Category Archives: Uncategorized

Diabetes and Prediabetes Linked to Higher Heart Failure Risk

From NMCD:

Highlights

•A meta-analysis of 77 prospective studies was conducted.

•Diabetes was associated with a 2-fold increase in heart failure risk in the general population.

•Diabetes was associated with a 69% increase in heart failure risk in patient populations.

•Elevated blood glucose even in the pre-diabetic range also increased heart failure risk.

Source: Diabetes mellitus, blood glucose and the risk of heart failure: A systematic review and meta-analysis of prospective studies – Nutrition, Metabolism and Cardiovascular Diseases

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Reasons Why It Took SySy So Long to Transition to Very Low Carb Eating

From Sysy Morales at Diabetes Daily:

“My blood sugar levels have never been better than what they are now. This is primarily due to eating a very low-carb diet. It took me a long time to transition, and this post will outline the reasons why.

Over a decade ago I read Dr. Bernstein’s book called, Dr. Bernstein’s Diabetes Solution. When he explained what he calls the Laws of Small Numbers, which refers to how small amounts of carbohydrate are covered by small doses of insulin and this means that blood sugars are more easily managed within tight parameters. He also explained why keeping blood sugar levels within tight parameters is essential to avoid complications. This made sense immediately, and I responded by flinging the book across my bedroom at the wall.”

Source: Reasons Why It Took Me So Long to Transition to Very Low Carb

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Long-term Glycemic Control and Dementia Risk in Type 1 Diabetes 

“Among older patients with type 1 diabetes, those with majority exposure to HbA1c 8–8.9% and ≥9% had increased dementia risk, while those with majority exposure to HbA1c 6–6.9% and 7–7.9% had reduced risk. Currently recommended glycemic targets for older patients with type 1 diabetes are consistent with healthy brain aging.”

Source: Long-term Glycemic Control and Dementia Risk in Type 1 Diabetes | Diabetes Care

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Mediterranean Diet Improves Gestational Diabetes Outcomes

“Women with gestational diabetes who were on a Mediterranean diet for 3 months had improved glycemic levels, that were comparable to pregnant women with normal glucose levels, a new study from Madrid, Spain suggests.

The objective of the study was to assess whether Mediterranean diet-based medical nutrition therapy facilitates near-normoglycemia in women with gestational diabetes.

“Medical nutrition therapy based on a MedDiet enhanced with extra virgin olive oil and pistachios, thus with a high-fat content, is associated with glycemic control and with a reduction in gestational diabetes-related adverse perinatal outcomes,” Dr. Alfonso Calle-Pascual, one of the study authors told dLife.”

Source: Mediterranean Diet Linked to Improved Gestational Diabetes Outcomes, Study | dLife

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Men, Do You Need Testosterone Supplementation?

Steve Parker MD, Advanced Mediterranean Diet, Ketogenic Mediterranean Diet

Testosterone is one reason men are better than women at push-ups

I’m running across more middle-aged and older men who are taking testosterone supplements. I don’t know if it’s a national trend or simply a Scottsdale, AZ, phenomenon.

The Endocrine Society in 2010 published guidelines regarding testosterone therapy for men who are androgen-deficient. Here are their recommendations on who should be tested for deficiency, and how:

1.1 Diagnosis and evaluation of patients with suspected androgen deficiency

“We recommend making a diagnosis of androgen deficiency only in men with consistent symptoms and signs and unequivocally low serum testosterone levels.

We suggest that clinicians measure serum testosterone level in patients with clinical manifestations shown in Table 1A. We suggest that clinicians also consider measuring serum testosterone level when patients report the less specific symptoms and signs listed in Table 1B.

TABLE 1.
Symptoms and signs suggestive of androgen deficiency in men

A. More specific symptoms and signs
Incomplete or delayed sexual development, eunuchoidism
Reduced sexual desire (libido) and activity
Decreased spontaneous erections
Breast discomfort, gynecomastia
Loss of body (axillary and pubic) hair, reduced shaving
Very small (especially < 5ml) or shrinking testes

Inability to father children, low or zero sperm count
Height loss, low trauma fracture, low bone mineral density
Hot flushes, sweats

B. Other less specific symptoms and signs
Decreased energy, motivation, initiative, and self-confidence
Feeling sad or blue, depressed mood, dysthymia
Poor concentration and memory
Sleep disturbance, increased sleepiness
Mild anemia (normochromic, normocytic, in the female range)
Reduced muscle bulk and strength
Increased body fat, body mass index
Diminished physical or work performance

We suggest the measurement of morning total testosterone level by a reliable assay as the initial diagnostic test.

We recommend confirmation of the diagnosis by repeating measurement of total testosterone.

We suggest measurement of free or bioavailable testosterone level, using an accurate and reliable assay, in some men in whom total testosterone concentrations are near the lower limit of the normal range and in whom alterations of SHBG are suspected.

We suggest that an evaluation of androgen deficiency should not be made during an acute or subacute illness.”

Harriet Hall thinks testosterone is being over-prescribed.

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Are You About to Pull the Trigger on a Sous Vide Device? Watch Us Unbox Our New Anova Precision Cooker

My wife got interested in the sous vide cooking method in 2016. She gave her original Anova cooker away to someone and replaced it with another brand that broke and shocked her, literally. We just got our new Anova and made this unboxing video. (I’m told that unboxing videos are “a thing.”)

We’ve noticed in our corner of the universe that steaks are getting more expensive. Sous vide cooking allows us to use cheaper and tougher cuts of meat and it comes out very tender. The method often yields foods that are also more flavorful and juicier compared to other cooking styles.

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Mediterranean children stopped eating the Mediterranean diet, and it shows 

“A senior official at the World Health Organization pronounced the Mediterranean diet dead last week — a casualty of changing lifestyles in countries such as Greece, Spain and Italy.

New data from the organization shows that children in southern Europe have obesity rates higher than 40 percent. In a presentation Thursday to health officials at the European Congress on Obesity, João Breda, the program manager for nutrition, physical activity and obesity at the WHO Regional Office for Europe, blamed the incursion of sodas and snacks into the region’s traditionally low-sugar, produce-heavy diet.

“The Mediterranean diet for the children in these countries is gone,” Breda told the assembled officials. “There is no Mediterranean diet anymore. … The Mediterranean diet is gone, and we need to recover it.”

Source: Mediterranean children stopped eating the Mediterranean diet, and they now have the highest obesity rates in Europe – The Washington Post

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