of our intestinal tract
13:06 It allows the juices to rest there...
13:09 everything is resting for a period time because,
13:11 quite frankly, an overworked pancreas,
13:13 which is what's being overworked in type 2 diabetes,
13:16 needs a longer rest...
13:18 And we find that a type 2 diabetic does much better
13:22 on a 2-meal plan.
13:24 EXERCISE... an excellent way to regulate your blood sugar.
13:28 We find that exercise uses your blood sugar nicely...
13:33 If you have too much blood sugar in,
13:35 it's going to use it up... it's going to store it away
13:37 But especially exercise out in the sunshine...
13:40 Now sunshine has an insulin-like effect on the body.
13:45 And as the sun strikes the body,
13:47 it has an enzymatic effect on the body...
13:50 and what happens is your glucose
13:52 is stored as... it's turned into glucagon
13:56 which is the stored form of sugar
13:59 and it goes into the liver... goes into the muscles
14:01 for when we need it down the line.
14:04 We need to make sure we're not drinking a lot with our meals.
14:06 Meals are not the time to drink.
14:08 Meals are the time to eat.
14:10 We should be eating at our meals and
14:12 drinking BETWEEN our meals.
14:13 The reason why people drink with their meals is
14:16 because they are dehydrated.
14:17 And what we are drinking between the meals should be just water
14:21 or an herbal tea which has no nutrients put into it...
14:26 just a straight herbal tea.
14:27 Basically, we should be drinking water and eating
14:31 fruits, vegetables, whole grains, nuts and seeds.
14:34 And as we do these simple things,
14:36 we're going to find that our type 2 diabetes
14:40 is much easier to be controlled
14:42 and we'll live a much more abundant and healthful life
14:46 with these simple things, Dr. Thrash.
14:47 Yes... simple things, that's the key to diabetes.
14:51 Just the very simple things of nature and type 2 diabetes will
14:55 be helped greatly by these simple things.
14:58 Now it's of interest that our understanding of diabetes
15:02 has greatly changed in the last few years.
15:06 I remember, it hasn't been too many years ago,
15:09 that we said the upper limit of a good blood sugar
15:13 level was 120...
15:15 then it dropped down to 115..
15:17 and then down to 110...
15:19 and it's on the way down.
15:21 We believe that it will continue to go down until it is below 100
15:25 as the fasting level.
15:27 We consider 85 to be the upper limit of ideal
15:33 for the fasting blood sugar level.
15:36 Now the type 2 diabetic produces plenty of insulin
15:41 and I will show you on the white board a little diagram
15:45 that will help you to understand how insulin and the receptor
15:51 for insulin meet together on the cell.
15:56 So, let's go to the board and I will show you these things
16:01 as a very interesting feature of chemistry.
16:05 You don't have to be a Harvard graduate in chemistry
16:10 to be able to understand these things.
16:13 Let us say that this is a cell...
16:17 Every cell in the body that's going to take in sugar
16:21 will have an insulin receptor on it... such as this.
16:26 And insulin... let us diagram that to look like this,
16:33 that's insulin...
16:37 and this is a receptor,
16:41 or, we could say this is a port or a mouth
16:46 to receive insulin.
16:48 But insulin does not do us any good to give us energy or heat.
16:54 It only acts as a vehicle to help us to get the sugar
17:01 into the cell that will give us the energy and the heat
17:05 and the strength that we need from it.
17:07 So, let us draw a diagram of sugar here.
17:12 So let us say that this is sugar...
17:14 and it is THIS, that we need to get into the cell.
17:18 So we must combine sugar with insulin
17:22 and this is very schematic and very simplistic but
17:26 as we understand this, I think you will see how it works.
17:30 Sugar must be worked on by insulin...
17:33 which can then be taken into an insulin receptor
17:36 into the cell.
17:37 These unite together in this way
17:39 Now these float around in the blood stream
17:42 and this is stationary,
17:44 but as these are floating around in the bloodstream
17:46 and they come to one of the receptors,
17:49 then, the sugar can be taken into the cell in this way.
17:54 So, a very simple schema that I can show you on the board
17:59 but I can assure you that it is very complicated in the body.
18:04 Now what is it that makes a person need more receptors
18:11 or need more insulin than they are ordinarily producing?
18:15 Well there are a number of things that will do this...
18:18 and basically they are dangers and difficulties
18:23 in our life style.
18:25 Dangers that are going to make us have some kind of disease.
18:28 Now the disease that we get is NOT just diabetes.
18:34 But the disease that we are going to get is going to be
18:38 also what we call "syndrome X"
18:41 Syndrome X is hypertension, as well as diabetes,
18:45 and heart disease with a high blood cholesterol
18:49 with a low HDL and a high triglyceride level...
18:54 which spells a high risk for heart disease.
18:59 And then cancer and overweight...
19:02 these are all things that are a part of the syndrome X.
19:07 Cancer is not so clearly defined as the others
19:10 being associated here in this quadrangle
19:15 but probably cancer is also there
19:18 and we can say this is a quintuplet instead of a
19:24 Now syndrome X, the initial lesion is the insulin problem
19:31 the high insulin levels and the low sensitivity to insulin.
19:37 Now there are ways that we can increase the insulin sensitivity
19:41 And Don Miller is going to tell you some of those ways
19:44 that you can increase your sensitivity to insulin.
19:48 Don Miller
19:50 We have, on our cells, receptor sites...
19:53 and the more of a hormone, or the more of a thing like insulin
19:59 or glucose in the body,
20:01 the more receptor sites we might have.
20:03 But if it goes too high, the body has an automatic way
20:07 of reducing some of those receptor sites
20:09 so you're not receiving too many.
20:10 On the same token...
20:13 Let's say you're not getting enough insulin
20:18 into your bloodstream to take the glucose into your cells
20:21 and so you need to get some more receptors on your cells
20:26 that need to get the glucose...
20:27 What you do, is you go through a fasting period of time
20:30 which means your glucose is going to go down
20:33 and your insulin, because your glucose IS down,
20:37 it goes down and the cell says, "look we need some more glucose
20:41 in here and so it starts producing more receptor sites
20:46 on the cell surface saying, "we need to get some more
20:49 flags out here... some more mailboxes. "
20:50 Like, I've only got one mailbox and I only get so much mail
20:53 but maybe if I had 10 mailboxes,
20:55 I'd get 10 times as much junk mail.
20:57 Well, we're not talking about junk mail here...
20:59 we're talking about some very special things
21:01 that your cell has to have and that is the glucose.
21:04 And so, as the person fasts,
21:07 glucose goes down...
21:09 the cells say, "we really need some more glucose"
21:13 And so the receptor cells grow up...
21:16 and then when we get back to eating again,
21:18 the insulin goes by, sees those receptor sites,
21:22 takes the glucose and says, "we found it"
21:25 Docks with those receptor sites, takes the glucose
21:29 inside of the cell and we've got the energy that we need.
21:32 And to me, that is the very best way that I know of
21:35 to increase the sensitivity to insulin in the body is by
21:41 sort of starving it for a little while of the glucose
21:44 is telling the body, "we really need to get a few more
21:47 mailboxes out there. Dr. Thrash.
21:49 Yes... and fasting is our standard way of treating the
21:53 type 2 diabetic to get the insulin sensitivity up.
21:58 Now, we can start this process much earlier
22:03 than the person who already has a crippling disease
22:08 like diabetes.
22:10 We can start with exercise with regularity in one's program
22:16 with avoiding various traumatic events in one's life...
22:21 All of these kinds of things can help the person to have
22:25 a greater sensitivity to insulin
22:29 Now some of the problems that we get with diabetes
22:35 some of the complications...
22:36 can begin with diabetic neuropathy.
22:40 Or, we can start with diabetic retinopathy.
22:44 Or, we can start with diabetic nephropathy.
22:47 These are all complications that a person can get with diabetes.
22:53 The blood vessel changes that we get with diabetes
22:56 this is another possibility.
22:58 But let us say that we are considering the eye changes
23:03 that occur.
23:04 The eye changes include such things as little balloons,
23:08 on the capillaries that are so important to the retina.
23:14 These little balloons then can rupture
23:18 and can cause a retinal detachment
23:22 Or, there can be an enlargement of a capillary
23:27 Or there can be a squeezing down of the size of the
23:31 capillary so that it can no longer carry red blood cells.
23:36 We can also have what is called, "neovascularization"
23:40 of the retina.
23:41 That means that little inoperative capillaries
23:47 make a meshwork in the retina.
23:50 They don't carry red blood cells,
23:53 but they do tend to cut down on light
23:55 and make the vision of the diabetic less sharp.
23:59 Then, of course, macular degeneration is more likely
24:02 to occur in the person who has diabetes.
24:06 All of these are problems that the person has who has diabetes.
24:11 And that says nothing about glaucoma and cataracts
24:15 that are also more common in diabetics.
24:18 We must call diabetes... "acceleration of the
24:22 aging process"
24:23 and when the blood sugar starts going up,
24:26 in the level with the annual physical,
24:29 at that point, we can say that the person is in a process
24:34 of accelerated aging.
24:36 Now the neuropathy that a person has...
24:39 can be most distressing and Don Miller is going to talk
24:43 with you about diabetic neuropathy... Don
24:47 Okay... neuropathy gives you the clue that it has to do
24:50 with the nerves.
24:52 And the nerves, because of the diabetes,
24:56 are becoming degenerated...
24:58 And some of the things that will cause that is the lack of
25:03 myoinositol in the body.
25:05 Now, there are things that make us lack myoinositol...
25:08 basically things like coffee and the other brown drinks...
25:11 tea, colas and chocolate... all will make the myoinositol
25:15 go down in the body.
25:16 And basically, the standard American diet is very low
25:20 in myoinositol.
25:22 Now myoinositol is a muscle sugar... something like glucose
25:27 which helps supply the energy that it needs and help nurture
25:33 those nerves that are being atrophied by the
25:38 diabetic neuropathy.
25:39 And what happens when we take in the myoinositol foods
25:45 It will also help release some lecithin which is part of the
25:49 nerve makeup.
25:50 And so as we take in the myoinositol foods,
25:53 we're building up the nerves,
25:55 we are protecting them from the neuropathy...
25:58 the pathology of that particular nerve,
26:01 and it's going to help us feel a whole lot better.
26:03 Now there are foods that are very popular or very high
26:06 in myoinositol.
26:08 Basically... fruits, vegetables, whole grains, nuts and seeds!
26:11 But even within those, there are some foods that are very high...
26:15 they sort of SHINE in this area.
26:17 Things like cantaloupe... things like peanuts...
26:20 things like grapefruit and ALL citrus fruits
26:24 are very high in myoinositol.
26:26 Whole grains, beans and legumes...
26:29 As a matter of fact, we will prescribe for our diabetic
26:32 patients at Uchee Pines, basically beans at every meal...
26:36 ...a very nice source of myoinositol.
26:39 Blackstrap molasses and nuts, all of these things
26:43 high in myoinositol which is going to be feeding the body
26:47 the very nutrients that it needs
26:49 to fight this problem with diabetic neuropathy.. Dr. Thrash
26:54 Now "myoinositol," when do you suppose the Lord put
26:58 myoinositol in cantaloupes and peanuts...
27:01 was it back when He created it, or was it
27:04 when diabetes began to be so prevalent in the United States?
27:09 Well, we don't know the answer to that,
27:10 but this we do know for certain,
27:12 and that is that our loving Divine Designer has loved us
27:16 so much, that He wanted to give us every preparation
27:19 possible to make it so that we could live in health.
27:23 The Bible says... "Beloved I wish above ALL things
27:27 that thou mayest prosper and be in HEALTH."
27:30 Healthfulness is the theme of heaven with vibrant life
27:37 with an understanding of our Savior's great love for us
27:42 ALL the time, being surrounded by His Holy Spirit...
27:46 and loving one another and loving Him,
27:50 and being loving
27:51 and lovable Christians.