Back Clinic Weight Loss. People who are overweight or obese and are suffering from back pain may not realize that their excess weight contributes to their back pain. It is a known fact that overweight people are at risk for back pain, joint pain, and muscle strain. Not only is back pain an issue, but other symptoms of obese or overweight people may include fatigue, difficulty breathing, and/or shortness of breath during short periods of physical activity. When this happens, people begin to avoid physical activity, which leads to pain and various other unhealthy conditions.
Dr. Jimenez brings the PUSH-as-Rx System, which is a program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience. The program is the multidisciplinary study of reactive agility, body mechanics, and extreme motion dynamics at its core.
A clear quantitative picture of body dynamics emerges through continuous and detailed assessments of the clients in motion and under directly supervised stress loads. This system with continual dynamic adjustments has helped many of our patients in their weight loss. Plus, they become faster and stronger. Results demonstrate clear improved agility and speed no matter the age. Along with physical training, Dr. Jimenez and the trainers offer nutritional advice.
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.
High level performers are always looking for strategies that will give them an edge in their field of endeavor. Athletes want to run a split second faster and jump an inch higher while business executives want to have sharper mental clarity and improved working efficiency. Specific meal timing and superfood strategies have been shown to optimize performance and recovery.
We all want to perform at our peak no matter whether we are a teacher, stay at home mom, doctor or athlete. It is also integral that we recover fast and effectively. The goal is peak performance and quick and effective recovery so we can get up the next day and do it all over again.
Optimize Your Performance
Performance in any field depends upon high level mental activity and often kinesthetic activity whether that be running or jumping or eye-hand coordination. The keys for healthy function include good fats, anti-oxidants and clean protein sources.
Providing lots of clean healthy foods and meal timing properly can make a huge difference in your overall energy and daily performance. Use the principles in this article to help guide you in preparing your body for great energy and daily performance in your daily life.
Coconut
This superfood is loaded with medium chain triglycerides (MCT�s) that break down for energy very easily. Unlike most fat sources which consist of long chain fatty acids these MCT�s do not depend upon bile and instead go right to the liver and are metabolized immediately for energy.
Muscle cells are also able to store MCT�s and use them immediately for energy during exercise sessions.
Bone Broth Protein
Bone broth contains a wide variety of valuable nutrients including collagen, gelatin, hyaluronic acid, chondroitin sulfate, glycosamino glycans, proline, glycine, calcium, phosphorus, magnesium and potassium. These all help with the development of healthy joints, bones, ligaments and tendons as well as hair and skin.
These nutrients are considered beauty foods because they help the body with proper structural alignment and beautiful skin and hair. They also help to prevent against injuries by strengthening joints, tendons and ligaments. Additionally, bone broth is great for the immune system.
If you are unable to make your own bone broth, than you can try our Bone Broth Protein which comes with the same benefits as homemade broth, but it�s even more versatile in so many recipes. Bone Broth Protein begins as a true bone broth liquid. It�s then dehydrated, making it into a concentrated source of high-quality, tasty powder.
Berries
Berries are loaded with anti-oxidants and are low in sugar. Berries contain unique phytonutrients called anthocyanin�s that give them their strong pigments and allow them to handle intense sunlight. Consuming these anthocyanin�s helps our bodies adapt to stress effectively.
Be sure to get your berries organic as the thin skin makes them susceptible to pesticides and they are highly contaminated with dangerous pesticides when produced on conventional farms.
Spinach
This superfood is loaded with blood purifying chlorophyll and the anti-oxidants lutein and zeaxanthin. Spinach also contains its own plant based steroids called phyoecdysteroids that boost the bodies ability to adapt to stress. Phytoecdysteroids are similar to insect molting hormones and have been shown to dramatically increase glucose metabolism.
This keeps blood sugar levels stable and minimizes the need for the critical fat-storage hormone insulin. Additionally, phytoecdysteroids increase human muscle tissue growth rates by 20% when applied in a culture medium.
Rice & Pea Proteins
For sensitive cases where people have pronounced sensitivities I prefer to use either a brown rice or pea protein. Pea protein appears to be the most hypoallergenic of all protein powders and has a 98% absorption rate. This combination of 1% brown rice and 99% pea protein has a great blend of branched chain amino acids, lysine and arginine for lean body tissue development and good circulation
Pea & brown rice protein has also been shown to be very easy on the digestive system and the protein is fairly quickly assimilated into muscle tissue. This is important because slower digesting and assimilating proteins have a greater chance of producing gas and making one feel bloated. Most plant proteins have poor assimilation rates but pea, brown rice and hemp proteins are the rare exceptions.
These are loaded with sulfur containing amino acids like methionine and cysteine which are critical for glutathione production. They are also a rich vegetarian source of branched chain amino acids. They contain essential fatty acids and edestin and albumin which are similar to the makeup of human blood and these help with critical functions like DNA repair.
Grass-Fed Butter
Dairy from grass-fed cows is extraordinarily rich in essential fats and critical nutrients like vitamin K2 and magnesium. The best foods from this group include grass-fed butter and ghee which are loaded with anti-inflammatory fats and anti-oxidants.
Grass-fed butter and ghee are also rich in conjugated linoleic acid, which helps burn fat and is anti-carcinogenic. It is the best food source of the anti-inflammatory short chain fatty acid butyrate. Finally, it is full of choline which supports healthy brain and neurotransmitter production. I use butter and ghee generously each day. Look for Kerry Gold grass-fed butter here
Red Onions
These are loaded with the flavonoid anti-oxidant quercetin. They also contain sulfur containing amino acids that boost cysteine and glutathione production within the body. They also have chromium which helps to regulate blood sugar levels.
Grass-Fed Beef
Cows that are fed a 100% green diet are loaded with anti-oxidants like carnosine and essential fatty acids. Because cows have multiple stomachs and are able to fully digest grass (humans cannot) we are getting the benefits of this fully digested super-greens in a high protein food.
A fantastic source for grass-fed beef and pastured poultry is US Wellness Meats here
Avocados
Avocados are loaded with good fats and carotenoid anti-oxidants like lutein and zeaxanthin. It is very easy on the digestive system and helps support optimal hormone function, muscle development and exercise recovery.
Raw Chocolate
This is rich in good fats and polyphenol anti-oxidants for fuel and recovery. Chocolate contains theobromine which is a natural cardiovascular stimulant that helps improve circulation throughout the body.
Proper Meal Timing
It is best to eat light before our times of performance to keep as much energy focused on the specific performance rather than on digestion. Instead of food, turn to water, as optimal hydration correlates very strongly with great performance. I try to stay super hydrated throughout the day and notice that as my water intake drops, my energy and mental acuity declines.
After the performance we want to have our largest meal to replenish our system with nutrients. Ideally, you have your largest meal at the end of your day as opposed to the beginning of your day. This helps your body to recover from the stresses of the day. You are in a relaxed position at this point, as you no longer have to work hard and perform, so it allows you to digest and absorb the nutrients you need more effectively.
This helps to take stress off of your gut lining and improves the integrity of your digestive system. When you eat in a hurry or have a large meal before a stressful event or a busy day, you compromise your digestive system and cause more inflammation in the body.
These ideas and much more I teach in our Navigating the Ketogenic diet program. Opt-in here for more details and a FREE video training series I give you on advanced strategies to improve your performance.
Diet and Nutrition for a Healthy Back
As most patients are well aware, good nutrition and a balanced diet are important components of overall health. What may surprise people with back problems is that diet, nutrition and maintaining a healthy weight also play a major role in the back � including preventing many problems and healing from injuries.
The bones, muscles and other structures in the spine need good nutrition and vitamins so that they are strong enough to support the body and to perform their other functions. Using these nutritional guidelines, patients can integrate back-friendly vitamins and nutrients into their diets.
Choosing the Right Foods for Optimal Nutrition
Eating a balanced diet that includes the right amount and variety of vitamins and nutrients will reduce back problems by nourishing the bones, muscles, discs and other structures in the spine. Particular importance is given to calcium, which can be obtained through a variety of healthy food choices as well as nutritional supplements.
While a healthy diet calls for many vitamins and nutrients, this partial list highlights a number of healthy choices that can be directly beneficial for helping back patients.
Role of Vitamin or Nutrient Food Sources
Vitamin A
An antioxidant that assists the immune system in fighting off diseases. It is good for the back because it helps repair tissue and in the formation of bone. It also helps the body use protein effectively.
Additionally, the body can convert beta-carotene into vitamin A. Beta-carotene can be found in dark green leafy vegetables and most orange vegetables and fruits.
It�s important not to get more then the recommended daily allowance of vitamin A, as too much can promote bone fractures. Beta-carotene does not increase the risk of fracture.
Vitamin A can be found in beef, calf and chicken liver; dairy products like milk, butter, cheese and eggs; orange fruits such as apricots, nectarines and cantaloupe; orange or green vegetables such as carrots, sweet potatoes and spinach.
Vitamin B12
Necessary for healthy bone marrow and for the body � and the spine � to grow and function normally. Vitamin B12 can be found in meat products, such as liver, fish, red meat and poultry; dairy products, such as milk, yogurt and cheese; and eggs.
Vitamin C
Necessary for the development of collagen, which is an important part of the process that allows cells to be able to form into tissue. This is extremely important for healing problems caused by injured tendons, ligaments and vertebral discs, as well as for keeping bones and other tissues strong.
Vitamin C can be found in fruits, such as strawberries, kiwi fruit and citrus fruits (e.g. oranges, guavas, grapefruits) and tomatoes; many vegetables, such as broccoli, spinach, red and green peppers, sweet potatoes and white potatoes.
Vitamin D
Improves calcium absorption, which is important for the development of strong and healthy bones. Adequate calcium absorption is particularly important to help prevent development of osteoporosis, a disorder characterized by weak and brittle bones in the spine that can results in painful vertebral fractures. Vitamin D is naturally occurring in egg yolks and fish oils; also found in most brands of fortified milk in the US; can also be obtained by spending time in the sunlight.
Vitamin K
Needed for the bones to properly use calcium. The combination of vitamin K and calcium works to help bones throughout the body stay strong and healthy. Vitamin K is found in liver, pork, green leafy vegetables such as spinach, kale and broccoli, and dairy products.
Iron
Needed for cells to remain healthy as it helps them receive oxygen and get rid of carbon dioxide. It also aids in the production of myoglobin, an important element of healthy muscles that are needed to support the spine. Iron is found in meat products such as liver, pork, fish, shellfish, red meat and poultry; lentils, beans, soy, eggs, grains, and green leafy vegetables such as spinach, kale and broccoli.
Magnesium
Important for the relaxing and contracting of muscles. It also helps maintain muscle tone and bone density, which in turn can help prevent back problems. Further, it assists in the body�s use of protein. Magnesium is found in whole grains and whole-grain breads, beans, seeds, nuts, potatoes, avocados, bananas, kiwi fruit, shrimp, and green leafy vegetables such as spinach, kale and broccoli.
Calcium
Essential for bone health and helps maintain the necessary level of bone mass throughout the lifespan and especially in old age. Adequate calcium intake is particularly important to help prevent development of osteoporosis, which results in weak and brittle bones in the spine that can results in painful vertebral fractures. Calcium is found in dairy products such as yogurt, cheese and especially milk; dark green leafy vegetables such as spinach, broccoli and kale; tofu, peanuts, peas, black beans and baked beans; some types of fish (salmon and sardines); a variety of other foods such as sesame seeds, blackstrap molasses, corn tortillas, almonds and brown sugar.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Choosing the Right Vitamins
Following a balanced nutrition can help ensure we receive the necessary vitamins and minerals we need to maintain our overall health and wellness. Although many people may successfully follow a healthy diet, it might not always be easy to intake all the right foods we require. More than half of Americans report taking a multivitamin or dietary supplement. There are a wide variety of supplements available in the market and knowing which of these are the correct ones to take can be challenging for many, according to research studies.
For many families, type 2 diabetes can develop in several members of the household. For some people, diabetes has been diagnosed throughout previous generations of family members. However, does this mean, you are bound to inherit the condition?
Over a period of 25 years, according to statistics, the number of people in the world who are diagnosed with type 2 diabetes has increased from 35 million to 240 million. Moreover, these statistics don’t take into account the number of individuals with undiagnosed diabetes. Many families have the relevant concern regarding whether they or future generations could genetically develop type 2 diabetes. While the magnitude of cases is quite significant, the reality is that the widespread issue of diabetes couldn’t have simply occurred through genetic or inherited means in such a short time span.
If genetic alteration is not the reason behind the dramatic increase in type 2 diabetes cases, then why has the condition been on the rise over the past few decades? As a matter of fact, diabetes is a condition that is almost entirely caused by environmental and lifestyle factors. Our genetic code itself may not be altered through these circumstances but our environment as well as stress and improper nutrition and fitness habits can influence the way those genes are expressed. Predisposed genes can certainly contribute to the development of diabetes, however, if you are not exposed to these environmental and lifestyle triggers, the diabetes gene may never fully develop.
The factors that can have the greatest influence on the development of type 2 diabetes among the general population include: diet, exercise, stress management, exposure to environmental and/or food-based toxins and habits which promote weight gain and obesity.
Ultimately, an individual’s exposure to these environmental and lifestyle factors, which subsequently affects their genetic expression, is the greatest contributor to the development of diabetes among families than their actual genome, or set of genes. In fact, according to the World Health Organization, approximately 90 percent of diseases may be caused due to external factors, not through genetic or inherited means.
External environmental sources which can contribute to type 2 diabetes include:�
Air
Water
Diet
Drugs / medications
Pollutants
Heavy metals
Radiation
Physical or psychological stressors
Internal processes include:
Inflammation
Free radical production
Oxidative stress (body�s ability to detoxify chemicals)
Allergens
Infections
Dysbiosis (imbalance of bad to good biotic gut flora)
It�s essential to understand that genetic code cannot change. What can change are which parts of this code are expressed. Research studies have discovered that our environment, as well as our diet, microbes, allergens, toxins, stresses and social connections, even our thoughts and beliefs can trigger which genes are expressed. A person’s genetic code can be tagged by an environmental or lifestyle factor, then, those can alter how their genes are expressed and passed down through future generations.
For example, if your grandmother consumed an excess amount of sugar, smoked, or was exposed to mercury from eating too much sushi, she may have triggered the genetic expression that could lead to obesity and the development of type 2 diabetes, passing it down from generation to generation. However, this does not necessarily mean that you will develop the same conditions she did. The predisposed genes could contribute to obesity and diabetes but this does not mean you are bound to inherit the condition. If you do not expose yourself to the same environmental and lifestyle factors as your grandmother, in this example, you may never develop type 2 diabetes.
In the end, diabetes shouldn’t be strictly considered to be a genetic or inherited disorder. While it’s true that the hereditary genes from your parents and/or grandparents increase your risk of developing the condition, this doesn’t mean you will develop type 2 diabetes. The condition is a direct outcome of environmental and lifestyle factors. Fortunately, you can change this outcome.
Can Type 2 Diabetes be Reversed?
Most people believe that diabetes is irreversible and that once you have it, you will gradually begin to experience a decline in function, including hear disease, kidney failure, blindness, amputation, strokes and dementia. Nonetheless, research studies and scientific evidence has demonstrated that type 2 diabetes is reversible, especially if it is treated aggressively in its early stages through changes in environmental exposure and lifestyle habits, including nutrition and fitness interventions.
Even more advanced stages of diabetes can be reversed with very intense lifestyle changes, supplements and medications. A research study showed that individuals with progressive type 2 diabetes can indeed recover from the condition, even if their pancreas have becomed damaged. The research study also demonstrated that diabetes can be reversed in just one week through drastic changes in diet, particularly a plant-based diet, low in glycemic and calories.
When patients modified their lifestyles, their blood sugar levels plummeted, triglyceride levels fell and the pancreas recovered. After a single week, they were taken off their medication, proving that diabetes is not a progressive, incurable condition. The consumption of a balanced nutrition became the source of their overall health and wellness. While it may take a lot of commitment to reverse type 2 diabetes, you can certainly heal your own body with the right conditions.
7 Strategies to Control Diabetes
Even if you�ve recently been diagnosed with type 2 diabetes or you’ve lived with the condition for years, diabetes is reversible. For further support, you can read “the Blood Sugar Solution” to learn essential strategies and incorporate their comprehensive dietary, nutrient and lifestyle plan to help you reverse your diabetes.
In the mean time, there are several other strategies you can implement right now to prevent or reverse type 2 diabetes.
Whether diabetes is a condition found in several members of your family, it has been diagnosed throughout several generations in your family or you have this disorder yourself, the ability to normalize blood sugar levels and lower insulin can be under your control, beginning with the following seven strategies.
Ask your doctor for the proper tests. Most doctors focus on fasting blood sugar. This is actually a poor indicator of diabetes. The best test to help properly diagnose the condition is an insulin response test where insulin levels are measured first in a fasting state and then again at one and two hour intervals after consuming a sugary drink. Request this test from your doctor.
Avoid sugar.�The basics of nutrition are very simple. Considerably decrease or eliminate refined sugars and processed carbohydrates from your diet. Include whole, real foods, such as lean protein (chicken or fish), veggies, nuts, seeds, beans, and whole grains.
Supplement intelligently. Supplements are an essential part of treating diabetes. A good multivitamin, vitamin D, fish oil, and special blood sugar balancing nutrients, such as alpha lipoic acid, chromium picolinate, biotin, cinnamon, green tea catechins, and glucomannan, should also be included.
Relax. Stress is a major unrecognized contributor to insulin resistance and blood sugar imbalances. Relax every day with deep breathing, visualization, yoga, meditation, and other relaxation techniques.
Be more active. Aside from changing your diet, exercise and physical activity is probably the best form of treatment for obesity and diabetes. Walk a minimum of 30 minutes every day to experience the wonderful benefits of exercise. For some, 30 to 60 minutes of vigorous aerobic exercise, 4 to 6 times a week may be necessary.
Address your environment. Environmental toxins have also been proven to contribute to obesity and the development of diabetes. Filter your water, look for green cleaning products and avoid plastics whenever you can.
Get enough sleep. Studies show even one partial night of poor sleep can contribute to insulin resistance as well as other complications which could lead to the development of type 2 diabetes.
Many people who have family members with type 2 diabetes are concerned whether they themselves or future generations could be at risk of inheriting the condition. While scientific studies and evidence have shown that predisposed genes could influence the development of diabetes, more research studies have demonstrated that environmental and lifestyle factors are the true source of type 2 diabetes. However, changing these factors could prevent and even reverse diabetes.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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.
Arlington, Va.–People suffering from back pain should consider first trying chiropractic services and other non-drug therapies in light of a new research review that found common over-the-counter and prescription pain medications have limited effectiveness for back pain and raise the risk of side-effects, according to the American Chiropractic Association (ACA).
The review, published this month in Annals of the Rheumatic Diseases, examined 35 randomized, placebo-controlled trials, encompassing 6,000 patients, to determine the effectiveness and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for spinal pain. The authors of the report found that NSAIDs provided �clinically unimportant effects� when compared with patients who received only a placebo. Meanwhile, those who used NSAIDs had a 2.5 times greater risk of experiencing gastrointestinal disorders.
�At present, there are no simple analgesics that provide clinically important effects for spinal pain over placebo,� the authors noted.
The news about NSAIDs follows reports last year that prescription opioids also have limited effectiveness for back pain�one of the most common causes of disability worldwide.
�The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications,� said ACA President David Herd, DC. �In addition to spinal manipulation, chiropractors can offer a range of non-drug therapies for back pain and recommend exercises and important lifestyle changes to help prevent future back pain and injury.�
According to a 2016 Gallup survey, more than 35 million people visit a chiropractor annually.
About the American Chiropractic Association
The American Chiropractic Association (ACA) is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org to find an ACA chiropractor near you.
NSAIDs: Non-Steroidal Anti-Inflammatory Drugs
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation. Inflammation is a contributing factor in most back pain conditions, so reducing inflammation is important to alleviate the pain.
Mild or moderate back pain, tenderness, inflammation, and stiffness
Activity-related pain or discomfort (e.g. pain that follows sports or activities such as housework, shoveling snow, or other exertion)
Pain related to muscle strain in the low back and elsewhere
Neck stiffness related to muscle, ligament, or tendon strains or damage
Osteoarthritis joint pain
Rheumatoid arthritis
Ankylosing spondylitis
A number of other forms of arthritis pain
This article provides information on how non-steroidal anti-inflammatory medications can be helpful against back, neck, and other pain, as well as several potential risks and complications to be considered.
Most Common Types of NSAIDs:
NSAIDs comprise a large class of drugs that act by hampering body substances called prostaglandins, which trigger feelings of pain, giving NSAIDs fever-reducing, pain-relieving, and anti-inflammatory properties. There are many types of non-prescription (over-the-counter) and prescription NSAIDs. The four NSAIDs most often used to treat many types of back and neck pain are:
Aspirin (brand names include Bayer, Bufferin, and Ecotrin, St. Joseph)
Ibuprofen (Advil, Motrin)
Naproxen (Aleve, Anaprox DS, Naprosyn)
Celecoxib (Celebrex)
Other Forms of NSAIDs:
In addition to the above, NSAIDs come in forms other than those taken by mouth. For example:
Ketorolac can be given as an intravenous, intramuscular, or intranasal drug, making it useful after surgery or if the patient cannot eat.
Diclofenac is available topically as a gel (Voltaren), patch (Flector), or solution (Pennsaid). The medication is applied directly to the area of pain. Topical forms reduce gastrointestinal and other potential side effects of NSAIDs.
Taking NSAIDs continuously, rather than just at the onset of pain, helps build up the body�s anti-inflammatory blood level, resulting in a better healing environment in the affected area. The efficacy is markedly lower if NSAIDs are taken only when experiencing pain.
Checking with the doctor. Because NSAIDs have risks and complications, it is important to keep the doctor informed. People taking NSAIDs for long periods are advised to see the doctor regularly so any side effects can be monitored. In some cases, a change in medication may be required.
Using as little as possible. The U.S. Food and Drug Administration advises that the lowest effective dose of NSAIDs be used, and then for only as long as necessary.
Combining with acetaminophen. NSAIDs and the pain relief medication acetaminophen (e.g. brand name Tylenol) work differently, so sometimes doctors recommend taking both medications. This often offers better pain relief than taking one type of pain medication. Some people find it also helps lessen the pain as one dose wears off, alternating between the two�for example, taking a dose of ibuprofen, then 3 hours later taking a dose of acetaminophen.
Any adverse reactions from taking an NSAID, or any other medication, should be reported to the doctor without delay.
When NSAIDs Are Not Advised
People having a lumbar fusion surgery are typically advised not to take NSAIDs for at least 3 months after surgery due to concerns about the impact NSAIDs may have on bone healing.
Many doctors also tell patients to stop using NSAIDs prior to other types of surgery because the medication poses an increased risk of bleeding.
Low Vitamin D Linked to Increased Headache Risk
News Bite: Vitamin D may be a component factor in headache a new study demonstrates.
More research is adding to the literature of a link between vitamin D deficiency and headaches, at least for men living in colder climates.
Data from 2600 middle-aged men from Finland who participated in the Kuopio Ischemic Heart Disease (KIHD) Risk Factor Study showed that those with the lowest levels of serum 25-hydroxyvitamin D (25[OH]D) were more than twice as likely to report having chronic headaches as those who had the highest vitamin D levels. In addition, reports of chronic headache were significantly more frequent in months other than the summer months (June through September).
The investigators note that although past studies have examined the link between vitamin D and headaches, the results have been �inconclusive� because many included small sample populations. When the KIHD study originally started, men in this part of Finland had the highest prevalence of heart disease in the world, and it was looking at risk factors for cardiovascular disease.
During the baseline examinations, questionnaires asked the participants to report headache status during the previous 12 months. �Frequent headache� was defined as a daily or weekly occurrence � and was reported by 9.6% of the full group.
Also at baseline, fasting venous blood samples were collected during morning hours and 25(OH)D concentrations were measured.
Interestingly, the mean concentration of serum 25(OH)D for the study group was 43.4 nmol/L, which is below the 50-nmol/L threshold generally considered to be a marker of vitamin D deficiency. In fact, 67.9% of the group had levels that were less than 50 nmol/L.
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation.��The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications.� For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
High level performers are always looking for strategies that will give them an edge in their field of endeavor. Athletes want to run a split second faster and jump an inch higher while business executives want to have sharper mental clarity and improved working efficiency. Specific meal timing and superfood strategies have been shown to optimize performance and recovery.
We all want to perform at our peak no matter whether we are a teacher, stay at home mom, doctor or athlete. It is also integral that we recover fast and effectively. The goal is peak performance and quick and effective recovery so we can get up the next day and do it all over again.
Optimize Your Performance:
Performance in any field depends upon high level mental activity and often kinesthetic activity whether that be running or jumping or eye-hand coordination. The keys for healthy function include good fats, anti-oxidants and clean protein sources.
Providing lots of clean healthy foods and meal timing properly can make a huge difference in your overall energy and daily performance. Use the principles in this article to help guide you in preparing your body for great energy and daily performance in your daily life.
Coconut:
This superfood is loaded with medium chain triglycerides (MCT�s) that break down for energy very easily. Unlike most fat sources which consist of long chain fatty acids these MCT�s do not depend upon bile and instead go right to the liver and are metabolized immediately for energy.
Muscle cells are also able to store MCT�s and use them immediately for energy during exercise sessions.
Bone Broth Protein:
Bone broth contains a wide variety of valuable nutrients including collagen, gelatin, hyaluronic acid, chondroitin sulfate, glycosamino glycans, proline, glycine, calcium, phosphorus, magnesium and potassium. These all help with the development of healthy joints, bones, ligaments and tendons as well as hair and skin.
These nutrients are considered beauty foods because they help the body with proper structural alignment and beautiful skin and hair. They also help to prevent against injuries by strengthening joints, tendons and ligaments. Additionally, bone broth is great for the immune system.
If you are unable to make your own bone broth, than you can try our Bone Broth Protein which comes with the same benefits as homemade broth, but it�s even more versatile in so many recipes. Bone Broth Protein begins as a true bone broth liquid. It�s then dehydrated, making it into a concentrated source of high-quality, tasty powder.
Berries:
Berries are loaded with anti-oxidants and are low in sugar. Berries contain unique phytonutrients called anthocyanin�s that give them their strong pigments and allow them to handle intense sunlight. Consuming these anthocyanin�s helps our bodies adapt to stress effectively.
Be sure to get your berries organic as the thin skin makes them susceptible to pesticides and they are highly contaminated with dangerous pesticides when produced on conventional farms.
Spinach:
This superfood is loaded with blood purifying chlorophyll and the anti-oxidants lutein and zeaxanthin. Spinach also contains its own plant based steroids called phyoecdysteroids that boost the bodies ability to adapt to stress. Phytoecdysteroids are similar to insect molting hormones and have been shown to dramatically increase glucose metabolism.
This keeps blood sugar levels stable and minimizes the need for the critical fat-storage hormone insulin. Additionally, phytoecdysteroids increase human muscle tissue growth rates by 20% when applied in a culture medium.
Rice & Pea Proteins
For sensitive cases where people have pronounced sensitivities I prefer to use either a brown rice or pea protein. Pea protein appears to be the most hypoallergenic of all protein powders and has a 98% absorption rate. This combination of 1% brown rice and 99% pea protein has a great blend of branched chain amino acids, lysine and arginine for lean body tissue development and good circulation
Pea & brown rice protein has also been shown to be very easy on the digestive system and the protein is fairly quickly assimilated into muscle tissue. This is important because slower digesting and assimilating proteins have a greater chance of producing gas and making one feel bloated. Most plant proteins have poor assimilation rates but pea, brown rice and hemp proteins are the rare exceptions.
These are loaded with sulfur containing amino acids like methionine and cysteine which are critical for glutathione production. They are also a rich vegetarian source of branched chain amino acids. They contain essential fatty acids and edestin and albumin which are similar to the makeup of human blood and these help with critical functions like DNA repair.
Grass-Fed Butter:
Dairy from grass-fed cows is extraordinarily rich in essential fats and critical nutrients like vitamin K2 and magnesium. The best foods from this group include grass-fed butter and ghee which are loaded with anti-inflammatory fats and anti-oxidants.
Grass-fed butter and ghee are also rich in conjugated linoleic acid, which helps burn fat and is anti-carcinogenic. It is the best food source of the anti-inflammatory short chain fatty acid butyrate. Finally, it is full of choline which supports healthy brain and neurotransmitter production. I use butter and ghee generously each day. Look for Kerry Gold grass-fed butter.
Red Onions:
These are loaded with the flavonoid anti-oxidant quercetin. They also contain sulfur containing amino acids that boost cysteine and glutathione production within the body. They also have chromium which helps to regulate blood sugar levels.
Grass-Fed Beef:
Cows that are fed a 100% green diet are loaded with anti-oxidants like carnosine and essential fatty acids. Because cows have multiple stomachs and are able to fully digest grass (humans cannot) we are getting the benefits of this fully digested super-greens in a high protein food.
A fantastic source for grass-fed beef and pastured poultry is US Wellness Meats.
Avocados:
Avocados are loaded with good fats and carotenoid anti-oxidants like lutein and zeaxanthin. It is very easy on the digestive system and helps support optimal hormone function, muscle development and exercise recovery.
Raw Chocolate:
This is rich in good fats and polyphenol anti-oxidants for fuel and recovery. Chocolate contains theobromine which is a natural cardiovascular stimulant that helps improve circulation throughout the body.
Proper Meal Timing:
It is best to eat light before our times of performance to keep as much energy focused on the specific performance rather than on digestion. Instead of food, turn to water, as optimal hydration correlates very strongly with great performance. I try to stay super hydrated throughout the day and notice that as my water intake drops, my energy and mental acuity declines.
After the performance we want to have our largest meal to replenish our system with nutrients. Ideally, you have your largest meal at the end of your day as opposed to the beginning of your day. This helps your body to recover from the stresses of the day. You are in a relaxed position at this point, as you no longer have to work hard and perform, so it allows you to digest and absorb the nutrients you need more effectively.
This helps to take stress off of your gut lining and improves the integrity of your digestive system. When you eat in a hurry or have a large meal before a stressful event or a busy day, you compromise your digestive system and cause more inflammation in the body.
These ideas and much more I teach in our Navigating the Ketogenic diet program. Opt-in here for more details and a FREE video training series I give you on advanced strategies to improve your performance.
Fat Burning Foods Video
Food: Diet and Nutrition for a Healthy Back
As most patients are well aware, good nutrition and a balanced diet are important components of overall health. What may surprise people with back problems is that diet, nutrition and maintaining a healthy weight also play a major role in the back – including preventing many problems and healing from injuries.
The bones, muscles and other structures in the spine need good nutrition and vitamins so that they are strong enough to support the body and to perform their other functions. Using these nutritional guidelines, patients can integrate back-friendly vitamins and nutrients into their diets.
Eating a balanced diet that includes the right amount and variety of vitamins and nutrients will reduce back problems by nourishing the bones, muscles, discs and other structures in the spine. Particular importance is given to calcium, which can be obtained through a variety of healthy food choices as well as nutritional supplements.
While a healthy diet calls for many vitamins and nutrients, this partial list highlights a number of healthy choices that can be directly beneficial for helping back patients.
Role of Vitamin or Nutrient Food Sources
Vitamin A:
An antioxidant that assists the immune system in fighting off diseases. It is good for the back because it helps repair tissue and in the formation of bone. It also helps the body use protein effectively.
Additionally, the body can convert beta-carotene into vitamin A. Beta-carotene can be found in dark green leafy vegetables and most orange vegetables and fruits.
It’s important not to get more then the recommended daily allowance of vitamin A, as too much can promote bone fractures. Beta-carotene does not increase the risk of fracture.
Vitamin A can be found in beef, calf and chicken liver; dairy products like milk, butter, cheese and eggs; orange fruits such as apricots, nectarines and cantaloupe; orange or green vegetables such as carrots, sweet potatoes and spinach.
Vitamin B12:
Necessary for healthy bone marrow and for the body – and the spine – to grow and function normally. Vitamin B12 can be found in meat products, such as liver, fish, red meat and poultry; dairy products, such as milk, yogurt and cheese; and eggs.
Vitamin C:
Necessary for the development of collagen, which is an important part of the process that allows cells to be able to form into tissue. This is extremely important for healing problems caused by injured tendons, ligaments and vertebral discs, as well as for keeping bones and other tissues strong.
Vitamin C can be found in fruits, such as strawberries, kiwi fruit and citrus fruits (e.g. oranges, guavas, grapefruits) and tomatoes; many vegetables, such as broccoli, spinach, red and green peppers, sweet potatoes and white potatoes.
Vitamin D:
Improves calcium absorption, which is important for the development of strong and healthy bones. Adequate calcium absorption is particularly important to help prevent development of osteoporosis, a disorder characterized by weak and brittle bones in the spine that can results in painful vertebral fractures. Vitamin D is naturally occurring in egg yolks and fish oils; also found in most brands of fortified milk in the US; can also be obtained by spending time in the sunlight.
Vitamin K:
Needed for the bones to properly use calcium. The combination of vitamin K and calcium works to help bones throughout the body stay strong and healthy. Vitamin K is found in liver, pork, green leafy vegetables such as spinach, kale and broccoli, and dairy products.
Iron:
Needed for cells to remain healthy as it helps them receive oxygen and get rid of carbon dioxide. It also aids in the production of myoglobin, an important element of healthy muscles that are needed to support the spine. Iron is found in meat products such as liver, pork, fish, shellfish, red meat and poultry; lentils, beans, soy, eggs, grains, and green leafy vegetables such as spinach, kale and broccoli.
Magnesium:
Important for the relaxing and contracting of muscles. It also helps maintain muscle tone and bone density, which in turn can help prevent back problems. Further, it assists in the body’s use of protein. Magnesium is found in whole grains and whole-grain breads, beans, seeds, nuts, potatoes, avocados, bananas, kiwi fruit, shrimp, and green leafy vegetables such as spinach, kale and broccoli.
Calcium:
Essential for bone health and helps maintain the necessary level of bone mass throughout the lifespan and especially in old age. Adequate calcium intake is particularly important to help prevent development of osteoporosis, which results in weak and brittle bones in the spine that can results in painful vertebral fractures. Calcium is found in dairy products such as yogurt, cheese and especially milk; dark green leafy vegetables such as spinach, broccoli and kale; tofu, peanuts, peas, black beans and baked beans; some types of fish (salmon and sardines); a variety of other foods such as sesame seeds, blackstrap molasses, corn tortillas, almonds and brown sugar.
Specific meal timing and superfood strategies have been shown to optimize performance and recovery. As most patients are well aware, good nutrition and a balanced diet are important components of overall health. What may surprise people with back problems is that diet, nutrition and maintaining a healthy weight also play a major role in�spine health.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Peripheral neuropathy most commonly develops in patients who’ve been previously diagnosed with pre-diabetes. According to researchers from the University of Utah, early interventions can allow people to maintain their overall health and wellness. Further research studies have revealed that peripheral nerve damage begins with pre-diabetes and obesity.
Approximately more than one in three adults in the United States, about 86 million people, have pre-diabetes. Without the proper body weight and moderate physical activity, 15 to 30 percent of these individuals could develop type 2 diabetes within 5 years.
“We now know a lot more than we did 3 to 5 years ago about neuropathic pain in patients with pre-diabetes. Neuropathy affects patients with pre-diabetes in a continuum,” stated Dr. Rob Singleton, MD, and professor of neurology at the University of Utah in Salt Lake City. “We think obesity and the dysfunction of lips or fats are what’s actually causing the issues.”
During another research study conducted and published by researchers from the University of Michigan in JAMA Neurology, peripheral neuropathy was also commonly diagnosed in patients with obesity, regardless if they had normal blood sugar levels when compared with lean, control patient participants. This same study additionally confirmed that the rate of neuropathy increased in individuals with pre-diabetes and diabetes, leading the researchers to conclude that pre-diabetes, diabetes and obesity are possible metabolic drivers of peripheral neuropathy.
Dr. Singleton and his team of researchers have been studying peripheral neuropathy associated with pre-diabetes and metabolic syndrome as well as which forms of treatment may work best for the condition. Metabolic syndrome is characterized as the group of risk factors which increases the chance of experiencing heart disease, diabetes and stroke. Risk factors include: high blood pressure; elevated blood glucose, high cholesterol and abdominal fat. Throughout their research, they discovered that many patients with metabolic syndrome had pre-diabetes and peripheral neuropathy.
�We have demonstrated that in pre-diabetics with neuropathic pain, exercise can reduce neuropathic pain and can increase the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,� Dr. Rob Singleton explained in an interview with an endocrinology advisor. �You need to improve lipid, or cholesterol, function and glucose levels. Lifestyle issues have to be addressed.�
The Relation Between Pre-Diabetes & Peripheral Neuropathy
New research studies have evaluated the relationship between pre-diabetes and peripheral neuropathy. In a study published in Diabetes Care, Dr. Christine Lee, PhD, of the University of Toronto, determined that pre-diabetes created similar risks towards nerve damage and dysfunction, which often lead to the development of peripheral neuropathy, as those caused by diabetes.
Evidence suggests that peripheral neuropathy begins in the early stages of the diabetes pathogenesis. Dr. Lee and other researchers evaluated 467 individuals. The researchers found that peripheral neuropathy was common in 29 percent of adults with normal glucose levels as compared to 49 percent in adults diagnosed with pre-diabetes and 50 percent in adults diagnosed with diabetes. The researchers also established that pre-diabetes, or a progression of elevated glucose levels in the course of 3 years concluded an increased risk of developing peripheral neuropathy and nerve damage or dysfunction.
“Early interventions such as lifestyle changes involving proper diet and exercise, could be ultimately essential towards preventing severe nerve complications,” stated Dr. Christine Lee. Another study published in Diabetes Care by Dr. Rob Singleton in 2006, supported this statement. Dr. Singleton and other researchers concluded that dietary changes and physical activity can result in cutaneous reinnervation as well as improved symptoms in patients with pre-diabetes.
Peripheral Nerve Damage Before Diabetes
Its fundamental to acknowledge that the nerve injury which occurs with peripheral neuropathy can occur before diabetes develops. As a matter of fact, current research studies have shown that obesity, even with normal blood sugar levels, has been associated with causing peripheral neuropathy as well as pre-diabetes.
Fortunately, more and more research studies and evidence on the issue has been published to help enlighten doctors and the public. Although it is essential to maintain fasting glucose levels between 70 to 80 mg/dL, it is equally important to manage a healthy weight, LDL cholesterol and triglycerides. All of this can be achieved without the use of medication or bariatric procedures. Natural treatments and holistic care options are also available to help control the symptoms of the disease.
Nerve dysfunction, characterized by symptoms of pain, tingling sensations and numbness are common among individuals with diabetes. However, new research studies have found that nerve injuries can also occur as a result of obesity, where patients are diagnosed with pre-diabetes.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
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.
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