Diabetes Mellitus

Type 2 diabetes mellitus (DM2) represents a global epidemic that is predicted to intensify. The number of individuals with DM2 worldwide was 30 million in 1985, 171 million in 2000, and 220 million in 2009.1 As of 2014, DM2 is estimated to affect 387 million individuals worldwide2, representing a worldwide prevalence of 8.3%. The Centers for Disease Control and Prevention estimates that 40% of Americans will develop DM2 in their lifetime.3

The pathophysiology of DM2 is complex but fundamentally consists of elevated blood sugar, resistance to the hormone insulin, and insulin secretion impairment.3 Steroid administration and physical inactivity may also contribute to these derangements.4 Inflammatory markers shown to be elevated in DM2 include C-reactive protein, interleukin-6, tumor necrosis factor alpha.5

Nutrition, exercise, and lifestyle modification are the tripartite cornerstones of a great diabetic management program. As far as diet is concerned, high fiber foods are especially beneficial in controlling blood glucose spikes following a meal.6 These include beans, lentils, chickpeas, nuts, chia seed, all of which have a relatively low glycemic index. Sleep hygiene is also of importance. Too short, too long, or interrupted sleep compared to 8 hours of uninterrupted sleep significantly increases DM2 risk.7

Our broad and in-depth understanding of medicine at Rocky Mountain Regenerative Medicine as well as our emphasis on conservative time-tested effective measures to manage chronic conditions places us in a unique position to manage the whole patient instead of simply delaying the inevitable.

  1. WHO: Diabetes Programme http://www.who.int/diabetes/en/ Accessed May 2015
  2. Diabetes Atlas. http://www.idf.org/diabetesatlas Accessed May 2015
  3. V. Hackethal: 2 in 5 American adults will develop diabetes, Medscape medical news.http://www.medscape.com/viewarticle/829833 Accessed May 2015
  4. K.B. Hansen, T. Vilsboll, J.I. Bagger, J.J. Holst, F.K. Knop: Increased postprandial GIP and glucagon responses, but unaltered GLP-1 response after intervention with steroid hormone, relative physical inactivity, and high-calorie diet in healthy subjects. J Clin Endocrinol Metab. 96 (2):447-453 Feb 2011
  5. A.D. Pradhan, J.E. Manson, N. Rifai, J.E. Buring, P.M. Ridker: C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA. 286 (3):327
  6. J.W. Anderson, K.M. Randles, C.W. Kendall, et al.: Carbohydrate and fiber recommendations for individuals with diabetes: a quantitative assessment and meta-analysis of the evidence. J Am Coll Nutr. 23:5e17 2004
  7. F.P. Cappuccio, L. D’Elia, P. Strazzullo, M.A. Miller: Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 33(2):414-420 2010 Feb Epub 2009 Nov 12