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Diabetes Type II
  Diabetes II
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 Conditions suggested by it
 It can lead to...
 It could instead be...
 Treatment recommendations
 Prevention
 


There are two major types of diabetes:

  • TYPE 1. Juvenile diabetes or insulin-dependent diabetes mellitus (IDDM) is an autoimmune-related disease, usually striking between the ages of 5 and 20 years, in which patients do not produce enough insulin.
  • TYPE 2. Adult onset or non-insulin dependent diabetes mellitus (NIDDM) represents 90-95% of all diabetes, and is caused by a combination of insulin resistance (loss of sensitivity to insulin) and a relative insulin deficiency. Physical health is key to this syndrome - 80% of sufferers are overweight and physically inactive. This was once thought to be a middle-aged disease, but since childhood obesity has been on the rise, cases of Type 2 diabetes are being diagnosed at every age. The majority of Type 2 diabetics are still over 55.
A newer classification, Type 1.5, is discussed elsewhere. Insulin resistance is also found in a variety of other common disease states including hypertension, atherosclerosis, obesity and polycystic ovarian syndrome. In some of these conditions insulin resistance has been shown to be an independent risk factor contributing to the disease and its complications.

Incidence; Causes & Development; Risk Factors
IGT (insulin resistance) is very common in Western society, afflicting an estimated 20 million individuals in the United States alone.

IDDM occurs equally among males and females, but is more common in whites than in nonwhites. NIDDM is more common in older people, especially older women who are overweight. Native Americans have the highest rates of diabetes in the world. Among Pima Indians living in the United States, for example, half of all adults have NIDDM.

Although the pancreatic beta cells of patients with NIDDM usually continue to produce insulin, for some reason the body does not respond to the insulin effectively. Beta cells are the cells that regulate glucose levels in the body by producing insulin. The first step towards Type 2 diabetes is insulin resistance, a condition in which the key target tissues for insulin (muscle and fat) do not respond normally to that hormone. Both genetic traits and acquired factors (such as aging, diet and obesity) play a role in the development of insulin resistance. Beta cells compensate for insulin resistance with increased insulin secretion resulting in hyperinsulinemia. In this compensated, insulin-resistant state known as impaired glucose tolerance (IGT), blood glucose remains normal throughout most of the day, but may become high after meals.

Over time, beta cells are unable to continue to secrete the high levels of insulin needed to maintain normal glucose levels in the face of chronic ingestion of simple sugars and refined carbohydrates. When this occurs, the patient develops elevated blood glucose throughout the day, indicative of Type 2 diabetes. Progression to Type 2 diabetes occurs in approximately 7% of patients with IGT every year; the end result being the same as for insulin-dependent diabetes (IDDM) - an unhealthy buildup of glucose in the blood and an inability of the body to make efficient use of its main source of fuel.

People who have family members with diabetes (especially NIDDM), who are overweight, or who are African American, Hispanic, or Native American are all at greater risk of developing diabetes. Interestingly, women who have given birth to a baby weighing more than 9 pounds are at increased risk, as are women who have had diabetes during pregnancy (gestational diabetes). Even apparently healthy people, especially if they are overweight, sedentary or over 25, lose sensitivity to insulin.

Signs & Symptoms
The symptoms of NIDDM develop gradually and are not as noticeable as those of IDDM. The main symptoms include feeling tired or ill, frequent urination (especially at night), unusual thirst, weight loss, blurred vision, frequent infections, and slow wound healing.

Diagnosis & Tests
Early diagnosis is important for this disease - one that is spiraling out of control.

For a free in-home diagnostic Blood Sugar Exam that will let you know if you are Diabetic or have a tendency towards Diabetes, you may wish to visit www.sugarandu.com. There is absolutely no charge for this exam and you will be sent a report to your email address.

Treatment & Prevention
Lifestyle options which include weight loss, rigid restrictions of grains, sugars and root vegetables along with one hour of daily aerobic activity seems to control Type 2 diabetes in a majority of people unless they have serious damage in their pancreas or insulin receptors.

Elimination of Insulin Use for Type 2 Diabetes
In the late 1990s, Dr. David Bell, a clinician and researcher in Birmingham, Alabama, wanted to see if he could eliminate insulin use in a group of people with Type 2 diabetes who were already on insulin by using a combination of oral medications. These people had in many cases been put on insulin without first trying oral medications because today's array of medications were not available when they were diagnosed.

Dr. Bell first tested C-peptide levels and chose only those who had normal levels. Of the 130 people with adequate C-peptide levels in his study, 100 were able to discontinue insulin use altogether and control their diabetes on various doses of glyburide and metformin. He found that their overall control, measured by their HbA1c levels, was actually better on two oral medications than it had been previously on two daily doses of insulin. Others in the study were able to improve their hemoglobin levels by using glyburide and metformin with a single dose of insulin at dinner or bedtime.

Researchers have determined that the Type 2 patients most likely to control their blood sugars on combination oral agents are those least overweight (with a BMI of 30 or less), with shortest duration of diabetes, and C-peptide levels normal or only slightly low.

The best prevention for any of the complications of diabetes, including leg artery disease and foot infections, is a heart-healthy lifestyle, combined with so-called "tight control" of diabetes.

Complications
Excessively low glucose (from too much injected insulin or too little food) can cause the affected individual to lose consciousness, experience seizures or even die.

Chronic complications typically take five to ten years to manifest themselves, are generally irreversible, and are predominantly caused by sustained high levels of blood glucose. Diabetes is widely recognized as one of the leading causes of death and disability in the United States, and it is associated with long-term complications that affect almost every major part of the body. It can lead to blindness, heart disease, strokes, kidney failure, amputations and nerve damage. Uncontrolled diabetes can complicate pregnancy, and birth defects are more common in babies born to women with diabetes. Due to these complications, the life expectancy of a diabetic is 30-50% less than for a non-diabetic person from the time he or she is diagnosed. People diagnosed with adult-onset diabetes before the age of 40 could expect to die eight years earlier than healthy contemporaries.





Signs, symptoms & indicators of Diabetes Type II:
Lab Values - Common  High systolic blood pressure
 Blood pressure that is consistently at or above 140/90 is a sign of Type 2 Diabetes.

  High diastolic blood pressure

Symptoms - Food - Beverages

  Constant/frequent thirst

Symptoms - Gas-Int - General

  Frequent/regular unexplained nausea

Symptoms - General

  Constant fatigue

Symptoms - Glandular

  2hr postprandial glucose >/2hr postprandial glucose 201- 250mg% or 2hr postprandial glucose 160-200mg%

Symptoms - Head - Eyes/Ocular

  Vision disturbances
 High blood sugar can cause two problems which affect vision, namely blurred vision and retinopathy - a disease of the back of the eye. Blurred vision is one of the first signs of elevated blood sugar. The shape and size of the lens in your eye changes when your blood sugar fluctuates. This swelling of the lens can cause blurred vision.

If you notice blurred vision, you should have your blood sugar checked. The acceptable range for fasting glucose is 80-110mg. If your blood sugar is substantially higher or lower than the acceptable range, contact your doctor. When your blood sugar is controlled, your vision will return to its previous state.

Symptoms - Metabolic

  Moderate/very great/major unexplained weight gain
 Weight loss can indicate uncontrolled diabetes, while weight gain suggests an increased risk of getting it.

  Major/moderate/very great unexplained weight loss
 Weight loss can indicate uncontrolled diabetes, while weight gain suggests an increased risk of getting it.

  Difficulty losing weight

Symptoms - Nervous

  Numb/tingling/burning extremities

Symptoms - Reproductive - Female Cycle

  Long menstrual cycles
 Researchers at Brigham and Women's Hospital have found that women who have long or very irregular menstrual cycles may have an increased risk of developing Type 2 diabetes mellitus. According to the results, women whose menstrual cycles were at least 40 days long were twice as likely to be diagnosed with diabetes, compared with women whose cycles lasted 26 to 31 days, regardless of body weight. However, the risk was even greater for obese women. "These findings... suggest that women with this history might particularly benefit from lifestyle approaches to reduce risk, such as weight control and exercise." [JAMA, Nov 21, 2001]

Conditions that suggest Diabetes Type II:
Autoimmune  Diabetes Type I

Counter-indicators:
  Diabetes Type I
 Adults who develop Type 1 diabetes, will never develop Type 2.

Circulation

  Coronary Disease / Heart Attack
 Cardiovascular disease is the leading cause of diabetes-related death. People with diabetes are two to four times more likely to develop cardiovascular disease. At least 65% of people with diabetes die from heart disease or stroke.

  Poor/Slow Wound Healing
 People with diabetes often have impaired wound healing. Even a tiny sore may remain unhealed and/or infected for months or even years. In severe cases, overwhelming infection and lack of oxygen and nutrients leads to gangrene.

  Poor Circulation
 Up to 50% of all people with leg artery disease have diabetes; for them, controlling both conditions is crucial. Diabetes increases your risk for leg artery disease fourfold, and accounts for nearly half of all amputations in the U.S. that aren't related to accidents.

Diabetes makes hardening of the arteries much more dangerous (especially in the feet and toes) through several different mechanisms, and it's still not fully understood which ones matter most. People with diabetes are prone to nerve damage in the legs and feet, which means they often may overlook minor injuries. This, combined with poor circulation that slows wound healing, can cause small wounds to develop into more serious infections. Diabetes also makes people more likely to develop blockages in smaller vessels far from the heart, and those blockages tend to be more widespread and harder to treat.

  Intermittent Claudication
  Cardiomyopathy
 People with diabetes have been reported to be at increased risk of being diagnosed with DCM.

Digestion

  Heartburn / GERD / Acid Reflux

Hormones

  Low Sex Drive
 Lack of sexual desire can be a consequence of diabetes.

Lab Values

  High Levels Of Triglycerides

Metabolic

  Gestational Diabetes Tendency
 Previous gestational diabetes has been established as an additional risk factor for developing adult onset diabetes.

Nervous System

  Neuritis/Neuropathy

Nutrients

  Magnesium Requirement
 Hypomagnesemia has been demonstrated in both insulin-dependent and non-insulin-dependent diabetic patients. A low intake of magnesium, which is a common deficiency, has been associated with insulin resistance and diabetes in several studies. Magnesium deficiency in diabetes is most likely the result of increased urinary magnesium losses secondary to chronic glycosuria. However, short-term improvement in glycemic control has not been shown to restore the serum magnesium level. Long-term studies may be needed to resolve this discrepancy.

Organ Health

  Retinopathy
 Diabetic retinopathy will occur in 65% of persons with type II diabetes within about 10 years of the beginning of diabetes.

  Chronic Renal Insufficiency
 Type II diabetes mellitus is the leading cause of chronic kidney failure, accounting for 35% of the new cases each year and 25% of all cases in the U.S.

Respiratory

  Pneumonia
 Diabetes is a risk factor for the development of pneumonia.

Skin-Hair-Nails

  Boils, Abscesses, Carbuncles
 People with certain illnesses, including diabetes, are more at risk of developing boils.

Symptoms - Glandular

Counter-indicators:
  Confirmed absence of diabetes

Uro-Genital

  Nocturia
  Increased Urinary Frequency

Risk factors for Diabetes Type II:
Diet  Excess Sugar Consumption
 A high-fat, high-sugar diet that contains refined flour products is probably the most important risk factor for diabetes. Such a diet tends to be low in chromium content and also causes more insulin to be produced, which requires even more chromium.

Family History

  Diabetes in family members

Hormones

  Low Adrenal Function / Adrenal Insufficiency

Infections

  Periodontal Disease - Gingivitis
 If you are diabetic, you are at higher risk of developing infections, including periodontal diseases. These infections can in turn impair the body's ability to process and/or utilize insulin, creating a vicious circle in which your diabetes may be more difficult to control and your infection more severe than in a non-diabetic. [Journal of Periodontology November 1999]

Lab Values - Chemistries

  (Very) low HDL level

Counter-indicators:
  Excellent HDL level

Laboratory Test Needed

  Elevated Insulin Levels
 Hyperinsulinemia and insulin resistance are both factors that increase the risk of developing type 2 diabetes. Hyperinsulinemia often predates diabetes by several years.

Metabolic

  Problems Caused By Being Overweight
 Scientists have discovered a hormone that may explain the link between diabetes and obesity - a tantalizing finding that could someday lead to new treatments for the disease. The hormone, dubbed resistin, is produced by fat cells and prompts tissues to resist insulin, the substance the body needs to process blood sugar, researchers reported in the scientific journal Nature. Diabetics produce too little insulin or cannot use it efficiently. This will probably result in new drug treatments, but emphasizes the need for weight reduction.

  Hemochromatosis (Iron overload)
 Iron deposits in the pancreas decrease insulin production which can lead to insulin dependent diabetes mellitus. Hemochromatosis is also called bronze diabetes because those sufferers with diabetes can express a bronze-colored tint to their skin.

Patients with hemochromatosis can also be diagnosed with liver disease, diabetes, heart disease and arthritis without the physician realizing that these diseases are the result of iron-overload. Thus, the hemochromatosis might itself go undiagnosed and untreated.

  Syndrome X
 In advanced stages of Syndrome X, when the pancreas can no longer keep up, diabetes II may develop.

Nutrients

  Manganese Requirement
 People with diabetes often have low manganese levels and this deficiency contributes to an inability to process sugars. Supplementation improves glucose management in diabetics. [Nature, 1962; 194: pp.188-89]

Personal Background

  African/Latin / Hispanic ethnicity
 African-Americans have higher rates of diabetes, prostate cancer, hypertension and coronary heart disease than whites.

Supplements and Medications

  Prednisone use
 A side-effect of treatment with prednisone can be high blood sugar levels.

Symptoms - Food - Intake

Counter-indicators:
  Moderate/high legume consumption
 A study of 9,600 Americans found that those who ate plenty of legumes were less likely to be diagnosed with diabetes. Legumes are rich in soluble fiber, which has been shown to help improve insulin resistance, the study authors note. [Archives of Internal Medicine 2001;161: pp.2573-8].

Uro-Genital

  Polycystic Ovary Syndrome (PCOS)
 By the age of 40, up to 40% of women with PCOS will have Type II diabetes or impaired glucose tolerance.

  Consequences of Vasectomy

Diabetes Type II suggests the following may be present:
Habits  Need For Routine Preventative Health Measures
 Persons with diabetes must take extra care to be sure to have thorough, periodic eye exams (at least yearly), especially if early signs of visual impairment are noticed. Anyone experiencing a sudden loss of vision, decrease in vision or visual field, flashes of light, or floating spots should contact their eye doctor right away.

Metabolic

  Problems Caused By Being Overweight
 Scientists have discovered a hormone that may explain the link between diabetes and obesity - a tantalizing finding that could someday lead to new treatments for the disease. The hormone, dubbed resistin, is produced by fat cells and prompts tissues to resist insulin, the substance the body needs to process blood sugar, researchers reported in the scientific journal Nature. Diabetics produce too little insulin or cannot use it efficiently. This will probably result in new drug treatments, but emphasizes the need for weight reduction.

Nutrients

  Manganese Requirement
 People with diabetes often have low manganese levels and this deficiency contributes to an inability to process sugars. Supplementation improves glucose management in diabetics. [Nature, 1962; 194: pp.188-89]

Organ Health

  Diabetes Type 1.5
 Approximately 15% to 20% of people diagnosed as "Type 2" in fact have Type 1.5. They are often diagnosed as Type 2 because they are older and will initially respond to diabetes medications because they have adequate insulin production. The initial treatment may involve diet change, exercise and standard Type 2 medications.

Tumors, Malignant

  Pancreatic Cancer
 There have been a number of reports that have suggested diabetics have an increased risk of developing pancreatic cancer. The reasons for this are not clear.

Diabetes Type II can lead to:
Aging  Alzheimer's Disease
 According to a new study in Neurology, diabetes mellitus may not only damage the function of the eye, limbs, kidneys, and heart - it may also impair the function of the brain and hasten the process of senile dementia.

Researchers found that diabetes mellitus nearly doubles the risk of developing both vascular dementia and Alzheimer's disease, according to the Rotterdam Study, a large prospective analysis which tracked dysglycemia and dementia in over 6,000 individuals over the age of 55. Diagnosis of diabetes was based on World Health Organization criteria using a glucose tolerance test.

A related editorial called Alzheimer's a possible "brain-type diabetes". Besides damaging important blood vessel networks and increasing the risk of small "silent" strokes deep inside the brain, dysglycemia may be directly involved in the development of the neurofibrillary tangles, the clumping of nerves and fiber tissue inside the brain characteristic of Alzheimer's.

The researchers noted that advanced glycation endproducts (AGE), proteins damaged by chronically high blood sugar levels, are commonly found inside these tangles. "In brains of AD patients the receptor for AGE appears overexpressed," they noted. "Activation of this receptor leads to increased oxidative stress that may result in cellular damage."

Diabetes also disrupts insulin signaling to other cells in the body. This altered signaling may increase the activity of a neuronal enzyme that stimulates phosphorylated tau proteins to build up, a key trigger mechanism cited as one of the earliest signs of Alzheimer's.

NOTE: This study strongly suggests the important potential role of glycation products and insulin response, not just glucose levels, in the etiology of degenerative disease.

Circulation

  Poor Circulation
 Up to 50% of all people with leg artery disease have diabetes; for them, controlling both conditions is crucial. Diabetes increases your risk for leg artery disease fourfold, and accounts for nearly half of all amputations in the U.S. that aren't related to accidents.

Diabetes makes hardening of the arteries much more dangerous (especially in the feet and toes) through several different mechanisms, and it's still not fully understood which ones matter most. People with diabetes are prone to nerve damage in the legs and feet, which means they often may overlook minor injuries. This, combined with poor circulation that slows wound healing, can cause small wounds to develop into more serious infections. Diabetes also makes people more likely to develop blockages in smaller vessels far from the heart, and those blockages tend to be more widespread and harder to treat.

  Intermittent Claudication

Diabetes Type II could instead be:
Autoimmune  Sarcoidosis
 It is often difficult to diagnose Sarcoidosis as signs may mimic diabetes, hypopituitarism, optic neuritis, meningitis, tumors, or other neurologic disorders.

Recommendations and treatments for Diabetes Type II:
Amino Acid / Protein  Acetyl-L-Carnitine
 The amino acid L-carnitine improves insulin sensitivity in type 2 diabetes.

Botanical

  Gymnena Sylvestre
 Gymnena sylvestre has been used for centuries in India to treat diabetes. It is also useful in weight loss regimens.

  Garlic
  Chlorella
  American Ginseng
 American ginseng may help control the blood sugar surge that generally occurs after eating. Researchers tested the effects of American ginseng on 10 non-diabetic adults and nine adults with type 2 diabetes. Diabetics experienced a significant reduction (20%) in blood glucose two hours after treatments, regardless of whether they took the herb before or during the meal.

  Cinnamon
 Dr. Richard A. Anderson, lead scientist at the Beltsville, Maryland-based Human Nutrition Research Center, explained that his mostly unpublished research shows that a compound in cinnamon called methylhydroxy chalcone polymer (MHCP) makes fat cells more responsive to insulin by activating an enzyme that causes insulin to bind to cells and inhibiting the enzyme that blocks this process.

While it is too soon to recommend the spice as a regular treatment for type 2 diabetes, Dr. Anderson said patients could try adding 1/4 - 1 teaspoon of cinnamon to their food. "The worst that will happen is it won't do any good and the best is that it will help dramatically" he stated. [Preliminary findings announced by the USDA August, 2000]

Update, November 2003 (New Scientist):
Just half a teaspoon of cinnamon a day significantly reduces blood sugar levels in diabetics, a new study has found. The effect, which can be produced even by soaking a cinnamon stick your tea, could also benefit millions of non-diabetics who have blood sugar problem but are unaware of it.

The discovery was initially made by accident, by Richard Anderson at the US Department of Agriculture's Human Nutrition Research Center in Beltsville, Maryland. "We were looking at the effects of common foods on blood sugar," he told New Scientist. One was the American favorite, apple pie, which is usually spiced with cinnamon. "We expected it to be bad. But it helped," he says.

  Cayenne Pepper
 Cayenne used topically may benefit diabetic neuropathy.

Detoxification

  Supplemental Fiber
 Higher fiber diets may have additional benefits for those people with diabetes, including reducing blood sugar, lowering insulin and lowering cholesterol. Researchers studied 13 diabetes patients whose daily dietary fiber intake was 50gm and recorded reduction in total cholesterol, triglycerides, pre- and post-meal glucose levels, and measures of insulin sensitivity compared to those on a 24gm per day diet. [Chandalia, M., et al., Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med, 2000. 342(19): pp.1392-8.]

Vegetables, whole grains, nuts and legumes (beans and peas) remain the single best sources of fiber in the diet and - not coincidentally - these same foods are recommended as the foundation for a healthy diet for people with diabetes.

Diet

  Sugars Avoidance / Reduction
  Processed Foods Avoidance
 Many doctors and researchers agree that the regular consumption of tasty, mostly modern, commercially processed foods is the primary cause of adult-onset diabetes. Consuming anything sweet, regardless of its calorific content, may be sending a signal from the mouth to the brain that more insulin is needed.

  Plant-Based Nutrition
 (Reuters, July 27, 2006) "People who ate a low-fat vegan diet, cutting out all meat and dairy, lowered their blood sugar more and lost more weight than people on a standard American Diabetes Association diet… They lowered their cholesterol more and ended up with better kidney function, according to the report published in Diabetes Care, a journal published by the American Diabetes Association."

Dr. Neal Barnard's team and colleagues at George Washington University, the University of Toronto and the University of North Carolina tested 99 people with type-2 diabetes, assigning them randomly to either a low-fat, low-sugar vegan diet or the standard American Diabetes Association diet. After 22 weeks on the diet, 43% of those on the vegan diet and 26% of those on the standard diet were either able to stop taking some of their drugs such as insulin or glucose-control medications, or lowered the doses. The vegan dieters lost 14 pounds (6.5 kg) on average while the diabetes association dieters lost 6.8 pounds (3.1 kg). An important level of glucose control called a1c fell on average by 1.23 points in the vegan group and by 0.38 in the group on the standard diet.

  High/Increased Fiber Diet
 Research has shown that fiber helps to stabilize and lower blood sugar levels. Both soluble and insoluble fibers delay the emptying of food from the stomach, slow the absorption of glucose into the bloodstream, and thus moderate insulin levels. A diet high in complex carbohydrates and fiber helps increase tissue sensitivity to insulin, and a diet high in fiber-rich foods should also help those with diabetes to lose and maintain a healthy body weight.

Any form of fiber will be beneficial, so choose those that you most easily tolerate. When soluble fiber ferments during digestion it produces 'short chain fatty acids' that increase the metabolism of glucose and thus may add to the beneficial effects of dietary fiber on diabetes.

  Therapeutic Fasting
  Increased Fruit/Vegetable Consumption
 Eating carbohydrate-containing foods, including some fruits, temporarily raises blood sugar and insulin levels. On the other hand, a diet rich in the soluble fiber found in fruit may lower the risk of type 2 diabetes, despite the high carbohydrate content of most fruit.

High-fiber supplements, such as pectin from fruit, have been found to improve glucose tolerance in some studies. A review of the research revealed that the extent to which moderate amounts of fiber help people with diabetes in the long term is still unknown, and the lack of many long-term studies has led some researchers to question the importance of fiber in improving diabetes. Nonetheless, most doctors advise people with diabetes to eat a diet high in fiber. Focus should be placed on fruits, vegetables, seeds, oats and whole-grain products.

  Aspartame (Nutrasweet) Avoidance
 The American Diabetes Association (ADA) is actually recommending this chemical poison to persons with diabetes. According to research conducted by H.J. Roberts, a diabetes specialist, a member of the ADA, and an authority on artificial sweeteners, aspartame:

1) Leads to the precipitation of clinical diabetes.
2) Causes poorer diabetic control in diabetics on insulin or oral drugs.
3) Leads to the aggravation of diabetic complications such as retinopathy, cataracts, neuropathy and gastroparesis.
4) Causes convulsions.

In a statement concerning the use of products containing aspartame by persons with diabetes and hypoglycemia, Roberts says: "Unfortunately, many patients in my practice, and others seen in consultation, developed serious metabolic, neurologic and other complications that could be specifically attributed to using aspartame products. This was evidenced by:

"The loss of diabetic control, the intensification of hypoglycemia, the occurrence of presumed 'insulin reactions' (including convulsions) that proved to be aspartame reactions, and the precipitation, aggravation or simulation of diabetic complications (especially impaired vision and neuropathy) while using these products.

"…dramatic improvement of such features after avoiding aspartame, and the prompt predictable recurrence of these problems when the patient resumed aspartame products, knowingly or inadvertently."

Roberts goes on to say:
"I regret the failure of other physicians and the American Diabetes Association (ADA) to sound appropriate warnings to patients and consumers based on these repeated findings which have been described in my corporate-neutral studies and publications."

Habits

  Aerobic Exercise
 Aerobic exercise reduces the risk of diabetes and improves the diabetic condition through several different mechanisms.

  Tobacco Avoidance
 Diabetics should control blood sugar and blood pressure closely and should refrain from smoking.

Hormone

  Insulin Therapy
 On average, insulin is required in half of those with Type 1.5 diabetes within four years of diagnosis, compared to over ten years in those with true Type 2 diabetes.

Mineral

  Chromium
 Chromium combines with niacin to form Gluten Tolerance Factor (GTF), which works with insulin to help the body use glucose. Insulin is the hormone that takes glucose from blood and puts it into cells where it is used for energy. Chromium helps reduce the amount of insulin needed to maintain blood sugar. Some studies report that people who have diabetes can get better glucose control by taking chromium supplements.

Chromium and GTF are used in the treatment of both hypoglycemia and diabetes mellitus, two problems of blood sugar utilization and metabolism. Preventing chromium deficiency is the key here. The earlier treatment is begun, especially with potential diabetes, the more helpful it may be. Preformed GTF is not readily available, though formulas that contain all of its components seem to work better than chromium alone, and small amounts given daily have been shown to both increase glucose tolerance and decrease blood fats, both cholesterol and triglycerides, as well as to raise HDL. Chromium also does this and has been used along with niacin (also a part of GTF) in the treatment of high blood cholesterol.

  Colloidal Silver

Nutrient

  Alpha Lipoic Acid
 Numerous additional studies have indicated that ALA is useful for the treatment of diabetes mellitus. It stimulates increased glucose utilization in muscle cells and significantly reduces human insulin resistance.

600mg of alpha lipoic acid tid was found to improve polyneuropathy symptoms in patients with type II diabetes. A maintenance dose as low as 100mg tid may be sufficient to provide benefits. [Diabet Med 1999;16; pp.1040-1043]

Oxygen / Oxidative Therapies

  Ozone / Oxidative Therapy

Vitamins

  Vitamin C (Ascorbic Acid)
 Dr. Fred Klenner, MD has used large amounts of Vitamin C for many ailments, and says that diabetics are so deficient they should be considered as having scurvy. 10gm per day, according to Dr. Klenner, cures many diabetics and enhances their well being in other cases.

  Vitamin E
 In a study published in the July 11, 2000 issue of Circulation, Drs. Ishwarlal Jialal and Sridevi Devaraj found that increased inflammation caused by white blood cells - monocytes - was reduced when diabetics were given 1,200 IU per day of natural vitamin E (alpha-tocopherol) for three months.

Another study showed that vitamin E (680 IU) along with vitamin C (1200mg) will reduce the albumin excretion rate in urine which reduces the risk of end stage renal disease associated with diabetes. [DiabetMe 2001;18: pp.756-760]

  Vitamin A
 Recent research shows that Type II diabetics who consumed foods high in vitamin A were the most efficient insulin users. [Facchini, F., et al. "Relation between dietary vitamin intake and resistance to insulin-mediated glucose disposal in healthy volunteers," Am J of Clin Nutr 63: pp.946-9, June 1996]

  Vitamin Niacinamide
 Niacinamide improves ATP mitochondrial production in the face of diabetogenic chemicals and thus allows insulin-producing cells of the pancreas to stay alive longer. In one trial, newly diagnosed patients were given niacinamide at 25mg per kg of body weight. This restored the insulin-producing cells of the pancreas in some, slowed the cellular destruction in others and left a number no longer diabetic. Use in diabetic patients should always be monitored by a physician as insulin requirements may change.

  Vitamin B3 (Niacin)
 Although niacin increases low levels of high-density lipoprotein cholesterol, which frequently accompanies diabetes, past guidelines did not recommend the use of niacin in patients with diabetes because of concerns about adverse effects on glycemic control; however, this was based on limited clinical data. A 2000 study suggests that lipid-modifying dosages of niacin can be safely used in patients with diabetes and that niacin therapy may be considered as an alternative to statin drugs or fibrates for patients with diabetes in whom these agents are not tolerated or fail to sufficiently correct hypertriglyceridemia or low HDL-C levels. [JAMA. 2000;284: pp.1263-1270]

Preventive measures against Diabetes Type II:
Diet  Nut and Seed Consumption
 A recent analysis of the well-known Harvard nurses study indicated that increased nut and seed consumption is an effective way to prevent type II diabetes.

  Weight Loss
 80% of diabetics are overweight. Obesity is associated with cellular resistance to insulin, thus more insulin is required to maintain normal sugar levels.

  Increased Legume Consumption
 A study of 9,600 Americans found that those who ate plenty of legumes were less likely to be diagnosed with diabetes. Legumes are rich in soluble fiber, which has been shown to help improve insulin resistance, the study authors note. [Archives of Internal Medicine 2001;161: pp.2573-8].


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
Weakly counter-indicative
Strongly counter-indicative
Very strongly or absolutely counter-indicative
May do some good
Likely to help
Highly recommended


GLOSSARY

Adenosine Triphosphate (ATP)
A compound consisting of the nucleotide adenosine attached through its ribose group to three phosphoric acid molecules. It serves to store energy in muscles which is released when it is hydrolyzed to adenosine diphosphate.

Aerobic (Aerobically)
Using oxygen. For example, aerobic exercises such as running, swimming, bicycling or playing tennis use up lots of oxygen and burn up lots of calories and fat.

Alzheimer's Disease (Alzheimer's)
A progressive disease of the middle-aged and elderly, characterized by loss of function and death of nerve cells in several areas of the brain, leading to loss of mental functions such as memory and learning. Alzheimer's disease is the most common cause of dementia.

Amino Acid (Amino Acids)
An organic acid containing nitrogen chemical building blocks that aid in the production of protein in the body. Eight of the twenty-two known amino acids are considered "essential," and must be obtained from dietary sources because the body can not synthesize them.

Arterial (Arteries, Artery)
Blood that leaves the heart. When it leaves the right ventricle, it is venous blood; and when it leaves the left ventricle, through the aorta, it is fresh and oxygenated. After it has passed out to the capillaries and started to return, it is venous blood.

Arthritis (Arthritic)
Inflammation of a joint, usually accompanied by pain, swelling, and stiffness, and resulting from infection, trauma, degenerative changes, metabolic disturbances, or other causes. It occurs in various forms, such as bacterial arthritis, osteoarthritis, or rheumatoid arthritis. Osteoarthritis, the most common form, is characterized by a gradual loss of cartilage and often an overgrowth of bone at the joints.

Aspartame
A low-calorie sweetener used in a variety of foods and drinks and as a tabletop sweetener. It is about 200 times sweeter than sugar and is commonly known by names such as NutraSweet, Equal, Spoonful or Equal-Measure.

Atherosclerosis
Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.

Boil (Abscess, Abscesses, Boils, Carbuncle, Carbuncles, Cystic Acne, Furuncle, Furuncles, Hidradenitis Suppurativa, Pilonidal Cyst, Pilonidal Cysts)
A localized infection deep in the skin. A boil generally starts as a reddened, tender area. Over time, the area becomes firm and hard. Eventually, the center of the abscess softens and becomes filled with white cells that the body sends to fight the infection (pus). Finally, the pus forms a "head" and drains out through the skin. A furuncle or carbuncle is an abscess in the skin caused by the bacteria Staphylococcus aureus. It can have one or more openings onto the skin and may be associated with a fever or chills. Cystic acne is a type of abscess formed when oil ducts become clogged and infected. Cystic acne is most common in the teenage years. Hidradenitis suppurativa is an illness in which there are multiple abscesses that form under the arm pits and in the groin area. These areas are a result of local inflammation of the sweat glands. A pilonidal cyst is a special kind of abscess that occurs in the crease of the buttocks. These frequently form after long trips that involve sitting.

Cancer
Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.

Carbohydrates (Carbohydrate)
The sugars and starches in food. Sugars are called simple carbohydrates and found in such foods as fruit and table sugar. Complex carbohydrates are composed of large numbers of sugar molecules joined together, and are found in grains, legumes, and vegetables like potatoes, squash, and corn.

Cardiovascular
Pertaining to the heart and blood vessels.

Cataract (Cataracts)
A steadily worsening disease of the eye in which the lens becomes cloudy as a result of the precipitation of proteins. Most cataracts are caused by the functions of the body breaking down. Eye trauma, such as from a puncture wound, may also result in cataracts.

Cholesterol
A waxy, fat-like substance manufactured in the liver and found in all tissues, it facilitates the transport and absorption of fatty acids. In foods, only animal products contain cholesterol. An excess of cholesterol in the bloodstream can contribute to the development of atherosclerosis.

Chromium
Chromium is a mineral that becomes a part of the glucose tolerance factor (GTF). Chromium aids in insulin utilization and blood sugar control. By controlling blood sugar, chromium helps prevent the damage caused by glucose, which is called glycation. Chromium helps maintain normal cholesterol levels and improves high-density lipoprotein levels. Chromium is also important in building muscle and reducing obesity.

Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.

Chronic Renal Failure (Chronic Renal Insufficiency, Kidney Failure, Renal Insufficiency)
(CRF) Irreversible, progressive impaired kidney function. The early stage, when the kidneys no longer function properly but do not yet require dialysis, is known as Chronic Renal Insufficiency (CRI). CRI can be difficult to diagnose, as symptoms are not usually apparent until kidney disease has progressed significantly. Common symptoms include a frequent need to urinate and swelling, as well as possible anemia, fatigue, weakness, headaches and loss of appetite. As the disease progresses, other symptoms such as nausea, vomiting, bad breath and itchy skin may develop as toxic metabolites, normally filtered out of the blood by the kidneys, build up to harmful levels. Over time (up to 10 or 20 years), CRF generally progresses from CRI to End-Stage Renal Disease (ESRD, also known as Kidney Failure). Patients with ESRD no longer have kidney function adequate to sustain life and require dialysis or kidney transplantation. Without proper treatment, ESRD is fatal.

Complex Carbohydrate (Complex Carbohydrates)
Includes indigestible molecules of fiber (e.g. starch and glycogen). Slowly releases sugar into the bloodstream and also adds the fiber.

DCM
Dilated Congestive Cardiomyopathy, the most common type of cardiomyopathy.

Dementia (Senile Dementia)
An acquired progressive impairment of intellectual function. Marked compromise exists in at least three of the following mental activity spheres: memory, language, personality, visuospatial skills, and cognition (i.e. abstraction and calculation).

Diabetes Mellitus (Diabetes, Diabetic, Diabetics)
A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.

Diabetic Retinopathy
A disorder of the blood vessels in the retina of the eye, resulting in broken blood vessels in the eye. The disorder occurs most often in patients with long-term, poorly controlled diabetes. Repeated bleeding may result in partial or complete blindness.

Dietary Fiber (Insoluble Fiber, Insoluble Fibers, Soluble Fiber, Soluble Fibers)
There are two types of dietary fiber - soluble and insoluble. Insoluble fiber acts like a sponge; it absorbs water and moves solid waste out of the intestines. It is found mainly in whole grains and on the outside of seeds, fruits, and legumes. Soluble fiber is found in fruits, vegetables, seeds, brown rice, barley, oats and oat bran. It forms a gel when mixed with liquid producing a softer stool. It also prevents and reduces the absorption of certain substances from the intestines into the bloodstream.

Enzymes (Enzyme)
Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.

Fatty Acids (Fatty Acid)
Chemical chains of carbon, hydrogen, and oxygen atoms that are part of a fat (lipid) and are the major component of triglycerides. Depending on the number and arrangement of these atoms, fatty acids are classified as either saturated, polyunsaturated, or monounsaturated. They are nutritional substances found in nature which include cholesterol, prostaglandins, and stearic, palmitic, linoleic, linolenic, eicosapentanoic (EPA), and decohexanoic acids. Important nutritional lipids include lecithin, choline, gamma-linoleic acid, and inositol.

Gestational Diabetes
Gestational diabetes is defined as any degree of glucose intolerance with the onset or first recognition occurring during pregnancy. Many pregnant women do not notice any symptoms of diabetes, but urine and blood tests may show that they have it. Symptoms of diabetes may include thirst, weight loss, eating too much, urinating in large quantities and unexplained fatigue.

Glucose
A sugar that is the simplest form of carbohydrate. It is commonly referred to as blood sugar. The body breaks down carbohydrates in foods into glucose, which serves as the primary fuel for the muscles and the brain.

Glucose Tolerance Factor (GTF)
A compound containing chromium that aids insulin in regulating blood sugar levels.

Glycosuria
Sugar in the urine, from hyperglycemia, diabetes, or most simply, sugar binges.

Glycosylation (Glycation)
An enzymatic process by which sugars are attached to proteins. Although the term "non-enzymatic glycosylation" is common, "glycation" is the word that is used to describe the non-enzymatic attachment of sugars to proteins. Glycosylation is reversible, wheras glycation is either irreversible, or leads to Advanced Glycation End-products (AGEs). This protein cross-linking is characteristic of long-life proteins and is notable in the eye and in collagen. It is likened to "rusting" of tissue and contributes to the aging process.

Gram (gm, gms, Gramme, Grammes, Grams)
A metric unit of weight, there being approximately 28 grams in one ounce.

Hemochromatosis
A rare disease in which iron deposits build up throughout the body. Enlarged liver, skin discoloration, diabetes mellitus, and heart failure may occur.

Hemoglobin
The oxygen-carrying protein of the blood found in red blood cells.

Herbs (Herb, Herbal)
Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.

High-Density Lipoprotein (HDL)
Also known as "good" cholesterol, HDLs are large, dense, protein-fat particles that circulate in the blood picking up already used and unused cholesterol and taking them back to the liver as part of a recycling process. Higher levels of HDLs are associated with a lower risk of cardiovascular disease because the cholesterol is cleared more readily from the blood.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Hypertension
High blood pressure. Hypertension increases the risk of heart attack, stroke, and kidney failure because it adds to the workload of the heart, causing it to enlarge and, over time, to weaken; in addition, it may damage the walls of the arteries.

Hypoglycemia
A condition characterized by an abnormally low blood glucose level. Severe hypoglycemia is rare and dangerous. It can be caused by medications such as insulin (diabetics are prone to hypoglycemia), severe physical exhaustion, and some illnesses.

Insulin
A hormone secreted by the pancreas in response to elevated blood glucose levels. Insulin stimulates the liver, muscles, and fat cells to remove glucose from the blood for use or storage.

Iron
An essential mineral. Prevents anemia: as a constituent of hemoglobin, transports oxygen throughout the body. Virtually all of the oxygen used by cells in the life process are brought to the cells by the hemoglobin of red blood cells. Iron is a small but most vital, component of the hemoglobin in 20,000 billion red blood cells, of which 115 million are formed every minute. Heme iron (from meat) is absorbed 10 times more readily than the ferrous or ferric form.

IU (mIU, uIU)
International Unit: An arbitrarily defined but agreed upon unit that depends on what is being measured.
mIU: 0.001 or one thousandth of an IU.
uIU: 0.000001 or one millionth of an IU.

Kidneys (Kidney, Renal)
Bean-shaped organs, each about the size of a fist. They are located near the middle of the back, just below the rib cage. The kidneys are sophisticated reprocessing machines, each day handling about 50 gallons of blood to sift out about half a gallon of waste products and extra water. The waste and extra water become urine, which flows to the bladder through tubes called ureters. The actual filtering occurs in tiny units inside the kidneys called nephrons. Every kidney has about a million nephrons. In a nephron, a glomerulus -- which is a tiny blood vessel, or capillary -- intertwines with a tiny urine-collecting tube called a tubule. A complicated chemical exchange takes place, as waste materials and water leave your blood and enter your urinary system. The kidneys recycle chemicals such as sodium, phosphorus, and potassium and thus regulate their levels. Renal: Pertaining to the kidneys.

Kilogram (kg, kgs, Kilogramme, Kilogrammes, Kilograms)
1000 grams, 2.2lbs.

Lipoic acid
(Thioctic Acid) A sulfur-containing coenzyme used in the energy process which is also an extremely powerful antioxidant capable of trapping many different types of free radicals in the body. Has been used therapeutically in the treatment of AIDS and diabetes because of the synergy between alpha-lipoic acid and vitamin E and the interlocking cycles which lead to better optimization of antioxidant nutrients. It is also able of chelating (pulling out) heavy metals such as lead, cadmium and mercury.

Liver (Hepatic)
The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.

Magnesium
An essential mineral. The chief function of magnesium is to activate certain enzymes, especially those related to carbohydrate metabolism. Another role is to maintain the electrical potential across nerve and muscle membranes. It is essential for proper heartbeat and nerve transmission. Magnesium controls many cellular functions. It is involved in protein formation, DNA production and function and in the storage and release of energy in ATP. Magnesium is closely related to calcium and phosphorus in body function. The average adult body contains approximately one ounce of magnesium. It is the fifth mineral in abundance within the body--behind calcium, phosphorus, potassium and sodium. Although about 70 percent of the body's magnesium is contained in the teeth and bones, its most important functions are carried out by the remainder which is present in the cells of the soft tissues and in the fluid surrounding those cells.

Manganese
An essential mineral found in trace amounts in tissues of the body. Adults normally contain an average of 10 to 20mg of manganese in their bodies, most of which is contained in bone, the liver and the kidneys. Manganese is essential to several critical enzymes necessary for energy production, bone and blood formation, nerve function and protein metabolism. It is involved in the metabolism of fats and glucose, the production of cholesterol and it allows the body to use thiamine and Vitamin E. It is also involved in the building and degrading of proteins and nucleic acid, biogenic amine metabolism, which involves the transmitting of nerve impulses.

Menstruation (Menses, Menstrual, Menstrual Cycle, Menstrual Cycles, Menstrual Flow, Menstrual Phase, Monthly Cycle)
The periodic discharge of blood, tissue fluid and mucus from the endometrium (lining of the uterus) that usually lasts from 3 - 5 days. It is caused by a sudden reduction in estrogens and progesterone.

Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing)
The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Neuritis
Nerve inflammation, commonly accompanying other conditions such as tendonitis, bursitis or arthritis. Neuritis is usually accompanied by neuralgia (nerve pain).

Neuropathy
A group of symptoms caused by abnormalities in motor or sensory nerves. Symptoms include tingling or numbness in hands or feet followed by gradual, progressive muscular weakness.

Niacin (B3, B-3, Niacinamide, Vitamin B3)
A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.

Pancreas (Pancreatic)
Opposite the liver and behind the stomach, the pancreas has two main functions - to manufacture various enzymes for digestion, and to release hormones to help control the body's use of carbohydrates. It releases insulin to help each cell absorb glucose to burn as energy. In this way, insulin controls the amount of sugar (glucose) in the blood. Proper pancreatic function is very important: too much, too little, or no insulin production can be life-threatening. Some of the chemicals released by the pancreas are not hormones, but stimulate other glands to make hormones. Once again, balance is necessary. Nutritional requirements for the pancreas are many. Research indicates that chromium vitamins C, E, B-complex, calcium, magnesium and potassium are especially important.

Pneumonia (Pneumonitis)
Inflammation, usually infectious, of the lungs. Unless the result of only moderate chemical or smoke irritation, it is a potentially life-threatening condition. There are so many defenses against an infection this deep in the body that the very presence of pneumonia signals a pathogen of great virulence or impaired or exhausted immunity, or all three. Pneumonitis: Inflammation of the lungs, from whatever cause. It may be concurrent with pneumonia or pleurisy.

Prostate
The prostate gland in men that surrounds the neck of the bladder and the urethra and produces a secretion that liquefies coagulated semen.

Protein (Proteins)
Compounds composed of hydrogen, oxygen, and nitrogen present in the body and in foods that form complex combinations of amino acids. Protein is essential for life and is used for growth and repair. Foods that supply the body with protein include animal products, grains, legumes, and vegetables. Proteins from animal sources contain the essential amino acids. Proteins are changed to amino acids in the body.

Retinopathy
An eye disorder that does not cause inflammation but results from changes in the eye (retinal) blood vessels.

Scurvy
A disease that is caused by a lack of vitamin C in the diet. It is marked by weakness, anemia, edema, spongy gums, often with open sores in the mouth and loosening of the teeth, bleeding in the mucous membranes, and hard bumps of the muscles of the legs.

Seizure (Seizures)
While there are over 40 types of seizure, most are classed as either partial seizures which occur when the excessive electrical activity in the brain is limited to one area or generalized seizures which occur when the excessive electrical activity in the brain encompasses the entire organ. Although there is a wide range of signs, they mainly include such things as falling to the ground; muscle stiffening; jerking and twitching; loss of consciousness; an empty stare; rapid chewing/blinking/breathing. Usually lasting from between a couple of seconds and several minutes, recovery may be immediate or take up to several days.

Serum
The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.

Statins (Statin)
A class of drugs that lower cholesterol.

Stomach
A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.

Stroke (Stroke-Type Event)
A sudden loss of brain function caused by a blockage or rupture of a blood vessel that supplies the brain, characterized by loss of muscular control, complete or partial loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. The most common manifestation is some degree of paralysis, but small strokes may occur without symptoms. Usually caused by arteriosclerosis, it often results in brain damage.

Syndrome
A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).

Teaspoon (Teaspoons, tsp)
Equivalent to 5cc (5ml).

TID
Three times a day.

Triglyceride (Triglycerides)
The main form of fat found in foods and the human body. Containing three fatty acids and one unit of glycerol, triglycerides are stored in adipose cells in the body, which, when broken down, release fatty acids into the blood. Triglycerides are fat storage molecules and are the major lipid component of the diet.

Tumor (Tumors, Tumour, Tumours)
An abnormal growth of tissue resulting from uncontrolled, progressive multiplication of cells and serving no physiological function; a neoplasm. Literally, a swelling; in the past the term has been used in reference to any swelling of the body, no matter what the cause. However, the word is now being used almost exclusively to refer to a neoplastic mass, and the more general usage is being discarded.

USDA
United States Department of Agriculture

Vascular Dementia
Mental incapacity due to inadequate blood flow to the brain.

Vegan (Veganism, Vegans)
A person who consumes no animal products of any kind. In other words, vegans do not consume meat, fish, fowl, dairy products, eggs, honey, or products containing gelatin or any other animal-derived ingredients such as whey powder or food colorings.

Vitamin A
A fat-soluble vitamin essential to one's health. Plays an important part in the growth and repair of body tissue, protects epithelial tissue, helps maintain the skin and is necessary for night vision. It is also necessary for normal growth and formation of bones and teeth. For Vitamin A only, 1mg translates to 833 IU.

Vitamin C (Ascorbic Acid)
A water-soluble antioxidant vitamin essential to the body's health. When bound to other nutrients, for example calcium, it would be referred to as "calcium ascorbate". As an antioxidant, it inhibits the formation of nitrosamines (a suspected carcinogen). Vitamin C is important for maintenance of bones, teeth, collagen and blood vessels (capillaries), enhances iron absorption and red blood cell formation, helps in the utilization of carbohydrates and synthesis of fats and proteins, aids in fighting bacterial infections, and interacts with other nutrients. It is present in citrus fruits, tomatoes, berries, potatoes and fresh, green leafy vegetables.

Vitamin E
An essential fat-soluble vitamin. As an antioxidant, helps protect cell membranes, lipoproteins, fats and vitamin A from destructive oxidation. It helps protect red blood cells and is important for the proper function of nerves and muscles. For Vitamin E only, 1mg translates to 1 IU.

White Blood Cell (WBC, White Blood Cells)
A blood cell that does not contain hemoglobin: a blood corpuscle responsible for maintaining the body's immune surveillance system against invasion by foreign substances such as viruses or bacteria. White cells become specifically programmed against foreign invaders and work to inactivate and rid the body of a foreign substance. White blood cells are composed primarily of neutrophils, monocytes and lymphocytes. Lymphocytes are either T-cells or B-cells. T-cells (CD3 cells) are divided into T-helper (CD4 cells) and T-suppressor/cytotoxic (CD8 cells) cells.




Last updated: Apr 27, 2009


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