Participants: Agatha Thrash (Host)
Series Code: HYTH
Program Code: HYTH000225
00:01 Hello! Today we will be talking about diabetes.
00:05 Diabetes is probably most dreaded because of it's
00:11 We'll be talking about some of these complications today
00:14 and also how a person gets Type 2 diabetes.
00:18 We hope you will join our program,
00:20 we think you will find it quite interesting.
00:42 Welcome to Help Yourself to Health
00:44 with Dr. Agatha Thrash, of Uchee Pines Institute,
00:48 and now here is your host Dr. Thrash.
00:52 There are many lifestyle factors
00:53 having to do with the development of diabetes,
00:59 there are also hereditary factors that have to do
01:03 with diabetes, and sometimes damage done to the pancreas,
01:08 by a longtime of maybe lifestyle changes.
01:12 Now I would like to invite you to come with me
01:15 and I will show you some of the ways that people can
01:19 protect themselves from some of the feared complications
01:24 of diabetes.
01:25 One of the feared complications of diabetes is that of gangrene,
01:31 or leg ulcers, or foot ulcers, or loss of the extremities,
01:36 and we know that in the United States,
01:39 diabetes is one of the prominent reasons why people
01:44 loose the feet or the legs.
01:46 I have asked Arianna Heartsfield to be my little guinea pig
01:52 as I show you the daily, or at least weekly
01:56 examination that the person should do.
01:59 So this is Arianna Heartsfield, and she is one of our students
02:05 in our elementary school at Uchee Pines,
02:09 and she and I will show you the kind of examination
02:14 that must occur frequently for the diabetic.
02:17 So I will take your left foot, if you will remove your sock
02:21 we can show the type of examination that needs to be.
02:26 First thing is to see the bottom of the foot,
02:30 now not many people can get the bottom of the foot
02:34 up so that they can look at it, so here is where a hand mirror
02:39 is very good.
02:40 So, you just either have someone else to look at the foot
02:44 or you take a hand mirror and make it so that you can see
02:48 every portion of the foot.
02:49 You need to see the outside, you need to see
02:52 the back of the heel, and you need to run your finger over it
02:56 if you are not actually looking at it, to make certain
03:00 that there are no places that are getting rough
03:02 or that are getting ulcerated.
03:04 Then each toenail must be examined carefully,
03:08 if a fungus begins to grow in a toenail,
03:12 then that must be treated right away,
03:14 and there are some very simple things that can be used
03:17 to treat a toenail fungus.
03:20 Under each toe one must look for something like
03:23 the development of athletes foot, and between the toes
03:28 one must look to make certain there are no blisters or
03:32 anything of this nature.
03:34 Then very carefully look over the top of the foot,
03:38 one of the reasons for doing this is that most people with
03:42 diabetes eventually get so they can't feel very well
03:46 in the lower extremities.
03:48 Once I removed the toenails because they were hanging off
03:53 a diabetic, just remove those without any anesthesia at all.
03:58 I think the procedure hurt me, the woman who had the problem,
04:04 it didn't hurt her at all, I asked her several times,
04:07 no pain, and she had no pain.
04:09 But it was difficult for me to insert the hemostat and
04:14 uncurl her toenails, without having my flesh to crawl
04:21 thinking oh, this must be hurting badly,
04:24 but she felt no pain at all, felt nothing.
04:26 She said that when she walked she felt as if she were walking
04:30 on cushions or walking on a pillow.
04:34 Now if one should find a callous,
04:38 then this kind of device, which is probably made
04:43 of a little stone, it can be used to simply rub
04:48 that callous off, and so if you are a care taker
04:52 for a person with diabetes, then just rub the callous off.
04:57 Be very careful that you do not draw blood,
05:00 when you draw blood from a diabetic,
05:02 then it must so carefully taken care of.
05:05 The wound must be cleansed then, and a bandage must be
05:10 placed on it, and then every day someone must look at that
05:14 wound to make certain that it's progressing nicely.
05:20 Now you can purchase at a department store,
05:24 a little device, such as this, which can be used
05:28 to electrically remove calluses,
05:33 just the little head of it, usually they come with several
05:38 heads, these can be purchased usually for under $25,
05:42 and these just slip on, and then one turns them on as you
05:47 can see here.
05:48 The little grinding part has been turned on,
05:53 and wherever there is a callous this can be simply used
05:57 to remove the callous, does that tickle?
05:59 - Uh hu!
06:00 - Now this can also be done with the same kind of device
06:07 that I mentioned earlier.
06:08 Then there are these rough fabrics, such as this,
06:12 I found this at a Chinese store selling personal hygiene
06:19 articles, and it has quite a rough surface,
06:24 and this can also be used to scrub the feet,
06:27 if there is excess skin that you need to take off,
06:32 and that can be done after the person has soaked the feet
06:35 in warm water, and notice that I did say warm water,
06:39 that should not be hot water.
06:41 Hot foot baths are not good for the diabetic,
06:45 the reason for that is that the blood vessels
06:48 going to the foot are often constricted because of
06:52 hardening of the arteries, so they cannot deliver more blood
06:57 than they are already delivering.
06:59 If you raise the temperature of the feet, then the metabolism
07:05 of the skin and the deeper tissues will go up,
07:08 making the metabolism rise when the blood supply is not
07:13 adequate to supply the needs of the increased metabolism
07:18 can cause blistering, or even deep death of tissue.
07:23 And a blister on a diabetic caused by some kind of heat
07:29 treatment can set up a situation that can cause the individual
07:35 to loose an extremity.
07:37 So I hope that these very simple things can be helpful
07:42 to you, and Arianna, thank you so much
07:45 for being my guinea pig to show this.
07:48 Thank you so much.
07:50 Now there are a number of things in lifestyle that are
07:56 helpful to know and one of those things has to do with
08:00 such a simple thing, that I'm sure you will say,
08:05 could this possibly help diabetes, but I have asked
08:09 my assistant Rhonda Clark to join me here.
08:12 Rhonda is a member of our staff at Uchee Pines
08:16 and we appreciate your work there, what do you do before you
08:20 came to Uchee Pines.
08:21 - I worked for several years as a registered nurse
08:23 in conventional medicine and different fields.
08:25 - Do you enjoy doing alternative medicine?
08:28 - I do, it's new and I'm still learning,
08:31 really fascinating things, and it's been quite a blessing
08:34 to learn the Lord intended for us to have simple lifestyle
08:37 measures to prevent and to treat illness.
08:39 - What can you tell us about some simple things that can
08:43 help the diabetic.
08:44 - This is so simple you will be amazed.
08:46 I have just recently been reading and interesting book
08:49 called the body's many cries for water, by Dr. Batmanghelidj,
08:53 and in this he tell and interesting important story
08:57 for diabetics.
08:58 One is that insulin's job as it's taking glucose
09:02 into the cell reducing the blood sugar, is also to take
09:06 a little water along with it.
09:08 So in a person who is dehydrated the body will make the cells
09:13 resistant to the action of insulin, is to keep the
09:17 blood volume up to an adequate blood level.
09:19 This is important for Type 1 and Type 2 diabetics,
09:23 in a Type 1 diabetic you know that it is important
09:25 to be on as low a dose of insulin as possible
09:28 to control your blood sugar, and on a Type 2 diabetic
09:32 the whole principle that is causing the diabetes
09:35 is the fact that the cells are very resistant to insulin.
09:39 Drinking an adequate supply of water every day
09:42 will help your body invite insulin along with the glucose
09:47 into the cells.
09:48 I think such a simple thing Dr. Thrash, and yet so important
09:53 for individuals who have concerns about weight loss
09:57 have concerns about Type 1 diabetes or Type 2.
10:00 - Now water is a very simple thing,
10:03 but there are some other very simple things too.
10:06 I'm sure that such things as exercise and sleep and rest,
10:12 and perhaps naps, what can you tell us about that?
10:15 - Well I did also want to mention something about sleep.
10:18 There was a study in Japan just a few years ago,
10:21 that showed in individuals who had sleep disturbances
10:23 they had problems metabolizing carbohydrates,
10:26 they had glucose intolerance.
10:29 A professor and physician at the University of Chicago
10:33 doing ongoing research on this, Dr. Eve Van Cauter
10:36 and they are finding that individuals with sleep problems
10:39 do indeed have a higher risk for diabetes.
10:42 Dr. Van Cauter took a group of students from the
10:45 University of Chicago and divided them into two groups
10:48 there was a group that got six hours or fewer of sleep
10:52 every night, and those who had seven to eight hours
10:56 of sleep every night.
10:57 In the ones that were six hours or less, she called them
11:00 short sleepers, the seven to eight hours per night were
11:04 normal sleepers.
11:06 The short sleepers were found to have much greater difficulty
11:10 metabolizing carbohydrate, and the likelihood of being
11:15 more obese, which is a risk factor for Type 2 diabetes.
11:18 So getting an adequate amount of sleep every night is a
11:21 very important part of having a normal carbohydrate metabolism.
11:26 - Now tell me, can you sleep to much?
11:29 - Indeed, you don't metabolize carbohydrates better and better
11:33 and better as the hours of sleep increase.
11:35 And it's an interesting fact that we produce serotonin,
11:40 a hormone in our brain that helps us feel calm and happy
11:43 during the hours of wakefulness.
11:45 If we sleep to much, we can become deficient in serotonin,
11:49 serotonin deficiency leads to food cravings,
11:52 and people craving especially carbohydrate foods,
11:55 which are the wrong things you want to be binging on,
11:58 or overeating on, if you are concerned about diabetes,
12:01 so we do have to be careful of the hours of sleep.
12:05 - Now what if somebody follows all that they know in lifestyle
12:10 they get plenty of sleep, they do a lot of things,
12:13 and they still have this thing of insulin resistance.
12:17 Now insulin resistance we know, is that the cell does not have
12:22 mouths or doors or ports in adequate numbers for the insulin
12:29 to get into the port, and the insulin we say is attached
12:33 to glucose to bring it into the cell, so in the person
12:38 with the genetic pre-disposition to get diabetes.
12:43 These individuals do not have adequate numbers of these
12:47 doors or mouths or ports, and so they cannot bring glucose
12:53 out of the blood and into the cell where it's needed,
12:56 so the cells are starving and the blood is having to much.
12:59 So let's say a person is doing everything they know
13:02 in lifestyle and they still have insulin resistance,
13:05 can you suggest something for them?
13:08 - I can, this is a rather interesting and rather new
13:11 concept, something called the glycemic index.
13:16 This is a measure of carbohydrate rich foods that
13:20 ranks them on a scale from 0- 100, based on how quickly
13:25 they raise the blood sugar level in individuals who have
13:27 eaten them.
13:28 When the first listing of glycemic index came out
13:32 there were some quite serious surprises because many foods
13:36 that we know to be very beneficial and healthful,
13:38 such as a potato, were found to be high on this glycemic index.
13:44 Nevertheless individuals with insulin resistance or
13:48 problems with metabolizing carbohydrates were encouraged
13:51 to select primarily foods that had a score of 55 or lower
13:56 or to combine carbohydrates to make the overall meal
14:01 be 55 or lower in glycemic index.
14:04 I mentioned that this is new and it was a group
14:08 of researchers who also questioned why so many
14:12 healthful foods scored so highly on this who did further
14:15 taking into account the amount of fiber in these
14:18 carbohydrate foods.
14:20 They have recently published a list called glycemic load
14:24 they look at serving size of carbohydrate food and
14:27 the amount of fiber calculating that with the glycemic index,
14:32 and it was interesting Dr. Thrash, some of the foods
14:34 we know to be beneficial, like popcorn which scored very high
14:38 on the glycemic index, something along the line of 72.
14:41 When they calculated based on glycemic load was 7.
14:46 - Oh, that's great, I'm happy to know that, because popcorn
14:49 is one of my very favorite grains.
14:51 - And the glycemic load recommendation is
14:55 a glycemic load level of 10 or lower, and many of the foods
14:59 that scored high on glycemic index such as
15:01 rye crisp crackers you may be familiar with, which scored
15:05 something around 60, were again found to be below 10.
15:08 Corn meal, and I love cornmeal porridge as a breakfast food
15:13 that had scored also very high over 60 on the glycemic index,
15:18 but was a very reasonable 11 on the glycemic load.
15:22 If you would like more information about glycemic index
15:25 and glycemic load, there are two web pages that I can
15:28 recommend, that I happened across in my research on this,
15:31 one is easy to remember, it is www. glycemicindex. com,
15:39 the other is the personal web page of a gentleman
15:43 with diabetes who has tried to stay on top of research
15:45 his site is www. mendosa. com, and so I appreciate the
15:53 opportunity to share this.
15:54 - Very good! I'm glad that this new research is focusing on
16:00 this problem, while I know there must be some other answer
16:05 to such good foods as potatoes and popcorn,
16:09 I'm so glad to find that the glucose load is low on that.
16:14 Thank you so much, that's very helpful.
16:17 - Again, for those who are still continuing to have problems
16:20 if they can identify those foods that are scoring lower
16:24 on glycemic load and make their diet more rich in those.
16:27 That is my recommendation.
16:28 - Very good! thank you so much, I appreciate all of this
16:31 good research.
16:32 Now we know that there are certain hereditary things
16:38 that can be a factor in causing the person to get
16:44 insulin resistance or diabetes, and one of those is the
16:48 distribution of the fat in the body.
16:51 You have been aware that there are some people who get
16:55 their fat in the chest, or they may have a large bay window,
17:00 or they may have huge arms and legs, but not be so thick
17:04 in the middle.
17:06 There is something there about the distribution of fat
17:10 that can make the difference, and I have asked Dr. Don Miller
17:13 to discuss this matter Dr. Miller, thank you for
17:16 joining our program, and you have just returned from
17:21 some trips over seas. - Yes!
17:24 - What were you doing there?
17:25 I teach basically health where ever I go,
17:29 but I've been in Eastern Europe a lot, but I go to India,
17:31 and I go to Africa, and I go to the far east,
17:34 so I usually teach health.
17:36 - Sometimes in Germany, and sometimes in Austria,
17:39 and sometimes in Canada.
17:40 - Mostly eastern Europe, when I go to the Europe side,
17:42 I used to go do a lot in Austria, now it's in Russia,
17:45 and Ukraine, and Moldova, and Romania, and Hungary.
17:48 - Do you leave any permanent evidence
17:51 that you have been there?
17:52 Other than just that you have taught students,
17:55 and you hope that they have changed their lifestyles.
17:57 Well, it's not so much that they changed their lifestyle
18:00 as many of them do, but they go on and change other people's
18:02 lifestyles, and so I think the permanency is certainly there
18:05 because it's like a snowball rolling down the hill.
18:08 You teach one, they teach one, and they teach one,
18:11 and pretty soon you've got a large group of people.
18:13 As I go back to these places, like the apostle Paul did,
18:17 and see how things are going It's amazing to see how
18:20 people have really changed their lives.
18:21 - Yes, and that whole community can also change.
18:25 - Absolutely!
18:26 - Well tell us some things about the distribution of fat
18:28 on the body, and what it means in terms of personal health.
18:32 Ok, well you know many people have a problem with
18:34 their distribution of fat in the body, and it's the trunkal
18:38 obesity where we have the most problem with diabetes.
18:41 Those who carry it on the hips, not quite as big a problem.
18:44 But let me say this at the beginning,
18:46 two things first of all, one is fat is not good any place,
18:51 where you have an excess amount of fat on the body.
18:53 Fat we should try to eliminate as much as possible.
18:56 The second thing I should say is, granted, I have not really
19:00 had the problem with to much fat on my body, but we find that we
19:04 get to a certain point in our lives, we all sort of fight
19:09 the battle of the bulge around the middle, and this is where
19:12 the trunkal obesity, the beach ball shape,
19:15 or the orange shape as some people call it,
19:18 leads to more obesity, and there is a reason for this.
19:21 Abdominal fat is different than other fat in the body,
19:26 and here are some of the reasons why:
19:27 1. It has more blood supply 2. It has more cortisol
19:34 Cortisol is a stress hormone, and where you have more cortisol
19:39 receptors, you have more fat being deposited,
19:42 and so if a person is in a high stress situation
19:45 especially a long term or a chronic stress situation
19:49 like a job they hate, a relationship that is crumbling,
19:53 a long term illness, these things cause stress,
19:57 and this constant level of cortisol will be accumulating
20:01 in these cortisol receptors in the abdomen,
20:05 which will be drawing more fat, which makes a person
20:08 get a little bit larger.
20:10 Along with this, the longer the cortisol is higher,
20:14 it will start damaging some of your brain neurons,
20:17 especially those that are neuro-receptors for things like
20:21 dopamine, and serotonin which are your good mood hormones
20:27 in the brain, which causes a person then to become more
20:30 A person more depressed, is a person who is higher stress,
20:34 therefore they've got more cortisol in the abdomen
20:37 more fat again.
20:38 If they are depressed, many people try to fight their
20:41 depression by eating, they will eat a lot of things that are
20:45 wrong for them, like cookies, lots of refined carbohydrates,
20:48 these in themselves will raise the cortisol levels,
20:52 and raise the insulin levels, now you've got two things
20:55 leading towards diabetes:
20:56 1. Trunkal obesity and 2. Raised insulin levels.
21:01 Now the reason why we have a problem with raised insulin
21:04 levels, is that itself will tend to make the cells less receptive
21:09 to insulin when there is to much of a product in the body.
21:12 The body knows how to take care of it's self, it's a good
21:15 manager and some of the receptors will go away on
21:18 the cells surface.
21:19 Sometimes what we do at Uchee Pines,
21:21 when we have a person come there with diabetes
21:23 the first thing that we do if it's Type 2, is put them
21:26 on a fast which will lower the glucose, lower the insulin,
21:31 and then the cell starts poking out some of those receptors,
21:34 and they say oh, we need some more glucose.
21:37 - Now you mentioned that you would fast a person who has
21:40 Type 2 diabetes, what about Type 1 diabetes,
21:44 the what we used to call the juvenile diabetes?
21:46 - Basically for the juvenile diabetic we say the three meals
21:51 a day is the best way to go for them, because they have
21:54 to have the glucose, they have to have the insulin,
21:56 the body's not producing it, you've got to keep that
21:59 available to the body, but for the non-insulin depending
22:04 diabetic, the Type 2, fasting is one of the best things.
22:09 It goes completely against conventional medicine,
22:12 it used to be six, seven meals a day, last meals at
22:15 11:00 at night, we're seeing that as
22:18 just not the case anymore.
22:20 - It's sort of prolongs the problem keeps the person
22:25 with the disease longer.
22:27 I was very glad to see a couple of years ago,
22:30 that there were some people who were now using a short fast,
22:34 a short term fast, one day, two days, or three days,
22:37 for people with diabetes, and those are good times,
22:41 and one or two days of fasting a week will do most people
22:45 a lot of good.
22:46 - For anything they have, even if someone as thin as myself
22:51 a little bit of fasting does not hurt me, I try to stick with
22:54 the two meal a day plan.
22:55 it helps with your eye sight, your hearing, your memory,
22:59 just so many things are protected plus it saves you
23:02 some money and some time, and I can always do some of that.
23:05 - Thank you Dr. Miller.
23:07 - My pleasure!
23:08 - Now the whole subject of diabetes is also associated
23:15 with all of our other endocrine organs.
23:17 The pancreas which has to do with diabetes,
23:21 is certainly not the only one, and I would like to show you
23:25 a chart, that will help you to understand just how it is
23:28 that we recognize this matter of the endocrine system
23:33 and how it functions.
23:35 Now here we have a chart that shows a variety, it shows all,
23:39 or almost all of our glands and organs that have to do with the
23:45 endocrine system.
23:46 Notice here deep in the brain, here is the brain,
23:50 here is the pineal gland right in here, if you go between
23:57 the hind brain or cerebellum, and the brain stem,
24:01 it's on the outside of the brain, but just under it, then
24:05 in the front side of the brain there is the pituitary,
24:11 which is not just one gland, it's actually two glands
24:15 the anterior lobe and the posterior lobe.
24:19 The Pituitary here has a connection with the Hypothalamus
24:24 and the posterior portion and and the anterior portion,
24:28 function differently, and much more could be said about that.
24:33 Here is the thyroid, it is of course located in the neck,
24:38 right here the pineal, the pituitary and the thyroid.
24:44 Now most people are quite aware of the thyroid, but they have
24:47 no knowledge of the Para-thyroids,
24:50 unless they get a disease that involves the Para-thyroids.
24:55 Here they are next to their small button sized glands
25:02 just on the outside of the thyroid, they Thymus gland
25:06 is deep in the chest, as you can see here, in what is called the
25:10 mediastinum, it's just above the heart,
25:13 and the only time that we know that it gets sick
25:16 or that a person usually knows that it is sick
25:19 is if they get myasthenia gravis
25:22 then that might come into question.
25:24 Here are the adrenal glands and you can see that they are
25:27 just next to the kidneys, and the adrenals are as are all of
25:33 these other glands are involved in diabetes.
25:37 Here is the kidney, most people are not aware that the kidney
25:41 is a part of the endocrine gland, but it has very strong
25:45 endocrine potentials.
25:47 Of course the ovary, we know that the ovary...
25:50 Everyone knows the ovary and the testes are endocrine glands,
25:54 but most people do not know that the placenta
25:57 is an endocrine gland, but it's a big producer
26:02 of various hormones.
26:05 The testes, and here is the pancreas, which is primarily
26:09 what we are looking for when we think about diabetes.
26:13 Again the pancreas functions as more than one gland,
26:19 it is responsible not only for keeping the blood sugar
26:22 from going to high, but it is also responsible for keeping
26:26 it from going to low.
26:28 Glucagon keeps the blood sugar from going to low,
26:31 and insulin keeps the blood sugar from going to high.
26:35 Another organ that most people have no conception is an
26:40 endocrine gland, is the stomach.
26:43 The stomach and the whole gall bladder and liver complex
26:49 all of these are associated with the production
26:53 of various hormones.
26:56 The small intestines secretes a substance called secretin
27:01 and also motilin, and cholecystokinin,
27:06 and many others, and all of these are involved in diabetes.
27:10 When one of these go wrong, the others go wrong as well.
27:14 In all of these, the Jejunum, the ileum, and the stomach,
27:19 they all secrete various kinds of hormones.
27:23 Now if we understand the far reaching influence of the
27:28 endocrine system, it helps us to know that diabetes
27:32 has a major effect on all of our various endocrines,
27:39 and I didn't even mention the brain as an endocrine organ,
27:43 and many of the nerves, but all of these are involved
27:47 in the diabetic process, so it behooves us to find out how
27:51 we can avoid getting this serious disease, Diabetes.