Dr. Mark Bowman: Deeper Dive into Diabetes and Chronic Disease

by Guest | Mar 23, 2018 | Being Well, Eat Well

By Laura Swanson
“I’ve been doing some research,” said Dr. Mark Bowman, Medical Officer at Adventist Health Tillamook Regional Medical Center, “And I can send you the studies,” he added, as we continued our conversation about why the Year of Wellness focus on type 2 diabetes prevention is so important. “The statistics are interesting and according to the research, having diabetes is equal to having heart disease,” Bowman stated.  “The risk to your health is equal to having previously had a heart attack; that’s the impact that diabetes has on the body.”  That’s why it’s important to control diabetes as it lowers the risk for complications.
As Dr. Bowman continues his practice of Functional Medicine, which focuses on the individual and finding the underlying causes for symptoms, ongoing and leading edge research provides a basis, but research is done with a tightly controlled group. “It’s almost impossible to replicate the conditions of a research group in reality,” explains Bowman.  It’s an incomplete puzzle with different individual responses.   Other systems that are impacted by diabetes, in addition to the increased risk for coronary disease are macro-vascular, kidney disease, retina deterioration, neuropathy, and hypertension.
Diabetes symptoms can be controlled with medication, but lifestyle changes are the “key and safest” medicine for slowing, and even reversing diabetes. “You can have a patient on insulin therapy for decades, but in most cases, the pancreas eventually loses the ability to continue producing high levels of insulin. Insulin resistance occurs at the cellular level,” explained Dr. Bowman.” It signals the body to increase fat cells and more insulin is required …it’s a vicious circle.”  He continued, “When you make some simple lifestyle changes such as healthier eating and activity, you can delay and even reserve insulin resistance.  It’s not easy for some people, and an individual approach is necessary.”  That’s why Dr. Bowman is focusing on Functional Medicine.  “It’s not a one-size-fits-all kind of medicine,” he added.
“The research is constantly being done and the findings continue to change our treatment options,” said Dr. Bowman, as he prepared to head to New York City for the Integrative Healthcare Symposium. “We are hearing more references to dementia and Alzheimer’s as ‘type 3’ diabetes,” said Dr. Bowman. “The impacts are micro-vascular and there is a link between reducing inflammation and improving systems functions.  You can delay the progression with anti-inflammatory foods.”  There it is again – “Food as medicine.”  It’s more than an apple-a- day, according to Dr. Bowman, “Eat and drink as ‘clean’ as possible, reduce exposure to internal and external chronic stress.  Seventy-percent of serotonin (the neurotransmitter chemical that impacts mood and more) is produced by the bacteria in the gut.”
Then there are those pesky genes and again how each individual’s systems function. One study looked at ways of reducing the complications of diabetes, with findings that an A1C level under 7 reduced onset of other chronic problems.  It involved intensive lifestyle therapy, not medication.  “There is current dialogue about diet and diabetics,” said Bowman. “Lower carb, plant-based.  It’s all about reducing sugar, and carbohydrates and grains that metabolize into sugar.”  Dr. Bowman was most looking forward to a presentation by Dr. Mark Hyman (A leader in Functional Medicine), “Food: What the Heck Should I Eat?” – which is also the title of his newest book.  Our next interview with Dr. Bowman will be about the NYC symposium.
“We can continue to increase awareness and educate about lifestyle changes,” said Dr. Bowman. “encourage people to make healthier choices, develop particular ways and habits that have positive impacts on their quality of life.” He continued, “We get a label as diabetics, and internalize, suffering shame because ‘we must have done something wrong.’ By talking about diabetes, and many chronic diseases such as hypertension, lipid, and hormonal imbalances we can let people know there are ways to turn it around. Don’t suffer in silence, or simply, Band-aid  with a pill.”  He continued, “It’s an individual life journey and there’s a time and place for all tools.  Increased awareness and acceptance of the different lasting options will ultimately help patients enjoy a satisfying life.”
 
 

The Hidden Effects of a Diabetes Diagnosis

by Guest | Mar 2, 2018 | Being Well, Eat Well

By Sara Todd, LCSW, Rinehart Clinic

The shame experience is complex and holds a variety of feelings. Shame can be debilitating and all encompassing. Eye contact may feel painful, even impossible. At its worst, it can result in withdrawing from the world. A retreat into a darkness that feeds upon itself.

Shame is triggered by an external event and this can even include receiving the diagnosis of a medical illness, such as diabetes. The diagnosis may trigger shame because of feeling exposed as inadequate or incapable. A person may feel they don’t “measure up” to an ideal. The diagnosis can end up confirming what someone already feels about her or himself— that they are flawed or not good enough.

Shame has a social context and occurs in relationship with others. We will say, you shamed me. A tendency toward shame in one’s adult life may come from early experiences of being judged, ridiculed and not fully celebrated and enjoyed by one’s caregivers. This fundamental sense of “badness” repeats a cycle that originated in one’s early life. For some, shame may be a foundation underlying everything one does. Diabetes is just one more channel for that shame.
Shame thrives in darkness and loathes the light. Its antidote is radical acceptance, the full embrace of love and kindness by another and towards oneself.

Because diabetes intersects with a person’s relationship to their body, their relationship to food and eating and the authority of medical providers, it makes sense that all of this would trigger a shame response. The combination of society’s unrealistic beauty standards, feeling constantly “graded” through daily monitoring of blood glucose or A1c tests and the way we ignore the institutional reasons for challenges such as poverty and eating healthy, all contribute to an internal dialogue of “I did this to myself”.

What is the way out?
The first may be to have curiosity about the shame. Ask questions about the feeling and the storyline that you’re “not good enough.” Why do I feel ashamed about having diabetes? Open it up for exploration. If the shame is connected to not measuring up to an ideal version you have of yourself, you can ask: Who set that standard? Is this an ideal that comes from my own values or someone else’s?

Questioning the self-blame can also be effective. What may be other reasons I have this disease? Why else did it happen? Is there a family history, for example? The point is not to deflect accountability, but to bring a more complex understanding.

We can also begin to unravel this knot of humiliation, self-hate, and feeling outcast by “dropping the storyline.” When these thoughts “I’m not good enough…I did this to myself…I’ll never get it right” come up, take a deep breath, feel your body and then let the thoughts go. A teacher once gave me the tool of: Recognize-Refrain-Relax-Remain. Recognize that you are getting caught again in the feelings and thoughts of shame. Refrain from trying to escape the feelings (don’t numb out). Relax by deep breathing, stretching, taking a walk or simply just letting yourself be. And, finally, remain where you are in that moment. It will pass.

If shame is making it difficult to engage deeply with others and live your life fully, talking to a therapist may also be a good idea. Shame that originates in trauma needs healing with a licensed mental health professional. And as we heal the wound of shame, we begin to love ourselves more fully through the gift of improved health.

Most importantly, shed light on that shame because you, at your core, are good and perfect just as you are.

Can you Hear Me Now?

by Michelle | Feb 23, 2018 | Being Well, Eat Well

By Michelle Jenck, YOW Coordinator

If it seems like you have been hearing a lot about diabetes and pre-diabetes lately, you are right. At the risk of over-sharing, the Year of Wellness team wants to make sure Tillamook County residents are getting the message – loud and clear.  A lot of people have prediabetes and there IS something we can do about it.

Our YOW partners at the Y and Northwest Senior & Disability Services are teaming up to prevent diabetes in Tillamook County. This infographic highlights key risk factors and prevention methods.  Losing even a few pounds (and keeping them off) can help most people reverse their risk of developing type 2 diabetes.  The best way to do that is to follow healthier eating habits and become more physically active than you are right now.

Because we know change can be difficult, our YOW partners are working to provide community-based supports to make these changes easier. Diabetes Prevention Program (DPP) classes are one way to learn about healthy habits and how you can adapt your lifestyle to optimize health.  Plan to attend the DPP orientation, March 6^th at either 12:00 noon or 6 p.m. at the YMCA, 610 Stillwell Avenue in Tillamook.  You have nothing to lose (but weight) and everything to gain (in health)!

Continue to follow us in the Headlight-Herald each week to learn more about local resources available to you and your family. Visit our website at tillamookcountyhealthmatters.org or download the app, Tillamook County YOW, for additional community-based wellness resources and information.

Reversing Type 2 Diabetes (and other chronic disease) Without Drugs

by Guest | Feb 14, 2018 | Being Well, Eat Well

By Dr. Hans Diehl
The diagnosis of Type 2 Diabetes has often been perceived as a death sentence because of its impact on health and lifespan. Diabetes, over time affects every major organ in the body and is largely responsible for markedly increasing the risk of blindness, kidney disease, amputation, heart disease and stroke, and erectile dysfunction.  Currently, every second American adult either has full-blown diabetes or has been diagnosed as a person with pre-diabetes.  But we can go now beyond merely treating the symptoms of diabetes.  The highly respected ACCORD study showed that tight control of the glucose levels actually increased morbidity and mortality.
So we must go beyond just treating the symptoms of diabetes, or managing its blood sugar levels with drugs and injections. Almost all pharmaceutical agents increase appetite, thus increasing weight, thus worsening the diabetic condition and requiring more medications. This only continues the vicious cycle of more drugs, more weight, and a worsening of the diabetes with its devastating health impact, shortened lives and a higher economic burden.
There IS hope. A new approach is emerging that has helped close to 10,000 diabetics enrolled in the CHIP (Complete Health Improvement Project).  This diet-centered lifestyle intervention lowers blood sugar levels within days.  It is an approach that was used more than 80 years ago but it was overlooked and forgotten.  Today the evidence is quite stunning when we use a diet very low in fat, oils and grease but high in unrefined complex carbohydrates. The body usually recovers, and within four weeks about 75% of patients with Type 2 Diabetes on drugs and about 50% of these patients on insulin will have normalized their blood sugar levels while being off their medications.
Dr. Singh, as published in the respected Lancet Medical Journal as far back as 1955, had 50 of his 80 insulin-using Type 2 diabetics off insulin with normalized blood sugar levels within 6 weeks by using a very low fat, yet very high, unrefined starch diet.  We are now beginning to understand some of the mechanisms that will be carefully discussed in more detail in my presentation on March 2.
The answer to this largely lifestyle-related disease is not found in pills and shots. To disarm and reverse this rapidly expanding killer disease, we need to go beyond pills and shots.  We need to alter the causes of this disease.  That involves our lifestyle, and especially our dietary lifestyle of “sweets and meats” and of “junk and bunk”.
Type 2 diabetes has tripled in the United States over the last 30 years. This is not a genetically induced disease, because it takes about 300 years to change the genetic make-up of a nation.  However, a healthier lifestyle will turn this disease around, not only preventing it but also disarming and reversing it, often within days.  The very lifestyle that will heal the diabetes, will also extend to healing heart disease, hypertension, overweight and other chronic diseases.
Dr. Diehl will be making this presentation at a luncheon on Friday, March 2 at 12:00 – 1:15 pm at Wirick Hall at the Nazarene Church, 2611 Third Street, Tillamook. There is no charge for this event. Please RSVP for the meal to 503-815-2270 or gabelgl@ah.org. Sponsored by Tillamook Regional Medical Center.