Diabetes-NASH

Diabetes-NASH

The different types of diabetes :

Diabetes is a condition that affects the body’s ability to regulate blood sugar levels, called “Glycemia”.

Type 1 diabetes should not be confused with type 2 diabetes :

Type 1 diabetes is an autoimmune disease. A disease caused by an inadequate response of the body to an external viral or bacterial attack. Type 1 diabetes predominantly affects children and adolescents, i.e. before the age of 25.

The only effective treatment is the subcutaneous injection of insulin 2 to 4 times a day.

Type 1 diabetes accounts for 10% of the total number of people with diabetes.

Type 2 diabetes is very different as it is linked to poor eating habits and a lack of regular physical exercise.

There is nearly always excess weight or obesity associated with the onset of Nash.

It should be noted that the primary treatment for type 2 diabetes is weight loss and regular physical activity.

Type 2 diabetes: an epidemic that is out of control

Type 2 diabetes* is THE disease of the early 21st century. On average, it affects more than 10% of the population. Many of our fellow citizens are unaware of their diabetes. Its incidence is increasing and the fight against this disease must become a national priority.

It is important to stress one important point: “installed” type 2 diabetes is irreversible. It is preceded by a so-called pre-diabetes phase, which is reversible if proper eating and physical exercise habits are implemented in time.

Normal blood glucose values are between 0.7 g/l and 1.05 g/l

Waist circumference : a reliable and easily measured indicator

Measuring waist circumference is also very important because abdominal obesity is the first step towards type 2 diabetes.

A waist circumference of more than 100 cms for a man and more than 88 cms for a woman should be reduced as soon as possible.
Abdominal obesity must be reduced to avoid the development of very common cardiovascular complications in obese patients (hypertension, angina pectoris, atherosclerosis, etc.).Prediabetes is also called “insulin resistance state” or “glucose intolerance state”.

While the debate between experts continues, there is now evidence that the inflammatory and vascular lesions specific to diabetic disease are already present at the microscopic level during prediabetes.

The prediabetes phase can last for 5 to 15 years before progressing to type 2 diabetes for 70% of prediabetic patients: the reversibility of prediabetes is an extraordinary opportunity !

Clinical studies involving several thousand individuals have shown that losing 5 to 7% of weight and exercising 3 times 50 minutes a week reduces the risk of a prediabetic becoming diabetic by 60%.

The main causes of type 2 diabetes :

Poor eating habits and especially a lack of regular physical activity combined with an overweight or obesity almost always lead to the development of type 2 diabetes.

It should also be noted that heredity can have a great influence. Indeed, if the parents or grandparents are diabetic, the risk of becoming diabetic is higher.

The epidemic is affecting the population of Western countries at an increasingly early age. It is no longer exceptional to diagnose type diabetes in people under 25 years of age.
The additional cost involved in the medical and social management of the disease is very high.

Type 2 diabetes complications are serious and debilitating even if they affect patients unequally :

As a reminder, the most frequent complications include :

– blindness, of which type 2 diabetes is the leading cause
– lower limb amputations
– coronary heart disease
– impotence
– renal failure leading to the mandatory use of dialysis
– neuropathy, i.e. the alteration of nerve conduction
– etc….

The social and financial cost of type 2 diabetes and its complications is very difficult to assess given the depth and impact of this disease over the long term.
The numbers are on the rise and health economists predict a catastrophe if nothing is done by 2020.

There were 87 million prediabetic patients in the US in 2014.

Type 2 diabetes prevention :

My daily practice is heavily focused on the prevention of type 2 diabetes.
Every effort must be made to prevent a patient from becoming diabetic, which would inevitably lead to a decline in the quality of his or her life.

Prevention is a difficult and time-consuming activity. A diabetes prevention consultation requires taking the time to understand and explain.

That is why I have chosen an alternative practice. The current convention is very effective in treating acute diseases but it does not promote high-quality preventive medicine. The situation is such that preventive medicine is practically non-existent in the nomenclature of medical procedures…

Prevalence of diabetes in the world :

Note: India is a highly affected country but is not included in this table.

Nash or Non-Alcoholic Steatosis Hepatic Steatosis

The emerging disease of our modern times. It is linked to the excessive consumption of sugars and particularly fructose. Fructose is good when consumed in a fruit with fiber, water, and vitamins. However, when it is added to an industrial food or in fruit juices, it becomes a “poison” for your liver ! For a country like France that regulates everything, it is surprising to see that the amount of added sugars is not regulated !

Your liver is an absolutely unique and vital organ.

You can only be healthy if your liver is functioning properly.

In addition to other important functions, it almost entirely manages the metabolic transformation of fructose into glucose, the only form of sugar that can be used directly by all your cells.

Now let’s see how, by a strange twist of fate, one of the nutrients in healthy foods can become your enemy.

Pure fructose is now added to many industrial foods such as sodas, canned juices, cereals, ice cream, pancake syrup.

Unlike other sugars, fructose doesn’t trigger an insulin response. In the 1970s, this led to the belief that fructose was good for diabetics. Which is totally false !

Fructose is metabolized, i. e. treated by the liver, which converts it into glucose to be used as fuel by the cells in your body. The excess fructose is converted to be stored in the adipocytes as triglycerides.

This means that if we eat too much food rich in fructose, our liver produces more triglycerides…

As a result, there is more fat than we can store in fat cells.

This excess fat accumulates in the liver at the end of the process.

Just like goose foie gras, but with a big difference: while geese are forcibly fed by their owners, we do this to our bodies without knowing it !

Your liver is transformed into foie gras ! Just like 70 million Americans, you may well develop NASH: non-alcoholic hepatic steatosis, or ‘foie gras disease’.

At first, it is a painless and still reversible disease. However, if you continue to eat a lot of sugar or drink a lot of fructose, you can cause liver tissue to degenerate !

And that’s how fructose has become the leading cause of liver transplantation in the United States.

In short, if you want to stay healthy, with a healthy liver, carefully read the labels of processed products and look for the presence and amount of fructose or its equivalents.

In my daily practice, I give my patients the information and simple nutritional guidelines to follow in order not to clog their liver.

It is good to know that the development of NASH coincides with the development of prediabetes and type 2 diabetes.

Biological and ultrasound examinations make it possible to establish a diagnosis of the presence or absence of an installed or new NASH.

Ask your doctor to review and possibly prescribe biological tests to measure the impact of your diet on your liver.