Participants: N. David Emerson
Series Code: WM
Program Code: WM000428
|
00:01 The following program presents principles designed
00:03 to promote good health and is not intended to take 00:05 the place of personalized professional care. 00:08 The opinions and ideas expressed are those of the speaker. 00:12 Viewers are encouraged to draw 00:13 their own conclusions about the information presented. 00:38 Hello, I'm Dr. Emerson, I'm Medical Director 00:41 at Eden Valley Lifestyle Center. I wanted to share 00:43 with you today some concepts about diabetes. 00:47 Our's is continuing on the talk we've done previously. 00:51 And in that talk we discovered that diabetes state can actually 00:56 be brought on fairly quickly with oils and animal fats. 01:04 Dr. Sweeney did this in 1927 with six medical students. 01:07 They were able to induce the diabetic state 01:09 in about two days. He was unable to do the same 01:12 thing with high sugar, or a high starch diet. 01:16 We found that this has been confirmed in human studies 01:20 and animals studies since then. 01:23 At this time we'd also like to look at some other aspects 01:26 that can effect insulin resistance and diabetes. 01:36 What we found initially was that when you take a sugar or starch, 01:41 its a review, your blood sugar would go up, 01:44 the pancreas would sense that, release insulin and insulin 01:47 would act as a little key, which would go into the cells 01:49 of each of the doors, open up the doors, 01:51 allow the sugar to leave the blood 01:53 and go in the cells and be burned. 01:55 This will bring your blood sugar down. 01:56 And that's the way it's suppose to work. 01:58 We found as the animals products, the fats, 02:01 the oils will tend to go in to the body when they're ingested 02:04 and then plug up those insulin receptors. 02:07 So that now when you take a sugar or starch, 02:09 blood sugar goes up, insulin is released, 02:11 can't get in the key holes, doors are shut 02:14 and the blood sugars rise, because they have nowhere to go. 02:16 And, that was essentially what we covered. 02:19 That's how insulin resistance can be induced 02:22 actually fairly quickly. There are some other factors 02:25 that we now know effect diabetes as well. 02:30 Among those are understanding of what fiber does for us, 02:35 fiber in the plant foods, also something called 02:38 the glycemic index of foods, in carbohydrates. 02:42 And also, something found in grains, that whole grains have, 02:46 which help protect us against diabetes, 02:48 but refined grains do not have. So, firstly what, 02:55 what does fiber do to protect us from diabetes. 03:00 Actually one of the things fiber does is it acts as a sponge. 03:04 It, when it's eaten with sugars or carbohydrates, 03:09 it hangs on the fluid and sugar, and that fiber helps release 03:14 the sugar into the blood stream from the gut slowly, overtime. 03:19 When fiber is not there, 03:21 we tend to get a rather severe jolt of sugar, 03:25 which is released in the blood stream fairly quickly. 03:28 This is illustrating some tests done with apple juice and apples 03:35 What they found is that if a person eats an apple, 03:38 which has the sugar with the fiber, 03:41 the sugar is in the gut and it's absorbed by the fiber 03:47 and it's released into the blood stream fairly slowly. 03:51 The sugar rises, the pancreas senses this, 03:54 releases a normal amount of insulin and this helps 03:58 slow the rise and helps prevent the blood sugar 04:00 from going too high. If it gets to stays below 150 04:04 and then it starts coming back down and as the sugar drops, 04:09 the insulin levels drop as well and the sugar plateaus 04:13 at about 100 or 90 or so and does not drop too low. 04:18 And this is the way it's supposed to work. 04:21 If on the other hand, we take that same apple, 04:24 the same calories, same 100 calories 04:26 and take it in the form of apple juice. We find is, 04:30 when that's entered into the gut, the sugar goes into 04:34 the blood stream very quickly. There is no fiber 04:36 to slow it down. The blood sugar starts to go up 04:39 fairly quickly, fairly dramatically. 04:41 The pancreas kind of overreacts, releases a lot of insulin 04:45 to prevent the blood sugar from going too high. 04:48 While the insulin load goes into the blood, 04:53 it starts, the sugar coming down again. 04:56 This time the sugar comes down, but as it approaches say normal 05:00 at a 100 or 90, there is no more sugar in the gut 05:06 coming into the blood stream, because its come in so quickly, 05:09 there is nothing left. So, the sugar supply to the blood 05:12 is cut off, but there is still a lot of insulin 05:14 in the blood and that drives the blood sugar too low. 05:18 This will make a person hypoglycemic maybe in hour 05:22 or two hours after the high sugaring meal. 05:25 And this is where they may get hypoglycemic, 05:28 have a hypoglycemic reaction, get shaky, 05:30 tremor-y and at that point they feel a need to 05:35 have a coffee break. 05:36 And, this is where the 10 O'clock coffee break comes in 05:38 people needing to get something to get their sugars up again. 05:43 They will take many times a caffeinated beverage, 05:46 which can stimulate blood sugar rise even without sugar 05:49 and then they have a sugary meal which sends 05:52 the blood sugar up again. This causes a blood sugar 05:57 drop again and the cycle is repeated. 06:01 And this is a cyclic problem then, that happens around noon 06:06 or 2 O'clock in the afternoon 06:10 after they have a sugary meal at lunch, 06:12 they get another spike and drop. 06:15 Then at 2 O'clock they need another sugar fix, 06:18 things go up, they come crashing down 06:21 around 5 O'clock, you have to have meal. 06:23 And the meal is another sugary meal, 06:26 it causes blood sugar to go up and around 7 O'clock 06:29 it comes crashing down. You've to have another snack 06:32 and then you go to sleep and hopefully you can make it 06:36 through the night without having another sugar dive. 06:39 I experienced this in college and it occurred to me in college 06:42 I said this is strange, you know, 06:43 I used to be able to go from breakfast to lunch 06:46 without having to have a 10 O'clock sugar fix. 06:50 And, when I went back to a high fiber diet, 06:55 plant-based diet without the sugary spikes, 06:59 I was able to go from breakfast to lunch without having 07:03 a hypoglycemic episode or needing the coffee breaks. 07:10 Another factor in foods that can help 07:14 even out your blood sugars, especially 07:16 if you are diabetic is a concept of a glycemic index. 07:20 Glycemic index is how fast sugar goes from your gut 07:25 into your bloodstream and if this happens slowly, 07:30 you have a low glycemic index food. 07:33 If you have a high glycemic index food, 07:35 the same 100 calories will go into your bloodstream 07:37 very quickly and cause a sugar spike and you're at risk 07:41 for that hypoglycemic episode again. 07:44 High glycemic index foods, sugar, table sugar has about 07:49 the same high glycemic index as refined white flour. 07:56 Potatoes, white potatoes have a high glycemic index. 08:00 The low glycemic index foods which are the best especially 08:03 for people coming off of the diabetic state would be the 08:07 lentils, beans, peas, these are the legume families. 08:12 They release their sugar into the bloodstream 08:14 very slowly over a long period of time. 08:17 Even sweet potatoes have a low glycemic index. 08:19 And, you can actually go to nutrition books 08:21 and get tables of food with different glycemic indexes. 08:25 They have shown that... we've experienced that 08:28 if you want to even out your blood sugars. 08:31 If you have large bowl of beans or lentils for breakfast, 08:36 one or two bowls, you will find that you are able to last 08:40 from breakfast o usually about 2 O'clock in the afternoon, 08:42 without getting hungry or having those crashes. 08:47 It's very effective for diabetics and helping them 08:51 control the blood sugars. Another aspect of foods 08:56 that can help prevent diabetes are the whole grains. 09:00 They have found that whole grains can decrease 09:03 insulin resistance. They also reduce your risk 09:07 of diabetes and your risk of heart disease. 09:10 And this is independent of the fiber that's in the whole grains 09:15 So, we believe that it has something to do with 09:17 the phytochemicals that are in whole grains which are 09:20 removed when you take out the bran and the germ. 09:27 In processing foods, the grains, the bran, 09:35 the outside covering of the grain, as well as the germ 09:38 are many times removed and those have over 90 percent 09:42 of the phytochemicals. And these chemicals 09:44 are chemicals your body uses to help 09:49 prevent diabetes and also help prevent cancers. 09:52 This strengthens your immune system, 09:54 you can't get these phytochemicals 09:55 from animal products, they have to be obtained in your foods. 09:58 And, whole grains are one of the best sources of these, 10:01 and we believe that's one of the reasons why 10:03 whole grains can prevent diabetes. 10:08 We want to talk another, about another concept in diabetes now. 10:13 If you recall, Dr. Anderson was able to get diabetics 10:18 who were on their pills, about 90 percent 10:20 of them off their pills on a plant-based diet. 10:22 If they were taking insulin, he was able to get about 10:25 75 percent of the patients on insulin off their medications. 10:30 The question is, why wasn't it a 100 percent? 10:34 Was there something else going on which was 10:37 preventing that small percentage from being 10:40 able to be come off their pills and the answer is yes. 10:44 There is something that we now understand 10:45 is called beta cell burnout. Beta cell burnout is 10:54 when the beta cells in the pancreas 10:57 which produce the insulin start burning out. 11:00 They stop being able to produce and release insulin. 11:08 They've found that unless you have beta cell burnout, 11:11 the insulin resistance will not progress to diabetes. 11:17 In other words, in order to get diabetes, 11:19 you've got to have insulin resistance, 11:21 plus this beta cells burnout. Now we are again, 11:24 we are talking about Type 2 diabetes. 11:27 They did some baboon studies to illustrate this. 11:32 They took some normal healthy baboons, 11:34 they gave them nicotinic acid, which causes marked insulin 11:39 resistance in the doses that they gave them to these baboons. 11:42 But, the baboons responded by just increasing the amount of 11:46 insulin they released and they overcame this insulin resistance 11:49 And, this allowed them to prevent their blood sugars 11:53 from going too high. Next, they took some baboons 11:59 and this time they destroyed half of the pancreas 12:04 with a special poison. Now their pancreas was only half there. 12:09 Now when they gave them the nicotinic acid 12:11 the insulin resistance rose, 12:13 the pancreas tried to compensate by releasing more insulin, 12:17 but was unable to do so, because half of it was missing 12:20 and they went on to develop diabetes. 12:24 So they needed the both components to develop diabetes, 12:28 insulin resistance plus beta cell burnout. 12:32 They have also observed that in humans there is a particular 12:37 rare genetic dysfunction which causes 12:43 a severe insulin resistance. But, many times these patients 12:46 do not develop diabetes because their pancreas 12:50 is able to just produce more insulin and compensate for it, 12:55 so the blood sugars can stay in the normal range. 13:00 What they have found with beta cell burnout is that it occurs, 13:05 or starts to occur 12 years before the diagnosis of diabetes 13:10 And, this is also where you can find 13:13 insulin resistance starting to increase. 13:16 What they are finding is that for about 12 years 13:18 before the diagnosis of diabetes, 13:23 until after about 12 years they are then diagnosed with diabetes 13:28 What happens as the insulin resistance increases initially 13:31 is the pancreas just releases more insulin 13:33 to compensate for it. So insulin levels actually go up, 13:37 up, until the time of diagnosis, 13:41 say at 12 years after the start of this process. 13:45 During that time of increasing insulin 13:47 resistance beta cell function is continuing to drop. 13:52 Now beta cell function, God has produced us with a big reserve, 13:58 so that they may, a normal person maybe able to produce 14:01 maybe say 10 times as much insulin 14:04 as they would really need. But by the time of diagnosis 14:08 of diabetes, that beta cell function is 50 percent, 14:12 it may only be able to produce maybe five times as much insulin 14:14 or somewhere in that neighborhood. 14:18 And at this time, the insulin resistance 14:20 however has increased to a point where it may need 14:22 that much more insulin to keep the blood sugars controlled. 14:27 So after 12 years the pancreas can no longer keep up with the 14:31 insulin resistance and now the blood sugar starts to rise. 14:36 And, now the doctors say oh, your blood sugars are rising 14:40 and you get diagnosed with diabetes. 14:47 What causes beta cell burnout? Well there are many theories, 14:54 some thoughts were that well high blood sugars 14:56 would be toxic to the pancreatic cells 14:59 or there are some glycosylation of pro teins or sugars 15:02 were combined with the proteins in the pancreas 15:03 and that would cause damage or amyloid deposition. 15:07 But all of these processes required high blood sugars. 15:10 And, as we noted, this beta cell burnout 15:13 occurs 12 years before the diagnosis of diabetes 15:17 when the blood sugars are normal. 15:19 So, they had to understand or find a different mechanism 15:23 and they found that the mechanism was most likely 15:25 is what they call lipotoxicity. 15:28 When you have insulin resistance, two things happen, 15:32 your triglycerides go up, 15:35 that's the fat in the blood and insulin levels rise. 15:39 Now insulin not only drives sugar into cells to be burned 15:46 or stored. It not only drives 15:48 sugar into those cells to be stored, 15:50 but insulin will also drive fat into fat cells to be stored. 15:54 It will drive fat into liver cells causing fatty liver, 15:58 but it can also cause dry fat into pancreatic cells 16:02 which can cause beta cell burnout. 16:05 It could be toxic to those pancreatic cells. 16:10 What we found also is that this has been 16:14 confirmed with the Pima Indians and Caucasians. 16:18 What they found is that if they give a high fat diet 16:23 to these groups of people, very soon, 16:27 the beta cell function starts decreasing. 16:32 And it's related to the fat in the diet, 16:34 the insulin resistance and the high triglycerides 16:38 and the increase in insulin that is being produced, 16:41 causing that lipotoxicity in the pancreas. 16:45 Well, many patients want to know, 16:49 how do I know if my pancreas is working, 16:52 or how well it's working? 16:56 If their pancreas is working well, 16:59 if they are producing enough insulin, 17:03 then if we just get rid of the insulin resistance, 17:06 we would expect to be able to get them off the medications. 17:08 However, if their pancreas is working at a very low level, 17:13 where they are not producing much insulin at all, 17:16 even though you get rid of the insulin resistance, 17:18 you still have a second problem where you're not producing 17:22 enough insulin and they still need insulin to maintain 17:26 their blood sugars. So, how do I know, how do I know? 17:30 Well, there is a test called C-terminal peptide, 17:32 which you can ask your doctor about. 17:34 You can obtain, it's just a simple blood test. 17:38 What happens is insulin is, starts as proinsulin 17:45 and it's protein and to turn it into insulin, 17:49 one of the ends is broken off, that's called the 17:51 C- terminal peptide end, it's broken off 17:55 and kind of thrown away into the blood 17:56 and what's left is your insulin, the insulin goes out 17:59 and does the work it's suppose to do. 18:01 But, the C-terminal peptide floats around the blood stream 18:04 and its level can let you know how much you're producing. 18:09 Now, if I inject insulin there is no 18:13 C- terminal peptide in the insulin I'm injecting. 18:16 So, even if a patient is taking insulin, 18:19 we can measure their C- peptide and it will tell us 18:22 how much insulin that person is making, 18:25 even apart from the insulin they are getting injected. 18:30 So, what's normally done is we give a sugary meal 18:34 or something to drive the sugar up above 150. 18:37 This will stimulate the pancreas to release 18:40 as much insulin as it can. 18:43 And then once the blood sugar is above 150 18:46 we draw a blood test and we measure the C-peptide level. 18:50 If a C-peptide level is four or above, 18:53 that generally indicates fairly good pancreatic function 18:58 and you would have a very good chance of getting 19:00 off your medicines, if you were to change your diet 19:04 and get rid of the insulin resistance. 19:06 If on the other hand it's two or less, chances are not as good, 19:10 chances are less likely that you are going to be able to get off 19:13 your medications even if you get rid of the insulin resistance, 19:18 because you're still going to need to produce 19:20 more insulin and that may take sometime to correct. 19:25 Well the next question that would 19:27 follow is beta cell burnout reversible? 19:32 And the good news is there is evidence that yes it is. 19:36 There are some drugs, TCD's they are called. 19:41 They're a class of drug which helps decrease 19:45 insulin resistance, as well as decrease triglyceride levels. 19:51 And, these two factors tend to increase 19:55 the function of the beta cell 19:57 if the medicines are started soon enough. 20:02 They can increase and some tests have shown 20:05 as much as 60% increase in beta cell function 20:07 in as little as 6 months. 20:12 The problem with these is that they are some side effects 20:14 and they will cause usually 5 to 10 pound 20:17 weight gain during that time period. 20:19 Something most diabetics would like to avoid. 20:23 On the other hand, if you move to a plant based diet, 20:27 you can also drop your triglycerides, 20:30 decrease insulin resistance and beta cell function can increase. 20:35 It may take 3, 6 months, 12 months, 20:38 it may take sometime for that beta cell function to increase. 20:41 But if a person persist on it, 20:45 this is something that they can hope for 20:47 and actually measure and follow 20:50 and see if the pancreas is indeed getting better. 20:53 The nice thing about a plant based diet 20:55 is it doesn't cause the weight gain that the TCD's will cause. 21:00 In fact it can cause in general a weight loss, 21:04 and that's something that again most 21:06 diabetics are looking forward to. 21:10 Well, at the beginning of our first talk on diabetics 21:14 we described a lady who came into our office 21:17 and I wanted to tell you the rest of the story. 21:19 If you remember her name is Tony, 21:21 and she came into the office she rolled in, 21:23 in a wheel chair. 5Ft 3, she is actually 21:26 325 pounds she was blind from a diabetics 21:30 she was on 44 units of insulin a day. 21:34 She had high blood pressure, she had high cholesterol. 21:38 And, as you now know 21:39 this is all part of the insulin resistance syndrome. 21:42 Its part of the insulin resistance that she has 21:46 and it was causing all of these problems. 21:48 She had... the blindness was from a diabetic retinopathy 21:52 a common side effect of diabetes. 21:56 Well, I shared with her basically the things 22:00 that I shared with you and she did something 22:06 very strange, very unusual, 22:08 something we weren't really excepting, 22:10 she actually did everything we asked her to do. 22:15 She was in a wheel chair, she wasn't able to exercise 22:19 or get around much at all, but she moved to plant based diet. 22:25 No calorie restriction in a wheel chair, 22:27 no real exercise. But within about 2 months, 22:33 her blood pressure started coming down. 22:38 And as the blood pressure comes down, 22:40 we had to start taking her off her blood pressure medicines 22:43 or it would go too low. In about 2 months, 22:46 she was off of her blood pressure medicines 22:50 not needing that anymore. 22:51 She continued on her program 22:53 and we had to start decreasing her insulin level, 22:57 her insulin doses because her blood sugars 23:00 were starting to go too low. 23:03 Her blood sugars started coming down 23:06 and also we followed her cholesterol levels, 23:10 her cholesterol levels started coming down. 23:13 At the end of one year, her cholesterol had dropped 23:20 so low that we had to take her off 23:21 of her cholesterol medicines. 23:24 And at the end of a year she was off of her insulin. 23:27 She's gotten off of her insulin. 23:29 She was just on some oral medications at that time. 23:32 The other amazing thing we found was that 23:34 her weight started dropping. 23:37 She went from 325 down to 211 in 2 years. 23:44 That was approximately a pound a week 23:47 with no calorie restriction, no exercise, 23:50 she was in a wheel chair 23:52 and just by changing to a plant-based diet. 23:58 She was then able to get a knee surgery 24:01 from orthopedic surgeon and she started walking again. 24:06 And as long as she stayed on the program, 24:09 blood sugar stayed good, blood pressure stayed good, 24:11 cholesterol stayed good. If she strayed off the program, 24:15 started having animal products again. 24:18 Blood sugars will start to rise, cholesterol rise, 24:21 blood pressure would rise, weight would rise. 24:22 She had to come back on track to even it out again. 24:26 And, she did very well as long as 24:28 she stayed on the program. 24:31 So, the take home message is that, 24:35 what we found is that on a animal based diet, 24:40 American diet, lot of fats will go in 24:42 and plug up those insulin receptors. 24:44 So that when you take a sugar starch 24:46 blood sugar goes up, insulin is released 24:48 can't get in the key holes, 24:49 doors are stuck and the blood sugars rise, 24:52 that's insulin resistance. When this happens 24:55 the pancreas compensates by releasing more insulin. 24:59 That insulin tends to drive fat into fat cells, 25:04 making people heavy, drives fat into liver cells 25:08 causing fatty liver, drives fat into pancreatic cells 25:12 causing beta cell burn out. 25:15 And with time the beta cells will start to burn out, 25:19 you have decreased production of insulin 25:23 and with time then you'll have both beta cell miss function, 25:28 not enough insulin being able to be produced 25:30 to compensate for the insulin resistance 25:32 that the American diet has. 25:35 If you choose like Tony did, to go on a plant based diet 25:40 this can reverse. 25:41 Insulin resistance generally reverses within 3 or 4 days, 25:45 sometimes a week or two, usually 3 or 4 days. 25:49 Beta cell function on the other hand 25:51 may take 3, 6 months or longer before 25:56 it can recover and recoup. 25:59 So, for patients who are on diabetic medications, 26:04 wanting to make a change, 26:07 we encourage you to work with your doctor, 26:09 say, you know I'm gonna try a lifestyle change. 26:12 I want to be letting you know, what my blood sugars are 26:14 as the blood sugars come down 26:16 stay in touch with your doctor, so he can adjust your insulin, 26:19 so that your blood sugars don't go too low. 26:22 You want to keep in touch with him, 26:25 so that you can make those adjustments as needed. 26:29 And, as you make these changes what should occur, 26:34 what you should be watching for, 26:35 is blood sugar should be dropping, 26:37 blood pressure should be dropping. 26:39 You would need to keep your doctor apprised to those, 26:41 so that if needed he can adjust your blood pressures down. 26:45 Weight should be dropping, 26:47 cholesterol levels should be dropping, 26:49 and again it would be good 26:50 to keep a check on your cholesterol, 26:52 because if you're on cholesterol medicines 26:53 you do have a good chance 26:55 of being able to get off your cholesterol medicines. 26:58 So you want to keep in touch with him, keep him appraised, 27:01 so that you're not over medicating yourself. 27:05 These are things that God has given us, 27:11 the plant-based foods, which can strengthen the body. 27:14 In many cases, reverse and heel 27:16 the body even after many damage has been done. 27:19 As we move back to the original diet 27:23 that was given to us in the Garden of Eden. 27:25 We find that many diseases and illnesses 27:28 can in fact reverse and improve. 27:31 So, I encourage you to take a challenge, 27:36 try some of these lifestyle changes 27:39 and I wish you God's blessing and His health, 27:45 for He does desire you to be in good health. 27:49 We thank you for listening 27:50 and we hope that you can experience the health 27:58 and strength that God desires you to have. 28:01 Again, thank you for listening. 28:04 We hope you'll tune in again next time for more talks. |
Revised 2014-12-17