Here’s a quote from a recent Diabetes Care:
Improved therapeutics and health care delivery have brought remarkable declines in the incidence of … complications, with a 50% reduction in amputations from their peak in 1997 and ∼35% reduction in the incidence of end-stage renal disease. Similarly, 10-year coronary heart disease risk dropped from 21% in 2000 to 16% in 2008.
Nevertheless, diabetes remains the leading cause of blindness, renal failure, nontraumatic lower-limb amputation, in adults 18 to 65 years of age. We gotta stay after it!
The essay by Dr. Robert Ratner also notes 79 million Americans with prediabetes. They need my Conquer Diabetes and Prediabetes book. It’s only $9.99 (USD), a drop in the ocean compared to the $174 billion spent on diabetes in 2007 in the U.S.
Age-related macular degeneration is the leading cause of blindness in Americans over 65. Impaired vision precedes blindness. A recent study linked consumption of omega-3 fatty acids with 30% lower risk of developing macular degeneration. Believe me, it’s a lot better to prevent it than try to treat it once present.
[I have a couple older relatives with macular degeneration, so I pay close attention to the scientific literature.]
What’s the best sources of omega-3 fatty acids? Our friend, the fish. Especially cold-water fatty fish such as tuna, trout, sardines, herring, mackerel, halibut, and sea bass. A few plants are also decent sources, but our bodies don’t utilize those omega-3 fatty acids as well as they do from fish.
Note that the Ketogenic Mediterranean Diet has a prominent role for fish.
Steve Parker, M.D.
Reference: SanGiovanni, J.P., et al. Long-chain polyunsaturated fatty acid intake and 12-y incidence of neovascular age-related macular degeneration and central geographic atrophy: AREDS report 30, a prospective cohort study from the Age-Related Eye Disease Study. American Journal of Clinical Nutrition, 90 (2009): 1,601-1,607. First published October 7, 2009. doi:10.3945/ajcn.2009.27594