Managing Diabetes

Diabetes management is something that many must deal with on a day to day basis. About 16 million Americans suffer from diabetes mellitus, a chronic disease in which the pancreas produces too little or no insulin, impairing the body’s ability to turn sugar into usable energy.

In recent years, the Food and Drug Administration has approved a fast-acting form of human insulin and several new oral diabetes drugs, including the most recent, Rezulin (troglitazone), the first of a new class of drugs called insulin sensitizers. This drug is designed to help Type II diabetics make better use of the insulin produced by their bodies and could help as many as 1 million Type II diabetics reduce or eliminate their need for insulin injections.

While it is treatable, diabetes is still a killer. Thus, diabetes management is extremely important. The fourth leading cause of death in America, diabetes claims an estimated 178,000 lives each year. So the treatment is aimed at holding the disease in check, reversing it where possible, and preventing complications.

Philip Cryer, M.D., a professor at Washington University School of Medicine in St. Louis and president of the American Diabetes Association, believes that most people simply don’t understand the magnitude of the diabetes problem. “Diabetes is an increasingly common, potentially devastating, treatable yet incurable, lifelong disease. It’s the leading cause of blindness in working-age adults, the most common cause of kidney failure leading to dialysis or transplants, and is a leading cause of amputation,” he says. “The most recent estimate we have of diabetes’ cost [in terms of] direct medical care is $90 billion dollars annually–more than heart disease, cancer, or AIDS.”

At the heart of diabetes control are dietary management and drug treatment. The increasing emphasis on the importance of a healthy diet, the availability of glucose monitoring devices that can help diabetics keep a close watch over blood sugar levels, and the wide range of drug treatments enable most diabetics to live a near-normal life.
Managing the diet is easier now because of food labeling regulations that went into effect in 1994 (see “The New Food Label: Coping with Diabetes” in the November 1994 FDA Consumer).According to the Corn Refiners Association, high-fructose corn syrup (HFCS) is no worse for you than any other dietary carbohydrate. Many health experts, however, disagree, warning consumers that HFCS is strongly correlated with diabetes and obesity.

According to NaturalNews, these quotes tell you how bad the problems is:

Roughly $40 billion in federal subsidies are going to pay corn growers, so that corn syrup is able to replace cane sugar. corn syrup has been singled out by many health experts as one of the chief culprits of rising obesity, because corn syrup does not turn off appetite. Since the advent of corn syrup, consumption of all sweeteners has soared, as have people’s weights. According to a 2004 study reported in the American journal of Clinical Nutrition, the rise of Type-2 diabetes since 1980 has closely paralleled the increased use of sweeteners, particularly corn syrup.
There is a Cure for Diabetes: The Tree of Life 21-Day+ Program by Gabriel Cousens

Since the fructose in corn syrup does neither stimulate insulin secretion nor reduce the hunger hormone ghrelin, you will continue to feel hungry while the body converts the fructose into fat. The resulting obesity increases the risk of diabetes and other diseases. Since you obviously cannot expect to receive much help from those who only know how to treat the effects of illness and not its causes, you may need to take your health into you own hands.
Timeless Secrets of Health & Rejuvenation: Unleash The Natural Healing Power That Lies Dormant Within You by Andreas Moritz

More than half of the carbohydrates being consumed are in the form of sugars (sucrose, corn syrup, etc.) being added to foods as sweetening agents. High consumption of refined sugars is linked to many chronic diseases, including obesity, diabetes, heart disease, and cancer. Generally, the term “dietary fiber” refers to the components of plant cell wall and non-nutritive residues. Originally, the definition was restricted to substances that are not digestible by the endogenous secretions of the human digestive tract.
Textbook of Natural Medicine 2nd Edition Volume 1 by Michael T. Murray, ND

The following are tips to prevent or manage diabetes (Type 2);

1) If you have a history of diabetes in your family, recognize you will have a higher tendency to do so. Very often diabetes is a disease of denial.

2) Watch your weight. DO not let it exceed more than 5% of your optimum body weight when you wer at your healthiest. Studies have shown that every 5% increase to correlate to a 200% risk of mature onset diabetes. (Weight gain and the Risk of Developong Insulin Resistance Syndrome . Everson SA, et al. Diabetes Care 1998;21(10):1637-43)

3) Exercise regularly and lifelong. Studies have shown, it helps to protect against diabetes.(The Protective Effect of Good Physical Fitness when young on the Risk of Impaired Glucose Tolerance when Old)Takemura Y, et al. Prev Med 1999;28(1):14-9 )

4) Watch your carbohydrates really carefully if you are at high risk. Use complex carbohydrates.
(Heterogeneity in associations between macronutrient intake and lipoprotein profile in individuals with type 2 diabetes) Mayer-Davis EJ;Levin S;Marshall JA, Diabetes care Oct 1999 22(10) p1632-9)

5) Follow the blood type diet. The lectins in food which are antagonistic to your blood cells can lead to pancreatic damage.

Be well
Dr Sundardas

What you can do about Cancer Screening.

Much of the treatment for prostrate cancer is completely unwarranted. Remember, the majority of prostate cancer is pseudodisease. Most men die with it, not of it.

What Tests Should You Get?
So which tests should you get and when should you get them? It depends on who you listen to. Unfortunately, there’s no clear consensus among expert panels and advocacy groups, so confusion reigns.

I hesitate to make blanket recommendations. However, before you have a test, I strongly encourage you to understand both the pros-the slim but potentially lifesaving possibility that early-stage, clinically significant cancer will be found and treated-and the cons-the high risk of false positives, additional testing, anxiety, and unnecessary treatment. That way, you’ll be better prepared to deal with the outcome, whatever it may be.

Think Twice

I understand that this is an emotionally charged issue. Cancer is scary and the treatments for it are as frightening as the disease itself. If you have symptoms of cancer, by all means see a doctor and discuss appropriate testing. Otherwise, think twice. If your physician orders a cancer screening test, question its necessity. Doctors sometimes suggest these tests for all the wrong reasons: fears of malpractice, financial incentives, and even patient demand. Find out what course would be recommended if your results were positive. Then review the information in this article, and make your own educated decision. Next time you hear that someone who died of cancer would have been saved if only he’d had regular testing, realize that’s nothing more than unsubstantiated opinion. And, whatever you do, don’t let anyone make you feel irresponsible if you elect not to undergo cancer screening.

Two major Issues Associated with Ageing and Cancer are :
A) Anabolic/Catabolic Balance – Anabolism refers to cellular buildup. Catabolism refers to cellular breakdown. These two processes are involved in ageing. As you age poorly, catabolism increases much faster than it should.

“BIOMARKERS”- By William Evans, PhD and Irwin H. Rosenberg MD,Tufts University, Huyman Nutrition Research Centre on Ageing, Publisher – Fireside, Simon and Schuster – A very good book to read about this process.

B) Oxidative Stress –Environmental Damage and Hidden Infections. Oxidative Stress is a significant marker in disease and ageing. As we age faster, oxidative stress increases faster

A surprising number of studies report that excess serum insulin (hyperinsulinemia) is a major health problem. It appears that excess insulin promotes hypertension by impairing sodium balance. Too much insulin harms the kidneys. The vascular system is severely damaged by prolonged exposure to excess insulin. By acting as a catalyst in promoting cell growth, excess insulin increases the risk and progression of certain cancers. Excess insulin is a contributory factor to benign prostate enlargement because it promotes overgrowth of prostate cells. One of the first class markers for Syndrome X is the Hip to Waist ratio.

For people trying to reduce body fat, excess insulin suppresses the release of growth hormone and prevents fat from being released from fat cells. High serum insulin is associated with the development of abdominal obesity and a number of health problems, including atherosclerosis and impotence. Obesity is associated with excess insulin and reduced insulin sensitivity, both risk factors for Type II diabetes.

Perhaps the simplest method of evaluating the toxic effects of excess insulin is to look at its effects on human mortality. One early study showed that over a 10-year period, the risk of dying was almost twice as great for those with the highest levels of insulin compared to those with the lowest. The scientists stated that hyperinsulinemia is associated with increased all-cause and cardiovascular mortality, independent of other risk factors (NIH 1985). Aging people experience a wide range of degenerative diseases that are directly attributable to elevated insulin.

Most of us want to grow old and age gracefully. We know that the most common enemies to growing old gracefully are heart disease (50% of men, 33% of women), cancer (33%), diabetes (12%) and hypertension (12%).

It takes 8 years for a tumour/growth to become significant enough to be detected on a X-ray or scan. It takes another 8 to 15 years for the tumour/growth to first start . So it takes anything from 16 to 23 years for you to develop a growth/tumour.

So before a tumour/growth develops or you become ill:
• Your cells start ageing faster (Biological Age)
• Your metabolic rate slows down and you becomes fatter (BMI)
• Specific systems in your body slow down or dysfunction
• Your hip waist ratio changes for the worse (Syndrome X)
• Your cells becomes more dehydrated and you lose muscle mass (Fluid Levels)
• Your saliva and urine become more and more acidic (< Ph6.8)

I have developed a system to measure these changes called the
Optimal Health Assessment.

Be well

Dr Sundardas rejuvenation program.htm

The Myth of Cancer Screening

For more than 15 years, I’ve been warning patients about the downside of mammograms, PSA testing, and the overall concept of cancer screening. It hasn’t been a popular position. Today, however, there’s a small but growing band of researchers, clinicians, and expert panels who are speaking out against the unbridled use of these tests. One of them, H. Gilbert Welch, MD, a professor at Dartmouth Medical School, has laid out very persuasive arguments in an aptly titled book, Should I Be Tested for Cancer? Maybe Not and Here’s Why. In this straightforward and well-referenced book, Dr. Welch raises several concerns about cancer screening.

1. Few People Benefit From Screening
For starters, the majority of folks who are screened receive no benefit. That’s because, despite scary statistics, most people will not get cancer. Let’s look at breast cancer as an example.

According to government statistics, the absolute risk of a 60-year-old woman dying from breast cancer in the next 10 years is 9 in 1,000. If regular mammograms reduce this risk by one-third-a widely cited but by no means universally accepted claim-her odds fall to 6 in 1,000. Therefore, for every 1,000 women screened, three of them avoid death from breast cancer, six die regardless, and the rest? They can’t possibly benefit because they weren’t going to die from the disease in the first place.

If mammograms worked as touted, death from breast cancer would be rare, since three-quarters of American women 40 and older get regular screenings (a total of 33.5 million per year). The modest decline in the death rate from the mid-1970s, when mammography was introduced, through the present can be attributed to factors other than screening, such as changes in treatment and the dramatic decrease in the use of Premarin and other cancer-promoting hormone replacement drugs. It doesn’t take a rocket scientist to figure out that mammograms do not substantially reduce risk of death from breast cancer.

2. The Most Deadly Cancers Are Missed
The flip side is that some people who are screened get cancer and die anyway. Test results aren’t always accurate. Sometimes cancer is there, but it’s missed (false negatives). In the case of mammograms, it could be a question of a poor-quality test or a radiologist who overlooked something. Even experienced radiologists don’t always interpret test results the same, and sometimes they just plain get it wrong.

The most likely reason that cancer is overlooked, however, is due to the nature of cancer itself. The deadliest cancers grow very rapidly. Screening can detect slow-growing cancers in their early stages, but you can see how aggressive cancers could be missed if you’re only looking for them once a year. Depending on the cancer’s growth cycle, it could crop up just months after screening and be far advanced by the time the next test rolls around.

3. The Pitfalls of False Positives
Far more common than false negatives are false positives-those cancer scares that occur when you’re told that your test is suspicious but, after further evaluation, turns out to be nothing. False positives lead to confirmatory testing such as ultrasound of the breast and prostate, CT scan of the lung, colonoscopy, and colposcopy of the cervix. These tests are at best inconvenient and at worst extremely unpleasant, as anyone who’s had a colonoscopy knows. They also often lead to biopsies, which are far more invasive and could possibly promote the spread of cancer.

Unfortunately, false positive rates are incredibly high. For mammography, it’s close to 10 percent. For every 100 women screened, 10 will require further workup. If you repeat this screening test every year for 10 years, your cumulative risk of having at least one false positive rises to 65 percent. This means that more than half of all women will get the terrifying news that their mammogram is abnormal-the first step on the slippery slope of intervention.

False positive rates are high for PSA as well, especially among older men. Some estimate that three-quarters of men who have a prostate biopsy based on an elevated PSA level do not have cancer. And lifetime false-positive risk for Pap smears is 75 percent.
Another consideration is the psychological trauma of cancer screening. Being told you might have cancer is a harrowing experience, and the lag time between retesting and getting a clean bill of health can be months.

4. Unnecessary Treatment
Even worse than the sound and fury created by false positives is unnecessary treatment. Yes, some lives are saved due to early detection and treatment. But not all cancers are the same. Some are deadly, treated or not; others are not fatal regardless of treatment. Dr. Welch calls the latter pseudodisease-small, slow-growing or nonprogressive cancers that you’d never know existed were it not for screening tests. Yet all too often, these innocuous tumors are attacked with a vengeance, often to the detriment of patients.

A prime example is prostate cancer. Since 1975, its incidence has more than doubled. But rather than having an epidemic of prostate cancer, what we have is an epidemic of detection. Although many more men are being diagnosed and treated, the death rate from prostate cancer has held steady at 3 percent.

It’s human nature, when given a diagnosis of cancer, to want to get rid of it. But prostate cancer treatment is not benign. Surgical complications include difficulty urinating (17 percent), urinary incontinence (28 percent), and inability to have an erection (more than 50 percent). Radiation damages the rectum and can cause diarrhea and bowel urgency. Side effects of androgen suppression range from sexual dysfunction to risk of diabetes and heart disease.

Be well
Dr Sundardas