By
Dr. Kendra Pearsall
Dr.
Kendra Pearsall
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Diabetes mellitus is a disorder of carbohydrate metabolism characterized by fasting
elevations of glucose (blood sugar) levels because either the
body does not secrete insulin or the cells of the body become
resistant to insulin. Hence the blood sugar cannot get into
the cells, which leads to serious complications. There are two
types of diabetes, type 1 where there is a complete destruction
of the beta-cells of the pancreas that manufacture the hormone
insulin.
Therefore, type 1 diabetics require the lifelong injection
of insulin. Type 2 diabetes, which makes up 95 percent of
the diabetic population, is caused when the cells of the body
become insensitive to insulin mostly due to obesity. Both
type 1 and type 2 diabetics can greatly benefit from the following
naturopathic recommendations to keep their blood sugars within
the normal ranges (80 to 95) at all times.
There are two books that every diabetic should read:
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Dr.
Bernstein's Diabetes Solution by Richard Bernstein,
M.D. is what I consider the diabetic bible and every diabetic
MUST own a copy if they care about their health. I offer
a diabetes program at the Optimal Wellness Center based
on this outstanding resource. This book covers everything
a diabetic needs to know to manage his diabetes including
diet recommendations, blood sugar testing, lab tests,
supplies, hypoglycemia, exercise routines, avoidance of
complications, etc. I trained with Dr. Bernstein and am
able to have incredible success with treating diabetes
as a result of teaching his program to my patients.
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The No-Grain Diet by Joseph
Mercola, D.O. The No-Grain Diet is an excellent book that
will teach diabetics how to conquer carbohydrate addiction,
reach their ideal weight, choose a meal plan with delicious
menus and recipes, use EFT
to overcome emotional roadblocks to incorporating the
no-grain lifestyle and much, much more.
Diet
Diabetics must avoid all foods that cause large increases
in blood sugar levels. These are foods high in carbohydrates
since protein and fat have minimal effects on blood sugar.
Hence, diabetics need to avoid sweeteners, beans, starchy
vegetables, fruits, certain dairy products, and grains. For
more specifics consult Dr.
Bernstein's Diabetes Solution.
What can diabetics eat then? Non-starchy vegetables, meat,
fowl, mercury-free seafood, eggs, raw cheese, raw butter,
raw cream, whole milk yogurt, and "Bran-a-Crisp"
bran crackers.
The larger the portion of food consumed, the larger the increase
in blood sugar. For this reason, the diabetic would do well
to divide up the standard three meals a day into six to eight
small meals spread throughout the day.
Supplements
There are three supplements that I believe every diabetic
should take.
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Multi-vitamin: I recommend that diabetics take
a multiple vitamin because they are at such high risk
for cardiovascular disease, nerve and kidney damage, blindness
and obesity that taking extra vitamins, minerals, and
flavanoids could help prevent these diabetic complications.
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The following herbs and nutrients can be very helpful
in controlling blood sugars: Gymnema Sylvestre (also
reported to assist with beta cell regeneration), Bitter
melon, Fenugreek, Garcinia cambogia, Chromium GTF, Vanadium.
These can be taken as a capsule or herbal tincture. Fenugreek
seeds can be sprouted and eaten on salads. Bitter melon
can be found in Asian and international grocery stores
and can be juiced with other vegetables to make a powerful
diabetic tonic.
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Two products that are essential for diabetics
are Alpha-lipoic Acid (ALA) (200 to 600 mg daily depending
on the severity of diabetes) and Evening Primrose Oil
(EPO). ALA is a powerful antioxidant, decreases glucose
and insulin levels, increases insulin sensitivity, decreases
insulin resistance, decreases levels of glycosylation
(HbA1c levels) and protects against nerve damage. EPO
contains GLA, or gamma-linoleic acid, which acts as a
synergist to ALA making it much more potent, and it has
many of the same functions as ALA especially in protecting
nerve function. I recommend taking 400 to 1000 mg of GLA
daily. Take the two together. EPO is more economical in
a liquid form.
Exercise
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Exercise will decrease blood sugar if the exercise is
prolonged and strenuous. Blood sugars should be monitored
every 10 minutes when starting an exercise routine to
check for hypoglycemia (low blood sugar) and test if the
exercise needs to be covered with carbohydrate to compensate
for hypoglycemia.
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Anaerobic exercise (i.e. weightlifting) is the ideal
for diabetics because it lowers blood sugar more than
aerobic exercise (running, biking, swimming, etc.), and
it causes insulin to be much more efficient in transporting
glucose into the cells.
If diet, exercise, and supplements do not bring blood sugars
to normal ranges, an oral hypoglycemic agent (OHA) called
metformin (Glucophage) may be useful. Metformin works to make
the body's tissues more sensitive to insulin and is the best
OHA on the market. Most of the other OHA's on the market are
ineffective and/or dangerous so begin with metformin before
trying any other OHA.
Dr.
Kendra Pearsall is a naturopathic doctor (N.M.D.) at
The Optimal Wellness Center,
specializing in endocrinology and the naturopathic treatment
of obesity, diabetes and menopause.
Dr.
Pearsall graduated from Southwest
College of Naturopathic Medicine in 2001. The four-year
naturopathic medical school includes training in both allopathic
medicine (drugs and surgery) and a range of naturopathic
therapies including nutrition, botanical medicine, homeopathy,
acupuncture, physical medicine and counseling.
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