1. Prevent diabetes from ever occuring.
2. Develop the cure to diabetes.
3. Or take care of the people who have it in order to prevent complications.

All three approaches are actively being pursued by the National Institutes of Health (NIH) and the CDC, or Center for Disease Control. The National Institutes of Health is involved especially in doing research of methods to cure both type 1 diabetes, and type 2 diabetes, but they are focusing on type 1 diabetes. The Center for Disease Control on the other hand, is focusing most of the programs that it runs on ensuring that all proven science is put into daily practice for those who are dealing with diabetes. The general idea is that if every piece of important research and science is made meaningful in the day-to-day lives of people who are dealing with diabetes, then the research is not wasted. These are the approaches for a cure that are currently being pursued:

• Pancreas transplant.

• Transplantation of Islet cells which produce insulin.

• Development of an artificial Pancreas.

• Genetic Manipulation, which will create pseudo islet cells by inserting the human insulin gene into fat or muscle cells which do not normally make their own insulin.

These approaches are still facing challenges, like preventing rejection by the immune system, finding enough adequate insulin cells, keeping transplanted cells alive, etc. Progress is being made fairly consistently however, in all of these areas.

Is insulin a cure for diabetes? No, insulin is not a cure for diabetes, and neither is injecting it. Insulin can allow a diabetic to survive, but many devastating consequences can be caused by the disease when the blood sugar level is crudely controlled. The insulin injections a diabetic takes cannot be as precisely or as continuously adjusted to maintain sugar levels that are safe, in the way that blood sugar and insulin levels match normally.

The diabetic can risk a dramatic injection of insulin when blood sugar levels are too low. These reactions can include loss of consciousness, confusion, coma and even possibly death if not handled properly. When the injected insulin is below the amount that is required, the diabetic’s blood sugar can rise to cause damage to the diabetic’s eyes, heart, nerves, kidneys and blood vessels. Insulin is not a cure for diabetes, because it does not restore the diabetic’s ability to adjust their production of insulin every minute, which is a normal part of living.

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Inner City Diabetes Program

The Vine Hill Community Clinic serves an inner-city population in Nashville, Tennessee. Approximately 90% of the clinic’s patients are on a state form of Medicaid. Like many primary care clinics in the U.S., Vine Hill provides outpatient care to many patients with type 2 diabetes. Diabetes is the leading cause of adult blindness, kidney disease, and amputation. Although almost 18 million people in the U.S. have diabetes, less than optimal care is often provided, particularly in at-risk communities. Improving care for these patients is vital because many complications may be helped or avoided with good care and behavioral changes.

Recognizing the urgent need for improved diabetes care, the Vine Hill clinic contracted with LifeWings in 2004 to provide what is considered to be a very promising form of training for the healthcare industry: Crew Resource Management (CRM) based training. CRM is a team based approach to service delivery not usually found in the medical arena. CRM was developed in the 1990s to reduce the human error component of aviation accidents. CRM produces an inclusive, organized, collaborative environment in which potentially high-risk decisions can be made with the most possible information and high degrees of accountability and flexibility. CRM enables teams to make better decisions and have the best chance of avoiding negative outcomes. The methodology has worked remarkably in aviation, arguably the safest high consequence industry, resulting in no U.S. passenger deaths in three years.

The Vine Hill Community Clinic initiative included a formal study conducted on visits from 619 type 2 diabetes patients over a thirteen-month period. The conclusions of the study state that the CRM training was instrumental in improving the diabetes care process and the patient outcomes. The number of patients who met the recommended levels for blood pressure, amputation risk, body weight, and other factors improved after receiving care from the CRM trained staff. Further benefits to the clinic include improved organization of diabetes care team, decreased patient visit time, and shorter orientation periods for new staff: all very important cost-saving measures for the severely under-funded public health sector. Although follow-up training is important to the continued success, the improvements from this training are viewed as significant to this clinic.

The success of this effort, and others like it, are not going unnoticed by the medical community. With persistent press about the alarming number of preventable, error-induced deaths in the U.S., medical providers are desperately looking for innovative ways to improve patient care. Many medical care providers never receive formal training on teamwork, situational awareness, or conflict management. Critical communication skills that could save lives are often not taught, monitored, or measured. Protocols and checklists are often not a part of typical medical care delivery, in the clinic or in the operating room. Contrast this with the systematic, documented, and mandatory recurring training received by those in the aviation community and it is not hard to see why the numbers are materially better. CRM ensures all members of a crew flying an aircraft know their responsibilities, protocols, and obligation to speak up if they feel something is not safe. The medical community is learning that applying these principles to healthcare delivery can provide measurable improvements for their patients.

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What if by running the right tests, your physician could determine not only where your diabetes stands right now, but also whether it is progressing or reversing?

Stuart Seale, MD, Medical Director at Lifestyle Center of America and author of the book The 30-Day Diabetes Miracle, has outlined three important tests your doctor needs to do for you and why each test is crucial:

Lipid Profile

If you have diabetes and do not get a yearly lipid profile check up, be SURE to ask your doctor about it. This test measures the levels of total cholesterol, HDL (good) cholesterol, LDL (bad) cholesterol and triglycerides. Test results will indicate if you’re at risk for artery blockage. The most common artery blockage in the US (and the leading cause of death) leads to heart attacks. Another risk is stroke. Sixty five percent of those with diabetes will die of a heart attack or stroke. Ideal results are:

a. Total Cholesterol – less than 150 mg%
b. LDL Cholesterol – Less than 70 mg%
c. Total Cholesterol : HDL Cholesterol Ratio – 3:1 or less

1/3 of heart attacks happen when one’s cholesterol is between 150 – 180 mg%. So if your numbers are in that range (especially if above it), use the principles in The 30-Day Diabetes Miracle to lower them.

Fasting Serum Insulin and Blood Sugar Levels

You may have already had one of the tests done. However, the combination of the two is used to calculate insulin resistance, and that is key to stopping the progression of diabetes. Insulin resistance increases the risk of strokes and heart attacks, can damage the pancreas, eyes and nerve endings, and is a precursor to type 2 diabetes. This test is important in knowing whether your body is getting more resistant to insulin or not. Our book covers the topic of insulin resistance and ways to reverse it. Because most physicians do not run the tests simultaneously, they may not know how to calculate the results. You may want to consider an evaluation by a physician at Lifestyle Center of America.

25-hydroxy Viamin D level

Most adults have suboptimal levels of Vitamin D. (anything less than 40 ng/ml of 25-hydroxyl Vitamin D) Suboptimal levels will put you at risk of developing type 1 and type 2 diabetes; depression; psoriasis; and cancers of the skin, colon, breast, prostate, ovaries, and lymph glands. Other manifestations of vitamin D deficiency include osteoporosis, high blood pressure, and multiple sclerosis. Vitamin D deficiency can lead to lack of energy which is prevalent in people with diabetes. Be sure to ask your doctor for the 25-hydroxy, not the 1,25-hydroxyl Vitamin D test, as the second test is not completely accurate. The most effective way to treat Vitamin D deficiency is with a supplement such as cholecalciferol.

The three powerful tests outlined above can help you and your physician stop the progression of your diabetes.

The results can outline areas of improvement. But it is up to you to make changes that will stop diabetes in its tracks and start reversing its progress. The 30-Day Diabetes Miracle is a great tool to get you started right at home.

Reviews of The 30-Day Diabetes Miracle:

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You can visit the BYETTA Let’s Talk Campaign booths from 10am – 9pm on the days of the show to watch Chef Smith cook delicious, healthy meals, speak to Virginia Valentine or meet Nikki Kimbrough of Bally Total Fitness.

In an earlier article titled Delta Burke is Battling Diabetes with the Let’s Talk Campaign I went into detail about Delta Burke currently battling her own Diabetes and her efforts to spread the word on a healthier lifestyle for diabetics.

For those who suffer diabetes or for their caretakers in the Boston area please get out to the Bayside Expo Center and learn some really great pointers on how to battle diabetes successfully allowing yourself a happier healthier life.

More Byetta Let’s Talk Events

• Byetta Let’s Talk New York City
• Byetta Let’s Talk Atlanta
• Byetta Let’s Talk Philadelphia
• Byetta Let’s Talk San Francisco
• Byetta Let’s Talk Washington DC
• Byetta Let’s Talk Chicago
• Byetta Let’s Talk Dallas
• Byetta Let’s Talk Detroit
• Byetta Let’s Talk Los Angeles

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With all the fitness and diet programs out there, you would think people in our country would be getting in better shape. We’re not. Why? All of us are confused, frustrated and burdened down at the contradictory of medicine and fitness for one reason, and the other reasons involve issues we have already discussed.

The key in motivating yourself to exercise is to keep your eye on the big picture. If you don’t, the details will become a quicksand pit. The big picture is: JUST MOVE IT!

So much money and time is spent on gimmicks and diet fads that only get used for a short time, with little or no results.

The big picture is about being realistic, not to have high expectations, but to focus on internal health issues, such as blood pressure, body fat, cholesterol levels, and a quiet mind. The challenge is that you have grown accustomed to being motivated by instant gratification. It is more of a priority to look good rather than to have lower stress levels.

You get frustrated because you are trying to fight a battle you can’t win with something fast and easy. It’s called aging. You blame aging on other things in hopes there is something out there that you can do or take that will get you the results you want in the shortest amount of time. The truth is while good looks are a good measurement; they are only perks in the big picture.

THERE ARE NO MAGIC FORMULAS

The “Wellness Industry” is the fastest growing industry today. Why? Because millions of people are searching for some hidden treasure box with a magic formula. The truth of the matter is you will never replace HARD WORK! There are parts to any exercise program that work. Yet, anything promising fast results is usually too good to be true and will set you up for disappointment.

MORE IS NOT BETTER

Logic will say if I walk for twenty minutes, I will burn this amount of calories. If I walk forty minutes, I will burn twice as many calories and be in better shape. Not so!

When it comes to exercise, the term “Over Training” is used when muscles have reached their limits, run out of nutrients and need replenishing, but do not get it. Sometimes you will see this in poor sleeping patterns, added soreness, plateaus and boredom in workouts that make us aware of needing rest. For the athlete, one of the hardest things, yet best things for us to do, is consciously listen to our bodies. Sometimes the body’s requirements go against logic. There may be situations where your body needs more rest time to rebuild itself. Sooner or later you will hit a wall and then what are you going to do?

EXERCISE SMARTER, NOT HARDER

When it comes to maintaining an exercise program let’s face it, it is hard work. It can be hard at times and it never seems to get any easier. Harder exercise is not the answer to better results, but doing it effectively and efficiently is. No matter how old you or what your goals are it’s important to incorporate all areas of fitness into a program:

” Joints- through flexibility exercises

” Heart-through cardiovascular workout,

” Skeletal muscle -with strength training.

” Balanced eating habits

When all areas are implemented in a regular routine, they build on each other. Something is better than nothing, but if your program is lopsided, meaning lacking in one area or another, your results will be affected.

Twenty years of dedicated exercise has taught me three principles that have kept me motivated over the years.

Greg Ryan is a high profile fitness expert and former employee of Kathy Smiths. Body building champion, public speaker and personal trainer to the stars. He is a best selling author of the Changing from the INSIDE OUT through real behavior change, smart eating and effective exercising. Start getting in better shape today! For FREE MINI COURES click here http://www.resolutions.bz

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It was once thought that flavonoid rich foods such as apples, broccoli, tea and red wine were responsible for reducing the risks of diabetes. This was based on a study published in the Journal of Nutrition. After a multi-variable adjustment, it was found that the flavonoid consumption was not the key to the reduction of diabetes risk. The red wine however still played a roll. But who’s going to drink red wine on New Years? I’m drinking champagne.

It was then discovered that women who reported drinking red wine more than once a week showed a 16 percent reduced risk of diabetes compared to woman who reported drinking red wine less than once a week. The same findings were reported for white wine, beer and liquor. These new findings suggest that there is a common protective effect found in all alcoholic drinks.

Drink up and have a Happy New Year!

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The March 2008 issue of Diabetes Forecast, the consumer magazine of the American Diabetes Association (ADA), features an article about assistance dogs that are trained to sense episodes of human hypoglycemia, or low blood glucose, and sound a life-saving alert.

According to the article, these dogs seem to sense a dangerous drop in blood glucose before it begins, allowing the people they work with to prevent an episode altogether. Some dogs seem to sense high blood glucose, too. Mark Ruefenacht is a forensic scientist with type 1 diabetes who started a hypoglycemia alert dog training center in California and has been placing trained dogs with people who need them for three years.

“Clients are coming back saying, ‘I have never had better control of my blood sugar in my life as I have since I got this dog.’”

Scientists remain unsure about how the dogs are able to sense changes in their human companions. It is believed that the dogs are reacting to scents created by chemical changes related to glucose imbalance, but no one knows exactly which chemicals cause the scent. Despite this scientific uncertainty, hypoglycemia alert dogs have provided a great sense of relief to people with diabetes and their families, including parents of young children with diabetes and adults whose history of hypoglycemic episodes made it difficult or even dangerous to live alone.

Currently, there are only a few groups in the United States that are training assistance dogs to sense hypoglycemia. The training requires years of expensive work, which severely limits the number of people who can be paired with dogs. For those who do get the chance, however, the benefit can be remarkable.

“The first time that dog gets you up in the middle of the night because your child is dropping into a serious low, rapidly you realize it’s worth every penny you spent, and every minute you had to wait,” says Donna Cope, whose child has diabetes.

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