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Which is More Extreme: Eating Healthy or Having Your Toes Cut Off?

1/11/2013

2 Comments

 
I took my 96-year old Grandmother to an appointment with her Podiatrist this week. We had to reschedule her original appointment and wait almost two months until this week for the first available appointment. While the Doctor was examining her, I asked him why podiatry is so busy and who are his typical patients. 

He told me that at least 50% of the patients he sees come to him with type 2 diabetes because they need to have their toes removed due to complications of their disease! He said that when he offers referrals for diet, nutrition, and lifestyle counseling to help his patients manage their diabetes, they typically tell him "No, I don't want to do that! I don't want to change a thing! Can't you just give me a pill that will make it go away?". 

In other words, his patients would rather continue doing what they're doing and lose their toes than change to a healthier lifestyle! And his patients are probably not unique!

Here's the kicker: type 2 diabetes is caused by diet and lifestyle. Consuming a diet that's high in fat, as well as being obese, is known to cause insulin resistance, a condition of type 2 diabetes in which the insulin cannot get the excess glucose out of the blood and into cells, leaving blood glucose levels high. That's because fat in the bloodstream can build up inside the muscle cells and create toxic fatty breakdown products & free radicals that can block the insulin signaling process. Think of insulin as the key that opens the cells, but the lock is gummed up from the fat, so insulin can no longer open the cells to let the glucose in, causing glucose to build up in the blood (high blood sugar)

Since most diabetics tend to be overweight or obese, they are also likely consuming a diet high in saturated fat and cholesterol, increasing their already greater risk of complications, including high blood pressure, heart attack, and stroke, not to mention blindness, kidney disease, and loss of limbs (as this Podiatrist encounters routinely). 

It turns out that type 2 diabetes can be prevented and even treated in many cases with an oil-free whole food plant-based diet, which is rich in complex carbohydrates and eliminates refined grains and sugars as well as animal-based fats and cholesterol (or at the very least a greatly reduced intake of animal-based foods). As a bonus, this diet also treats obesity (I'm not even addressing the benefits of a whole food plant-based diet on prevention and treatment of other chronic diseases such as cancer, heart disease, and stroke). 

So, is eating a whole food plant-based diet really more extreme than having your toes or other parts of your body cut off?

Terri's note: this post was updated on 5-24-17. 
2 Comments
Donna Johnson
5/24/2017 11:29:32 am

Insulin resistance is not caused by refined carbs. Its caused by high fat intake, low complex carb intake and inactivity. This has clearly been elucidated in the scientific literature. You can start looking here: thttp://www.mangomannutrition.com/the-causes-of-insulin-resistance-in-type-1-diabetes-type-2-diabetes-and-prediabetes/

On a personal note, I just had my 3 year diabersary as a type 1 diabetic. The more fat I consumed, the higher my insulin needs - sometimes as much as doubling my insulin requirements. Switching from auto immune Paleo to a whole food, plant-based, low-fat diet in late 2016 brought my a H-A1C from 8.9 to 6.2. My cholesterol was hanging around 280 for years and it's now consistently below 150.

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Terri link
5/24/2017 11:39:15 am

Hi Donna,

Thank you for your comment! You are absolutely right about insulin resistance being caused by high fat intake!!! I apologize for my error - I re-posted an old blog post and didn't read it carefully before doing so. It shows what like most people, I didn't understand about diabetes back in 2013. I will update this post - thank you for bringing it to my attention!

Congratulations on dropping your H-A1c and cholesterol and reversing your insulin resistance with a whole food plant-based diet! That is really the point of this post!!! And having type 1 diabetes, you must have lowered your insulin requirement too. Way to go - I love your story!!!

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    Terri Quenzer, PhD

    Terri has a passion for good health and for helping others find happiness in themselves through better health! Through her scientific and life experiences, her goal is to help you reach your healthy goals!

    ​Be The Healthy U!: nominated for San Diego's Best Nutrition/Cooking Classes of 2016!

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    Catch Terri's interview about plant-based nutrition on KCQB 1170 AM - click here.

    How Not to Die: Terri interviews New York Times Bestselling Author Michael Greger, MD. Listen below.
    Terri speaks with Jordan Hoffman of Jordan Hoffman Acupuncture about what to eat and East vs West.
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