Guide 6/6 in our diabetes series – Synthesis of the RD2S diabetes series
For more context, you can revisit the other Guides in this 6-week diabetes series:

·         Week 1 – Basics of Diabetes,

·         Week 2 – Silent Epidemic & Risks,

·         Week 3 – Diabetes & Sleep,

·         Week 4 – Lifestyle & Sleep,

·         Week 5 – Warning Signs & Complications,

Each GUIDE article has a matching, more scientific counterpart in the Essential series, available free of charge to all newsletter subscribers.

Diabetes is not just a lab value.
It is a long-term relationship between your metabolism, your nervous system, your lifestyle – and the health-care system that is supposed to help you navigate all of this.

Over the past five articles, we looked at:

  • what diabetes really is, beyond “too much sugar”
  • why it has become a silent epidemic
  • how sleep and 24-hour lifestyle push blood sugar in the wrong direction
  • how early warning signs and complications can slowly build up

This final article is about what happens next:
how a modern care pathway can combine conventional medicine, structured education and, for those who choose it, a layer of functional and “underground” tools to map and follow your metabolic story over time.

1. From risk to reality: connecting the first dots

For most people, diabetes does not start with a dramatic event. It starts with:

  • risk factors (family history, excess body fat, sedentary life, high blood pressure, abnormal lipids)
  • early metabolic changes (insulin resistance, slightly elevated glucose)
  • subtle symptoms (fatigue, brain fog, poor sleep, increased thirst, small wounds that heal slowly)

The traditional system usually reacts when a threshold is crossed:

  • fasting glucose above a certain level
  • HbA1c above the diagnostic cut-off
  • oral glucose tolerance test in the diabetic range

At that point, you receive a label, some prescriptions, and a follow-up plan that may or may not feel adapted to your real life.

A modern view is different:

Instead of asking “Do you already have diabetes?”,
it asks “Where are you on the metabolic spectrum, and what trajectory are you on?”

That shift changes the whole care pathway.

2. Sleep, lifestyle and nervous system: not “extras”, but pillars

Previous parts of this series showed that:

  • disrupted sleep architecture can worsen insulin resistance and appetite regulation
  • irregular schedules, late-night light and screens, social jet-lag and chronic stress all push the nervous system toward constant alarm mode
  • this accelerates weight gain tendencies, blood-sugar variability, and cardiometabolic risk

In a modern pathway, these are not side topics. They are part of the map from day one:

  • sleep timing and quality
  • movement and muscle use across the day
  • food timing and composition
  • stress load and recovery strategies
  • social and work rhythms

The goal is not perfection. It is to identify the few levers that will have the biggest impact for you, then to follow them over months and years – not just two weeks after a new prescription.

3. Modern screening: labs first… then intelligent functional exploration

3.1 The conventional backbone

Whatever your personal philosophy, a modern diabetes pathway still stands on a conventional backbone:

  • fasting blood glucose and/or oral glucose tolerance testing
  • HbA1c to capture average glucose over several months
  • blood pressure, weight, waist circumference
  • lipid profile (triglycerides, HDL, LDL)
  • kidney markers (e.g. creatinine, estimated GFR, urine albumin)
  • regular eye checks, foot checks and cardiovascular risk assessment

These are the tools used in current clinical guidelines worldwide. They are the minimum non-negotiable to detect diabetes, follow its evolution and screen for complications.

Nothing in this article replaces that.

3.2 The “underground” layer: mapping patterns, not making diagnoses

In parallel, some practitioners choose to add a second layer: tools that do not diagnose diabetes, but may help them map functional patterns, nervous-system status or recovery capacity.

This is where the RD2S / Organotest ecosystem lives.

The philosophy is simple:

conventional tests answer:
“Where are your numbers right now?”

functional tools try to explore:
“How is your system behaving and adapting over time?”

Examples include:

NLSA-based bio-frequency analysis

Within Organotest, the NLSA scanner is presented as a non-invasive “quantum medicine” device that analyses bio-frequencies and entropy patterns in different tissues and organs. The practitioner interprets these patterns as a functional map: past stresses, current load, possible future tendencies.

Important clarifications:

  • it does not replace blood tests, imaging or physical examination
  • it is not a diagnostic device for diabetes or any other disease
  • it is used as a decision-support tool to prioritise lifestyle and environment-related interventions and to follow their evolution over time

Somnia CES and nervous-system regulation

Somnia CES is a cranial electrotherapy stimulation (CES) device used via electrodes on the earlobes. The goal is to gently modulate brain activity and neurotransmitter balance, and to support:

  • relaxation
  • sleep onset and maintenance
  • stress and anxiety management

Small clinical trials on CES in general suggest potential benefits for anxiety, insomnia and related symptoms, but the evidence remains heterogeneous and these devices are not first-line treatments in major guidelines. They should be seen as possible adjuncts, not as replacements for established care.

Detoxification devices

Ionic foot-bath style detoxification devices are marketed as tools to support elimination by creating an ionic field in warm salted water. The visible colour change of the water is largely explained by electrode corrosion and not by measured “toxins” leaving the body.

From a strictly scientific point of view:

  • they are not recognised detoxification therapies
  • they do not replace liver, kidney or lymph function
  • they should not be used as an argument to delay medical evaluation

Within a holistic practice, some people still use them as a ritual of care and relaxation, but this must be presented honestly: as theatre and comfort, not as proven detox.

Molecular hydrogen generators

Molecular hydrogen generators produce hydrogen-rich water. Research on molecular hydrogen suggests:

  • it can act as a selective antioxidant and redox modulator
  • early human studies explore its impact on oxidative stress, metabolic syndrome and insulin resistance

At this stage:

  • results are promising but not definitive
  • hydrogen water is not a stand-alone treatment for diabetes
  • it is best considered as a potential supportive tool inside a broader lifestyle and medical strategy

4. Building your modern care team

No single professional – or device – can carry you through the whole diabetes journey.

A modern pathway usually involves:

  • a primary care physician or general practitioner who knows your history
  • sometimes an endocrinologist or diabetologist
  • nurses, diabetes educators and dietitians providing structured education and follow-up
  • eye specialists, kidney specialists, cardiologists or podiatrists when needed
  • mental-health professionals when anxiety, depression or burnout complicate self-care
  • in functional or integrative settings, additional practitioners (naturopaths, functional medicine doctors, osteopaths, etc.) who may use tools like NLSA, CES, low-level lasers or hydrogen water inside a broader plan

Your role is not just to “obey orders”. It is to become an informed participant:

  • ask what each test is for
  • understand your personal targets (not just “normal ranges”)
  • clarify which part of the plan is supported by strong evidence, and which part is experimental or exploratory

5. Designing your personal follow-up map

A useful way to think of your follow-up is to separate it into four levels:

Level 1 – Safety and complications

  • regular checks for eyes, kidneys, feet, heart and blood vessels
  • blood pressure, lipids and other cardiovascular risk factors
  • fast action if warning signs appear (vision changes, chest pain, non-healing foot wounds, sudden weakness, etc.)

Level 2 – Core metabolic markers

  • fasting glucose and/or HbA1c at intervals agreed with your professional team
  • weight, waist circumference, body-composition trends
  • response to any medication or major lifestyle change

Level 3 – Lifestyle and nervous system

  • sleep timing and quality
  • daily movement and muscle use
  • stress load, anxiety, recovery strategies
  • food timing and composition, including late-evening habits

Level 4 – Optional functional tools

  • NLSA-based mapping of functional imbalances and trends
  • Somnia CES sessions to support relaxation and sleep
  • carefully framed use of hydrogen-rich water or other devices if you and your practitioner agree that potential benefits outweigh costs and uncertainties

The important part is not to use as many tools as possible.
The important part is to choose consciously, understand the limits of each tool, and not let any of them delay essential medical care.

6. Where Organotest fits into this modern picture

Within RD2S, Organotest is positioned as a decision-support platform rather than a diagnostic machine or miracle therapy.

Used in the right hands, it can help:

  • visualise functional patterns related to stress, sleep, digestion, circulation and energy regulation
  • prioritise lifestyle and environment-related interventions
  • track how these patterns evolve when you change something in your routine

It does not replace:

  • standard diabetes screening
  • medical diagnosis
  • emergency care or hospital-level treatment

Instead, it tries to make the “silent” part of the disease less silent – by turning scattered signals into a structured map you can discuss with a qualified professional.

If you want to explore this approach in more detail, you can start here:
👉 Discover Organotest and the NLSA platform

References

  1. American Diabetes Association – Standards of Care in Diabetes 2024
    Overview of current clinical practice recommendations for screening, treatment and follow-up, including complications and cardiovascular risk.
    → Standards of Care in Diabetes – ADA American Diabetes Association Paths to Health NM
  2. American Diabetes Association & partner organisations – DSMES Consensus Report
    Consensus on the role of diabetes self-management education and support (DSMES) as an essential part of modern diabetes care.
    → DSMES Consensus Report & Resources – ADA ADCES American Diabetes Association Diabetes Journals
  3. CDC – Multidisciplinary DSMES Team
    Practical description of team-based diabetes care and how different professionals contribute to education and follow-up.
    → The Multidisciplinary DSMES Team – CDC CDC
  4. American Diabetes Association – Acute and Chronic Complications
    Clinical resources on microvascular and macrovascular complications and their prevention in long-term follow-up.
    → Acute and Chronic Diabetes Complications – ADA American Diabetes Association
  5. VA Evidence Synthesis Program – Cranial Electrical Stimulation Review
    Systematic review of the effectiveness and risks of cranial electrotherapy stimulation (CES) for anxiety, depression, insomnia and pain.
    → The Effectiveness and Risks of Cranial Electrical Stimulation – VA ESP VA Health Services R&D
  6. Chung et al., 2023 – CES for Anxiety: Systematic Review and Meta-analysis
    Evaluation of CES in anxiety disorders, including effects on anxiety, depression and insomnia symptoms.
    → Efficacy of electrical cranial stimulation for treatment of psychiatric symptoms – Frontiers in Psychiatry Frontiers
  7. ClinicalTrials.gov – Hydrogen-Rich Water in Type 2 Diabetes (NCT05905588)
    Randomised trial protocol evaluating hydrogen-rich water as adjunctive support in type 2 diabetes.
    → Hydrogen-rich water in Type 2 Diabetes – ClinicalTrials.gov ICHGCP
  8. Ishibashi et al., 2021 – Electrolyzed Hydrogen-Rich Water in Type 2 Diabetes
    Multicentre double-blind randomised controlled trial on hydrogen-rich water and insulin resistance in type 2 diabetes.
    → Electrolyzed hydrogen-rich water for oxidative stress suppression and improvement of insulin resistance - Diabetology International SpringerLink+1

 

Note for Practitioners

Because scientific publishers regularly update, reorganize, or restrict access to their articles, some reference URLs may occasionally change or become temporarily unavailable. If you notice a missing or inactive link, please inform us so we can provide the updated source and maintain the highest level of accuracy in our professional resources.
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