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insulin dependent diabetes

Uncommon Supplement Knocks Out Type 1 Diabetes

December 29, 2014 by James Bogash

vitamin K and juvenile diabetes
ehrenberg-bilder/Dollar Photo Club

Of all the forms of diabetes, Type 1 in children is the hardest for me to swallow. This is because it does not come from something the child did.

And while there are many things that have been shown to increase the risk of Type 1 diabetes, the parents of these children are generally not aware of many of these risk factors.  Take dairy, for instance.  Society has trained us to think that dairy is a “health” food and should be given to children.  But the research suggests otherwise, finding some clear links between dairy intake and Type 1 diabetes.  How many parents would even think for a second that the “health” drink that everyone recommends (especially the commercials…) would increase his or her little one’s risk of developing a lifelong chronic disease?

Other things like vitamin D deficiency is on the list of things shown to contribute to juvenile diabetes risk.  Viral infections are also on the list, but these are not really as modifiable as the first two risk factors.

In case you’re not aware, juvenile diabetes is an autoimmune condition where your body attacks its own beta cells in the pancreas; the cells that produce insulin to help you handle sugar.  The problem is that once the immune system has its teeth into something, it’s hard to get it to forget about attacking whatever it happens to be attacking.  If your immune system didn’t work this way, you would never build up an immunity to infections you have had in the past and vaccinations would never work.

Because of this, stopping the immune system from recognizing the beta cells of the pancreas as an invader in the first place is the most important thing we could do to prevent juvenile diabetes in the first place.  However, once the barn door has been open, so to speak, the next best approach is to try to achieve balance in the immune system.  When you have balance, your immune system is less likely to attack things it is not supposed to attack.

Enter this particular study.  In it, researchers looked at the ability of vitamin K to help control the immune system that is responsible for attack the beta cells of the pancreas.

Vitamin K is one of the four fat-soluble vitamins and has traditional been thought of as being important for clotting.  But, just like vitamin D, time has demonstrated that vitamin K has many other functions besides blood clotting.  Other functions include bone formation and keeping your blood vessels from calcifying.  All admirable qualities.

There are two main forms of vitamin K,  vitamin K1 (aka phylloquinone, which is the prefferred supplement form) and vitamin K2 (menaquinone).  Green leafies are an excellent source of vitamin K1, as is the bacteria in your gut, unless the bacteria in your gut have been decimated by antibiotic use in the past decade.

Over the past few years, more research has been demonstrating that vitamin K, just like vitamin D, seems to be a major player in the development of autoimmunity and may play a role in bringing back balance to the immune system, which is incredibly important for anyone with an autoimmune disease (like juvenile diabetes).

With this in mind, you can see why researchers had an interest in seeing whether vitamin K could impact markers associated with Type 1 diabetes. They used a compound called streptozotocin (STZ) to damage the beta cells of the pancreas in rats and then gave them vitamin K1 to see if it could protect the rats from the damage.  Here’s what they found:

  • Vitamin K1 reduced oxidative stress, enhanced antioxidants, and inhibited aldose reductase in pancreas.
  • Vitamin K1 blocked the death of the beta cells, leading to improved insulin levels, normal blood glucose and normal A1c levels.
  • Just in case this wasn’t good enough news, vitamin K1 led to an increase in the pancreas islet area, suggesting the possibility of regeneration.
  • Further, vitamin K1 was able to shut down NF-κB activation (a KEY factor in producing inflammation) and iNOS expression in the beta cells.

While this is an animal study, it still seems like pretty darn good news for the type 1 diabetes crowd.  Vitamin K supplementation is safe and inexpensive.  With findings this strong (it wasn’t any one finding, but rather that vitamin K seemed to impact every process along the chain of autoimmune Type 1 diabetes) it makes sense to add vitamin K to your or your child’s regimen if juvenile diabetes plagues your life.

On this same regimen would be other supplements like vitamin D, fish oils and dietary avoidance of dairy as well as an otherwise anti-diabetic lifestyle.

 

 

Filed Under: Type 1 Diabetes Tagged With: diabetes, insulin dependent diabetes, juvenile diabetes, type 1 diabetes, Vitamin K

Critical Supplement for ALL Type 1 Diabetics

January 24, 2014 by James Bogash

Type 1 diabetes, as opposed to the more common type 2 diabetes, usually strikes children, leading to a lifetime of carb counting and insulin pumps.

As the father of a now-8-year-old son, I could not imagine him living life attached to an insulin pump.  Type 1 diabetes can also strike adults, but more often than not, it is because he or she has poorly managed his or her Type 2 diabetes for long enough to kill off the beta cells of the pancreas.  But for the kids, it’s a different story.  The onset of this lifelong condition is not because of choices they have made, but because the immune system has decided to attack inward, destroying the very cells of the pancreas that produce the critically important insulin.

Over the years, scientists and researchers have begun to understand more and more about what contributes to the misdirection of the immune system.  I have covered many of these in previous blog articles that can be read by clicking here, but here’s a quick synopsis:

  • Dairy may be a culprit, despite the rose-colored glasses that public health gurus seem to view dairy products through.
  • Probiotics can help stave off type 1 diabetes (or antibiotics may contribute to diabetes, depending upon how you look at it).
  • Celiac disease / gluten sensitivity.
  • Vitamin D deficiency.

This particular article focuses on the vitamin D deficiency aspect.  Specifically, researchers looked at a small group of type 1 diabetic children who were deficient in vitamin D levels (<20 ng/ml) and were given enough vitamin D to keep levels above 50 ng/ml for up to one year (50 ng/ml, by the way, is a respectable level and far above the “sufficient” level of 20 ng/ml).

After getting blood levels of vitamin D up high enough, the researchers looked at what effect this had on immune system attacks against the pancreas (as measured by peripheral blood mononuclear cell reactivity against beta-cell autoantigens like glutamic acid decarboxylase 65-kD isoform, proinsulin and tyrosine phosphatase-like protein IA-2) as well as C-peptide levels (C-peptide is an indirect marker of how much insulin the pancreas is producing).

Here’s what they found:

  1. Vitamin D levels were safely reached and maintained.
  2. Immune system attacks against the pancreas dropped after vitamin D supplementation.
  3. C-peptide values remained stable after one year of treatment, meaning that the pancreas was still doing its job of producing insulin.

Talk about a simple intervention that can have a lifelong impact.  While this may seem surprising to some, one of the consistent effects of vitamin D is on introducing or maintaining balance in the immune system.  This is why it seems to play such a huge role in the onset of multiple sclerosis as well.

Filed Under: Type 1 Diabetes, Vitamin D Tagged With: insulin dependent diabetes, type 1 diabetes, Vitamin D

Type 1 Diabetes Cure–Is There An Answer?

August 22, 2012 by James Bogash

Type 1 diabetes occurs when the body no longer makes insulin. For children, this means life with an insulin pump. But is there a type 1 diabetes cure in sight?

For background, it is important to understand how the body functions as it relates to sugar handling.

In response to signals from the body (blood sugar, GLP-1 from the small intestine, certain amino acids) the beta cells of the pancreas produce and release insulin, which then acts on almost every cell in the body to cause those cells to grab the sugar running through the bloodstream.

However, there is a step that occurs before insulin is released.  When it is produced, it is actually made up of a larger molecule called preproinsulin (and no–that is not a typo).  Preproinsulin gets cut and we are left with proinsulin.  Proinsulin is cut and we get insulin AND another molecule called C-peptide.

So, as a little known fact, we can actually check how well the pancreas is working by checking C-peptide levels.  This does not happen often with type 1 diabetics in most doctors’ offices.

Most type 1 diabetics are told that their pancreas is no longer working and they are typically put on a pump.  But what almost every type 1 diabetic will tell you is that their insulin needs can actually vary.  Sometimes higher, sometimes lower.

The astute among them may actually be able to tie this into certain aspects of their lifestyle.  I have one patient whose daughter is an insulin dependent diabetic.  There was a period of time that they were have a hard time controlling blood sugar (it was too low) and so the mom had to lower the basal dose.

When the mom took a good look at what had changed, she realized her daughter had been off of dairy for several weeks.  Since dairy is well known to contribute to the onset of type 1 diabetes, it would certainly make sense that avoidance of dairy could help manage the condition as well.  The same goes for formula.

So if avoiding dairy essentially led to a lower need for insulin, what does that mean?

I have always contended that type 1 diabetics retain the ability to make insulin, but this is shut down by the immune system.  Kind of like a sniper on the roof picking off insulin as it is made.

This is a very, very important distinction from what they are normally told.

This means that, while the pump may be lifesaving, diet can have a massive role in how much insulin is needed and the long term outcomes of the condition.  As a parent of an insulin dependent diabetic child or if you are a type 1 diabetic yourself pay attention to this…

Merely managing your insulin dose and not paying attention to what you are doing to your body is wrong.  Period.  You cannot feed your child cookies and soda on a regular basis and just adjust the dose up.  You may be truly condemning the diabetic to a lifetime of insulin need should we ever find an answer.

And that may not be far away.

Two particular studies actually back up my position.

The first study looked at how well the pancreas produced C-peptide even after the diagnosis of insulin dependent diabetes.  What did they find?

  • 93% of individuals still had detectable C-peptide 2 years after diagnosis
  • 11% of subjects had no significant drop in C-peptide levels up to 2 years after diagnosis.

Basically, the beta cells were still working.  In some better than others, but regardless, they were still working.  It could very well be that the right lifestyle choices could keep someone in the 11% that saw no change in beta cell function at 2 years.

The next study was potentially life-changing.

Researchers took a small group of type 1 diabetics and gave them a vaccine containing  Bacillus Calmette-Guerin (BCG).  BCG is a component of tuberculosis that has been inactive and has been in use for almost 100 years.

They found that the small group that were given the vaccine had in increase in C-peptide levels to almost 50% of a normal group that did not have diabetes.

It gets better.

The average duration of diabetes was 15.3 years.  Yes–YEARS.

This means that, if we can suppress or control the immune response that is attacking the beta cells of the pancreas we stand a very good chance at restoring normal function of the pancreas and giving these patients an insulin-free life back.  Stay tuned…

But, of course,  this will HAVE to be connected with a lifestyle that is conducive to preventing type 1 diabetes.

So, what have you noticed that affects your insulin need?

Filed Under: Type 1 Diabetes Tagged With: insulin dependent diabetes, type 1 diabetes

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