Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Concerning embryonic stem cell research, did you notice the wording in the article blurb? It says, " ...suggests the possibility of... " Well, unfortunately, the media is unwilling to mention the great work being done in the area of stem cell research not involving a human embryo. Sadly, research on stem cells has become a battle field, and if someone else is into googling (I just don't have the time), I'd love to read an article or two about the research being done for diabetes using adult or embelic stem cells. Dave Life is but a blink of the eye--eternity is coming... article > Stem Cells May Make Insulin Cells > > U.S. scientists say human embryonic stem cells can be converted into cells > that produce all five hormones made by the pancreas, including insulin. > Research conducted by Baetge and colleagues at Novocell Inc. in San > Diego suggests the possibility of turning human embryonic stem cells into > pancreatic cells that can be used for diabetes therapy. > > > > Human embryonic stem cells have the potential to become virtually any cell > type in the body. Thus, they are a promising source of cells to repair > damaged organs, such as the pancreas, heart and liver. > > Learn more>> <http://main.diabetes.org/site/R?i=aq8IX3JdVCeJDtSR0rQwXQ..> > > > > Erectile Dysfunction Seen as Diabetes Marker in Younger Men Erectile > dysfunction (ED) is a marker for diabetes in men younger than 45 years of > age and probably also for men between 46-65 years of age, new research > suggests. In men older than 66 years, however, ED is not predictive of > diabetes. > > > > Several reports have shown that ED and diabetes often coexist, but it was > unclear if men with ED were any more likely than men without it to have > diabetes, lead author Dr. Sun, from Lilly Research Laboratories in > Indianapolis, and colleagues note in The Journal of Urology for September. > > Learn more>> <http://main.diabetes.org/site/R?i=zOL_d14VvUphGsh_j1RbXQ..> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2006 Report Share Posted December 28, 2006 that was terrific. it made me laugh heartily, and I suppose I could have died from that, but still hanging in and eating bread. (grin) Vicki Breffe " He that has a merry heart has a continual feast... " Proverbs 15:15 article The Dangers of Bread Hire Geoff to Speak Frequently Requested Items Event Photos Can't Find It? Click Here Past and Future Guest Information Send a Message to Geoff Your Opinions Posted Here Links to Other Hot Sites Back to the Home Page The Dangers of Bread A recent Cincinnati Enquirer headline read, " Smell of baked bread may be health hazard. " The article went on to describe the dangers of the smell of baking bread. The main danger, apparently, is that the organic components of this aroma may break down ozone (I'm not making this stuff up). I was horrified. When are we going to do something about bread- induced global warming? Sure, we attack tobacco companies, but when is the government going to go after Big Bread? Well, I've done a little research, and what I've discovered should make anyone think twice.... List of 12 items 1. More than 98 percent of convicted felons are bread eaters. 2. Fully HALF of all children who grow up in bread-consuming households score below average on standardized tests. 3. In the 18th century, when virtually all bread was baked in the home, the average life expectancy was less than 50 years; infant mortality rates were unacceptably high; many women died in childbirth; and diseases such as typhoid, yellow fever and influenza ravaged whole nations. 4. More than 90 percent of violent crimes are committed within 24 hours of eating bread. 5. Bread is made from a substance called " dough. " It has been proven that as little as one pound of dough can be used to suffocate a mouse. The average American eats more bread than that in one month! 6. Primitive tribal societies that have no bread exhibit a low occurrence of cancer, Alzheimer's, Parkinson's disease and osteoporosis. 7. Bread has been proven to be addictive. Subjects deprived of bread and given only water to eat begged for bread after only two days. 8. Bread is often a " gateway " food item, leading the user to " harder " items such as butter, jelly, peanut butter and even cold cuts. 9. Bread has been proven to absorb water. Since the human body is more than 90 percent water, it follows that eating bread could lead to your body being taken over by this absorptive food product, turning you into a soggy, gooey bread-pudding person. 10. Newborn babies can choke on bread. 11. Bread is baked at temperatures as high as 400 degrees Fahrenheit! That kind of heat can kill an adult in less than one minute. 12. Most American bread eaters are utterly unable to distinguish between significant scientific fact and meaningless statistical babbling. list end In light of these frightening statistics, we propose the following bread restrictions: List of 5 items 1. No sale of bread to minors. 2. No advertising of bread within 1000 feet of a school. 3. A 300 percent federal tax on all bread to pay for all the societal ills we might associate with bread. 4. No animal or human images, nor any primary colors (which may appeal to children) may be used to promote bread usage. 5. A $4.2 zillion fine on the three biggest bread manufacturers. Please send this e-mail on to everyone you know who cares about this crucial issue. list end Hire Geoff to Speak Frequently Requested Items Event Photos Can't Find It? Click Here Past and Future Guest Information Send a Message to Geoff Your Opinions Posted Here Links to Other Hot Sites Back to the Home Page Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2006 Report Share Posted December 29, 2006 Hi , Thanks for the laugh! Many of the so called reasons not to eat bread can be attributed to other factors. This guy needs to go back to research methods. Ruth _____ From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of plawolf Sent: Thursday, December 28, 2006 3:08 PM To: Blind-DiabeticsYahoogroups (DOT) Com; Acb-DiabeticsAcb (DOT) Org; Nelly Emerson; Bill Subject: article The Dangers of Bread Hire Geoff to Speak Frequently Requested Items Event Photos Can't Find It? Click Here Past and Future Guest Information Send a Message to Geoff Your Opinions Posted Here Links to Other Hot Sites Back to the Home Page The Dangers of Bread A recent Cincinnati Enquirer headline read, " Smell of baked bread may be health hazard. " The article went on to describe the dangers of the smell of baking bread. The main danger, apparently, is that the organic components of this aroma may break down ozone (I'm not making this stuff up). I was horrified. When are we going to do something about bread- induced global warming? Sure, we attack tobacco companies, but when is the government going to go after Big Bread? Well, I've done a little research, and what I've discovered should make anyone think twice.... List of 12 items 1. More than 98 percent of convicted felons are bread eaters. 2. Fully HALF of all children who grow up in bread-consuming households score below average on standardized tests. 3. In the 18th century, when virtually all bread was baked in the home, the average life expectancy was less than 50 years; infant mortality rates were unacceptably high; many women died in childbirth; and diseases such as typhoid, yellow fever and influenza ravaged whole nations. 4. More than 90 percent of violent crimes are committed within 24 hours of eating bread. 5. Bread is made from a substance called " dough. " It has been proven that as little as one pound of dough can be used to suffocate a mouse. The average American eats more bread than that in one month! 6. Primitive tribal societies that have no bread exhibit a low occurrence of cancer, Alzheimer's, Parkinson's disease and osteoporosis. 7. Bread has been proven to be addictive. Subjects deprived of bread and given only water to eat begged for bread after only two days. 8. Bread is often a " gateway " food item, leading the user to " harder " items such as butter, jelly, peanut butter and even cold cuts. 9. Bread has been proven to absorb water. Since the human body is more than 90 percent water, it follows that eating bread could lead to your body being taken over by this absorptive food product, turning you into a soggy, gooey bread-pudding person. 10. Newborn babies can choke on bread. 11. Bread is baked at temperatures as high as 400 degrees Fahrenheit! That kind of heat can kill an adult in less than one minute. 12. Most American bread eaters are utterly unable to distinguish between significant scientific fact and meaningless statistical babbling. list end In light of these frightening statistics, we propose the following bread restrictions: List of 5 items 1. No sale of bread to minors. 2. No advertising of bread within 1000 feet of a school. 3. A 300 percent federal tax on all bread to pay for all the societal ills we might associate with bread. 4. No animal or human images, nor any primary colors (which may appeal to children) may be used to promote bread usage. 5. A $4.2 zillion fine on the three biggest bread manufacturers. Please send this e-mail on to everyone you know who cares about this crucial issue. list end Hire Geoff to Speak Frequently Requested Items Event Photos Can't Find It? Click Here Past and Future Guest Information Send a Message to Geoff Your Opinions Posted Here Links to Other Hot Sites Back to the Home Page Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2007 Report Share Posted November 7, 2007 This sounds very promising. Becky _____ From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of LaFrance-Wolf Sent: Tuesday, November 06, 2007 9:39 PM To: Doc Mahaber Dr. (Doc Mahaber Dr.); Blind-DiabeticsYahoogroups (DOT) Com; Acb-DiabeticsAcb (DOT) Org Subject: article WebMD Medical News Reviewed by Louise Chang, MD Nov. 6, 2007 -- Obesity leads to insulin resistance and diabetes, but not if a key inflammatory pathway is blocked, mouse studies show. Abdominal obesity is a key risk factor for type 2 diabetes. As people gain more and more belly fat, they become more and more resistant to insulin. Their bodies have to make more and more insulin to control their blood sugar. Eventually, they develop diabetes. Why does this happen? Scientists have found that one of the body's chemical signals, called JNK1, is needed both for the accumulation of abdominal fat and for obesity-related insulin resistance. Mice lacking the JNK1 gene can eat a high-fat diet without getting fat and without getting diabetes. But can you become obese without getting diabetes? The surprising answer seems to be yes. That is, if the JNK1 signal is blocked in the bone-marrow-derived immune cells called macrophages but not in other tissues. The finding comes from mouse studies by University of California, San Diego researchers Jerrold Olefsky, MD, and colleagues. Macrophages, the researchers find, need JNK1 to keep up a low-level, obesity-triggered inflammatory response throughout the body. It is this immune response -- not obesity itself -- that leads to insulin resistance and diabetes. " If we can block or disarm this macrophage inflammatory pathway in humans, we could interrupt the cascade that leads to insulin resistance and diabetes, " Olefsky says in a news release. It's much easier to find a drug that affects bone-marrow-derived cells than it is to find one that affects other cells. The findings thus take researchers one step closer to a new class of diabetes-preventing drugs. " We aren't suggesting that obesity is healthy, but indications are promising that, by blocking the macrophage pathway, scientists may find a way to prevent the type 2 diabetes now linked to obesity, " Olefsky says. The findings appear in the November issue of Cell Metabolism. __________ NOD32 2642 (20071106) Information __________ This message was checked by NOD32 antivirus system. http://www.eset. <http://www.eset.com> com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2007 Report Share Posted December 27, 2007 Seems to lend support to the Bernstein program. Hmmm? I liked the one comment about no one really knowing what the right diet is. That's pretty much the way I see it, and it's frustrating... Dave article Weight of the Evidence Health = Lifestyle, Nutrition and Activity Sunday, December 23, 2007 Merry Christmas! s400/merry_christmas Posted by Regina Wilshire at 6:48 PM 2 comments Links to this post img/icon18_email Friday, December 21, 2007 What If Saturated Fat Is Not the Problem? An article in dLife , written by Feinman, PhD: Here's an idea to chew on: The carbs in your diet tell your body what to do with the fat you eat, so it's the type and amount of carbohydrates that matter when it comes to your weight and health. Virtually every bit of health information today includes the advice to avoid saturated fat - the so-called evil stuff that lurks in animal foods like steak and eggs. The basis for this recommendation is that research has shown a correlation between saturated fat intake and total cholesterol and LDL ( " bad cholesterol " ). The problem with these studies is that the effects are not large, there is wide variation among individuals and, in most of these studies, the predicted benefit in incidence of cardiovascular disease did not materialize. In addition, we now know much more about risk factors for cardiovascular disease (CVD) beyond LDL. No assessment of CVD risk can be made without considering HDL ( " good cholesterol " ), triglycerides, and the size of the LDL particle. Plenty of research shows that these markers can worsen when people reduce their intake of saturated fat and that they can improve by reducing the intake of carbohydrates. You don't have to be a medical researcher to recognize that this is a politically charged issue. The thing that is missing for the public is an impartial evaluation of all the data on saturated fat. My personal opinion is that there is much contradictory data and a recent review of the situation suggests that there is not sufficient evidence to make any recommendations. There is a sense that, in the absence of definitive evidence, lowering saturated fat will at least do no harm. This is not right. The problem for people with diabetes is what happens when saturated fat is replaced with carbohydrate, and research has repeatedly shown that this may actually be harmful. Consider that, according to the Centers for Disease Control and Prevention, during the onset of the current epidemic of obesity and diabetes, almost all of the increase in calories in the American diet has been due to carbohydrate. The percent of total fat and saturated fat in our diet decreased. In men, the absolute amount of saturated fat consumed decreased by 14 percent! One of the most striking reasons to doubt the across-the-board proscriptions against saturated fat is the report from the large scale Framingham study in the Journal of the American Medical Association, titled " Inverse association of dietary fat with development of ischemic stroke in men. " You read that right: The more saturated fat in the diet, the lower the incidence of stroke. Perhaps the most compelling research was published in a 2004 issue of the American Journal of Clinical Nutrition by researchers from the Harvard School of Public Health. Their study showed that, in postmenopausal women with heart disease, a higher saturated fat intake was associated with less narrowing of the coronary artery and a reduced progression of disease. Even with similar levels of LDL cholesterol, women with lower saturated fat intake had much higher rates of disease progression. Higher saturated fat intake was also associated with higher HDL (the " good " cholesterol) and lower triglycerides. If saturated fat isn't the problem, what is? In this study, in which greater saturated fat intake was associated with less progression of coronary atherosclerosis, carbohydrate intake was associated with a greater progression. Carbohydrate, through its effect on insulin, is the key player. Insulin not only sweeps up glucose from the blood but it also plays air traffic controller, making the call as to whether that glucose is turned into fat or is used for energy. Most importantly, insulin determines what happens to dietary fat - whether it gets stored or oxidized for fuel. In fact, the fat profile in the blood (cholesterol and triglycerides) is not strongly tied to diet. A recent study by Jeff Volek at the University of Connecticut compared low-carbohydrate and low-fat diets. Even though the low-carbohydrate diet had three times as much saturated fat as the low-fat diet, levels of unhealthy fats in the blood were lower in the low-carbohydrate group. How is that possible? That is what metabolism does. What is the best diet? We don't know the ideal diet composition. We do know that saturated fat, unlike trans-fat, is a normal part of body chemistry and extreme avoidance is not justified by current scientific data. Removing some saturated fat to reduce calories is good, but adding back carbs appears to be deleterious. It appears that healthy, carbohydrate restriction will trump the effects of any kind of fat. For a person with diabetes, blood glucose must be the first consideration. If you have relatively tight blood sugar control, the amount of saturated fat you eat may be a non-issue. You can do what we did before the diabetes-obesity epidemic: regulate your intake by your taste and your natural appetite. No one ever did want to eat a pound of bacon. Sources: 1. Food and Nutrition Board: Macronutrients. In: Dietary reference intake: National Academies Press; 2005, p.484. 2. JB German, CJ Dillard: Saturated fats: what dietary intake? Am J Clin Nutr 2004, 80:550-559. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2007 Report Share Posted December 27, 2007 I would also like to point out that the more fat you gain, namely, the belly and thigh fat that I am exhibiting, causes me to increase my insulin usage. My old basal and correction counts have to be scrapped and I have to start all over again. article Weight of the Evidence Health = Lifestyle, Nutrition and Activity Sunday, December 23, 2007 Merry Christmas! s400/merry_christmas Posted by Regina Wilshire at 6:48 PM 2 comments Links to this post img/icon18_email Friday, December 21, 2007 What If Saturated Fat Is Not the Problem? An article in dLife , written by Feinman, PhD: Here's an idea to chew on: The carbs in your diet tell your body what to do with the fat you eat, so it's the type and amount of carbohydrates that matter when it comes to your weight and health. Virtually every bit of health information today includes the advice to avoid saturated fat - the so-called evil stuff that lurks in animal foods like steak and eggs. The basis for this recommendation is that research has shown a correlation between saturated fat intake and total cholesterol and LDL ( " bad cholesterol " ). The problem with these studies is that the effects are not large, there is wide variation among individuals and, in most of these studies, the predicted benefit in incidence of cardiovascular disease did not materialize. In addition, we now know much more about risk factors for cardiovascular disease (CVD) beyond LDL. No assessment of CVD risk can be made without considering HDL ( " good cholesterol " ), triglycerides, and the size of the LDL particle. Plenty of research shows that these markers can worsen when people reduce their intake of saturated fat and that they can improve by reducing the intake of carbohydrates. You don't have to be a medical researcher to recognize that this is a politically charged issue. The thing that is missing for the public is an impartial evaluation of all the data on saturated fat. My personal opinion is that there is much contradictory data and a recent review of the situation suggests that there is not sufficient evidence to make any recommendations. There is a sense that, in the absence of definitive evidence, lowering saturated fat will at least do no harm. This is not right. The problem for people with diabetes is what happens when saturated fat is replaced with carbohydrate, and research has repeatedly shown that this may actually be harmful. Consider that, according to the Centers for Disease Control and Prevention, during the onset of the current epidemic of obesity and diabetes, almost all of the increase in calories in the American diet has been due to carbohydrate. The percent of total fat and saturated fat in our diet decreased. In men, the absolute amount of saturated fat consumed decreased by 14 percent! One of the most striking reasons to doubt the across-the-board proscriptions against saturated fat is the report from the large scale Framingham study in the Journal of the American Medical Association, titled " Inverse association of dietary fat with development of ischemic stroke in men. " You read that right: The more saturated fat in the diet, the lower the incidence of stroke. Perhaps the most compelling research was published in a 2004 issue of the American Journal of Clinical Nutrition by researchers from the Harvard School of Public Health. Their study showed that, in postmenopausal women with heart disease, a higher saturated fat intake was associated with less narrowing of the coronary artery and a reduced progression of disease. Even with similar levels of LDL cholesterol, women with lower saturated fat intake had much higher rates of disease progression. Higher saturated fat intake was also associated with higher HDL (the " good " cholesterol) and lower triglycerides. If saturated fat isn't the problem, what is? In this study, in which greater saturated fat intake was associated with less progression of coronary atherosclerosis, carbohydrate intake was associated with a greater progression. Carbohydrate, through its effect on insulin, is the key player. Insulin not only sweeps up glucose from the blood but it also plays air traffic controller, making the call as to whether that glucose is turned into fat or is used for energy. Most importantly, insulin determines what happens to dietary fat - whether it gets stored or oxidized for fuel. In fact, the fat profile in the blood (cholesterol and triglycerides) is not strongly tied to diet. A recent study by Jeff Volek at the University of Connecticut compared low-carbohydrate and low-fat diets. Even though the low-carbohydrate diet had three times as much saturated fat as the low-fat diet, levels of unhealthy fats in the blood were lower in the low-carbohydrate group. How is that possible? That is what metabolism does. What is the best diet? We don't know the ideal diet composition. We do know that saturated fat, unlike trans-fat, is a normal part of body chemistry and extreme avoidance is not justified by current scientific data. Removing some saturated fat to reduce calories is good, but adding back carbs appears to be deleterious. It appears that healthy, carbohydrate restriction will trump the effects of any kind of fat. For a person with diabetes, blood glucose must be the first consideration. If you have relatively tight blood sugar control, the amount of saturated fat you eat may be a non-issue. You can do what we did before the diabetes-obesity epidemic: regulate your intake by your taste and your natural appetite. No one ever did want to eat a pound of bacon. Sources: 1. Food and Nutrition Board: Macronutrients. In: Dietary reference intake: National Academies Press; 2005, p.484. 2. JB German, CJ Dillard: Saturated fats: what dietary intake? Am J Clin Nutr 2004, 80:550-559. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2007 Report Share Posted December 27, 2007 Yes, more fat means more insulin resistance-even in typ 1 diabetics, but especially in type 2's. Re: article I would also like to point out that the more fat you gain, namely, the belly and thigh fat that I am exhibiting, causes me to increase my insulin usage. My old basal and correction counts have to be scrapped and I have to start all over again. article Weight of the Evidence Health = Lifestyle, Nutrition and Activity Sunday, December 23, 2007 Merry Christmas! s400/merry_christmas Posted by Regina Wilshire at 6:48 PM 2 comments Links to this post img/icon18_email Friday, December 21, 2007 What If Saturated Fat Is Not the Problem? An article in dLife , written by Feinman, PhD: Here's an idea to chew on: The carbs in your diet tell your body what to do with the fat you eat, so it's the type and amount of carbohydrates that matter when it comes to your weight and health. Virtually every bit of health information today includes the advice to avoid saturated fat - the so-called evil stuff that lurks in animal foods like steak and eggs. The basis for this recommendation is that research has shown a correlation between saturated fat intake and total cholesterol and LDL ( " bad cholesterol " ). The problem with these studies is that the effects are not large, there is wide variation among individuals and, in most of these studies, the predicted benefit in incidence of cardiovascular disease did not materialize. In addition, we now know much more about risk factors for cardiovascular disease (CVD) beyond LDL. No assessment of CVD risk can be made without considering HDL ( " good cholesterol " ), triglycerides, and the size of the LDL particle. Plenty of research shows that these markers can worsen when people reduce their intake of saturated fat and that they can improve by reducing the intake of carbohydrates. You don't have to be a medical researcher to recognize that this is a politically charged issue. The thing that is missing for the public is an impartial evaluation of all the data on saturated fat. My personal opinion is that there is much contradictory data and a recent review of the situation suggests that there is not sufficient evidence to make any recommendations. There is a sense that, in the absence of definitive evidence, lowering saturated fat will at least do no harm. This is not right. The problem for people with diabetes is what happens when saturated fat is replaced with carbohydrate, and research has repeatedly shown that this may actually be harmful. Consider that, according to the Centers for Disease Control and Prevention, during the onset of the current epidemic of obesity and diabetes, almost all of the increase in calories in the American diet has been due to carbohydrate. The percent of total fat and saturated fat in our diet decreased. In men, the absolute amount of saturated fat consumed decreased by 14 percent! One of the most striking reasons to doubt the across-the-board proscriptions against saturated fat is the report from the large scale Framingham study in the Journal of the American Medical Association, titled " Inverse association of dietary fat with development of ischemic stroke in men. " You read that right: The more saturated fat in the diet, the lower the incidence of stroke. Perhaps the most compelling research was published in a 2004 issue of the American Journal of Clinical Nutrition by researchers from the Harvard School of Public Health. Their study showed that, in postmenopausal women with heart disease, a higher saturated fat intake was associated with less narrowing of the coronary artery and a reduced progression of disease. Even with similar levels of LDL cholesterol, women with lower saturated fat intake had much higher rates of disease progression. Higher saturated fat intake was also associated with higher HDL (the " good " cholesterol) and lower triglycerides. If saturated fat isn't the problem, what is? In this study, in which greater saturated fat intake was associated with less progression of coronary atherosclerosis, carbohydrate intake was associated with a greater progression. Carbohydrate, through its effect on insulin, is the key player. Insulin not only sweeps up glucose from the blood but it also plays air traffic controller, making the call as to whether that glucose is turned into fat or is used for energy. Most importantly, insulin determines what happens to dietary fat - whether it gets stored or oxidized for fuel. In fact, the fat profile in the blood (cholesterol and triglycerides) is not strongly tied to diet. A recent study by Jeff Volek at the University of Connecticut compared low-carbohydrate and low-fat diets. Even though the low-carbohydrate diet had three times as much saturated fat as the low-fat diet, levels of unhealthy fats in the blood were lower in the low-carbohydrate group. How is that possible? That is what metabolism does. What is the best diet? We don't know the ideal diet composition. We do know that saturated fat, unlike trans-fat, is a normal part of body chemistry and extreme avoidance is not justified by current scientific data. Removing some saturated fat to reduce calories is good, but adding back carbs appears to be deleterious. It appears that healthy, carbohydrate restriction will trump the effects of any kind of fat. For a person with diabetes, blood glucose must be the first consideration. If you have relatively tight blood sugar control, the amount of saturated fat you eat may be a non-issue. You can do what we did before the diabetes-obesity epidemic: regulate your intake by your taste and your natural appetite. No one ever did want to eat a pound of bacon. Sources: 1. Food and Nutrition Board: Macronutrients. In: Dietary reference intake: National Academies Press; 2005, p.484. 2. JB German, CJ Dillard: Saturated fats: what dietary intake? Am J Clin Nutr 2004, 80:550-559. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2007 Report Share Posted December 27, 2007 That is wWhat makes diabetics so individual! We each have our individual quirks about what diet works best for us. But no matter what diet works best, exercise realy helps more than anything else! Re: article Seems to lend support to the Bernstein program. Hmmm? I liked the one comment about no one really knowing what the right diet is. That's pretty much the way I see it, and it's frustrating... Dave article Weight of the Evidence Health = Lifestyle, Nutrition and Activity Sunday, December 23, 2007 Merry Christmas! s400/merry_christmas Posted by Regina Wilshire at 6:48 PM 2 comments Links to this post img/icon18_email Friday, December 21, 2007 What If Saturated Fat Is Not the Problem? An article in dLife , written by Feinman, PhD: Here's an idea to chew on: The carbs in your diet tell your body what to do with the fat you eat, so it's the type and amount of carbohydrates that matter when it comes to your weight and health. Virtually every bit of health information today includes the advice to avoid saturated fat - the so-called evil stuff that lurks in animal foods like steak and eggs. The basis for this recommendation is that research has shown a correlation between saturated fat intake and total cholesterol and LDL ( " bad cholesterol " ). The problem with these studies is that the effects are not large, there is wide variation among individuals and, in most of these studies, the predicted benefit in incidence of cardiovascular disease did not materialize. In addition, we now know much more about risk factors for cardiovascular disease (CVD) beyond LDL. No assessment of CVD risk can be made without considering HDL ( " good cholesterol " ), triglycerides, and the size of the LDL particle. Plenty of research shows that these markers can worsen when people reduce their intake of saturated fat and that they can improve by reducing the intake of carbohydrates. You don't have to be a medical researcher to recognize that this is a politically charged issue. The thing that is missing for the public is an impartial evaluation of all the data on saturated fat. My personal opinion is that there is much contradictory data and a recent review of the situation suggests that there is not sufficient evidence to make any recommendations. There is a sense that, in the absence of definitive evidence, lowering saturated fat will at least do no harm. This is not right. The problem for people with diabetes is what happens when saturated fat is replaced with carbohydrate, and research has repeatedly shown that this may actually be harmful. Consider that, according to the Centers for Disease Control and Prevention, during the onset of the current epidemic of obesity and diabetes, almost all of the increase in calories in the American diet has been due to carbohydrate. The percent of total fat and saturated fat in our diet decreased. In men, the absolute amount of saturated fat consumed decreased by 14 percent! One of the most striking reasons to doubt the across-the-board proscriptions against saturated fat is the report from the large scale Framingham study in the Journal of the American Medical Association, titled " Inverse association of dietary fat with development of ischemic stroke in men. " You read that right: The more saturated fat in the diet, the lower the incidence of stroke. Perhaps the most compelling research was published in a 2004 issue of the American Journal of Clinical Nutrition by researchers from the Harvard School of Public Health. Their study showed that, in postmenopausal women with heart disease, a higher saturated fat intake was associated with less narrowing of the coronary artery and a reduced progression of disease. Even with similar levels of LDL cholesterol, women with lower saturated fat intake had much higher rates of disease progression. Higher saturated fat intake was also associated with higher HDL (the " good " cholesterol) and lower triglycerides. If saturated fat isn't the problem, what is? In this study, in which greater saturated fat intake was associated with less progression of coronary atherosclerosis, carbohydrate intake was associated with a greater progression. Carbohydrate, through its effect on insulin, is the key player. Insulin not only sweeps up glucose from the blood but it also plays air traffic controller, making the call as to whether that glucose is turned into fat or is used for energy. Most importantly, insulin determines what happens to dietary fat - whether it gets stored or oxidized for fuel. In fact, the fat profile in the blood (cholesterol and triglycerides) is not strongly tied to diet. A recent study by Jeff Volek at the University of Connecticut compared low-carbohydrate and low-fat diets. Even though the low-carbohydrate diet had three times as much saturated fat as the low-fat diet, levels of unhealthy fats in the blood were lower in the low-carbohydrate group. How is that possible? That is what metabolism does. What is the best diet? We don't know the ideal diet composition. We do know that saturated fat, unlike trans-fat, is a normal part of body chemistry and extreme avoidance is not justified by current scientific data. Removing some saturated fat to reduce calories is good, but adding back carbs appears to be deleterious. It appears that healthy, carbohydrate restriction will trump the effects of any kind of fat. For a person with diabetes, blood glucose must be the first consideration. If you have relatively tight blood sugar control, the amount of saturated fat you eat may be a non-issue. You can do what we did before the diabetes-obesity epidemic: regulate your intake by your taste and your natural appetite. No one ever did want to eat a pound of bacon. Sources: 1. Food and Nutrition Board: Macronutrients. In: Dietary reference intake: National Academies Press; 2005, p.484. 2. JB German, CJ Dillard: Saturated fats: what dietary intake? Am J Clin Nutr 2004, 80:550-559. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2007 Report Share Posted December 27, 2007 So much is focused on carbohydrates. I don't know about others, and especially type 2s, but I agree that exercise makes the biggest difference. When I exercise regularly my blood sugar levels are more stable than they are when I eat less carbohydrates. This is assuming of course that I have adjusted insulin accordingly so that I don't go low. Carbohydrates might be important, but regular aerobic exercise is often ignored altogether. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 Yes, being fit is the most important thing for life. If you are physically fit it will improve your outlook on life no matter whether you are fat or not. article Well, I'd like to add something I saw on Canada A.M. which is a morning show here in Canada and it had an item about body fat and exercise. The studies suggested that people, even though heavy with body fat, still did well health wise if they excercised regularily. It was a longitudinal study and it showed that they lived just as long if not longer than their counterparts in the study if they excercised regularily with good levels of cholesterol, etc. So, I guess exercise is the thing to do no matter what. Ruth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 I find that sometimes it is easy to neglect the exercise as the lesser part of my program. Though at times I have gone for months doing very well and losing a lot of weight with it, I later lost site of this while I read articles about foods etc and concentrate on them. These articles today are very helpful and help get me focused again. Vicki In a changing world, we can trust God's unchanging word. article Weight of the Evidence Health = Lifestyle, Nutrition and Activity Sunday, December 23, 2007 Merry Christmas! s400/merry_christmas Posted by Regina Wilshire at 6:48 PM 2 comments Links to this post img/icon18_email Friday, December 21, 2007 What If Saturated Fat Is Not the Problem? An article in dLife , written by Feinman, PhD: Here's an idea to chew on: The carbs in your diet tell your body what to do with the fat you eat, so it's the type and amount of carbohydrates that matter when it comes to your weight and health. Virtually every bit of health information today includes the advice to avoid saturated fat - the so-called evil stuff that lurks in animal foods like steak and eggs. The basis for this recommendation is that research has shown a correlation between saturated fat intake and total cholesterol and LDL ( " bad cholesterol " ). The problem with these studies is that the effects are not large, there is wide variation among individuals and, in most of these studies, the predicted benefit in incidence of cardiovascular disease did not materialize. In addition, we now know much more about risk factors for cardiovascular disease (CVD) beyond LDL. No assessment of CVD risk can be made without considering HDL ( " good cholesterol " ), triglycerides, and the size of the LDL particle. Plenty of research shows that these markers can worsen when people reduce their intake of saturated fat and that they can improve by reducing the intake of carbohydrates. You don't have to be a medical researcher to recognize that this is a politically charged issue. The thing that is missing for the public is an impartial evaluation of all the data on saturated fat. My personal opinion is that there is much contradictory data and a recent review of the situation suggests that there is not sufficient evidence to make any recommendations. There is a sense that, in the absence of definitive evidence, lowering saturated fat will at least do no harm. This is not right. The problem for people with diabetes is what happens when saturated fat is replaced with carbohydrate, and research has repeatedly shown that this may actually be harmful. Consider that, according to the Centers for Disease Control and Prevention, during the onset of the current epidemic of obesity and diabetes, almost all of the increase in calories in the American diet has been due to carbohydrate. The percent of total fat and saturated fat in our diet decreased. In men, the absolute amount of saturated fat consumed decreased by 14 percent! One of the most striking reasons to doubt the across-the-board proscriptions against saturated fat is the report from the large scale Framingham study in the Journal of the American Medical Association, titled " Inverse association of dietary fat with development of ischemic stroke in men. " You read that right: The more saturated fat in the diet, the lower the incidence of stroke. Perhaps the most compelling research was published in a 2004 issue of the American Journal of Clinical Nutrition by researchers from the Harvard School of Public Health. Their study showed that, in postmenopausal women with heart disease, a higher saturated fat intake was associated with less narrowing of the coronary artery and a reduced progression of disease. Even with similar levels of LDL cholesterol, women with lower saturated fat intake had much higher rates of disease progression. Higher saturated fat intake was also associated with higher HDL (the " good " cholesterol) and lower triglycerides. If saturated fat isn't the problem, what is? In this study, in which greater saturated fat intake was associated with less progression of coronary atherosclerosis, carbohydrate intake was associated with a greater progression. Carbohydrate, through its effect on insulin, is the key player. Insulin not only sweeps up glucose from the blood but it also plays air traffic controller, making the call as to whether that glucose is turned into fat or is used for energy. Most importantly, insulin determines what happens to dietary fat - whether it gets stored or oxidized for fuel. In fact, the fat profile in the blood (cholesterol and triglycerides) is not strongly tied to diet. A recent study by Jeff Volek at the University of Connecticut compared low-carbohydrate and low-fat diets. Even though the low-carbohydrate diet had three times as much saturated fat as the low-fat diet, levels of unhealthy fats in the blood were lower in the low-carbohydrate group. How is that possible? That is what metabolism does. What is the best diet? We don't know the ideal diet composition. We do know that saturated fat, unlike trans-fat, is a normal part of body chemistry and extreme avoidance is not justified by current scientific data. Removing some saturated fat to reduce calories is good, but adding back carbs appears to be deleterious. It appears that healthy, carbohydrate restriction will trump the effects of any kind of fat. For a person with diabetes, blood glucose must be the first consideration. If you have relatively tight blood sugar control, the amount of saturated fat you eat may be a non-issue. You can do what we did before the diabetes-obesity epidemic: regulate your intake by your taste and your natural appetite. No one ever did want to eat a pound of bacon. Sources: 1. Food and Nutrition Board: Macronutrients. In: Dietary reference intake: National Academies Press; 2005, p.484. 2. JB German, CJ Dillard: Saturated fats: what dietary intake? Am J Clin Nutr 2004, 80:550-559. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 If I started using an exercise bike, would this help any? I've gained some 50 pounds since I lost my sight, (I was severely underweight, I'm 5 feet, eight inches tall, and weighed about 115 pounds, and I'm male). I wanted to get a treadmill, but my wife and I decided we don't have enough room in the house (economy apartment). RE: article So much is focused on carbohydrates. I don't know about others, and especially type 2s, but I agree that exercise makes the biggest difference. When I exercise regularly my blood sugar levels are more stable than they are when I eat less carbohydrates. This is assuming of course that I have adjusted insulin accordingly so that I don't go low. Carbohydrates might be important, but regular aerobic exercise is often ignored altogether. Jen __________ NOD32 2751 (20071227) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 , it sure sounds to me like you are seriously under weight. 5'8 " , 115 lbs.? Re: article If I started using an exercise bike, would this help any? I've gained some 50 pounds since I lost my sight, (I was severely underweight, I'm 5 feet, eight inches tall, and weighed about 115 pounds, and I'm male). I wanted to get a treadmill, but my wife and I decided we don't have enough room in the house (economy apartment). RE: article So much is focused on carbohydrates. I don't know about others, and especially type 2s, but I agree that exercise makes the biggest difference. When I exercise regularly my blood sugar levels are more stable than they are when I eat less carbohydrates. This is assuming of course that I have adjusted insulin accordingly so that I don't go low. Carbohydrates might be important, but regular aerobic exercise is often ignored altogether. Jen __________ NOD32 2751 (20071227) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 An eliptical takes up less room than a stationary bike. Thirty minutes of walking exercise two or three times each week is an excellent way to build aerobic and heart health endurance. After walking 30 minutes, I like to drink a beer. RE: article So much is focused on carbohydrates. I don't know about others, and especially type 2s, but I agree that exercise makes the biggest difference. When I exercise regularly my blood sugar levels are more stable than they are when I eat less carbohydrates. This is assuming of course that I have adjusted insulin accordingly so that I don't go low. Carbohydrates might be important, but regular aerobic exercise is often ignored altogether. Jen __________ NOD32 2751 (20071227) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 , If you now weight 165 at 5 ft. 8, you are not overweight. Running in place helps as do floor exercises. Have you thought of getting a guide dog? My dog keeps me in shape as we run all ove the place-including around the block! A dog guide lets you move much faster than you ever can move with a cane! (and safely too.) I know a number of people who live in apartments with a dog guide; as it against the law to forbid guide dogs in apartments, there should not be any problem with the dog. No everyone likes dogs, but it an idea. Re: article If I started using an exercise bike, would this help any? I've gained some 50 pounds since I lost my sight, (I was severely underweight, I'm 5 feet, eight inches tall, and weighed about 115 pounds, and I'm male). I wanted to get a treadmill, but my wife and I decided we don't have enough room in the house (economy apartment). RE: article So much is focused on carbohydrates. I don't know about others, and especially type 2s, but I agree that exercise makes the biggest difference. When I exercise regularly my blood sugar levels are more stable than they are when I eat less carbohydrates. This is assuming of course that I have adjusted insulin accordingly so that I don't go low. Carbohydrates might be important, but regular aerobic exercise is often ignored altogether. Jen __________ NOD32 2751 (20071227) Information __________ This message was checked by NOD32 antivirus system. http://www.eset. <http://www.eset.com> com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 I noted that too and wondered why they said it. My doc wants me on extra vitamins etc! Re: article Well, it's hard for me to tell if they're starting to get it. I had heard, perhaps from this list, that the new guidelines were going to reflect some marked changes. I'm not familiar enough with the older guidelines to really know. Did you catch the last sentence? Here it is: " Moreover, most patients with diabetes should not routinely receive supplements or vitamins. " Hmmm? I guess I shouldn't be taking niacin. What am I not getting here? Thanks for the article Pat. Dave article 2008 ADA Guidelines for Medical Nutrition Therapy The American Diabetes Association (ADA) has updated its guidelines regarding medical nutrition therapy (MNT), including the use of low-carbohydrate diets to prevent diabetes, manage existing diabetes, and prevent or slow the rate of development of diabetes complications. The revised position statement, which is published in the January issue of Diabetes Care, updates those from 2002 and 2004, presenting evidence-based data published since 2000 and grading of recommendations according to the level of evidence available, based on the ADA evidence-grading system. P. Bantle, and colleagues from the ADA.write, " The goal of these recommendations is to make people with diabetes and health care providers aware of beneficial nutrition interventions. " " This requires the use of the best available scientific evidence while taking into account treatment goals, strategies to attain such goals, and changes individuals with diabetes are willing and able to make. Achieving nutrition-related goals requires a coordinated team effort that includes the person with diabetes and involves him or her in the decision-making process. " In addition to listing major nutritional recommendations and interventions for diabetes, the updated position statement stresses the importance of monitoring metabolic parameters, including glucose and glycated hemoglobin levels, lipids, blood pressure, body weight, and renal function, during therapy. Such monitoring will help evaluate the need for changes in MNT and thereby optimize outcomes. The authors note that many aspects of MNT require additional research. Some of the specific recommendations include the following: list of 18 items .. Individuals with prediabetes or diabetes should receive individualized MNT, preferably administered by a registered dietitian knowledgeable about the components of diabetes MNT (. .. Nutrition counseling should be tailored to the personal needs of the individual with prediabetes or diabetes and his or her willingness and ability to make changes (E). .. Modest weight loss in overweight and obese insulin-resistant individuals has been shown to improve insulin resistance and is therefore recommended for all such individuals who have or are at risk for diabetes (A). .. In the short-term (up to 1 year), either low-carbohydrate or low-fat, energy-restricted diets may be effective for weight loss (A). .. Patients receiving low-carbohydrate diets should undergo monitoring of lipid profiles, renal function, and protein intake (in patients with nephropathy), and have adjustment of hypoglycemic therapy as needed (E). .. Physical activity and behavior modification aid in weight loss and are most helpful in maintaining weight loss (. .. When combined with lifestyle modification, weight loss medications may help achieve a 5% to 10% weight loss and may be considered for overweight and obese individuals with type 2 diabetes (. .. For some patients with type 2 diabetes and a body mass index of 35 kg/m2 or more, bariatric surgery can markedly improve glycemia (. .. Primary prevention for individuals at high risk of developing type 2 diabetes should include structured programs targeting lifestyle changes, with dietary strategies of decreasing energy and dietary fat intakes. Goals should include moderate weight loss (7% body weight), regular physical activity (150 minutes/week) (A), dietary fiber intake of 14 g/1000 kcal, and whole grains comprising half of total grain intake (. .. Intake of low-glycemic index foods that are rich in fiber and other vital nutrients should be encouraged (E), both for the general population and for those with diabetes. .. Data do not support recommending alcohol consumption to individuals at risk for diabetes (. .. Secondary prevention, or controlling diabetes, should include a healthy dietary pattern emphasizing carbohydrate from fruits, vegetables, whole grains, legumes, and low-fat milk (. .. A key strategy for achieving glycemic control is to monitor carbohydrate by counting, exchanges, or experienced-based estimation (A). Use of glycemic index and load may be modestly beneficial vs considering only total carbohydrate (. .. Sucrose-containing foods should be limited but can be substituted for other carbohydrates or covered with insulin or other glucose-lowering medications (A). Glucose alcohols and nonnutritive sweeteners are safe within daily US Food and Drug Administration intake levels (A). .. Saturated fat should be limited to less than 7% of total energy (A), and trans fat should be minimized (E). In individuals with diabetes, dietary cholesterol should not exceed 200 mg/day (E). .. At least 2 servings of fish per week (except for commercially fried fish) are recommended for n-3 polyunsaturated fatty acids (. .. Protein should not be used to treat acute or prevent nighttime hypoglycemia (A). High-protein diets are not recommended for weight loss (E). .. If adults with diabetes choose to use alcohol, intake should be restricted to 1 drink per day or less for women and 2 drinks per day or less for men (E) and consumed with food (E). list end Practice Pearls list of 2 items .. Previous research has suggested that MNT can reduce glycated hemoglobin levels by approximately 1% for patients with type 1 diabetes and 1% to 2% for patients with type 2 diabetes. .. The current guidelines do not recommend low-glycemic index or high-protein diets for the routine treatment of patients with diabetes. Moreover, most patients with diabetes should not routinely receive supplements or vitamins. list end The ADA has issued practice guidelines for screening, diagnostic, and treatment interventions that are known or believed to improve health outcomes of patients with diabetes. Each recommendation is graded by the ADA as A, B, C, or E to indicate the level of supporting evidence. Diabetes Care. 2008;31(Suppl 1):S61-S78. Article Options Print Print Send to Friend Send to friend This article is part of the following Newsletter This article is also part of the following Category See Diabetes In Control latest newsletter visit our home page. Search Diabetes In Control table with 2 columns and 2 rows Article Title: Article Description: table end Search Browse our other news categories below. A. Lee Dellon, MD | Beverly Price | Birgitta I. Rice, MS | Did You Know | Dr. Bernstein | Dr. Jakes, Jr. | Dr. Varon, DDS | Dr. Fred Pescatore | Dr. Walter Willett | Education | S. Freedland | Evan D. Rosen | Facts | Features | Ginger Kanzer- | Items for the Week | , MD | ph M. Caporusso | a Sandstedt | Plunkett | Leonard Lipson, M.A. | Lester A. Packer | Diane | New Products | Newsflash | Chous, M.A., OD | Philip A. Wood PhD | R. | Sheri R. Colberg PhD | Sherri Shafer | Steve Pohlit | Studies | Test Your Knowledge | Theresa L. Garnero | Tools | Vickie R. Driver | M. Volpone | Looking for a particular Newsletter Issue? Click Here Special Offers aserver/adview Free Newsletter Not Subscribed? Get the FREE Diabetes In Control Newsletter today. Click Here Special Offers aserver/adview New Product Visit our New Products Section Special Offers aserver/adview Free CE Available CE Programs On Diabetes Available Special Offers aserver/adview Jump To: Home | Advertising | All News Categories | Classifieds | Downloads | Education | Features | Feedback | Items of the Week | Links | Most Recent Additions | New Products | NewsFeed | Past Newsletters | Recommend Us | Search | Studies | Subscribe | Test Your Knowledge | This Week's Newsletter | Tools For Your Practice | Writers Archives | Go Way Back Privacy / About DIC / Advertising With Us / Contact DIC Flash movie start Special Offers http://www.diabetes <http://www.diabetesincontrol.com/aserver/adclick.php?n=aa2c37b8> incontrol.com/aserver/adclick.php?n=aa2c37b8 Tools Visit our Tools for your Practice Section Special Offers http://www.diabetes <http://www.diabetesincontrol.com/aserver/adclick.php?n=a6afe5dc> incontrol.com/aserver/adclick.php?n=a6afe5dc Test Your Knowledge View our Test Your Knowledge Section This article is part of the following Newsletter , and this Category 2008 ADA Guidelines for Medical Nutrition Therapy The American Diabetes Association (ADA) has updated its guidelines regarding medical nutrition therapy (MNT), including the use of low-carbohydrate diets to prevent diabetes, manage existing diabetes, and prevent or slow the rate of development of diabetes complications. The revised position statement, which is published in the January issue of Diabetes Care , updates those from 2002 and 2004, presenting evidence-based data published since 2000 and grading of recommendations according to the level of evidence available, based on the ADA evidence-grading system. P. Bantle, and colleagues from the ADA.write, " The goal of these recommendations is to make people with diabetes and health care providers aware of beneficial nutrition interventions. " " This requires the use of the best available scientific evidence while taking into account treatment goals, strategies to attain such goals, and changes individuals with diabetes are willing and able to make. Achieving nutrition-related goals requires a coordinated team effort that includes the person with diabetes and involves him or her in the decision-making process. " In addition to listing major nutritional recommendations and interventions for diabetes, the updated position statement stresses the importance of monitoring metabolic parameters, including glucose and glycated hemoglobin levels, lipids, blood pressure, body weight, and renal function, during therapy. Such monitoring will help evaluate the need for changes in MNT and thereby optimize outcomes. The authors note that many aspects of MNT require additional research. Some of the specific recommendations include the following: Individuals with prediabetes or diabetes should receive individualized MNT, preferably administered by a registered dietitian knowledgeable about the components of diabetes MNT (. Nutrition counseling should be tailored to the personal needs of the individual with prediabetes or diabetes and his or her willingness and ability to make changes (E). Modest weight loss in overweight and obese insulin-resistant individuals has been shown to improve insulin resistance and is therefore recommended for all such individuals who have or are at risk for diabetes (A). In the short-term (up to 1 year), either low-carbohydrate or low-fat, energy-restricted diets may be effective for weight loss (A). Patients receiving low-carbohydrate diets should undergo monitoring of lipid profiles, renal function, and protein intake (in patients with nephropathy), and have adjustment of hypoglycemic therapy as needed (E). Physical activity and behavior modification aid in weight loss and are most helpful in maintaining weight loss (. When combined with lifestyle modification, weight loss medications may help achieve a 5% to 10% weight loss and may be considered for overweight and obese individuals with type 2 diabetes (. For some patients with type 2 diabetes and a body mass index of 35 kg/m2 or more, bariatric surgery can markedly improve glycemia (. Primary prevention for individuals at high risk of developing type 2 diabetes should include structured programs targeting lifestyle changes, with dietary strategies of decreasing energy and dietary fat intakes. Goals should include moderate weight loss (7% body weight), regular physical activity (150 minutes/week) (A), dietary fiber intake of 14 g/1000 kcal, and whole grains comprising half of total grain intake (. Intake of low-glycemic index foods that are rich in fiber and other vital nutrients should be encouraged (E), both for the general population and for those with diabetes. Data do not support recommending alcohol consumption to individuals at risk for diabetes (. Secondary prevention, or controlling diabetes, should include a healthy dietary pattern emphasizing carbohydrate from fruits, vegetables, whole grains, legumes, and low-fat milk (. A key strategy for achieving glycemic control is to monitor carbohydrate by counting, exchanges, or experienced-based estimation (A). Use of glycemic index and load may be modestly beneficial vs considering only total carbohydrate (. Sucrose-containing foods should be limited but can be substituted for other carbohydrates or covered with insulin or other glucose-lowering medications (A). Glucose alcohols and nonnutritive sweeteners are safe within daily US Food and Drug Administration intake levels (A). Saturated fat should be limited to less than 7% of total energy (A), and trans fat should be minimized (E). In individuals with diabetes, dietary cholesterol should not exceed 200 mg/day (E). At least 2 servings of fish per week (except for commercially fried fish) are recommended for n-3 polyunsaturated fatty acids (. Protein should not be used to treat acute or prevent nighttime hypoglycemia (A). High-protein diets are not recommended for weight loss (E). If adults with diabetes choose to use alcohol, intake should be restricted to 1 drink per day or less for women and 2 drinks per day or less for men (E) and consumed with food (E). Practice Pearls Previous research has suggested that MNT can reduce glycated hemoglobin levels by approximately 1% for patients with type 1 diabetes and 1% to 2% for patients with type 2 diabetes. The current guidelines do not recommend low-glycemic index or high-protein diets for the routine treatment of patients with diabetes. Moreover, most patients with diabetes should not routinely receive supplements or vitamins. The ADA has issued practice guidelines for screening, diagnostic, and treatment interventions that are known or believed to improve health outcomes of patients with diabetes. Each recommendation is graded by the ADA as A, B, C, or E to indicate the level of supporting evidence. Diabetes Care. 2008;31(Suppl 1):S61-S78. See Diabetes In Control latest newsletter visit our Search Diabetes In Control Browse our other news categories below. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Special Offers http://www.diabetes <http://www.diabetesincontrol.com/aserver/adclick.php?n=a929c42d> incontrol.com/aserver/adclick.php?n=a929c42d Free Newsletter Not Subscribed? Get the FREE Diabetes In Control Newsletter today. Click Here / / / online clinical conference present global diabetes View over 200 multimedia lectures for FREE CME by the finest teachers in diabetes Enjoy the benefits of attending a live diabetes clinical conference without leaving your home or office FREE CME for time spent talking with your peers online + = An interdisciplinary online conference where the entire diabetes management team networks together. Flash movie end Copyright @ 1999-2006 Diabetes In Control, Inc.. All rights reserved. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2008 Report Share Posted January 4, 2008 No I don't Claud. I wonder if anone else is? article This can't happen any too soon! New Method To Take Insulin Orally Diabetes treatment could get a whole lot easier to swallow. Dr. Doyle, assistant professor of chemistry at Syracuse University has designed, tested, reproduced and patented a system for delivering insulin through an oral pill. The system could potentially be used by humans battling diabetes. With Doyle's method, they could simply swallow a vitamin pill. More than 21 million individuals in the United States have diabetes, yet taking insulin orally has not been possible because it must go through the gastrointestinal tract, which prevents it from reaching the bloodstream. Being able to orally receive insulin would drastically change the lives of diabetics and the scope of the diseases' treatment, researchers said. The innovation in Doyle's research is that they have found a way to attach the insulin to vitamin B-12. The vitamin protects the insulin as it journeys through the gastrointestinal tract in a " Trojan horse " strategy. " It's really like the holy grail of diabetes research.in terms of treatable things, " said Tony Vortherms, a graduate student who worked on the project. Now the team will determine whether they can attach more insulin to the vitamin so that it can remain in the bloodstream for 12 hours. The ultimate goal would be for a diabetic to take two insulin pills a day - one in the morning and one at night - which would help them to maintain their metabolic control throughout the day, according to a news release announcing the discovery. " This would be a way to minimize the roller coaster of blood sugar levels the best we can, " Vortherms said. " We still have a long way to go. " The ultimate question is if and when this strategy can be used in humans. It will probably take at least five years before a pharmaceutical company will take interest in the project - which has great commercial possibilities - and test it, Petrus said. The first stage would be a more elaborate test on rats and then trials to determine its effect in humans. Petrus is optimistic. " From what I've seen so far, " she said, " I do believe it's possible. " " The goal of this project would be to give people who are not able to produce insulin on their own at least a base level of insulin in their blood, " Vortherms said. He added that one of the biggest problems currently is the drastic swings in blood sugar levels that diabetics go through daily. The sugar highs and lows over the long term lead to wear and tear on the individuals. Vortherms said he is very interested in the other fields in which oral delivery like this could work and added there was a " decent to good chance " of it being used in humans in the future. In the news release, Doyle said he was pleased because of the rare payoff in scientific research, where results must be tested and re-tested to ensure reproduction. " In the case of insulin, we had a hypothesis, we set about testing our hypothesis and we were rewarded for the effort, " he said. " Having things go your way doesn't happen in science often enough, so when it does it's very rewarding. " Fairchild sees the benefit of removing needles from the equation of diabetic treatment. " The possibility of having an oral insulin medication has tremendous feasibility, particularly with children and in less-developed countries where sterile needles and adequate training - for injection site and frequency, as well as needle disposal - may not always be available, " he said. He added that there is a lot of research being conducted in the field of diabetes treatment and other teams are looking at their own means for getting insulin into the bloodstream without the pain of injections. Article Options Print Print Send to Friend Send to friend This article is part of the following Newsletter This article is also part of the following Category See Diabetes In Control latest newsletter visit our home page. Search Diabetes In Control table with 2 columns and 2 rows Article Title: Article Description: table end Search Browse our other news categories below. A. Lee Dellon, MD | Beverly Price | Birgitta I. Rice, MS | Did You Know | Dr. Bernstein | Dr. Jakes, Jr. | Dr. Varon, DDS | Dr. Fred Pescatore | Dr. Walter Willett | Education | S. Freedland | Evan D. Rosen | Facts | Features | Ginger Kanzer- | Items for the Week | , MD | ph M. Caporusso | a Sandstedt | Plunkett | Leonard Lipson, M.A. | Lester A. Packer | Diane | New Products | Newsflash | Chous, M.A., OD | Philip A. Wood PhD | R. | Sheri R. Colberg PhD | Sherri Shafer | Steve Pohlit | Studies | Test Your Knowledge | Theresa L. Garnero | Tools | Vickie R. Driver | M. 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Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 Great article! Article ADA's Latest Low-Carb Stance Is Severely Flawed, Says Longtime Low-Carb Advocate Dr. Bernstein Totty 8 February 2008 Not at all Somewhat Moderately Highly Very Highly Pioneering low-carb diet advocate Dr. K. Bernstein has responded to the American Diabetes Association's recent support for low-carb diets with a critique of several of the ADA's most cherished notions. In a recent " Ask Dr. Bernstein.com " tele-seminar presented to callers and listeners, he cited the ADA's 2008 guidelines for doctors, disputing the association's recommendations on several fronts: * He said that the ADA's definition of a low-carb diet as one with 130 or fewer grams of carbohydrates per day " is four times higher than what I recommend and makes it impossible to maintain [blood glucose] control. " * He disputed the ADA's contention that an A1c of less than 6 for people with diabetes increases the risk of hypoglycemia. " The risk is only to people taking the industrial insulin doses that the ADA recommends for covering their high-carbohydrate diets. * Regarding the ADA's recommendation that adults with diabetes shoot for blood sugar levels of 70 mg/dl to 130 mg/dl before meals and 180 mg/dl after meals - with even higher levels allowed for children - Dr. Bernstein said, " Children are not entitled to normal blood sugar levels? And neither are adults. " Those guidelines, he said, " were created by non-diabetics to be imposed upon diabetics. " * Dr. Bernstein called the association's recommendation that people with diabetes regularly see podiatrists to have their foot calluses debrided with a scalpel " the most dangerous thing you can do to a diabetic. " He said that 100 percent of the diabetic amputees he has ever interviewed in his university-based wound care clinic told him that their amputations arose from infections caused by an attempt to remove a callus - whether at the hands of a podiatrist, a family member or friend, or themselves. " I've seen too much of this. It's a nice income for podiatrists, but sooner or later, someone goes too deep, " creating, he said, a wound that will not heal. Instead, he recommends using orthotics and shoe modifications to offload sites of high pressure or shear. * He was perplexed by the ADA's positive appraisal that " gastric reduction surgery (GRS) can be effective. " " We know about Symlin and Byetta, which when combined with a low-carb diet, are remarkably effective in curbing overeating and facilitating weight loss, " said Dr. Bernstein, " but the ADA doesn't mention them at all in a 108-page set of guidelines. Yet it recommends the gastric surgery. " * Dr. Bernstein asserted that the ADA's recommendation of a diet rich in legumes, low-fat milk, whole grains, fruits and vegetables " creates sugar while fat does not. " He recalled being interviewed with an ADA dietician and asking her how she could recommend whole grain foods when they created high levels of blood glucose. To illustrate, he chewed a slice of whole-grain bread and applied the resulting saliva to a urine glucose test strip. The strip turned black immediately, indicating the instant conversion of the bread to glucose by saliva. * Regarding the ADA's recommendation that sucrose should be allowed in diabetic diets, Dr. Bernstein disputed it, saying that " insulin takes hours to catch up " to its effects. Early Man Ate Few Carbs In criticizing the ADA's calling 130 grams of carbohydrates per day " low carbohydrate " , Dr. Bernstein cited early human history as an argument against it. " Until the creation of flour and bread, humans could not get anywhere near 130 grams a day. " The difficulty in securing such a large amount of carbohydrates made obesity and atherosclerosis rare in early humans. But in the 20th century, as immense quantities of carbohydrates became available to large populations, the incidences of diabetes, heart attacks and strokes increased significantly. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 I believe Dr. K. Bernstein a lot more than I would believe the American Diabetes Association or the American Medical Association. Article ADA's Latest Low-Carb Stance Is Severely Flawed, Says Longtime Low-Carb Advocate Dr. Bernstein Totty 8 February 2008 Not at all Somewhat Moderately Highly Very Highly Pioneering low-carb diet advocate Dr. K. Bernstein has responded to the American Diabetes Association's recent support for low-carb diets with a critique of several of the ADA's most cherished notions. In a recent " Ask Dr. Bernstein.com " tele-seminar presented to callers and listeners, he cited the ADA's 2008 guidelines for doctors, disputing the association's recommendations on several fronts: * He said that the ADA's definition of a low-carb diet as one with 130 or fewer grams of carbohydrates per day " is four times higher than what I recommend and makes it impossible to maintain [blood glucose] control. " * He disputed the ADA's contention that an A1c of less than 6 for people with diabetes increases the risk of hypoglycemia. " The risk is only to people taking the industrial insulin doses that the ADA recommends for covering their high-carbohydrate diets. * Regarding the ADA's recommendation that adults with diabetes shoot for blood sugar levels of 70 mg/dl to 130 mg/dl before meals and 180 mg/dl after meals - with even higher levels allowed for children - Dr. Bernstein said, " Children are not entitled to normal blood sugar levels? And neither are adults. " Those guidelines, he said, " were created by non-diabetics to be imposed upon diabetics. " * Dr. Bernstein called the association's recommendation that people with diabetes regularly see podiatrists to have their foot calluses debrided with a scalpel " the most dangerous thing you can do to a diabetic. " He said that 100 percent of the diabetic amputees he has ever interviewed in his university-based wound care clinic told him that their amputations arose from infections caused by an attempt to remove a callus - whether at the hands of a podiatrist, a family member or friend, or themselves. " I've seen too much of this. It's a nice income for podiatrists, but sooner or later, someone goes too deep, " creating, he said, a wound that will not heal. Instead, he recommends using orthotics and shoe modifications to offload sites of high pressure or shear. * He was perplexed by the ADA's positive appraisal that " gastric reduction surgery (GRS) can be effective. " " We know about Symlin and Byetta, which when combined with a low-carb diet, are remarkably effective in curbing overeating and facilitating weight loss, " said Dr. Bernstein, " but the ADA doesn't mention them at all in a 108-page set of guidelines. Yet it recommends the gastric surgery. " * Dr. Bernstein asserted that the ADA's recommendation of a diet rich in legumes, low-fat milk, whole grains, fruits and vegetables " creates sugar while fat does not. " He recalled being interviewed with an ADA dietician and asking her how she could recommend whole grain foods when they created high levels of blood glucose. To illustrate, he chewed a slice of whole-grain bread and applied the resulting saliva to a urine glucose test strip. The strip turned black immediately, indicating the instant conversion of the bread to glucose by saliva. * Regarding the ADA's recommendation that sucrose should be allowed in diabetic diets, Dr. Bernstein disputed it, saying that " insulin takes hours to catch up " to its effects. Early Man Ate Few Carbs In criticizing the ADA's calling 130 grams of carbohydrates per day " low carbohydrate " , Dr. Bernstein cited early human history as an argument against it. " Until the creation of flour and bread, humans could not get anywhere near 130 grams a day. " The difficulty in securing such a large amount of carbohydrates made obesity and atherosclerosis rare in early humans. But in the 20th century, as immense quantities of carbohydrates became available to large populations, the incidences of diabetes, heart attacks and strokes increased significantly. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 Ruth, I know this will draw the ire of Harry and , if he is around, but I wonder just how strengently Bernstein does stick to his no-carb diet. I don't know that there is any real way to monitor it, but studies have shown people really don't do all they claim or that they think. We always overestimate or underestimate and I would bet that is especially true when we have some real stake in the outcome. I just find it a little hard to believe all of his claims and all of his results. I'm not saying impossible because I don't have the knowledge or information to outright contradict him and I seriously doubt he has allowed those with the ability all the information to test his claims. That's one of the tricks of the trade to give just enough information to use to make your claims, but not enough that they can be tested. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 Who can one trust? As far as I am concerned Dr. K. Bernstein is the one to trust. He is the leader in the field, having been a type1 diabetic, and the first person to use a blood glucose monitor. to regulate is bs levels. Since he is the leader, all others try to put him down, because he has proven a type1 on a strict low carb diet can have normal bs levels. In fact he even went so far as to obtain a medical degree to prove to the medical profession that his theory was correct. They would not print any of his research findings, because he was just an engineer before he got his medical degree. He has proven on his diet one can run normalized bs levels at all times. Even he will tell you his routine is not easy. His diet is primarily 6 grams of carbs at breakfast and 12 grams of car at lunch and supper. For exercise he lifts weights to build muscles. Muscles burns carbs, whereas fat does not. All his life he has had to prove to others that he knows what he is talking about, and don't you believe the folks in the medical profession did not like his strict dietary program. As a diabetic, don't you wish you had his A1C numbers? I do. However I like eating carbs too much to do it his way. RE: article Ruth, I know this will draw the ire of Harry and , if he is around, but I wonder just how strengently Bernstein does stick to his no-carb diet. I don't know that there is any real way to monitor it, but studies have shown people really don't do all they claim or that they think. We always overestimate or underestimate and I would bet that is especially true when we have some real stake in the outcome. I just find it a little hard to believe all of his claims and all of his results. I'm not saying impossible because I don't have the knowledge or information to outright contradict him and I seriously doubt he has allowed those with the ability all the information to test his claims. That's one of the tricks of the trade to give just enough information to use to make your claims, but not enough that they can be tested. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2008 Report Share Posted February 10, 2008 http://www.diabetes911.net/secrets.php RE: article Ruth, I know this will draw the ire of Harry and , if he is around, but I wonder just how strengently Bernstein does stick to his no-carb diet. I don't know that there is any real way to monitor it, but studies have shown people really don't do all they claim or that they think. We always overestimate or underestimate and I would bet that is especially true when we have some real stake in the outcome. I just find it a little hard to believe all of his claims and all of his results. I'm not saying impossible because I don't have the knowledge or information to outright contradict him and I seriously doubt he has allowed those with the ability all the information to test his claims. That's one of the tricks of the trade to give just enough information to use to make your claims, but not enough that they can be tested. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2008 Report Share Posted February 14, 2008 Hi Pat, I can't believe this wasn't one of the methods already tried. Do you think this report is just put out there for some kind of pr? How many years now have we been hearing about this pie in the sky non-invasive testing? Having said that, maybe this is different, and maybe something will finally happen. The strip companies though are going to fire all barrels at once if something really starts to look promising, so when we see that happening, well, that will probably be the system that is the real deal. Dave article Lets hope this gets approved soon! No More Needles - Philips Develops Breath Test for Diabetics In great news for diabetics, who currently have to take a sample of their blood to measure their glucose levels; a new non-invasive test that is safer and more convenient is being developed by consumer electronics company Philips. The non-invasive blood glucose meter simply monitors the concentration of carbon monoxide in exhaled breath. The technology comes from the discovery that the amount of carbon monoxide we breathe out is linked to the amount of glucose in our blood. Excess glucose stimulates the production of an enzyme called heme oxygenase, which catalyses reactions that release CO2 and other by-products. Philips, who is patenting the technology, claims that it is significantly more accurate than past attempts based on sugar's spectroscopic signature. No information is available yet on FDA approval or commercial release. __________ NOD32 2874 (20080214) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2008 Report Share Posted February 14, 2008 I hope this isn't just hyp-as it seems to have been in the past. Then, of course, even it does occur, will be accessible for us blind folks?! Re: article Hi Pat, I can't believe this wasn't one of the methods already tried. Do you think this report is just put out there for some kind of pr? How many years now have we been hearing about this pie in the sky non-invasive testing? Having said that, maybe this is different, and maybe something will finally happen. The strip companies though are going to fire all barrels at once if something really starts to look promising, so when we see that happening, well, that will probably be the system that is the real deal. Dave article Lets hope this gets approved soon! No More Needles - Philips Develops Breath Test for Diabetics In great news for diabetics, who currently have to take a sample of their blood to measure their glucose levels; a new non-invasive test that is safer and more convenient is being developed by consumer electronics company Philips. The non-invasive blood glucose meter simply monitors the concentration of carbon monoxide in exhaled breath. The technology comes from the discovery that the amount of carbon monoxide we breathe out is linked to the amount of glucose in our blood. Excess glucose stimulates the production of an enzyme called heme oxygenase, which catalyses reactions that release CO2 and other by-products. Philips, who is patenting the technology, claims that it is significantly more accurate than past attempts based on sugar's spectroscopic signature. No information is available yet on FDA approval or commercial release. __________ NOD32 2874 (20080214) Information __________ This message was checked by NOD32 antivirus system. http://www.eset. <http://www.eset.com> com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2008 Report Share Posted February 16, 2008 Metabolic syndrome I: diabetes The battle of the bulge Feb 15th 2008 | NEW YORK From The Economist print edition Alamy Late-onset diabetes is a scourge of the modern world, but at least doctors thought they knew how to treat it. However, it turns out they may be wrong ELLIOT JOSLIN, a pioneering American researcher, argued vociferously until his death in 1962 that controlling the level of glucose in a person's bloodstream was the key to managing type 2 diabetes (the variant of the disease that appears later in life). Since the defining symptom of all types of diabetes is that the body cannot do this properly by itself, that made intuitive sense. It also seemed to make practical sense. His approach, which involved a combination of insulin treatment (insulin is the hormone most involved in regulating blood-sugar levels), exercise and a diet low in carbohydrates, showed promising results in the patients he treated at his clinic in Boston. Several big studies since Joslin's death appeared to vindicate him. One, published in 1993 in the New England Journal of Medicine, confirmed that carefully managing glucose levels delays the onset of complications. Another, the United Kingdom Prospective Diabetes Study, published in 1998, looked at levels of a substance called glycated haemoglobin A1C (a reliable indicator of blood-glucose levels). Healthy people usually have A1C levels of 4-6%. Any level above 9.5% is considered extremely dangerous. The study found that those whose A1C levels were reduced by treatment to around 7% suffered fewer heart attacks and strokes than those whose levels were held at around 8%. Despite this evidence, the glucose-control hypothesis has always had its sceptics. The core of their doubt is that what is being treated is a symptom-albeit a dangerous one-rather than a cause. To settle the matter, America's National Heart, Lung and Blood Institute (NHLBI), part of the country's National Institutes of Health, recently organised a piece of research known as the ACCORD study. This divided a group of more than 10,000 diabetics who were at high risk of developing heart complications into three " tracks " . Each track looked at how diabetes responded to a regime of drugs, diet and exercise designed to control, respectively, cholesterol, blood pressure and glucose. The third-glucose-track was in turn divided in two. In one group, the aim was to reduce A1C levels to 7%. The second group, however, experienced a more ambitious regime-one which aimed for a top-of-the-normal A1C level of 6%. Lack of accord The researchers' assumption, based on Joslin's hypothesis, was that lowering A1C to 6% would lead to better health than going only to 7%. But it did not. Although the 6%-ers did better than untreated diabetics with cardiac risks, they had more fatal heart attacks than the 7%-ers. As soon as this became clear, the NHLBI suspended ACCORD's third track. However the organisation's director, Nabel, who announced the suspension on February 6th, did not divulge many details about the cause of the problem. That has led to rampant speculation among experts. Some reckon the treatment of blood sugar led to episodes of hypoglycaemia, which often accompanies insulin treatment and which can aggravate heart problems. Others suspect adverse drug interactions. A third school of thought supposes that there may have been a problem with the mixture of patients selected for the study. The NHLBI will not publish the results of its investigation for another six to eight weeks, but Dr Nabel has told The Economist that her team has ruled out several of the speculations. The researchers did monitor the patients for hypoglycaemia, even the asymptomatic variety that-as its name suggests-is hard to detect. She says this was not the cause of the deaths. They also weighed up the potential for drug interactions, and concluded that these were not the cause. Nor, it seems, was the action of any single drug. Avandia, GlaxoKline's blockbuster diabetes drug, has been linked to heart failure in some patients, but Murray , one of the firm's top diabetes researchers, points out that the NHLBI made clear that Avandia was not to blame for the ACCORD deaths. Even the idea that the sample of patients was in some way biased by its age and sex composition has been ruled out. Cold comfort Regardless of exactly what happened during ACCORD, the result suggests the sceptics were right to think that attacking the symptoms of diabetes is not enough. It is the underlying cause that needs to be addressed. This, in turn, requires that diabetes be looked at not on its own, but as part of what most researchers now see as a complex of symptoms that includes high blood-pressure (with its risk of heart disease, kidney failure and strokes) and obesity, as well as type 2 diabetes. This complex is often called metabolic syndrome. This week saw the publication, in the Public Library of Science, of a new interpretation of metabolic syndrome. It is, par excellence, a disease of the rich countries of the West, and is clearly a consequence of changes in diet that wealth brings. But Di Rienzo and her colleagues at the University of Chicago suggest it may be more than just that, and that its geographical coincidence with the West may also depend on the evolutionary past. Dr Di Rienzo and her team studied 82 genes associated with energy metabolism in 54 groups of people from different parts of the world. They found widespread correlations between certain versions of some of these genes and cold climates, such as that of northern Europe. For reasons that are not yet clear, some of these genetic varieties reduce the risk of metabolic diseases, whereas others actually increase them. Since much of the rich world is either part of northern Europe, or is inhabited by the descendants of colonists from that part of the planet, Dr Di Rienzo's work may help to explain why some of those people are at high risk of developing type 2 diabetes. That is speculation, of course. And any such tendency may be offset by the risk-reduction genes. But when Dr Di Rienzo's result has been interpreted it should add to understanding about the underlying physiology of metabolic syndrome-and it certainly emphasises the need to look at the root causes of the illness. You know it makes sense At one level, of course, the root cause is well known. Most people who have type 2 diabetes are eating more calories than their bodies are using. And for those diabetics who find it hard either to diet or to exercise, there is an alternative, if drastic, strategy. A study published last month in the Journal of the American Medical Association by Dixon and O'Brien of Monash University in Australia looked at the effect on diabetes and obesity of bariatric surgery, in which a band is put around the stomach to restrict the amount of food it can hold. The bariatric patients shed about 20kg more than did patients on conventional treatments. More importantly, three-quarters of them had their diabetes almost completely wiped away. Only an eighth of those on conventional treatment experienced a similar recovery. Even the sceptics are not arguing that direct, drug-based interventions to control blood-glucose levels are wholly wrong. They clearly work, but the results of ACCORD suggest they should not be pushed to what might seem the logical extreme. However, it is better not to arrive at the point where they are necessary. Nor is it sensible for people to " blame " their genes, even though Dr Di Rienzo's work is just the latest and most wide-ranging of a long line of papers which show that different people do have different genetic susceptibilities to diabetes and the metabolic syndrome of which it is a part. Instead, healthy eating is the key-though even that is fraught with pitfalls for the unwary, as this article explains. Arturo R Rolla arolla@... arolla@... arolla@... Quote Link to comment Share on other sites More sharing options...
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