You Want To Know!

As a member of the LCDA, you should be proud knowing you are taking a proactive lead in healing the prediabetes or diabetes of yourself or a loved one or a patient. And, you have come to the right organization. By learning about The Eight Essentials, and how to bring positive changes to your diet, lifestyle, supplementation, you will learn information that may help you reverse prediabetes and can help you to reverse or control diabetes.

New Expert Interviews!

The low carb diet is the foundation diet for people who have prediabetes or diabetes. The LCDA promotes a nutritional, fun, tasty way to implement the diet.

 

The LCDA knows that change can be difficult! That is why we are here to help make sense of diabetes and help educate you about how simple life changes can have profound effects on your health and on reversing and controlling your diabetes. We know that you may start only dipping your toes into the water of healing. We are here to lend hope, support and offer answers and confidence in your success.

Quote of the Day:

“To enjoy the glow of good health, you must exercise.”

~ Anonymous

Board Member Updates

Dr. Mona Morstein has been doing a lot of interviews and podcasts about diabetes and her new highly praised book: “Master Your Diabetes: A Comprehensive, Integrative Approach for Both Type 1 and Type 2 Diabetes”. You can check them out by clicking here.

Dr. Morstein interviewed Autumn Smith of Paleo Valley. Learn how difficult it is to make really super healthy beef sticks without ANYTHING else in them. Did you know that all companies tend to use some sort of chemical even in their organic “pure” beef jerkies? Not Paleo Valley. For those who snack or need food for traveling, learning how Autumn and her husband have worked hard to create a pure product in corporate America is fascinating!

Illness + Diabetes

General Diabetes Information

Natural Alternatives to the Flu Shot

Although conventional medicine always pushes the flu vaccine, this year the medical science is clear that the flu vaccine is not covering the flu type that is infecting people across America. So, let’s talk about colds and flus from the integrative approach the LCDA represents.

Throughout the winter, many suffer from the aggravating symptoms of catching a cold or the flu.
But the commonly used explanation, ‘I caught a cold because Suzy kept coughing on me,’ is actually not entirely true. If it were, every person near Suzy would become ill, but this doesn’t happen. If you ‘catch’ a cold versus if you do not lies in the strength of your immune system.

A poor diet, chronic stress, alcohol, and a lack of sleep and exercise are big culprits in weakening your immune system. Elevated glucose levels are very depressing to your immune system.

To keep your immune system robust this season, the LCDA suggests these tried and true simple tips, which will benefit you by not only boosting your immune function, but are great for your overall health and well-being as well:

  1. Eat a low carb whole foods diet, including an abundance of colorful vegetables. If food is in the shape from which it grew in nature, it’s considered a whole food, thus is packed with immune boosting nutrients. If man made it, don’t eat it often. That doesn’t mean you can’t have peanut butter, as some processed food can still be quite healthy, and is only one step away from eating the food as nature created it. If the ingredient label contains only whole real foods, that’s acceptable even if it is boxed. Many foods like that are minimally processed and are still very healthy to eat. However, the more it is processed, the more chemicals and preservatives are added, the longer the ingredient label for a simple can of soup, that’s when it will likely start harming your system instead of enlivening it.Eggs, flax seeds, nuts/seeds, vegetable based salads, chicken, fish, nut flour/cauliflower/zucchini “grains” are great examples of minimally processed yet very healthy options.And stay hydrated with plenty of water or herbal teas….half your body weight in ounces, so a 150lb person should drink a minimum of 75oz/day.Also, include fiber in your supplement regimen to preserve your intestinal microbiome, make up for the lack of grains, and support colonic excretion of intestinal toxins. In naturopathic medicine, it is the build-up of intestinal toxins that leak into the systemic body that causes illness and medical conditions. A cold or flu virus or bacteria that initiates mucous draining from the nose, coughing up mucous, some diarrhea, fever is a way the body can cleanse of established toxins and leave the body cleaner and healthier upon recovery. On a day to day basis, the increased fiber powder reduces intestinal toxins, and thus helps prevent the toxins from entering into the rest of the body and brain cells.
  2. Adequate rest. Sleep is the most rejuvenating time for your body. Every night, your body regenerates cells allowing your immune system to be on top if its game the next day, and your immune system is most active at rest. Just like the fatigue you feel when you don’t get enough sleep, your immune system will be suffering this same fatigue.
  3. Exercise. Exercise has been proven to be one of the most powerful “medicines” around, not only for keeping your immune system strong, but also reducing your risk of many diseases. It slows aging significantly, elevates the mood, wards off anxiety and depression, helps with weight management and loss (if that is necessary), reduces your risk for both cancer and cardiovascular disease.
  4. Key supplements:
    • Multiple vitamin mineral: Adults who take a multivitamin have a 50% decrease in the number of days of illness due to the common cold than those who didn’t.
    • Vitamin C is a proven immune booster. Unfortunately it also looks like glucose to many glucose meters, so Vitamin C should be taken at 500-1500 mg/day max for prevention. Liposomal C is a type of C that is really absorbed well, and is great for kids/adults, as it’s easy to take in its liquid form. If Vitamin C is taken in high doses when sick, be aware it may appear that your glucose is higher than it really is. Obviously, this can become serious if you inject more insulin to lower the glucose when it’s not really that high. Always connect with your integrative physician when you are ill, and be under his/her management.
    • Get your vitamin D and zinc checked and take a supplement if you are low. When sick taking Vitamin D3 at your body weight in ounces is an amazing immune stimulant. That would mean if you weigh 100 lbs, taking 100,000 units of Vitamin D3 for four days. DO NOT take this if you have sarcoidosis. Always check with your physician before taking high doses of any supplement.
    • High quality probiotics, which contain healthy gut flora, are great immune boosters. Kids can take 10-20 billion a day and adults can take 20-200,000 billion a day.
    • There are great immune boosting botanicals, too: echinacea, goldenseal, garlic, osha, ligusticum, old mans’ beard, etc, plus other herbs specific to an ill body part, such as sinus herbs, chest herbs, throat herbs. To be effective, these herbs must be high quality and taken in adequate amounts. Your integrative physician can help choose the best ones at the best dosage for you.

If you feel you are getting sick, try some of these simple tips:

  • Fast–don’t eat. If you are on insulin, that has to be managed properly (injecting basal but not bolus unless a correction dose is required). Allowing the gut to rest, gives the body more energy for the immune system.
  • Don’t work or do errands–go home and rest in bed. (Besides you may be contagious, so it’s your social responsiblity to not infect others.)
  • Gargle with warm salt water if you get a sore throat
  • Do a saline nasal rinse to clear clogged sinuses
  • Hydrotherapy–there are many home treatments using water that can help heal up different body parts. A hot foot bath is superb for a sinus infection, heating socks is great for a chest cold, heating t-shirt is also good for chest infections. Your integrative physician can explain how to do these simple and yet very powerful home treatments–great for kids and adults!
  • Watch a funny movie because laughter is one of the best medicines!
  • Take prescribed supplements by your integrative physician.

There is nothing to be afraid of when it comes to the cold/flu season, as naturopathic and integrative care is quite competent in helping diabetic patients return to health. Try to avoid antibiotics, since colds and flus are caused by viruses and do not respond to antibiotics. If you get a bacterial infection, don’t worry–it can still be treated naturally! You are in good hands following this simple, yet effective, advice.

New Insulin Approved

Essential #8: Diabetic Medications

The FDA has approved Sanofi’s Admelog, which is a rapid acting insulin designed for meals and corrections for children over three years old and adults. Admelog uses the same insulin as Eli Lilly’s Humalog, but is not exactly the same. It is termed a “follow on” or a “biosimilar” type of insulin.

Admelog will be offered both in vials for those using syringe and vials and also in a Solostar pen. Admelog adds to the growing list of biosimilar type insulins, such as Basaglar and the no doubt soon to be approved Lusduna/Nexvue which are Lantus/glargine long acting basal replacements. However, Admelog is the first rapid acting biosimilar insulin FDA approved.

Biosimilar/follow on insulins are designed to work exactly as the insulin they are replacing but are generally a little bit cheaper, usually around 15% less, which insurances love. They oftentimes quickly require patients to use the new biosimilars, such as United Health did. Remember that insulin, for out of pocket patients, can also be ordered from Canada through your integrative physician, such as through websites like canadianinsulin.com and rxcanada4less.com.

Diabetic Hypoglycemia

General Diabetes

Hypoglycemia is medically diagnosed when glucose values go under 70 mg/dL (3.9 mmol/l). Hypoglycemia events are usually more fearful than hyperglycemia ones due to the risk of the diabetic patient falling unconscious, suffering from a seizure and worse, dying.

There is a very scary phenomenom called “Dead in Bed” whereby a child (usually, it is uncommon though can occur in adults), goes to bed normally and is found dead in bed in the morning. This horrific medical event is considered to be from hypoglycemia causing a serious cardiac arrhythmia during sleep, leading to the child’s death. It’s these worst case scenarios that can lead patients to have higher glucose levels in fear of “tight control” causing hypoglycemia.

And, in fact, in conventional care of diabetes, hypoglycemia is fairly common, due to their idea of eating high carbohydrate meals and then trying to hammer the subsequent glucose levels down with aggressive medications. This sets up the highs and low and highs and lows typical in diabetic patients on insulin, or oral medications with a noticeable risk of inducing low glucose levels. With integrative care and low carb diets, this nasty up and down roller coaster is stopped.

Hypoglycemia is generally due to one of several situations:

  1. Excessive insulin injection or too high a dose of hypoglycemic oral medication that can cause hypoglycemia (such as sulfonylurea and mitiglinides)
  2. Decrease or delay of food ingestion,
  3. Use of alcohol or drugs which interfere with the production of glucose in the liver,
  4. Use of drugs that can block the body from noticing hypoglycemic symptoms such as caffeine, beta blockers and SSRIs.
  5. Increase exercise from your usual regimen, or the action of not reducing typical insulin pre/post-exercise.

In hypoglycemia, plasma and brain glucose levels are generally closely related until the glucose decreases to around 21 mg/dL when brain glucose reaches zero. in a person without diabetes, when the glucose is sinking glucagon is secreted from the pancreas, and cortisoland epinephrine are secreted from the adrenals–these hormones all signal the liver to produce glucose from stored starches and proteins. In an insulin dependent diabetic patients (T1DM or T2DM), glucagon is typically poorly secreted, but the adrenal hormones can be normal, unless hypoglycemia occurs frequently. When that happens, there can be a problem with all the hormones and hypoglycemia unawareness can occur; that is, the body may not send usually obvious signs and symptoms the glucose is going low. However, this can be healed, and the hormones can be secreted again after two weeks of not having a significant low.

Those signs and symptoms are divided into adrenal and neurologic categories:

  1. Adrenal: Hunger; irritable; trembling; anxiety; heart palpitations; sweating; pale; numb fingers, lips tongue.
  2. Neuroglycopenic (brain is starving of glucose): blurred vision; weakness/dizzy; headache; tired; abnormal acting out; poor memory; slurred speech; unsteady walking; loss of consciousness; seizures.

Hypoglycemia can be mild, where the individual treats it on his/her own, moderate, where some of the above symptoms are developing but the individual can self-treat, and severe, when the neuroglycopenic signs and symptoms occur and the patient needs help from someone else.

If you start feeling poorly, test your glucose levels. If you are hypoglycemia, do not drive, exercise, operate heavy machinery, until your hypoglycemia is under control. If you come upon a family member, friend, or even stranger, who is having a low glucose episode, do not leave them alone, especially children. Last, analyze for the reason the hypoglycemia occurred; for example, if some strong medicine caused the hypoglycemia, treatment may need to continue until the medicine is out of their system, especially when insulin is involved.

Treating hypoglycemia means setting a guide for where glucose correction level should be. That is, for most people, a glucose goal is 90-100 mg/dl, and if glucose is low, raising to around those numbers gets a person out of danger, but doesn’t shoot their glucose through the roof, later requiring a correction dose.

There are three main ways to treat hypoglycemia:

  1. Food and drink
  2.  Glucose tabs or
  3. Glucagon shot

Food and drink is very problematic for treatment of hypoglycemia and should be avoided. Remember that hypoglycemia means that the blood is low in GLUCOSE, not fructose or sucrose or longer carbs—eating those instead of glucose means that it will take time for the body to convert them into glucose, and in the meantime a person’s glucose could be lowering further. As a result, people can have the craving to eat enormous amounts of food, as the brain keeps signaling, Feed Me Sugar! Diabetic patients have ingested full quarts of ice cream, whole packages of cookies, when hypoglycemia and erroneously using food. Even Soda pop is not glucose and takes time to convert; same with fruit juice.

The general rule with hypoglycemia is the 15-15 rule–eat 15 grams of carbs and remeasure glucose levels 15 minutes later, repeating the 15 grams of food and wait an hour to recheck and see if the correction glucose goal is achieved and maintained. 15 grams of carbs can be obtained through eating: 3 glucose tabs; 4 dextrose tabs; 1 glucose gel drink; 6 sweet tarts; 4 Starbursts. The LCDA recommends you stay with glucose or dextrose tabs/gels. Glucolift is an all natural glucose tab; buy them before they go out of stock! Check them out here.

The last way to treat diabetes is only used when a person is not longer able to care for themselves. Every diabetic patient on any type of insulin should have a glucogan kit; they expire after twelve months so need to be renewed each year by your integrative physician. A glucogan shot is a slightly complicated affair–you need to inject the syringe fluid into a little vial of dried glucagon hormone, mix it up, and then inject 0.5 ml into a child or 1 ml into an adult. In a crisis situation obviously this can be disconcerting for many people. Luckily, many pharmacies are trying to make using it easier. It is hoped in the next year or two an alternative to the GlucoGen shot will be ready to go.

Glucagon can cause nausea and vomiting, so a person injected with it needs to be placed on their side, so if they do vomit, they do not swallow their vomitus and aspirate it into their lungs.

In reality, no diabetic patient should consistently struggle with reqular hypoglycemia (or hyperglycemia). Being on a low carb diet, and following The Eight Essential® can truly help a diabetic patient have extremely well controlled glucose levels without highs or lows, and enable T2DM patients to remove many if not all oral medications, and reduce the insulin needs for T1DM patients, equally reducing the risks for lows.

Diabetic patients should not have to fear hypoglycemia all the time, negatively affecting their quality of life. Using the methods of the LCDA, reading Dr. Morstein’s book “Master Your Diabetes,” and having diabetes expert medical practitioner who uses integrative/naturopathic medicine can seriously prevent the future of hypoglycemia events.

http://www.medscape.com/viewarticle/768279_4T

RESOURCE GUIDE

  1. Lowcarbdiabetes.org — Sign in and in the Diet Essential is the new Autumn Smith Interview
  2. TedTx Talks on YouTube: Dr. Jody Stanislaw:

LOW CARB RECIPES

Recipe #1 | Low Carb Three Seed Bread

Everyone loves the flavor and mouthfeel of a lovely piece of bread. This great recipe gives that to you in a low carb option that is delicious! The famous 3 seed bread people are raving about. Perfect toasted with butter then sweet or savoury toppings.

Total Time: 45 minutes
Prep Time: 10 minutes
Cook Time: 35 minutes

Ingredients:
* 1/4 cup chia seeds chia seeds
* 1/2 cup sunflower seeds sunflower seeds
* 1/2 cup pumpkin seedsumpkin seeds
* 1/4 cup coconut flour coconut flour
* 1 cup psyllium huskspsyllium husks
* 1 tsp baking powderbaking powder
* 1/4 tsp salt (optional)
* 1/2 stick butter, melted
* 2 eggs – medium
* 1 cup water warm

Directions:

1. Place all the dry ingredients in a large mixing bowl and stir.

2. Add the melted butter and eggs. Stir until almost mixed.

3. Add the warm water and stir until all the ingredients are full incorporated.

4. Place in a loaf tin and bake at 180C/350F for 35-45 minutes. Ensure it is golden on the outside and cooked in the centre. Cooking times may vary with each oven.

Nutrition Information:

Amount Per Serving (1 slice):
* Calories 107
* Calories from Fat 74
* Total Fat 8.2g
* Protein 3.5 g
* Total Carbohydrates 5.8g
* Dietary Fiber 3.9g
* Net Carbs: 1.9 g

Recipe #2 | Coconut Flour Low Carb Zucchini Bread

For the second bread treat here is a super easy recipe for coconut flour low-carb zucchini bread. A sweet low-carb baking recipe that can easily be made as a loaf, muffins or mini cupcakes.

Total Time: 30 minutes
Prep Time: 10 minutes
Cook Time: 20 minutes

Ingredients:
* 1/2 cup coconut flour
* 1 tsp baking powder
* 4 tbsp alternative low carb sweetener of choice or more to your taste
* 1/2 tsp salt or to taste
* 1 tsp cinnamon
* 1/4 tsp ground nutmeg
* 1 tsp vanilla
* 5 eggs – medium
* 130 g grated/shredded zucchini (measure after squeezing out the water)
* 1/3 cups walnuts (optional)

Directions:

1. Place all the dry ingredients in a large mixing bowl. Stir gently.

2. Add the vanilla, eggs, grated/shredded zucchini and walnuts (optional). Stir gently.

3. Place into a lined loaf tin or silicon loaf tin, and bake at 180C/350F for 20 minutes, or until a knife comes out clean when pushed into the centre.

Nutrition Information:

Serving size: 1 slice (about 1/15)
Amount Per Serving:
* Calories 41
* Total Fat 2.1g
* Protein 2.5 g
* Total Carbohydrates 2.7g
* Dietary Fiber 1.4g
* Net Carbs: 1.3 g

** Percent Daily Values are based on a 2000 calorie diet.