This newsletter keeps you up-to-date with new articles, columns, and Web pages that I have written. I list and link most of these on my Diabetes Directory at www.mendosa.com/diabetes.htm
From time to time Diabetes Update may also include links to other Web pages of special interest.
My most recent contribution is:
- Trans Fat
Sometimes what the experts tell us to eat is wrong. Very occasionally they will admit their mistake and tell you that what you were doing before they butted in was fine.
No, I’m not talking about the high carb diet that most healthcare providers tell those of us with diabetes is what we should eat. Nobody’s eating crow over that one, even if it’s clear that it would be lower glycemic.
What the medical establishment is saying, however, is that they made a big, deadly mistake when they said we should switch from butter to margarine. Now, half a century later, after untold thousands or millions of us died prematurely, they admit that the trans fat in most (but not all) margarines is even worse that the saturated fat in butter. It’s not that saturated fat is good for us, but rather that no amount of trans fat is.
Margarine is just the tip of the iceberg. The statistic that blows my mind is that 40 percent of all the food products that you can buy in a supermarket contain trans fat.
That’s the bad news. The good news is as the man said, we’re from the government, and we are here to help you. This time he wasn’t lying, even if he could have done better. The National Academy of Science’s Institute of Medicine in July issued its long-awaited “Letter Report on Dietary Reference Intakes for Trans Fatty Acids” at http://www.iom.edu/iom/iomhome.nsf/WFiles/TransFattyAcids/$file/TransFattyAcids.pdf.
“There is a positive linear trend between trans fatty acid intake and total and LDL cholesterol concentration, and therefore increased risk of CHD [coronary heart disease], thus suggesting a Tolerable Upper Intake Level (UL) of zero,” the report concluded. Then, lacking the courage of their convictions, they pulled back prematurely.
The problem is that there is some naturally occurring trans fat in meat and dairy products. But about 95 percent of the trans fat in our diet is man-made in the form of hydrogenated oils.
“Because trans fatty acids are unavoidable in ordinary diets, achieving such a UL would require extraordinary changes in patterns of dietary intake,” the report continued. “Such extraordinary adjustments may introduce other undesirable effects (e.g., elimination of foods, such as dairy products and meats, that contain trans fatty acids may result in inadequate intakes of protein and certain micronutrients) and unknown and unquantifiable health risks may be introduced by any extreme adjustments in dietary pattern. For these reasons, no UL is proposed. Nevertheless, it is recommended that trans fatty acid consumption be as low as possible while consuming a nutritionally adequate diet.”
I would not be the first to fault the Institute of Medicine for failing to distinguish between natural and man-made trans fat. It could have set a UL of zero for hydrogenated oils. But it didn’t, and consequently the FDA, which will almost certainly require the amount of trans fat to be listed separately on the Nutrition Facts panel within the next few months, will go a long ways toward rectifying the bad advice of half a century, but also will not go far enough.
“The NAS report did not provide a Daily Reference Intake value for trans fat that would be needed to assist the agency in providing other information on the label, such as a Daily Value for trans fat,” the FDA says at http://www.cfsan.fda.gov/~dms/labtrans.html. “Therefore, FDA intends to scale back its proposal and take a more incremental approach to provide for trans fat labeling that is consistent with the available science. For consumers to now have information that follows the Academy’s recommendations, FDA will publish a final rule requiring the mandatory declaration of trans fat content within the Nutrition Facts panel. However, similar to declarations for mono- and polyunsaturated fats, no % Daily Value will be listed on the label. The agency hopes to publish the final rule early in 2003.”
My new article “New Label for Worst Fat: the Secret Fat—Unmasked” in the October 2002 issue of Diabetes Wellness News, covers these issues, albeit a bit more gently. It also covers the particular dangers to people with diabetes from trans fat and tells how to avoid it even before the FDA helps us. The article is also on-line at http://www.mendosa.com/transfat.htm.
A quick way to build a big Web site is to copy the best Web pages you can find on other sites. Then, when people complain about copyright violations, say you’re sorry. This looks like the strategy of India’s biggest diabetes Web site, DiabetoValens. I review this new site for my “About the Internet” copy on the website of the American Diabetes Association at
- The New York Times reported September 21 that Lilly agreed on September 20 to pay Amylin Pharmaceuticals up to $325 million for the rights to AC2993. This potential blockbuster drug, synthesized from Gila monster venom, is a long-acting form of glucagon-like peptide-1 (GLP-1), which stimulates our bodies to produce insulin, but only when we have high blood sugar levels. AC2993 is in phase 3 clinical trials. The Times had two articles: http://www.nytimes.com/2002/09/21/business/21DRUG.html and http://www.nytimes.com/2002/09/21/business/21GILA.html. The second of these, a sidebar by Andrew Pollack on the jump page of the print edition, sounds very much like it drew heavily on my column for the American Diabetes Association website at http://www.diabetes.org/main/community/info_news/web/apr302002.jsp. What Andrew did was quality journalism. He caught the ideas I was expressing, but didn’t steal my words.
- The most recent edition of Diabetes Forecast - Live! focuses on “When Your Child Has Diabetes.” Diabetes Forecast - Live! is a monthly webcast brought to you by the American Diabetes Association and the HealthTalk Diabetes Education Network. You can hear Todd Zeile of the Colorado Rockies, who has a daughter with diabetes; Dr. Linda Siminerio, co-author of Raising a Child with Diabetes; and Maria Eidelman, mother of two children with diabetes. They discuss strategies on how to cope with your child’s diagnosis and parenting issues that arise when dealing with your child’s diabetes. For more information, please visit http://www.diabetesforecastlive.com/edition18/index.html.
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I send out Diabetes Update about once every two weeks. Previous issues are online:
- Diabetes Update Number 1: Diabetes Genes of December 10, 2000
- Diabetes Update Number 2: DiabetesWATCH of December 18, 2000
- Diabetes Update Number 3: Starlix of January 3, 2001
- Diabetes Update Number 4: Native Seeds/SEARCH, Tepary Beans of January 17, 2001
- Diabetes Update Number 5: Insulin Makes You Fat of January 31, 2001
- Diabetes Update Number 6: Available and Unavailable Carbohydrates of February 15, 2001
- Diabetes Update Number 7: Dates of March 1, 2001
- Diabetes Update Number 8: Quackwatch of March 15, 2001
- Diabetes Update Number 9: The Cost of Insulin of March 30, 2001
- Diabetes Update Number 10: Sof-Tact Meter of April 2, 2001
- Diabetes Update Number 11: iControlDiabetes of April 16, 2001
- Diabetes Update Number 12: Cinnamon, Tagatose of May 2, 2001
- Diabetes Update Number 13: Glycemic Index of May 15, 2001
- Diabetes Update Number 14: Eat Your Carrots! of May 31, 2001
- Diabetes Update Number 15: Glycemic Load of June 21, 2001
- Diabetes Update Number 16: Homocysteine of July 2, 2001
- Diabetes Update Number 17: Chana Dal Tips of July 15, 2001
- Diabetes Update Number 18: Lag Time in AlternativeLand of August 2, 2001
- Diabetes Update Number 19: Fiber of August 15, 2001
- Diabetes Update Number 20: How Diabetes Works of August 30, 2001
- Diabetes Update Number 21: Insulin Resistance of September 14, 2001
- Diabetes Update Number 22: Trans Fats, Honey, CU of October 1, 2001
- Diabetes Update Number 23: Pedometer Power of October 15, 2001
- Diabetes Update Number 24: Is Glycerin a Carbohydrate? of October 31, 2001
- Diabetes Update Number 25: Kill the Meter to Save It of November 15, 2001
- Diabetes Update Number 26: Protein, Fat, and the GI of December 1, 2001
- Diabetes Update Number 27: Insulin Index of December 14, 2001
- Diabetes Update Number 28: Fructose of January 4, 2002
- Diabetes Update Number 29: Aspirin of January 14, 2002
- Diabetes Update Number 30: Stevia of January 31, 2002
- Diabetes Update Number 31: Gretchen Becker’s Book of February 19, 2002
- Diabetes Update Number 32: The UKPDS of March 4, 2002
- Diabetes Update Number 33: Financial Aid of March 18, 2002
- Diabetes Update Number 34: Pre-Diabetes of April 1, 2002
- Diabetes Update Number 35: More Glycemic Indexes of April 15, 2002
- Diabetes Update Number 36: Gila Monsters of April 30, 2002
- Diabetes Update Number 37: Is INGAP a Cure? of May 15, 2002
- Diabetes Update Number 38: Native American Diabetes of June 3, 2002
- Diabetes Update Number 39: FDA Diabetes of June 19, 2002
- Diabetes Update Number 40: Diabetes Support Groups of July 1, 2002
- Diabetes Update Number 41: New GI and GL Table of July 15, 2002
- Diabetes Update Number 42: Diabetes Sight of August 1, 2002
- Diabetes Update Number 43: DrugDigest of August 18, 2002
- Diabetes Update Number 44: Hanuman Garden of September 3, 2002
- Diabetes Update Number 45: Guidelines of September 16, 2002
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