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Diabetes

Khalid Noor Aldeen is a Naturopath and has a 'Master of Herbal Medicine (USA)', 'Adv. Dip. of Nutrition', an 'Adv. Dip. of Naturopathy' and an 'Adv. Dip. of Western Herbal Medicine', is a current member of 'Complimentary Medicine Association (CMA) Australia' and 'American Association of Drugless Practitioners (AADP) USA' and has many years of experience looking after patients with Diabetes.

To book an appointment for a Diabetes consultation, please Contact Us by email or phone Natural Force Health Clinic on 0404 212 961 to arrange an appointment.

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Type 2 Diabetes Mellitus

Type 2 Diabetes

Type 2 Diabetes

Type 2 diabetes mellitus formerly known as non-insulin dependent diabetes mellitus or adult onset diabetes is characterized by hyperglycaemia and inadequate insulin secretion. It's different from type 1 diabetes mellitus in that insulin secretion may be high, low or normal, whereas type 1 diabetes has little or no insulin production due to autoimmune destruction of pancreatic B cells. Currently there is no cure for diabetes, however type 2 diabetes is preventable and we try to control it through prevention and management.

Causes of Type 2 Diabetes

The exact cause of type 2 diabetes is not clear. A familial tendency probably plays a role, with a number of modifiable and non-modifiable risk factors, especially visceral obesity thought to initiate onset. Type 2 diabetes is also seen in normal weight individuals who may have a stronger genetic tendency. The gene or genes responsible have not yet been isolated.
The pathogenesis of type 2 diabetes is characterised by an increased resistance to insulin to the insulinsensitive tissue. Persistent hyperglycaemia reduces the responsiveness of pancreatic B cells, which may augment a reduced insulin secretion. Reduced sensitivety to insulin results in increased glucose production by the liver and reduced insulin-stimulated glucose uptake by muscles and adipose tissues.
This increases the propensity to hyperglycemia. Impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) are stages in disordered carbohydrate metabolism that can progress to type 2 diabetes.

Signs and symptoms

Individuals with type 2 diabetes are often asymptomatic for a period of time before symptoms present.
Some of the symptoms of thype 2 diabetes are:

  • Blurred vision
  • Recurrent infections, particularly fungal
  • Fatigue
  • Polyuria (excessive or abnormally large production or passage of urine)
  • Polydipsia (excessive thirst)
  • Periphosis Parasthesia (cold hands and feet due to poor blood circulation - chillblains)
  • Acanthosis Nigricans (a brown to black, poorly defined, velvety hyperpigmentation of the skin)
  • Hypertension
  • Central obesity

Treatment

The first–line management of type 2 diabetes is a Low-GI, Mediterranean-style diet with an emphasis on low-GI carbohydrates and exercise

Food Group Comments
Vegetables Include a variety of at least five types of vegetables
Legumes
Carbohydrates Choose Low-GI carbohydrates
Saturated Fats Reduce saturated fats by limiting red meat and choosing low-fat dairy products
Sugar Limit or avoid sugar-rich foods
Cooking oil Use extra virgin olive oil
Nuts Include a small handful of nuts
Fish Include oily fish at least twice per week

Numerous trials and reviews have found that a low-GI diet reduces fasting blood sugar and HbA1c and is associated with better glycaemic control.

Exercise

Exercise

Exercise

Regular aerobic exercise, with at least 30 minutes of moderate-intensity on most days of the week or at least 150 minutes per week spread out over at least three sessions, is recommended for people with diabetes for glycaemic control and cardiovascular risk reduction. The American Diabetes Association recommends people with type 2 diabetes partake in resistance exercise (unless contraindicated) three times a week which have shown to improve glycaemic control and enhance insulin sensitivity.

Weight Loss

Obesity is an independent risk factor for type 2 diabetes. Weight reduction also improves glycaemic control and enhances insulin sensitivity.

Insulin

Insulin replacement may be required in some patients with type 2 diabetes when lifestyle intervention and other medication fails to produce the required results.
A responsible approach to the treatment of diabetes is essential since almost all systems of chronic degenerative change in, for example; the kidney, nervous system and blood vessels are silent in the early stages. This means that people with diabetes will never be treated by a natural therapist alone and will usually also be under the care of a specialist.

Chromium

People with type 2 diabetes have been shown to have lower plasma chromium levels and a urinary excretion of chromium twice that of healthy controls. A poor chromium intake worsens the prognosis once diabetes has developed.

Magnesium

A high daily Magnesium intake is associated with a lower incidence of type 2 diabetes, while individuals with low serum magnesium have a higher incidence. Moreover magnesium deficiency can occur among people with diabetes despite adequate dietary intake, because urinary excretion is increased in the presence of elevated insulin and glycosuria.

Zinc

Low serum zinc due to inadequate consumption of dietary zinc has been associated with an increased prevalence of type 2 diabetes and coronary disease. Zinc has been found to exert insulin–like effects by supporting the signal transduction of insulin and by reducing cytokine production.

Antioxidants

For women and men who have already developed type 2 diabetes, a more extensive treatment regime will need to be adopted. Oxidative stress contributes to the complications associated with type 2 diabetes.

Naturopathic goals in the treatment for diabetes

To reduce the risk of pancreatic B-cell failure and prevent damage to the nerves, kidney, eyes and blood vessel systems.



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