Here from Orlando from cardiovascular interventions, and thanks for tuning in today. I’m going to talk about diabetes and the effects of diet versus medications, diet versus drugs, to see which one you can really choose. I want to empower you all to make this decision.

Article Reference and Diabetes Impact

So, in the September article here in the New England Journal of Medicine, it was a beautiful article here, it says “Glycemic Reduction in Type 2 Diabetes,” and I want to discuss this for with you so that you all can know the effects of diet versus drugs in diabetes. Now, diabetes is a huge problem, especially for cardiologists because we know that this causes cardiovascular disease, which is the number one cause of death.

Diabetes Consequences and Epidemic Scale

It causes heart attacks, congestive heart failure, blindness, dementia, proof of vascular disease, and we know that diabetes is on the up, and we know that there’s a half a billion people on this planet who have diabetes. This burden is huge, and we know that there’s one and a half million new cases of diabetes every year. This is an epidemic we’ve never seen before.

Historical Perspective and Root Cause

Even 40 years ago, we didn’t have this type of Diabetes, so it obviously, we talked about this in my previous, uh, videos where I said that it is mostly the diet and the lifestyle and what we’re eating and how we eating and how frequently we eating, and that’s the root cause of this problem, and it’s happening all over the world.

Medications vs Diet Discussion

So, in this article, they talk about the medications and how good they are for your diabetes, and what I talk about in my previous videos is how good a diet is and is in completely reversing your diabetes, completely reversing it. So, I’m not saying that you shouldn’t do drugs, I’m saying the drugs have a place, absolutely, but so does diet, and it’s not emphasized.

Study Overview and Patient Groups

So, let me show you some Study Results, the data that we came up with. So, this is the great study research group, and what they did is that they took a five-year study, they put a lot of patience into it. In fact, there were over 5,000 patients, and these are all diabetic patients.

Hemoglobin A1c and Patient Details

These diabetic patients had a hemoglobin A1c between 6.8 and 8.5, so for those who don’t know, hemoglobin A1c is the test that you look to see how good or bad your diabetes is, and you want your hemoglobin A1c to be less than 6.4, and these patients all had diabetes for 10 years, and they studied the hemoglobin A1cs, but they divided them up into four groups.

Medication Combinations and Study Goals

So, there’s basically four groups of medications plus metformin, so they combine the medications to see if it made much difference and which combination is the best combination. 

Study of Hemoglobin A1c

I remember I thought that it should be less than 6.4, 6.5, but they said okay, less than seven, all right, but the results show that 71 of the participants did not reach the hemoglobin A1c less than seven using this combination of medications. 

Patient Diet Success Stories

Thousands of patients around the world have been doing my diet, they’re doing intermittent fasting, they’re watching what they’re eating and staying away from preserved food, they go with Whole Foods only, and they have had dramatic reductions in their diabetes, and not only that, the A1cs come down to less than 6.5 thousands of patients.

Study Further Analysis and Outcomes

So, let’s look at the study even more, okay? Whats Worse, what’s worse is that those who started out with a hemoglobin A1c of 6.8 on medicines, those who started out with the hemoglobin A1c of 6.8, what happened to them? Majority of them progressed and went even higher during the test.

Percentage of Patients Maintaining Control

So overall, less than seven percent, less than seven percent of these patients actually kept the hemoglobin A1c less than what they started out with. So, less than seven percent, this is the goal in that study, and yet it was not achieved in most of the patients.

Overall Reduction and Combination Comparison

The overall reduction in the hemoglobin A1c with the medicines was 0.3, a 0.3 reduction in your hemoglobin A1c progression of disease, A1C overall less than 0.3, no major difference between any of the combinations.

Summary on Study Results and Dietary Approach

So, what I’m saying is that yes, the study did show a small reduction in hemoglobin A1c, but am I happy with that and as progression of disease curing the disease from this process? My dietary programs, which you all have heard about, means no concentrated sugars, no concentrated simple carbohydrates, no high fructose consider, no processed foods, no refined products because these are the things that cause that intense insulin secretion in the body and causes insulin resistance.

Insulin usage and Sugar Reduction

You have to cut down on sugar, and you know some patients come to me and they say, “Oh look, I have to be on so many carbs, simple carbs, I’m a diabetic.” Why? You do not need simple carbs if you’re diabetic because you’re simply going to stimulate more insulin production in the body.

Hyperinsulinemia and Diet Change

Type 2 diabetes is hyperinsulinemia, too much insulin production because you have insulin resistance. The way you make yourself sensitive to insulin again is by changing your diet so you’re not stimulating your body to make so much insulin by eating foods that are more complex carbohydrates, lots of fiber in them, Whole Foods, no processed foods, no refined products, no powdered stuff, no ground up stuff, real food that when you swallow it and eat it and goes down, that real food will not cause a tremendous surge in your insulin.

Fiber’s Role in Insulin Production

Why? Because it’s mixed with the fiber, because the soluble fiber forms a mesh around the food molecules so that it does not stimulate the production of insulin because the K cells in the duodenum don’t see all that concentrated sugar there. So, you get less insulin production.

Absorption and Gut Bacteria

Secondly, the absorption rate is much slower, and thirdly, the Whole Foods have soluble fiber that go down into your colon, and there, who eats the soluble fiber? Who digests it? You don’t, your bacteria do. So, the good bacteria in your gut consume the soluble fiber, and they produce short chain fatty acids, and these short chain fatty acids, they improve the health of the lining of your intestines and more mucous productions, so you get less intestinal permeability and less immune stimulation, and the short chain fatty acids are also anti-inflammatory and they improve insulin resistance.

Processed Food and Fiber Removal

So, by reducing the amount of insulin production by choosing the right types of foods, at the upper end you’re producing less insulin through the hormonal production, and then your bacteria by consuming the fiber, the fiber that’s missing in processed foods.

Fiber’s Physiological Effects

So, you know, when I was in college, I used to say to my professors how does fiber really help you, and the answer was, “Well, you get big bulky stools and therefore you know all the toxins get out there and you don’t get constipated.” That’s fine, but does it really affect your physiology? And now we’re knowing that it does affect your physiology.

Gut Bacteria and Molecule Production

So, what happens that these bacteria are not just sitting there, they actually consume the fiber and produce short chain fatty acids and a ton of other molecules, and by the way, they are also the ones that consume all your polyphenols and other things which we know are good for us, but it’s not for us, it’s for the bacteria.

Eating for Yourself and Your Bacteria

You’re eating for yourself and your bacteria. So, with the dietary program that I’ve recommended, which means eating Whole Foods, eating infrequently so you’re not eating every three or four hours, you’re doing intermittent fasting, you do time restricted feeding and a lot of videos on these, and with this you get a sudden change in the physiology due to a combination of less insulin production, more anti-inflammatory molecule production through short chain fatty acids in the gut, and you’re changing your entire microbiome, you’re feeding them, and then the fasting itself has an effect on the microbiome as well as sensitivity to insulin.

Natural Body Rhythm and Testimonials

So, it’s a win-win all round, and when you think about it, this is how your body was supposed to be. You eat your Feast, then you fast, your feast and the fast, and from thousands of testimonials, thousands of them, people have reverse diabetes completely, not just get a hemoglobin A1c down less than Point list 5.3.

Talk to Your Doctor and Diet Change

Yes, talk to your doctor, talk to them about the medicines, find out which one’s going to be suitable for you, you’re not going to get side effects, remember a third of them cause side effects, but you have to change your diet, and once you get your insulin sensitivity back, you get your weight back to it ideally where it should be, and you’ve restored your sensitivity, your body will be completely different than it was before, and the mechanisms of action I’ve gone over some of them.