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 Diabetes Improvement Program : An Outstanding Doctor's Handbook for Using Foods & Supplements to Slow and Reverse the Complications of Diabetes by Patrick Quillin, Ph.D., RD, CNS

A Doctor's Handbook, by         Patrick Quillin, Ph.D., RD, CNS
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Nearly 20 Million Americans and 120 million people around the world now suffer from diabetes mellitus, some of them needlessly. This number is expected to double in the next 25 years. 

“Dramatic new evidence signals the unfolding of a diabetes epidemic in the United States. With obesity on the rise, we can expect the sharp increase in diabetes rates to continue. Unless these dangerous trends are halted, the impact on our nation's health and medical care costs will be overwhelming.”
Jeffrey P. Koplan, MD, MPH
Director, Centers for Disease Control and Prevention
1998-2002

The chart below shows diagnosed diabetes statistics as of 1997. As you can see, there were already over 10 million cases of diagnosed diabetes. This number has risen significantly since, to over 11 million diagnosed cases, and an estimated 6 million more undiagnosed in 2000. This number has continued to rise at an alarming rate.

Diagnosed with Diabetes -  diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet
This Chart only represents the diagnosed cases of diabetes. Undiagnosed cases are not represented.

Diabetes --BBC Health Medical Notes
"Diabetes is a hormone disorder that can cause problems with the kidneys, legs and feet, eyes, heart, nerves, and blood flow. If left untreated, these problems can lead to kidney failure, gangrene and amputation, blindness, or stroke. Diabetes is on the increase, probably because people are living longer, getting fatter and leading increasingly inactive lifestyles."

Diabetes is now the sixth leading cause of death in the United States. However, sound Medical Research shows us that one can successfully control and/or reverse not only the numerous symptoms but sometimes the very disease itself.

The NUMBER ONE thing to do if your life has been affected by diabetes is to educate yourself!

The more you know about diabetes, the greater the success you will have in managing the numerous afflictions that plague the diabetic. You cannot afford to be in the dark about the information contained on this website.

The choices you make every day will affect your life. Choose to make informed choices, and discuss these choices with your health care provider.

This website will help you as well as your doctor, nurse, and dietitian to make the right choices.  The healthy choices.  Choose to improve your health today!

INFORMATION

Type I Diabetes

Type II Diabetes

Gestational Diabetes

Other Types of Diabetes

Syndrome X

Are you at risk? Learn the risk factors

Think you have diabetes? Check the symptoms.

SWEETNERS -What you don't know could kill you!

Tooth Care for Diabetics--are you at greater risk?

The Statistics

A Note about Impaired Fasting Glucose

What you can do if you have diabetes

THE NEWS

Bloood Glucose Levels can predict Cardiovascular Disease
-
The concentration of glucose in the blood resembles blood pressure and blood cholesterol in terms of predicting cardiovascular risk.

Diabetes drug can be deadly
-Some patients with diabetes are inappropriately prescribed a common drug that potentially could kill them, a study suggests.

Multi-Million Dollar Trial Shows Insulin Shots Do Not Prevent Diabetes -researchers broke the disappointing news to the public that low doses of injected insulin did not prevent type 1 in those who were at high risk to develop the disease.

Obese Kids at Risk for Diabetes -One in Four Already Show Early Signs of the Disease

Obesity Health Costs Outweigh Smoking -Your Health (and Pocketbook) Pays the Price for Extra Pounds

Flying with Sharp Objects -What Do People With Diabetes Do About Carrying Syringes on Planes?

Click Here for More Diabetes NEWS

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Diabetes INFORMATION

diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

Diabetes Statistics

The following table is a compilation of statistics from several sources. We have striven to provide the most accurate information available. In some cases, information may not be complete because of the age of the data. Some of the following information was obtained at the CDC website. You may see the actual reports here.

Category 1997 2000*
*Some data may be newer than this date, however, where the date is not fully documented and the numbers are equal to or higher than the 2000 figures, we have include the data in this column.
Where there is a chart in these columns, check the actual chart for the dates the information applies to.
Percentage of Adults with Diagnosed Diabetes*

 

 



*Includes women with a history of gestational diabetes. 
Source: CDC, Behavioral Risk Factor Surveillance System.

U.S. Maps Showing Percentage of Adults with Diagnosed Diabetes. Click for text version. -  diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

New cases diagnosed per year 798,000 803,000 - 1.0 million people aged 20 years or older.
Graphical Representation of Above Data No Graph of the data was made in the year 1997. If one is made available to us, we will, of course, include it in future updates. Number of new cases of diagnosed diabetes in people aged 20 years or older, by age group — United States, 2000

Image of a bar graph.  Detailed information is available by clicking on the image or by following the link below.  -  diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

Source: 1997-1999 National Health Interview Survey estimates projected to year 2000

Detailed information about this graph is available.

Prevalence of diabetes--total population
Diagnosed

10.3 million people

11.1 million people
Undiagnosed Data Not Available 5.9 million people
Total Data Not Available 17.0 million people — 6.2% of the population — have diabetes.
Prevalence of diabetes by age
Age 65 years or older 6.3 million. 18.4% of all people in this age group have diabetes.

7.0 million. 20.1% of all people in this age group have diabetes.

Age 20 years or older 15.6 million. 8.2% of all people in this age group have diabetes.

16.9 million. 8.6% of all people in this age group have diabetes. About 1 million new cases in people aged 20 or older will be diagnosed this year alone.

Graphical Representation of Above Data No Graph of the data was made in the year 1997. If one is made available to us, we will, of course, include it in future updates.

Prevalence of diabetes in people aged 20 years or older, by age group — United States, 2000

Image of a bar graph.  Detailed information is available by clicking on the image or by following the link below.  -  diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

Source: 1997-1999 National Health Interview Survey and 1988-1994 National Health and Nutrition Examination Survey estimates projected to year 2000

Detailed information about this graph is available.

Under age 20 123,000. 0.16% of all people in this age group have diabetes.

About 151,000 people less than 20 years of age have diabetes. This represents 0.19% of all people in this age group. Approximately one in every 400-500 children and adolescents has type 1 diabetes.

Prevalence of diabetes by sex in people 20 years or older*
* These figures do not include the approximately 123,000 cases of diabetes in children and teenagers in the United States in 1997.
Men 7.5 million. 8.2% of all men have diabetes. 7.8 million. 8.3% of all men have diabetes.
Women 8.1 million. 8.2% of all women have diabetes. 9.1 million. 8.9% of all women have diabetes.
Prevalence of diabetes by race/ethnicity in people 20 years or older*
* These figures do not include the approximately 123,000 cases of diabetes in children and teenagers in the United States in 1997.
Non-Hispanic whites 11.3 million. 7.8% of all non-Hispanic whites have diabetes. 11.4 million. 7.8% of all non-Hispanic whites have diabetes.
Non-Hispanic blacks 2.3 million. 10.8% of all non-Hispanic blacks have diabetes.
On average, non-Hispanic blacks are 1.7 times as likely to have diabetes as non-Hispanic whites of similar age.
2.8 million. 13.0% of all non-Hispanic blacks have diabetes. On average, non-Hispanic blacks are 2.0 times more likely to have diabetes than non-Hispanic whites of similar age.
Mexican Americans 1.2 million. 10.6% of all Mexican Americans have diabetes.
On average, Mexican Americans are 1.9 times as likely to have diabetes as non-Hispanic whites of similar age.
Note: Some Mexican American and Other Hispanic/Latino American statistics have been merged for 2002
2.0 million. 10.2% of all Hispanic/Latino Americans have diabetes. On average, Hispanic/Latino Americans are 1.9 times more likely to have diabetes than non-Hispanic whites of similar age. Mexican Americans, the largest Hispanic/Latino subgroup, are 2.0 times more likely to have diabetes than non-Hispanic whites of similar age. Similarly, residents of Puerto Rico are 2.0 times more likely to have diagnosed diabetes than U.S. non-Hispanic whites. Sufficient data are not available to derive more specific current estimates for other Hispanic/Latino groups.
Other Hispanic/Latino Americans On average, Hispanic/Latino Americans are almost twice as likely to have diabetes as non-Hispanic whites of similar age. (Sufficient data are not currently available to derive more specific estimates.)
American Indians and Alaska Natives 9% of American Indians and Alaska Natives have diagnosed diabetes. On average, American Indians and Alaska Natives are 2.8 times as likely to have diagnosed diabetes as non-Hispanic whites of similar age. Overall prevalence of Type 2 diabetes in Native Americans is 12.2% vs. 5.2% of the general population. In some tribes, 50% of the population has diabetes.
Note: The following statistics are for American Indians and Alaska Natives who receive care from the Indian Health Service (IHS)
105,000. 15.1% of American Indians and Alaska Natives receiving care from IHS have diabetes. At the regional level, diabetes is least common among Alaska Natives (5.3%) and most common among American Indians in the southeastern United States (25.7%) and in certain tribes from the Southwest. On average, American Indians and Alaska Natives are 2.6 times more likely to have diabetes than non-Hispanic whites of similar age.
Asian Americans and Pacific Islanders Prevalence data for diabetes among Asian Americans and Pacific Islanders are limited. Some groups within this population are at increased risk for diabetes. For example, data collected from 1988 to 1995 suggest that Native Hawaiians are twice as likely to have diagnosed diabetes as white residents of Hawaii. Prevalence data for diabetes among Asian Americans and Native Hawaiians or other Pacific Islanders are limited. Some groups within these populations are at increased risk for diabetes. For example, data collected from 1996 to 2000 suggest that Native Hawaiians are 2.5 times more likely to have diagnosed diabetes than white residents of Hawaii of similar age.
Graphical Representation of Above Percentages No Graph of the data was made in the year 1997. If one is made available to us, we will, of course, include it in future updates. Age-adjusted prevalence of diabetes in people aged 20 years or older, by race/ethnicity — United States, 2000

Image of a bar graph.  Detailed information is available by clicking on the image or by following the link below. -  diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

Source: 1997-1999 National Health Interview Survey and 1988-1994 National Health and Nutrition Examination Survey estimates projected to year 2000. 1998 outpatient database of the Indian Health Service.

Detailed information about this graph is available.

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diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes dietDiabetes Risk factorsdiabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

The jury is still out on the exact cause of any of the types of diabetes, but we do know several risk factors for developing it. If you have any of the risk factors, it does not, however, mean that you will definitely develop a form of diabetes. There are also things you can do to reduce your risk. The Diabetes Improvement Program has an entire chapter devoted to changing the underlying causes of diabetes. For an example of why you should change the underlying cause and not just treat the symptoms, read an excerpt from the book. Determine your risk factors and take control of those you can change!

 

Type I Diabetes

Vaccinations: For Type I Diabetes, the disease seems to be mostly hereditary, although studies are being conducted as to whether certain immunizations can be linked to it. The following articles outline possible connections between certain vaccines, both in the US and other countries:

Juvenile Diabetes and Vaccination- New Evidence For A Connection
April 16, 1997 Congressional Hearing

Further information on the issue of a connection between immunizations and Diabetes Type I can be found at the following links:

Vaccine Saftey Website
National Vaccine Information Center

Viruses: For some time, a link between groups of viruses and Type I diabetes has been suspected, but a new British study may have found evidence of a clear link.:

Virus link to childhood diabetes--UK scientists have found strong evidence suggesting that diabetes is caused by a virus.

Autoimmune Condition: The body's own immune system can attack healthy beta cells in the pancreas.

Heredity definitely seems to play a part in those who develop Type I diabetes. Any family history increases the risk, but especially the following groups:

  • People whose parents have Type I have a greater risk of developing it.
  • Siblings of those with Type I have about a 10 Percent possibility of developing it by the age of 50.
  • An identical twin of a Type I diabeteic has a 25 to 50 percent possibility of developing it.

Racial or Ethnic groups:  Whites have a higher incidence of Type I diabetes than other racial or ethnic groups.

Type II Diabetes

There are more risk factors for Type II diabetes, and several of these risk factors can be eliminated through following the program outlined in The Diabetes Improvement Program.

Obesity: One of the leading risk factors is being 20% or more over the ideal body weight, which makes the pancreas work extra hard to produce enough insulin. It is just beginning to be understood how obesity makes the body's tissues less sensitive to insulin.

Heredity: Having a history of Type II diabetes in the family means a greater possiblity of developing it in some cases.

Physical or Emotional Stress: Stress in the body does just what it sounds like... it stresses the body. When the body is stressed, it is not working effeciently, and it gets worn down.

Sedentary Lifestyle: Those who are inactive in their work and play have a greater risk of Type II diabetes.

Excercising less than 3 times a week can put you at greater risk.

Age: The risk for Type II diabetes increases with age

  • Those over 45 years of age are at greater risk.
  • Almost 20% of those over 65 have this type of diabetes.

Medical History:

  • Infections
  • History of Pancreatic Disease
  • History of gestational diabetes--those who have had diabetes during pregnancy in the past are at a greater risk for this type as well
  • Women who have given birth to babies over 9 pounds

Medical Conditions:

  • High triglyceride levels (the "bad" cholesterol, at levels over 250 mg/dL) / low levels of HDL cholesterol (under 35 m/dL)
  • Hypertension (high blood pressure)

Racial or Ethnic groups:  African American, Native American, Asian American, Hispanic, Latino and Pacific Islanders have a higher incidence of diabetes than other ethnic groups. This is evidenced also by clinic-based reports and regional studies which show that Type II diabetes is becoming more common among American Indian, African American, and Hispanic and Latino children and adolescents.

 

Gestational Diabetes

Weight: Women who are above their normal body weight before pegnancy are at increased risk.

Heridity: A family history of diabetes (parent or siblings especially) increases the risk of this type of diabetes.

Age: The risk for gestational diabetes increases for women over 25 years old

Racial or Ethnic groups:  African American, Native American, Asian American, and Hispanic women have a higher incidence of gestational diabetes than other ethnic groups.

 

Other Risk Factors

These can put a person at risk for one or more types of diabetes.

Medications and drugs: The use of certain drugs can increase your risk of developing diabetes.

  • Hydantoin medicines (example: dilantin)
  • Blood pressure medications (example: thiazides)
  • Steroid medicines (example: decadron, prednisone)
  • Medicines transplant recipients receive (example: cyclosporine)

Lifestyle: Certain lifestyle choices can increase your risk of developing diabetes, as well as many other conditions and diseases. These are relatively easy risk factors to eliminate, if a person is determined.

  • Smoking
  • Heavy drinking (over a period of years)

Medical Conditions: Physical damage to the pancreas either through the excessive use of alcohol, or another reason, such as trauma or pancreatitis can also be a possible risk factor.

 

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Diabetes Symptoms

Signs and symptoms of diabetes may include one or more of the following:

  • Intense hunger (even after eating)
  • Unusual thirst/dry mouth
  • Frequent urination
  • Dry, itchy skin
  • Itching of skin in groinal or vaginal region
  • Unusual weight loss
  • Recent weight gain
  • Extreme fatigue
  • Headache
  • Rapid breathing
  • Irritability, depression, mood swings
  • Blurred vision/sudden vision changes
  • High blood pressure
  • Frequent/recurring infections such as skin, yeast, and urinary tract infections
  • Slow healing cuts/bruises
  • Numbness or tingling in hands and feet 
  • Loss of consciousness (this is rare, but can occur)
  • Skin changes in the neck, armpit and groin area (velvety dark skin called acanthosis nigricans)

If you have these symptoms, it is important that you see your health care professional as soon as possible.  Symptoms of Type 1 diabetes can be intense and severe, and often occur suddenly. But please keep in mind that many people who have Type II Diabetes may display no symptoms, or the symptoms may develop very gradually.. A number of people have reported a reduction in these symptoms by following the plan in The Diabetes Improvement Program.

 

Diagnosing Diabetes

Doctors often suspect diabetes when one or more symptoms are experienced by a patient. Before they actually diagnose a person with diabetes, however,tests will be performed. These could consist of a fasting plasma glucose test, a casual plasma glucose test.

Fasting plasma glucose test (FPG):

Measures the blood glucose level after not eating for ten to twelve hours. Fasting blood glucose for a person without diabetes is 70 to 115 mg/dL. If two separate tests show a level equal to or greater than 126 m/dL, a diagnosis of dibetes is made. (A normal reading would be between 70 and 115 mg/dL.) Easily administered, less costly, and convenient for the patient, this test is the preferred method of diagnosing diabetes according to the American Diabetes Association.

Casual plasma glucose test:

Blood glucose is tested without regard to when the last meal was eaten. Glucose levels greater than 200mg/dL may indicate diabetes, particularly if similar results are obtained from later tests.

Glucose tolerance test (GTT):

This is a test used to measure the body's ability to metabolize glucose. It is another method used to detect diabetes, but is normally only performed during pregnancy. Other reasons for this type of diabetes test include testing when diabetes is suspected even though there is a normal fasting glucose, or in diabetes research studies.  There are two types of glucose tolerance tests.

Oral glucose tolerance test (OGTT)
This is the most common glucose tolerance test. A person must fast overnight before taking this test. Blood and urine samples are taken, and then the person drinks a solution with a specific amount of glucose. Every hour for three hours, blood will be taken again and the blood glucose levels will be measured. Levels above normal can diagnose Type II or gestational diabetes.

Intravenous glucose tolerance test (IGTT)
This glucose tolerance test is not common. A person's blood glucose is measured, and then he is given a specific amount of glucose intravenously (directly into the vein) for three minutes.  During this, his glucose is measured after the first minute, and then again at the end of the three minute injection. Low levels (below normal) indicate Type 1 diabetes in some people.

There are some people that have a normal fasting blood glucose reading, but as they eat, their glocose levels rise rapidly. This may be caused by glucose intolerance. If the glucose levels are very high, they may be diagnosed as diabetic. 

A Note About Impaired Fasting Glucose
This is a new diagnostic category. Some people have fasting glucose values of 110-125 mg/dL. This is higher than normal but less than a diabetic. It is estimated that 13.4 million people have impared fasting glucose. It is not yet known how to predict which will develop diabetes, or its prevention, but scientists are working on it.

 

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SWEETNERS for Diabetics -What you don't know could kill you!

Refined Sugar-- Coffee Break for Healthy Alternatives
"...in the 19th Century, medical history records a dramatic increase in fatalities caused by diabetes. But rather than blame diabetes on the increased sugar consumption of that period, doctors determined the cause of diabetes was failure of the pancreas to secrete sufficient amounts of insulin. In 1923, Canadian physician Frederick Banting received a Nobel prize for discovering how to provide diabetes patients with insulin and use it to control their glucose level. This invention has generated huge profits for the medical and pharmaceutical professions as millions of people became dependent on insulin for the rest of their lives.

Then, in 1924 Dr. Seale Harris, a professor of medicine at the University of Alabama, discovered hyperinsulinism (also called low blood glucose or hypoglycemia), which is characterized by the overproduction of insulin. Dr. Harris developed the glucose tolerance test still used today to diagnose this problem, but there was no Nobel prize for Dr. Harris. Unlike Dr. Banting's findings of the previous year, the shortcoming of Dr. Harris' discovery was that he did not find any miracle drug or treatment for this disease that could make anyone a profit. The only cure for a person with hypoglycemia, Dr. Harris found, is for that person to eliminate refined sugar from their diet. And as Dufty shows in his book, the A.M.A. and the Department of Health, Education and Welfare do not even acknowledge that hypoglycemia is a widespread disease, even though 49.2 percent of 134,000 responses in an H.E.W. survey volunteered that they suffered from hypoglycemia under the category of "Do you have any other condition?""

Aspartame-- The original Nancy Markel letter
"Aspartame changes the brain's chemistry.   It is the reason for severe seizures. This drug changes the dopamine level in the brain.   Imagine what this drug does to patients suffering from Parkinson's Disease. This drug also causes Birth Defects.  There is absolutely no reason to take this product.  It is NOT A DIET PRODUCT!!!  The Congressional record said, "It makes you crave carbohydrates and will make you FAT". Dr. Roberts stated that when he got patients off aspartame, their average weight loss was 19 pounds per person.   The formaldehyde stores in the fat cells, particularly in the hips and thighs.
Aspartame is especially deadly for diabetics. All physicians know what wood alcohol will do to a diabetic. We find that physicians believe that they have patients with retinopathy, when in fact, it is caused by the aspartame.   The aspartame keeps the blood sugar level out of control, causing many patients to go into a coma.   Unfortunately, many have died. People were telling us at the Conference of the American College of Physicians, that they had relatives that switched from saccharin to an aspartame product and how that relative had eventually gone into a coma. Their physicians could not get the blood sugar levels under control. Thus, the patients suffered acute memory loss and eventually coma and death."

 

Diabetes Improvement, diabetes symptoms, diabetes symtoms, diabetes information, information on diabetes, diabetes diet

Tooth Care for Diabetics

For diabetics, tooth care is possibly even more important than for the general population. Many diabetics are more prone to infections, and those infections can be more serious than the normal dental population. High blood sugar complicates the processes which our bodies use to keep our teeth healthy, and instead give the bacteria which cause tooth decay an environment in which to thrive.

It is important to note that people who control their diabetes have no more periodontal disease than non-diabetics. People who do not control their diabetes lose more teeth and have more oral complications than non-diabetics. It is imperative to your teeth and your mouth that you maintain your blood sugar levels through a proper diet, and a management system like the one found in The Diabetes Improvement Program.

Be sure to talk to your dentist about your oral health. Take care of your teeth! They are the only set you have. Further information can be found at the following dental sites:

Dental Reference--Answers to questions about many types of dental care and products.

Floss.com--The World of Dentistry Online. This site has more information on specific conditions and diabetes related causes of tooth and gum problems.

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What you can do if you have Diabetes Symptoms

Although diabetes is a serious condition, it can be controlled, and sometimes reversed. Learn all you can and talk things over with your health care professional.

1.  Read all the information on this website including our Diabetes Symptoms and Newly Diagnosed Diabetes pages

2.  Get The Diabetes Improvement Program and follow it!

3.  Change your diet--check out these Diabetes Cookbooks

4.  Continue researching your condition on our Diabetes Links page

The information on this site is intended to help you talk to your doctor in an informed manner. It is not intended to replace any medical advice you receive.

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THE INFORMATION PROVIDED HERE IS FOR GENERAL EDUCATIONAL PURPOSES ONLY AND SHOULD NOT BE CONSIDERED OR USED AS MEDICAL ADVICE.

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