by Bina Pattel
Since 2007, the United Nations recognises Diabetes as a Global threat and designates November 14th each year as World Diabetes Day, in honour of Frederick Banting’s birthday. (1)
Diabetes is a very common disease, which is rapidly growing. In the past it was a problem of industrialised nations, but today it is fast becoming a global epidemic.
Sir Banting was a medical scientist from Canada who was the first person to use insulin on humans.
So what has changed in the past 9 years since we started World Diabetes Day?
Here are some statistics, which clearly confirm that this disease is on the rise and it most certainly is a ‘global threat’.
These statistics are from a study called ‘Worldwide Trends in Diabetes Since 1980: a Pooled Analysis of 751 Population-Based Studies with 4.4 Million Participants.’ The study was published in The Lancet on 6th April 2016. The research was led by scientists from Imperial College London and involved Harvard T.H. Chan School of Public Health, the World Health Organization and nearly 500 researchers across the world. The study compared diabetes levels among men and women from 1980 to 2014.
The study found –
That is over $12,400,000,000 billion US dollars.
10% of the NHS money is quite a lot. If it continues at the current rate, certainly it will not be sustainable.
Dr. Srikanth Bellary, Clinical Director, Diabetes. (6)
So just in case you don’t know, England is a small part of the UK.
Check out these figures again and this is super serious and no wonder they say diabetes will bankrupt the NHS if we don’t make lifestyle changes now.
Diabetes will have a tremendous burden on our National Health Service, which is probably unaffordable and it will be much cheaper to actually change lifestyle now and prevent people from developing these complications than to try and pay for it through the NHS.
Prof. Timothy Barrett, Birmingham Children’s Hospital (6)
Consider what England could do with a spare £10 billion every year.
Consider if funding was available to inform and educate every single person about diabetes.
Consider the impact on our families, communities and society as a whole if we start to take Responsibility for how we are choosing to live every day.
March 2016 (11)
Just in case you are not up to date, we had a World Health Day back in April this year (2016) and the topic was Diabetes.
Our blog back then mentioned a few things about one of our oldest known human diseases, which is also one of the major causes of premature illness and death in most countries.
This speaks volumes if you stop and think about it for a moment.
Next – we have a kingpin on diabetes saying –
This is the first time we have had such a complete global picture about diabetes – and the data reveals the disease has reached levels that can bankrupt some countries’ health systems.
The enormous cost of this disease, to both governments and individuals could otherwise go towards life essentials such as food and education.
Until we find effective ways of addressing the global obesity epidemic, the key to tackling diabetes crisis is focusing on individuals who are at high risk of the condition.
Professor Majid Ezzati, senior author of ‘Worldwide Trends in Diabetes Since 1980: a Pooled Analysis of 751 Population-Based Studies with 4.4 Million Participants.’ Ezzati is from the School of Public Health at Imperial College London and is an adjunct Professor of Global Health at Harvard Chan School. (2)
The most important risk factor for diabetes is obesity. Yet global obesity levels are soaring out of control.
Goodarz Danaei, co-lead author of ‘Worldwide Trends in Diabetes Since 1980: a Pooled Analysis of 751 Population-Based Studies with 4.4 Million Participants.’
Danaei is an assistant Professor of Global Health at Harvard Chan School. (2)
So here we have the bigwigs on this global study telling us that our health systems are in serious trouble and we need to address our widespread issue on obesity, which is out of control.
Can we agree that we now have enough evidence, statistics and proof that there is a direct link between sugar, obesity and diabetes?
Do we need more research?
What more is there now that we need to prove?
Are we getting any closer to the root cause of diabetes?
WHY is diabetes on the rise?
WHY are our kids getting diabetes at such young ages?
WHY does someone get diabetes in the first place?
WHY are we accepting diabetes like it is some bad luck thing some of us get?
WHY are we using the blame game but not asking if we have a hand in this?
Does diabetes have something to do with how we are choosing to Live?
Is diabetes telling us something more as it has been around since day dot?
We now know it is one of our oldest known diseases and yet no cure.
Why have we not asked the WHY questions?
WHY is this human disease still around today when it was first mentioned in 1552 BCE? (1)
WHY is diabetes and the rising rates not the hot topic on every dinner table today?
WHY are we not making this our business to know what is going on?
WHY are we not aware of what diabetes really is?
WHY is diabetes such a common disease?
WHY do we not know 100 years later, how insulin exactly works?
WHY do we not know the real facts about the dangers of diabetes?
WHY are we just thinking it is ok to live with diabetes?
WHY are we saying living with insulin every day is living a ‘healthy life’?
WHY are we not all aware of pre-diabetes?
WHY are we not well informed and educated about pre-diabetes?
Are most of us aware of what this actually is and how serious this is?
WHY are there long-term complications with Type 1 diabetes?
WHY are we celebrating the 75th anniversary of the discovery of insulin?
What exactly are we celebrating?
Is this evolution for one of our oldest diseases?
Have we got the answers?
Are are we any closer to finding a cure?
WHY do we not have the answers for diabetes if the first insulin patient was in 1922? (1)
WHY did Insulin go into mass production 94 years ago? (1)
16th Century (1)
WHY is diabetes not seen as ‘a serious general disorder’ when we were told 500 years ago?
Modern diabetes treatment has now abolished the idea of emaciation caused by the excessive loss of glucose into the urine. In its place, diabetes has transformed into a wholly different kind of killer. (9)
How many of us think of diabetes as a killer disease today?
WHY are we so complacent about this illness that so many now have?
WHY do we accept that diabetes is ok as we view it as not life threatening?
WHY have we not taken on board that there maybe a possible clue to what was discovered exactly 100 years ago?
Could it be possible that Joslin was telling us something simple and basic about diabetes?
Could it be possible that by addressing what the body needs this can make a difference?
Could it be possible that lifestyle changes are the simple answer?
Could it be possible what this man was telling us 100 years ago is relevant today?
So What Exactly is Diabetes?
What is Insulin?
Insulin is a hormone and is the main regulator of the sugar (glucose) levels in the blood.
Hormones regulate the cells of the body and are produced by glands.
Our glands are part of the Endocrine System which regulates metabolism, growth and development and tissue function. It is also responsible for sleep and mood and much more.
Diabetes is known as a common endocrine disease.
Insulin is produced in our pancreas by the beta cells within the cluster of cells called the Islets of Langerhans.
Insulin helps a cell to absorb glucose from the bloodstream.
When we eat our glucose levels rise and insulin is released into the bloodstream. The insulin opens up cells so they can take in the sugar and use it as an energy source.
Our body gets sugar in many forms and carbohydrates are the main ones.
In the digestive process carbs are broken down to glucose.
Carbohydrates include bread, pasta, rice, potatoes and all sweets.
Those who have diabetes either have a lack of insulin or a resistance to insulin, which means the sugar remains in the blood, which then results in blood glucose levels rising.
Type 1 diabetes requires an exact dose of insulin a few times a day.
Overdose of insulin lowers the blood sugar concentration and can result in a coma or even death.
A clear confirmation of the seriousness of this disease.
If blood glucose levels are low, the patient suffers from an overdose of insulin.
If blood glucose levels are high, the patient does not have enough insulin.
So if the blood sugar is too low, it needs to be treated with glucose, like orange juice, which is high in sugar.
This is also known as ‘hypo’. When someone has low blood sugar, it deprives the brain of the energy it needs. With severe hypoglycaemia, people can become drowsy, unconscious or even have an epileptic fit.
Symptoms of Hypoglycaemia
Feeling sweaty or cold and clammy
Trembling and feeling weak
Unable to concentrate
Feeling upset or angry
Behaving like person is drunk
Common Causes of Hypoglycaemia
Drinking too much alcohol
Eating later than expected
Burst of unexpected exercise
If the blood sugar is high, it is treated with insulin as this helps the cells to absorb glucose from the bloodstream. (13)
To date researchers do not know exactly how insulin works. (14)
Hello – can we stop and re-read this please
How come we don’t know?
WHY is this not a priority?
Are our researchers eating too much sugar so they are blind to the answer?
Our current intelligence marvels on all the advancements made like, life on other planets, building a city from desert land BUT we don’t know how insulin works?
Is this making any sense?
The Discovery of Insulin
We have known since the 19th century that patients who died of diabetes often showed that the pancreas was damaged.
1869 – Paul Langerhans, a medical student from Germany found that inside the pancreatic tissue which produces digestive juices, were clusters of cells and their function was unknown. These cell clusters which produced insulin were named the Islets of Langerhans.
1889 – Physiologist Oskar Minkowski discovered two main functions of the pancreas:
1. to produce digestive juices
2. to produce a substance that regulates the sugar glucose
1921 – Dr. Frederick Banting and Charles Best began experiments by removing the pancreas from a dog which resulted in the following:
Blood sugar rise
Need to drink more water
Urinating more often
Body became weaker and weaker
The dog had developed diabetes. (15)
Next experiment they surgically tied up the pancreas on another dog to stop the flow of nourishment so the pancreas degenerated. It was then removed, cut up and frozen in water and salts. This substance was ground up and filtered. The substance was called “isletin” and it was injected into the diabetic dog few times a day.
Blood Glucose levels dropped
To continue testing more, larger supplies of organs were needed so pancreases from cattle and pigs were used. The extract was called insulin.
Biochemist Bertram Collip joined the team with the task to purify the insulin so that it would be clean enough for human testing. Whole fresh pancreases from adult animals were being used.
1922 – Leonard Thompson aged 14 was near death. After the insulin shots he rapidly regained his appetite and strength. (15)
1923 – Medical firm Eli Lilly started mass production of Insulin. They were producing enough insulin to supply the entire North American continent. (15)
The discovery of insulin was awarded a Nobel Prize in Physiology and Medicine.
To date it is one of the biggest discoveries in medicine. (15)
1936 – Protamine, a protein found in fish sperm was added to make insulin release more slowly into the blood. The body was able to break this protein down slowly. (14)
Today genetically modified bacteria or yeast is produced to get a perfect copy of human insulin.
1982 – Mass production of Humulin which is the first biosynthetic and identical in chemical structure to human insulin. (1)
Human insulin is grown in the laboratory inside common bacteria.
The human protein that produces insulin is manufactured through an amino-acid sequencing machine that synthesises the DNA.
Synthesising human insulin is a multi-step biochemical process that depends on basic DNA techniques and understanding of the insulin gene.
Manufacturers manipulate the biological precursor to insulin so that it grows inside simple bacteria.
If you really want to know the ins and outs of the chemical structures and the full manufacturing process, check out this website on how human insulin is made.
Scientists conduct the first successful islet transplant at the University of Alberta Hospital. The surgical procedure becomes known as The Edmonton Protocol. (1)
Researchers are currently producing several new drug delivery devices. They are also exploring ingesting insulin through pills but need to look at covering them with plastic if they are to bypass the stomachs highly acidic environment.
There is also talk about inhaling insulin, using aerosols to administer insulin to the inner cheek and insulin patches. They are also talking about one day replacing the non-working pancreas cells with insulin-producing cells.
Researchers at the University of Alabama, USA are looking at ways to wrap pig tissues with a protective coating. The ultimate goal is to transplant insulin-producing cell clusters from pigs into humans that have Type 1 diabetes. This would replace the need for daily injections. (16)
So how do we feel about having pig tissue inside us?
Are we now tampering with the laws of nature by taking from the animal kingdom?
Are we concerned where we get our insulin from?
Are we bothered about the animal welfare here?
Are we aware of the quality of the organ that we are receiving?
Are we just desperate to get ‘fixed’ so we can continue life as usual?
Are we any closer to finding out WHY we get diabetes?
Is this really the ‘ultimate goal’ or is there more?
Scientists are also working on correcting the insulin gene’s mutation so that diabetics would be able to produce insulin on their own.
WHY are we finding more ways to administer insulin?
WHY are we not focused on funding research to get to the root cause?
WHY on earth have we developed this disease in the first place?
According to the American Diabetes Association –
Rapid-acting insulin reaches the blood within 15 minutes and peaks at 30 to 90 minutes and may last 5 hours.
Short acting insulin reaches the blood within 30 minutes, peaks about 2 to 4 hours later and stays in the blood for 4 to 8 hours.
Intermediate-acting insulin reaches the blood 2 to 6 hours after injection, peaks 4 to 14 hours later and can last in the blood for 14 to 20 hours.
Long acting insulin takes 6 to 14 hours to start working, followed by a small peak soon after and stays in the blood for 20 to 24 hours. (14)
With due respect to modern science for all that it is doing to keep us alive and existing with new forms of medicines – is this the answer?
Is this the solution?
Is this the remedy to keep us going so we can function?
Is this the licence to continue existing but not look at how we are choosing to live?
Is this the passport to live like we used to before diabetes and not make any changes?
Is this dependent way of staying alive causing us other ailments or illnesses?
Is self-management the real way forward for this global epidemic?
Many people with diabetes also need to take medications to control their blood pressure and to control their cholesterol.
High Blood Pressure (4)
71% of adults diagnosed with diabetes had high blood pressure or used prescribed medications to lower blood pressure. (2009 – 2012)
High Cholesterol (4)
65% of adults diagnosed with diabetes had high blood LDL cholesterol or used cholesterol lowering medications. (2009 – 2012)
WHY is there a direct correlation with diabetes and medication for high blood pressure and cholesterol?
Could it be possible the diabetes medication may have side effects that affect our blood pressure?
Could it be possible that our body is under pressure because of the way we are living?
Could it be possible that our breathing is altered with excess sugar and this gives rise to our blood pressure?
Could it be possible that our modern high fat diet is the main contributory factor to why we have high blood cholesterol?
Could it be possible that by reducing fat and sugar in our diet we would see a significant change in blood glucose levels?
Could it be possible our body is simply reacting as it does not want artificial foods to alter its natural state?
Can our lifestyle choices really make a difference?
Could it be possible that the way we are choosing to live plays a hand in this illness?
Could it be possible that we need more education about what diabetes is?
The need to tackle this serious health condition has never been so stark or so urgent. Tragically, we are continuing to see too many people with diabetes suffering serious complications, and even dying before their time, and we know the key reasons for this are that they are being denied both the care and access to education that would help them to manage their condition well.
Diabetes education needs to be readily available everywhere and commissioned along with a proper local system that explains to people with diabetes the benefits they will gain from attending an education course and ensures that courses are well run.
Chris Askew, Chief Executive, Diabetes UK (7)
WHY are most of us not aware of the serious complications related to diabetes?
WHY is there little education in all our communities worldwide about diabetes?
Do we have a say who can run courses to educate us on diabetes?
Would it be wise to have those who have the condition to tell us more?
OR would it be more benefit to have presenters to educate us on diabetes who clearly are not in the pre-diabetes category?
In other words, they are choosing to live in a way that demonstrates they are taking RESPONSIBILITY for their own health and well-being.
Could it be possible that we need to get more real and honest about this epidemic that is threatening health systems around the world?
1959 – Two types of diabetes were identified.
Type 1 diabetes previously known as insulin-dependent or juvenile diabetes.
Type 2 diabetes is non-insulin dependent.
Type 1 Diabetes
Accounts for approx. 10% of cases. (13)
Scientists do not know why this happens.
We all know our human body has an intelligence like no other.
Do we honestly think that our body is making a ‘mistake’ when it attacks itself in some way?
Can we simply just accept what we are being told by the experts that “by mistake it attacks its own insulin producing cells”? (13)
Could it be possible that the way we are choosing to live is why our body is attacking itself?
Are we complacent in thinking that there is going to be enough insulin to keep us going forever?
Are we aware that our fat cells are doing another job than what they naturally need to?
Do we realise that our body’s internal systems are not in harmony if we have diabetes?
In other words – inside the body our organs are having to work in an un-natural way.
Back to Type 1 –
People with Type 1 diabetes usually inject insulin three to four times daily
Kidneys have to work harder to remove the excess glucose
More water being extracted leads to heavy urination
Feeling of insatiable thirst
Fat cells are broken down to counter sugar loss
Toxic levels of acids build up in the blood – Ketoacidosis
Without daily insulin treatment this type of diabetes can rapidly lead to a life-threatening situation.
Is it true to say that patients can ‘live a perfectly normal life’ with insulin treatment?
Who is defining what a ‘perfectly normal life’ actually is?
Has our ‘perfectly normal life’ deviated further away from our natural state?
Are we accepting the words ‘perfectly normal life’ because we can function?
Are we ok with the fact that our kidneys are overworking because of our diabetes?
Is a kidney condition a secondary condition because of diabetes?
Symptoms of Type 1 Diabetes (13)
Excessive thirst and dehydration
Hunger accompanied by weight loss
Weakness, tiredness and sleepiness
Vomiting or nausea
Type 2 Diabetes
85-90% of diabetes cases are Type 2. (2)
The cells in the pancreas do not react to insulin in a natural way and this is called insulin resistance. Normally, insulin binds to receptors on the cell surface. This then activates the glucose transporter molecules in the cell membrane so glucose can enter the cell.
Insulin resistance occurs when some glucose is locked out of the cells.
Average of seven years from onset of the disease to diagnosis.
This means some already suffer damage to blood vessels, kidneys, eyes and nerves. (13)
Type 2 diabetes generally occurs in obese people and those middle aged and older.
Symptoms of Type 2 Diabetes (13)
High rate of infections
Slow healing process
Drugs are prescribed to manage Type 2 diabetes and patients are instructed to have a healthy diet and plenty of exercise.
Can we stop for a moment and ask who is defining the words “healthy diet”?
Are those writing diabetic diets equipped and educated in the facts about diabetes?
Type 2 diabetes can be delayed or prevented in 58% of cases. (11)
We all know that for most cases of Type 2 diabetes it is preventable through lifestyle choices.
So who knows what lifestyle choices are good medicine and who is advising us?
Does the person giving us the message Live in a True way that is not harming the body?
Is it just about diet, nutrition and getting more sleep?
Have we forgotten some of the vital ingredients like living a deeply self-connecting life?
That means our priority is staying connected with our body and listening to it.
Are those putting websites out to guide diabetics on what to eat really the masters of healthy living when they themselves are diabetics?
WHY have we allowed the Internet to be a licence to post anything we want, which includes 3 tablespoons of sugar in a chocolate caffeine drink for diabetics?
If we stick our common sense hat on for one moment – is this making any sense?
Could it be possible that if an organisation posts a recipe for a diabetic beverage containing 3 tablespoons of sugar, we have a responsibility to question this with our common sense hat on?
Have we lost our moral compass?
Are we going to just read what’s out there and apply it as it suits us?
Could it be possible that we are going to find websites that don’t truly offer real change because that is what we are seeking?
Could it be possible that in our campaigns to defeat diabetes we may have a blind spot in us because we are pre-diabetes or already have the dis-ease in our body?
WHY are our healthy eating advisors not getting long-term results?
WHY are there more and more new diets reducing sugar that are not really working?
WHY do we continue to eat copious amounts of sugar every day whenever we want?
WHY are we pretending that sugar free is not really sugar free in our body?
WHY do we consistently need this excess sugar to keep going?
WHY are our children craving more and more sugar every day?
WHY is our human body not valued and appreciated as a precious vehicle?
WHY do we need sugar taxes and regulations to try and stop us eating sugar?
WHY does the optician tell us that cutting out sugar will improve our eyesight?
Is there a direct correlation with eating sugar and the health of our eyes?
Do we just want a solution to keep on functioning but not ask the WHY questions?
Are we asking – WHY has our body arrived at diabetes?
What is going on in our life at the time when diabetes is triggered?
Was there something major that happened to us when we were diagnosed with diabetes?
Are we afraid to go there and look at the possible answers to these questions?
Do we truly want to take Responsibility?
Does our body really want exercise that is too aggressive for our overworked kidneys?
October 3rd 2016
BBC 1 ‘Diabetes: The Hidden Killer’ (Panorama) reported that approx. 40% of the patients at Birmingham Heartlands Hospital on kidney dialysis were Type 2 diabetic. (6)
If we have Type 2 diabetes we are over three times as likely to have kidney disease. (6)
Type 2 diabetes in children –
I didn’t quite believe it. It wasn’t in any of our medical textbooks. We didn’t get taught it in medical school, so we didn’t expect to see it as an issue. We thought it was an American problem but in the year 2000 we saw the first cases in the UK, here in Birmingham.
Prof. Timothy Barrett, Birmingham Children’s Hospital (6)
So here we have a Professor of a Children’s Hospital saying diabetes was not in the medical textbooks so obviously the question is who was writing our textbooks?
We are seeing twice as many children developing Type 2 diabetes than we were seeing in 2004/5. A striking number of the children have evidence of fatty infiltration of their liver and abnormal liver function tests.
Prof. Julian Hamilton-Shield, Bristol Royal Hospital for Children (6)
Have we considered what the ‘striking number’ may possibly be today?
What is going on that our kids have abnormal liver function?
Children are developing Type 2 diabetes as young as ages 11 and 12.
One doctor says: “I saw a child last week who was developing cirrhosis of the liver.” (6)
Type 2 Diabetes in children may be a different disease to Type 2 diabetes in adults. Adults who get this at age 50 may not necessarily get these other types of complications, but the children we see with Type 2 seem to have got a more aggressive progress and they’re getting complications earlier than you would expect
Prof. Timothy Barrett, Birmingham Children’s Hospital (6)
Please re-read this as this is super serious stuff here.
Children are showing different complications to adults with the same disease and the process is more aggressive.
WHY are our children amongst the highest in Australia?
What is going on for these children that triggers diabetes?
Diabetes risk doubles with more than 2 soft drinks daily. (19)
Researchers found that adults drinking two 200ml of soft drinks a day – whether it contained sugar or artificial sweetener were twice as likely to develop LADA and 2.4 times more likely to develop Type 2 diabetes.
Adults who consumed five 200ml servings of soft drinks daily were found to be at 3.5 times greater risk of LADA and 10.5 times at greater risk of Type 2 diabetes, regardless of whether the drinks were sugary or artificially sweetened.
Latent Autoimmune Diabetes in Adults (LADA)
LADA is a subtype of Type 1 diabetes. It is sometimes referred to as “Type 1.5” diabetes as it shares some characteristics of Type 1 and Type 2. It is believed to be an autoimmune disease like Type 1 but it also incorporates insulin resistance like Type 2. (19)
So here we have it in black and white with no mincing of words.
There is no difference in the body if we have sugar or artificial sweeteners.
Have we been fooled by the name when it says sugar free or zero sugar?
Are we ever told that it makes no difference when we have these diet drinks?
Are the advertisers taking any responsibility selling us sugar free beverages?
Would we benefit if our social media alerted us with raw uncut facts about diabetes?
Do we realise that the harm to our body is going on and nothing has actually changed?
Are our sugar drinks’ manufacturers really interested in our health and well-being?
Are we accepting that profits before people is the norm these days?
WHY are we not asking questions about what goes into our food and drink?
WHY do we love the taste of sugar so much?
Could it be possible that we crave sugar because there is a lack somewhere?
Could it be possible that all the questions in this blog is spelling out another way?
Sleep Apnea (20)
Researchers found that people with severe obstructive sleep apnea were 70% more likely to have Type 2 diabetes compared to normal sleepers.
Obesity leads to a greater risk of Type 2 diabetes and sleep apnea.
Patients at particular risk for developing diabetes are overweight and physically inactive people.
Dr. Paul E. Peppard
University of Wisconsin School of Medicine & Public Health, Madison, USA (20)
Again we have it – another confirmation about being overweight and not physically active.
Do we actually need more evidence or proof that there is something in the way we are living that is directly contributing to our ill health?
The Commonwealth Scientific and Industrial Research Organisation (CSIRO) have released trial findings involving a lower carbohydrate diet and exercise program for people living with Type 2 diabetes.
They are advocating for government funding to translate research findings into a lifestyle modification program that can be offered to the public. (21)
Would a common sense diet be enough to start with while we are waiting for a lifestyle modification program to tell us what to do?
Is this confirming that having less carbs in our diet means better glucose stability in our blood?
Is this study the proof we need, as the low carbohydrate diet showed greater reductions in diabetes medication requirements?
Any kind of weight loss will make a difference to diabetes control.
Professor Noakes, Research Director for Nutrition and Health, CSIRO (11)
9 out of 10 Type 2 diabetes patients are overweight or obese. (6)
Hold on – can we just stop and press the pause button here.
90% of our Type 2 Diabetes patients are overweight or obese.
So what is going on in life that makes a person overeat consistently?
WHY are we not concerned when our BMI is well over the average?
WHY do we ignore the excess fat we are carrying around every day?
WHY are we not educated about eating only what our body needs?
What is our emotional state, if we are being honest, when we have an obesity issue?
Pre-diabetes, also commonly referred to as borderline diabetes is a metabolic condition and growing global problem that is closely tied to obesity.
If undiagnosed or untreated, pre-diabetes can develop into Type 2 diabetes.
Pre-diabetes is characterised by the presence of blood glucose levels that are higher than normal but not yet high enough to be classed as diabetes.
For this reason, pre-diabetes is often described as the “gray area” between normal blood sugar and diabetic levels.
So here we have even more to add to the statistics of diabetes. Thank God is what we should be saying as we now have enough technology to detect that we may get diabetes.
Is this enough for us while we chomp away at our chocolate or high sugar coffee shop drinks?
Is this the wake-up call we need to stop eating foods that are cooked with sugar and fats that our body simply does not need?
Is this shocking number going to get us away from our take-away full of hidden sugar?
Is this word ‘pre-diabetes’ stirring up anything inside us to make a change now?
It can be very frustrating walking down the high street and seeing all the high fat, high sugar, high calorie cheap food on offer. There does still seem to be a huge resistance to looking at changes.
Mr. Martin Claridge, Clinical Director, Vascular Surgery (6)
HbA1c is a term commonly used in relation to diabetes. It develops when haemoglobin, a protein inside the red blood cells that carries oxygen throughout our body, joins with glucose in the blood becoming ‘glycated’.
By measuring HbA1c (glycated haemoglobin), clinicians are able to get an overall picture of what our average blood sugar levels have been over a period of weeks/months.
This is important for people with diabetes as the higher the HbA1c, the greater the risk of developing diabetes-related complications.
HbA1c is also referred to as haemoglobin A1c or simply A1c.
HbA1c provides a longer-term trend, similar to an average of how high your blood sugar levels have been over a period of time whereas blood glucose level is the concentration of glucose in the blood at a single point in time e.g. at the time of the test only.
So here we have the know how – the tools to detect even more about our blood sugar levels.
What happens now?
How are we going to use this information?
What do our medical experts need to say for us to make changes?
WHY do we need a HbA1c to confirm our trend in lifestyle choices?
Do our daily choices have a hand in our blood sugar levels?
Is it the job of the hospital consultant to tell us to change our diet and start exercising?
Is it our responsibility to apply some common sense and just get on with it?
Is it our responsibility to take note of the medical staff and take action?
Is it ok to simply turn up and nod at the hospital staff but make no effort to change?
Is it acceptable to go back and take up another appointment without making any changes?
WHERE IS OUR RESPONSIBILITY?
Is HbA1c going on inside our body because we feel alone, isolated, dis-connected to who we truly are and no longer a part of the whole?
In other words, we cannot feel unity or inter-connectedness with others even if we live with them?
Have we in some sense lost the togetherness that we innately know we come from and move around like individuals who are divided away from others?
Research has shown that people with Type 2 diabetes who reduce their HbA1c level by 1% are:
19% less likely to suffer cataracts
16% less likely to suffer heart failure
43% less likely to suffer amputation
43% less likely to die from peripheral vascular disease (23)
Another Hello please stop and re-read moment.
Just 1% reduction in HbA1c level is speaking volumes to us.
If we just put our common sense hat on, we can feel that the sugar we consume directly or indirectly from food and drink is having a big effect on our blood sugar levels.
Even a slight reduction helps our heart and eyes.
Consider never having to worry about having a foot or leg amputated, just because we reduced our own blood sugar levels.
WHAT ABOUT DIABETES-RELATED AMPUTATIONS?
WHY do we not know more about this?
WHY does diabetes lead to PAD – Peripheral Artery Disease?
Why are toes, feet and lower legs being amputated for people with diabetes?
What is the actual real figure a year later – today?
The fact that the total number of amputations is continuing to rise is a huge concern because we know the devastating impact they have on people’s lives. As well as the psychological impact, they also cost lives as most people die within five years of having one.
Barbara Young, Chief Executive of Diabetes UK (24)
There is a stigma associated with diabetes, so now people don’t talk about it and are not seeking support … so we are seeing more and more of these complications.
Sturt Eastwood, Chief Executive of Diabetes NSW (11)
At the Royal Prince Alfred Foot Clinic, Sydney, Australia they have a ‘queue backed up for months.’ (11)
WHY are we waiting for someone to advise us about feet care?
WHY are those who know more and can do more not coming forward to help others?
WHY do we not have simple, easy to follow instructive educational websites, offering foot care for diabetes as a general well-being tip?
Healthy circulation to our feet can help to keep the tissues strong.
We can then encourage this healthy blood flow by eating the correct foods, keeping control of diabetes and not smoking. (12)
Could the ‘common sense medicine’ shared in one of our blogs have some answers for our foot care?https://simplelivingglobal.com/cold-hands-cold-feet
In 2005 the theme for World Diabetes Day was Diabetes and Foot Care.
In a joint publication of The International Diabetes Federation and the International Working Group on the Diabetic Foot, the following is stated –
People with diabetes have a responsibility to themselves. They must play an active role in their own care and learn as much as they can about their condition in order to seek, recognise and act upon good advice.
Many complications of diabetes can lead to death or severe disability. (26)
Just in case you missed the date that was over 10 years ago.
WHY has a 200 page report with global contributions not made the figures go down?
What has really changed in the last decade?
Why do we celebrate this world awareness day?
What exactly are we celebrating?
WHY are the statistics on this blog confirming things have got much worse?
People with diabetes are encouraged to take a lot of responsibility for their own health, paying careful attention to their diet and carrying out regular tests on their blood and urine in order to monitor their progress. (12)
Professor Rudy Bilous – Understanding Diabetes, under Personal Responsibility, (p.1)
Is encouraging our patients enough for them to make the changes?
Is more needed?
Could it be possible that those encouraging also have a Responsibility?
In other words, those motivating, advising or encouraging diabetics need to ensure they are living a certain quality that is not pre-disposed to diabetes?
What is clear is that people are not aware of the dangers diabetes is having on their vascular system and how this relates to their feet.
Diabetes leads to an increased risk of developing hardening and narrowing of the large blood vessels or arteries, which can lead to heart attacks and strokes and poor circulation in legs. (12)
Could it be possible that we are not correctly informing and educating people of the dangers, when they are diagnosed with diabetes?
Could it be possible that our lack of connection means the mind is not focused on the body and this leads to us not being aware when our feet have sores or ulcers?
Could it be possible that if we are not connecting to our inner-most self on a daily basis we are likely to ignore any minor foot pain or injury?
Could it be possible that if we are in ‘checked out’ mode, where our mind is not with our body, then chances are we will not acknowledge if our feet have some infection going on?
Could it be possible that if we are suffering with obesity, our priority is not to check our feet every day?
Could it be possible that most of us pay very little attention and have no regard for our feet?
Could it be possible that we do not take deep care of our body and this is what is missing?
When our body has high blood glucose this causes Atherosclerosis, which is the hardening of the arteries. That means we have poor circulation in our feet and it can also lead to a stroke or heart attack.
When we read figures and numbers do they really hit home to us about the real problem?
WHY do a third of diabetics die with a stroke or heart disease?
What is going on with our vascular system that it just shuts down?
In the past a large share of vascular problems were caused by smoking. (6)
All aspects of healthcare that are affected by Type 2 diabetes are straining at the seams, bursting at the seams, trying to manage this increasing number of patients with these complications. Each time one of these episodes occur, each time the patients come into hospital there is a huge price tag in terms of economic cost and mobilisation of staff and resources.
I am worried that the NHS will have to decide what conditions it does or does not treat.
We now probably need around double the number of beds in vascular surgery to help with this influx of the disease.
It used to be that perhaps it was unusual to find a patient with diabetes but now almost every patient that I come across on the vascular ward has diabetes.
Mr Martin Claridge, Clinical Director, Vascular Surgery (6)
WHY is it that we are not paying attention to what our health professionals are saying?
WHY are we comfortable taking insulin or medication for our diabetes but not really digging deeper to see if we can do more?
WHY are people smoking and overeating even after being diagnosed with diabetes?
WHY are we not taking action to exercise more and eat less?
WHY are we choosing to not take full RESPONSIBILITY for our lifestyle choices?
WHY are we looking to our health systems to correct our bad habits?
WHY are we seriously taking note after a foot or leg amputation?
WHY are some of us not asking questions about our lifestyle choices that may have led to diabetes?
Both Type 1 and Type 2 diabetes cause damage to blood vessels and peripheral nerves that can result in problems in the feet and legs.
Peripheral artery disease and peripheral neuropathy are responsible for the increased risk of foot problems in people with diabetes.
Nerve damage can cause numbness in the feet and this can make people less aware of injuries and foot ulcers. If not treated this can lead to serious infections, which in turn can lead to amputation. (27)
“I was a young lout, enjoying my mates company with a bit of invincibility I suppose. I’d eat what I wanted to eat, and would skip insulin.
If I could take it all back, I’d be checking my sugars regularly, eating that healthy diet, taking my insulin — don’t take anything for granted.”
In his 20’s this man lost many of his toes and has since had a foot amputation, kidney transplant, dialysis and eye surgery. (28)
Can we look at the cost to the quality of human life here?
Can we also look at the cost to our health systems as this is not an isolated case?
There are many many of us who neglect our body even though we know we have a disease and are prescribed medication.
To eat what we want and skip our insulin is dangerous not only to ourselves but to all those that are affected by our choices.
To drink alcohol which contains copious amounts of sugar is not good medicine for anyone let alone a diabetic?
Can we blame anyone?
Is it our responsibility to research, learn and educate ourselves if we have diabetes?
What about those who have no access to education – do they have a Responsibility?
Is it possible to change the systems and tell them they need to do more?
Is it the governments job to give us more funding because we like to live irresponsibly?
Do we ever stop and ask how our choices impact society in the long term?
Can we learn from those who are warning us to pay attention to our body?
Diabetes just ravages most of the systems. It has effects on the heart, it has effects on the blood vessels, it has effects on the kidneys and it’s just non remitting, unrelenting, you know it just carries on. At the back of your mind you always think that they have a limited lifespan because there’s only so much you’ll be able to do for them.
In a way you feel helpless. With the way things are going it’s probably going to get worse rather than better.
Dr Jyoti Baharani, Clinical Director, Renal Medicine (6)
Is tweeting our Secretary of State for Health making any difference if numbers are rising each week?
Are celebrity shoe donations to support a campaign enough or just another form of reducing this huge global problem that is not going away?
Could it be possible that defeating diabetes, campaigning and fighting for a cure are simply forms of reductionism?
In other words, we are reducing this massive global problem that has been around for a long time and we are no closer to the answer?
Is the reductionism coming from those who want a cure for themselves as they are suffering with diabetes?
Do the people who research, study and have websites about diabetes live free of this disease?
In other words, are they pre-diabetic or do they have a lifestyle that confirms they are not likely to get diabetes?
WHY are Diabetes UK relying on charity donations to keep going?
Are donations the answer to this wake-up call that we all need right now or is there more?
Is the latest bariatric weight loss surgery the answer, the solution or the cure?
Bariatric surgery is seen as a life-saving operation.
Bariatric surgery costs approx. £5,000.
It is viewed as a cure for diabetes.
One surgeon says: This is an investment that the NHS has to make, so the resources have to be moved from somewhere else towards bariatric surgery and it is not always easy. He says bariatric surgery is the only way to control the problem. (6)
There are 6,000 weight loss operations per year. The European average is 50,000 per year. It is suggested that if the UK met this and increased the number of weight loss operations, it would make a ‘small dent’ in the diabetes epidemic.
Is this telling us we are ok to go ahead and eat what we want, drink sugar beverages and continue on the ill health road because we have the cure at the end of the diabetes road.
In other words, there is a way now that will control our problem called diabetes.
Would it make any difference if we did not have the NHS paying for our surgery?
Would it make a big dent in the diabetes epidemic if we made sensible lifestyle choices?
Could it be possible that if we started to take responsibility, then the health systems could spend the resources on other types of diseases that urgently need funding?
Can we stop the blame game and do our bit?
How long will the flame of hope burn at the birthplace of Insulin in Ontario, (Canada) until a cure for diabetes is found?(1)
Is hope all we have when it comes to getting to the root cause of why we have diabetes?
Why do we have a time capsule locked away waiting for a cure for diabetes?
Will this evolve us in any way?(1)
The million-dollar question is –
How are we LIVING that is causing diabetes?
We don’t have the answers to WHY we have diabetes, so here are some simple questions to ponder deeply and consider –
Could it be possible that we are exhausted and this is why we crave foods to keep us going?
Could it be possible that we need the artificial sugar in foods just to stay awake and function?
Could it be possible that our natural body requires no bread, cake, candy or chocolate?
Could it be possible that our lifestyle choices have a big hand to play in why we get diabetes?
Could it be possible that our emotional state may be contributing to our food choices?
Could it be possible that when we give up on life, it maybe the start of pre-diabetes?
Could it be possible that some event or trauma triggers diabetes in our children?
Could it be possible that our lack of expression and holding back requires substances like sugar to push it down further?
Could it be possible that we love the comfort and relief that we get from eating foods that are high in sugar?
Could it be possible that we don’t bother to check the high sugar content in alcohol and soda?
Could it be possible we are too tired to check the ingredients at the supermarket?
On that note – has anyone checked the ingredients on most foods, including junk foods?
Whether it’s a healthy salad dressing or a packet of flavoured crisps, there seems to be some sugar. Do not be fooled as there are plenty of names for sugar.
If it says zero sugar then bet your bottom dollar there is some substitute made in the lab, which in effect does the same job as sugar inside our body.
Could it be possible that we choose to ignore the facts about the harmful effects of sugar?
Could it be possible that we think we have made changes when we use sugar substitutes?
Could it be possible that it suits us to not look at what goes into what we eat?
Could it be possible that we don’t have any real understanding about what diabetes is?
Could it be possible we have no real clue what the pancreas is and what job it has to do?
Could it be possible that we are not committed to life and so we don’t really value our body?
Could it be possible most of us don’t realise how serious and life threatening diabetes is?
Could it be possible that we know in the back of our mind we can eat what we want and live how we want because our health systems will take care of us when things get bad?
Could it be possible we are exhausted, eat foods just to keep going and we have given up on our potential?
In other words, we lack the vitality to Live a True Life that has meaning and purpose because we feel that we have nothing of value to offer this world.
Is our connection to our essence, the core of our being, the very thing we are choosing to ignore every day?
Could it be possible that we are in some form of denial about the Truth of who we really are?
In other words, we are divine beings but we don’t want to know that as that would mean taking Responsibility.
Could it be possible, to keep that denial going we have to stay distracted with the outer entertainment, which includes driving ourselves to overwork, stimulating the body with our screen time on the computer and social media non-stop and eating what we want when we want?
Could it be possible that we have lost our inner-most connection and this is the root cause of all the disharmony and dis-ease in our bodies?
In other words, we are dis-connected from our natural state of being and so in that dis-connection we are seeking foods and making choices that are not aligned to who we truly are to fill the void.
Enough has been said on this blog to confirm that we have a big fat problem in our world right now and we are not really taking it seriously.
We are eating what we want, living how we want, doing what we want, when we want and there is no RESPONSIBILITY for the consequences of our choices.
People need education, people need help, people need support, people need others to direct them, guide them, inspire them and show them that there is another way to live.
Is it time we took our health into our own hands and that means it is up to each and every one of us to recognise that diabetes is a major threat to our well-being and we need to take action. True actions speak louder than words and so we need to actively be responsible for all the choices we are making that is contributing to this lifestyle disease that is not going away.
It is clear diabetes is an overwhelming health crisis.
What are we waiting for?
Who are we waiting for?
WHY are we waiting around?
Is it time to get real, get honest, so that we can get to Truth and call out what we know is not working for us so that we can get on track and live a life of RESPONSIBILITY.
In other words, take an honest look at our lifestyle and knock out our bad choices that harm our body, drain our health systems and affect the whole world.
Could it be that simple?
On that note – client notes taken from a real life case study.
Michael D. Thompson
I applied only parts of the Simple Living Global Back to Basics Program.
If ALL of the program had been applied and lived there would be even more significant changes in my life today.
Note I only received support from Simple Living Global via skype and not in person.
Before Simple Living Global
Maximum 2 hours’ sleep
REM once a month
Dark circles under eyes
Empty vacant looking eyes
Very pale skin
Constant monitoring of blood sugar minimum 8 times a day
Constant battle of highs and lows
One day can be low as 35 and high as 450 in the same day
Long Range Insulin twice daily 50 units
Short Range 12 – 14 units after every meal 3 – 4 times daily
High Blood Pressure
Diet was lots of Ice Cream, Pizza and 2 litres of Soda per day
Would have sinus drainage and raw throat if did not take Zyrtec
Obese 250+ pounds
I do not get angry.
I have a deeper understanding about what was going on for me when I was diagnosed with Diabetes aged 11.
I consistently call out all the things that frustrate me now and my mood has stabled.
I take full responsibility for the choices I make which are sensible and realistic.
I have received support from Simple Living Global to deal with my buried issues.
The Simple Living Global Back to Basics Program has given me practical simple ways to live everyday that actually work.
Sleep is now 8 to 10 hours per night.
REM sleep several times weekly.
No longer take Allergy medications that I have been taking for past 9 years.
Been off Zyrtec for 9 months now.
Long Range Insulin reduced to 37 units twice daily.
Short Range Insulin is zero to 7 units.
Only for safety do I need to check my blood now but could go days without checking it and it would still be in control.
Skin tone alive
NO dark circles
I no longer look like a member of the walking dead
My eyes are very alive and bright
Enjoy LIVING life for the first time
Blood Pressure Stable
However, Insurance Law in USA insist I take medication for high blood pressure because I am diabetic even if it is not needed.
I therefore choose to take the lowest dose because I have to or I cannot get medical care if I don’t take the medications the Doctor prescribes.
No junk food.
Diet is Gluten Free, Dairy Free.
Very careful when shopping for foods that have sugar content.
Weight – 215 pounds and still going down.
I authorise Simple Living Global to publish my name with these notes taken from my case study, which are accurate. M.D. Thompson.
The Simple Living Global Back to Basics Program is inspired by the work of Serge Benhayon and Universal Medicine.
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(3) (2015). Diabetes: Facts and Figures. International Diabetes Federation
(4) Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services; 2014
(5) (2016). Types of Diabetes. Canadian Diabetes Association
(6) (2016, October 3). Diabetes: The Hidden Killer. Panorama. BBC One
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(8) State of the Nation 2016 Time to Take Control of Diabetes. England. Diabetes UK. (p.5)
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(13) “Facts about Diabetes and Insulin”. Nobelprize.org. Nobel Media AB 2014. Web. 11 Nov. 2016
(14) (2016). Insulin. How Products Are Made
(15) “The Discovery of Insulin”. Nobelprize.org. Nobel Media AB 2014. Web. 11 November 2016
(16) (2016, September 8). Stealth Pig Cells May Hold the Key to Treating Diabetes in Humans. University of Alabama at Birmingham
(17) (2016, October 10). Type 2 Diabetes: Data Reveals Hotspots for Cases. BBC News
(18) (2016, October 2). Type 2 Diabetes in Children on the Rise. BBC News
(19) Whiteman, H. (2016, October 21). Diabetes Risk Doubles with More Than Two Soft Drinks Daily. Medical News Today
(20) Woodfield, J. (2016, October 17). Obstructive Sleep Apnea Linked to Increased Type 2 Diabetes Risk. Diabetes.co.uk
(21) (2015). CSIRO Low Carb Diet Study – the Facts. Diabetes NSW & ACT
(22) (2016). Prediabetes (Borderline Diabetes). Diabetes.co.uk
(23) (2016). Guide to HbA1c. Diabetes.co.uk
(24) (2015, July 15). More Than 135 Diabetes Amputations Every Week. Diabetes UK
(25) (2016, July 10). Amputations – 4,400 Reasons to Take Diabetes Seriously. Diabetes Australia
(26) (n.d). Diabetes and Foot Care Time to Act. International Diabetes Federation & the International Working Group on the Diabetic Foot. (p.8, p.9)
(27) (2016, February 5). Foot Complications. American Diabetes Association
(28) Burin, M. (2016, July 10). Calls to Address ‘Staggering’ Number of Australians Losing Limbs to Diabetes. ABC News