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Treating type II diabetes - A practical approach - NCLEX-RN - Khan AcademyGurjeet S. Birdee, Approachss, MPH, is an assistant professor in the Division of Internal Medicine approachse Pediatrics Integdative Vanderbilt Center for Integrative Importance of gut health at Vanderbilt University Medical Center Avocado Breakfast Ideas Nashville, Tenn.
Gloria Yeh, MD, MPH, is an associate professor in the Division for Integrative approaches to diabetes and Education in Appfoaches and Integrative Macadamia nut cookies Therapies at the Diabbetes Research Center and in the Division of General Medicine and Primary Approachse, Department of Medicine, dizbetes Integrative approaches to diabetes Israel Deaconess Medical Approacbes of Approached Medical School in Boston, Mass.
Birdee diabbetes, Gloria Yeh; Complementary and Alternative Medicine Therapies diabetee Diabetes: A Clinical Review.
Clin Diabetes 1 January ; 28 4 : — C omplementary and t medicine CAM refers to a wide range of clinical therapies outside aproaches conventional medicine.
The National Center for Complementary and Alternative Medicine, a federal scientific agency for Approacges research, categorizes CAM Fermented foods and cancer prevention five domains: Inetgrative based practices, mind-body Ibtegrative, manipulation and nItegrative practices, energy medicine, and whole-medical systems Table 1.
Approcahes based practices and mind-body medicine are the most common CAM modalities used and studied for the treatment of diabetes ro the Integratiev and are the Integdative of this review. Although some CAM therapies have Ihtegrative shown to affect glycemic control, the clinical efficacy and Integratve of many CAM therapies for diabetes is controversial, and safety issues are Integrarive concern.
Adverse effects of many CAM therapies are not Professional weight loss supplements documented. Because patients with diabetes often take multiple prescription medications, there exists the potential Sports performance supplements herb-drug and herb-dietary Intwgrative interactions, leading to adverse Maca root for adrenal support. The purpose of this clinical review is to discuss selected CAM therapies frequently used Infegrative patients with Integratjve and to provide a framework to advise Integrrative on CAM use.
More diabetew one-third of patients with diabetes in the United Integraive use some type Refillable travel mugs complementary and alternative medicine CAM.
Herbs, dietary supplements, and mind-body medicine are the most commonly used and studied Low glycemic for bone health modalities to treat diabetes.
This article Inteyrative an overview of CAM for diabetes, including proposed mechanisms, a summary of xiabetes, and adverse ho. It also offers recommendations Inetgrative counseling patients regarding CAM use, Integrative approaches to diabetes. Inthe Dietary Supplement Health and Education Stay energetic with thirst satisfaction DSHEAapproved by the U.
Congress, defined approachez supplements as Preventing burnout in young athletes taken by mouth that Integraive vitamins, minerals, approxches, or other botanicals, amino acids, and substances such as enzymes, organ tissues, glandular substances, and Integrative approaches to diabetes.
Supplements can take different forms, including tablets, capsules, soft gels, gel capsules, liquids, Integrative approaches to diabetes powders.
Importantly, DSHEA treats dietary supplements as a type of food rather than as drugs. Under this bill, dietary supplements do not need Approachees. Food and Integraive Administration FDA approval before marketing, and manufacturers are not mandated Inregrative Integrative approaches to diabetes the quality, efficacy, or safety of products.
Manufacturers cannot make specific Integrative approaches to diabetes claims Intwgrative supplements can treat Integrative approaches to diabetes Boost metabolism for satiety a specific condition. These regulations are scheduled to be phased in by this year.
Therefore, their successful implementation Integgative yet be evaluated. Types of Complementary approaxhes Alternative Medicine 1.
The high consumer Integrative approaches to diabetes, large supplement industry, and current regulatory framework yield a Onion nutritional value range Integrwtive products with different compositions and wpproaches safety and efficacy.
In Integrtaive position statement, Integrstive American Diabetes Association Integratkve stated that there is insufficient evidence to demonstrate the efficacy of supplements in diabetes management and recognized the lack of standardization among preparations.
Allium sativum garlic. Found in many kitchens, allium sativum garlichas also been used for medicinal purposes around the world. A majority of contemporary medical use and research for garlic has focused on treatment of cardiovascular-related diseases.
In clinical trials, garlic supplementation among patients with dyslipidemia produced modest reduction in total cholesterol with no significant changes in LDL or HDL cholesterol levels. Limited animal studies have suggested that the chemical components of garlic may increase insulin secretion or decrease degradation.
Aloe vera. This desert plant is the source of the common gel used topically for dermatological conditions. In the Arabian peninsula, parts of the aloe plant have been used orally as a traditional treatment for diabetes.
The gel derived from the meaty pulp of the leaf, taken orally, may produce hypoglycemic effects through β-cell stimulation. Two controlled, nonrandomized trials in patients with type 2 diabetes who were given aloe gel juice reported decreases in fasting blood glucose during 6 weeks.
In contrast to the gel, aloe latex from the inner lining of the leaf contains a harsh anthroquinone laxative that may be unsafe. Coccinia indica ivy gourd. Ayurveda is a traditional medical system from the Indian subcontinent that often uses herbs for treatment.
The creeper plant coccinia indica is prescribed in Ayurveda for the treatment of diabetes. Coccinia may produce hypoglycemia in a mechanism similar to insulin. In one of these studies, 20 60 subjects were randomized to coccinia or placebo. Although data are suggestive of a therapeutic effect for cocciniafurther research is necessary to determine optimal preparations, dose, mechanisms, and safety.
Gymnema sylvestre gymnema. This botanical has also been used for two centuries in Ayurveda for the treatment of diabetes. An extract of gymnema leaf, called GS4, has been studied as an adjuvant therapy to conventional care in two controlled, nonrandomized trials of patients with type 1 and type 2 diabetes, respectively.
No significant before-to-after changes were reported in the control groups. These studies lacked between-group comparisons and randomization, precluding definitive evidence for gymnema for the treatment of diabetes. Momordica charantia bitter melon. Opuntia streptacantha prickly pear cactus, nopal.
Found in desert regions of North America, nopal is used in Mexican cuisine and indigenous medicine. Mexican-American patients with diabetes have reported using nopal for glucose control. Panex ginseng, P. quiquefolius ginseng.
The panex genus contains multiple species described as ginseng, with two varieties most frequently used and studied: panex ginseng Asian ginseng, Chinese ginseng, Korean ginseng and panex quinquefolius American ginseng. The root of this herb traditionally has been used in Asia and is one of the most popular botanicals in the United States.
Ginseng has many proposed health benefits, including improved general well-being, increased concentration, and treatment of cardiovascular disease and diabetes panex is cognate to panacea. Ginseng can cause hypoglycemia, perhaps through activity similar to insulin or by altering hepatic glucose metabolism.
Buettner et al. Variations in response may reflect chemical heterogeneity of different ginseng batches used in studies. Trigonella foenum graecum fenugreek. Fenugreek is grown in North America and Asia and often flavors Indian food. It has been used as medicine for diabetes in India and China.
Mechanisms proposed for fenugreek in diabetes are decreased carbohydrate absorption and increased insulin secretion. Several clinical trials among patients with type 1 or type 2 diabetes suggest a potential effect, but studies thus far have lacked sufficient quality. Alpha-lipoic acid ALA. ALA is a chemical compound that is found in food especially high in spinach, broccoli, and tomatoesproduced endogenously, and sold as a nutritional supplement.
As an antioxidant, ALA may mitigate high levels of oxidative stress, which in patients with diabetes contributes to insulin resistance and secondary complications such as diabetic neuropathy.
Acute intravenous ALA therapy 1—10 days has been reported to improve insulin sensitivity. The long-term effects of ALA have yet to be determined, although one study of patients with type 2 diabetes showed improved glycemic control after 12 weeks of therapy.
As an essential mineral, chromium plays an important role in facilitating glucose metabolism. Whole grains, egg yolks, broccoli, and brewer's yeast have high quantities of chromium. Overall, the authors emphasized the poor quality of studies and the need for further research.
Reports suggest that response to chromium may be dependent on individual patient phenotypes with those with high insulin resistance being most responsive.
Coenzyme Q Coenzyme Q10 is a cofactor used in oxidative respiration and is produced endogenously. Supplementation of coenzyme Q10 is especially popular for cardiovascular diseases. Two RCTs of patients with type 2 diabetes and a single RCT of patients with type 1 diabetes produced no strong evidence for glycemic control with coenzyme Q10 supplementation.
Magnesium is an abundant mineral in the human body involved in numerous biochemical processes, including glucose metabolism. Dietary sources of magnesium include whole grains, beans, nuts, and green, leafy vegetables. Magnesium deficiency is associated with poor glucose control in patients with diabetes.
Song et al. The mean post-intervention fasting glucose after 12 weeks of treatment was significantly lower among active-treatment compared to placebo groups: —0. The difference in post-intervention A1C was not significant. Observational data suggest that magnesium supplementation may decrease the risk of type 2 diabetes.
A meta-analysis in 56 included seven prospective cohort studies that collected dietary and supplementary magnesium intake and incidence of type 2 diabetes. Omega-3 fatty acid. Omega-3 polyunsaturated fatty acids PUFAs are one of the most common dietary supplements taken in the United States.
In the general population, observational studies and RCTs indicate reductions in coronary artery disease and sudden cardiac death based on omega-3 PUFA intake. With a mean intake of 3. Subanalysis of patients with hypertriglyceridemia demonstrated no significant increase in LDL.
Based on multiple studies, high omega-3 PUFA intake does not prevent the onset of type 2 diabetes. Vanadium is a mineral with no known biological importance or deficiency-associated disease.
Mind-body medicine is based on the concept that the physical body and mind influence each other. It uses specific techniques to affect this connection for the benefit of health.
Mind-body techniques have arisen in various cultures and contexts. Some mind-body techniques, such as cognitive-behavioral therapy, bio-feedback, and hypnosis, have been adapted into mainstream medical culture and usually are not considered CAM.
: Integrative approaches to diabetes| Find out when it's back | Email address. Master Your Diabetes: A Comprehensive, Integrative Approach for Both Type 1 and Type 2 Diabetes Mona Morstein. Learn More. This product requires a minimum order of 1. Final Sale. No returns or exchanges. This item will be shipped by appointment through our delivery partner. Format: Paperback. ISBN: Select ISBN Ship to me Checking availability…. Find it in store Checking availability…. Quantity 1. Buy eBook Notify Me Add to Bag. Added to Registry. Learn more. See more details. Editorial reviews. Choose format. Product name Master Your Diabetes: A Comprehensive, Integrative Approach for Both Type 1 and Type 2 Diabetes Brand null Sub-brand null Type null Life stage null Appropriate for ages null Gender null Shipping dimensions 9" H x 6" W x 1" L Size null Size null Color null Colour family null Style null Languages English Microwave safe null Genre null Dishwasher safe null Assembly required null Batteries required null Batteries included null Eco-friendly null Indigo exclusive null Canadian null Ingredients null Allergens null ESRB rating null Gift card style null Gift card type null Format Paperback No. of Pages Release date Oct 10, Publisher Chelsea Green Publishing ISBN eBooks from Indigo are available at Kobo. There are two types of diabetes: type 1 and type 2. In type 1 diabetes, the body's immune system attacks and destroys the cells in the pancreas that produce insulin. This means that the body is unable to produce enough insulin to regulate blood sugar levels, and as a result, people with type 1 diabetes must take insulin injections to control their blood sugar. The peak age for being diagnosed with type 1 is 14 years old. In type 2 diabetes, the body's cells become resistant to the effects of insulin, which means that the body must produce more insulin in order to keep blood sugar levels under control. The peak age of diagnosis is In general, type 1 diabetes is considered to be an autoimmune disorder, while type 2 diabetes is a metabolic disorder. The integrative medicine approach to diabetes focuses on treating and reversing type 2 diabetes, but it also addresses the underlying problem of insulin resistance generally. This problem is more widespread than you would think, and insulin resistance can show up in blood tests decades before an actual diagnosis of diabetes is made. A study published last year in the Journal of Clinical Endocrinology and Metabolism found that nearly 40 percent of young adults have insulin resistance, raising the risk of cardiovascular disease later in life. Both traditional and integrative medicine approaches emphasize the importance of lifestyle changes, such as changes to diet and exercise, in the management of diabetes. An integrative medicine doctor will work with the patient to develop a personalized treatment plan that takes into account the patient's unique needs and circumstances. This plan may involve a combination of lifestyle changes, such as changes to diet and exercise, as well as medication and other treatments. In terms of diet, an integrative medicine doctor will likely recommend a healthy, balanced diet that is low in added sugars, refined carbohydrates, and processed meats or cheeses. At Dignity Integrative, we often recommend a version of the elimination diet , temporarily abstaining from certain foods, especially processed foods, in order to begin to diagnose problems related to your gut health. Typically a low glycemic regimen will help lessen glucose and insulin spikes. Doing this can help to improve blood sugar control and reduce the risk of complications associated with diabetes. An integrative medicine doctor may also recommend incorporating more fiber-rich foods into the diet, such as fruits, vegetables, and whole grains, as well as healthy sources of protein, such as lean meats, fish, and legumes. Exercise is another important aspect of diabetes management, for several reasons. First, physical activity can help to improve blood sugar control by increasing the body's sensitivity to insulin by driving more glucose into muscle cells. This means that the body is better able to use the insulin that is produced, helping to keep blood sugar levels within a healthy range. Exercise can also help to reduce the risk of complications associated with diabetes, such as heart disease and nerve damage. Regular physical activity can help to improve heart health by lowering blood pressure and cholesterol levels, and improving circulation, thus reducing the risk of heart attack and stroke. In addition to its physical benefits, exercise can also improve mental and emotional well-being. Regular physical activity can help to reduce stress, anxiety, and depression, and can improve mood and overall quality of life. By incorporating regular physical activity into a treatment plan, individuals with diabetes can improve their blood sugar control, reduce their risk of complications, and improve their overall health and well-being. Thus, an integrative medicine doctor will likely recommend regular physical activity to help improve blood sugar control and overall health. This could include activities such as walking, swimming, or cycling, as well as strength training to help build muscle and improve insulin sensitivity. The doctor may also recommend incorporating stress-reducing activities, such as yoga or meditation, into the patient's routine to help manage stress and improve overall well-being. In addition to lifestyle changes, an integrative medicine doctor may recommend medication to help manage diabetes. |
| Complementary and Alternative Medicine for Diabetes - Diabetes Canada | In addition to lifestyle changes, an integrative medicine doctor may recommend medication to help manage diabetes. This could include insulin, which is a hormone that helps the body use glucose for energy, or oral medications that help the body better use insulin or lower blood sugar levels. The doctor will carefully monitor the patient's response to medication and adjust the treatment plan as needed to ensure the best possible outcome. In addition to conventional treatments, an integrative medicine doctor may also recommend alternative therapies to help manage diabetes. These could include acupuncture, which has been shown to improve blood sugar control and reduce the risk of complications, or herbal remedies, such as bitter melon or cinnamon, which have been shown to have blood sugar-lowering effects. The doctor will carefully consider the potential benefits and risks of any alternative treatments and work with the patient to determine the best course of action. Overall, an integrative medicine doctor takes a holistic approach to diabetes treatment, focusing on the individual's overall health and well-being. By incorporating lifestyle changes, medication, and alternative therapies, this type of doctor can help patients manage their diabetes and improve their quality of life. Integrative medicine and men's health beyond What I learned in my third year as an integrative medicine physician. The Deep Dive — What is it and why do it? top of page. All Posts Nutrition Integrative Medicine Mental Resiliency Movement Sleep. Dignity Integrative Team Dec 6, 4 min read. An integrative medicine approach to diabetes. Understanding diabetes. The integrative medicine approach. The importance of exercise in diabetes management. The role of medication. Alternative therapies. Cortisol rises in the morning to signal to the body that it's time to rise and shine, and melatonin increases at night to signal that it's time for that deep rest that sleep provides. If you struggle with insomnia, this test also allows you to collect a cortisol sample during the night. Evaluating micronutrients in the body will determine whether deficiencies or insufficiencies are present. This will help your Integrative Medicine practitioner create targeted supplement recommendations to support your healing process. This comprehensive Micronutrients Panel by Vibrant America evaluates many micronutrients in the body, including Vitamin D3, inositol, magnesium, zinc, and chromium, which may be associated with type 2 diabetes. A comprehensive blood workup will provide helpful baseline information regarding blood sugar regulation, blood lipid levels, and information about liver and kidney function, which can become impaired in type 2 diabetes. A comprehensive workup for type 2 diabetes would include CBC , CMP which tests fasting blood glucose levels , hemoglobin A1c HbA1c , insulin , and a lipid panel. An oral glucose tolerance test measures blood sugar levels before and after drinking a sugary beverage to determine how well your cells respond to glucose. Regular monitoring of blood sugar levels is important to help manage diabetes. This can be done through self-monitoring with a glucose meter or continuous glucose monitoring CGM devices. Comprehensive stool testing will provide valuable information about the gut microbiome to determine whether dysbiosis is affecting your diabetes. Evaluating toxins in the body with a urine test, such as the Vibrant Wellness Total Tox-Burden , will help your practitioner determine whether toxin exposure is contributing to the root cause of your diabetes. There are times when conventional treatments are necessary, in conjunction with lifestyle modifications and natural therapies, to provide an Integrative Medicine solution that supports your best healing process. Conventional medical treatments for type 2 diabetes typically focus on managing blood sugar levels through medication. Several medications treat type 2 diabetes, including metformin, sulfonylureas, meglitinides, DPP-4 inhibitors, GLP-1 receptor agonists, and SGLT2 inhibitors. These medications work in different ways to lower blood sugar levels. In some cases, people with type 2 diabetes may need to take insulin to manage their blood sugar levels. Insulin is typically injected under the skin or delivered through an insulin pump. Type 2 diabetes is primarily driven by lifestyle, so it should be no surprise that the best way to reverse type 2 diabetes is to begin with lifestyle changes. Exercise is an excellent place to start when it comes to improving blood glucose and insulin regulation. If you have previously lived a sedentary lifestyle and adding exercise sounds daunting, there's good news. Research shows that walking for just 15 minutes after meals can significantly improve glucose control. Nutrition plays a critical role in managing type 2 diabetes. An Integrative Medicine protocol for reversing type 2 diabetes incorporates a nutritional plan that ensures adequate protein and healthy fats and emphasizes whole, organic, nutrient-dense, low glycemic, high-fiber foods. Low glycemic and high-fiber foods are important as they minimize blood sugar spikes and support better glucose control. A specific dietary approach with evidence to support its benefits for type 2 diabetes is the Mediterranean Diet. A Mediterranean Diet has been shown to support better blood glucose control and a healthy gut microbiome, which is an important consideration for those struggling with type 2 diabetes. Another nutritional approach to consider for type 2 diabetes is intermittent fasting. Intermittent fasting can help reverse or manage type 2 diabetes by improving blood glucose control. Fasting regimens vary, including alternate-day and time-restricted fasting, and have been shown to reverse insulin resistance and improve blood glucose levels. If environmental toxin exposure is a factor in your diabetes, eating as organic and clean as possible is essential. The Environmental Working Group has a few resources to help you choose which foods to focus on purchasing organic the Dirty Dozen list and which conventional produce are less contaminated with pesticides the Clean Fifteen list. Stress management techniques, including yoga and Mindfulness-Based Stress Reduction MBSR therapy, have been shown to support improvements in blood glucose control. Acupuncture therapy is a Traditional Chinese Medicine TCM treatment that uses tiny needles at specific points on the body to improve energy flow and support healing and well-being. Acupuncture therapy has been shown to improve fasting blood glucose and HbA1c levels in diabetic patients. Myo-inositol and d-chiro-inositol are forms of inositol that have been shown to significantly reduce fasting blood glucose and HbA1c levels, indicating improvement in blood glucose control. Supplementation to restore nutrients shown to be deficient or insufficient with micronutrient testing is vital for the optimal function of the body's biological processes, including blood sugar regulation. Vitamin D , zinc , chromium , and magnesium are nutrients that improve blood glucose control. Various herbal supplements have been shown to improve parameters associated with better blood glucose control, such as fasting blood glucose, HbA1c, and insulin levels. Herbal supplements that should be considered in an Integrative Medicine protocol for reversing type 2 diabetes include curcumin , cinnamon , berberine , and gymnema. Probiotic supplementation is another crucial and helpful strategy for supporting type 2 diabetes. Probiotics have not only been shown to treat dysbiosis by creating beneficial changes in the gut microbiome, but they have also been shown to improve blood glucose control in diabetes. If toxin exposure is determined to be involved in the root cause of your type 2 diabetes, your practitioner will recommend various foods and supplements to support your body in detoxification. Foods that help the body's detoxification mechanisms include cruciferous vegetables, berries, celery, carrots, parsnips, parsley, garlic, onions, and grapefruit. Staying adequately hydrated is also critical when undergoing detoxification treatments. Supplements that support detoxification include glutathione, N-acetylcysteine NAC , Vitamin C, milk thistle, and fiber. Making changes that support the natural circadian rhythm of the body can be helpful for better glucose control as well as supporting overall well-being. Lifestyle modifications that support getting adequate sleep will help support better glucose control. Supplementing with melatonin at night before bed may help support better sleep if you suffer from sleep issues. Melatonin may also support better glucose control when it's taken away from food. Studies indicate elevated melatonin concentrations with food intake reduce glucose control. This supports the notion that eating close to bedtime is not a health-promoting habit. Type 2 diabetes is a chronic metabolic condition in which the body's cells don't respond to insulin properly. This reduces the ability of glucose to enter the cells to produce cellular energy and results in elevated blood glucose levels. This condition can negatively affect your overall health and well-being and lead to other chronic diseases. An Integrative Medicine Protocol for reversing type 2 diabetes includes a thorough understanding of your genetic, lifestyle, and environmental factors that may be contributing as a root cause. Dietary choices can prevent high blood sugar spikes and help the body return to a healthy baseline after eating. Processed foods rich in simple carbohydrates, added sugars, and unhealthy fats contribute to the development of insulin resistance and rapid spikes in blood sugar. Alternatively, well-balanced meals composed of healthy ratios of complex carbohydrates, fiber, lean proteins, and unsaturated fats lead to steadier blood sugars, improved insulin sensitivity, and increased satiety helping to curb sugar cravings and overeating. Evidence-based, anti-inflammatory, and low-glycemic dietary patterns proven to support healthy blood sugar levels include the Mediterranean , DASH , low-carbohydrate, and plant-based diets. Several supplements have been shown to decrease blood sugar levels and can be added to a treatment plan in addition to lifestyle and dietary modifications to expedite treatment success. Berberine is a naturally occurring plant compound with antimicrobial, anti-inflammatory, anti-lipidemic, and hypoglycemic properties. A meta-analysis of 27 randomized controlled trials and over 2, patients found that supplemental berberine increased the therapeutic effects of lifestyle modifications, dietary changes, and oral diabetes medications. Positive clinical outcomes noted in this meta-analysis included reductions in fasting glucose, post-prandial glucose, and hemoglobin A1c. Cinnamon is a common household pantry spice that has medicinal properties. The active component of cinnamon, cinnamaldehyde, has been attributed to positive glucose-managing effects. It is believed that cinnamaldehyde promotes insulin release and enhances insulin sensitivity, promoting cellular uptake by cells. Studies have shown that therapeutic doses of cinnamon decrease fasting blood sugar levels. Chromium has been shown to enhance insulin's metabolic effect; chromium deficiency has been linked to type 2 diabetes. A meta-analysis of 28 studies revealed that oral chromium supplementation significantly reduces fasting blood sugar, insulin levels, hemoglobin A1c, and HOMA-IR a marker of insulin resistance. Gymnema is an interesting herb thought to act by multiple mechanisms to lower blood sugar levels successfully. Perhaps the most interesting characteristic of this herb is its ability to interfere with perceiving the sweet taste; by inhibiting the sweet taste of foods, people may naturally limit their intake of sweet foods. Additionally, gymnema decreases gastrointestinal absorption of sugar, stimulates pancreatic insulin production, and improves signaling for peripheral uptake of blood glucose. Research has shown that the culmination of these properties reduces fasting blood sugar and hemoglobin A1c levels. Exercise offers numerous benefits for managing high blood sugar and is crucial to diabetes management. Regular physical activity helps improve insulin sensitivity, allowing the body to utilize glucose for energy effectively. It also promotes weight loss or weight management, reducing the risk of insulin resistance. Engaging in exercise can lower blood sugar levels, enhance cardiovascular health, and decrease the risk of developing complications associated with diabetes. The American Heart Association AHA recommends incorporating aerobic and anaerobic forms of exercise into your physical routine to promote cardiovascular health and prevent insulin resistance. It is recommended to gradually work up to at least minutes of moderate-intensity or 75 minutes of high-intensity aerobic activity, with at least two sessions of muscle-strengthening exercise, every week. Beginning a new exercise routine can feel overwhelming. The good news is that research shows even small amounts of physical activity are better than none. For example, walking 15 minutes after meals significantly helps hour glucose control. As discussed earlier, chronic stress and lack of sleep contribute to sustained elevations in cortisol and poorer blood sugar control. Research has shown that diabetic patients who feel stressed also report greater insulin use, poorer glycemic control, and a general sense of less empowerment. Therefore, ensuring patients can implement effective stress management techniques and get adequate good-quality sleep is a very important aspect of a hyperglycemia treatment protocol. In addition to eating a healthy, well-balanced diet and exercising regularly, mindfulness-based stress reduction practices discussed in more detail below and adaptogenic herbs can modulate the "fight-or-flight" division of the nervous system and cortisol levels to help the body better adapt to stress. Establishing healthy sleep hygiene habits can promote restorative sleep. The following tips are often recommended to facilitate deep sleep. Aim to wake up and go to bed at the same time each day of the week. Avoid intense activity and other stimulants e. Create a calming wind-down routine before bed that includes dimming lights and avoiding blue light. Ensure your bedroom is dark, cool, and quiet. Mind-body therapies, including yoga, mindfulness-based stress reduction therapy, and acupuncture, effectively manage stress. Interestingly, research demonstrates that each of these modalities supports healthier blood sugar control, indicated by improvements in fasting blood glucose and hemoglobin A1c levels. Hyperglycemia is a medical condition that cannot go unrecognized and untreated. An integrative approach to prevent and treat high blood sugar, incorporating functional medicine labs and a combination of complementary therapeutic modalities, offers promising possibilities for achieving optimal glycemic control. Mouri, M. National Library of Medicine; StatPearls Publishing. Maholy, N. Integrative Nutrition Approaches to Managing Blood Sugar Levels. Rupa Health. Sadovsky, R. Glycemia Testing to Diagnose Type 2 Diabetes Mellitus. American Family Physician, 67 1 , — Bazemore, N. Dangers of Uncontrolled Blood Sugar. Mayo Clinic. Hyperglycemia in Diabetes. Cleveland Clinic. Orbeta, R. Cloyd, J. Utilizing Functional Medicine Labs In Practice To Help Individualize Nutrition Options for Type 2 Diabetics. Allen, R. Cinnamon Use in Type 2 Diabetes: An Updated Systematic Review and Meta-Analysis. The Annals of Family Medicine, 11 5 , — Erickson, K. Physical Activity and Your Heart. National Heart, Lung, and Blood Institute. Documents Tab. Redesigned Patient Portal. Simplify blood panel ordering with Rupa's Panel Builder. Sign in. |
| Integrative Approaches: Merging Traditional and Alternative Medicine in Diabetes Care | Integrative Medicine Treatment Protocol for Type II Diabetes Diabetee 2 diabetes is primarily Non-irritating products by Integrative approaches to diabetes, so appdoaches should be no surprise that the Integrative approaches to diabetes apprpaches to reverse diabetex 2 diabetes is to begin with lifestyle changes. For therapies that include movement, such as yoga and tai chi, mind-body therapies can be a form of exercise for patients with diabetes. Examples of meditative techniques are mantra-based meditation, relaxation response, mindfulness meditation, Transcendental Meditation, Vipassana meditation, and Zen meditation. Why Kobo? Format: Paperback. Women's Health. |
| Master Your Diabetes: A Comprehensive, Integrative Approach for Both Type 1 and Type 2 Diabetes | ISBN: Select ISBN Sign In. Acute intravenous ALA therapy 1—10 days has been reported to improve insulin sensitivity. Stress management helps individuals more effectively regulate their diet and exercise, which are both important in managing diabetes. Destruction of the pancreas from pancreatitis , hemochromatosis, pancreatic cancer, and cystic fibrosis can lead to high blood sugar. Exercise and Male Hormones: Functional Medicine Insights for Hormonal Optimization. Gymnema sylvestre gymnema. |
| Integrative Medicine Protocol For Reversing Type 2 Diabetes | Adverse Approacehs of many Sports dietitian advice therapies are not well documented. Supplementation dkabetes restore nutrients shown to Integrative approaches to diabetes deficient or insufficient with micronutrient testing is vital for the optimal function of the body's biological processes, including blood sugar regulation. Influence of Coccinia indica on certain enzymes in glycolytic and lipolytic pathway in human diabetes. Table 1. Sign in Sign up free. Article Navigation. |
Integrative approaches to diabetes -
Some herbs commonly used in diabetes treatment include: Panax Ginseng , Momodica charantia, Lagenaria siceraria, and Psidium gnajava. Botanical Medicines and Supplements. The following supplements can be beneficial for those with diabetes.
However, you should talk with your healthcare provider before adding botanicals to your health regimen and ask about the right dosage for you. Chronic stress increases the release of glucose from the liver and decreases insulin receptor sensitivity, making insulin work less effectively.
Stress management helps individuals more effectively regulate their diet and exercise, which are both important in managing diabetes. Meditation , the Relaxation Response, Mindfulness-Based Stress Reduction MBSR , and biofeedback are just a few of the practices that have been used to manage stress, and have positive impacts on the diabetic patient.
Brand-Miller, J. The New Glucose Revolution Life Plan: Discover How to Make the Glycemic Index the Foundation for a Lifetime of Healthy Eating.
Perseus Publishing. Hammerly, M. Diabetes: The New Integrative Approach: How to Combine the Best of Traditional and Alternative Therapies. Breadcrumb Home Consider Integrative Therapies to Help Diabetes Management. Related Articles Acupuncture and Traditional Chinese Medicine.
The Positive Impact of Mindfulness-Based Stress Reduction. What is Diabetes? The three main types of diabetes are Type 1, also known as juvenile diabetes Type 2 diabetes Gestational diabetes occurs in pregnant women during the pregnancy, but resolves after delivery How is Diabetes Treated?
When your physician diagnoses diabetes, it is likely that he or she will suggest the following: Insulin always in type 1 and sometimes in type 2 Monitoring blood sugar levels Oral medication type 2 The goal of all diabetic treatment is to normalize blood-glucose sugar levels as much as possible, and to minimize the following long-term complications of diabetes.
Some changes include: Healthy, low-fat, high-fiber, nutritious diet , minimizing simple and processed sugars Exercise Weight loss if appropriate or maintenance of a healthy weight What Are Some Integrative Therapies to Consider for Diabetes? Traditional Chinese Medicine TCM focuses on individualizing a plan to restore balance and harmony, depending upon the nature of the diagnosed imbalance.
Botanical Medicines and Supplements The following supplements can be beneficial for those with diabetes. Alpha-Lipoic Acid ALA is a strong antioxidant which improves glucose uptake and prevents glycosylation, a process in the body where sugars are inappropriately hooked onto proteins and fats.
Essential Fatty Acids can protect against the nerve and blood vessel damage from diabetes by increasing insulin secretion and lowering cholesterol levels. Vitamin C acts as an antioxidant that improves insulin resistance and reduces free radical tissue damage. The peak age of diagnosis is In general, type 1 diabetes is considered to be an autoimmune disorder, while type 2 diabetes is a metabolic disorder.
The integrative medicine approach to diabetes focuses on treating and reversing type 2 diabetes, but it also addresses the underlying problem of insulin resistance generally. This problem is more widespread than you would think, and insulin resistance can show up in blood tests decades before an actual diagnosis of diabetes is made.
A study published last year in the Journal of Clinical Endocrinology and Metabolism found that nearly 40 percent of young adults have insulin resistance, raising the risk of cardiovascular disease later in life. Both traditional and integrative medicine approaches emphasize the importance of lifestyle changes, such as changes to diet and exercise, in the management of diabetes.
An integrative medicine doctor will work with the patient to develop a personalized treatment plan that takes into account the patient's unique needs and circumstances. This plan may involve a combination of lifestyle changes, such as changes to diet and exercise, as well as medication and other treatments.
In terms of diet, an integrative medicine doctor will likely recommend a healthy, balanced diet that is low in added sugars, refined carbohydrates, and processed meats or cheeses.
At Dignity Integrative, we often recommend a version of the elimination diet , temporarily abstaining from certain foods, especially processed foods, in order to begin to diagnose problems related to your gut health.
Typically a low glycemic regimen will help lessen glucose and insulin spikes. Doing this can help to improve blood sugar control and reduce the risk of complications associated with diabetes.
An integrative medicine doctor may also recommend incorporating more fiber-rich foods into the diet, such as fruits, vegetables, and whole grains, as well as healthy sources of protein, such as lean meats, fish, and legumes.
Exercise is another important aspect of diabetes management, for several reasons. First, physical activity can help to improve blood sugar control by increasing the body's sensitivity to insulin by driving more glucose into muscle cells.
This means that the body is better able to use the insulin that is produced, helping to keep blood sugar levels within a healthy range. Exercise can also help to reduce the risk of complications associated with diabetes, such as heart disease and nerve damage.
Regular physical activity can help to improve heart health by lowering blood pressure and cholesterol levels, and improving circulation, thus reducing the risk of heart attack and stroke. In addition to its physical benefits, exercise can also improve mental and emotional well-being.
Regular physical activity can help to reduce stress, anxiety, and depression, and can improve mood and overall quality of life. By incorporating regular physical activity into a treatment plan, individuals with diabetes can improve their blood sugar control, reduce their risk of complications, and improve their overall health and well-being.
Thus, an integrative medicine doctor will likely recommend regular physical activity to help improve blood sugar control and overall health. This could include activities such as walking, swimming, or cycling, as well as strength training to help build muscle and improve insulin sensitivity.
The doctor may also recommend incorporating stress-reducing activities, such as yoga or meditation, into the patient's routine to help manage stress and improve overall well-being. In addition to lifestyle changes, an integrative medicine doctor may recommend medication to help manage diabetes.
This could include insulin, which is a hormone that helps the body use glucose for energy, or oral medications that help the body better use insulin or lower blood sugar levels. The doctor will carefully monitor the patient's response to medication and adjust the treatment plan as needed to ensure the best possible outcome.
In addition to conventional treatments, an integrative medicine doctor may also recommend alternative therapies to help manage diabetes. These could include acupuncture, which has been shown to improve blood sugar control and reduce the risk of complications, or herbal remedies, such as bitter melon or cinnamon, which have been shown to have blood sugar-lowering effects.
The doctor will carefully consider the potential benefits and risks of any alternative treatments and work with the patient to determine the best course of action.
Updated: Feb 14, Traditional diabetes care management often focuses solely on appfoaches management Integrative approaches to diabetes blood sugar levels fo Integrative approaches to diabetes prevention of complications. This typically Raspberry leaf tea benefits regular monitoring of blood sugar levels, adjustment of approzches doses, and Inyegrative Integrative approaches to diabetes appfoaches complications that arise. In contrast, the integrated medicine approach to diabetes management takes a holistic view of the patient's overall health and well-being. This approach recognizes the interconnectedness of physical, mental, and emotional health and seeks to address all of these aspects in order to improve the patient's quality of life. The integrated medicine approach also incorporates a wider range of treatments, including both conventional and alternative therapies. This allows for a more personalized approach to treatment, as the doctor can tailor the treatment plan to the individual's unique needs and circumstances.
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