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Duluth, MN 55802(218) 724-3400 
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Acupuncture: Effective for Diabetes?
Diabetes is one of the most prevalent chronic diseases in the US and cases are rising at an alarming rate. As of 2020, over 10% of the U.S. population have diabetes (this is up from about 6% in 2000 , and prevalence is also expected to double in the next 20 years). 95% of those cases are type 2. Because of this, a lot of the conversation around diabetes as a chronic health issue is referring to type 2 diabetes and it’s defining culprit: insulin resistance.
Insulin resistance can be understood as the ineffective use of insulin in the body leading to poor control of blood sugar and is usually associated with excess body weight. Until recently it was generally only seen in adults, but more and more children are diagnosed every day due to poor diet and inactivity. This metabolic syndrome can lead to vascular issues, neuropathy, and kidney problems. In fact, diabetes type 2 is associated with a 2 to 3-fold risk of heart attacks and stroke. Other complications include blindness and lower limb amputation. In 2019, it was the 9th leading cause of death with 1.5 million deaths directly caused by diabetes.
Modern approaches are mainly drug-based though any successful management program will include diet and lifestyle changes. Metformin is the drug of choice for most as it reduces the amount of sugar the liver releases into your blood, while also helping the body to respond better to insulin (the hormone responsible for bringing sugar into the cell and out of the blood). A1C is the typical blood-test used to gauge a person’s average blood sugar and treatment progress. Currently, with western treatment, only about 50% of people reach their A1C target , which clearly leaves some room for improvement and alternative therapies.
So, what about acupuncture? There is definitely a need for more research and prospective studies are continuously designed and await funding, but so far the established research is very promising. In a 2018 study of 90 rats, it was found that within 3 weeks, diabetic rats that received electroacupuncture at specific acupuncture points had lower glucose levels, increased insulin levels and improved glucose tolerance. Acupuncture also shows significant benefit as an adjunctive therapy to pharmaceutical treatment. In 2015, an article published in Acupuncture in Medicine reviewed studies using rats in which scientists combined electroacupuncture with metformin. It was found that the combination of metformin and acupuncture offered better glucose lowering effects and greater insulin sensitivity when compared with metformin alone.
Acupuncture has also been shown to assist in weight loss while reducing blood sugar levels in type 2 diabetes patients. Sanming County Hospital of Integrated Medicine researchers (Fujian) conducted a clinical trial of obese patients diagnosed with type 2 diabetes. A group receiving “routine care” (metformin plus lifestyle guidance) was compared with another group receiving routine care plus regular acupuncture. Although weight loss was statistically significant for both groups, reductions were significantly greater in the acupuncture group as measured by BMI (Body Mass Index).
One of the top complaints doctors and acupuncturists alike hear from patients with diabetes type 2 is neuropathy (weakness, numbness and pain, usually in the hands and feet). This is because, over time, uncontrolled blood sugar damages the nerves. Studies also show that acupuncture can be very effective in easing the suffering from such complications. In a review of 13 random controlled trials looking at acupuncture and various types of neuropathy, the majority showed benefit in the treatment of diabetic neuropathy.
Acupuncture takes the approach of bringing the individual body back into balance with itself and the environment, so each person’s treatment will be based on a customized plan. TCM (Traditional Chinese Medicine) offers personalized diet and lifestyle guidance towards this aim as well. Given the growing prevalence of this metabolic disorder and the limitations of modern treatment, acupuncture should be a consideration for anyone concerned with prevention and/or treatment of this disease.
Acupuncture is a cost-effective way to support the body’s metabolism whether or not diabetes is a concern. Call today at (218) 724-3400 to set yourself up with some energy-boosting treatments that can help to regulate hormones and strengthen digestive function!
Effortless Healing: Can Imbalances Clear up on their Own?
Short answer: Yes.
Long answer: Yes, but…..there are a few things to consider when relying on our ‘natural propensity towards health’. The most important of which is entropy, the second law of thermodynamics, a disorderly force we must contend with. It runs counter to the organizational efforts of nature, but also works in balance with them, in yet another dynamic expression of yin and yang.
Entropy is played out in living systems as the natural deterioration of the body. As we age past mid-life our body tissues and physiological systems gradually lose their vibrance. Structure and function suffer, as entropy takes over in the process of decay necessary to the cycle of life. So, where we are in the stages of development/decline in life is a big determining factor for the ability to self-heal.
How much entropy are we up against? Imbalances have a much better chance of resolving themselves while we are young and more in the yang (growth) phase of our life versus the yin (decline) phase. Severity of disease or injury also dictates the level of counter-entropy efforts needed.
Regardless of age, however, and even the severity of our condition, we can still tap into our innate healing energy under certain conditions. And yes, some of those conditions can be practically effortless, depending on how you look at it.
One condition is: stop doing the things that are pushing your body into a state of entropy. Don’t keep eating toxic food, don’t keep putting yourself in overly stressful situations (as much as you can control it), in other words: don’t keep banging your head against the wall.
The other condition is that your qi must be strong. In TCM terms, qi IS that natural healing force. It is that spark of life that organizes chaos into form and function. Qi can be supported by even minimal efforts such as adequate sleep, meditation, or simply sitting quietly in a restful but conscious state.
While some of us call it qi, others think of it as the inborn system of self-preservation. Zhigou Wang, a biomedicine researcher from China, breaks down the ways the human body resists entropy into 4 processes: self-organization, self-defense, self-healing and anti-wear and tear.
Self-organization can be witnessed in the miracle of development, the way a single cell matures into a full grown organism. Scientists at Tufts university looked at this miracle in early stages of tadpole development. In doing so they documented a perfect physical representation of the organizing power of qi: patterns of visible bioelectrical signals outlining and directing the development of the embryo.
Self-defense includes our immune system, inflammatory response, endogenous antioxidants, the stress response, autophagy and apoptosis (the destruction and removal of sick cells).
Self-healing includes compensatory mechanisms like the increase in heart rate that occurs to compensate for slow circulation due to heart damage. This is also the category of cell/tissue renewal. Think of a wound healing, or a broken bone that seems to magically repair itself over time. When a large number of cells are destroyed, surrounding cells replicate to make new ones. Self healing also happens on a molecular level with DNA repair. There is a natural editing process at work correcting damaged or mutated DNA. Finally, anti-wear and tear is simply the daily process of upkeep necessary to mend minor internal injuries that arise from continued use of the body’s tissues.
And while these self-preservation mechanisms can help to slow or even reverse the degradation of our living system, there are no guarantees (well, except eventual death).
Effortless repair and renewal does happen, even in seemingly miraculous ways, but every little effort to support this process gives us a better shot at healing, and a better chance at enjoying the best quality of life. Acupuncture is one of the best tools for supporting all aspects of this self-preservation system. It has been shown to strengthen immunity and regulate inflammation , aid in tissue renewal, and even DNA repair. It does this because it supports the driving force of this self-preservation system, that spark of life, that intelligent bio-electrical energy that organizes and directs our growth and healing: or as practitioners of Chinese medicine have called it for millennia: qi.
Yes, it takes effort to call and make an appointment but once you are on the table you can relax and allow Heidi to support your own effortless healing abilities. The gentle placement of needles at various acupuncture points will free up the flow of your own qi-driven self-preservation system.
Menopause & Acupuncture: Easing the Transition
Menopause, for some women, is a welcome transition to the post-reproductive phase of one’s life. However, it has gotten a bad rap due to the symptoms many women experience while their bodies adjust to the changes. From a Chinese Medicine perspective, it is the inability of the body to adjust it’s energies gracefully to this new phase that causes symptoms, not the menopause itself. A gradual transition over time in a healthy individual will be less likely to induce the struggles commonly associated with menopause such as hot flashes, weight gain, dryness, sleep problems and mood swings. (Irregular periods, while inconvenient, are not necessarily considered a problem in this view, but par for the course of change leading up to true menopause).
Menopause is medically defined as the absence of a period for 1 year. Up until that point, the changes are considered peri-menopause: a slowing down of the reproductive faculties of the body. The struggles mentioned above can begin during peri-menopause, as early as a women’s 40’s and can last into her late 50s. During this time, the ovaries start making less estrogen and progesterone (the hormones that regulate menstruation). These hormonal changes are the reason for the hot flashes that tend to be the main complaint of women approaching menopause. The hot flashes in turn can disrupt sleep, leading to further imbalances and mood swings. The hormones also affect the metabolism, which can lead to weight gain and body changes. Vaginal dryness is also related to the declining hormones.
In simplistic terms, these hormonal changes can be seen in TCM as a decline in yin, leading to a yin-yang imbalance. Yin refers to the cooling, calming, moisturizing influences of the body, and when deficient can lead to heat, dryness and nervousness or irritability. Acupuncture (and TCM lifestyle guidance) can help to re-calibrate the yin-yang balance to ease this transition.
A year-long NCCIH-funded study involved 209 peri-menopausal & menopausal women age 45–60 who had at least four hot flashes per day. Researchers found that acupuncture significantly reduced symptoms of hot flashes, anxiety, sleep issues and memory loss by as much as 36.7 %. The improvements persisted at least 6 months after treatment.
Another study compared menopausal symptoms of 70 women, after half of them had 6 weeks of regular acupuncture. In the acupuncture group there were clinically significant improvements in occurrence of hot flashes, night sweats, and other physical and emotional symptoms.
And even for women who are abruptly pushed into menopause, such as after a hysterectomy or ovariectomy, whose symptoms tend to be more severe, acupuncture (along with ear-acupuncture!) has been shown to reduce their (generally more intense) hot flashes as well.
Hormone Replacement Therapy (HRT) is the western medical approach to menopause for severe symptoms brought on by hormonal changes, but comes with serious risks and is not for everyone. Acupuncture has the power to rebalance the body’s energies when life transitions challenge our stability and is a great alternative or complementary therapy for any woman entering this new phase of life.
The shift into menopause can be much smoother with a little assistance from your local acupuncturist, but don’t wait until symptoms are severe. Call today at (218) 724-3400 to bring more balance into your personal journey!
Can Acupuncture Help With Diabetes?
Did you know that acupuncture can be a powerful ally for people who have various types of Diabetes?
It’s true…let me explain how an acupuncturist views the common condition.
Although Western and Traditional Chinese Medicine use different methods to treat common diseases, both approaches also agree on many things. Western medicine considers diabetes melletis as a disease of blood sugar metabolism.
Diabetes is caused by either or a failure of the cell’s ability to accept insulin and dump toxins into the blood or the pancreas is not able to produce adequate insulin to lower blood glucose.
According to TCM, Xiao Ke or “wasting and thirsting disease” is divided by the patient’s symptoms into upper jiao, middle jiao and lower jiao. We’ll discuss more about this further in the article.
Diabetes, according to Western Medicine is divided into three general categories (ADA, 2018):
- Type 1—pancreatic beta cell autoimmune destruction is usually diagnosed in children.
- Type 2, adult onset functioning, yet progressive beta cell destruction autoimmune markers along with insulin resistance.
- Gestational diabetes is hyperglycemia during pregnancy. Gestational diabetes usually resolves itself following delivery of the baby.
According to TCM, Xiao Ke or “wasting and thirsting disease” is divided by the patient’s symptoms and also divided into 3 general categories:
- Upper Jiao – The upper jiao is when the lung isn’t able to descend moisture to the rest of the body.
- Middle Jiao – The middle jiao is “spleen not able to transform and transport” to the rest of the body.
- Lower Jiao – Stomach may also have excess fire or deficiency thus unable to digest food. Liver yin deficiency, creating fire may also be a culprit. Lower jiao involves kidney yin. Yin is the body’s ability to cool, ground, it’s substance and associated with water. When yin is deficient, it creates heat in the body, and consumes the body’s fluids. Diabetes Meletus is excessive glucose, heat, inability to ground in TCM.
TCM physicians use the patient’s case history, looking at the patient’s tongue and feeling the patient’s “pulses”. “Reading” the pulse, isn’t counting beats. The pulse shows nine organ and channel conditions– the “climate” of the body. The practitioner can feel such as heat, cold, damp, excess, deficiency and phlegm which indicate how to best treat the patient. TCM therapy has seven aspects. Treatment is specifically individualized to harmonize climate and imbalance.”
Similarities:
Both Western and Eastern focus on diet, weight loss, and exercise to treat diabetes. Both use medications, nutritional supplements or herbs to reduce blood sugar and improve cellular respiration.
Differences:
Western medicine uses a “one size fits all” approach. Everyone with a diagnosis of adult onset diabetes type 2 starts off with metformin. The A1C is measured after three months, then the medication is adjusted, or other medications are added. If the A1C isn’t within normal limits, insulin may be added. According to Western medicine, the pancreas is diseased.
TCM uses differential diagnosis developed over 3,000 years. Urinating sugar illness is called Tang Niao Bin. Diabetes is also called “Wasting and Thirsting” disease, “Xiao Ke”. Diabetes Mellitus is caused by heat, dampness and phlegm. An acupuncturist will ask to see your tongue, feel the pulses in three positions and three levels. The TCM physician considers a detailed patient history, including past illness, emotional trauma and injuries important to determine the best treatment. Treatment is specific to each person. Diabetes Mellitus can be caused by disharmony in the upper body, middle or lower body. Diabetes isn’t a “one size fits all”, but a symptom of a deeper problem (Guo, 2014).
Though there are many TCM patterns for this condition , which pattern below best describes your symptoms?
Upper Body:
1. Lung Heat Injuring Fluids. This can be caused by childhood exposure to secondhand smoke, recurrent lung infections caused by viral or bacterial pathogens, often the pathogen has not been completely eliminated. Cigarette smoking dries the lung mucosa, destroying delicate cilia, depositing carbon into lung tissue.
The patient experiences asthma, excessive thirst, dry mouth and tongue, hacking dry cough, sometimes producing a sticky phlegm. Treatment: cool lung, descend lung qi. One formula is Bai Hu Ren Shen Tang (White tiger decoction). Diet would include pears, rice, mei men dong, sha shen tea, asparagus, mulberry leaf, marshmallow root tea. Formulas may include Mai Wei Di Huang Wan and Sha Shen Mai Men Dong Tang.
Middle Body:
2. Excess Stomach Heat. Changes in diet and lifestyle usually clear this up. Excessive consumption of alcohol, too much hot and spicy food, over-eating, too much red meat, too much highly processed food, dairy, and food allergens. The person feels famished, heartburn after eating or at night, experiences constipation and dry stools, and elevated blood sugar. Pumpkin has been shown to lower blood glucose, avocados, one half gallon of water per day, sha shen tea, and lots of green vegetables. Beef is neutral in temperature and consumed in moderation, thus reducing heat and nourishes yin. Formulas prescribed may include Bai Hu Jia Ren Shen Tang, Shen Ling Bai Zhu San, Zeng Ye Tang.
3. Liver qi deficiency (Hazlehurst, 2016) : Blood sugar usually is higher with stress. Some of the other symptoms include flank and chest discomfort, hypertension, red eyes, visual disturbances, short temper, irritability, depression, migraines, heartburn. When liver qi is not flowing, the liver qi energy tends to rise. Exclude fried, dairy, alcohol, sodas. Diet includes green leafy vegetables, olive oil and lemon juice, lemon water, dandelion, chlorella, and beets. Formulas used to treat this pattern include Xiao Yao San, Yi Guan Jian and Chai Hu Shu Gan Tang (Guo, 2014).
Lower Body
4. Kidney Yin Deficiency (Zheng, 2011): Yin is the body’s ability to “cool” itself, it is substance, anchoring and grounding. Kidney energy is called Dan Tian “life force energy”. If the “Dan Tian fire” is too high, fluids are evaporated, blood thickens, and energy raises. The patient experienced low back achy pain, knee pain, unmeasurable low grade feverish feeling in the afternoon. Often patients complain of night time urinary frequency, elevated blood pressure, hearing difficulty, and elevated glucose.
Treatment: Diet with fish, sea vegetables, dark green vegetables, pork, dark beans, bone broth, miso soup, vitamins and minerals, and one half gallon of water per day is commonly prescribed. Herbal treatment includes Liu Di Huang Wan, Da Bu Yin Wan, and Zuo Gui Wan.
TCM offers many treatment options to control diabetes. This article details a few suggestions. Please contact your primary care physician or us at (218) 724-3400 to find what is best for you.
Resources:
- American Diabetes Association. (2018). Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2018. Diabetes care, 41(Suppl 1), S13–S27.
- Gökhan, S. Hotamışlıgil et al. (April 24, 2019). “The short-chain fatty acid propionate increases glucagon and FABP4 production, impairing insulin action in mice and humans,” Science Translational Medicine, April 24, 2019, DOI: 10.1126/scitranslmed.aav012
- Hazlehurst, J. M., Woods, C., Marjot, T., Cobbold, J. F., & Tomlinson, J. W. (2016). Non-alcoholic fatty liver disease and diabetes. Metabolism: clinical and experimental, 65(8), 1096–1108.
- Guo, J., Chen, H., Song, J., Wang, J., Zhao, L., and Tong X. (July 14, 2014). Syndrome Differentiation of Diabetes by the Traditional Chinese Medicine according to Evidence-Based Medicine and Expert Consensus Opinion. Article ID 492193.
- Zheng, A.S.D. (2011). Essentials of Chinese Medicine. Internal Medicine 2nd Edition. Pgs 281-289. Bridge Publishing Group. ISBN: 978-0-9728439-8-0.
Winter’s Archetype: The Philosopher
Picture that quintessential cozy winter scene: curled up with some deep thoughts and a cup of tea by a fire while an evening snowfall paints the landscape out a frosty window. This is the ultimate haven of winter’s archetype: the philosopher. Winter is about the inner journey, and the philosopher represents that journey through calm but discerning introspection. They value thought over action in the quest for truth and are not afraid to go into the dark recesses of the mind to find it.
In Chinese Medicine, winter is the season of extreme yin. Yin represents the receptive energies that balance the active nature of yang. Yin themes include stillness, contemplation and darkness. Also, yin is associated with cold and constriction. Winter is kidney time in TCM and its corresponding element is water. The kidneys are considered the root of our life force, a battery that holds our primal charge. The kidneys also regulate water metabolism in the body and help to keep the fire element in check. Water is an essential source of life associated with the personal and collective unconscious, as well as wisdom and perseverance.
The philosopher archetype embodies important aspects of kidney energetics and water symbolism. In TCM, Kidneys relate to the health of the bladder, bones, brain and reproductive system. We may see issues in these systems if the water element and therefore kidney function is out of balance. A healthy philosopher, or ‘water-type person’, will typically have strong bones, wide hips, and a bright mind. In a balanced state, the philosopher is determined and persistent (yet flexible) like water. They willingly traverse the depths and hidden corners like water in caves or subterranean streams or the dark reaches of the ocean. They are naturally curious and inquisitive. Out of balance they can tend toward exaggerated introversion, fear and suspicion. Fear is the emotion associated with the kidneys, but the flip side of that (and power of the philosopher) is the courage to face the truth of ourselves and the world.
We all, as microcosms of nature, personify the different seasonal elements. Some of these archetypes resonate stronger at different times, though we may notice, in ourselves and others, a general tendency towards a specific one.
Do you resonate with the Philosopher?
Are you…
*self-sufficient?
*scrutinizing?
*appreciative of alone time?
*devoted to truth?
*sometimes susceptible to feelings of fear and isolation or aggressive suspicion? (depending on patterns of deficiency or excess)
*willing to persevere?
With every elemental archetype it is vital to find and nurture the balance necessary to express and experience the best traits of each one. This winter, one way to support your water element is with quiet reflective moments, and a cozy safe place to go inward and explore the mysteries of life. Your inner philosopher will reward you with truth, strength and vitality.
Visit us on 205 W. 2nd Street, Suite 502, in Duluth for more kidney/water element support this winter, including diet and lifestyle tips to balance your unique seasonal and constitutional needs!