Sunday, 22 April 2012

How To Reverse Diabetes

Spotlight on Reversing and Preventing Disease
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We know so much about nutrition and its powerful effects to create disease or protect against disease. However, the question that seems unanswered to the majority of our population is what constitutes a healthy diet that is actually disease protecting versus one that is disease promoting? What degree of nutritional excellence is necessary to make a diet therapeutically disease reversing? How do we measure the quality of our diet or the degree of nutritional excellence we are obtaining?
How do we design the right diet for those with multiple risk factors or a poor family history? What if you are faced with a serious health challenge, how should your diet be structured for maximum therapeutic effects?.
The quality of a diet can be judged base on three simple criteria.
  1. Levels of micronutrients (vitamins, minerals, phytochemicals) per calorie.
  2. Amounts of macronutrients (fat, carbohydrate, protein) to meet individual needs, without excessive calories that may lead to weight gain or health compromise.
  3. Avoidance of potentially toxic substances (such as trans fats) and limited amounts of other potentially harmful substances (such as sodium).
A person who follows Eat For Health is called a nutritarian, and understands that food has powerful disease–protecting and therapeutic effects and seeks to consume a broad array of micronutrients via their food choices. It is not sufficient to merely avoid fats. It is not sufficient for the diet to have a low glycemic index. It is not sufficient for the diet to be low in animal products. It is not sufficient for the diet to be mostly raw food. A truly healthy diet must be micronutrient rich and the micronutrient richness must be adjusted to meet individual needs. The foods with the highest micronutrient per calorie scores are green vegetables, colorful vegetables, and fresh fruits. For optimal health and to combat disease, it is necessary to consume enough of these foods.
Few people could expect to have optimal health without attention to the consumption of high micronutrient foods. For example, a vegan diet centered on high starch vegetables or grains such as rice, potato and wheat, may not contain sufficient micronutrient richness for disease–reversal or to maximize longevity and in some individuals the lack of attention to micronutrient density may be disease–causing. 
What makes Eat For Health unique
  1. It’s more than just weight loss. Menu plans, recipes, and dietary suggestions are based on micronutrient per calorie density, offering the most effective approach for both weight loss and disease prevention and reversal.
  2. It’s a healthy and risk free way of eliminating food cravings and overeating. The physiological and emotional components that lead to food cravings and overeating are clearly explained along with the steps to resolve these issues. Low nutrient eating (and toxic eating) leads to increased cellular toxicity with undesirable levels of free radicals and advanced glycation end products (AGE’s). This toxicity causes addictive withdrawal symptoms (toxic hunger) which results in more frequent eating and overeating. Understanding these concepts and incorporating a sufficient amount of nutrient rich foods is critical to overcoming this addictive cycle!
  3. It works for everyone. Every person has unique nutritional needs, but assuring nutritional excellence is essential for everyone whether old, young, fit, overweight, healthy or ill, to achieve their overall health and weight goals.
  4. It offers a sound nutrition prescription for disease reversal and prevention. This is truly the gold standard of nutritional medicine. These dietary recommendations can be utilized to therapeutically address disease reversal and to protect individuals with high health–risk factors. To accomplish this, the micronutrient quality (H=N/C) or nutrient density of an individual’s diet must be increased accordingly.
Thousands who have recovered from their medical problems have been calling Dr. Fuhrman‘s EAT FOR HEALTH program a medical miracle. They are not just talking about the people who successfully lost weight after failing for years on one diet after another, but about the diseases, such as heart disease, high blood pressure, diabetes, allergies, asthma, autoimmune illnesses (including lupus) and headaches which they have witnessed simply melt away. Simply put, a nutritarian is a person who strives for more micronutrients per calorie in their diet-style. A nutritarian understands that food has powerful disease-protecting and therapeutic effects and seeks to consume a broad array of micronutrients via their food choices. It is not sufficient to merely avoid fats, consume foods with a low glycemic index, lower the intake of animal products, or eat a diet of mostly raw foods. A truly healthy diet must be micronutrient rich and the micronutrient richness must be adjusted to meet individual needs. The foods with the highest micronutrient per calorie scores are green vegetables, colorful vegetables, and fresh fruits. For optimal health and to combat disease, it is necessary to consume enough of these foods that deliver the highest concentration of nutrients.
What is a Nutritarian?
Simply put, a nutritarian is a person who strives for more micronutrients per calorie in their diet-style. A nutritarian understands that food has powerful disease-protecting and therapeutic effects and seeks to consume a broad array of micronutrients via their food choices. It is not sufficient to merely avoid fats, consume foods with a low glycemic index, lower the intake of animal products, or eat a diet of mostly raw foods. A truly healthy diet must be micronutrient rich and the micronutrient richness must be adjusted to meet individual needs. The foods with the highest micronutrient per calorie scores are green vegetables, colorful vegetables, and fresh fruits. For optimal health and to combat disease, it is necessary to consume enough of these foods that deliver the highest concentration of nutrients.
A nutritarian is a person whose food choices are influenced by nutritional quality.
http://www.drfuhrman.com/images/foodpyramid/foodpyramid-full.pngDr. Fuhrman created The Health Equation: H=N/C or Health = Nutrients/Calories (first published in 1999 in his work, The Health Equation and later described in more detail in his book, Eat To Live) to define how the quality of calories impacts health.
This equation means your future health can be predicted by the micronutrient per calorie density of your diet. Micronutrient per calorie density is important in devising and recommending menu plans and dietary suggestions that are the most effective for tackling weight loss and for preventing and reversing disease.
Assuring superior nutirition means meeting an individual's unique nutritional needs to profound therapeutic effects for preventing, treating and reversing disease. Dietary micronutrient quality must be increased accordingly to utilize dietary recommendations therapeutically for disease reversal or to protect high-risk individuals.
Though micronutrient density is critically important, it is not the only factor that determines health. For example Vitamin D levels, B12, and proper omega-3 intake are important for optimal long-term health as well as avoidance of sodium and other toxic excesses. These concerns are not addressed in the H = N/C equation. However, if the focus is consuming more micronutrient-rich natural foods then the other important nutritional benefits automatically will follow, such as lower sodium, reduced calories, high fiber and volume, a low glycemic index, and a high satiety and phytochemical index to name a few.
Eating low nutrient foods fuels overeating behavior.
Last, but not least, Dr. Fuhrman's unique contribution to the science of nutritional care, disease reversal and weight loss is his explanation of the physiology behind hunger and food cravings.
It is important to recognize that low nutrient eating (and toxic eating) leads to increased cellular toxicity with undesirable levels of free radicals and advanced glycation end products (AGE's), lipofuscin, lipid A2E and other toxins that contribute to the development of chronic disease. His findings are that these toxic substances lead to addictive withdrawal symptoms (toxic hunger) which result in the desire to eat more frequently and overeat. Low nutrient eating, therefore, establishes a mechanism that leads to food addictions and food cravings that can't be ignored. This is the reason why calorie counting diets fail. Without addressing dietary quality, excess food cravings are almost impossible to ignore.
Fortunately the drive to over-consume calories is blunted by high micronutrient, high food antioxidant, consumption and the symptoms that people thought were hypoglycemia or even hunger, simply disappear after following his dietary recommendations. Not only do people lose the symptoms of fatigue, headaches, irritability and stomach cramping, but they get back in touch with true hunger felt in the throat, which simply makes eating more pleasurable and directs them to a more appropriate amount of calories for their body's biological needs.
In a portion controlled (calorie counting) diet it is likely that the body will not get adequate fiber or micronutrients. The body will have a compounded sensation of hunger and cravings which for most is simply overwhelming. It invariably results in people either being unable to lose weight or unable to keep the weight off and eventually gaining it back. The biochemistry and physiology behind food cravings are more thoroughly explained in Dr. Fuhrman's books and lectures, but without a thorough understanding of these principles weight loss attempts are typically doomed to fail.
Spotlight on Diabetes 
Diabetes is a serious disease, marked by higher than normal levels of glucose (sugar) in the blood. Diabetes affects about 135 million people worldwide, and the number with this disease has been increasing steadily due, in part, to an increased number of overweight people. Type II diabetes, or adult onset diabetes is a nutritionally–related disease, that is both preventable and reversible through nutritional methods and regular exercise. According to the American Diabetes Association, “the world faces a devastating diabetes epidemic, with the annual death toll already exceeding the three million killed by AIDS and set to rise,” the World Health Organization warned.
Diabetes takes a severe toll on the person’s health. More than 70 percent of adults with Type II diabetes die of heart attacks and strokes, and these deaths occur at a younger age compared to people without diabetes. Premature death and the devastating complications of this disease simply do not have to happen. Those with diabetes are told to watch their diet, exercise and use drugs to better control the glucose levels in their bloodstream. The nutritional advice received from the American Diabetes Association (ADA), dieticians and physicians is inadequate and permits countless of unnecessary premature deaths and much needless suffering. I declare, “Don’t live with your diabetes and don't simply control your diabetes...get rid of it.”
The vast majority of my patients, who adopt my nutritional and exercise recommendations for diabetes, become thin and non–diabetic. They are able to gradually discontinue their insulin and eventually their other medications. They simply get well. I work with people who have diabetes and who want to live a long and healthy life. The membership services offered here on this website and the information in my books, Eat For Health and Eat To Live, can get you started on this road to wellness. My hope is that the information about diabetes found in my books and on my website will enable you to feel more confident that you or someone you care about can be motivated to recover their health. 
Death Toll From  Diabetes Worse Than AIDS
Diabetes is a serious disease, marked by higher than normal levels of glucose (sugar) in the blood. It has been cited as the most challenging health problem in the 21st century. Diabetes affected about 2461 million people worldwide in 2007, and the number of people with this disease has been increasing steadily due in part to an increased number of overweight people. Type II diabetes, or adult onset diabetes is a nutritionally–related disease, one that is both preventable and reversible through nutritional methods and regular exercise. According to the American Diabetes Association, “The world faces a devastating diabetes epidemic, with the annual death toll already exceeding the three million killed by AIDS and set to rise,” the World Health Organization warned.
Diabetes takes a severe toll on the person’s health. More than 70 percent of adults with Type II diabetes die of heart attacks and strokes, and these deaths occur at a younger age compared to people without diabetes. Premature death and the devastating complications of this disease simply do not have to happen. Those with diabetes are told to watch their diet, exercise and use drugs to better control the glucose levels in their bloodstream. My message is that the nutritional advice received from the American Diabetes Association (ADA), dieticians and physicians is inadequate and permits countless of unnecessary premature deaths and much needless suffering. I declare, “Don’t live with your diabetes, don’t simply control your diabetes — get rid of it.”
The vast majority of my patients, who adopt my nutritional and exercise recommendation for diabetes, become thin and non–diabetic. They are able to gradually discontinue their insulin and eventually other medications. They simply get well. I work with people who have diabetes who want to live a long and healthy life and enjoy the achievement and confidence that they have control this disease. The membership services offered here on this website, and the information in my book, Eat For Health, can get you started on this road to wellness. My hope is that the information below about diabetes will enable you to feel more confident that you or someone you care about can be motivated and work with me to recover their health.
One of Many Success Stories
James was referred to my office from his nephrologist at St. Barnabus Hospital in Livingston, NJ. He was originally referred to the nephrologist by his endocrinologist (diabetic specialist) at the Joslin Clinic because of kidney damage that resulted from very high glucose readings in spite of maximum medical management.
At his first visit, Jim weighed 268 pounds and was taking a total of 175 units of insulin per day. He had already suffered from severe complications of Type 2 diabetes, including two heart attacks and Charcot (destructive inflammation) joint damage in his right ankle. In spite of this huge dose of insulin and six other medications, Jim’s glucose readings averaged between 350 to 400. “This was the case no matter what I ate,” he said. Jim told me that he was already on a careful ADA diet and was following the precise dietary recommendations of the dietician at the Joslin Clinic. He started my Eat To Live program right away, and I immediately reduced his insulin dose down to 130 units per day. Jim and I spoke on the phone over the next few days, and I continued to decrease his insulin gradually. Within five days, Jim's glucose was running between 80 and 120, and he had lost ten pounds. At this juncture, I put him on 45 units of Lantus insulin at bedtime and 6 units of Humalog regular insulin before each meal for a total of 63 units per day. At his two week visit, Jim had lost 16 pounds. I stopped his blood pressure medications, and he was taking a total of 58 units per day of insulin. After the first month of my Eat To Live program, I was able to stop all of Jim's insulin and start him on Glucophage. He lost 25 pounds in the first five weeks, and his blood glucose readings were well controlled without insulin. His blood pressure also came down to normal, and he no longer required any blood pressure medications. Five months later, Jim was off all medications for diabetes, no longer had high cholesterol or high blood pressure and was more than 60 pounds lighter. His kidney insufficiency had normalized as well. This case illustrates not merely how powerful the diet from my Eat To Live approach is, but how the standard dietary advice given to diabetics from conventional physicians and dieticians is insufficient.
Types of Diabetes
There are basically two types of diabetes: Type 1, (childhood onset or juvenile diabetes), and Type 2, (or adult-onset diabetes). Both types of diabetes accelerate the aging of our bodies. Having diabetes greatly speeds up the development of atherosclerosis, or cardiovascular disease. Diabetes also ages us more rapidly and can harm the kidney and other body systems. Forty thousand amputations per year are due to complications of diabetes. It is the leading cause of blindness in adults and of kidney failure. Let’s look at the most common types of diabetes in more detail and then look at gestational diabetes at the end.
Diabetes insipidus is an unrelated disease, which is not common and has nothing to do with high blood sugar. People with diabetes insipidus have diluted urine, have to urinate often and are thirsty all the time. This illness will not be discussed here.
Type 2 Diabetes (also called adult onset diabetes)
Type 2 diabetes affects hundreds of millions of people. More than 90 percent of diabetics have Type 2 diabetes. For example, over 2.5 million African-Americans have diabetes, and 25 percent of all African-American women over 55 have Type 2 diabetes. The rates of Americans undergoing amputation and suffering from blindness and kidney failure from this disease are skyrocketing. Diabetes significantly accelerates the build-up of plaque inside blood vessels, atherosclerosis, leading to heart attacks.
The hallmark of Type 2 diabetes is the body’s increased need for insulin. This is not a disease of insulin deficiency; rather, it typically develops because the body is insulin resistant and requires more insulin than normal. The heavier you are, the greater the risk you will develop Type 2 diabetes. For some susceptible individuals, even moderate amounts of excess fat on the body can trigger diabetes. Our body’s cells are fueled by glucose. When we have more fat on the body, more insulin is required to deliver glucose to the cells as the coating of fat around our cells makes it difficult for the hormone insulin to transport the glucose into the cells. The pancreas is then forced to produce even higher amounts of insulin to accommodate the heightened insulin requirements. Even five pounds of excess fat on one’s frame can inhibit the ability of insulin to carry glucose into our cells. Twenty pounds of extra fat and the pancreas may be forced to produce twice as much insulin to do the necessary job. With fifty pounds or more of excess fat on our frame, the pancreas may be forced to produce 6 times as much insulin as a person who is lean.
So what do you think occurs after ten or twenty years of overworking the pancreas? That’s right; it poops out and loses the ability to keep up with such huge insulin demands. Although the level of insulin produced by the overworked pancreas starts to fall, it still is pumping out much more insulin than a thinner person might need, but it's not enough to compensate for extra body fat. Adult diabetes is a disease of insulin resistance, not of insulin deficiency. The pancreas’ ability to secrete insulin continues to diminish as the diabetes continues, and the overweight condition continues year after year. Total destruction of insulin secreting ability almost never occurs in Type 2 (adult onset diabetes) as it does in Type 1 (childhood onset diabetes). However, the sooner a Type 2 diabetic loses the extra weight causing the stress on the pancreas, the more functional reserve of insulin secreting cells remain. When you give an adult diabetic, who has been suffering from the damaging effects of excess insulin for years, more insulin to drive the sugar down, you create more problems. Giving the diabetic patient insulin increases appetite and can cause significant weight gain. As a result of this weight gain, it makes the patient more diabetic. What usually occurs is that they require more and more medication and their condition worsens. Findings from numerous studies also show that high insulin levels promote atherosclerosis, even in non-diabetics. The degree of atherosclerotic blood vessel disease is greatest in those with the highest levels of insulin. Insulin blocks cholesterol removal and delivers cholesterol to cells in the blood vessel walls accelerating the creation of heart-attack-causing plaque. It is not the answer.
Diabetes Symptoms
Oftentimes, Type 2 diabetes in its early stages comes without symptoms, but it may include frequent urination, thirst and weight loss. A blood test during a routine or other medically related doctor’s visit could detect the presence of abnormally high levels of glucose.
Conventional Care
Well meaning physicians prescribe drugs in an attempt to lower the dangerously high glucose levels, the high cholesterol and triglyceride levels and the high blood pressure typically seen in diabetics, since elevated levels are strong predictors of damage and/or premature death. Unfortunately, treating diabetes with medication gives patients a false sense of security because they mistakenly think their somewhat better controlled glucose levels are an indication of restored health. This false sense of security provides patients with implicit permission to continue the same disease-causing diet and lifestyle that led to the development of their diabetes. They don’t lose weight. Many continue to gain, and the deterioration of their bodies continues.
The Diet That Defeats Diabetes
How can we lower high glucose levels, lower cholesterol, lower blood pressure, lose weight and not need to take drugs such as insulin and sulfonylureas which cause weight gain?
Here is the simple answer—the best diet for humans to live longer in superior health is also the best diet for one with diabetes. That is a diet with a high nutrient per calorie ratio as described in my books, Eat To Live and Eat For Health. When one eats a diet predominating in nature’s perfect foods—green vegetables, beans, eggplant, tomatoes, mushrooms, onions, garlic, raw nuts and seeds and limited amount of fresh fruit, it becomes relatively easy for people to eat as much as they want and still lose weight relatively quickly. This includes lots of great tasting food and great recipes, but no oil, butter, cheese, flour or sweets. My experience has demonstrated that those choosing to follow my nutritional recommendation will have their diabetes controlled astonishingly fast even before they have lost most of their excess weight.
Type 1 Diabetes (childhood onset or juvenile diabetes)
In Type 1 Diabetes, which generally occurs earlier in life, children incur damage to the beta cells in the pancreas, which produce insulin, so they have an insulin deficiency. About ten percent of diabetes is Type 1. Excess body fat does not cause this type of diabetes, and those with Type 1 diabetes always will require insulin to prevent serious hyperglycemia and life-threatening ketoacidosis.
Diabetes Symptoms
The most common symptoms for Type 1 diabetes (juvenile or child onset) include, but are not limited to, frequent urination and thirst, vomiting, nausea, and abdominal pain. An immediate visit to one’s health practitioner would be advised.
Conventional Care
With conventional care, the long-term prognosis for a Type 1 diabetic is dismal. More than one-third of all Type 1 diabetics die before the age of fifty. However, it is not Type 1 diabetes itself that causes such negative health consequences. Rather, it is the combination of the diabetes and the typical nutritional “advice” given to these patients – advice that requires them to take large amounts of unnecessary insulin. The extra insulin and the high glucose levels raise lipids, accelerate atherosclerosis and damage the body. With this in mind, it should be clear that while the Standard American Diet (SAD), which has spread to all industrialized nations, is dangerous for everyone. It is particularly deadly for diabetics. In short, if you eat conventionally you die conventionally, but if you eat the Standard American Diet with diabetes, you will be committing to poor health with food at a much younger age.
Live a Long and Healthy Life with Type 1 Diabetes
Type 1 diabetics need not feel doomed to a life of medical disasters and a possible early death. With a truly health-supporting lifestyle, including real food designed by nature, even the Type 1 (childhood onset) diabetic can have the same potential for a long, disease-free life, like the rest of us. I find that when Type 1 diabetics adopt a high-nutrient, dietary approach, they can lower their insulin requirements by about half. They protect their body against the heart-attack, promoting effects of the American diet style. They no longer have swings of highs and lows, and their glucose levels and lipids stay under excellent control. Even though the Type 1 diabetic will still require exogenous (external) insulin, but by following my Eat To Live diet-style, they will no longer need excessive amounts of it. Remember, it is not the Type 1 diabetes that is so damaging, it is the S.A.D., the typical dietary advice given to Type 1s and the excessive need for large amount of insulin that is so harmful. It is simply essential for all Type 1 diabetics to learn about my dietary recommendations which can give them the opportunity for a long and healthy life.
A Type 1 Diabetic Changes His Diet
John Sermos was a 22 year old college graduate with Type 1 diabetes since the age of 6. He was five foot, eight inches tall and weighed 190 pounds. He was taking a total of 70 units of insulin daily. He was referred to my office by his family physician as he was having swings in his glucose levels, too high at times and at other times dangerously low. He also wanted to learn more about nutrition to improve his health and reduce his future risks from having diabetes. I was impressed by his intelligence and desire to change his eating habits to better his health. We spent lots of time discussing the typical problems that befall most diabetics, and I explained to him that using 70 units of insulin a day was part of the problem. I explained that if he follows my recommended diet-style he will stabilize his weight at about 145 pounds and he will only require about 30 units of insulin a day. With this lower level of insulin, to mimic the amount of insulin a non-diabetic makes in the pancreas, he can have a life without the typical health issues that befall diabetics. We cut his nighttime insulin dose down by ten units and his mealtime insulin from 10 to 6 as he began the diet. Over the next two weeks we gradually tapered his insulin and found that he only needed 20 units of Lantus insulin at bedtime and 4 units before each meal for a total of 32 units a day. Almost immediately, with my dietary recommendations, his sugars were running in the favorable range, and he no longer experienced dangerous drops in his blood sugar. He had lost 13 pounds over the first month and by month three weighed 167, a loss of 23 pounds. He was excited about what he had learned and was more hopeful about his life while living with his diabetes. I am convinced, that with the Eat To Live or Eat For Health diet-style, those with Type 1 diabetes can have a long and disease-free life. I feel it is imperative that all Type 1 diabetics learn about this life, saving approach.
Gestational Diabetes
Gestational diabetes refers to higher than normal blood sugars occurring during pregnancy in women who were not diabetic before becoming pregnant. It is usually detected by discovering higher than normal glucose levels between the twenty third and twenty eighth weeks of pregnancy. In the vast majority of women found to have this condition, there are no symptoms of diabetes, and the diabetes usually goes away after the baby is born.
The body requires more insulin during pregnancy as weight is gained and as the placenta grows and produces hormones that block insulin uptake. It is normal for the pancreas to produce higher levels of insulin during pregnancy. Typically most women have no problem producing the extra insulin needed during pregnancy, but for women with gestational diabetes, their pancreas is “pooped out” and can’t secrete the higher levels demanded. Women with gestational diabetes have a strong likelihood of developing adult onset diabetes later in life. It reflects a pancreas that is already overworked that has difficulty handing the increased insulin needs of excess fat on their body and a diet rich in processed carbohydrates.
Gestational diabetes marks women with a lower beta cell reserve in their pancreas. They have less of these insulin secreting cells, and when under the stress of pregnancy or if they gain weight later in life, their body will not be capable of producing the high levels of insulin to cover the increased demands. In other words, they are those women prone to develop Type 2 diabetes later in life.
The same dietary factors that cause Type 2 diabetes cause gestational diabetes. Gestational diabetes reveals the tendency for that to occur. Instead, if women eat the high-nutrient dietary style that I recommend, they will be protected from developing gestational diabetes and diabetes later in life. Nutritional excellence is important during pregnancy. Gestational diabetes is a sign of nutritional inadequacy, and it leads to overweight babies (macrosomia) and the potential for hypoglycemia in the baby immediately after birth. It is important that changes are initiated to restore normal glucose levels as soon as possible during pregnancy, which is accomplished effectively and easily with my Eat To Live and Eat For Health programs.
Conclusion
The dietary style described in my books entitled, Eat To Live and Eat For Health, is a vegetable-based diet designed to maximize nutrient per calorie density. It is the most effective dietary approach for those with diabetes and is much more effective than drugs. For a Type 2 diabetic, this approach has resulted in complete reversal of the diabetic condition in the vast majority of my patients, and for a Type 1 diabetic it solves the problems with excessive highs and lows and prevents the typical dangerous complications that too frequently befall those with diabetes.
Of course, no dietary approach to diabetes will succeed without attention to other risk factors, especially sedentary lifestyle, smoking and lack of sleep. The road to wellness involves making the commitment to regular exercise as well. My clear message is that diabetics can’t just “eat better.” They have to go all the way and commit to nutritional excellence.
If you have diabetes, begin by reading my book, Eat To Live or Eat For Health. You can receive the e-book version of Eat To Live right away, by joining the membership center here at DrFuhrman.com. It is important that you do not change your diet, if you are on medication, without medication adjustment under the guidance of a competent physician. Call my office at 908-237-0200, if you desire to set up a phone consultation, so I can help with the medication reductions that will be necessary. I wish you enduring health and a long life... it can be yours.

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