Blood Sugar Regulation (week 4) Flashcards

Question

selecting therapeutic nutrients

Answer 1

what stage of dysglycemia is my client experiencing? reactive hypoglycemia: -low to normal fasting glucose -hangry, unsteady, anxious -trouble sleeping approach: -nutrients that nourish and calm nervous system and adrenal glands -reducing stimulants/caffeine -increasing intake of proteins, fats, fiber -avoid foods that cause blood sugar spikes advanced stages of dysglycemia: -fasting glucose levels starting to creep upward -signs of insulin resistance approach: -nutrients that help lower glucose and increase insulin sensitivity

Answer 2

what is happening in the other foundations? what recommendation could help both foundations? berberine is a powerful dysbiotic agent, can lower candida and SIBA, and lowers blood glucose levels magnesium can help with sleep and boosts blood sugar regulation What stands out as missing in the diet already? What have they tried before and what was their experience?

Answer 3

plays a role in hundreds of reactions throughout the body needed to convert carbs into energy improves blood glucose tolerance helps pancreas create insulin helps cells to recognize and respond to insulin foods with magnesium include: -dark leafy greens -legumes -nuts -seeds -whole grains documented decrease in magnesium content in fresh produce over past several decades estimated that 80% of magnesium content of whole foods is lost in processing studies show that oral magnesium supplementation can improve HbA1c, insulin resistance, and other markers

Answer 4

indirectly supports by improving immune balance and reducing inflammation directly supports glucose management. activation of vitamin D receptors in pancreatic beta cells stimulate insulin production sunlight = most abundant natural source of vitamin D foods with vitamin D include: -fish (wild caught slamon) -fish roe -cod liver oil -pork fat from animals raised with adequate sun exposure -pasture raised chicken eggs -some mushrooms low vitamin D status associated with impaired metabolism and glucose intolerance vitamin D supplementation at an average dose of 4000 IU per day significantly reduces fasting glucose and fasting insulin levels

Answer 5

has a beneficial role in supporting blood sugar regulation increases the effects of insulin activity foods with chromium include: -meats -whole grains -most veggies -nuts chromium supplementation may support the reduction of fasting glucose levels, insulin levels, and insulin resistance

Answer 6

involved in metabolic processes B complex - codependent and synergistic relationships essential to the body's stress response play central roles in the production of neurotransmitters and adrenal hormones depletion through increased metabolism/use, impaired absorption, and increased urinary excretion especially helpful for experiencing reactive hypoglycemia and/or has a taxed HPA axis

Answer 7

belongs to vitamin B complex group enhances insulin signaling and glucose uptake sources: -endogenous synthesis -fruits -veggies -legumes -grains -uts improves insulin sensitivity in women with pcos this may help regulate menstrual cycles and improve fertility prevention of gestational diabetes myoinositol + selenium can improve thyroid hormone levels

Answer 8

endogenous synthesis using lysine and methionine foods rich in L-carnitine: -red meat (beef and lamb) -poultry -fish -dairy products -eggs -found in small amounts in avocados and certain nuts like almonds helps transport long chain fatty acids from the cytoplasm to the mitochondria directly supports fatty acid oxidation helps maintain insulin sensitivity and metabolic flexibility by: -removing harmful lipids from ells -repairing cell membranes -preventing excess accumulation of metabolic byproducts in cells

Answer 9

improves the insulin cell receptor function in membranes translocation of GLUT4 to cell surface antioxidant + helps recycle other antioxidants (C, E, glutathione) antiinflammatory cofactor for mitochondrial enzymes involved in the breakdown of amino acids endogenous synthesis foods: -red meat -carrots -beets -spinach -broccoli -potatoes alpha-linoic acid in food has not been found to raise plasma levels in humans therapeutic supplemental doses upwards of 600-1800mg

Answer 10

acetic acid improves insulin sensitivity and regulate postprandial glucose may help with weight management. increases satiety and reduces appetite lowers total cholesterol and triglyceride levels and increase HDL cholesterol antimicrobial properties: may inhibit growth of dysbiotic microbes in stomach and itnestines

Answer 11

found in berberis plant group clinical studies: - .5 grams of berberine 3x a day helped reduce blood glucose levels similar to the effects of metformin berberine in treatment of T2D saw decrease in: -HbA1c -fasting blood glucose -postprandial blood glucose -insulin -triglycerides -increase in total antioxidant capacity stimulates GLUT4 translocation effective in non-alcoholic fatty liver disease = beneficial effects on intestinal microbiome in individuals with dysbiosis and high levels of LPS

Answer 12

gymnema acids inhibit sugar receptors on taste buds makes sweet foods less appealing = possible reduction in sugar intake blocks receptors in intestines = lower sugar absorption studies suggest it can: -improve insulin sensitivity -stimulate insulin secretion from the pancreas -inhibit the process of gluconeogeneisis in the liver

Answer 13

increases insulin production and secretion / glucose uptake suppresses hepatic glycogenolysis and gluconeogenesis common dose is around 500-1500 mg/day in dividied doses

Answer 14

study gave individuals with T2D either 1, 3, or 6 grams per day of cinnamon after 40 days all three levels of cinnamon reduced fasting serum glucose by 18-29% triglycerides by 23-30% LDL cholesterol by 7-27% total cholesterol by 12-26%

Answer 15

seeds have been shown to increase insulin synthesis and release from pancreatic beta cells high in soluble fiber = slow absorption of sugar

Answer 16

plants that normalize stress response bi-directional connection between stress and blood sugar -elevated stress hormones elevate blood glucose -reactive hyperglycemia can contribute to dysregulation of stress response many adaptogens contain antioxidant and anti-inflammatory compounds: ginseng improves insulin secretion, glucose uptake, and reduces oxidative stress in individuals with T2D

Answer 17

you may find glandular extract from bovine or porcine endocrine glands in many blood sugar regulation formulas common glands include: -pancreas -adrenals -liver -hypothalamus -pituitary -thyroid by consuming extracts from healthy endocrine tissues, one can provide nutrients that support the function of that organ within the human

Answer 18

any of these supplemental approaches have potential to dramatically lower blood sugar and could lead to dangerous levels of hypoglycemia in individuals taking blood sugar lowering medications be sure to research contraindications before recommending to your client and educate them on the importance of monitoring their blood glucose levels

Answer 19

heterogeneity of research studies: -multi strain formulas (not strain specific) -controlled trials tend to compare against different controls like placebo, no treatment, against a different species/strain -duration/dosage vary -populations vary greatly whether diabetic or pre-diabetic or obese -outcomes measured vary widely

Answer 20

Lactobacillus acidophilus La5, Bifidobacterium lactis Bb12 These are found in a few types of yogurts in numerous probiotic and synbiotic blends. In studies, probiotic yogurts prepared with these strains: -Decreased serum uric acid in patients with metabolic syndrome. Uric acid tends to be elevated in metabolic syndrome and is thought to promote visceral fat storage and insulin resistance. -Increased total antioxidant capacity compared to baseline and improved markers of oxidative stress. -Decreased HbA1c when compared with placebo. -Improved LDL-HDL ratios (lowering LDL cholesterol and increasing HDL). Lactobacillus acidophilus NCFM This strain can be found in numerous food-based products like yogurt and toddler formulas, as well as a wide variety of supplement formulas. Bifidobacterium lactis HN019 This strain can be found in numerous multi-strain formulas in the market both in the United States and internationally. Lactobacillus casei Shirota This strain is primarily found as a fermented milk product.

Answer 21

when a person eats is arguably as important as what they eat identical meals in evening and morning = evening meal has higher glycemic response breakfast largest meal of day and dinner smallest meal = improved glucose tolerance, insulin function, lower BMI, and decreased chance of overweight/obesity late night eating can promote inflammation throughout the body

Answer 22

TRE: -not a specific diet -does not necessarily restrict caloric intake -a type of intermittent fasting Late TRE: -showed no significant improvements in glucose tolerance and insulin response, or even adverse results Early TRE: -aligns with body's natural circadian rhythms -earlier in day: -pancreatic beta cells more responsive -cells better able to utilize food for energy when food is limited to a species active period of the day = improved metabolic health + improved gut microbiome health

Answer 23

controlled trial: 8 men, prediabetic, overweight, prehypertensive 5 weeks: 6 hour eating timeframe, with dinner consumed by 3pm 7 weeks washout period 5 weeks: 12 hour eating timeframe food and caloric intake remained identical between two study arms results: early 6 hour eating pattern: insulin sensitivity improved pancreatic beta cell responsiveness improved reduced hunger cravings in evenings lasting beneficial effects more research also shows a 10 hour eating window is also great. reducing from 14 to 10

Answer 24

improve metabolic health support blood sugar regulation reduce the number of medications for those with prediabetes, diabetes, or metabolic syndrome useful tool for those not able/willing to change composition of diet evaluate clients dinner and late night snacking habits move last meal to an earlier time replace after dinner snacks with sparkling mineral water or non-caloric herbal teas reduce snack cues in the environment reduce total eating window to 6-10 hours provides positive impacts on glycemic control and metabolic health

Answer 25

caffeine stimulates release of stress hormones: adrenaline and cortisol stress hormones increase in gluconeogensis and glycogenolysis = increased blood glucose chronically elevated cortisol over time contributes to insulin resistance combination of morning caffeine and light or no breakfast results in a brief window of high energy/glucose followed by a crash consume a protein/fat rich breakfast with or before daily coffee

Answer 26

physical activity helps transport glucose to muscle tissue muscle contractions = insulin dependent GLUT4 translocation muscle tissue = high glucose disposal loss of muscle occurs more rapidly as we age recommendations: minimum 2 times a week 8-12 reps per exercise for healthy adults 10-15 reps for elderly adults HIIT Walking

Answer 27

Diet Replace quick oats with whole rolled oats in your morning oatmeal and add 1 tablespoon of collagen peptides and 1/2 cup frozen blueberries as they are cooking. Once removed from heat, top with tbsp of ground flax for added fiber and omega-3 fatty acids. See if the berries help reduce added sweeteners. Begin pouring your sweetener into a spoon before pouring it on the food and limit it to one tablespoon. * 3 days per week, substitute the oats with a high-protein, savory breakfast. Find the handout attached for ideas like eggs poached over steamed broccoli and quinoa. * Replace fast food lunches at work that contain bread with either a taco bowl or a homemade packed salad with a protein. See the link provided for ideas on preparing salads ahead of time and some recommended menu items for local restaurants. * Begin exploring flavors of unsweetened sparkling water. A future goal is to remove all sodas from the diet, but you’ve expressed a desire to wait on attempting that goal, so consider using this time to explore some other options that you might enjoy. * Consume the last meal or snack of the day at least 3 hours before bed.

Blood Sugar Regulation (week 4) Flashcards

(52 cards)