Nov 8, 2017
In this episode, Dr Nirala Jacobi is in conversation with
SIBO and diabetes expert, Dr. Mona Morstein.
Dr. Mona Morstein has been a naturopathic physician for 29
years. Her private practice, Arizona Integrative Medical Solutions
Clinic, is in Tempe, AZ, USA. Her practice has always had a
focus on treating gastrointestinal conditions and she was
Gastroenterology professor at Southwest College of Naturopathic
Medicine for 11 years.
Dr. Morstein has been working seriously with SIBO patients for 5
years and is now considered to be an expert. She has
authored the recently published resource ‘Master
your Diabetes’, which is the number 1 best selling book on type
2 diabetes on Amazon. Dr Morstein was a speaker on the First
and Second SIBO SOS
Summit, and is now on the Medical Advisory Board of Quintron
Instrument Company, Inc. Dr. Morstein’s innovative and
comprehensive Step by Step treatment of SIBO has earned her
patients around the world. She has just created a high quality line
of SIBO supplements through Priority One
Topics discussed in this episode include
- How did Dr Morstein get into SIBO and why did she want to
specialise in this topic?
- What is the association between SIBO and Diabetes?
- Insight into A1C
- 7 is considered well controlled, although damage to the human
body is cited in the science as when the A1C goes over 5.5.
- What are the four places in the body that cannot produce
insulin resistance, and so express the effects of high sugar in the
serum? How does this reflect the health of the rest of the
- Diabetic neuropathy to the Autonomic Nervous System (ANS),
particularly in the gastrointestinal tract (GIT) and how this
relates to hypomotility and SIBO.
- How do you specialise treatment to diabetes induced nerve
tissue damage in the GIT as compared to other SIBO triggers, such
as post-infectious SIBO?
- What to use to treat autonomic diabetic neuropathy in SIBO?
- Acetyl L-carnitine
- Lion’s mane
- Alpha Lipoic acid
- Is diabetic neuropathy reversible?
- Autoimmune vinculin damage to the migrating motor complex (MMC)
in the small intestine.
- Lion’s mane - powerful nerve regeneration capacity
- Is there a role for it for regenerating nerves in the small
intestine in light of Anti-Vinculin, and Anti-cytolethal Distending
Toxin B (CdtB) antibodies?
- The form of Lion’s Mane required - it must be water
- Dose: 1 capsule bd.
- Using Lion’s mane in conjunction with a prokinetic.
- Patients with a strong history of post-infectious IBS or SIBO
get more attention paid to prokinetics than those who may have
adhesions causing the restrictions and outflow problems, rather
than nerve based causation.
- Diet, diabetes, and SIBO - where to start?
- Low FODMAP
- Specific carbohydrate diet (SCD) Diet
- Fibre - what fibre, and how to integrate.
- Why to have diabetic patients avoid grains.
- The importance of short chain fatty acid (SCFA) butyrate for
colonic cell health, and how to navigate this for diabetic patients
in light of no grains.
- Types of fibres for SIBO patients
- Hydrolysed guar gum
- Types of fibres for diabetic patients
- Microbiome restoration in the large intestine
- Dr Morstein’s specific SIBO protocols for diabetic patients - 8
- Stress management
- Healing the gut
- Addressing the microbiome
- Environmental detoxification
- Fish Oil
Diamend - specialty diabetes product
- All about the contents of Dr Morstein’s specialty diabetes
Diamend (which contains benfotiamine)
- What is Benfotiamine?
- Fat soluble thiamin with positive benefits in neuropathy.
- How does it interfere with glycosylation?
- Maximum dose 450mg/day
- Prevents damage in high glucose areas - protective to those who
do not even have neuropathy.
- Dysglycemia not just in diabetic patients
- Tips to manage hypoglycemia in patients who do not have
- The role of the adrenals in reactive hypoglycemia
- How to nourish the adrenals and the liver to rectify reactive
- Other triggers that can drive reactive hypoglycemia?
- Products used for SIBO and Diabetes
- How is berberine beneficial for clients with metabolic
- Turns off protein kinase-C
- Reduces insulin resistance, promotes energy use,
anti-inflammatory, supports the liver and bile function, reduces
cholesterol and triglycerides.
- Present in
- A caution for berberine use for those with anxiety - impact on
monoamine oxidase (MAO) for people with single nucleotide
polymorphisms (SNP) in that area.
- What role does the microbiome play in the development of
- Could we prevent the development of type 1 diabetes?
- The type 2 diabetes microbiome and the impacts of inflammation,
nutrient absorption, production of tumour necrosis factor (TNF),
intestinal endotoxins and insulin resistance.
- Dr Morstein’s products developed for SIBO via Priority One Supplements
- Zanthoxylum (Prickly Ash)
- Used for dry mouth syndrome
- Motility agent
- Dr Morstein’s top clinical tips for SIBO and Diabetes
Dr Mona Morstein