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diaTribe Asks: How Do We Reduce Diabetes Stigma and Guilt? 

If you suffer stigmatization and guilt about your diabetes, know that you’re not alone.

diaTribe interviewed Dr. Susan Guzman, a psychologist:

One person with type 1 diabetes told Dr. Guzman that when seeking medical consultation, her endocrinologist called her A1c over 6.5% a “failure” and used critical language to discuss her weight; she felt so ashamed that she tried to conceal her diabetes from friends, employers, and strangers. Dr. Guzman urged physicians to cease using harmful messaging, such as “non-compliant,” “unmotivated,” and “failure.” These terms discourage and embarrass rather than motivate; they are often also misguided in origin. Words like “prevention,” “reversible,” and “cure” can also contribute to stigma by inadequately recognizing the long-term efforts and constant decision-making involved in diabetes.

Source: How Do We Reduce Diabetes Stigma and Guilt? | diaTribe

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“Gluten-Free” is a Thing. How About “Cruelty-Free Meat”?

paleo diet, Steve Parker MD, diabetic diet

Our deceased rooster, Chuck: handsome but mean!

I’m increasingly troubled by our treatment of the farm animals that eventually make it to our tabletops. I say “our treatment” because, even though I’m not a farmer, I eat animals and therefore contribute to perpetuation of whatever system delivers them to me. Have you heard of CAFOs—Concentrated Animal Feeding Operations? Click for the CAFO Wikipedia article. You might call it factory farming or industrial farming. Are these animals treated cruelly? I realize that small farms aren’t necessarily more humane. Click for an example of alleged cruelty to chickens in a CAFO.

I don’t publish guest posts very often. Here’s one from Beth Kelly, a graduate of DePaul University and a freelance writer and blogger. She is a passionate environmental and animal rights activist, as well as an active triathlete. You can reach her on Twitter @bkelly_88. (I don’t know Beth personally; this is what she shared via email.)

♦  ♦  ♦

Documentaries That Challenge the Meat You Eat

By now it’s fairly common knowledge that there are some major flaws in the average American diet. Obesity claims nearly 35% of all American adults and nearly 18% of all children, and these numbers are only increasing. Those are some frightening figures about the general state of our collective health. Undoubtedly, the situation is a complicated one, involving the government as much as it does corporations and individual consumers. With a low-carb lifestyle, eating high-quality meat is of utmost importance. And with factory farming more or less institutionalized in America, finding safe, healthy meat products can sometimes be a challenge. Awareness is the first step however, and the more you know about where your meat comes from the better you will feel about making other healthier choices. Documentaries are a great source of inspiration, and are also useful for spreading information to interested family members and friends. Read on for five of my own personal favorites!

Food Inc.

Documentary film’s answer to Upton Sinclair’s famous expose The Jungle, Food Inc. challenged everything we thought we knew about what’s in our fridge. The film looked at many different aspects of American food production and educated millions of Americans to facts they never even thought about; like the fact that a majority of meat sold in supermarkets only comes from four giant companies. It not only discussed the monopolistic business structure but also the methods used to create such cheap products, often at the expense of farmers and the animals.

Cock Fight

Taking aim at one of those four companies, Perdue, was chicken farm owner Craig Watts. In this documentary from DirecTV’s Fusion Network, the whistleblower gets to discuss why he called Perdue out and what happens after. After he spoke out against the inhumane treatment of chickens and unfair business practices Perdue sent twenty six inspectors to his farm in the following two months as well as a few visits from government officials, no doubt looking for any excuse to shut him down. It’s an eye opening look at what has happened to the much celebrated American farmer.

Indigestible: The Film

The product of a successful IndieGogo campaign, this documentary from Geri Atos shines a light not only on animal treatment in factory farms but also what it’s doing to our environment. It shatters the illusion so many have of those “happy cows” and the family farm many assume their food comes from. It not only shows the cramped, dirty, and unsanitary conditions farm animals are kept in but it also shows us how these farms are having a massive impact on the environment (methane emissions from cows comprise 10% of total methane emissions, the same amount as coal).

From Farm to Fridge

Created by Mercy for Animals, this 12 minute video looks to shock you into understanding. There’s no hand holding here, they show you the horrific abuse and injustice animals at factory farms are subjected to on a regular basis. Beyond that, the filmmakers embarked on a nationwide tour, hosting screenings and open panels to discuss the state of the American agricultural system. Obviously the push here is to get viewers to give up on eating meat altogether, but aside from that bias, it poses some serious questions to the viewer about what price our food really comes at.

tuna, fishing, Steve Parker MD, paleo diet, tuna salad

Free-range bluefin tuna

There is a big push towards eating “local” recently, making information easier to find than in past years. It’s up to you to do your research, and identify meat products that are sourced from local, independent farms. In the end, it’s worth it to be a conscious carnivore!

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WebMD Slide Show: What’s Really in Your Fast Food?

Slide #1 is French Fries:

“The humble potato, fried in a vat of simmering oil, and finished with a sprinkling of salt. What could be simpler? Apparently, quite a lot. Fast-food fries often have more than 15 ingredients, including sugar and artificial coloring. They also have preservatives like sodium acid pyrophosphate and tert-butylhydroquinone, which in high doses has been linked to vision problems.”

Source: Pictures: What’s Really in Your Fast Food?

You won’t be surprised to see what’s the #1 ingredient in most fast food sauces, but chicken nuggets may surprise you.

Steve Parker, M.D.

PS: I doubt you’ll find tert-butylhydroquinone in my books. If you do, don’t eat one.

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LCHF Diet Cures GERD In European-American Women

Looks European-American to me

Looks European-American to me

European-American? I guess that’s American women who are of European descent rather than Asian, Eskimo, African, etc.

LCHF in my headline refers to low-carb, high-fat.

GERD is gastro-esophageal reflux disease, i.e., frequent or severe heartburn. GERD is the most common reason to use a proton pump inhibitor drug like Prilosec. It’s expensive. I run across patients taking it every day for years.

Dr. Michael Eades has a great post about GERD and the potential drawbacks of proton pump inhibitors (PPIs):

The scientific literature has shown long-term PPI therapy to be related to the following conditions:

Anemia
Pneumonia
Vitamin B12 deficiency
Impaired calcium absorption
Impaired magnesium absorption
Increased rate fractures, especially hip, wrist and spine
Osteopenia [thin brittle bones]
Rebound effect of extra-heavy gastric acid secretion
Heart attacks

From the recent study at hand:

“GERD symptoms and medication usage was more prevalent in European-American women, for whom the relationships between dietary carbohydrate intake, insulin resistance and GERD were most significant. Nevertheless, high-fat/low-carbohydrate diet benefited all women with regard to reducing GERD symptoms and frequency of medication use.”

Source: Dietary carbohydrate intake, insulin resistance and gastro-oesophageal reflux disease: a pilot study in European- and African-American obese women. – PubMed – NCBI

Pay attention and follow all the links and you may be able to see the entire journal report. You just can’t wait, right?!!

Another study showed improvement in heartburn with a low-carb diet a few years ago.

All of my diet books offer low-carb high-fat options except for the original first edition of Advanced Mediterranean Diet from 2007. In 2009, I learned that low-carb high-fat eating wasn’t dangerous.

Steve Parker, M.D.

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How to Prevent Obesity and Eating Disorders in Adolescents 

From the American Academy of Pediatrics journal:

“Family involvement in the treatment of both adolescent obesity and EDs [eating disorders] has been determined to be more effective than an adolescent-only focus. An integrated approach to the prevention of obesity and EDs focuses less on weight and more on healthy family-based lifestyle modification that can be sustained. Pediatricians can encourage parents to be healthy role models and supportively manage the food environment by creating easy accessibility to healthy foods (eg, fruits, vegetables, whole grains, beans and other legumes, and water) and by limiting the availability of sweetened beverages, including those containing artificial sweeteners, and other foods containing refined carbohydrates. Discussions between pediatricians and parents about increasing physical activity and limiting the amount of total entertainment screen time to less than 2 hours/day are important and may lead to changes in family behavior. Another area of prevention is avoiding the presence of a television in the teenager’s bedroom, because having a television in the room predicts significantly less physical activity as well as poorer dietary intakes compared with not having a television in the room. Other evidence-based approaches encourage parents to include more family meals, home-prepared meals, and meals with less distractions as well as fewer discussions about weight and about dieting.  Understanding that poor body image can lead to an ED, parents should avoid comments about body weight and discourage dieting efforts that may inadvertently result in EDs and body dissatisfaction.

Source: Preventing Obesity and Eating Disorders in Adolescents | From the American Academy of Pediatrics | Pediatrics

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If You Wanna Try Kratom…

…make your move ASAP:

“The U.S. Drug Enforcement Administration’s latest move will lead to a temporary ban on a herbal supplement that is available in stores across Virginia. Beginning September 30, Kratom will become a Schedule 1 controlled substance, which is the same classification of Herion [sic], LSD and marijuana.”

Source: DEA moves to ban sale of herbal supplement Kratom | 13NEWSNOW.com

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Mediterranean Diet Linked to Better Sex For Diabetics

“The current study is the first long-term dietary trial demonstrating that the Mediterranean diet conferred benefit on both prevention (56% relative risk reduction) and deterioration of sexual dysfunction in both men and women with newly diagnosed type 2 diabetes. In adults with type 2 diabetes, a Mediterranean-style dietary pattern may improve the inflammatory milieu and cardiovascular risk, both these effects being beneficial to achieving improvement of sexual dysfunction in people with diabetes.”

Source: Primary Prevention of Sexual Dysfunction With Mediterranean Diet in Type 2 Diabetes: The MÈDITA Randomized Trial | Diabetes Care

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Youth-Onset Type 2 Diabetes Consensus Report: Current Status, Challenges, and Priorities

A snippet:

“Type 2 diabetes in youth clearly differs from type 1 diabetes and more closely resembles the pathophysiology in adults: insulin resistance and nonautoimmune β-cell failure. However, youth-onset type 2 diabetes displays unique aspects, such as rapidly progressive β-cell decline and accelerated development of diabetes complications. Treatment options for youth-onset type 2 diabetes are inadequate, limited to two approved drugs (insulin and metformin) and the promotion of healthy lifestyles. Comprehensive, coordinated, and innovative strategies for the investigation, prevention, and treatment of youth-onset type 2 diabetes are urgently needed.”

Source: Youth-Onset Type 2 Diabetes Consensus Report: Current Status, Challenges, and Priorities | Diabetes Care

How about trying low-carb diet?

 

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Debate: Is the Paleo Diet the Best for Diabetes?

Amy Tenderich and HealthLine enter the fray:

“The Paleo Diet, otherwise known as the “Caveman Diet,”  is hugely popular at the moment. And lots of folks want to know how it plays with diabetes…

The DiabetesMine Team has taken a deep dive here into what this eating plan entails, and what nutrition experts and research have to say about it.”

Source: The Paleo (Caveman) Diet and Diabetes

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In Ontario, the Prevalence of Diabetes for South Asian Men Doubled in the Last Decade

…according to a study published in BMJ Open. This has to be mostly type 2 diabetes. The prevalence of diabetes in South Asian men living in Ontario, Canada, increased from 7 to 15% from 2001 to 2012. The increase may reflect adverse effects of a Western diet.

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