We’re in the middle of a drug-addiction epidemic in the United States, and increasing numbers of overdoses — and fatalities — have a lot of people worried. Many addicts are in and out of treatment centers and go right back to drugs and alcohol.
But Recovery Unplugged Treatment Centers have been reporting remarkable success using an innovative form of music therapy to treat addiction and help recovery.
Only about 7 percent of clients leave the centers’ facilities in Fort Lauderdale and Austin before completing treatment programs, according to Paul Pellinger, certified addictions counselor. The national average, he says, is 42-45 percent.
Richie Supa, famed songwriter and director of creative recovery at Recovery Unplugged, says the key to the organization’s success rate is the way the program uses music to speed recovery from addiction.
“Music does several things to the brain and the body,” Supa explains. “Everybody likes music and the lyrics. We didn’t invent the wheel, but applied it to addiction recovery.”
Pellinger explains that a growing body of evidence suggests music has unique and powerful impacts on the brain — not unlike the effects of drugs. Researchers have found it can ease depression and combat Alzheimer’s disease symptoms.
Studies have even shown listening to music fires endorphins — neurotransmitters generated in the brain’s pleasure centers — which can generate feelings of euphoria during exercise and other activities in ways comparable to exercise and psycho-pharmaceuticals.
“There is science behind music [impacts],” Pellinger says. “It lights up the brain like a hit of cocaine.
The center’s use of music starts before the client even arrives, Pellinger explains, and when they leave it goes with them.
Interviews conducted before arrival help the center to pinpoint a client’s music interests. When they are picked up by a driver, their favorite music is magically playing in the vehicle. When they leave treatment, they go with an MP3 player and earbuds.
“Focusing on consequences doesn’t really help an addict,” Pellinger says. “We need to communicate to the soul, not the head.”
The center’s success, Pellinger says, is based on several key principles. First of all, music helps to establish rapport with clients.
“If you don’t have this, you’re not going anywhere,” he says. “If they are still having trouble expressing ideas, there is probably a song about it. This provides engagement for them to start thinking and talking. Once we get them to talk about ‘their truth,’ I can help them re-frame it and normalize feelings.”
“We also use music as an anchor to help people remember things,” Pellinger said. “If I asked you what you had for lunch yesterday, you probably couldn’t tell me, but you could probably tell me what your favorite songs were years ago. This helps clients associate and remember.”
One of Richie Supa’s songs, “I’ve got this,” refers to the tendency of addicts and drunks to shrug off help. Former clients have talked about remembering those lyrics and being able to change behaviors. Clinicians are taught to communicate to the head, but music helps people remember what they need to do to stay sober.
The vibrations of music are also important in recovery. “People in post acute withdrawal are jumpy and have aching bones. The vibration of music penetrates the body and acts as a calming factor. Vibrations are equally as effective as Xanax if you let it work for you,” Pellinger says.
Eighty-five percent of the clients who treated by Recovery Unplugged are not musically trained, Pellinger says, but everyone still responds to music.
Supa’s involvement in Recovery Unplugged came after 26 years as a drug addict. When he went into recovery in 1988, he started writing a song called “Amazing” for Aerosmith.
The huge success of this song helped Supa see that he had done much more than write a good song. “Amazing” reached a lot of people who needed help, he says.
“People tell me that this song saved their lives. That planted a seed way back then,” Supa notes. “I know the dark side and I know walking out of the shadows into the sunlight. My new album, ‘Enemy,’ touches on all the emotions.”
Supa had been playing at detox centers before Recovery Unplugged, and started to see emotional responses to his music.
“I knew I was making a connection,” he says. He developed a one-man show called “Recovery Unplugged,” and when he met Pellinger, who has been an addictions counselor for 29 years, they knew they were on the same page.
Pellinger’s treatment center, then named “Harmony,” was renamed Recovery Unplugged and Supa became director of creative recovery.
“We got amazing results with music,” Supa says. “We allow clients to sing along and it provides a sense of unity. Music is non-threatening and when I deliver a message the clients don’t sit with their hands across their chest. There is no psycho-babble.”
Supa has invited his friend Aerosmith singer Steven Tyler, among other musicians, to participate in programs at Recovery Unplugged.
One former client, 2 ½ years clean, is Doug Tibbs, also a musician.
“All the stories are similar,” Tibbs says. “You come to a fork in the road and you are going to die, or you’re going to get your life back.”
At Recovery Unplugged, Tibbs played with Supa twice a week.
“I had been in other places that were like hospitals, and Recovery Unplugged was the complete opposite,” he notes.
“Music is universal,” Tibbs says.
Supa agrees.
“The greatest thrill for me is when a parent hugs me and says thanks for getting my kid back,” Supa adds. “If you want to find yourself, lose yourself in helping other people. This is a rebirth for me.”
For more information about Recovery Unplugged: 954-703-6152.
A common virus in infancy could trigger a life-long allergy to gluten and lead to celiac disease, an autoimmune disorder which affects one in 133 people in the United States, researchers said Thursday.
Celiac disease is caused when the body has an improper immune response — much like an allergy — to the protein gluten, found in wheat, rye, and barley.
The disease damages the lining of the small intestine, and has no cure. It can only be treated by adopting a gluten-free diet.
But if Thursday’s study in the journal Science — based on experiments using mice — is confirmed in larger studies in people, researchers said a vaccine might be able to prevent celiac disease in the future.
“This study clearly shows that a virus that is not clinically symptomatic can still do bad things to the immune system and set the stage for an autoimmune disorder, and for celiac disease in particular,” said senior author Bana Jabri, director of research at the University of Chicago Celiac Disease Center.
The study found that intestinal bugs called reoviruses can make the immune system overreact to gluten, a protein that is already difficult to digest.
Given to mice, “one common human reovirus triggered an inflammatory immune response and the loss of oral tolerance to gluten, while another closely related but genetically different strain did not,” said the study.
The virus led to a surge in antibodies that may leave a “permanent mark on the immune system that sets the stage for a later autoimmune response to gluten.”
Most infants eat their first gluten-containing cereals around six months of age, a time when their immune systems are more vulnerable to viruses.
“During the first year of life, the immune system is still maturing, so for a child with a particular genetic background, getting a particular virus at that time can leave a kind of scar that then has long-term consequences,” Jabri said.
“That’s why we believe that once we have more studies, we may want to think about whether children at high risk of developing celiac disease should be vaccinated.”
Co-authors of the study were from the University of Pittsburgh School of Medicine; the University of Naples, Italy; Erasmus University Medical Center in Rotterdam, Netherlands; Massachusetts General Hospital; Harvard Medical School; the Broad Institute at MIT; the University of Montreal; and Stanford University.
If you’re thinking about adding a dog to the family, you have two good reasons to say “yes,” say researchers from the University of Alberta. Their study found that babies from families with pets — 70 percent were dogs — had higher levels of two microbes that protect against allergies and obesity.
There is a catch, though. “There’s definitely a critical window of time when gut immunity and microbes co-develop, and when disruptions to the process result in changes to gut immunity,” said pediatric epidemiologist Anita Kozyrskyj.
Her team’s research found that exposure to pets in the womb or up to three months after birth increases the amount of two bacteria, Ruminococcus, which has been linked to a reduced risk of childhood allergies, and Oscillospira, which has been linked to a lower risk of obesity.
“The abundance of these two bacteria were increased twofold when there was a pet in the house,” said Kozyrskyj, adding that the pet exposure was shown to affect the gut microbiome indirectly — from dog to mother to unborn baby — during pregnancy as well as during the first three months of the baby’s life. In other words, even if the dog had been given away for adoption just before the woman gave birth, the healthy microbiome exchange could still take place.
The study also found that the immunity-boosting exchange occurred even in three birth scenarios known for reducing immunity: C-section versus vaginal delivery, antibiotics during birth, and lack of breastfeeding.
In addition, the study suggested that pets in the house reduced the likelihood of the transmission of vaginal GBS (group B Strep) during birth, which causes pneumonia in newborns and is prevented by giving mothers antibiotics during delivery.
Kozyrskyj theorizes that one day there may be a “dog in a pill” to help prevent allergies and obesity.
“It’s not far-fetched that the pharmaceutical industry will try to create a supplement of these microbiomes, much like was done with probiotics,” she said.
Previous research has also found that children raised in homes with pets have fewer allergies. A study published in Clinical & Experimental Allergy found that children who were exposed to pets before the age of six months had fewer allergy-related conditions such as asthma, hay fever, eczema, and upper respiratory infections as they grew older. Another study found that babies who lived in homes with pets had fewer colds and ear infections during their first year of life than babies living in homes without pets.
Pets are also good for mom and dad. Dogs have been found to lower the risk of heart disease, stress, depression, and chronic pain.
People who want a healthy heart should be mindful of not only what they eat, but when they eat, according to a new scientific statement from the American Heart Association (AHA).
The report is a response to the growing evidence that timing matters when it comes to heart disease risk, said Marie-Pierre St-Onge, the lead author of the statement. The various organs of the body have their own “clocks,” St-Onge explained, and that may affect how we handle food at different times of the day and night.
“For example, later in the evening, it’s harder for the body to process glucose [sugar], compared with earlier in the day,” said St-Onge, an associate professor of nutritional medicine at Columbia University in New York City.
The new statement highlights what’s known — and what’s not — about meal timing and heart health. The statement lacks specific rules, such as “Never eat after 8 p.m.,” or “Everyone should eat breakfast.”
It does, however, suggest that people spread out their calories over a “defined” period of the day — as opposed to either eating a lot over a short period, or grazing from morning until night. Based on the evidence, the AHA says, it’s probably a good idea to get a large share of your calories earlier in the day.
“A long fasting duration at night is better than a long fast during the day,” St-Onge said.
But there’s no declaration that breakfast is the most important meal of the day.
The evidence, St-Onge said, is just not clear enough to make specific recommendations on breakfast.
A number of studies have found that breakfast eaters are generally healthier than breakfast skippers: They tend to weigh less, have better blood pressure and cholesterol numbers, and have lower risks of type 2 diabetes and heart disease, according to the AHA.
The problem is, those studies don’t prove that breakfast deserves the credit. And few trials have actually tested the effects of “assigning” people to eat breakfast, the AHA says.
Based on what studies have been done, adding breakfast doesn’t seem to aid weight loss, the report said. Of course, if breakfast skippers simply add an extra meal to their day, they’ll gain weight, St-Onge pointed out. A few small trials have, however, suggested that breakfast can help regulate blood sugar and insulin levels, according to the AHA.
Sonya Angelone is a registered dietitian and spokesperson for the Academy of Nutrition and Dietetics. And she was clear in her support of eating breakfast.
“I think it’s very important to eat breakfast every day,” Angelone said.
Just as important, she said, is to hydrate after a long liquid-free night. Coffee does “count,” she noted, but a glass of water is better. According to Angelone, breakfast is critical because it’s hard to get all the nutrients you need in just two meals a day — even if you snack.
That raises another question: Should people eat “three square meals,” or is it better to stick with small, but more-frequent meals?
That’s not clear, according to the AHA.
Studies that track people in the real world have found that those who eat more often during the day have a lower risk of obesity and better cholesterol levels. On the other hand, the AHA says, small trials that have tested the effects of altering meal frequency have mostly come up empty. When daily calories are kept constant, meal frequency may not affect people’s weight, levels of “good” HDL cholesterol or other factors that affect heart health.
Of course, there is no one-size-fits-all approach to eating, St-Onge said.
Some people, she noted, do well with “grazing” throughout the day — as long as the food choices are healthy, and they do not keep grazing until midnight.
“If you’re someone with good control over your diet, maybe grazing is a good idea,” St-Onge said. “But if it’s difficult for you to stop eating once you start, it’s probably not a good idea.”
According to Angelone, frequent eating may not be wise for people with resistance to insulin — the hormone that regulates blood sugar. Insulin resistance is seen in people with type 2 diabetes or “pre-diabetes.” If those people eat often, Angelone explained, their insulin levels may never have a chance to drop. In general, St-Onge said, “mindfulness” is critical. Often, people eat not because they’re hungry, but to deal with emotions, she said.
“Ask yourself why you’re eating,” St-Onge said. “Is it because you’re stressed or sad or bored? Ask yourself whether you’re really hungry right now.”
The statement was published online Jan. 30 in the AHA journal Circulation.
SOURCES: Marie-Pierre St-Onge, Ph.D., associate professor, nutritional medicine, Columbia University, New York City; Sonya Angelone, M.S., R.D.N., spokesperson, Academy of Nutrition and Dietetics, Chicago; Jan. 30, 2017, Circulation, online
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
A research study published in the Journal of the American Medical Association in September 2015 demonstrated that nearly 50 percent of adults in the United States may have pre-diabetes or diabetes.
Approximately 9 out of 10 people may have undiagnosed pre-diabetes while 1 out of every 4 people may have undiagnosed diabetes. Statistics from the Center for Disease Control also revealed that about 30 percent of all individuals with pre-diabetes will develop type 2 diabetes within 5 years.
While these statistics have become dangerously alarming in the United States, the increasing issue of pre-diabetes and diabetes cases in adults has been growing throughout the world. Over the last decade, for instance, Great Britain has seen a drastic rise in both pre-diabetes and diabetes cases as well. According to a BBC News report, approximately more than one-third of British adults have been diagnosed with pre-diabetes, as compared to a 2003 report, where only 11.6 percent of British adults had been diagnosed with pre-diabetes. By 2011, the amount of individuals diagnosed with the conditions had almost tripled to about 35.3 percent.
Pre-diabetes is medically characterized as having a fasting blood sugar of 100-125 mg/dl or a hemoglobin A1C of 5.7-6.4 percent. Researchers medically defined diabetes as having a fasting blood sugar greater than 126 mg/dl or a hemoglobin A1C > 6.5 percent, a measure of long term glucose control.
Health Complications Related to Diabetes
A majority of the complications associated with pre-diabetes and diabetes can develop gradually over time. Individual�s who�ve had the condition for an extended period of time, and who also maintain less control of their blood sugar levels, may have a higher risk of suffering other complications commonly associated with type 2 diabetes. If these issues are not treated accordingly, they could eventually lead to disabling or even life-threatening complications.
Common complications associated with pre-diabetes and diabetes include:
Skin and tissue infections: Damage to blood vessels and nerves can affect the proper circulation and blood flow to the skin. This can result in the death of skin cells which may lead to a variety of changes in the skin as well as in other important structures of the body.
Foot damage: The Improper blood flow and circulation as well as damage to the nerves in the feet can increase the risk of experiencing a variety of foot issues. If left untreated, these foot complications, such as cuts and blisters, can develop into serious infections which can often heal poorly. Severe infections may ultimately require toe, foot or leg amputations.
Eye damage or retinopathy: Diabetes can damage the blood vessels of the retina which can potentially lead to blindness. This complication of the condition also increases the risk of other serious vision conditions, such as the development of cataracts and glaucoma.
Kidney damage or nephropathy: The kidneys are made up of millions of tiny blood vessel clusters, known as glomeruli, which function by filtering waste from the blood. Type 2 diabetes can damage these blood vessel clusters, affecting their normal function to properly filter the blood. Severe damage to the glomeruli can lead to kidney disease or kidney failure which may require dialysis or a kidney transplant.
Peripheral neuropathy or nerve damage: Increased blood sugar levels can injure the walls of the capillaries, tiny blood vessels which nourish the nerves, particularly those found in the legs. Peripheral neuropathy can cause pain, tingling and burning sensations and numbness along the upper and lower extremities. If this type of nerve damage is left untreated, the symptoms mentioned above may worsen, resulting in loss of strength and balance as well as the complete loss of feeling in the affected limbs. A majority of people with advanced stages of peripheral neuropathy experience chronic symptoms of pain and they may be unable to walk without the help of a cane or walker. Some people may need to use a wheelchair. Nerve damage can also affect the nerves of the digestive system, causing nausea, vomiting, diarrhea or constipation. For men, peripheral neuropathy may lead to erectile dysfunction.
Cardiovascular disease: Pre-diabetes and diabetes also dramatically increases the risk of developing a variety of cardiovascular problems, including coronary artery disease with chest pain or angina, heart attack, stroke and narrowing of arteries, or atherosclerosis. Individuals with diabetes are more likely to experience heart disease or stroke.
Hearing impairment: Individuals with diabetes have double the risk of experiencing hearing loss and other auditory complications than adults without the condition.
Alzheimer�s disease: According to various research studies, type 2 diabetes has been linked to the development of Vascular Dementia and Alzheimer�s disease.
Risk Factors Leading to Diabetes
Pre-diabetes and type 2 diabetes can develop due to a variety of risk factors. Knowing these factors can help individuals be more aware of their chances of developing the condition in order to help them take the necessary precautions to prevent diabetes from developing.
Several risk factors contributing to pre-diabetes and diabetes include:
Weight: Excess weight and obesity can cause the development of insulin resistance, one of the most common reasons behind pre-diabetes and diabetes in adults.
Inactivity: Sedentary individuals who engage in less exercise and physical activity can be at greater risk of developing the condition. Physical activity and exercise helps control weight, utilizes glucose as energy and improves insulin sensitivity.
Family history: A person�s risk of developing pre-diabetes or diabetes can increase if a parent or sibling has the condition. Although Type 2 Diabetes is not hereditary, it can develop due to lifestyle habits. Your family history can help predict the probability of developing diabetes.
Race: Research published in JAMA revealed that African-Americans, Hispanics, American Indians and Asian-Americans are at higher risk for developing Type 2 Diabetes.
Age: The risk of developing pre-diabetes and diabetes does increase with age. This is generally believed to be due to inactivity associated with aging, loss of muscle mass and weight gain. However, pre-diabetes and diabetes has also dramatically increased among children, adolescents and younger adults over the past several years.
Gestational diabetes: A woman who developed gestational diabetes while pregnant, may have an increased risk of developing pre-diabetes and type 2 diabetes. If you gave birth to a baby weighing more than 9 pounds, 4 kilograms, you may also be at risk of developing diabetes.
Polycystic ovary syndrome or PCOS: For women, having polycystic ovary syndrome, a common condition characterized by irregular menstrual periods, excess hair growth and obesity, can also increase the risk of developing diabetes.
High blood pressure: Having blood pressure of over 140/90 mm Hg, or millimeters of mercury, has been associated to an increased risk of type 2 diabetes.
High cholesterol and triglyceride levels: Individuals with low levels of high-density lipoprotein, HDL or good cholesterol, their risk of developing pre-diabetes or diabetes is generally higher. Triglycerides are another type of fat carried in the blood. People with high levels of triglycerides can be at risk of developing type 2 diabetes. Consulting a doctor at this point is important as they can inform you on what your cholesterol and triglyceride levels are.
Preventing Diabetes
Diabetes has become one of the most common diseases of the 21st century, most of which can lead to peripheral neuropathy. Although there are many factors behind this type of nerve damage, such as the use of medications and drugs, approximately 66 percent of all people with diabetes will develop peripheral neuropathy over time.
Fortunately, you can avoid developing pre-diabetes, diabetes and ultimately, peripheral neuropathy, by making some simple lifestyle changes. While changing the regular diet you are used to can be challenging, taking such a task slowly can help ease the daunting change. For instance, you can try changing one thing about your diet today. Whether it involves giving up soda or skipping sweets after dinner, this small change can be effortless for many. Now try doing this for 30 days. It will be difficult at first but it will get progressively easier.
For people who already developed diabetes as well as some of the common complications associated with the condition, keep in mind that both type 2 diabetes and peripheral neuropathy can be reversed with the right lifestyle changes as well. By addressing your diet and other lifestyle habits, such as the amount of exercise you participate in and how much sleep you get, the condition and its complications can be tremendously improved. In one 10-year long study of 70,000 diabetes-free women, researchers found that women who either slept less than five hours a night or more than nine hours each night were 34 percent more likely to develop diabetes than women who slept seven to eight hours each night.
In addition, getting the appropriate amount of vitamin D on a daily basis can also help improve diabetes. Evidence demonstrated that vitamin D can be extremely beneficial for both type 1 and type 2 diabetes. Taking vitamin D supplements if you�re not spending the necessary amount of time out in the sun can in turn help provide the required nutrients and minerals.
In conclusion, diabetes is considered to be one of the most prevalent conditions today, where nearly up to 50 percent of people have been diagnosed with type 2 diabetes. Many factors can often increase the risk of developing the condition but diabetes can be prevented as well as reversed. If you�ve been diagnosed with diabetes or you suspect you may have the condition, make sure to seek professional care to receive proper diagnosis and treatment.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient’s strength, mobility and flexibility.
Peripheral neuropathy may be more common in patients with pre-diabetes than previously thought, and early interventions may be warranted in this patient population, according to researchers from the University of Utah.
Currently, 86 million adults � more than one in three U.S. adults � have prediabetes, according to CDC estimates. Without weight loss and moderate physical activity, 15% to 30% of these people will develop full-blowntype 2 diabetes within 5 years.1
�We know now a lot more than we did 3 or 5 years ago about neuropathic pain in patients with prediabetes. Neuropathy affects patients with prediabetes in a continuum,� said J. Rob Singleton, MD, who is a professor of neurology at the University of Utah in Salt Lake City. �We think it is more obesity and dysfunction of lipids (fats) that is causing the problem.�
Research Shows the Link between Obesity, Pre-diabetes and Neuropathy
In another study conducted by researchers from the University of Michigan, peripheral neuropathy was also common in obese patients, even if they had normal blood sugar levels, when compared with lean control participants. This same study also confirmed that rates of neuropathy were increased in participants with prediabetes and diabetes, leading the researchers to conclude that diabetes, prediabetes, and obesity are likely metabolic drivers of peripheral neuropathy. The findings were published in JAMA Neurology.1
Dr. Singleton and his team have been studying peripheral neuropathy associated with prediabetes and metabolic syndrome as well as what treatments may work best. Metabolic syndrome is the name for a group of risk factors that raise the risk for heart disease, diabetes and stroke. Risk factors include high blood pressure, elevated blood glucose, elevated cholesterol, and abdominal fat. Through their research, they have found that many patients with metabolic syndrome have pre-diabetes and peripheral neuropathy. Therefore, a multi-pronged approach to managing these patients is essential.
�We have shown that, in pre-diabetics with neuropathic pain, exercise reduces neuropathic pain and increases the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,� Singleton said in an interview withEndocrinology Advisor. �You need to improve lipid (cholesterol) function and glucose levels. So, lifestyle issues have to be addressed.�
Relationship Between Nerve Damage and Pre-diabetes
New studies evaluating the link between prediabetes and peripheral neuropathy are filling in some of the gaps in knowledge.
In a study recently published in Diabetes Care, C. Christine Lee, PhD, of the University of Toronto, and colleagues reported that prediabetes was associated with similar risks for nerve dysfunction and damage leading to peripheral neuropathy as one develops with �new-onset� diabetes.2
While the exact mechanisms behind these associations are unclear, a growing body of evidence suggests that peripheral neuropathy begins in the early stages of diabetes pathogenesis, the researchers noted.
Lee and colleagues analyzed data on 467 individuals. The researchers found that the prevalence of peripheral neuropathy was 29% in adults with normal glucose levels, as compared with 49% in adults with prediabetes and 50% in adults with new-onset diabetes.
The researchers also found that progression of elevated glucose (pre-diabetes) over 3 years predicted a higher risk for peripheral neuropathy and nerve dysfunction.
Early intervention with lifestyle changes involving diet and exercise may be vital to preventing the severity of nerve damage, Dr. Lee stated. This had previously been backed up by another study published in 2006 in Diabetes Care, by Dr. Singleton. Singleton and his colleagues found that dietary changes and exercise can result in cutaneous reinnervation and improved pain in patients with prediabetes.3
Nerve Damage Occurs Long Before Diabetes
It is imperative to realize that the nerve damage seen in peripheral neuropathy can actually occur long before diabetes sets in. In fact the most current research has shown that obesity, even with normal glucose (blood sugar) levels has been linked with causing peripheral neuropathy as well as pre-diabetes. Although it is important to strive for maintaining fasting glucose levels between 70 � 80 mg/dL, it is equally important to keep your weight down, lower LDL cholesterol and triglycerides. All of this can be accomplished without the use of medication or bariatric procedures.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Neck Pain and Auto Injury
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
It�s often assumed that in order to develop type 2 diabetes, you have to be overweight. While it�s true that excess weight is clearly associated with insulin resistance and diabetes, it�s the insulin resistance � not necessarily the weight gain � that drives the disease.
As such, many people with a healthy weight are not metabolically healthy, putting them at risk of diseases like type 2 diabetes � even without being overweight or obese.
One of the greatest risk factors, according to University of Florida researchers, is actually inactivity, which drives up your risk of pre-diabetes regardless of your weight.
Inactivity Is Associated with Diabetes
If you were looking for motivation to get moving, this study, published in the American Journal of Preventive Medicine, is as good as it gets.
In a survey of more than 1,100 healthy-weight individuals, those who were inactive (physically active for less than 30 minutes per week) were more likely to have an A1C level of 5.7 or higher, which is considered to be pre-diabetic.
The researchers suggested that people who live a largely sedentary lifestyle yet have a healthy weight may have �normal-weight obesity or �skinny fat,’� which they described as a �high proportion of fat to lean muscle.�
�Don�t focus solely on the scale and think you�re OK. If you have a sedentary lifestyle, make sure you get up and move,� lead author Arch Mainous III, chair of health services research, management and policy in the University of Florida�s College of Public Health and Health Professions, said in a news release.
Weight Doesn�t Always Reveal Metabolic Health
Weight isn�t always an accurate tool by which to gauge metabolic health, and research by Dr. Robert Lustig, professor of pediatric endocrinology at the University of California, San Francisco (USCF), bears this out.
Lustig is perhaps best known for speaking out about the health risks of sugar, but in our 2015 interview he explained the problem with �judging a book by its cover� in terms of weight and health.
More than two-thirds of the American population is overweight or obese. About 50 percent have diabetes or pre-diabetes, and 1 out of every 3 have high blood pressure. Many also have high serum triglycerides, which is a risk factor for heart disease and stroke. Insulin resistance is a component of all of these health issues.
According to Lustig, at least 50 percent of Americans have some form of insulin resistance � whether you�re overweight or not � and that is what�s driving our seemingly out-of-control disease statistics.
Exercise Is Important
The evidence is clear that regular physical activity, which includes reducing your time spent sitting and exercising, is crucial to lower your risk of diabetes (and treat it if you�ve already been diagnosed).
For instance, sitting for more than eight hours a day has been shown to increase your risk of type 2 diabetes by 90 percent, while people with diabetes who engaged in a six-month moderate-intensity exercise program experienced significant health improvements, including decreased fat in the abdomen, liver and around the heart.
How to Determine if You�re Pre-Diabetic
If you�re reading this and aren�t sure what your fasting insulin and glucose levels are, these are blood tests I recommend receiving annually. Your fasting insulin level reflects how healthy your blood glucose levels are over time.
A normal fasting blood insulin level is below 5, but ideally you�ll want it below 3. A fasting glucose level below 100 mg/dl suggests you�re not insulin resistant, while a level between 100 and 125 confirms you have pre-diabetes. If this, or your A1C level, confirms you either have or are at risk of pre-diabetes or diabetes, the time to take action is now. You might also find a hip-to-waist size index chart helpful.
This is far better than body mass index (BMI) for evaluating whether or not you may have a weight problem, as BMI fails to factor in both how muscular you are and your intra-abdominal fat mass (the dangerous visceral fat that accumulates around your inner organs), which is a potent indicator of insulin/leptin sensitivity and the associated health problems.
You Can Improve Your Insulin Sensitivity in Just Two Weeks
Fortunately, proper exercise and attention to diet can reverse the course of this disease, with benefits seen in as little as two weeks (and to some extent after just one exercise session).
For instance, unfit but otherwise healthy middle-aged adults were able to improve their insulin sensitivity and blood sugar regulation after just two weeks of interval training (three sessions per week). A follow-up study also found that interval training positively impacted insulin sensitivity.
The study involved people with full-blown type 2 diabetes, and just one interval training session was able to improve blood sugar regulation for the next 24 hours.10 You can actually reap much greater benefits by exercising in short, high-intensity bursts known as intervals than you can exercising for longer periods at a slower steady pace.
The high-intensity interval training (HIIT) approach I personally use and recommend is the Peak Fitness method, which consists of 30 seconds of maximum effort followed by 90 seconds of recuperation, for a total of eight repetitions. I also recommend super slow weight lifting for your resistance training.
Getting Up From Your Chair Is Also Important
When you hear the term sedentary, it�s important to understand that exercising for 20 or 30 minutes a day, and then sitting for much of the rest, is not enough to pull you out of this category. Long hours spent sitting are linked to chronic diseases including diabetes, and this may be, in part, because it increases aging at the cellular level.
In a study of 64- to 95-year-old women, those who sat for more than 10 hours a day and got less than 40 minutes of moderate-to-vigorous physical activity had shorter telomeres and were, on average, eight years older, biologically speaking, than women who moved around more often.
Every time a cell divides, the telomeres get shorter, which is why they�re used as a measure of biological aging. Short telomeres have also been linked with chronic diseases such as cancer, heart disease and diabetes.
In addition, your body�s ability to respond to insulin is affected by just one day of excess sitting, which leads your pancreas to produce increased amounts of insulin. Research published in Diabetologia also found that those who sat for the longest periods of time were twice as likely to have diabetes or heart disease, compared to those who sat the least. I recommend replacing the majority of your sedentary sitting time with active movement, keeping sitting to three hours a day or less.
What to Do if You Have Pre-Diabetes or Diabetes
You may be thin but that doesn�t mean you have more lean muscle than fat in your body. Having a higher percentage of fat than lean muscle can set the stage for insulin resistance.
The take-home message to remember is that you shouldn�t assume you�re metabolically healthy just because you�re not overweight or obese � especially if you live a largely sedentary lifestyle. You could actually be �skinny fat,� with many of the same health risks as someone who�s overweight or obese and sedentary.
The good news is that there�s plenty you can do to not only reduce your risk of type 2 diabetes and pre-diabetes but also improve your metabolic health at the same time.
During the three-year Diabetes Prevention Program study, for instance, lifestyle interventions were found to be more effective than the diabetes drug metformin at preventing or delaying the development of diabetes in people at high risk of the disease. A follow-up study monitored the group for 15 years � and lifestyle interventions were still more effective than metformin at preventing diabetes.13
One of the most important dietary recommendations is to limit net carbs (total carbohydrates minus fiber) and protein, replacing them with higher amounts of high-quality healthy fats, like seeds, nuts, raw grass-fed butter, olives, avocado, coconut oil, organic pastured eggs and animal fats (including animal-based omega-3s).
If you�re insulin resistant or diabetic, I also strongly suggest you limit your total fructose intake to 15 grams per day until your insulin/leptin resistance has resolved (then it can be increased to 25 grams) and start intermittent fasting as soon as possible.
As mentioned, exercise and reduced sitting time are also crucial, along with attention to proper sleep, optimized vitamin D levels and gut health. Taken together, this plan will lower your risk of diabetes and related chronic diseases and help you to avoid becoming victim to a health condition you might not even realize you have.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Early Intervention After Auto Injury
When a person is involved in an unexpected automobile accident, the most common type of injury which often results from the incident is whiplash. Whiplash is identified as a neck injury caused by the sudden, back-and-forth motion of the head during a car crash. Whiplash can cause a variety of symptoms and complications if left untreated, which is why seeking medical treatment immediately after being involved in an auto accident is essential in order to help people recover quickly without developing further issues.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
