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Special edition: Diabetes

Can dietary interventions treat diabetes' deathly global heathcare burdens?

3 commentsBy Shane Starling , 21-Jul-2011
Last updated the 22-Jul-2011 at 19:17 GMT

Probably not the kind of dietary intervention being called for to tackle the type 2 diabetes pandemic
Probably not the kind of dietary intervention being called for to tackle the type 2 diabetes pandemic

As the previous three articles in this series have highlighted, dietary interventions that can combat the rise of diabetes and obesity are numerous and plentiful, as is the growing body of science backing their efficacy, from herbs to vitamins, proteins and more.

Less numerous and plentiful are those who stride the governmental and bureaucratic halls of power (many in obesity-related, pre-type 2 diabetes states) with an understanding of the increasingly compelling economics that dietary interventions can not only be more effective healthwise in resolving this “time bomb” as it has been called, but that they can be cheaper too.

Costs associated with diabetes treatment are estimated at €1m+ per HOUR to the UK’s National Health Service, cost levels mimicked worldwide, leading an increasing number of academics and NGOs – if not governments (yet) – to wonder if enough is being done to battle the obesity driven, type 2 diabetes pandemic from a dietary point of view.

Some estimates put the global cost of treatment for the problem at €200bn, expected to rise to €300bn by 2025.

“One of the biggest health challenges”

Tracy Kelly, the clinical manager at leading health charity Diabetes UK, told NutraIngredients, “Diabetes is one of the biggest health challenges facing the UK today.”

“Early intervention and support are vital to tackle the drastic increase of the condition and its expensive and devastating complications,” she said, noting obesity and overweight as the main risk factors in the rise of type 2 diabetes.

“The Government has launched campaigns to encourage people to lead healthier lifestyles, such as Change4Life however more needs to be done to raise awareness of the importance of keeping to a healthy weight, undertaking regular physical activity and maintaining a healthy balanced diet to reduce the risk of type 2 diabetes. Only then will we stem increasing costs to the NHS.”

Between the supermarket and the emergency ward

A philosophical shift is required says Peter Wennstrom, the branding and nutrition expert and president of the Healthy Marketing Team based in Sweden, a country that has a fine tradition in greater good-benefitting social programmes, but one that like most others, is being squashed by public diabetes treatment costs.

“Diabetes together with hypertension and elevated cholesterol is topping the list of diet-related illnesses that is killing people and also killing welfare budgets,” Wennstrom said.

“Eating wrong is one of the biggest threats to our lives. The best selling medicines of today are drugs that treat obesity, type 2 diabetes and high levels of cholesterol. And the welfare system cannot handle the increasing cost of medical treatment for diet-related problems. Especially chronic illnesses like diabetes.”

Wennstrom said unhealthy food choices and widespread nutrition ignorance among both governments and consumers was permitting a status quo, “where society prefers to medicate rather than educate.”

His solution: “Try to intercept the consumer between the supermarket and the emergency ward.”

Management of wellness, markers of wellness

This kind of interception,Wennstrom observed, could occur in an environment where regulation changes were driving scientific enquiry to ever-more-specific illness markers, and with it, wellness markers.

“A preventive approach means that we must combine the medical perspective with a nutritional perspective on health = the management of wellness. This means that we must promote research and consumer information about the markers of wellness.”

“In this context healthier foods including functional foods and nutraceuticals are both preventive and agenda-setting for the whole society. It starts a positive spiral where new nutritional science attracts entrepreneurs who create new innovative products that attracts early adopter consumers.”

He added: Products and health communication educate on the food-health connection. Producers educate both retailers and consumers and there´s a positive cooperation between science and health authorities. Note that the final point is crucial to push healthier eating into the mass market consumer who is reluctant to change her habits unless it is fully supported by society. The attitude of governmental stakeholders will directly influence the majority of consumers.”

Societal commitment

Cara Welch, PhD, the VP of scientific & regulatory affairs at the US trade group the Natural Products Association, agreed gaining societal commitment to real dietary change was the key challenge.

“We’ve seen time after time that burdensome healthcare costs can be alleviated by investing in preventative measures both with nutritional foods and dietary supplements,” she said.

“However, this does require commitment to education about proper nutrition and continued research in diet and nutrition, whether it be established dietary supplements that already have multiple studies publicising their benefit or new dietary ingredients that have the potential to be ground-breaking. It also requires a concerted effort to ensure consumers have access to these products.”

Incentivisation, addiction, prevention

Robert Verkerk, PhD, the executive and scientific director of the Alliance for Natural Health International pointed to a 2004 World Health Organization (WHO) platform advocating nutritional solutions to the obesity-diabetes problem that few governments had adequately heeded.

To date most governments have paid little more than lip service to the idea,” he said.

“The problem is incentive, both from the perspective of the consumer, as well as from the food industry and health profession. The typical consumer has in some ways become an addict, and to get them to transition between less healthy diets and lifestyles to more healthy ones, requires more than just pointing out the direction they should move in.”

"The medical profession has no experience of real prevention. The model is still based on people only responding once they have entered a dysfunctional state. This is just too late to be either efficient or sustainable. The education given to doctors on nutrition and lifestyle mediated healthcare is negligible, and even that given to dietitians is greatly limited.

"We need to see a revolution in healthcare education, where healthcare, in the true sense of the word (not to be confused with disease management), is something that is proactively handled in the home, at work, at schools, in universities and through all branches of the healthcare professions. This takes time, but it’s better to start, than never to begin.”

Pharma focus

Back in the US, Mark Blumenthal the founder of the Texas-based American Botancial Council, lamented the ongoing prevalence of the traditional disease-drug model in the medical system there.

“Medical and pharmacy groups, theoretically, should be educating about the potential benefits of dietary supplements, but, predictably, much of the mind-set in these areas are still focused on conventional drug pharmacotherapy and not the increasingly promising herb and dietary supplement options.”

According to the World Health Organisation (WHO), diabetes affects over 220 million people globally and the consequences of high blood sugar kill 3.4 million every year. If such statistics weren’t scary enough, the WHO is predicting deaths to double between 2005 and 2030.

The total costs associated with the condition in the US alone are thought to be as much as $174 billion, with $116 billion being direct costs from medication, according to 2005-2007 American Diabetes Association figures.

3 comments (Comments are now closed)

Diabetes symptom not a disease!

Working in a hospital environment I witness first hand the deplorable way diabetes is managed in hospitals... No special low Carb diabetic meals anymore! instead one size fits all so called low sugar low fat meals definitely not low carb with bread cake and pastry and icecream containing glucose syrup. Its not unusual for Type 2 diabetics to be commenced on insulin for the first time in hospital as their blood sugars hit the roof!! Doctors make no association with what the patient is eating and the uncontrolled blood sugars!! Just medicate medicate, medicate!
Dietitians and Diabetic educators are no better as they're all trained to consider Diabetes a disease and not a symptom!

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Posted by Julie Vincent
26 July 2011 | 12h47

Anti-diabetes drugs

Unfortunately the basic premise of big pharma's attempts to create drugs for diabetes tends to be wrong way about. Diabetes results from genetic factors coupled with excess carbohydrate consumption. Making drugs that force the pancreas to create more insulin and allow people to continue to overeat carbohydrates is a leading cause of the health care problems we experience in the West. Nutritionists and dieticians need to go back to school and learn how controlled carb eating works.

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Posted by Rob Whitelock
25 July 2011 | 16h39

Type 2 diabetes Treatment

You might have heard about the new class of drugs to treat type 2 diabetes that has the various players in the pharmaceutical industry engaged in a race to develop that seek to lower blood sugar by having it be excreted in the urine. Although the concept may be plausible, the first in this category, called dapagliflozin made by Bristol-Myers Squibb was shot down by the FDA because of various safety concerns including the increased risk of breast and bladder cancers.

More often than not, this is the case with many of the new classes of drugs recently developed to treat a broad range of diseases, not just diabetes, but. And people are increasingly reluctant to expose themselves to the unwanted side effects incurred by taking them.

Fortunately there is an effective way to control type 2 diabetes with a natural compound that has no unwanted side effects and thus is safe for long term use. The compound is called resveratrol and it has been shown in studies to curb insulin resistance.

And in addition to lowering blood sugar, it also protects the body’s cardiovascular system and helps prevent diabetic retinopathy.

The resveratrol supplement physicians recommend is Resvantage because great care is taken by the manufacturer in the encapsulation process to ensure that there are no losses in potency and that the resveratrol is prepared so that it is easily absorbed by the body. And 15 mgs is the recommended dose for the biological effects in treating type 2 diabetes in humans according to leading researchers.

Below are links to articles and scientific studies describing the above:
http://diabetes.webmd.com/news/20071002/red-wine-compound-may-curb-diabetes

http://circ.ahajournals.org/cgi/content/meeting_abstract/116/16_MeetingAbstracts/II_204-b?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=hcm+resveratrol&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT

http://www.sciencedaily.com/releases/2010/06/100625101106.htm

www.resvantage.com

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Posted by Patty Brown
22 July 2011 | 01h07

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