Diabetes and PAD: A Conversation with Mark Brezell on Living Well with Diabetes
I’m excited to introduce our brand new series through the Global PAD Association: “Diabetes and PAD.” This series focuses on the critical connection between diabetes and peripheral artery disease (PAD) – a condition more prevalent and deadlier than prostate cancer, breast cancer, and colon cancer combined.
In our inaugural episode, I had the pleasure of speaking with Mark Brezzell, an incredible diabetes advocate who has lived with type 1 diabetes for 25 years. Mark brings a unique and powerful perspective to our conversation as he’s not only managing his own diabetes but also is a retired cardiovascular perfusionist. In this specialized clinical role, Mark used to operate the heart-lung machine during open-heart surgeries – essentially becoming the patient’s heart and lungs while surgeons work on a stopped heart. He now works in product development for a company that’s focused on treating Peripheral Artery Disease. This remarkable background and experience gives him both personal and professional insight into cardiovascular and vascular health that few can match.
The Diabetes-PAD Connection
Diabetes is a major risk factor for peripheral artery disease, a condition where narrowed arteries reduce blood flow to the limbs. Even one sugar molecule can scratch artery walls, leading to inflammation, plaque buildup, and eventually blockages that can result in limb loss. This is why controlling diabetes is crucial in preventing PAD.
Mark’s Journey with Diabetes
Mark’s story is fascinating – he was initially diagnosed with type 2 diabetes before eventually transitioning to type 1. Despite this challenging diagnosis, Mark has maintained exceptional control of his condition, with an A1C consistently below 6.0. Currently at 5.8, his numbers are remarkable for someone who’s been “on the needle” for 25 years.
What’s his secret? Mark made a commitment early on: “I made up in my mind that I was not gonna be a statistic, that I was going to try to do everything in my power to keep my glucose levels as tight as possible.”
Nutrition for Diabetes Management and Vascular Health
One of the most valuable aspects of our conversation was diving into the specific foods, supplements, and spices that can help manage diabetes and protect vascular health. Here’s a comprehensive list of what we discussed:
Potentially Beneficial Foods
Cruciferous Vegetables: Broccoli, spinach, kale, and other dark greens provide essential nutrients and help reduce inflammation
Oatmeal: Rich in magnesium and fiber, it helps control blood sugar and binds factors that contribute to atherosclerotic plaque
Berries: Blueberries, blackberries, and other colorful berries are packed with antioxidants that support vascular health
Bitter Melon: Contains phytochemicals similar to insulin that may help with blood sugar management
Chia Seeds: Some clinical evidence suggests they may help lower A1C levels (should be consumed in moderation if on insulin)
Flaxseeds: High in omega-3 fatty acids and fiber
Walnuts: Contain healthy fats and antioxidants
Lower Glycemic Fruits: Apples, pears, and many berries contain fiber that helps moderate blood sugar response compared to higher glycemic fruits
Foods That Require Careful Consideration
Soybeans and Soy Products: Good protein sources for vegetarians, but quality and processing methods matter significantly
Bananas and Higher Glycemic Fruits: While nutritious (bananas provide potassium), these should be eaten in moderation, paired with protein, and portioned according to your individual meal plan as they can cause blood sugar spikes
Spices and Supplements (Always Consult Healthcare Provider First)
Ceylon Cinnamon: Some studies suggest it may help with blood sugar management, but requires proper cycling (typically 2-3 weeks on, 2 weeks off)
Turmeric: Has anti-inflammatory properties that may support overall health
Garlic: Some evidence suggests benefits for cardiovascular health
Cayenne Pepper: May temporarily increase circulation
Gymnema Sylvestra: An herb traditionally used to support blood sugar management
Apple Cider Vinegar: Some studies suggest modest benefits for blood sugar response
Nutrition Tips
Eat whole fruits rather than drinking fruit juice to maintain the natural fiber
Pair carbohydrates with proteins to help balance blood sugar response
Focus on natural, unprocessed foods whenever possible
Stay well-hydrated
Always work with a registered dietitian or certified diabetes educator to create an individualized meal plan
Beyond Diet: Other Essential Factors
Exercise
Walking is one of the most accessible exercises for diabetes management and vascular health. As Mark pointed out, “Your neighborhood is your track.” You don’t need an expensive gym membership – just start small and build up gradually. Regular activity helps improve circulation and insulin sensitivity.
Sleep
Quality sleep is important in diabetes management. Poor sleep can impact glucose levels and insulin sensitivity. As Mark explained, “There’s no greater time of healing and restoration than sleep and rest.”
Self-Advocacy
Both Mark and I emphasized the importance of advocating for yourself in the healthcare system. If something doesn’t feel right, speak up. Consider second opinions, even from highly-regarded doctors, because “not everyone knows everything.” Trust your instincts about your own body and health.
Mark’s Book: “A Matter of the Heart”
Mark recently authored “A Matter of the Heart: My Unique and Unexpected Journey with Diabetes,” which addresses the emotional impact of diabetes – an aspect we often overlook when focusing on the physical symptoms. I’m excited to announce that we’ll be discussing Mark’s book in our next episode, so be sure to pick up a copy on Amazon!
Important Disclaimer
The information shared in this article is based on personal experiences and should not be considered medical advice. Scientific understanding of nutrition and supplements for diabetes management continues to evolve, and what works for one person may not work for another. It’s critically important to check with your healthcare team before making any changes to your diet, exercise routine, or supplement regimen. Never adjust your medications or insulin without professional guidance.
Some herbs and supplements may interact with medications or have side effects. For nutritional guidance specific to your situation, work with a registered dietitian who specializes in diabetes care.
Need Help with PAD?
If you have questions about poor circulation in the legs related to diabetes, known as peripheral artery disease (PAD), please call the Global PAD Association’s Leg Saver Hotline at 1-833-PAD-LEGS or visit PADhelp.org. Our team of PAD Navigators can provide information, support, and resources to help you advocate for your vascular health.
And don’t forget to check out Mark’s book “A Matter of the Heart” on Amazon to learn more about his inspiring journey with diabetes.
What strategies have helped you manage your diabetes? Share your experiences in the comments below, and let us know what topics you’d like us to cover in future episodes of our Diabetes and PAD series!
Share this post