Food as Medicine: Swiss Re
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Food as Medicine:
How to reverse Type 2 Diabetes through diet change
Expert Forum on Diabetes: Genetics, Nutrition and the Future of
Diabetes Management
Swiss Re Institute 09 - 10 Oct 2017
Dr. Peter J Voshol
Integrative Physiologist
Senior Scientist Nutrition and Health
Louis Bolk Institute
Co-founder of Stichting Voeding Leeft
In short my CV:
Food as Medicine:
The Challenge……..
The average age of diagnosis in the 80-90’s was
60-67 years:
What is it now?
48-55 years
Diabetes Mellitus:
Short historic perspective
1921 CE Banting & Best
Canada: Discovery of Insulin
Diabetes = Absence of INSULIN
1500 BC
300-500 CE India 1962-1967 CE
Egypt/India
Type 1 = Young Type 1 = Absence of insulin
Honey Urine
Type 2 = Overweight Type 2 = Ineffectivity of insulin
250 BC 1675-1776 CE 1959 CE 1971-present
“Diabetes” Dr. Thomas Willis Yalow & Berson
Dr. John Rollo Insulin Assays
“Diabetes Mellitus”
Diabetes Mellitus:
Short historic perspective
Treatment of Diabetes: Treatment of Diabetes:
Through diet: reduction of
sweet foods and starch; Insulin and other
adding more veggies, medication
protein and fat
Multiple factors contribute……….
Many nutritional factors: The biggest one: Ultra-processed foods, 24/7!
The reality is something we don’t (or cannot) understand:
Reality - Insulin resistance starts 8-10 years before Type 2
Diabetes is diagnosed:
Type 2
No diagnosis? Diabetes
Insulin resistance
Fasting glucose >7mM
Glucose concentration
Insulin concentrationThe Insulin Issue:
Continious Hyperinsulinemia = Continious
Anabolic state!
Adapted from Dr. D LudwigThe Aim:
Balanced state = Anabolic and catabolic state.
Losing weight = More blue and less green (more fat burning)KeerDiabetes2Om Program:
Treating the person in front of the systems disease:
Started in 2014 with n = 9, increasing to n = >1900 in 2019
www.keerdiabetes2om.nlType 2 Diabetes = A systemic disease!
Keer Diabetes 2 Om.nl; The program: Experience Do Knowledge
KeerDiabetes2Om Program:
Treating the person in front off the systems
disease:
www.keerdiabetes2om.nlFresh, unprocessed and satiating
Most recent insights from nutritional “practise-based’ research:
Lowering total carbohydrate load!
Not only for type 2 diabetes but also for CVD risk.In short the nutritional program: More fresh, unprocessed and satiating foods. Higher nutritional value. Natural fats are okay. Maximal 3 meals a day. Overal reduction in insulin-stimulation foods, like no-fat milk. Reducing fast and processed carbohydrates. No focus on caloric restriction.
A Calorie = a calorie: Sure……..?????
Fresh, unprocessed and satiating Processing increases glucose and insulin load and lowers satiety!
Challenge: Nutrition with no reductionistic concept:
The nutrional matrix/balance?
Wipe cream Real butterReversability of Type 2 diabetes : www.keerdiabetes2om.nl
> 10 years of practise-based experience:
Doubling of
medication-free
T2DMReversability of Type 2 diabetes : www.keerdiabetes2om.nl
Our results so fare: HbA1c
p < 0.05Reversability of Type 2 diabetes : www.keerdiabetes2om.nl
Medication
p < 0.05Reversability of Type 2 diabetes : www.keerdiabetes2om.nl
Medication change:
1. ~100% of the participants use Diabetic Medication.
2. Within 1 month 60-75% of these participants use less
medication.
3. With in 1 month 25% of the participants stopped using insulin;
55% within 3 months.
4. After 2 years: 65-75% of the participants are stil reducing or
have stopped diabetic medication completelyThe overall comparison to “Care as Usual”: Synchroon database Aantal Start 6 maanden Verschil Significantie HbA1c 3720 51,6 53,5 1,9 0,000 Nuchtere glucose 5320 7,7 7,8 0,1 ns Gewicht 5798 85,3 85,5 0,2 0,000 Taille 59 105,5 105,2 -0,3 ns HDL 2360 1,2 1,2 0 ns LDL 2325 2,3 2,5 0,2 0,000 Triglyceriden 2361 1,8 1,8 0 ns KeerDiabetes2Om Aantal Start 6 maanden Verschil Significantie HbA1c-waarde 72 58,3 53,2 -5,2 0,000 Nuchtere glucose 57 8,9 7,7 -1,2 0,001 Gewicht 65 93,2 88,3 -4,9 0,000 Taille 60 107,7 98,9 -8,8 0,000 HDL 34 1,2 1,2 0,1 ns LDL 41 3 2,9 -0,1 ns Triglyceriden 38 1,9 1,5 -0,4 0,016
What do
Wat eetyou
jij? eat?Basic Copyright Notice & Disclaimer ©2017 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permission of the copyright owner. This presentation is for information purposes only and contains non- binding indications. Any opinions or views expressed are of the author and do not necessarily represent those of Swiss Re. Swiss Re makes no warranties or representations as to the accuracy, comprehensiveness, timeliness or suitability of this presentation for a particular purpose. Anyone shall at its own risk interpret and employ this presentation without relying on it in isolation. In no event will Swiss Re be liable for any loss or damages of any kind, including any direct, indirect or consequential damages, arising out of or in connection with the use of this presentation.
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