Approaching the Tsunami: An Integrative Approach to Reversing the Diabetes Epidemic

The extremely high consumption of heavily processed foods containing sugar in the Western world has been the primary driver of today’s diabetes epidemic. Excess sugar consumption is a big driver of excess calories consumption since sugar increases appetite and not feeling satiated.  There are increasing studies also clearly demonstrating that excess animal protein consumption, in the form of dairy products, red meat, poultry, eggs, and fish, are also bigger drivers of the diabetes epidemic.   There is an increasing movement to address the root cause of diabetes by better educating people on shifting to a whole food plant-based diet without added sugar and processed foods.  

Health care providers are often ignoring the severe micronutrient deficiencies diabetic patients suffer.

I want to address key micronutrients diabetic patients need in combination with diet therapy in order to effectively help reverse their disease. 

Anyone who knows how I practice, knows that I love magnesium. Pokharel and colleagues (2017) found that half of the patients with diabetes have low magnesium levels because of the following reasons: 

  • elevated blood sugar and cholesterol drives magnesium deficiency

  • most diabetic medications increase magnesium losses

Think of magnesium as a cell stabilizer since it is critical for cell functioning.  

The foods high in magnesium are dark, leafy green vegetables, of course!  As always, magnesium supplementation is meaningless without dietary change though. 

Low zinc status is also associated with poor glycemic control in people with uncontrolled type II diabetes (Bandeira et al., 2017). Low zinc status was inversely correlated with a high blood sugar level.  Like magnesium, zinc is critical for cell functioning. Zinc protects the pancreas’ beta cells which produce insulin from oxidative damage.   It also stabilizes the insulin hormone (Bandeira et al., 2017). 

It’s clear that poor mineral status can negatively affect glycemic control in diabetes. Determining "optimal" levels of mineral intake can be complicated, even under the best of conditions. It is wise to approach the issue as one of constant refinement (as opposed to "Okay, the deficiency is now solved" proposition). 

The truth is most doctors do not run micronutrient tests because it’s not standard of practice. They also do not have the training to address what is going on at a cellular level. This is why SF Advanced Health offers a wider range of Special Diagnostic Tests through a partnership with local provider Genova Diagnostics and Great Plains Laboratory. 

This partnership is giving Advanced Health’s healthcare providers broader, and more effective, options to help our patients on their path to lifelong wellness. These tests have already helped us treat patients with a variety of conditions, including diabetes, with a very high success rate.

AUTHOR

Dr. Payal Bhandari M.D. is one of U.S.'s top leading integrative functional medical physicians and the founder of SF Advanced Health. She combines the best in Eastern and Western Medicine to understand the root causes of diseases and provide patients with personalized treatment plans that quickly deliver effective results. Dr. Bhandari specializes in cell function to understand how the whole body works. Dr. Bhandari received her Bachelor of Arts degree in biology in 1997 and Doctor of Medicine degree in 2001 from West Virginia University. She the completed her Family Medicine residency in 2004 from the University of Massachusetts and joined a family medicine practice in 2005 which was eventually nationally recognized as San Francisco’s 1st patient-centered medical home. To learn more, go to www.sfadvancedhealth.com.