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Diabetes Developments - A blog on latest developments in diabetes by David Mendosa

Exercise for Maintaining Weight Loss

January 12th, 2009 · 2 Comments

A study in the January issue of The American Journal of Clinical Nutrition is the first one ever to examine how walking by itself can help us keep the weight off for the long term. Since almost all of us with type 2 diabetes struggle with our weight, this is a key part of controlling it.

Walking may or may not be more beneficial for us that other forms of physical activity. That’s not what the study was about. Rather, for most people walking is the least expensive and most readily available way to get the exercise that we all need.

The study monitored almost 5,000 men and women for 15 years. Walking works.
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Posted in: Exercise For Diabetes

Breaking the Diabetes-Alzheimer’s Connection

January 5th, 2009 · 3 Comments

Researchers finally know why people with diabetes are more likely to get Alzheimer’s disease. That alone would be big news. The huge news is that we now know what we have to do to break the link.

Did you miss the growing number of reports in the past few years about how those of us who have diabetes are more likely to get Alzheimer’s as we age? I can understand, because until last year I ignored the evidence myself. We have enough on our plate already without worrying about a possible complication many years down the road that until now nobody knew how to prevent anyway.
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Posted in: Diabetes Complications

Comparing Low-Carb and Low-Glycemic

December 28th, 2008 · 7 Comments

Nobody ever compared whether a low-carb or a low-glycemic diet works better to control our blood glucose levels. Until now.

Both diets improved A1C levels and helped participants in a 24-week study to lose weight. But the low-carb group did a lot better.

Five doctors at the Duke University Medical Center in Durham, North Carolina, just reported their results in the journal Nutrition & Metabolism. Led by Eric Westman, M.D., the study, “Effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus,” appeared on December 19.
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Posted in: Diabetes Diet

Killing T Cells to Cure Diabetes

December 21st, 2008 · 12 Comments

Dr. Richard K. Bernstein knows how to cure diabetes, and researchers are ready to start the research. All they need is money. Does anyone have enough money and care enough about curing diabetes to fund this research? Do you?

Even if you have type 1 diabetes, you almost certainly still have some of your beta cells. If your body stops killing them, they will replicate and produce insulin — and then you will possibly have a cure.

When I talked with Dr. Bernstein a few days ago, he told me that he knows how kill the specific killer T cells. Most famous as the leading proponent of a very low-carb diet, Dr. Bernstein is a diabetologist with a practice near New York City. He was also an engineer before he got in M.D. degree in his 40s.
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Posted in: Diabetes Basics

New Glycemic Tables

December 19th, 2008 · No Comments

Ever since 1995, when the first international tables of glycemic index appeared in print and on my website, they have been the gold standard for determining the glycemic index of as many foods as researchers had tested at that point.

Now, in the third revision of the international tables you can find the glycemic indexes of many more foods.

The 1995 tables listed the glycemic indexes of 565 foods from 79 studies in the professional literature from around the world. Professor Jennie Brand-Miller, PhD, of the school of microbial biosciences at Australia’s University of Sydney was the lead author of those and subsequent updates of those tables.
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Posted in: Diabetes Diet

Supporting Diabetes Charities

October 8th, 2008 · 3 Comments

Once upon a time I knew some people who wanted me to help them set up a charity. They were smart enough to know that they could make a lot of money by establishing a not-for-profit organization that would pay them outrageous salaries.

They said that I could be the vice-president of the charity. While I respected their intelligence, I declined their offer. I decided that I wasn’t as big a scumbag as they were.

However, they weren’t the first scumbags earning big bucks from our charity contributions. The salaries that many heads of charity organizations take home are obscene. And that includes some of our most respected diabetes organizations.
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Posted in: Diabetes Basics

No Time for Exercise

September 2nd, 2008 · 2 Comments

The problem with the review of a new study showing that we have to exercise an hour a day to keep the weight off is that almost no one has time for it.

“People, let’s be realistic,” writes one reader of the review in the Los Angeles Times. “One person in one hundred may be able to exercise one hour each day. What about the rest of us?”

So true. Technology has improved the lives of almost all Americans and other fortunate people in the developed world so much that the only muscles we need any more are those in our eyes, our ears, and our fingers. And our mouth muscles, of course.
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Posted in: Exercise For Diabetes

A Better Reason to Reduce Salt

August 18th, 2008 · No Comments

Just when it looked like we could relax about the amount of salt we use, it seems that we may need to limit how much of it we use after all.

I used to trust the recommendations of the American medical establishment that we must reduce the amount of salt we use in order to control hypertension (high blood pressure). Early last year, in fact, I wrote here how we can reduce it to help control our blood pressure.

But in “The (Political) Science of Salt” iconoclastic science writer Gary Taubes exposed the myth that if you, “Eat less salt…you will lower your blood pressure and live a longer, healthier life.” Many of us with diabetes believed this myth — with the prodding of our doctors — because high blood pressure goes hand in hand with diabetes. High blood pressure — hypertension — and diabetes are two of the main components of the so-called “metabolic syndrome” or “syndrome x.”

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Posted in: Diabetes Diet

The Best Time to Lose Weight

August 13th, 2008 · 2 Comments

Any time is a good time to lose weight if your body mass index is over 25. So I’m surprised to learn that there is a best time.

A large study that the professional journal Diabetes Care will publish in its October issue indicates that if you have diabetes, the best time to lose weight is right after your diagnosis. Even if you gain back that weight, by taking off the pounds then you have a better chance of keeping your blood glucose and blood pressure levels under reasonably good control.

The study comes from Kaiser Permanente in Oregon and Washington, one of the country’s largest health maintenance organizations with about 480,000 members. Its Center for Health Research in Portland, Oregon, has taken the lead in analyzing the electronic health records of its members. This is one HMO that knows how the improved health of its members can improve the organization’s bottom line at the same time — and acts on that knowledge.
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Posted in: Diabetes Developments, Exercise For Diabetes

Mouth Control

July 31st, 2008 · No Comments

Our mouths are key to diabetes control. And not just what we put in them.

How would you like to reduce your A1C level by 0.67 percent — like from 6.67 to 6.0 — without putting less in your mouth or even increasing your exercise? This third type of A1C control may be the easiest ever.

Research presented at last month’s Scientific Sessions of the American Diabetes Association that I attended in San Francisco made this point. Dr. George Taylor, associate professor of dentistry at the University of Michigan, reported there on recent studies demonstrating the association between periodontal problems and the complications of diabetes. He spoke in the first symposium ever by dentists to ADA meetings.

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Posted in: Diabetes Developments

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