7 Steps to Better Manage Diabetes

An epidemic is defined as a widespread occurrence of a disease in a community at a particular time. It is with this definition in mind that we say that diabetes has reached epidemic levels in the United States. A 2017 CDC report found that more than 100 million Americans have diabetes or prediabetes. More than 1 in 4 Americans either have diabetes or are likely to get it. This means that 30.3 million Americans are diabetic, while 84.1 million have prediabetes, a condition that often leads to type 2 diabetes. Statistically speaking, 1 in 3 US adults are projected to have diabetes by the year 2050. Type 2 diabetes was once thought to be a disease of the west, but we see it exploding in poorer countries. One theory links it's spread with the introduction of the Western diet. Type 2 diabetes typically affects adults, while Type 1 affects children. But now, we see a greater prevalence of children diagnosed with Type 2 diabetes. To better understand the disease of diabetes, we must understand how food affects blood sugar in the body. Normally, when we eat, the food is broken down into simple sugars, we call them glucose. This is the smallest unit of carbohydrates. Glucose, a simple sugar, is absorbed into the bloodstream, where it is received into the cells and used for energy. The hormone that carries sugar into the cells, is called insulin, and this hormone is made in the pancreas. Excessive sugar present in the blood is called hyperglycemia. Sugar does not belong in the blood, hyperglycemia can lead to oxidative damage, and damages to kidneys, heart, nerves, retinal and vascular organs. Type 2 diabetes reflects the body's (pancreas) inability to quickly and efficiently remove the sugar that is found in the blood. In its early stages, the pancreas will produce more of the insulin hormone to remove the same amount of sugar that it once did under healthy metabolic conditions. This reflects a gradual decrease in sensitivity to insulin. Over time, insulin sensitivity decreases further, and so the body is no longer able to produce enough insulin to remove blood sugar and store it inside cells. This is where prescription drugs come in, doctors prescribe drugs such as Metformin, Januvia, Glimepiride, and others. Although they have different mechanisms of action, they ultimately work to remove sugar from the blood. Some drug classes increase the release of insulin by the pancreas, others block the release of sugar from the liver, while others reduce appetite. When a patient presents before their health care practitioners, symptoms that they look for include, high blood sugar, frequent thirst, fruity breath, sweet-smelling urine, fatigue, weight loss. These symptoms are ways the body tries to cope with increased sugar in the blood. It increases the thirst sensation because it is trying to dilute the blood. The fruity breath is a sign of sugar's presence, sweet-smelling urine is the body's way of getting rid of excess sugar that remained unabsorbed. The frequent fatigue is due to the cells not receiving adequate glucose for energy. Practitioners will usually measure a patient's blood sugar to diagnose. 3 common tests are used to measure blood sugar, these are; fasting blood glucose, oral glucose tolerance test, and hemoglobin A1c. Of the three, the only one requiring a doctor's supervision is the Hemoglobin A1c test, the other 2 can be done at home or with professional guidance. Despite all the diagnostic tests and drug treatments available, Type 2 diabetes continues to grow among Americans. The reason is both simple and complex. Simple because we are not addressing the root causes of blood sugar imbalances, complex because it is often multi-factorial. As Americans, we tend to react only after diagnosis, and not before. Urgency is manifest only after the disease has begun. Secondly, the convenience of managing the symptoms can appeal much more than the sacrifices required to change our diets and lifestyles. Nevertheless, simply managing symptoms with drugs can also have side-effects, such as weight gain, bloated stomach, metallic taste in the mouth, as common with Metformin. On our website, www.drced.com, we have a protocol known as Genesis 7. This addresses what we believe are multi-factorial root causes chronic illness. The approach may vary depending on the disease, but the underlying principle of the 7 steps remain the same. These 7 steps are: Remove bad foods (2) Cleanse the system (3) Hydrate the body (4) Balance pH (5) Nourish body (6) Build it up (7) Stress and rest

STEP 1. The goal here is to identify which foods are beneficial and which are harmful to you. Research has shown us that when it comes to diabetes, low-carb diets are more beneficial than high-carb diets. Considering the typical western diet is full of refined products, sugary drinks, added sweeteners; reducing them is the logical first step. Many people are gluten intolerant to various degrees, this means the body is unable to break down (digest) gluten protein. The protein will gradually damage our intestinal tract, the villi responsible for absorbing nutrients from food. The destruction of the villi gradually reduces the body's ability to absorb key nutrients from the foods that we eat. Addressing the sugar issue is also vital, it is recommended to find alternatives to the sugar-filled beverages we consume each day. Even carbonated beverages can slow down the digestion of food, impacting the blood sugar balance. STEP 2. Keeping your channels of elimination working efficiently is key to balancing blood sugar, these channels are the blood, colon, kidneys, liver, lungs, lymph, and skin. As you know, the presence of excess sugar in the blood can lead to oxidative damage to major arteries, and organs over time. This hyperglycemic state reduces the flow of blood throughout the body. The body will do its part to remove as much sugar and even dilute the blood with water. This is evidenced by common symptoms manifested in uncontrolled diabetics, excessive thirst, fruity breath, sweet-smelling urine. Making sure your kidneys, and liver are healthy and working well key can mitigate the damage of diabetes. The ability to cleanse, urinate and even have consistent bowel movements also plays an important role in overall glycemic control. Exercising and sweating help cleanse the blood via the skin, and allow lymph to drain. STEP 3. As mentioned, water helps to dilute the blood and maintain fluid dynamics and while blood is pumped throughout the body. Getting enough water is essential especially when hyperglycemia is present. The body causes thirst as a sign to get more water into the system, this is to dilute the blood and even get rid of sugar via urination. We recommended a goal of drinking half of your weight in ounces each day for proper hydration. For example, a 180-pound person would drink 90 ounces throughout the day. STEP 4. The pH scale is a measure of the acidity or alkalinity of water-soluble substances. A healthy body is always slightly alkaline, the blood itself has a pH of about 7.4. This creates an environment that is beneficial for the growth and proper function of cells, organs and the body as a whole. The key is that what we consume and the environment we find ourselves in can also affect the pH of the body. Unlike an alkaline environment (pH greater than 7), an acidic environment (pH less than 7) creates a toxic, mineral-poor environment, where cells starve and parasites grow. Common sources of acidity in the body come from foods (grains, sweeteners, alcohol, etc…), chemicals (make-up, deodorants, perfumes, heavy metals) and stress (family, work, social). It is very important to identify these sources of acidity in your life and work towards minimizing their impact on your health. STEP 5. A healthy diet is one full of live foods (greens) and low in dead foods (processed and refined). The goal is to make sure the body is getting all the essential nutrients every day. Understanding the role of food, the types of nutrients and their impact is key. Reduce your daily carb intake means less sugar gets released in the blood. I am an advocate of the keto diet which consists of low carbs, moderate protein, and high-fat consumption. The quality of the carbs also makes a difference, try to avoid refined carbs such as breads, cookies, and replace with starchy forms of carbohydrates. Ketogenic diets have shown to be more successful than a typical low-carb diet because it includes the consumption of protein and healthy fats. STEP 6. Exercise can revitalize the body and help maintain the integrity of its organs. Research shows that moderate levels of physical exercise can benefit the body in different ways. In addition to helping prevent the rise of diabetes, exercise can play a role in positively affecting blood pressure, mortality, and even improving blood sugar control. Keeping your blood glucose at a healthy level will prevent future complications. Exercise leads to muscles taking up glucose from the blood even in the absence of insulin, this reduces your blood glucose level. Theoretically, exercising reduces your insulin resistance. 3 types of exercises can be employed, flexibility (stretching, yoga), aerobic (walking, running, dancing) and anaerobic (weightlifting, sprinting). Setting a workout plan that includes a good balance of all three is recommended. STEP 7. The rise of modern technology may have contributed to the rise in insomnia and sleep loss. Sleep loss can affect the body's ability to heal, proper metabolic function and energy metabolism. Among the ways it is destructive to the body, it can also increase insulin resistance. We recommended that you increase the number of hours of sleep to 7-8 hours a night for an adult, 9-10 hours for teenagers. Techniques such as reducing blue light exposure at night (from phones), avoiding late-night eating, getting to bed at the same time each night can prove helpful. Consistency each night is key to getting the body's circadian rhythm normalized. In addition to getting a good night's sleep, properly managing chronic forms of stress can also prove helpful. Some stress can be beneficial because the body produces chemicals and hormones to help you rise to the challenge. However, chronic and more permanent forms of stress can prove harmful to health. They are linked to increasing sugar imbalance, beta-cell dysfunction, and reducing the effects of insulin. Research has shown that reducing these chronic forms of stress can improve blood sugar management in diabetics. On our website, our goal is to promote better health by offering natural solutions for improved conditions. If you would like to try our program, Genesis 7, visit us at www.drced.com. If you're looking for a wellness coach or a diabetes speaker to present on this and other topics, please contact us. Dr. Cedrick Batchateu, Pharm.D. Wellness Speaker and Coach 914 355 6796 www.drced.com contact@drced.com

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