Diabetes Archives - The Nutrition Supplement Dietitian https://mysupplementrd.com/category/diabetes/ Janet Zarowitz, MS, RD, CDN, Registered Dietitian Nutritionist Thu, 30 May 2024 14:45:36 +0000 en-US hourly 1 https://mysupplementrd.com/wp-content/uploads/2021/08/msrd-favicon-jpg-webp-100x100.webp Diabetes Archives - The Nutrition Supplement Dietitian https://mysupplementrd.com/category/diabetes/ 32 32 GLP-1 — The Un-Hunger Hormone https://mysupplementrd.com/how-to-naturally-boost-glp-1-un-hunger-hormone-with-diet-for-weight-loss/ Fri, 26 Apr 2024 17:05:44 +0000 https://mysupplementrd.com/?p=14016 For so many, losing weight and/or maintaining a healthy weight remains a challenge. Scientists recognize that maintaining a healthy body weight is more complicated than just calories in, calories out....

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For so many, losing weight and/or maintaining a healthy weight remains a challenge.

Scientists recognize that maintaining a healthy body weight is more complicated than just calories in, calories out. They are studying why in modern society hunger/satiety signals are malfunctioning, how lack of sleep, excess stress and environmental toxins promote obesity, and how the human body is hard-wired to crave certain types of food.

In pre-modern days, when food was more scarce and never guaranteed, it was an evolutionary and survival advantage to eat as much as one could whenever food was available. (After all, access to food made it more likely that you would survive and pass on your genes to future generations!)

But today, in our urban societies we can access food practically round-the-clock, with little to no energy or effort, whether it’s from Starbucks, take-out, a supermarket, or just taking a few steps to our refrigerator.


 Weight loss through diet and gut healthObesity, Health Concerns and Ozempic

Obesity isn’t just about weight either, it is also associated with: 

  • bodily inflammation 
  • insulin resistance (pre-diabetes) 
  • increased risk of medical conditions like osteoarthritis
  • increased risk of GERD
  • increased risk of metabolic disorders
  • increased risk of heart disease 
  • increased risk of sleep apnea. 

To help address the obesity epidemic, scientists are developing medications like Ozempic (semaglutide).

Ozempic supports weight loss by mimicking the body’s natural GLP-1 hormone which curbs our appetite, reduces food cravings and helps us feel full.


What is the Mechanism Behind GLP-1, the “Un-hunger” Hormone? 

GLP-1 is a signaling hormone that tells your brain that you are satiated and not hungry.

Your body naturally produces GLP-1 in the gut, but as you age your body produces less of it. Some scientists think decreased secretion of GLP-1 may be contribute to the development of obesity.

This is how GLP-1 works to support weight loss:

  • When you eat, your body releases GLP-1 hormone.
  • GLP-1 signals your pancreas to make and release insulin, reducing blood sugar levels.
  • GLP-1 hormone also slows down stomach emptying, slowing down how quickly food moves from your stomach into the intestine.
  • When your stomach remains full, GLP-1 stimulates nerves inside your gut who then send messages to your brain about being and feeling full.
  • When appetite are cravings are reduced, it helps many people maintain a healthy weight.

Ozempic has been recommended by many doctors and helped many people manage their weight, blood sugar levels and metabolic disorders. That said, even if it were available to them, many people choose not to take an injectable medication in order to lose weight.

Is there a way to support natural GLP-1 levels through diet?
Is medication the only answer?


Plant Fiber: The Natural GLP-1 Booster

The good news is that by eating more fiber, especially soluble fiber, you can naturally increase GLP-1 hormone levels, thus supporting weight loss.1

Eating more fiber helps the normally short-lived GLP-1 stick around longer, making its benefits more potent. (GLP-1 gets degraded within a matter of minutes!)

Fiber then moves through the small intestines largely unchanged (as our bodies don’t break down fiber).
Hours after you first ate, when the fiber next gets to the large intestine/colon, bacteria (gut microbiome) ferment and break down the fiber into smaller molecules.

These smaller molecules created by gut microbes feasting on fiber, trigger the release of a second boost of GLP-1 plus another hormone PPY (peptide YY) that decreases the appetite.

This second boost of GLP-1 and PYY, hours after your meal, can help you feel satiated for longer periods of time between eating.


Soluble Fiber, the Preferred Type of Fiber to Increase GLP-1, Feel Fuller Longer

If you are looking to boost your GLP-1 levels, aim to include more servings of plant foods in your diet and be sure to include foods high in soluble fiber. (Read below for more on Food Sources of  Soluble Fiber to Boost GLP-1.)

Soluble fiber easily dissolves in water and breaks down into a gel-like substance in the colon. Soluble fibers are the type of fiber that feed the gut bacteria that initiate generation of more GLP-1.

All fiber comes from plant foods, not animal products. Shift your meals and snacks to be proportionately more plant-centric and you’ll naturally raise your fiber intake!

You don’t have to count grams of soluble fiber in your diet, but make it a point to eat more servings of plant foods each day. Start by adding one additional serving of a fiber-rich food such as vegetables, fruit, nuts, seeds or beans each day and build up from there. 

Most Americans don’t eat enough total fiber. The recommended amount of total dietary fiber per day is 25-30 grams of fiber and most Americans eat only about 15 grams of fiber daily.)

(Insoluble fiber, sometimes called roughage, does not dissolve in water and remains intact as food moves through the gastrointestinal tract. Insoluble fiber supports healthy elimination. Both types of fiber are beneficial for your overall health but play different roles.)


The Natural GLP-1 Boost Formula = Diet High in Soluble Fiber + Healthy/Diverse Gut Microbiome

Besides eating a diet with more soluble fiber you also need to have a healthy and diverse microbiome in the gut to naturally produce GLP-1 for you. The gut bacteria act upon and ferment the soluble fiber which in turn supports the natural production of GLP-1!

The good news is that eating more plant foods with fiber (especially colorfully pigmented ones rich in polyphenols) will naturally support a more diverse and robust gut microbiome. And, eating probiotic rich foods like yogurt, kefir, fermented vegetables, miso, etc will further enrich the gut microbiome.

Many of my clients also take a clinically studied probiotic supplement like MegaSporeBiotic to supports a healthy gut microbiome as well.


Key Takeaways: The Natural GLP-1 Boost Formula

Many people, including many of my clients, are looking for natural weight loss supports including alternatives to taking semaglutide.
I always start with optimizing the diet and supporting their gut microbiome.

To support weight loss, you can naturally boost your own production of the un-hunger hormone GLP-1 with the natural GLP-1 Boost Formula: 

  • Eat more plant foods (the more variety the better), especially those that are good sources of soluble fiber 
  • eat fermented foods rich in probiotics, and
  • support the gut microbiome further with a with a probiotic like MegaSporeBiotic.

Resources

Excellent Sources of  Soluble Fiber to Boost GLP-1

  • Legumes and Seeds: Beans (all types), green peas, lentils, soy, nuts and seeds (almonds, chia seeds flaxseeds, peanuts, pumpkin seeds)
  • Grains: barley, corn, oats, quinoa, rice, rye, wheat
  • Fruits: most fruit, especially apples, bananas, berries, dried figs, oranges and other citrus fruit, pears, plantains, plums, prunes
  • Vegetables: many vegetables especially asparagus, avocados, beets, carrots, broccoli, Brussels sprouts, cassava, ginger, green beans, Jerusalem artichokes, kale, pumpkin, radish, root tubers, root vegetables (sweet potatoes, onions), taro, turnips, white potatoes, winter squash, yam, zucchini
  • Aim to eat 30 different plant foods each week!!

News Article

1 (Less snacking, more satisfaction: Some foods boost levels of an Ozempic-like hormone)
From NPR.ORG — October 30, 2023, by Michaeleen Doucleff


GLP-1 Activating Nutrition Supplements

In addition to helping clients with The Natural GLP-1 Boost Formula, I am also now working with some exciting research-based GLP-1 activating nutrition supplements.

Learn more about these exciting clinically researched GLP-1 Activators:
Calocurb  and Pendulum GLP-1 Probiotic Pro.


 

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What’s All the Buzz About Berberine? https://mysupplementrd.com/berberine-supplement-metabolic-syndrome-weight-blood-sugar/ Thu, 06 Jul 2023 14:01:36 +0000 https://mysupplementrd.com/?p=13044 The post What’s All the Buzz About Berberine? appeared first on The Nutrition Supplement Dietitian.

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Unlocking the Health Benefits of Berberine:
Natural Support for Blood Sugar, Heart Health, Weight Management, and More!

Berberine, a compound extracted from Goldenseal and Barberry plants, supports metabolic and microbiome health. Berberine is not new — it has been used in traditional medicine for thousands of years for GI health and other conditions. 

Today berberine is a hot topic because scientists are studying it for its support in many chronic conditions like overweight, uncontrolled blood sugar, high cholesterol and triglycerides, and blood pressure management.

Berberine supports healthy blood sugar levels which can reduce sugar cravings, making it easier to stay away from sugary, empty calorie foods.

Berberine also benefits the gut microbiome by enhancing populations of beneficial species. This too can affect blood sugar control, potentially influencing weight and fat accumulation. 

Some doctors use berberine as an alternative to Metformin to achieve a healthy HbA1c.

Berberine’s beneficial effects are reflected in health biomarkers like BMI, blood pressure and cholesterol levels.


Most Individuals Today Are Using Berberine As a Support for Metabolic Syndrome

What is Metabolic Syndrome? Metabolic syndrome is a condition of having at least three of these health risk factors:

  • Extra Belly Fat Around the Waistline
  • High Blood Pressure
  • High Blood Sugar
  • High Triglycerides
  • Low HDL (“good”) cholesterol

Having metabolic syndrome makes it more likely to develop serious health issues like heart disease, diabetes, or have a stroke.

Metabolic syndrome often occurs because of unhealthy lifestyle habits like poor diet, being inactive and being overweight.

The good news is that you can manage metabolic syndrome with a healthy lifestyle, by eating healthy foods, being physically active and losing extra pounds.


How Berberine Helps at a Celluar Level

Berberine helps your body by working with a special enzyme in each cell called AMPK (adenosine monophosphate-activated protein kinase).

AMPK is activated in response to things like low blood sugar, heavy exertion, extreme hot or cold temperatures.

Berberine activates AMPK which then switches “on” cellular metabolism, regulating metabolism and energy expenditure. It’s the body’s way of responding to low energy levels. The effects are systemic throughout the body. 

(The AMPK pathway also explains how intermittent fasting may help with weight loss.)

When AMPK is switched “on” it in turn influences healthy levels of HDL cholesterol vs LDL cholesterol, and reduces triglycerides, blood pressure, blood sugar, insulin resistance and visceral obesity (“belly fat”).

But in order for AMPK to be activated, berberine needs to be absorbed! The challenge is that standard berberine can be difficult for the body to absorb.


Berberine Ultra Absorption

It is estimated that only about five percent of any given dosage of standard berberine actually makes it into the bloodstream, so finding a way to enhance absorption is key to getting the full advantage of its benefits.High Absorption Berberine

Euromedica’s Berberine Ultra Absorb meets that challenge — it is enhanced with a proven, special dual-action absorption delivery method that is both water and fat-soluble, making it a highly absorbable form of berberine, enabling much higher levels to reach the bloodstream.

Enhanced absorption berberine also means optimal results at lower dosages.


Berberine in the News

There’s a lot of media hype about using berberine specifically for weight loss, calling it “nature’s Ozempic.” 

My view is that berberine is a wonderful time-tested science-backed herbal supplement for overall metabolic support, including supporting healthy blood sugar levels and lipid metabolism.

Often there is a modest weight loss as a result (which my clients are very happy about), but berberine is not a “miracle” weight loss supplement.

As for many supplements, berberine is not recommended for pregnant or breastfeeding women or for children. Since berberine can lower blood sugar levels, patients taking Metformin (or other blood sugar lowering medications) should consult with their doctor before adding berberine.

Interested in learning more about berberine? Book a consultation.


In Summary — See My Instagram Reel about the Berberine Buzz!

 

 
 
 
 
 
View this post on Instagram
 
 
 
 
 
 
 
 
 
 
 

 

A post shared by Janet Zarowitz, Westchester,NY (@janet_zarowitz_rd)

 


 

 

 

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Diabetic Neuropathy and Nutrition https://mysupplementrd.com/nutrition-supplements-diabetic-neuropathy/ Tue, 13 Oct 2020 11:06:24 +0000 https://mysupplementrd.com/?p=7977 The post Diabetic Neuropathy and Nutrition appeared first on The Nutrition Supplement Dietitian.

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Diabetic Neuropathy: Can Dietary Supplements Help?

(from the Mayo Clinic)

A healthy diet is a critical factor in controlling blood sugar, which is key in managing diabetes and preventing or slowing the progression of diabetes complications such as diabetic neuropathy. Dietary supplements also may play a role.

Diabetic neuropathy is a type of nerve damage that can happen if you have diabetes. This condition can cause pain and tingling in the hands and feet, digestion problems, and sexual problems. Advanced neuropathy in the feet can lead to:

  • Loss of feeling
  • Ulcers that don’t heal
  • A need to remove (amputate) your toe, foot or lower leg

Eating a healthy diet is an important part of managing your diabetes, and it may help prevent diabetic neuropathy and other complications. Keeping your blood sugar under control may help slow the progression of nerve damage.

Dietary supplements may help reduce diabetic neuropathy symptoms, but more research is needed. Talk with your doctor before taking a dietary supplement. Some may interfere with certain diabetes medications, and some can increase the risk of kidney problems.

Vitamin B-12

Vitamin B-12 is present in some foods and helps with proper nerve function and red blood cell production. People who don’t get enough vitamin B-12 may have a higher risk of neuropathy and other nervous system (neurological) problems.

Certain drugs may lead to a B-12 deficiency, including:

  • Metformin (Glumetza, Riomet, others), a drug used to treat type 2 diabetes
  • Stomach acid-reducing proton pump inhibitors (Prevacid 24 HR, Prilosec OTC, others)
  • Stomach acid-reducing histamine (H-2) blockers (Tagamet HB, Pepcid AC, others)

It’s unclear whether taking vitamin B-12 supplements can help treat diabetic neuropathy. Some small studies have shown a lessening of pain and other abnormal sensations. However, for people who don’t have a vitamin B-12 deficiency, taking B-12 supplements for diabetic neuropathy hasn’t been shown to help.

A vitamin B-12 supplement is generally considered safe when taken as directed. Natural sources of vitamin B-12 that you may include in your diet are fish, lean red meat and vitamin-fortified breakfast cereals.

Alpha-lipoic acid

Alpha-lipoic acid is an antioxidant found in many foods. Antioxidants are substances that the body can use to prevent or manage a tissue-damaging process (oxidative stress). Oxidative stress is a part of the diabetic neuropathy disease process. Alpha-lipoic acid also has been shown to lower blood sugar levels.

In a few small studies, people who had diabetic neuropathy experienced less pain, improved performance on nerve function tests, and improvements in other signs and symptoms. Larger studies are needed.

Alpha-lipoic acid supplements are generally considered safe when taken as recommended. However, if you take this supplement when you have a significant thiamin (vitamin B-1) deficiency, alpha-lipoic toxicity might occur. Don’t use alpha-lipoic acid if you’re a heavy alcohol user.

Natural sources of alpha-lipoic acid include spinach, broccoli and yeast.

Acetyl-L-carnitine

Acetyl-L-carnitine is a chemical compound naturally produced in the kidneys and liver. Acetyl-L-carnitine helps to reduce oxidative stress. It’s believed to be involved in nerve cell function and regeneration.

In a few clinical trials, people who had diabetic neuropathy had reduced pain, improvements in other sensory problems and improvements in nerve function tests. Some of these studies also suggested that the treatment effect is greater when started early in the disease’s course. More studies are needed.

Acetyl-L-carnitine supplements are generally considered safe when taken as directed. Side effects may include nausea, vomiting or agitation.

Don’t use acetyl-L-carnitine if you use warfarin (Coumadin, Jantoven), a blood-thinning medication, because the combination increases warfarin’s effect and potentially the bleeding risk. For people who have hypothyroidism or a history of seizures, acetyl-L-carnitine may make these conditions worse.

A Healthy Diet is Essential

Although research into the relationship between dietary supplements and diabetic neuropathy is ongoing, eating a healthy diet is widely recognized as a key part of managing your blood sugar and diabetes complications such as diabetic neuropathy.

Aim for a healthy-eating plan that’s naturally rich in nutrients and low in fat and calories. Healthy meal plans focus on:

  • Vegetables, fruits, legumes and whole grains
  • Fat-free and low-fat dairy products
  • Lean meats, fish, and poultry without the skin

Physical Activity Plays Important Role

Exercise is essential to managing your blood sugar. Check with your doctor before starting a new physical activity, especially if you’re taking medications that lower your blood sugar. People who have diabetes should aim for at least 150 minutes of moderate to vigorous activity each week. For example, aim to go on a brisk walk for about 30 minutes on most days of the week.

Drink water before, during and after activity to prevent dehydration. And be sure to wear comfortable, supportive shoes.


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Diabetes + the Microbiota https://mysupplementrd.com/diabetes-and-the-microbiota/ Sun, 03 Nov 2019 18:00:11 +0000 https://mysupplementrd.com/?p=6839 The post Diabetes + the Microbiota appeared first on The Nutrition Supplement Dietitian.

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Did you know that many scientists are finding that an imbalance of the gut microbiome is an underlying root cause for the onset of diabetes?

Here’s a simplified explanation the relationship between the gut microbiome and the onset of diabetes:

Chronic inflammation in the gut from microbial dysbiosis and lack of microbial diversity can lead to damage of the gut mucosal barrier. Eventually this inflammation leads to gaps in the intestinal lining, known as leaky gut.

Through these gaps, toxins, pathogens and dietary antigens can get through and trigger an inflammatory immune response.

Over time, this immune response may eventually develop into insulin resistance and hyperglycemia and the eventual development of Type 2 diabetes.

Leaky gut also leaves those genetically predisposed to Type 1 diabetes with a poorly educated immune system, more vulnerable to viral triggers of the disease as well as damage to pancreatic beta cells.


One of the most important jobs of the gut microbiome is to tend the gut lining. If the gut microbiome is out of balance, it poorly performs that job. We rely on our gut microbes to help us reduce intestinal inflammation and maintain the mucus barrier and tight junctions of the gut lining. The gut lining is a critical way that the body protects itself from the outside world.

I work with clients to rebalance their gut microbiota, through diet and lifestyle changes and supplements. My nutrition strategies are designed to increase microbial diversity as well as specifically increase populations of microbial species that are known to tend the gut lining.

My nutrition gut strategies are designed to support species of microbes that produce anti-inflammatory metabolites like butyrate and keep the gut mucus layer strong and the cell junctions tight.


Here’s an illustration from Microbiome Labs comparing a healthy gut lining with a leaky gut lining.
It shows that gut dysbiosis, with decreased microbial diversity and a deficiency of butyrate producing and mucin supporting bacteria, can lead to leaky gut.


 

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Artificial Sweeteners Linked to Diabetes https://mysupplementrd.com/artificial-sweeteners-linked-diabetes/ Mon, 22 Sep 2014 16:08:11 +0000 http://mysupplementrd.com/?p=4135 The post Artificial Sweeteners Linked to Diabetes appeared first on The Nutrition Supplement Dietitian.

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If researchers from Israel are correct, artificial sweeteners like aspartame, sucralose and saccharine may raise blood sugar levels.

But not in everyone! Why are some people vulnerable and not others?

Published in Nature, their study indicated that it’s the difference in individuals’ gut microbes which may provide the explanation.

Depending on the composition of species of intestinal microbes (there are hundreds of species), some people had a two or four time increase in blood sugars after consuming the artificial sweeteners for a short time.

It is widely accepted that over time, high blood sugar levels can lead to diabetes.


The Mysteries and Power of the Gut Ecosystem

This research, amazing in its own right, is one more profound insight into the role, function and immense power of the microbes in our gut. So powerful and complex, some even refer to the gut microbiome as a virtual organ, significantly extending the metabolic capacity of the host, us.

By sheer numbers alone, the internal gut ecosystem is absolutely impressive:

  • There are about 100 trillion microorganisms in the intestines, ten times more cells than cells in the human body.
  • It is estimated that added together, these gut flora have a hundred or more times as many genes (microbiome) as there are in the human genome.

Some say we are more bacteria than human!


Healthy Balance of Gut Microbes = Mutual Benefit to Microbes and Human Host

We are learning more and more about the capability and useful and necessary functions of gut microbes and how they help us, their host. They help digest (ferment) unutilized food for energy, stimulate cell growth, keep the numbers of harmful microorganisms in check, train the immune system to respond to pathogens or foreign substances, and defend against some disease.

They also affect the health of the gut lining, produce B vitamins and vitamin K, and produce hormones to direct the storage of fats.


Imbalanced Gut Ecology (Dysbiosis) = Unhealthy for the Human Host

An unbalanced inner ecology can be harmful to the host. Beneficial bacterial strains are at a disadvantage, get squeezed out and overrun by other species.

The gut is the interface between us and our outside world. It’s what allows us to access nourishment yet protect us from harmful substances in our exterior environment. If we lose the intended protection of a healthy balance of microbes, it can be detrimental.

How the gut ecology changes in the first place is the topic for a much larger discussion. Foods we eat, the chemicals and antibiotics in our foods, medicines we take (including antibiotics), and heavy metals and toxins in our home and larger environments are some things that can affect the gut microbiome.


“All diseases begin in the gut.” – Hippocrates

Modern scientists are trying to gain a greater understanding of the role of the gut and health that Hippocrates put forth a few thousand years ago.

Looking into the role of gut flora, medical researchers suggest that many diseases in addition to diabetes may result from a dysregulated gut microbiome — obesity, metabolic syndrome, anxiety and behavioral, heart disease, allergies, inflammatory bowel diseases and cancers.


What to Do About Artificial Sweeteners?

It’s best to wean off of artificial sweeteners, diet sodas and processed products that contain artificial sweeteners.

These are some common names for artificial sweeteners:

Aspartame –  NutraSweet, Equal
Sucralose –  Splenda
Saccharine – Sweet and Low


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