MBF Method Corp.
Underhanded diabetes.

   More than 13 million Americans suffer from diabetes. Around 700,000 of them have insulin-dependent diabetes, the rest have non-insulin-dependent diabetes. According to estimates by the American Diabetic Association, 6 million residents of this country who have non-insulin-dependent diabetes do not know that they have the disease. As a rule, these are people beyond age 40 who are overweight and, unfortunately, have the gene for diabetes. Up to a certain point in life, a person with diabetes is almost completely unaware of it. He/She is active, with no problems working. But then, however, an at first inexplicable weakness suddenly appears along with fatigue, excessive thirst, weight loss or gain, frequent urination, constant feelings of hunger, irritability, nausea, bladder infections or bruises or wounds to the skin or gums that appear from time to time and take a long time to heal. Other symptoms of diabetes may be excessive sleepiness, darkened vision, constant itching, a ringing in the ears or a loss of feeling in the hands or feet. The cunning of diabetes is in this latent period, is that the symptoms are not apparent. A woman who has diabetes during her pregnancy may give birth to an underweight baby, and men sometimes lose their sexual potency. This disease has no equals (with the exception of AIDS) when it comes to its underhandedness and destructive effects. Diabetes is difficult to manage. It is for good reason that doctors call it "crazy diabetes" - this definition best characterizes the disease. Many suppose that any doctor is qualified to diagnose the extent of the illness and to prescribe the type of medication required, whether insulin or pills. After all, a blood test should suffice. But is that really the case? In fact, the methodology for treating insulin-dependent diabetes significantly varies from the treatment for non-insulin-dependent diabetes. There are many cases where it is not necessary right away to prescribe injections or pills, even if blood sugar levels are higher than normal. Indeed, it is possible to reach a level that corresponds to the norm or is at least close to it with the help of a precise balance between the content, the quality and the volume of food, exercise and medication. In other words, it is possible to prevent increased blood sugar or its excessive reduction by precisely observing a balance between diet (what and how you eat), exercise (how much you train) and prescription medication (insulin or tablets). Each part plays its role in raising or lowering blood sugar levels. It is very important to remember that in many cases one can only normalize sugar levels with the help of intelligent nutrition and exercise, without resorting to medication.

WHAT IS THE ROLE OF DIET?
   Eating raises the level of sugar in the blood. This is why medical analysis of what, how much and when you eat is so important for your diabetes-control efforts. And if you really want to achieve your diabetes treatment goals, you will need a nutrition plan that has been specifically developed for you. In our office this task is met with the help of a special computer program. I emphasize this, because it is just as important to create a nutrition (and exercise) plan which takes into account illnesses associated with diabetes as it is complicated. This is job, which can't be done without a computer. That's not just a sign of the times; it's an essential requirement. A nutrition plan consists of instructions, which will tell you how much, and what kind of food products you should eat each time you sit down at the table or when you are literally grabbing a bite "on the run" (as a snack). This plan prescribes an appropriate nutrition schedule and eating habits, including those products which you find most satisfying. If you are overweight, the diet plan also prescribes losing weight SLOWLY.

WHAT IS THE ROLE OF EXERCISE?
   It has been clinically tested and proven that exercise lowers blood sugar, often to normal levels. Exercise, therefore, is an indispensable element of the treatment of diabetes. Exercise works to stimulate tissue metabolism, the utilization of sugar in the body and its uptake in the muscles. When we talk about exercise, we have in mind any sort of physical activity which, however, is not a part of our everyday or work routines. We emphasize this because we often hear from our patients: well, you know, I'm sweating all day, I get tired, there's no energy left for exercise. It's up to you to decide how to proceed with your diabetes. We'll just say that exercise after the work day is a hundred times more useful than when conducted against a background of absolute rest. First, it reduces fatigue, because it switches the organism to another kind of work, and second, because it puts a load on the heart, the lungs, the endocrine system and the muscles, which are not so active during other forms of everyday or productive activity. Exercise may be therapeutic, but it can also be harmful if it is not appropriate for you. We do not advise people who suffer from diabetes to experiment on their own in the search for effective exercise methods. It would be better to come into our office once or twice for consultations. There are specialists here who will not only develop a program specially for you, but also teach you how to go about exercising the right way. By the way, selecting an exercise system and defining the required, but still safe level of physical exertion for a diabetic is an extremely complex process. It is only possible to complete this task here in the office where we can rigorously control blood sugar levels. In this way you won't have any problems in the future using the whole program of exercise and training on your own. The integral exercise system may be oriented toward reducing body weight, if this is necessary. It will certainly be a requirement for the many who have non-insulin-dependent diabetes.

WHAT IS THE ROLE OF MEDICATION?
   Insulin lowers the level of sugar in the blood. People with the first type of diabetes (insulin-dependent) must take insulin. For the second type of diabetes, tablets, which lower blood sugar, may be prescribed. If you take insulin or medication or both, it is very important to take the correct dosage and at the right times. When it comes to these issues, the experience and qualifications of the doctor who prescribes the medication, as well as the regimen for their use, are essential. One should never change the type or amount of medication prescribed by a doctor on one's own.


WHAT IS THE RELATIONSHIP BETWEEN DIET, EXERCISE AND MEDICATION?
   As we have shown, all three elements, i.e., diet, exercise and medication, influence blood sugar levels. Too much or too little of any one of these elements can shift those levels away from the norm. If you take insulin or tablets, the quantity of each dose is defined in accordance with the volume of food intake. If you eat more than the medication is able to neutralize, your blood sugar may be unduly elevated. But if you don't get enough food, blood sugar may be excessively reduced. Insulin quantities and the dosages of your prescriptions should be coordinated with your physical exercise regimen. Your nutrition plan, for example, might include a snack before a regular exercise session. Or, if you need to engage in exercise or some other form of extended physical exertion without having had time to plan the activity ahead of time, then grab a bite to eat before you start exercising or working.

So: if you succeed in formulating an anti-diabetes program, you will be able to avoid occasional health problems while maintaining the proper balance in your life. And that is all by itself an excellent investment in your good health.

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