Preventing, Stopping,

Reversing Diabetes

Rudy Kachmann MD
Medical Wellness Director
S
 World Epidemic

S Incidence
S 40 million people are diabetic
S 90% are type 2
S 10% are type 1

S 80-150 million people are pre-diabetic

S World epidemic
S Worse than any viral or bacterial disease

S Our hospitals are filled with the problem

(cont.)
 Stages of Diabetes

S Serum c- peptide

S Serum insulin

S Blood sugar C- peptide - Serum insulin

S Fasting blood sugar > 90 and elevation fasting insulin

Stat testing age 3

keep track in a book or computer

 Complications of type 2 diabetes

S Dementia-Alzheimer's disease S Cancer-50-70% related to diabetes

S Multiple eye diseases S Multiple bowel diseases

S Visual loss and blindness S Peripheral neuropathy

S Retinopathy S Amputations

S Retinal hemorrhages S Multiple kidney diseases-including

transplants
S Cataracts
S About 20 other potential
S Vascular disease-300,000 miles of it complications
S Heart attacks and strokes
 Causes

S Overweight

S Skinny-fat people 25%

S Increase occurrence

S Asians

S Africans

S South Americans

S Middle Easterners

S History of slavery
 The New Slavery

S Sugar Addiction

S Bad fats

S Fast foods

S Sitting disease

S Processed foods
 S Type 2 diabetes avoidable
by proper lifestyle

S 93% type 2 diabetes

Great News S 80% vascular disease

Type 2 diabetes is preventable, S 60% of cancer

stoppable, and reversible with
a healthy life style. S ADA 5-7% weight loss =
no pre or diabetic

S Start being “mindful of

eating” – look at your food
 Rudy’s GOOD NEWS

S Epigenetics

S 90% - avoidable and curable – how?

S Health = Nutrients/Calories

S No diet
S Eat all you want of nutrient dense foods

S Vitamins, minerals, phytochemicals

 Symptoms of High or Low
Sugar

• Hypoglycemia (too low) • Hyperglycemia (too high)

• Shakiness • Increased thirst

• Dizziness • Headaches
• Sweating • Difficulty concentrating
• Hunger • Blurred vision
• Irritability or moodiness
• Frequent urination
• Anxiety or nervousness
• Fatigue (weak, tired feeling)
• Headache
• Weight loss
Check your blood sugar frequently with your doctor.
 Exercise

S Critical-daily

S HIIT-high-intensity intermittent training

S Mild weightlifting

S 15 minutes exercise after eating-very helpful

S Pick a fun exercise

 Sitting Disease

S LPL enzyme

S AOL activity

S Thermic effect of food

S BMR-basic metabolic rate

Sitting Disease
 Nutrient dense food

S Mosaic, rainbow, music and symphony of

interaction of nutrient dense food
S Good health

S Normal weight

S Little disease
 Road To Diabetes

S Type I, type II and type III

S Epigenetics

S Early testing - yearly starting at birth

 Continued

S Parents

S Fingers, forks, feet

S Gestational diabetes

S HRA – parents
 Continued

S Infants and children-testing yearly

S Lipid profile

S Fasting blood sugar

S BMI chart

S Triglyceride/ HDL ratio

 Continued

S Overweight, family history or non-Caucasian

S Fasting blood sugar

S NMR or VAP and lipid profile

S TRI-triglycerides

S LDL and VLDLDL

S HbA1c

S 2hour-GTT

S Serum insulin and serum C - peptide

S CRP
 PRE - Diabetes

S Complications occur in prediabetes

S Increasing weight

S Racial, ethnic and genetic history

S Increasing symptoms

S BMI and belly measurement

S Apple shape versus pear-shaped

Insulin Resistance
History of Insulin
 Syndrome X

S High blood pressure

S High HDL

S High triglycerides

S Obesity overweight

S Insulin resistance at the crossroads

Waist Measurement

S W / Hip

S Female - .75

S Male - .85
 What does insulin do?

S Transports sugar into the cell

S Deposits fat-anabolic hormone

S Deposits AGE's into the joints

S Deposits AGE’s into the brain

S Decreases immunity

S Causes inflammation in the body

S Increase cancer rates

S Increases absorption of sodium

5 Stages Of High Blood Sugar
 C-Peptide Test

S Measures damage to the pancreas

S 2 = a lot of damage

S 2-4 = moderate damage

S 4 = normal pancreas
 Most Important Test

S 2 hour glucose tolerance test with fasting blood sugar and

serum insulin

S 1 hour sugar most critical, >155-diabetes

S Insulin level > 30 - diabetic

 Soda drinks

S Cause 50% of obesity

S Non-diet drinks no better

S Sugar substitutes no better

 Health

S Health = Nutrients/Calories
 Psychology of Eating

S Sugar addiction

S Five times more addictive than cocaine

Before & After: Kathy Palyo
Before and After Kathy Zahm
Rudy’s Plate
Juicing and Smoothies

S Pulp and Puree

S Synergistic forces in whole foods

 Whole Foods

 Vitamins

 Minerals

 Phytochemicals

 The Symphony of nutrients

 General Eating Guidelines

• Raw vegetables 1 LB
• Cooked vegetables 1 LB
• Beans 1 cup
• Nuts 1-2 oz.
• Fresh fruit 1 LB
 Nutritarian

 A person who eats highly nutrient dense foods.

 A person who eats little meat or cheese, but eats highly

nutrient dense foods, vegetables, legumes, and fruit.
 Health

 Health = Nutrients / Calories

 Flexitarian

 Combination of vegan – vegetarian - some meat

 Nutritarian – Dr. Joel Fuhrman

 Nutritarian Follows a nutrient dense

diet
 Vegetarian
CHICKEN

FISH

 A person that does not eat meat, fish,

fowl, or products made there of.
 Vegan

A person that does not eat meat,

fish, fowl, dairy, or products made
thereof.
Doesn’t eat anything with a
mother or a face!!!
 S Complex chemical
compounds – natural in
Phytochemicals plants
The Secret to Longevity S Phenol
S Isothiocyanate (ITCs)
S Carotene
S Lycopene
S Carotenoids
S Allium- onions
Body Mass Index (BMI)
 S Plan ahead

S Ask/tell the waiter what you want

S Take charge of what’s around you

Eating Out S Watch the “Cue”

S Bring it with you (salad) or eat a

snack before you go out

S Watch the bread, oils, desserts,

alcohol

S Split a dish

S Be the 1st to order (less temptation)

S Choose the healthiest foods

 S Plant a garden

Learn to cook S Clean out the kitchen

S Drink 3-5 smoothies weekly

S Have proper utensils and

measuring cups

NO OIL SALAD DRESSING

 ANDI Scores
Aggregate Nutrient Density Index

Kale – 1000 Cola – 1

Carrots – 458 Corn chips – 7

Bok Choy – 865 Vanilla ice cream – 9

Strawberries – 182 White bread - 9

Artichokes – 195

Check your blood sugar frequently with your doctor.

 NU-VAL System

S 0-100

S Dr. David Katz

S 1770 – market stores

S Meijer

S Kroger is trying it

S Examples in Dr. David Katz’ book

 Six Basic Guidelines for
Nutrient Eating

S Eat a large salad every day

S Eat ½ - 1 cup of beans daily

S Eat 1 large double serving of leafy steamed vegetables a day

S Eat at least 1oz of nuts/seeds daily (women), 1 ½ oz. (male)

S Eat mushrooms and onion daily

S Eat 3 fresh fruits daily

(Put this list on your fridge)

 Glycemic Index

S 0-100

S Eat 50 or lower

S Glycemic load- 25 or lower

 S Complex chemical
compounds – natural in
Phytochemicals plants
The Secret to Longevity S Phenol
S Isothiocyanate (ITCs)
S Carotene
S Lycopene
S Carotenoids
S Allium- onions
 Cruciferous Vegetables

S Arugula S Kale

S Bok Choy S Kohlrabi

S Broccoli S Mustard Greens

S Brussels sprouts S Radishes

S Cabbage S Red cabbage

S Cauliflower S Rutabaga

S Chinese cabbage S Turnip greens

S Collards S Turnips

S Horseradish S Watercress
Cruciferous Vegetables, (cont.)

S Eat some every day

S Reduces breast cancer by 50%

S Reduces reoccurrence by 50%

S Reduces oxidization and free radicals

S Repair cell metabolism

Check your blood sugar frequently with your doctor.

 The Path

S Finger, fork, feet, focus, and friends

• Commitment

• Focus

• No short cuts

• Food plate

• Use the freezer

• Learn to cook

• Visualize the plan

 S Walk 30 minutes 5 times
per week

Exercise S Gentle use of weights

S High-intensity interval
training (HIIT)

S Best exercise is the one

you like

S Music and dancing

 Nitrates and Nitrites

S Converted to nitrosamines - cause of cancer

S IGF-1

S Effects of frying
 Farmed Fish

S 35% fatter

S Less omega 3 and more Omega 6

 Unhealthy Meats

S Bacon

S Sausage

S Jerky

S Lunchmeats
 Good Proteins

S Chicken and turkey S Nuts

S Beans S Vegetable meats

S Wild salmon

S Hard-boiled eggs

S Yogurt

S Plant proteins

S Soy products
 Fiber-Your Friend

S Soluble fiber-beans, green vegetables, seeds and some fruits

S Gelatinous like material in the gastrointestinal tract

S Decreases absorption of calories, especially fats

S Insoluble fiber-seeds, nuts, vegetables and beans

S Resistant starch-resistant to stomach acids and digestive

enzymes digested by bacteria in the colon
 Fiber-Your Friend

S Starch-metabolizes to glucose and glycogen

S We store about 300-500 g of glycogen, 1200-2000 cal.

S Whiter the bread-sooner your dead

S White flour increases insulin level because of sugar

 Milk & Dairy

S Liquid meat

S I don’t recommend it after age 2

S No mammal drinks the milk of another mammal, except us

S 26 hormones loom in milk

S Casein – carcinogenetic

S Lactose – elevates blood sugar, glucose, GA lactose

S Elevates type 1 diabetes – casein

S Casein – protein in milk – elevates cancer and type 1

diabetes
 Thank You

S www.kachmannhealth.com

S For additional information or to register for diabetes classes

at any LHN facility, call (260) 425-3154.

S For additional information, call the Lutheran Weight

Management Center at (260) 435-7844.
SThe End