Tuesday, March 2, 2010

A Typical Day, A Typical Patient

Today I am going to talk about my daily experience in the office with
patients.

A couple, both working in the medical field, are sitting in my office for a cardiac evaluation. When I look at their medications, I realize that both of them are Diabetics. The first question I ask them is......

Why do you think you have diabetes?
It is hereditary, both my parents have diabetes.

I ask again...
Why do you have Diabetes?
There is a long pause and the answer is, “I do not know. May be because I do not exercise or may be it is stress or may be it is genetic.”

What causes adult onset Diabetes?
[Now there is a total silence.]
What do you think that you have been eating that is causing you
Diabetes?
[Again there is a long pause.]

What do you eat for breakfast, lunch, and dinner?
Oatmeal or cereal with skim milk or fruits like an apple and a banana or orange juice. For lunch we have whole wheat chapatti(Indian bread similar to a tortilla) with dal(lentils) or rice and dal, and for dinner we eat the same thing again. Sometimes we have sandwich for lunch.

What is the problem in Diabetes?
High blood sugar.

What causes the blood sugar to be high?
If you eat a lot of Sugar and I add Starch to their statement.

Then I ask them what is sugar and starch and what foods contain them your diet?
[Again there is total silence]
I start telling them about all the food items that contain sugar and starch their eyes are now bulging. For the first time they are realizing that every thing they have been eating for the last 30 years was only empty calories in the form of sugar and starch.

If there is a fire and you want to put it out do you pour water or gasoline?
The answer comes back, water.

Then why are you adding gasoline to the fire called Diabetes which is slowly cooking you from head to toe by eating sugars and starches every meal?
They are stunned for a few moments. No one told us that this was bad for our health.

Then I ask what happens if you do not eat S and S?
Our blood sugars will come down.

If your blood sugars are normal and you start exercising will you need
medications to keep your blood sugar under control?
No.

Then why don’t you give up sugar and starch?
If we do not eat S,S then what can we eat? (we are so accustomed to eating sugars and starches that we really do not know what to eat) The next statement is all my friends and family eat this, how can it be bad? Just because every one eats sugars and starch does not make it healthy.

How long before you have all the complications of Diabetes?
No answer.

How long before all your kids develop Diabetes and other complications?
No answer.

Why is your belly so big and hard?
I do not know. I have been exercising and I continue to gain weight and my belly is bigger by the year, why?

EXPLANATION:
When you eat sugars and starch your blood sugars go up. You take medications to control your blood sugar. What happens to your blood sugar? It gets converted to fat with the help of Insulin and gets stored in your abdomen. Once it gets into the abdomen it stays there.
That explains all the uncles with big bellies and full faces with cheeks like a toad. There is fat being deposited in your Parotid glands in the cheeks, in the liver causing fatty liver and in the abdomen causing a big belly.

In 1920, a British doctor goes to South Africa. There he meets a group of Indians who have been exported from India to South Africa to do hard labor in Sugarcane farms. There was no electricity and no tractors to do all the hard work. He notices that their Calorie intake was about 1600
Calories a day. To his amazement instead of finding the Indians skinny he found them all to be obese and they all were suffering from Diabetes.
He made a powerful statement: AVOID SUGARS AND STARCHES. THEY ARE NOT
HEALTHY FOODS. Now 90 years later and count less number of people who died prematurely from Diabetes, we still have not learned the lesson.Why?

BECAUSE WE ARE ADDICTED TO SUGAR AND STARCH. THEY ARE THE COMFORT FOODS AND THEY ARE MORE ADDICTING THAN COCAINE. PLUS IT IS OK TO EAT SUGAR AND STARCH SINCE EVERY ONE WE KNOW EATS THEM AND THERE IS NOTHING WRONG ABOUT IT. BUT IN ACTUALITY WE ARE KILLING OUR SELVES AND OUR KIDS PREMATURELY.

In 1980, in Hyderabad, I was watching a show on TV. Umregar, the cricketer, was being interviewed. He was asked what his secret was for looking young and healthy even though he was 80 years of age. His answer was: In 1963, I gave up three S's. SUGAR, STARCH, SALT. In my book, he is a very wise man. If in those days he realized that he does not need sugar and starch along with salt to live and lead a normal life then what is wrong with us? Why are we not doing it?

Back to my couple,

What happens to your eyes, nerves, kidneys and immunity when your HbA1c is more than 7 and your blood sugar is more than 150?
No answer.

I tell them to keep their HbA1c less than 5.5, preferably less than 5 and fasting blood sugar less than 90. When your blood sugar is high the white blood cells, which are the cops in the blood, become drunk and inefficient. Imagine you have a break-in and you call 911 and you find out that the cop is drunk. Who can help you? Similarly, when your WBC’s are not effective, your immunity drops and your risk for infections goes up and your wounds do not heal quickly. When your sugar levels are high, there is significant damage to the eyes leading to blindness, damage to the kidneys leading to kidney failure and nerve damage leading to severe neuropathy which leads to a lot of pain in your limbs.

Imagine how much money you will be making for all the Doctors and their families, the Hospitals and the Drug companies. They all love you. You are the Golden Goose laying Golden eggs. Such a noble cause that you are willing to sacrifice your life in ignorance for these institutions. GOOD JOB.

SEE THE PICTURE
That is your story.




Imagine your body is a Dam. When you are born it is empty. As you grow old and as you eat sugar and starch you are collecting water in the dam. You can never empty it. You are the project engineer. You control the amount of water (sugar and starch) that comes into the dam. Once the
dam is full it starts to over flow. That is when you have developed Diabetes. Meaning every time you eat sugar and starch you are now overflowing. If you stop adding water then there is no over flow, that means you have contained the Diabetes. Now down stream you have a 20 million dollar home which is your body and in the yard you have your 2 lovely grandchildren, eyes and kidneys, playing. Now, when your dam is over flowing, you are flooding your home and drowning your grand kids who happen to be your eyes and kidneys. Who is one controlling the amount of water coming into the Dam? You

WHAT IS SUGAR AND WHERE DO YOU FIND IT?
WHAT IS STARCH AND WHERE DO YOU FIND IT?
EVERY TIME YOU SIT DOWN TO EAT IF IT IS SUGAR SPIT IT OUT AND IF IT IS STARCH DO NOT EAT IT.

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