My hemoglobin A1c went from 6.1 to 5.1, in about two years.
Hemoglobin A1c is the most reliable way of measuring your blood sugar: Every time you put a sugar molecule in your mouth (not to mention a few spoons full!), this makes a permanent change on the outer surface of your red blood cells. Permanent means, it won’t go away until the red blood cell – also called erythrocyte – has reached its lifespan, about three months, and will die. Those surface changes can be measured in the lab.
A “normal” A1c used to be anything below 6.0 – which put me, some years ago, into diabetic territory. Then doctors reconvened and decided on a new “normal”: Now diabetes is diagnosed only when your A1c reaches 6.4 – which does not really make 6.0 to 6.3 “healthy”. Studies show that many people who have been just freshly diagnosed with diabetes, have already obvious damage of end-organs: Eyes (blindness), kidneys (kidney failure leading to dialysis), heart (coronary artery disease), genitals (impotence), vessels (stroke), and so on.
Natural medicine physicians consider normal between 4.0 and 5.0 – which puts me very close now to the ideal range, and makes me happy. – Why did conventional medicine upped the levels of “normal” sugars? I can only guess that the obesity and diabetes epidemic needed some curbing – if not in reality, then at least on paper …
How did I achieve this better sugar reading? By following my own advice, which I published last year in my diabetes book. In November, the publisher Rodale’s plans on bringing out a paperback version.
How much weight did I lose? None. Although most people lose weight “involuntarily” with my recommendations, I didn’t, because I didn’t need, having maintained the same weight since age twelve. In that way, I belong to the 10 to 15 percent of people of normal weight who have type 2 diabetes anyway (life isn’t fair!!). Those 10 to 15 percent nearly all have a gluten problem and shouldn’t eat much grains at all. Some few have type 1 diabetes, which is not related that much to diet and lifestyle.
Since the book came out readers have written me that they lost 50 plus pounds on my regimen, and that they even could stop – under medical supervision – their insulin. The Diabetes Cure works.
What does my Diabetes Cure entail? Lots of vegetables and good fats, some healthy meats, fish, eggs. Beans and garbanzos, and as many herbs as I can get my hands on. Plenty of sleep and very moderate movement – I have been un-athletic all my life, and will not change much at this age.
How can I maintain my motivation? Number one: Healthy foods are really tasty, so I usually don’t feel deprived. But I also looked into the reasons why we over-eat – and guess what: I found fifty reasons (and discuss them in my book)! It helps to know how the wrong gut bacteria fool you into craving bad foods. Read More
Blog: On Health. On Writing. On Life. On Everything.
How to Measure Diabetes
July 21, 2010
In ancient times, diabetes was diagnosed by licking the urine of the patient. If it tasted sweet, a diagnosis of diabetes mellitus (“honeysweet flow”) was made. As a physician, I am glad we have advanced to better tests...
There are basically four different tests to diagnose diabetes (I am talking here mostly of type II):
• Spot blood sugar. Since sugars rise and fall depending what and when you ate, this is a very unreliable test.
• Fasting blood sugar. Does only take a bit of blood, is cheap and fast – but still can vary with what one ate the day before. However, if your fasting numbers are up consistently, you should pay attention!
• Oral Glucose Tolerance Test: a complicated procedure where one drinks an awfully sweet fluid before blood will be drawn in half-hour intervals to ascertain how fast the sugar load is cleared out. It’s complicated, and very time-consuming for the patient. I object of giving a patient a drink 75 to 100 gm of unpalatably sweet glucose solution – which can’t be healthy if there is a disease caused by sugar. My suspicion is that this test is still be used because doctors can bill the most for this.
• Glycosylated hemoglobin, also called A1c: An easy blood test that gives a rough average of your sugars through the last month. I like this one the best because the usual ups and downs of sugar are not interfering with the test, but going into the overall measuring. With frequent episodes of hypoglycemia (too low blood sugars), the test might come back falsely low or normal. In iron-deficiency, A1c are higher than they really are, suggesting diabetes where there might be none. Every time one eats sugar, it “glycosylates” (adding a sugar to the molecule) a protein on the surface of an erythrocytes (red blood cells), and the chemical process is never reversed as long as the blood cell lives. Red blood cells live about three months; blood we draw is always a mixture of very young cells, newly released into the bloodstream from the bone marrow, and older cells, soon to be discarded. Measuring blood glycosylation therefore represents a fair mirroring of recent sugar intake and over time, those numbers can be compared: A lower A1c means you have done something right lately.
In conventional medicine, A1c is called normal if it is below 6.0. A1c is measured in percent of how much of the blood is “sugared”. Starting at 6.1, you have diabetes. That in it itself is rather absurd: A little step upward from 5.9 to 6.0 does not give you diabetes – you had it coming all along. In Natural Medicine, we think that between 5.0 and 6.0, one has “latent” (developing) diabetes. Why that number of 6.0? Because if one would chose 5.0 as the cut-off point, most Americans would have to be diagnosed with the disease.
The Oral Glucose Tolerance Test is more sensitive to detect cases of diabetes – but only if the cut-off point for diabetes is set at 6.0 A1c.
Arbitrarily putting the number to 6.0 does not make a person healthier. In fact, at the date of diabetes diagnosis, I good proportion of patients have already end-organ failure, namely eye problems, kidney failure, neuropathy – to name a few.
Just looking around tells us that many people are overweight and have some of the telltale signs of diabetes: belly fat, scant hairs on arms and legs, rosy cheeks. One sign alone does not make the diagnosis – but several together gives me an idea. But one can be very overweight and never develop diabetes, because in order to get the disease, you have to have the genes AND an unfortunate lifestyle.
Don’t think that genes are an excuse. Because diabetes type II does not strike, if one lives frugally. For instance, after World War II in Europe, basically nobody had it (but people died in droves of tuberculosis then…). Ten years later, with ballooning economies and waistlines, diabetes was back.
But you don’t have to starve yourself, to heal diabetes. You need a mixture of moderate movement (walking, swimming, biking – or dancing; whatever you like) and a diet without sugars, white starches and bad fats.
In diabetes drug studies, diabetes often is called “controlled” if the blood sugar stays within the limits if 7.0 to 10.0 A1c. We can be sure that at those numbers the damage done by high sugars is continuing in the body. I personally favor an approach that does not “manage” the patient’s diabetes, but gets rid of it. And in many cases it can be done, with exercise, better nutrition – and determination on the patient’s side. Read More