Can Stress Cause Diabetes?
can stress cause diabetes we know that stress can cause all sorts of health
problems but is it possible that it could contribute to the development of
diabetes today we're going to talk about what stresses what the stress response
is and we're going to talk about how all of this relates to the causative factors
of diabetes so before we're done today you're going to have a clear picture of
how it all works coming right up
I'm doctor Ekberg I'm a holistic doctor and a former Olympic decathlete and if
you'd like to truly master health by understanding how the body really works
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miss anything in the discussion about diabetes about cause and prevention we
often hear things about diet and we hear about weight and we hear about exercise
but very rarely do we hear about stress so let's talk about how that all works
together first of all we want to talk about what is stress because most people
have a very limited idea of what stress is we think of stress as feeling
overwhelmed feeling frustrated having more things to do than there is time in
the day then that causes a feeling of stress having multiple things going on
at once and yes absolutely that is stress but stress is much much more than
that those things we talk about usually
that's just the tip of the iceberg stress is anything that increases the
demand on the body anytime something happens that the body has to do
something extra that is stress when the body detects when your nervous system
detects any sore sort of threat or anything that it has to deal with
anything it has to pay attention anything it has to do something about it
creates a stress response so it's not the stress that really matters what
matters is the stress because that's a physiological reaction
that's something that happens in the body so let's say that we are having a
picnic and we're enjoying our food and then all of a sudden a grizzly bear
comes charging across the field heading straight for us
we are gonna have a pretty strong stress response at this point I would bet so
now our adrenals first your nervous system detects the danger then it starts
sending messages for your body to ramp up its defenses and now the adrenal
glands have to start working harder that's why adrenal glands are involved
with stress because adrenal glands make various hormones the primary stress the
acute stress hormone is called adrenaline it is a instantaneously
acting it is so important that it's fast that there are actually no synapses
between the brain and the adrenal gland so the adrenal gland is in a sense it's
an extension of your nervous system there are no connections in between it
has to happen that fast and now when we release some adrenaline then our heart
rate goes up because when the bear comes charging we're gonna have to have a lot
of extra resources we're gonna run we have to fight we need more oxygen more
fuel so the heart beats faster and the blood pressure goes up because we need
to move that blood faster and that's what higher blood pressure does we're
also going to get an increase in muscle tension so when we get ready to jump and
run we need some muscle tone so the body starts preparing that instantaneously
and it dominates the muscle tension in the flexors in the things that that bend
and protect us on the front of the body so we bend our arms kinda like in a
defensive posture we pull our shoulders up to the ears to protect the neck we
clench our jaw to protect the teeth and the jaw so all of these if
you've noticed people being tense when they're stressed these are all stress
responses and even though there is no even if there's no grizzly bear around
at the time if we have any form of significant stress we're gonna exhibit
those same behaviors because it's built in we're wired that way then we're gonna
also have some other things happening like we're gonna get an increase in LDL
the body is gonna up regulate the LDL production because low-density
lipoprotein cholesterol is necessary for repairs and if we have a fight if we
have a bear if we have some thorny bushes if we get injured during the
fight then the body wants to repair that as soon as possible so it up regulates
that LDL because LDL cholesterol is part of wound healing it's part of every
cell membrane so if we're going to repair those we need that stuff so we
don't really have a choice this happens instantaneously and why does the body do
that well it's to keep us alive obviously and stress and stress
responses are not a bad thing they help us survive the people who have lost this
ability people who have Addison's disease their adrenals are completely
shot they have they're sitting ducks they have no ability to respond to
stress and it is very very dangerous but for our purposes what we want to talk
about today is cortisol this kicks in in just a few seconds later the first stuff
happens in in milliseconds but a few seconds later the body also increases
cortisol production because when we have a fight when we have an increased need
whether it's real or imagined then we're going to want more energy which means
more blood sugar and cortisol the purpose of cortisol is to increase blood
sugar and why is that in for diabetes because we have in diabetes
it's about blood sugar it's about insulin and it becomes about cortisol
because cortisol raises blood sugar and therefore it also triggers insulin the
thing to understand about stress though is that like we said it's usually
underestimated what stress is we think of it as this emotional stress but
stress is when your physiology responds and you have something called a
sympathetic and the parasympathetic nervous system the sympathetic is your
stress response that's the fight flight and the other branch the other half of
that autonomic nervous system is the parasympathetic which is your feed breed
it's your healing side so today though we're just going to talk about the
sympathetic and to understand that you don't have to feel it to have a stress
response that anytime that your sympathetic nervous system kicks in
anytime that you have an increase in heart rate increase in blood pressure
increase in muscle tension you are having a stress response whether you
think you do whether you're aware of it or not and this could be an acute
stressor it could be something that you have experienced recently or it could be
a past trauma it could be something that was very very significant very severe
very enduring that even though you got past it it's sort of lodged in the body
it became a habit that it lasted so long it became sort of like your default
baseline and these traumas could be of a physical nature it could be a physical
trauma could be an emotional trauma or it could be a chemical trauma could be a
poisoning could be chemotherapy could be a long-standing exposure to something
toxic so any of these things can cause a sympathetic reaction a fight/flight
response it could cause a stress response and again
most of these were not aware of probably 80% of these stress responses that
change physiology that changed these things they go by completely unnoticed
either because we're not paying attention or because it just so familiar
to us that it's just been that way for so long that that's just the way it is
and when we have these chronic stresses when we develop a chronic stress pattern
also called a sympathetic dominance we tend to produce cortisol at a higher
level for longer periods of time like a higher baseline activity and they've
done some studies where they give healthy people who are not insulin
resistant they're very insulin sensitive they inject cortisol into their bodies
also the medical version of that the drug version is called cortisone and
within days two weeks they have measurable changes in insulin resistance
and they start gaining weight even if they never had a problem with that
before and there's probably thousands of you watching who have been on cortisone
you had some sort of pain or inflammation and they gave you cortisone
or prednisone or one of those zones and that's just a synthetic version of
cortisol and it will raise blood sugar even though the purpose of it is to
control inflammation it will raise blood sugar it will increase insulin
resistance and it will increase weight so a lot of you probably recognize that
pattern even if you didn't know it before that your blood sugar went crazy
you gained weight and you might even have become diabetic or pre-diabetic as
a result so this is very well documented but it's it's rarely given the attention
that it deserves so that's what stress is that's what a stress response is it's
a sympathetic activation it's an activation of the sympathetic portion of
your nervous system whether you're aware of it or not now what are the cause
positive factors of diabetes well diabetes is the late stage result it's
the far-gone version of insulin resistance and insulin resistance is
when the cells of your body resist insulin why would they do that because
you've had too much insulin for a long period of time trying to put blood sugar
out of the bloodstream and into the cell and the cell doesn't want it and that's
been going on for a while the cells start resisting so the variables the
causative factors for diabetes are blood sugar when blood sugar goes up insulin
goes up if that happens a lot the cells become resistant eventually and so blood
sugar and insulin go together and now we understand based on what we talked about
that cortisol because it the purpose of cortisol is to raise blood sugar it will
stimulate insulin it will increase insulin resistance those are the basic
causative factors the variables involved and very very often in the discussion we
hear that oh well you know you just need to control your calories and you just
need to lose weight and you need to eat low fat and all these things but they
have it backwards because dietary fat we we've been scared that's been demonized
we have a fat phobia because we see the fat on the body so we think that the fat
on the body is the cause and we think that it's about calories but dietary fat
does not trigger insulin it is almost a zero insulin response it's like 1% of
what a carbohydrate would be so dietary fat does not cause this and what about
body fat we see that the fat on the body and we associate overweight people have
more diabetes that's called a correlation and then they say that well
you know you should lose some weight and then typically diabetes gets better
because they see thinner people have less diabetes but again they get it
backwards it's not the cause it's the effect body fat is not the cause of
insulin resistance it's the result of insulin resistance so we have to start
understanding it's not all that complicated that's very very basic
physiological principles blood sugar goes up insulin goes up cells start
resisting so the things that increased blood sugar are the ones to avoid so
then back to the question can stress cause diabetes because we know cortisol
raises blood sugar which can drive insulin resistance but can it really
cause diabetes in and of itself so I think it is unlikely that if that was
the only problem that that would cause diabetes but with everything else that's
going on with the majority of the population already having some degree of
insulin resistance now stress becomes a very very significant
factor so we want to look at the lifestyle factors and diet is huge
genetics is huge but we don't really have much influence over what we got we
can express it differently through diet activity and stress but these are the
things that we have to work with diet activity and stress levels so one by
itself they're all important and if you already have sort of a tendency then any
one of these will push you over the edge so if you're pre-diabetic and you keep
eating lots of carbohydrates and you have a sedentary lifestyle and you have
a lot of stress then it's very very likely that you will become diabetic and
if you just change one of them you're not doing as much for yourself as if you
improved all three of them and then the question of course is how do you reduce
stress how do you reduce is all and that's a huge big topic I'm
not going to get into a lot of details so let's just very briefly mention that
a stable blood sugar is key because anytime your blood sugar is low if
you're hypoglycemic if you are depending on a carbohydrate metabolism and you
skip a meal now your cortisol is gonna have to kick in and raise that blood
sugar and now you're having that stress if you are fat adapted it's not a
problem to miss a meal because you don't rely on blood sugar to the same degree
so stable blood sugar being fat adapted having a low carb lifestyle is key in
controlling this and then of course reducing stress so regular sleep
meditation relaxation breathing exercises all of those are fantastic
things and we'll talk more about them in in other videos but it's just too big a
topic for this one here breathing exercises are very powerful I've done a
couple of videos on that specifically to explain how that works the key with a
breathing exercise to reduce stress is to make the in-breath and the out-breath
about the same length they should be about four to five seconds and the
out-breath should be if anything just a little bit longer than the in-breath but
most people breathe 18 to 20 times per second and when we need to relax when we
do a therapeutic relaxation we need to slow that down to about 6 breaths a
minute to get this effect and then of course any other lifestyle changes if
you have a job that's really really stressful then you either need to do
more of this or you need to figure out maybe if you can find another job or
another situation in life so we can do certain things to change our our
environment and our adaptation and then the rest of it becomes to improve the
bodies health so that it can deal with this we have
done some other videos on brain and stress and I'll do some more on on that
specifically if you enjoy this information and you like to learn more
about how the body really works and how to get as healthy as possible make sure
that you check out our other videos on insulin resistance and I will see you in
the next video thanks for watching