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Diabetes: How Can We Prevent It?<br />By Richard Saint Cyr, MD<br /><ul><li>American family medicine doctor
International Medical Center Beijing
Website: www.myhealthbeijing.com</li></li></ul><li>What Is Diabetes?<br />= Too much glucose (sugar) in your blood<br />Pa...
What Is Pre-Diabetes?<br />Blood sugar results slightly high<br />A warning sign that your pancreas is wearing out!<br />L...
Are You Pre-Diabetic?<br />You have a 93% chance of developing diabetes in the next 20 years<br />BUT – you can prevent th...
Healthy Pancreas 健康的胰脏…<br />
Why Is Diabetes So Scary?<br />Heart disease<br />Amputations of legs<br />Blindness<br />Kidney failure<br />Depression<b...
Half of people with diabetes don’t know!<br />
Two types of Diabetes<br />Type 1 Diabetes<br />Type 2 Diabetes<br />
Type 1 Diabetes<br />NO INSULIN<br />Genetic/childhood disease<br />Immune system attacks beta cells<br />No energy (Gluco...
Type 2 Diabetes<br />Adult/lifestyle disease<br />Non-Insulin-dependent<br />Body  not enough insulin<br />Cells ignore t...
Causes of Type 2 Diabetes<br />Physical inactivity<br />Unhealthy eating<br />Being overweightor obese <br />Having a fami...
The Diabetes Epidemic糖尿病流行病学<br />2007全球糖尿病病例<br />总共2.46亿-中国3980万<br />
How Do I Know If I Have It?<br />Symptoms 症状 zheng4zhuang4<br />Blood test at clinic<br />
What Are The Symptoms?<br />Thirsty <br />Thirsty; urinating a lot<br />losing weight without trying<br />Tingling or no f...
Symptoms?<br />Headaches                     Cuts don’t heal well/quick<br />
Symptoms?<br />Erection problems<br />
OK, Enough Scary Stuff…What Can We Do To Prevent This?<br />
What Is The #1 Goal To Prevent Diabetes?<br />Change diet?<br />Lose weight?<br />Exercise?<br />
LOSE WEIGHT!<br />Aim for losing 5-10% of your weight<br />It can reverse or control high sugars<br />
The Diabetes Epidemic糖尿病流行病学Preventable可预防<br />Up to 80% of type 2 diabetes is preventable by adopting a healthy diet and...
Let’s Say That Again…<br />80% of your diabetes risk is preventable<br />Keep your weight ok -- #1<br />Exercise -- #2<br ...
太棒了!<br />
Lifestyle Changes Work!<br />Study in China: 600 adults with pre-diabetes<br />2 groups: diet/exercise & no diet/exercise<...
Lifestyle vs Drugs<br />Huge study of pre-diabetics<br />Lifestyle (weight, diet & exercise) lowered risk 69%<br />Weight ...
Glucose Control控制血糖Daily Exercise每天锻炼<br /><ul><li>饭后百步走,
活到九十九
Fànhòubǎibùzǒu,
huódàojiǔshíjiǔ
Walking helps control glucose levels for the next 24 hours即使只是步行也能改善接下去24小时内的的胰岛素抵抗情况和血糖</li></li></ul><li>How Much Exerci...
Let’s Talk About Diet<br />
Vinegar (醋) With Meals Helps!<br />20ml (4 teaspoons) with meals<br /><<< glucose by 30%!<br />
Bitter Melon 苦瓜<br /> insulin-like effect<br />Helpslower glucose with meals<br />BUT so far, there are no high quality, r...
Question: Do Sweets Cause Diabetes?<br />
Answer: Yes, BUT….<br />
What Foods To Avoid?<br />Rice<br />Noodles/Pasta<br />Bread<br />Cereal<br />Potatoes<br />Simple Sugars (sweets)<br />AK...
What Foods Do Chinese Love?<br />Rice<br />Noodles<br />Breads<br />Uh oh… 怎么办?<br />
Carbs: SwitchFrom White To Brown!<br />Lowers risk of diabetes 20%<br />
Simple Carbs = Sugar Spike<br />
Example: Wheat Flour<br />
Again:You have control over whether or not you get diabetes<br />
Pre-diabetic? Drop the Carbs!<br />
Glucose Control控制血糖Low Glycemic Index Diet低糖饮食http://www.glycemicindex.com/<br />
Low “Glycemic Index” Foods<br />
Which Natural Medicines Work?<br />
From Natural Medicines Database<br />
Psyllium(AKAfiber 纤维xian1wei2)<br />Stopsglucoseabsorption<br />Witheachmeal<br /><14-20%<br />
OatBran 燕麦yan4mai4<br />Anotherfiber<br />Addcinnamon!<br />Greatbreakfast<br />Lowerscholesterol<br />Goodforheart!<br />
Cinnamon 肉桂 rou4gui4<br />How? Increases insulin receptor sensitivity?<br />2004 study: 1-6 grams (1 teaspoon = 4.75 grams...
Chromium 铬ge4<br />Sometimes works, but only if you have deficiency of chromium<br />100-500 mcg twice daily<br />Stop aft...
Magnesium 镁mei3<br />Less evidence<br />Again, best if proven deficiency<br />FOODmuchbetterthanPILL!<br /> 100 mg/day low...
Ginseng 人参ren2shen1<br />Itmaywork!<br />Dosesunclear<br />PanaxandAmericanginsengmaywork<br />
AlphaLipoic Acid (ALA)<br />It may work to lower sugars<br />Maybe helps neuropathy<br />“More evidence is needed”<br />An...
Coenzyme Q-10<br />“Conflicting evidence”<br />Best in heart disease<br />200mg a day<br />
Selenium<br />BAD!<br />RAISES risk of diabetes!<br />
Vitamins in China?<br />Nature’s Bounty: USA-made<br />http://www.naturesbounty.com.cn/<br />Diabetes Support Pack: <br />...
Costco Run! But First Review…<br />
Supplements: Review<br />Best Bets:<br />Fiber<br />Chromium<br />Cinnamon<br />Magnesium<br />Don’t Try: Selenium<br />
Don’t Forget: Change Diet, Lose Weight & Start Exercise Routine Before Buying Supplements!<br />
When was the last time you were screened for diabetes?<br />
Summary<br />You have control over diabetes!<br />Lose weight > exercise > diet<br />Supplements are secondary<br />It’s n...
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Diabetes: How Can We Prevent It?

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Diabetes: How Can We Prevent It?

  1. 1. Diabetes: How Can We Prevent It?<br />By Richard Saint Cyr, MD<br /><ul><li>American family medicine doctor
  2. 2. International Medical Center Beijing
  3. 3. Website: www.myhealthbeijing.com</li></li></ul><li>What Is Diabetes?<br />= Too much glucose (sugar) in your blood<br />Pancreas (胰脏)makes insulin (胰岛素)<br />Insulincontrolsglucose(糖)<br />
  4. 4. What Is Pre-Diabetes?<br />Blood sugar results slightly high<br />A warning sign that your pancreas is wearing out!<br />Lifestyle changes can reverse this!!!<br />Diet<br />Exercise<br />Lose weight<br />
  5. 5. Are You Pre-Diabetic?<br />You have a 93% chance of developing diabetes in the next 20 years<br />BUT – you can prevent this!<br />
  6. 6. Healthy Pancreas 健康的胰脏…<br />
  7. 7.
  8. 8. Why Is Diabetes So Scary?<br />Heart disease<br />Amputations of legs<br />Blindness<br />Kidney failure<br />Depression<br />
  9. 9. Half of people with diabetes don’t know!<br />
  10. 10. Two types of Diabetes<br />Type 1 Diabetes<br />Type 2 Diabetes<br />
  11. 11. Type 1 Diabetes<br />NO INSULIN<br />Genetic/childhood disease<br />Immune system attacks beta cells<br />No energy (Glucose) can be used<br />Victim has no insulinproducing cells<br />Insulin-dependent<br />Chronic (livelong) disease<br />Only 5-10% diagnosed<br />
  12. 12. Type 2 Diabetes<br />Adult/lifestyle disease<br />Non-Insulin-dependent<br />Body  not enough insulin<br />Cells ignore the insulin<br />Insulin  not bring used<br />Insulin resistance<br />90% diagnosed<br />
  13. 13. Causes of Type 2 Diabetes<br />Physical inactivity<br />Unhealthy eating<br />Being overweightor obese <br />Having a family member who has Diabetes<br />Having high blood pressure<br />Having high cholesterol.<br />
  14. 14. The Diabetes Epidemic糖尿病流行病学<br />2007全球糖尿病病例<br />总共2.46亿-中国3980万<br />
  15. 15. How Do I Know If I Have It?<br />Symptoms 症状 zheng4zhuang4<br />Blood test at clinic<br />
  16. 16. What Are The Symptoms?<br />Thirsty <br />Thirsty; urinating a lot<br />losing weight without trying<br />Tingling or no feeling in your feet<br />Blurry eyesight<br />
  17. 17. Symptoms?<br />Headaches Cuts don’t heal well/quick<br />
  18. 18. Symptoms?<br />Erection problems<br />
  19. 19. OK, Enough Scary Stuff…What Can We Do To Prevent This?<br />
  20. 20. What Is The #1 Goal To Prevent Diabetes?<br />Change diet?<br />Lose weight?<br />Exercise?<br />
  21. 21. LOSE WEIGHT!<br />Aim for losing 5-10% of your weight<br />It can reverse or control high sugars<br />
  22. 22. The Diabetes Epidemic糖尿病流行病学Preventable可预防<br />Up to 80% of type 2 diabetes is preventable by adopting a healthy diet and increasing physical activity.大约有80%的II型糖尿病病人通过健康饮食和体育锻炼是可预防的<br />
  23. 23. Let’s Say That Again…<br />80% of your diabetes risk is preventable<br />Keep your weight ok -- #1<br />Exercise -- #2<br />Proper diet --#3<br />
  24. 24. 太棒了!<br />
  25. 25. Lifestyle Changes Work!<br />Study in China: 600 adults with pre-diabetes<br />2 groups: diet/exercise & no diet/exercise<br />After 6 years: 51% lower risk!<br />After 20 years: 42% lower risk!<br />Lifestyle changes are real, and lasting!<br />
  26. 26. Lifestyle vs Drugs<br />Huge study of pre-diabetics<br />Lifestyle (weight, diet & exercise) lowered risk 69%<br />Weight loss: 7%<br />Exercise: 150 minutes a week<br />Daily pill lowered risk 31%<br />LIFESTYLE WINS!<br />
  27. 27. Glucose Control控制血糖Daily Exercise每天锻炼<br /><ul><li>饭后百步走,
  28. 28. 活到九十九
  29. 29. Fànhòubǎibùzǒu,
  30. 30. huódàojiǔshíjiǔ
  31. 31. Walking helps control glucose levels for the next 24 hours即使只是步行也能改善接下去24小时内的的胰岛素抵抗情况和血糖</li></li></ul><li>How Much Exercise Is Enough?<br />150 minutes a week of heart-racing exercise (2 ½ hours a week)<br />
  32. 32. Let’s Talk About Diet<br />
  33. 33. Vinegar (醋) With Meals Helps!<br />20ml (4 teaspoons) with meals<br /><<< glucose by 30%!<br />
  34. 34. Bitter Melon 苦瓜<br /> insulin-like effect<br />Helpslower glucose with meals<br />BUT so far, there are no high quality, reliable studies.<br />
  35. 35. Question: Do Sweets Cause Diabetes?<br />
  36. 36. Answer: Yes, BUT….<br />
  37. 37. What Foods To Avoid?<br />Rice<br />Noodles/Pasta<br />Bread<br />Cereal<br />Potatoes<br />Simple Sugars (sweets)<br />AKA: carbohydrates 碳水化合物 tan4shui3hua4he2wu4<br />
  38. 38. What Foods Do Chinese Love?<br />Rice<br />Noodles<br />Breads<br />Uh oh… 怎么办?<br />
  39. 39. Carbs: SwitchFrom White To Brown!<br />Lowers risk of diabetes 20%<br />
  40. 40. Simple Carbs = Sugar Spike<br />
  41. 41. Example: Wheat Flour<br />
  42. 42. Again:You have control over whether or not you get diabetes<br />
  43. 43.
  44. 44. Pre-diabetic? Drop the Carbs!<br />
  45. 45. Glucose Control控制血糖Low Glycemic Index Diet低糖饮食http://www.glycemicindex.com/<br />
  46. 46. Low “Glycemic Index” Foods<br />
  47. 47. Which Natural Medicines Work?<br />
  48. 48. From Natural Medicines Database<br />
  49. 49.
  50. 50. Psyllium(AKAfiber 纤维xian1wei2)<br />Stopsglucoseabsorption<br />Witheachmeal<br /><14-20%<br />
  51. 51. OatBran 燕麦yan4mai4<br />Anotherfiber<br />Addcinnamon!<br />Greatbreakfast<br />Lowerscholesterol<br />Goodforheart!<br />
  52. 52. Cinnamon 肉桂 rou4gui4<br />How? Increases insulin receptor sensitivity?<br />2004 study: 1-6 grams (1 teaspoon = 4.75 grams) lower glucose by 18% to 29%.<br />(Cinnamon 500 mg, Puritan's Pride) 1 gram reduced HbA1c 0.83%<br />Since then: conflicting evidence!<br />Not much harm<br />No official dose<br />
  53. 53. Chromium 铬ge4<br />Sometimes works, but only if you have deficiency of chromium<br />100-500 mcg twice daily<br />Stop after 3 months if no change<br />
  54. 54. Magnesium 镁mei3<br />Less evidence<br />Again, best if proven deficiency<br />FOODmuchbetterthanPILL!<br /> 100 mg/day lowersrisk15%<br />4 slices of whole grain bread<br />1 cup of beans<br />1/4 cup of nuts<br />1/2 cup of cooked spinach<br />or 3 bananas.<br />
  55. 55. Ginseng 人参ren2shen1<br />Itmaywork!<br />Dosesunclear<br />PanaxandAmericanginsengmaywork<br />
  56. 56. AlphaLipoic Acid (ALA)<br />It may work to lower sugars<br />Maybe helps neuropathy<br />“More evidence is needed”<br />Antioxidant<br /> 600-1200 mg/day <br />
  57. 57. Coenzyme Q-10<br />“Conflicting evidence”<br />Best in heart disease<br />200mg a day<br />
  58. 58. Selenium<br />BAD!<br />RAISES risk of diabetes!<br />
  59. 59. Vitamins in China?<br />Nature’s Bounty: USA-made<br />http://www.naturesbounty.com.cn/<br />Diabetes Support Pack: <br />Cinnamon<br />Selenium!<br />Chromium<br />ALA<br />Co Q-10<br />
  60. 60. Costco Run! But First Review…<br />
  61. 61. Supplements: Review<br />Best Bets:<br />Fiber<br />Chromium<br />Cinnamon<br />Magnesium<br />Don’t Try: Selenium<br />
  62. 62. Don’t Forget: Change Diet, Lose Weight & Start Exercise Routine Before Buying Supplements!<br />
  63. 63. When was the last time you were screened for diabetes?<br />
  64. 64. Summary<br />You have control over diabetes!<br />Lose weight > exercise > diet<br />Supplements are secondary<br />It’s never too late to change habits!<br />
  65. 65. Your Family Doctor is The Key全科医学-型糖尿病的关键<br />cheap 便宜<br />simple 简便<br />save lives拯救生病<br />save feet拯救患肢<br />save kidneys拯救肾脏<br />save sight拯救视力<br />80% prevention 预防<br />diet + exercise饮食+运动<br />
  66. 66. Myths<br />“Eating too much sugar causes diabetes. ”<br />“You can catch diabetes from someone else.”<br />“I'll know if I have diabetes because I'll feel sick.”<br />“I'll have to eat all those horrible diabetic foods.”<br />“I don't have a family history of diabetes, so I won't get it. ”<br />“Diabetes can be cured with a diet.”<br />“Say no to fruits.”<br />
  67. 67. www.myhealthbeijing.com<br />
  68. 68. 谢谢!<br />

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