Diabetes, Pre-Diabetes

• Just some of the complications of diabetes are difficulty healing, in general, gastroporesis, poor circulation to the extremities/legs and feet; foot ulcers, nerve damage & nerve pain (neuropathy and neuralgia) retinopathy. Bleeding behind the retina is common. 
• Pancreatitis (inflammation of the pancreatitis) requires control of carbohydrate intake, systemic inflammation and supplementation of enzymes in order to resolve. Serious cases require prompt medical intervention from your MD. I provide customized care to complement the care you are receiving from your physician for pancreatitis. 
• Patients are given customized meal plans that match and improve their body's ability to metabolize carbohydrate. Nutrition plans are not only carbohydrate-controlled but are low in fructose and specific in nature to the amount and type of fat consumed, to lower systemic inflammation and to give the body the proper fatty acids for improving cell membrane health.  I love being able to makeover your favorite foods into a fat-burning, blood sugar lowering ally!
• Women who develop gestational diabetes should receive specialized functional medicine nutrition counseling to help reduce risk of experiencing long-term glucose dysregulation or to address this if it occurs.
• A number of factors contribute to the development of complications of diabetes. In functional medical nutritional therapy for diabetes, we address how to safely optimize nitric oxide production by the blood vessels, (which helps the blood vessels to become healthier), how to improve the body's production of its two most powerful antioxidants (glutathione and superoxide dismutase) and work to reestablish a balance of essential fatty acids in the body while ensuring that they are metabolized properly. 
• I recommend micronutrients and botanicals to improve carbohydrate metabolism and to further reduce systemic inflammation, especially inflammation in the cardiovascular system, as well as signaling between the liver and pancreas  It is especially important to improve the health of the smallest blood vessels in the body because these are found in the brain and kidney, which are so often affected in diabetes, resulting in issues with cognition (problems with memory, dementia), kidney disease (diabetic nephropathy) and retinopathy. Autoimmunity is addressed because we are now finding that this is often a contributing factor to the development of even Type II diabetes. 

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