Category Archives: Uncategorized

Almost Two of Every Ten U.S. Teens Has Prediabetes

“Fewer than 1% of U.S. teens have diabetes, but nearly 18% have pre-diabetes, according to a new analysis of data from the National Health and Nutrition Examination Survey (NHANES).Researchers tested 2,606 adolescents, ages 12 to 19, for diabetes and found that the weighted prevalence was 0.8%, of which 28.5% of cases were undiagnosed, according to Andy Menke, PhD, of Social & Scientific Systems in Silver Spring, Md., and colleagues.”

Source: Pre-Diabetes Prevalent Among U.S. Teens | Medpage Today

Among U.S. adolescents with diabetes, 90% of it is type 1.

Prediabetes tends to progress into type 2 diabetes over time. We don’t know much about stopping that in adolescents. I bet these steps would help:

  1.  If you’re overweight or obese, lose excess fat weight. How much should you lose? Aim for at least 5% of body weight and see if that cures your prediabetes. For instance, if you weigh 200 lb (91 kg), lose 10 lb (4.5 kg).
  2. If you’re sedentary, start exercising regularly.
  3. Cut back on your consumption of sugar-sweetened beverages, other sugar sources, and other refined carbohydrates like wheat flour.

Steve Parker, M.D.

Comments Off on Almost Two of Every Ten U.S. Teens Has Prediabetes

Filed under Prediabetes, Uncategorized

Sitting Is the New Smoking: Too Much Is Bad for Your Heart

“How much sitting can a body take without hurting the heart? A meta-analysis of prospective cohort studies found a nonlinear association with cardiovascular disease (CVD), suggesting that 10 hours a day might be a critical threshold.”

Source: Long Periods of Sitting Take Toll on the Heart | Medpage Today

Comments Off on Sitting Is the New Smoking: Too Much Is Bad for Your Heart

Filed under Uncategorized

Recipe: Gazpacho – A taste of Andalusia

These are Hass or California avocados (the other common one in the U.S is the Florida avocado)

These are Hass or California avocados (the other common one in the U.S is the Florida avocado)

Here’s a recipe from The Low Carb Diabetic blog, one of my favorites. No carb count is provided but I bet it’s relatively low. If you know the carb count per serving, share in the comments. Calculate the carbs yourself at FitDay. Click the link below for the recipe. It’s paleo-diet compliant, if you don’t mind vinegar. A snippet:

“Gazpacho is a soup made of raw vegetables and served cold, usually with a tomato base, originating in the southern Spanish region of Andalucia, which some spell with a c, while others use an s! This soup can be great for a hot day when making a lunch that takes just a few minutes is exactly what you want. In our version of this Andalusian peasant dish we leave out the soaked bread and instead use a creamy avocado to give it substance.”

Source: The Low Carb Diabetic: Gazpacho – A taste of Andalucia

1 Comment

Filed under Uncategorized

Endocrinologists Hesitant to Believe Empagliflozin Reduces Cardiac Events and Deaths

Larry Husten covers the issue at his blog. Click the link below for details. I’m in the endocrinology camp on this one. A quote from Mr. Husten’s post:

“An observer came away from the meeting with the strong impression that the endocrinologists did not want to accept any evidence that empagliflozin could reduce the risk of cardiovascular death; were not prepared to acknowledge that drugs might work in diabetes by effects that were independent of blood glucose; and wanted to be left in peace to be allowed to micromanage hemoglobin A1c without being reminded that doing so does not change the cardiovascular risk of patients with diabetes.”

Source: Prominent Cardiologists Decry Tepid Support For Empagliflozin By Endocrinologists

2 Comments

Filed under Uncategorized

The Low Carb Diabetic: Roasted Jubilee tomatoes with a fresh herb crust

Try growing your own...

Try growing your own…

Tomatoes are a time-honored component of the Mediterranean diet. Their lycopenes and other phytonutrients may help preserve prostate health. Heres a recipe, with carb counts provided, from The Low Carb Diabetic:

“These tomatoes, when topped with a herby breadcrumb mixture, make a very nice starter or side dish. If you do not wish to use breadcrumbs, a substitute such as toasted pine nuts could be used instead…”

Source: The Low Carb Diabetic: Roasted Jubilee tomatoes with a fresh herb crust

2 Comments

Filed under Uncategorized

Are Computers Sapping Your Brain?

Thinking about it...

Exercise your brain

I saw a patient at the hospital a couple years ago who had been brought in by ambulance after suffering some trauma (not to his brain). He couldn’t call any friends or relatives to let them know what was going on because he didn’t have his cellphone. His phone had all his contact numbers so he had no reason to memorize any. Would you be in the same boat?

DailyMail has an interesting article on whether our use of technology is making us dumber. If we turn over mental tasks like navigation and math to computers, do our brains waste away? Is this how the robots take over? Will we be seeing more and earlier cases of age-related dementia? E-mentia?

This is worth keeping an eye on.

Steve Parker, M.D.

PS: The five other members of my household all have cellphones. The only number I’ve memorized is my wife’s.

low-carb mediterranean diet

Front cover of book

Comments Off on Are Computers Sapping Your Brain?

Filed under Uncategorized

German Girl Pleads for Protection From Immigrants

I don’t know anyone living in Germany, or I’d alert them personally about this video. I do have four or five blog visitors from Germany daily. So this is for them.

If you watch the whole thing, you’ll learn the German words for cocktail, T shirt, and Taser.

As far as I know, this video is legitimate. The girl reportedly posted it on the German edition of Facebook, but it was censored (taken down).

Back to our regularly scheduled programming tomorrow.

5 Comments

Filed under Uncategorized

The Greatest Story Ever Told

2 Comments

Filed under Uncategorized

Is Macular Degeneration Avoidable?

Remember...peanuts aren't nuts, they're legumes

Remember…peanuts aren’t nuts, they’re legumes

I saw an optometrist earlier this year for a new eyeglass prescription and mentioned that age-related macular degeneration (ARMD or AMD) runs in my family. ARMD is the leading cause of adult blindness in the West. Thank God, I don’t have it….yet.

The optometrist suggested I start taking eye vitamins to help prevent ARMD. Popular eye vitamin preparations in Arizona are Ocuvite and I-Caps. He said a multivitamin like Centrum might be just as effective.

UpToDate.com, a source I trust, says that supplements for prevention probably don’t work and are not recommended. Which means Centrum would be just as effective: i.e., none of them work.

Instead, UpToDate recommends regular exercise, not smoking, and relatively high consumption of leafy green vegetables, fruits, fish and nuts. Although they didn’t mention it by name, the traditional Mediterranean diet provides all of those.

On the other hand, if you already have macular degeneration (wet or dry), UpToDate recommends these supplements (probably based on the AREDS-2 study):

  • vitamin C 500 mg/day
  • vitamin E 400 mg/day
  • lutein 10 mg/day
  • zeaxanthin 1 mg/day
  • zinc 80 mg/day (as zinc oxide)
  • copper 2 mg/day (as cupric oxide)

A reasonable alternative for non-smokers and never-smokers is the standard AREDS formula. It’s the same as above except it substitutes beta carotene for lutein or zeaxanthin. You can buy both formulations over-the-counter in the U.S. pre-mixed so you don’t have to swallow a handful of pills, just one.

The last time I checked the supermarket price, Bausch and Lomb’s AREDS-2 formula was about $10/month.

Steve Parker, M.D.

6 Comments

Filed under Uncategorized

How To Find a Church

Let’s say you’re not happy with the ideology of your current church or you quit going to church years ago and are thinking about returning. Do you want a liberal or a conservative church? How would you find a church where you fit in?

One starting point would be to review a neat graphic put together by Tobin Grant. (Sorry, non-Americans, this is mostly about American churches. But there are data points for atheists and agnostics, too.)

Based on surveys of churchgoers, Mr. Grant classifies churches by where they stand on size of government and “protection of morality.” I’m not saying this is the best way to choose a church; it’s one way to get started.

Happy hunting!

Steve Parker, M.D.

3 Comments

Filed under Uncategorized