Category Archives: Uncategorized

Study Finds Shortened Lifespan From Obesity Even If “Metabolically Healthy”

I'll eat my hat if this dude doesn't have metabolic syndrome

I’ll eat my hat if this dude doesn’t have metabolic syndrome

See details at MedPageToday.

Some studies suggest you can be healthy and long-lived while obese as long as you are “metabolically healthy.” That is, if you have normal blood pressure, LDL cholesterol, triglycerides, blood sugar, and waist circumference. A new meta-analysis finds that isn’t the case: you’re still at higher risk for death or cardiovascular events if you’re obese and free of metabolic syndrome features.

“Our results do not support this concept of ‘benign obesity’ and demonstrate that there is no ‘healthy’ pattern of obesity,” Kramer and colleagues wrote. “Even within the same category of metabolic status (healthy or unhealthy) we show that certain cardiovascular risk factors (blood pressure, waist circumference, low high-density lipoprotein cholesterol level, insulin resistance) progressively increase from normal weight to overweight to obese.”

Click for the scientific journal abstract.

This report does not directly address the “fat but fit” concept, whereby you can counteract some of the adverse health effects of obesity by being fit. By fit, I mean regularly exercising and achieving a decent level of capacity and tolerance for physical activity. Fat but fit still holds. In other words, if your choice is between being fat or physically fit, you’ll probably live longer and be healthier if you’re fit.

Steve Parker, M.D.

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Filed under Longevity, Overweight and Obesity, Uncategorized

T1 and T2 Diabetes Are Both Rising in U.S. Youth

Between 2001 and 2009, the prevalence of type 1 diabetes and type 2 diabetes increased by 21% and 31%, respectively.

Reference: F. Bruder Stapleton, MD Reviewing Dabelea D et al., Journal of the American Medical Association 2014 May 7; 311:1778

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June 18, 2014 · 11:26 AM

Do Pesticides Cause Type 1 Diabetes?

Maybe, according to a study done in Egypt.

“From the present findings, there is an observed strong association between
some types of pesticides (malathion, lindane, p.p.DDE, o.p.DDD, endrin and
p.p.DDA) and the risk of occurrence of childhood diabetes in relation to
the control non-diabetic group. To the best of our knowledge, this the
first study investigating the association between type 1 diabetes in
children and exposure to pesticides.”

Reference: El-Morsi DA, Rahman RHA, Abou-Arab AAK. Pesticides Residues in Egyptian
Diabetic Children: A Preliminary Study. J Clinic Toxicol. 2012;2:138.

Free full text: http://omicsonline.org/pesticides-residues-in-egyptian-diabetic-children-a-preliminary-study-2161-0495.1000138.pdf

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How to Eat Low-Carb at Fast-Food Joints

Laura Dolson tells you how over at About.com. For example:

Occasionally, you’ll see salads with other protein, but chicken is the mainstay of fast-food meal salads. Tips: 1. Skip the croutons, tortilla strips, and similar additions. 2. Be very careful about sugars in the dressing. 3) For best nutrition, look for salads with a mixture of greens, and a variety of vegetables. 4) Make sure the chicken is grilled, not “crispy fried”, or other chicken with breading.

On the Advanced Mediterranean Diet for non-diabetics, you have the option of:

  1. Traditional portion- and calorie-controlled eating, or
  2. Low-carb eating with the worlds’ first Low-Carb Mediterranean Diet

If you’ve read Conquer Diabetes and Prediabetes, you’re already familiar with #2.

Steve Parker, M.D.

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Filed under Shameless Self-Promotion, Uncategorized

Chromium No Help With Elevated Blood Sugar

ScienceDaily has the details.

Of course, if you’re taking a doctor-recommended chromium supplement for a true deficiency, don’t stop. In three decades of practicing medicine, I’ve never seen a case of chromium deficiency. Granted, I rarely look for it. 

h/t Diane Fennell

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Olympian Teeth Suffering From High Carb Consumption

 BBC has the story:

The beaming smiles of gold-medal winners Usain Bolt, Jessica Ennis-Hill and Mo Farah are some of the defining memories of London 2012.

But a team at University College London says many competitors had dental problems.

“Our data and other studies suggest that, for a similar age profile, the oral health of athletes is poor. It’s quite striking,” said lead researcher Prof Ian Needleman.

He said eating large amounts of carbohydrates regularly, including sugary energy drinks, was damaging teeth.

Impaired immune system function associated with hard training may also play a role.

Many, if not most, high-level athletes think high carbohydrate consumption is necessary for optimal performance. They should know better than I. For their sake, I hope meticulous oral care—brushing, flossing, professional cleaning—helps preserve dental health.

Super athletes may not be as healthy as you think. They push their bodies so hard that they move beyond health into injury and chronic inflammation.

Steve Parker, M.D.

tooth structure, paleo diet, caries, enamel

Cross-section of a tooth

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Does Coffee Prevent Type 2 Diabetes?

Fanatic Cook Bix details the surprising answer: Yes.

“Still, study after study, it’s an association that won’t go away … coffee consumption lowers the risk for diabetes. And the more you drink, the lower your diabetes risk. It doesn’t matter whether the coffee is regular or decaf, but regular does consistently show a slight edge over decaf.”

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No Benefit to Intensive Type 2 Diabetes Treatment in Mild Disease Without Symptoms

That’s the take-away from an article at MedPageToday. I haven’t had time to dissect the original report yet.

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Consider Carbohydrate Restriction for Your GERD

Dr. Michael Eades has a post on gastroesophageal reflux disease (GERD) and it’s treatment with carbohydrate-restricted eating versus drugs. GERD is relatively severe and/or frequent heartburn caused by stomach acid backing up in to the esophagus. The lining of your stomach is designed to be resistant to a high-acid environment; your esophagus not so much. A quote from Dr. Eades:

Most people who have GERD, have it for the long term. It’s not something that comes and goes. So these folks go on GERD therapy for the long term, and the most prescribed medications for long-term GERD treatment are PPIs [proton pump inhibitors], which, you now know, keep stomach acid neutralized for the long term, and, as you might imagine, creates a host of problems.

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

Read the rest if you or someone you love has GERD.

Here’s a scientific report supporting Dr. Eades’ clinical experience. Carbs were reduced to 20 grams a day.

Steve Parker, M.D.

PS: Some studies find no association between PPI use and pneumonia. It makes sense that we have stomach acid for good reasons, and that suppressing it may well have adverse effects.

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Should You Try the Low FODMAPs Diet for Your IBS or GERD?

You won’t know until you try it, suggests dietitian Melanie Thomassian. These are some of the diagnoses that may respond positively: irritable bowel syndrome (IBS), Crohns disease, and gastroesophageal reflux disease (GERD).

Very low-carb diets also help GERD.

I’ve written before about the low FODMAPs diet and irritable bowel syndrome. The low FODMAPs diet essentially involves limiting the delivery of particular carbohydrates to your intestinal bacteria.

Steve Parker, M.D.

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