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Ernährungmedizin

Hier finden Sie viele Informationen rund um die Ernährungsmedizin. 

Ernährungsmedizin bei Diabetes Typ II

​Diabetes Typ II galt früher mal als „Altersdiabetes“. Leider sind heutzutage schon viele junge Menschen betroffen und die Erkrankungsrate nimmt in der westlichen Welt stark zu.  Lag die Häufigkeit in den 60er Jahren noch im Bereich 0,5-2% liegt die Häufigkeit heute zwischen 8 und 11% - Tendenz steigend! Wie entsteht Diabetes? Diabetes wird diagnostiziert wenn unser (Langzeit)-Blutzuckerwert zu hoch liegt. Dies ist beim Diabetes Typ II eine Folge der Insulinresistenz. Diese entsteht durch eine Fetteinlagerung in den Muskeln, der

Leber und in der Bauchspeicheldrüse. Das Fett kommt dabei aus dem gesättigten Fett, das wir essen oder aus unseren eigenen Fettdepots am Bauch. Bei fortschreitender Insulinresistenz kann das körpereigene Insulin nicht mehr so gut wirken und kann den Blutzucker nicht mehr in die Zellen bringen. Die Bauchspeicheldrüse kann dies  eine Weile durch gesteigerte Insulinsekretion kompensieren, aber nach einiger Zeit (oft Jahren!) versagt dieser Kompensationsmechanismus, die Blutzuckerwerte steigen an und ein Diabetes wird diagnostiziert.

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​Die gute Nachricht ist: Typ 2 Diabetes ist heilbar! (zumindest in den ersten 5-10 Jahre solange die Bauchspeicheldrüse noch nicht erschöpft ist.) Allein durch eine Gewichtsreduktion von 15-20% wird das Fett in den Muskeln, Leber und der Bauchspeicheldrüse so stark abgebaut, dass die Insulinresistenz nachlässt und der Stoffwechsel wieder normal funktionieren kann. (Siehe hier)

Hier finden Sie eine Erfolgsgeschichte von Eric Adams, Bürgermeister von New York, der seinen Diabetes Typ 2 mit einer Ernährungsumstellung heilen konnte. 

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Im Anhang finden Sie verschiedene Videos, in denen die aktuelle Studienlage zu Ernährung und Diabetes Typ II durchgegangen wird. Die Quellen sind unter den Videos alle verlinkt. Es sind auch deutsche Untertitel verfügbar.

Reversing Diabetes with Food
03:46

Reversing Diabetes with Food

Type 2 diabetes can be reversed with severe calorie restriction—whether by surgery or starvation—but can also be reversed by simply eating healthier. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ Type 2 diabetes can be reversed with an extremely low calorie diet (see my last video: Reversing Diabetes with Surgery http://nutritionfacts.org/video/reversing-diabetes-with-surgery). And as this video shows, type 2 diabetes can be reversed with an extremely healthy diet, but is that because it was also low in calories? That’s the million dollar (death?) question that I answer in my next video: Diabetes Reversal: Is it the Calories or the Food? (http://nutritionfacts.org/video/diabetes-reversal-is-it-the-calories-or-the-food). Hold onto your hats, it’s going to be quite a doozy! I’ve touched before at the ability of healthy diets to both prevent (Plant-Based Diets and Diabetes http://nutritionfacts.org/video/Plant-Based-Diets-and-Diabetes) and treat (Plant-Based Diets for Diabetes http://nutritionfacts.org/video/plant-based-diets-for-diabetes) type 2 diabetes. It’s so exciting to be plugging in the final puzzle pieces. What about the benefits of blood sugar medications and more moderate diets? When Drugs & Diets Don't Lower Diabetes Deaths (http://nutritionfacts.org/video/when-drugs-and-diets-dont-lower-diabetes-deaths). Have a question for Dr. Greger about this video? Leave it in the comment section at http://nutritionfacts.org/video/reversing-diabetes-with-food and he'll try to answer it! Image Credit: handmadepictures via 123rf. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
What Causes Insulin Resistance?
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What Causes Insulin Resistance?

Prediabetes and type 2 diabetes are caused by a drop in insulin sensitivity blamed on “intramyocellular lipid,” the buildup of fat inside our muscle cells. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ If this video sounds familiar, it’s because it’s a redux of a video that I put out last year. But, it lacked this fancy new animation, courtesy of Scientific Animations: www.scientificanimations.com. They contacted me, and graciously offered to donate an animation to us—I love it! If there is anyone else out there who would like to kindly offer their services to help us better help others, we’d love to see it. This was the first of a three-part video series on the cause of type 2 diabetes, so as to better understand dietary interventions to prevent and treat the epidemic. The follow-up videos are The Spillover Effect Links Obesity to Diabetes (http://nutritionfacts.org/video/the-spillover-effect-links-obesity-to-diabetes), in which I talk about how that fat can come either from our diet or excess fat stores; and Lipotoxicity: How Saturated Fat Raises Blood Sugar (http://nutritionfacts.org/video/lipotoxicity-how-saturated-fat-raises-blood-sugar), where I show how not all fats are equally to blame. I mentioned low-carb diets in the video. For more on their potential health effects, see videos like Low-Carb Diets and Coronary Blood Flow (http://nutritionfacts.org/video/low-carb-diets-and-coronary-blood-flow). Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/what-causes-insulin-resistance/ and someone on the NutritionFacts.org team will try to answer it. Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at http://nutritionfacts.org/video/what-causes-insulin-resistance. You’ll also find a transcript of the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics. If you’d rather watch these videos on YouTube, subscribe to my YouTube Channel here: https://www.youtube.com/subscription_center?add_user=nutritionfactsorg Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution! -Michael Greger, MD FACLM Image Credit: Mohamed Ibrahim via Clker.com, Aki Hanninen via Flickr, and Eugene Bochkarev and bowie15 via 123RF. Images have been modified. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
Diabetes as a Disease of Fat Toxicity
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Diabetes as a Disease of Fat Toxicity

The “twin vicious cycles” explain how the build-up of fat in the cells of our muscles, liver, and pancreas causes type 2 diabetes, which explains why dietary recommendations for diabetics encourage a reduction in fat intake. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ This is part of an extended series on Type 2 diabetes that will continue for months. I’d put them all back-to-back, but then it would be diabetes all day every day for weeks. If you really want to understand this process, I suggest watching the three “prequel” videos: • What Causes Insulin Resistance? (http://nutritionfacts.org/what-causes-insulin-resistance) • The Spillover Effect Links Obesity to Diabetes (http://nutritionfacts.org/video/the-spillover-effect-links-obesity-to-diabetes) • Lipotoxicity: How Saturated Fat Raises Blood Sugar (http://nutritionfacts.org/video/lipotoxicity-how-saturated-fat-raises-blood-sugar) The reason I’m going into all this detail is that I’m hoping to empower both those suffering from the disease and those treating sufferers so as to better understand dietary interventions to prevent and treat the epidemic. Maybe one day I’ll record hour-long disease-specific lectures that put it all together for those who’d want to watch it all straight through. In the meanwhile here some videos on prevention: • Lifestyle Medicine Is the Standard of Care for Prediabetes (http://nutritionfacts.org/video/lifestyle-medicine-is-the-standard-of-care-for-prediabetes/) • How to Prevent Prediabetes in Children (http://www.nutritionfacts.org/video/how-to-prevent-prediabetes-in-children) • Preventing Prediabetes By Eating More (http://www.nutritionfacts.org/video/preventing-prediabetes-by-eating-more/) • How to Prevent Prediabetes from Turning into Diabetes (http://www.nutritionfacts.org/video/how-to-prevent-prediabetes-from-turning-into-diabetes) • Eggs and Diabetes (http://nutritionfacts.org/video/eggs-and-diabetes/) • Fish and Diabetes (http://nutritionfacts.org/video/fish-and-diabetes/) And here’s some on treatment: • Plant-Based Diets and Diabetes (http://nutritionfacts.org/video/Plant-Based-Diets-and-Diabetes) • Diabetics Should Take Their Pulses (http://www.nutritionfacts.org/video/diabetics-should-take-their-pulses/) • Amla versus Diabetes (http://nutritionfacts.org/video/amla-versus-diabetes/) • Flaxseed vs. Diabetes (http://nutritionfacts.org/video/flaxseed-vs-diabetes/) Have a question for Dr. Greger about this video? Leave it in the comment section at http://nutritionfacts.org/video/diabetes-as-a-disease-of-fat-toxicity and he'll try to answer it! https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org #diabetes #hownottodie #drgreger
The Spillover Effect Links Obesity to Diabetes
03:49

The Spillover Effect Links Obesity to Diabetes

Being obese may result in as much insulin resistance as eating a high-fat diet. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ What does “gum up the insulin receptor pathway” mean? See the prequel video: What Causes Insulin Resistance? http://nutritionfacts.org/video/What-Causes-Insulin-Resistance And the sequel, Lipotoxicity: How Saturated Fat Raises Blood Sugar (http://nutritionfacts.org/video/lipotoxicity-how-saturated-fat-raises-blood-sugar), goes into the types of fat and their effects. The fat leaking into our bloodstream may also contain fat-soluble pollutants that accumulated from our diet: Pollutants in Salmon and Our Own Fat (http://www.nutritionfacts.org/video/pollutants-in-salmon-and-our-own-fat). The spillover effect may also help explain the increased heart disease risk associated with obesity: Low Carb Diets and Coronary Blood Flow (http://nutritionfacts.org/video/low-carb-diets-and-coronary-blood-flow/). Have a question for Dr. Greger about this video? Leave it in the comment section at http://nutritionfacts.org/video/the-spillover-effect-links-obesity-to-diabetes and he'll try to answer it! Image Credit: FBellon via Flickr. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
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