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.
NEW LCDA SPONSOR: MedicineTalkPro.org
Medicine Talk Pro is a leading organization created by Dr. Eli Camp offering continuing eduction credits on many topics related to integrative medicine. Designed both for medical practitioners and lay people, they offer amazing and affordable lectures/conferences one can listen to in the comfort of their home. Topics can help children, women, and men! Lectures are also archived so they are accessible whenever you wish to learn! The LCDA recommends everyone visit their website and start learning about numerous medical conditions and all different aspects of being and staying healthy!
The ADA 32nd Annual Clinical
Conference on Diabetes
May 25-28th, Orlando, FL
The American Diabetes Association clinical conference this year has some innovative talks at it. Dr. Mona Morstein and Dr. Helen Hilts of the LCDA will both be there representing the LCDA. Some of the lectures that resonate with the LCDA include:
- Vitamin and Mineral Deficiences in the Person With Diabetes (Essential #7–Supplements)
- Micobiome: Working With an Old Friend (Essential #5–Healing the Gut and Microbiome)
- Recognition and Treatment of Sleep Deficit and Sleep Disorders and their Association with Insulin Resistance and Diabetes (Essential #4–Stress Management)
- Depression, Distress and Diabetes: Case Studies and Real-World PRactice (Essential #3–Sleep)
- Yoga As Pathway for The Treatment of Diabetes (Essential #2 and 4–Exercise and Stress Management)
- Is Sitting the New Smoking? “Warning: This Chair May Be Hazardous to Your Health” (Essential #2–Exercise)
Of course, the ADA still has a long way to go. There are still so many patients who get, to be honest, bad advice at their regular physicians’ office about their diabetes.
The standard “team approach” is a huge problem in conventional care, although they laud it as some amazing structural set up in their clinics. In this approach, the Registered Dietician would address the diet (and that may be recommending a high carb diet oftentimes, since that is what the ADA recommends), but cannot change medications to match the diet; the physician changes the medications without having any idea what the patient is eating. No one is likely going over the other Essentials, including the gut, detoxification, and supplementation. This “team approach” set up is guaranteed to be a problem for many patients which is why so many diabetic patients are not in good control.
Dr. Morstein has been to many conventional care diabetic conferences where in four days there were no talks on diet; it was all medication based. The diet served included pastries for breakfast, cookies for snacks, pizz for lunch, and ice cream and soda pop for afternoon snack. It seems they were feeding conference attendees with the mind to create more diabetic patients to treat with their medicine in the future! And, mind you, being at a conference means sitting all day watching lectures, burning few calories–there is no need for snacking!
Having the ADA encourage lectures on topics aligned with the LCDA’s incredible Essentials is something worth checking out. In the meantime, the LCDA is leading the way for educating people about comprehensive integrative care for prevention and successful treatment of diabetes.
Dr. Morstein was contacted by Dr. Dietmar Gann from Tucson, AZ. Dr. Gann was a cardiologist for his medical career, but after he retired he started Diet of Hope, a low carb nutritional program run out out several clinics located in Tucson. Dr. Gann’s clinic has seen thousands of patients successfully treated with a low carb, nutritionally balanced, portion controlled diet, and many MDs in the Tucson area have signed on to supporting the program.
Treating their first 100 diabetic patients, A1Cs decreased 0.6%, and all patients could stop sulfonylurea medications, and some could stop insulin. Blood pressure decreased, and the average weight loss was 10.3% of body weight, Cholesterol and lipids also reduced.
Dr. Gann’s clinic does not make use of all The Eight Essentials™, but focusing on the low carb diet is definitely helping patients!
Dr. Morstein will be interviewing Dr. Gann to hear how a conventional cardiologist went to Low Carb Dietary Advocate and established Diet of Hope.
For members of the LCDA, look on our website for physicians who do similar programs so you can have the same benefits yourself!
Medical Article #1: Omega-3 Oils in Pregnant Type 1 Women
Essential #7: Supplementation
An exciting new study for advocates of The Eight Essentials™ came out this month in the European Journal of Clinical Nutrition!
Here is the (long) study title: “Effect of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) supplementation on C-peptide preservation in pregnant women with type-1 diabetes randomized placebo controlled clinical trial.”
First, EPA and DHA are essential oils in the Omega-3 category of fats. In fact, when taking a fish oil supplement, the key aspect of its strength is not how much fish oil it contains, but how much EPA and DHA is in the recommended serving.
In this study, 90 pregnant women with T1DM for 5-30 years were included in the prospective randomized placebo controlled clinical trial. This type of study means that people with a certain medical condition, in this case, pregnant women with T1DM, were split into two study groups by chance, and they were monitored over time to see how the treatment they were offered affected their condition. Forty-seven women were put on a standard diabetic diet enriched with EPA and DHA twice a day (EPA 120 mg and DHA 616 mg)–this was the treated study group. Forty-three pregnant diabetic women were on the standard diabetic diet with a placebo pill–this was the control group.
Blood samples were analyzed from all pregnant women for fasting c-peptide, fasting plasma glucose, and A1C in each trimester throughout pregnancy and after delivery. Unbilical vein blood was analyzed for fetal c-peptide level, glucose concentration and insulin resistance. The c-peptide tells us how much insulin is made from the pancreas. Insulin cannot be monitored in patients who have insulin antibodies, which develop oftentimes common in T1DM patients as part of their autoimmune condition and will also develop in any diabetic patient who has ever injected insulin into their body. Therefore, c-peptide is what is checked.
In the study group taking EPA and DHA, c-peptide values increased all throughout the pregnancy. This means that in the T1DM women on EPA and DHA their pancreases were able to reduce the auto-immunity reaction against their beta cells and produce more insulin; as a result, they were able to use less long-acting insulin moving from the first to third trimester of their pregnancies. Both groups had good glucose control, with A1Cs reducing from 6.9% to 6.0% from the first to third trimesters. Even more so, in the infants of the T1DM who took the EPA and DHA, they had lower glucose levels than the infants of the women in the control group, and less c-peptide in their serum, as well; they had lower scores on the insulin resistant scale.
The LCDA finds this study very interesting. For one thing, the dosing of EPA and DHA was not that high. Most integrative medical practitioners recommend their patients in general take more EPA and DHA on a daily basis. Also, the conventional diet for diabetes, as we all know, is, unfortunately not low carb, so the fact that these T1DM pregnant women had improvement in their pancreatic beta cell functioning nonetheless is great. Imagine how much better the results could be on a low carb diet, and the women following other Essentials, such as exercise, supporting the gut, stress relaxation and other safe for pregnancy supplements.
However, this study does show that 1) adding fish oils to T1DM pregnant women is safe, 2) adding fish oils to T1DM pregnant women helps preserve their beta cells and has them produce more insulin.
Medical Study #2: Nutritional anti-inflammatories in the treatment and prevention of type 2 diabetes mellitus and the metabolic syndrome
The 7th Essential: Supplementation
This study notes that the obesity related metabolic syndrome is now a global crisis. What is Metabolic Syndrome? Metabolic Syndrome (MS) is a set of criteria defined by several organization but let’s focus on the definition from the International Diabetes Federation. https://www.idf.org/webdata/docs/IDF_Meta_def_final.pdf
MS is associated with insulin resistance, when the cells in one’s body, particularly the muscle, fat and liver cells do not respond to insulin’s signaling and as a result do not act to remove glucose from the blood. To be diagnosed with MS one must have:
- Central obesity: BMI >30 kg/m2 (or waist circumference based on ethnicity and gender–all women with ≥ 80 cm and men either ≥ 90-94 cm
Plus any TWO of the following four factors:
- Elevated triglycerides: > 150 mg/dL
- Reduced HDL cholesterol
- *< 40 mg/dL in males
- *< 50 mg/dL in female
- High blood pressure: Systolic BP ≥ 130 mm HG or diastolic BP ≥ mm Hg or already diagnosed with high blood pressure.
- Elevated fasting plasma glucose: ≥ 100 mg/dL
Metabolic Syndrome is known to be very pro-inflammatory, with elevated levels of C-reactive protein, and TNF-a and IL-6. (The LCDA has a good lecture on diabetes and inflammation on our website.) TNF-a and IL-6 are known to produce insulin resistance, and also aggravate fatting livers. TNF-a is associated with being a risk factor for Alzheimer’s and can produce inflammation anywhere in the body.
This study looked at using nutritional supplements to help reduce inflammation in those with MS. They looked at studies from 2011-2016 that analyzed nutritionally based anti-inflammatory treatments for MS and T2DM patients. A total of 26 papers were evaluated.
The results of those studies showed that there is a strong benefit to using polyphenol compounds, fish oils and vitamins in reducing inflammation, although there was less effect on Metabolic Syndrome itself.
Here is a good article on polyphenols by the American Journal of Clinical Nutrition: http://ajcn.nutrition.org/content/79/5/727.fullA polyphenol is a compound found in plants; there are several thousand identified polyphenols. Polyphenols protect plants against ultraviolet radiation or pathogenic aggression, and they are very good at being antioxidants and anti-inflammatory in people as well. Polyphenols are generally categorized into these groups: phenolic acids, flavonoids, stilbenes, and lignans. Flavonoids have sub-groups such as isoflavones, flavanols (catechins and proanthrocyanidins), flavonols, anthocyanidins, flavanones, flavonols and flavones.
Polyphenol compounds are found in green tea, berries, black radish, onions, coffee, other fruit, kale, leeks, broccoli, red wine, black tea, soybeans, chocolate, purple cabbage, garlic, asparagus and flax seeds. Polyphenols are absorbed by the small intestine, but also in the large intestine if the gut microbiome is healthy. Healthy levels and activity of bacteria in the colon are required to activate some polyphenol metabolites, such as the lignans from flax seeds and the soy diadzein.
Polyphenols are known to be antioxidants, and diabetic damage to cells occurs through oxidative pathways; thus taking polyphenols can help prevent and help reverse diabetic complications. They can help reduce inflammation in the body, can help protect against cancer, can help reduce allergy symptoms. They are very valuable additions to the diet (if low carb) and through supplementation.
From the LCDA’s perspective, the best way to reduce MS and get T2DM under control (and T1DM too) is to eat a low carb diet. Without doing that, it is likely that MS will not get under control solely with supplementation. However, supplements are shown to reduce inflammation, which is excellent. Imagine the benefits of combining all the Essentials, low carb diet, supplementation, and the others–it is very successful at helping to eradicate MS and reverse T2DM. However, just taking supplements is not good enough on its own–which is why they are called “supplements”! These pills are designed to supplement the other Eight Essentials™, and when they are added to a comprehensive integrative protocol, they can be extremely powerful tools.
What is better than Coconut Oil For Health? Medium Chain Triglcyerides!
KetoMCT C8 MCT oil is available on Amazon, other buying sites, and at KetoMCT.com for a price of about $39.00 per 32 oz bottle (2 mo supply at 1 tbsp/d), with free shipping on orders over $39.00.
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Meal Replacment in T2DM
Using meal replacements is a reliable, consistent and effective way to lose fat, reduce blood sugar lowering medication needs and improve insulin resistance. Specifically, meal replacement programs that result in very low calorie diets have been shown to reverse type-2 diabetes in most participants, are the single most effective intervention in the short term for weight loss, and “are backed by decades of research and have been in clinical use for almost 40 years.”
Meal replacement programs can provide clear boundaries for food quality and quantity, make you feel full and take much of the guess work out of losing body fat and balancing blood sugars. However, not all meal replacement products are created equal. Although a meal replacement product may boast its low total calorie count, many meal replacement products contain toxic sugar and vegetable oil.
Sugar is not just empty calories, it is a toxic and addictive drug.
Drug definition: 2. c. any article, other than food, intended to affect the structure or any function of the body of humans or other animals.
Researchers claim sugar causes cavities, obesity and type-2 diabetes and most likely asthma, heart disease, gout, cancer, strokes, high blood pressure, dementia and many more. Sugar is toxic to our bodies, especially in high amounts in our blood stream that can cause nerve, kidney and eye damage. That is the reason our brains pay so much attention to sugar in the blood stream and under normal conditions, remove any excess in the bloodstream fast. However, the toxic effects can accumulate quickly. It begins its damage on the most resilient tissues in our bodies, our teeth, and then continues to wreak havoc all the way down our digestive track and throughout our bodies.
Sugar has 56 different names (see 56 Names for Sugar https://www.amazon.com/Sugar-Has-56-Names-Shoppers-ebook/dp/B00E8OLID2, but here are some of the most common:
- brown sugar
- corn syrup
- high-fructose corn syrup (HFCS)
- malt syrup
- maple syrup
- nectars (e.g., peach nectar, pear nectar)
- pancake syrup
Cane juice, evaporated corn sweetener, crystal dextrose, glucose, liquid fructose, sugar cane juice and fruit nectar are also added refined sugars, but the FDA does not recognize them as ingredient names.
How bad can vegetable oils be? Human dissections reveal free radicals from vegetable oils literally fry arterial and heart tissues. The damaged arteries and heart muscles resemble crispy fried food. When these damaged, fragile tissues tear and bleed in an artery, they become clots. “That’s a heart attack.”
For the past 4 decades, researchers have provided compelling evidence that processed vegetable and seed oils (trans fats) are most likely causing disease, growth defects and premature death. The best evidence suggests vegetable and seed oils, not animal or fruit fats, deserve the blame for increasing the risk for coronary artery disease, fat around the abdominal organs, insulin resistance and type-2 diabetes.
Unfortunately, it was not until June 2015, the FDA ruled to revoke the “generally recognized as safe” status to and act as a ban for partially hydrogenated vegetable and seed oils. We only heard that trans fats from vegetable and seed oils might be bad for our health after European countries outlawed trans fats. The FDA ban deadline for companies to remove all partially hydrogenated oils from their foods is June, 2018.
Scientific discoveries incompatible with commercial interests have a difficult time making change. Make no mistake about it, vegetable and seed oils are heat-sensitive and processing them turns them into toxic, blood flow disrupting and pro-inflammatory trans fats.
Vegetable oils to avoid: canola oil, corn oil, cottonseed oil, safflower oil, soy or soybean oil, sunflower seed oil and wheat germ oil. Although many people use grapeseed oil as it has a high heat tolerance, it is healthier instead to use sesame or avocado oil.
Most currently available meal replacement products will need to have fat added to them to make them low-carbohydrate (<26% total energy). Adding fat also makes them more satisfying and keeps you less hungry longer. The source of the fat that you add to each shake is extremely important.
People who follow a traditional diet high in coconut products have been found to be healthy and trim despite the high fat concentration in their diets.
Coconut milk given 5 days per week as a porridge to the general population significantly improved cardiovascular health markers by decreasing “the unfavorable” LDL cholesterol (about 14.9 mg/dL on average) and increasing “the beneficial” HDL cholesterol (about 9 mg/dL on average) in only 8 weeks.
Medium chain triglycerides (MCTs), a type of fat rich in coconut milk, have been repeatedly shown to increase fat loss along with the feeling of being full and satisfied. However, only around 15% of coconut oil is MCT. Getting an excellent MCT oil in and of itself is the best way to get 100% MCT oils in high quality and quantity.
Experimental data suggests MCTs additionally possess immune modulating properties and could potentially be helpful in inflammatory conditions such as general joint or muscle aches and pains.
One to three meal replacement shakes per day can make losing fat, reducing blood sugar lowering medication needs and improving insulin resistance quite possible and comfortable.
The LCDA recommends that this type of meal replacement is done for only 2-3 weeks, as low calorie dieting is not healthy or effective long term. However, going on this type of program to immediately reduce insulin resistance, immediately stop food cravings, immediately see weight loss, immediately have better energy is a great idea initially in any T2DM treatment plan. Also, adding in some extra calories to the basic meal replacement powder, such as flax seed oil, avocado, nut butters can help avoid hunger, while not interfering with the benefits just listed.
The LCDA recommends you avoid these types of meal replacement: Ultra Glucose Control®, Boost Calorie Smart®, Boost Glucose Control®, and Glucerna Hunger Smart®, all of which are high carbohydrate products, full of less than ideal ingredients.
The LCDA suggests you find a local integrative physician who will certainly be able to recommend an excellent alternative product.
(Please contact the LCDA if you wish a list of the references for this article)
Diabetes Self-Management website: https://www.diabetesselfmanagement.com/blog/ This active website discusses a lot of information about diabetes.
The Complete Low-Carb Cookbook (Best of the Best Presents) by George Stella. https://www.amazon.com/Complete-Low-Carb-Cookbook-Best-Presents/dp/1934193968 Well regarded low carb chef book.
Recipe #1 | Buffalo Spiced Cocktail Nuts
* 2 cups mixed raw nuts (pecans, almonds, walnuts, peanuts–it is recommended to not use filberts and do not use cashews as they are too high in carbs)
* 2 tbsp melted butter
* 2 tbsp Frank’s Hot Sauce (no carbs)
* 1 to 2 tsp cayenne powder
* 1/4 tsp onion powder
* 1/4 tsp garlic powder
* 1/2 tsp salt
1. Preheat oven to 350F and line a baking sheet with parchment paper.
2. Mix all ingredients together in a medium bowl. Spread in a single layer on a prepared baking sheet and bake 8-12 minutes, stirring occasionally.
3. Let cool on pan and serve!
Recipe #2 & #3 | Baked White Fish with Pine Nut, Parmesan, and Basil Pesto Crust
Serve hot and wait for compliments! This would be great with something like
Roasted Cauliflower with Red Bell Pepper, Green Olives and Pine nuts for a full low-carb meal (that vegetable recipe is below).
(Makes 2 servings, but recipe can be doubled or tripled. Inspired by a fish recipe from Cooking New American.
* 2 white fish fillets, about 6 oz. each (I used halibut but you could use cod, tilapia, grouper, or any mild white fish)
* 3 T pine nuts
* 2 T Parmesan Cheese
* 1/4 tsp. finely minced garlic (1 garlic clove)
* 1 tsp. basil pesto (I used purchased pesto)
* 1 1/2 T mayo (use regular or light mayo, not fat-free)
1. Take thawed fish out of fridge to allow them to come to room temperature. (Having the fish at room temperature is very important or it won’t cook before the crust topping gets too brown.)
2. Preheat oven or toaster oven to 400F/200C.
3. Oil casserole dishes so fish won’t stick.
4. Use a large chef’s knife to finely chop the pine nuts and mince the garlic. Mix together chopped pine nuts, Parmesan cheese, minced garlic, basil pesto, and mayo.
5. Use a rubber scraper to spread the crust mixture evenly over the surface of each fish fillet. Pile it on so all the crust mixture is used.
6. Bake fish 10-15 minutes, until fish is firm to the touch and crust mixture is starting to lightly brown. Serve hot.
Roasted Cauliflower with Red Pepper, Green Olives and Pine Nuts.
(Makes 4-6 servings, depending on what else you’re serving with it; recipe adapted from Food and Wine Annual Cookbook 2008)
* 1 head cauliflower, cut up into smallish, same-size pieces
* 1 red bell pepper, stem and seeds cut out and cut into 1/2 inch dice
* 2 T olive oil
salt and fresh ground black pepper to taste
* 3 T pine nuts (slivered almonds would also be nice if you don’t want to buy pine nuts)
* 2/3 cup sliced green olives
* 1-2 T capers
* 2 T chopped flat-leaf parsley (completely optional, but if you have some it adds some nice green color)
cut lemon pieces to squeeze over (optional)
1. Preheat oven to 425F/220C.
2. Cut the cauliflower into smallish, same-size pieces and cut the red bell pepper into half inch dice.
3. Put chopped cauliflower and peppers into a plastic bowl and toss with 2 T olive oil, stirring so the vegetables are all lightly coated with oil. Season to taste with salt and fresh ground black pepper and stir again.
4. Spread the vegetables out in a single layer on a cookie sheet and roast for 20 minutes.
5. While the cauliflower and peppers are roasting, slice the olives and measure out the pine nuts and capers. Chop the parsley if using.
6. After 20 minutes, remove cookie sheet from the oven, put the cauliflower and peppers back into the same bowl, and toss with the olives, pine nuts, and capers.
7. Spread the mixture on to the cookie sheet again and roast an additional 10-15 minutes, or until the vegetables are starting to brown and the olive pieces are looking slightly cooked.
8. Sprinkle with parsley if you’re using it and serve hot, with a slice of lemon to squeeze over if desired.
If you don’t eat this all at once it will keep in the refrigerator for a day or two. I would reheat it in a very hot dry non-stick pan instead of using a microwave.