Saturday, January 31, 2009

Diabetes – Is There Hope for Prevention or Cure?

When I first wrote this I neglected to acknowledge the difference between Type 1 and Type 2 diabetes - two very different diseases. The comments below are in reference to Type 2 only. I have received comments pointing this out - sorry for the confusion. Bernie (3/6/09)


As many of you know, I am quite passionate about nutrition and living a healthy lifestyle. Government health agencies acknowledge that 80% of the chronic diseases that Americans suffer and eventually die from (diabetes, heart disease, stroke, and cancer) are directly attributable to lifestyle. This means that they can be prevented through diet and lifestyle modifications. These are the diseases of the 20th and 21st Centuries, rare in the early 1900’s, but significantly rising since the 1950’s in both incidence and mortality.

On a daily basis I educate, advise, and encourage people to make diet and lifestyle changes to improve their health. This can be a challenge as there is always some resistance; that is to be expected. It can be frustrating; yet I know those who are compliant will experience the benefits and be healthier.

Once per month I experience a high level of frustration. This is when the latest issue of Diabetes Forecast, the official publication of the American Diabetes Association, arrives in the mail. Their stated mission is “to prevent and cure diabetes and to improve the lives of all people affected by diabetes.” Unfortunately, if anyone actually follows the advice in the magazine that will never happen. The diabetic following what they read is destined to remain on medications and have their life continue to deteriorate. Let me explain by citing from the February 2009 issue.

We begin on page 11 with an editorial from Paris Roach, MD, the Editor-in-Chief. He states, “…the most effective ways to address lifelong conditions like diabetes are still being developed.” Lifelong conditions – that means you can not get better. Talk to any natural health care provider and you hear story after story of people getting better, but not from the ADA – it is a lifelong condition. Once you have it, you have it. Follow our advice and it will be a lifelong condition!

We move on to page 16 in the Mail Call section. To set the stage, a monthly feature of the magazine is recipes for diabetics – many of them sweets (cookies, cakes) with sugar substitutes. The letter writer states that Splenda causes a spike in their blood sugar (more on that later – thought it wasn’t supposed to do that) so they are looking for sugar equivalents in the recipes. Here comes our first bit of hypocrisy. The response states, “It would not be appropriate for most people with diabetes”, but then goes on with a detailed explanation of how much sugar to use!

Let’s continue with the recipes for the sweets. The ingredients I’ve seen are sometimes a small amount of sugar, but always Splenda, all-purpose flour, and canola oil. Many nutritionists, myself included, believe Splenda to be poison, and to promote a variety of diseases. Recent studies link it to obesity. Yet, it is considered okay for diabetics by the ADA. Seems to me that the last thing someone who is already diseased needs is more unnatural chemicals in their body, particularly one that has chlorine (a known carcinogen at its core).

These recipes also include all-purpose flour, better known as white flour. White flour, as far as your body is concerned, is sugar. So, we have a diabetic, who is not supposed to have sugar, yet they can have white flour? That does not seem like a good idea to me. What about you?

Canola oil. Have you ever seen a canola tree? Well if you have you did not see it on this planet – there is no such thing. It is a manufactured oil, meaning even though it is chemically a monounsaturated fat (like olive oil), it is highly processed, and therefore of questionable benefit. Manufactured oils are highly processed and heated which causes the fats to oxidize and when consumed will increase the free radicals in our body. Free radicals are known to cause cellular damage and contribute to a variety of diseases – probably not something ideal for a diabetic.

Let’s get back to the magazine. Page 33 had an advertisement for an insulin drug. It features a man who appears to be a baker by trade. He is wearing a suit and tie, an apron, and is holding three large baguettes. He states, “I was completely anti-insulin. Now I’m all for it.” What is the baguette made of? White flour. What is white flour? Sugar!

Then there is an article (page 36) discussing the merits of stretching before exercising. Several views are offered, including this from a MD professor from the University of Minnesota, “Why waste time? Especially for someone with diabetes who is reasonably healthy…” Who with diabetes is “reasonably healthy”? Diabetes is a serious disease. That is not healthy.

The next article explains the importance of Omega 3’s in the diet and the problem of the imbalance in most diets from eating too many Omega 6’s. This is true. Now more hypocrisy. On page 47 an RD is quoted as saying, “It’s (Omega 6’s) even in foods you think are healthy…granola bars, veggie burgers…soybean, cottonseed, corn, safflower, and sunflower oils as well as vegetable oil blends.” These are the oils that diabetics are being encouraged to consume in all the other articles where the “good fats” to eat are discussed!

But this is consistent with the hypocrisy found in other articles. All the recipes and editorials encourage low fat and non-fat eating. Fat, particularly saturated fat is bad. Yet, in an article about carbohydrates they state that fat will slow down the process of the carbohydrate turning into sugar slowing the rise of blood sugar. Excuse me, isn’t this what the diabetic wants? Fat is bad, yet it is has beneficial impact on blood sugar?

One of my favorite articles from a past issue described bariatric surgery as a cure for diabetes. The medical expert said something to the effect that it works because the body is “not absorbing the nutrients.” That gets blood sugar levels under control making the person is no longer diabetic by definition.. It seems to me that not absorbing nutrients is not a good long term strategy for health. How exactly does the body live without the ability to absorb nutrients? Perhaps someone from the ADA could explain that to me.

Another of my favorite articles from a prior issue screams the headline “just because you are diabetic doesn’t mean you can’t have ice cream”. Sure, if you never want to get better, you can have ice cream. There was another recipe that was a mixture of low fat cool whip, fat free sugar free pudding, and some other stuff. Basically it was all chemicals. There was no real food. Sounds real healthy! The “birthday” issue of the magazine was loaded with cookie and cake recipes for diabetics.

Perhaps someone from the ADA should speak the truth – if you are diabetic and you want to get healthier for a period of time you should not have ice cream, cookies, cake, white flour, Splenda, or anything like it. If you want to get better you need to stop the sugar and the artificial sweeteners and clean your body. Of course its hard to tell people, particularly many Americans, that they can’t have what they want to eat. Yet these same people will complain about the cost of health care. Seems they are not collecting the dots! I wonder what the ADA thinks of dots?

Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. He is an expert in the field of Nutrition and Erectile Dysfunction. His office is in Thiensville, WI. To learn more or to schedule an appointment, e-mail at bernie@brwellness.com, call (262) 389-9907 or go to www.brwellness.com.

13 comments:

healthcare training said...

There are no "remedies". But we can do some practices as follows

ELIMINATE sugars from your diet -- sodas, fruit juices, energy drinks, cakes, cookies, pies, ice cream
REDUCE starches -- eat less breads , rice, corn, potatoes.
INCREASE fibers -- green vegetables,Cheerios
GET MORE exercise -- Walk, run, ride a bike, play volleyball or basketball or soccer
MAINTAIN a normal-to-thin height-to-weight ratio.

Bernard Rosen, PhD said...

I agree except for the Cheerios - that is not a health food - lots of sugar.

Anonymous said...

I find that healthier choices are always more preferable diet. You have to take in consideration that there are two forms of diabetes type 1 and 2. MY daughter is 12 years old and diagnosed with type 1 diabetes. When her blood sugar drops to a low number below 80 she NEEDS a fast acting sugar such as juice, glucose, or pure sugar or candy. If she doesn't take a quick sugar she can go into seizures or comma. Fruit would take too long to digest..causing the BG to drop to a dangerous low. So I ask you to study type 1 as well because there are times it is absolutely necessary to take sugar. Type 1 the body does Not produce insulin anymore, they NEED insulin to live. Granted a healthy diet will help with controlling BG, but still need at times juice or glucose to raise that number up quickly. This is an autoimmune disease not caused by poor eating habits. When my daughter was first diagnose she dropped 20 pounds and was very thin. We pride ourselves on a healthy eating, fresh fruit, veggies, lean meats, whole grain bread. So please do NOT misinform people that the cure is as simple as diet...for that is NOT true with type 1 diabetes.

momtype1d said...

I find that healthier choices are always more preferable diet. You have to take in consideration that there are two forms of diabetes type 1 and 2. MY daughter is 12 years old and diagnosed with type 1 diabetes. When her blood sugar drops to a low number below 80 she NEEDS a fast acting sugar such as juice, glucose, or pure sugar or candy. If she doesn't take a quick sugar she can go into seizures or comma. Fruit would take too long to digest..causing the BG to drop to a dangerous low. So I ask you to study type 1 as well because there are times it is absolutely necessary to take sugar. Type 1 the body does Not produce insulin anymore, they NEED insulin to live. Granted a healthy diet will help with controlling BG, but still need at times juice or glucose to raise that number up quickly. This is an autoimmune disease not caused by poor eating habits. When my daughter was first diagnose she dropped 20 pounds and was very thin. We pride ourselves on a healthy eating, fresh fruit, veggies, lean meats, whole grain bread. So please do NOT misinform people that the cure is as simple as diet...for that is NOT true with type 1 diabetes.

Brensdad said...

In the future, those of us with type 1 diabetes would appreciate it very much if you would differentiate between the two in any blog about diabetes.

It is quite maddening relatives email us articles such as this and tell us we could have prevented type 1 diabetes in ourselves or our children had we just avoided sugar and white flour.

Thank you for your consideration.

Anonymous said...

No amount of healthy eating will cure type 1 diabetes. You really ought to distinguish between type 1 and type 2 diabetes.

Please support a cure for diabetes:
www.cwdfoundation.org
www.diabetesresearch.org

Ellen

E. Tringali said...

As a parent of a child with TYPE I Diabetes, I'm rather offended at the implication that had I only fed him the "right" foods he would not have diabetes, and his diabetes would go away.

The guidelines you give for a healthy lifestyle are certainly applicable to all people, however, these practices will NOT cure my child's diabetes.

I feel it is irresponsible to write as you do without differentiating between the types of diabetes. The practices you write about, while certainly smart for every person, deal mostly with the prevention and control of TYPE II diabetes, not TYPE I-also known as Juvenile diabetes. Type I is an autoimmune disease. The lifestyle you endorse will not prevent this.
Many people read articles by yourself and other professionals and develop a false hope that Type I could be completely avoided or cured. I pray there will be a cure in my son's lifetime, but it's not here yet.

Please don't contribute to the ignorance and misinformation the plagues people with TYPE I.

Bernard Rosen, PhD said...

Thanks for the feedback and sorry for not distinguishing between the Type 1 and Type 2.

Nicole said...

I actually see Canola plants every day in the spring / summer. The yellow fields are everywhere in eastern Oregon, which happens to be on this planet even. ;-)

http://www.soyatech.com/canola_facts.htm

And while Type *2* diabetes can be prevented by eating the way you describe, there is no prevention OR cure for Type *1* diabetes. There is a huge difference between the 2 diseases, please don't lump them together.

Scott said...

Bernard, thank you for making such a timely correction.

It may seem like a nitpicky thing, but to us parents with T1 children it's huge. We regularly get emails/news clippings of articles like this, from well-meaning people who think we can cure our children's diabetes simply by changing their diet.

The subtext is "why are you giving your child insulin when the CURE IS SO EASY?". Any explanation of type 1 vs type 2 falls on deaf ears. People really think we are somehow intentionally hurting our kids, and ignoring the "simple cure". The reality is without insulin, our children would die a horrible death in a couple days.

Anonymous said...

i am also a parent of two type 1 diabetic children and appreciate that you have indicated that there is a difference.
In the same spirit of correction, may i suggest yu also do some research on canola - which is a plant ( a grass - rapeseed to be specific)So yes it is natural - and good for you.

Bernard Rosen, PhD said...

A couple of comments regarding canola. Canola oil comes from the rapeseed plant, not a canola plant. These plants have been genetically modified to product the oil for canola. It is an industrial oil meaning there is lots of heating and processing to make it. This processing destroys the fats from the high heat. When we consume it, these oxidized fats create free radicals. Free radicals damage cells.

The bottom line - why use it when you can use perfectly safe olive oil or coconut oil?

For more information see: http://www.ithyroid.com/canola_oil.htm

Bernard Rosen, PhD said...

One more thing. Check out the soyatech web site. Sponsored by the soy industry and read it!

Here's an example: You can make your own decision if you want to eat it. Any one hear of "Frankenfood"?

Innovations in canola, through the introduction of herbicide tolerance, has reduced farmers’ costs and the use of natural resources in its production. In Canada there are three main groups of herbicide-resistant canola: Roundup Ready and Liberty Link varieties that were produced using genetic modification, and Clearfield varieties that were developed using a traditional plant breeding technique called mutagenesis.

The transgenic gene inserted into the canola plant to produce Roundup Ready and Liberty Link InVigor herbicide resistance is a protein. All protein is removed from canola oil during processing, so canola oil contains no GM material and is identical to canola oil from a non-GM canola plant.

Another innovation is the development of hybrid canola varieties. Hybrids can increase yields and are increasing in acreage. New Roundup Ready, InVigor and Clearfield hybrids have been introduced and hybrids are expected to be sown on 80 percent of canola acreage in 2007.