Category Archives: Uncategorized

What Are Nightshades, and Should I Avoid Them?

Rosemary Chicken (garnished with pico de gallo) and Rosemary Potatoes

Rosemary Chicken (garnished with pico de gallo) and Rosemary Potatoes

The nightshade family includes tomatoes, peppers, potatoes (not sweet potatoes or yams), eggplant, goji berries, and even tobacco.  Anecdotal reports indicate that consumption of these either cause or aggravate certain chronic medical conditions, such as arthritis, chronic fatigue, or irritable bowel syndrome.

Georgia Ede, M.D., has an article on medical effects of nightshades at her website.  The potentially offensive chemicals in nightshades are called glycoalkaloids.  I looked into this issue when deciding whether to include potatoes in my version of the paleo diet.  (They’re included).

Dr. Ede’s writes:

As with any food sensitivity, the only way to find out is to remove nightshades from your diet for a couple of weeks or so to see if you feel better.  There are ZERO scientific articles about nightshade sensitivity, chronic pain, or arthritis in the literature, however, the internet is full of anecdotal reports of people who have found that nightshades aggravate arthritis, fibromyalgia, or other chronic pain syndromes.

I bet I could eat a couple potatoes and tomatoes every day without ill effect.  And there’s Chris Voigt, head of the Washington State Potato Commission, famous for his 60-day potato diet.  As they say, your mileage may vary.

Some of the nightshades, such as potatoes, supply a major carbohydrate load that can spike blood sugars too high in many diabetics. Be careful. And  use your home glucose monitor.

Steve Parker, M.D.

1 Comment

Filed under Uncategorized

The Problem With Diabetes Research

…according to an article at Medical News Today:

An analysis of diabetes trials worldwide has found they are not addressing key issues relating to the condition with almost two thirds focusing on drug therapy while only one in ten addresses prevention or behavioural therapies [which would include diet modification]. The research is published in Diabetologia, the journal of the European Association for the Study of Diabetes (EASD), and is by Dr Jennifer Green, Duke University Medical Center, Durham, NC, USA, and colleagues.

Read the rest.

h/t Tom Naughton

Comments Off on The Problem With Diabetes Research

Filed under Uncategorized

Moderate-Carb Diet No Better Than Standard High-Carb Diet In Gestational Diabetes

…according to a report at MedPageToday.

Women with gestational diabetes were randomized to either a 40% carb diet or 55% carb diet. The same numbers in each group ended up needing insulin therapy to control blood sugars.

Both groups ate the same amount of protein. The lower-carb group replaces some carbs with fat.

Pregnancy outcomes were similar in both groups.

Critics wonder if stricter carbohydrate restriction would have been more effective.

Comments Off on Moderate-Carb Diet No Better Than Standard High-Carb Diet In Gestational Diabetes

Filed under Uncategorized

Melanie Thomassian, RD, Debunks Some Myths About Dietary Protein

She thinks the Recommended Daily Allowance (0.8 mg/kg) is too low for most folks.

For details, visit Dietriffic.

1 Comment

Filed under Uncategorized

A Skeptical View of Invokana (canagliflozin), the New Diabetes Drug

Jenny Ruhl has a valuable post on the newest drug for type 2 diabetes: canagliflozin. A snippet:

If your doctor tries to put you on this drug, say no. Wait ten years, and search the literature then to see what scientists have found out about its real effects on patients before you try it.

Jenny says the pill will cost $8.77 (USD) per pill. Well worth a read.

Comments Off on A Skeptical View of Invokana (canagliflozin), the New Diabetes Drug

Filed under Uncategorized

Moderate Fruit Consumption May Not Sabotage Blood Sugar Control In Type 2 Diabetes

…according to an article in Nutrition Journal. These were newly diagnosed type 2 diabetics. This is interesting research because we’ve often assumed that the sugar in fruits would raise blood sugar too high, leading to recommendations to avoid fruits, or at least limit them to one piece daily.

The Well blog at the New York Times covered the story.  You’ll likely find the comments illuminating. Also see the Diabetes Self-Managment article. I’ll read the original research report when time allows.

2 Comments

Filed under Uncategorized

Your Lifescan Glucose Meter May Have Been Recalled

…read here for details.  Some models fail to report extremely high readings.  In the U.S., it’s the OneTouch Verio IQ meter. 

From MedPageToday:

“The recall also extends to similar OneTouch devices sold in Europe, the Middle East, and Asia, including the Verio IQ, Verio Pro, and Verio Pro+.”

Comments Off on Your Lifescan Glucose Meter May Have Been Recalled

Filed under Uncategorized

Diabetes Drugs Under FDA Review as Causes of Pancreatitis

GLP-1 analogs and DPP-4 inhibitors are being investigated by the U.S. Food and Drug Administration as causes of pancreatitis and thyroid cancer.  These drugs include exenatide and saxagliptin, for example.  Details are at MedPageToday.

If you’re not sure if your drugs fall into one of those classes, talk to your doctor or pharmacist or review them here.

Many of my patients have found they can cut their use of drugs by eating the Low-Carb Mediterranean Diet.

Comments Off on Diabetes Drugs Under FDA Review as Causes of Pancreatitis

Filed under Uncategorized

I Told You So: New Study from UK Says Exercise is Good For PWDs (people with diabetes)

…and it just takes three sessions a week.  By the way, study participants had type 2 diabetes.    Quality of life – both mental and physical – improved over the course of the nine-month project.  A quote from the DiabetesHealth article:

In assessing physical, emotional, and social aspects, the researchers found that those who exercised over the nine-month period-especially those who mixed aerobic and resistance training-had the most improved quality of life compared to those who were couch potatoes.

 

1 Comment

Filed under Uncategorized

American Diabetes Association Updated Their Standards of Care for 2013

They do it early every year.  In case you’re interested, click this link.  You may have trouble digesting it unless you’re a healthcare provider.

Here’s an understandable summary at the Joslin Diabetes Center blog.

Comments Off on American Diabetes Association Updated Their Standards of Care for 2013

Filed under Uncategorized