diabetes Flashcards
• Briefly describe the great breakthrough in understanding diabetes (~4:30-6:00). How did that hormone explain the relationship between obesity and diabetes?
o Discovered that the pancreas played a role in diabetes – produces insulin – primary regulator of the bodys blood sugar – also the fat storage hormone
o Connection corroborated by the recognition that obesity and diabetes endemics grew in correlation
o Stronger in patients with type II – mostly diabetes due to weight gain etc
• From the patient’s perspective, what have people with diabetes been told historically (~7:10-8:50)? Why is this not true (i.e., why is this not the fault)? What causes people with diabetes to hide?
- That it is their fault – not true! Its bc of bad advice from doctors/nutritionists – HEALTHCARE PROF
- Shame associated with type II
• Briefly outline the complications associated with uncontrolled diabetes
o Amputations, issues with vessels, chronic kidney disease, blindness
• How does the example of the Inuit give insight into the association of carbohydrates with obesity and diabetes
- They consumed no carbs before introduction to western diets – were free of diabetes
- Offer insight that the sugars and carbs in our diets cause diabetes
• Sugar is now the most ubiquitous foodstuff worldwide (~23:00-23:40). How does this limit consumer choice? Who is this particularly true for?
- Cant avoid sugar easily
* Socially and economically stressed individuals
o Stress releases the hormone cortisol. What may chronic stress contribute to?
o Diabetes, inflammation, and obesity
• What is seen as the solution to the diabetes, obesity, and the “smorgasbord of chronic illnesses”
• Change the US dietary guidelines to reduce sugar/carbs
• In terms of another argument for the rise of type 2 diabetes, what did the nutritionists in the 1970s get wrong (~26:29-27:00)? What did the “poor science” erroneously blame? What do new scientific findings show?
- They got the food consumption guidelines wrong
- They blamed fat consumption as the cause of heart disease
- High fat low carb diet can reverse diabetes by turning the body to ketos