Nutrition and vitamin supplements have been with the Chiropractic profession since the 1890’s.
We live in a toxic world where the American diet can be rich in processed and refined foods that lack idea nutritional content. Most Americans need some kind of vitamin supplementations or improved diet to obtain ideal health.
Dr. Bolick has over a decade of experience with nutrition and vitamin supplementation. He often bases his nutritional recommendations using a combination of mainstream laboratory testing, patient histories and/or physical examinations.
The clinic carries a large selection of Vitamins, Supplements, and Physician only Nutriceuticals from many different vendors.
Patients have varying degrees of interest in this area. Some patients see Dr. Bolick only for nutritional consultations and some patient see Dr. Bolick only for adjustments, etc. For many patients, vitamin supplementation is a vital component in their quest for ideal health.
Discuss your diet and nutritional concerns with Dr. Bolick to find out what may be right for you.
What is Hemoglobin A1c (HbA1c)
or simply A1c?
Hemoglobin A1c is a test that shows the average level of blood sugar over the past 2 to 3 months. People who have diabetes should have this test done regularly to check if their blood sugar levels have been staying within target range. This test is also used to diagnose diabetes or screen for pre-diabetes.
The A1c test results show your average blood sugar level over time and is reported as a percentage. Your goal is to keep your hemoglobin A1c level as close to your target level as possible. You and your doctor will work together to set your safe target level.
The result of your A1c test can also be used to estimate your average blood sugar level. This is called your estimated average glucose, or eAG. Your eAG and A1c show the same thing in two different ways. They both help you know about your average blood sugar over the past 2 to 3 months.
HbA1c is a useful indicator of how well the blood glucose level has been controlled in the recent past (over two to three months) and may be used to monitor the effects of diet, exercise, and/or drug therapy on blood glucose in people with diabetes or people with pre-diabetes.
In healthy people the HbA1c level is less than 6% of total hemoglobin. Studies have demonstrated that the complications of diabetes can be delayed or prevented if the HbA1c level can be kept below 7%. It is recommended that treatment of diabetes be directed at keeping a patient’s HbA1c level as close to normal as possible (<6%) without episodes of hypoglycemia (low blood glucose levels).
The table to the right shows A1c with estimated average glucose.
What is Prediabetes?
Before people develop type 2 diabetes, they almost always have “prediabetes” blood glucose levels that are higher than normal, but not yet high enough to be diagnosed as diabetes.
Doctors sometimes refer to prediabetes as impaired glucose tolerance (IGT) or impaired fasting glucose (IFG), depending on what test was used when it was detected. This condition puts you at a higher risk for developing type 2 diabetes and cardiovascular disease
There are no clear symptoms of prediabetes, so, you may have it and not know it.
Some people with prediabetes may have some of the symptoms of diabetes or even problems from diabetes already. You usually find out that you have prediabetes from routine blood work or from diabetes blood screening.
Lab results indicating prediabetes are:
An A1C of 5.7% – 6.4%
Fasting blood glucose of 100 – 125 mg/dl
An OGTT 2 hour blood glucose of 140 mg/dl – 199 mg/dl
Preventing Type 2 Diabetes
For some people with prediabetes, early treatment can actually return blood glucose levels to the normal range. Taking a break from ALL sources of sugar (including carbohydrates) is very helpful in reversing a prediabetes condition.
In type 2 diabetes is a condition where high blood glucose levels caused by either a lack of insulin or the body’s inability to use insulin efficiently. Type 2 diabetes develops most often in middle-aged and older adults but can appear in young people. Insulin resistance is the body’s inability to respond to and use the insulin it produces.
Insulin resistance may be linked to obesity, hypertension, and high levels of fat in the blood. This occurs most often in people with type 2 diabetes but people with type 1 diabetes can have insulin resistance, too.
At first, the pancreas makes extra insulin to make up for insulin not being absorbed by cells due to “resistance”. The pancreas isn’t able to keep up and can’t make enough insulin to keep your blood glucose level in a normal range; this creates diabetes (high blood glucose).
Type 2 diabetes can be treated it with lifestyle changes, oral medications (pills), and insulin a hormone that helps the body use glucose for energy.
It is always better to detect prediabetes early and start diet (low or no sugar diet) and exercise and give the body time to heal. For many people the insulin resistance will improve and lab values will come back to normal with early detection and immediate lifestyle changes.
The beta cells of the pancreas make insulin. When the body cannot make enough insulin, it is taken by injection or through use of an insulin pump.
Over time, high blood glucose levels may hurt your eyes, kidneys, cause peripheral neuropathy and make you more susceptible to infections (especially infection of the skin).
Some people with type 2 diabetes can control their blood glucose with healthy eating and being active.
The earlier the diagnosis and intervention, the better the outcome. Some people may need prescription oral medications or insulin to help them get to target blood glucose levels.
Research shows that you can lower your risk for type 2 diabetes by 58% by:
- Reduce daily sugar intake (especially avoid HFCS High Fructose Corn Syrup)
- Losing 7% of your body weight (or 15 pounds if you weigh 200 pounds)
- Exercising moderately (such as brisk walking) 30 minutes a day, five days a week
Even if you can’t get to your ideal body weight, losing even 10 to 15 pounds can make a huge difference.