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Feb. 8th, 2008

herbmcsidhe

Metabolic Syndrome Is Tied to Diet Soda

NY Times article
February 5, 2008
Vital Signs
Symptoms: Metabolic Syndrome Is Tied to Diet Soda
By NICHOLAS BAKALAR

Researchers have found a correlation between drinking diet soda and metabolic syndrome — the collection of risk factors for cardiovascular disease and diabetes that include abdominal obesity, high cholesterol and blood glucose levels, and elevated blood pressure.

The scientists gathered dietary information on more than 9,500 men and women ages 45 to 64 and tracked their health for nine years.

Over all, a Western dietary pattern — high intakes of refined grains, fried foods and red meat — was associated with an 18 percent increased risk for metabolic syndrome, while a “prudent” diet dominated by fruits, vegetables, fish and poultry correlated with neither an increased nor a decreased risk.

But the one-third who ate the most fried food increased their risk by 25 percent compared with the one-third who ate the least, and surprisingly, the risk of developing metabolic syndrome was 34 percent higher among those who drank one can of diet soda a day compared with those who drank none. {emphasis added}

“This is interesting,” said Lyn M. Steffen, an associate professor of epidemiology at the University of Minnesota and a co-author of the paper, which was posted online in the journal Circulation on Jan. 22. “Why is it happening? Is it some kind of chemical in the diet soda, or something about the behavior of diet soda drinkers?”

herbmcsidhe

Diabetic study halted due to deaths

NY Times article
February 7, 2008
Diabetes Study Partially Halted After Deaths
By GINA KOLATA
For decades, researchers believed that if people with diabetes lowered their blood sugar to normal levels, they would no longer be at high risk of dying from heart disease. But a major federal study of more than 10,000 middle-aged and older people with Type 2 diabetes has found that lowering blood sugar actually increased their risk of death, researchers reported Wednesday.

The researchers announced that they were abruptly halting that part of the study, whose surprising results call into question how the disease, which affects 21 million Americans, should be managed.

The study’s investigators emphasized that patients should still consult with their doctors before considering changing their medications.

Among the study participants who were randomly assigned to get their blood sugar levels to nearly normal, there were 54 more deaths than in the group whose levels were less rigidly controlled. The patients were in the study for an average of four years when investigators called a halt to the intensive blood sugar lowering and put all of them on the less intense regimen.

The results do not mean blood sugar is meaningless. Lowered blood sugar can protect against kidney disease, blindness and amputations, but the findings inject an element of uncertainty into what has been dogma — that the lower the blood sugar the better and that lowering blood sugar levels to normal saves lives.

Medical experts were stunned. Read more...Collapse )

Jan. 22nd, 2008

herbmcsidhe

Study: Obesity Surgery Can Cure Diabetes

Lifted from Earthlink News

Study: Obesity Surgery Can Cure Diabetes
January 22, 2008 6:21 PM EST
CHICAGO - A new study gives the strongest evidence yet that obesity surgery can cure diabetes. Patients who had surgery to reduce the size of their stomachs were five times more likely to see their diabetes disappear over the next two years than were patients who had standard diabetes care, according to Australian researchers.

Most of the surgery patients were able to stop taking diabetes drugs and achieve normal blood tests.

"It's the best therapy for diabetes that we have today, and it's very low risk," said the study's lead author, Dr. John Dixon of Monash University Medical School in Melbourne, Australia.

The patients had stomach band surgery, a procedure more common in Australia than in the United States, where gastric bypass surgery, or stomach stapling, predominates.

Gastric bypass is even more effective against diabetes, achieving remission in a matter of days or a month, said Dr. David Cummings, who wrote an accompanying editorial in the journal but was not involved in the study.

"We have traditionally considered diabetes to be a chronic, progressive disease," said Cummings of the University of Washington in Seattle. "But these operations really do represent a realistic hope for curing most patients."

Diabetes experts who read the study said surgery should be considered for some obese patients, but more research is needed to see how long results last and which patients benefit most. Surgery risks should be weighed against diabetes drug side effects and the long-term risks of diabetes itself, they said.

Experts generally agree that weight-loss surgery would never be appropriate for diabetics who are not obese, and current federal guidelines restrict the surgery to obese people.

The diabetes benefits of weight-loss surgery were known, but the Australian study in Wednesday's Journal of the American Medical Association is the first of its kind to compare diabetes in patients randomly assigned to surgery or standard care. Scientists consider randomized studies to yield the highest-quality evidence.

The study involved 55 patients, so experts will be looking for results of larger experiments under way.

"Few studies really qualify as being a landmark study. This one is," said Dr. Philip Schauer, who was not involved in the Australian research but leads a Cleveland Clinic study that is recruiting 150 obese people with diabetes to compare two types of surgery and standard medical care.

"This opens an entirely new way of thinking about diabetes."

Obesity is a major risk factor for diabetes, and researchers are furiously pursuing reasons for the link as rates for both climb. What's known is that excess fat can cause the body's normal response to insulin to go haywire. Researchers are investigating insulin-regulating hormones released by fat and the role of fatty acids in the blood.

In the Australian study, all the patients were obese and had been diagnosed with type 2 diabetes during the past two years. Their average age was 47. Half the patients underwent a type of surgery called laparoscopic gastric banding, where an adjustable silicone cuff is installed around the upper stomach, limiting how much a person can eat.

Both groups lost weight over two years; the surgery patients lost 46 pounds on average, while the standard-care patients lost an average of 3 pounds.

Blood tests showed diabetes remission in 22 of the 29 surgery patients after two years. In the standard-care group, only four of the 26 patients achieved that goal. The patients who lost the most weight were the most likely to eliminate their diabetes.

Both patient groups learned about low-fat, high-fiber diets and were encouraged to exercise. Both groups could meet with a health professional every six weeks for two years.

The death rate for stomach band surgery, which can cost $17,000 to $20,000, is about 1 in 1,000. There were only minor complications in the study. Stomach stapling has a 2 percent death rate and costs $20,000 to $30,000.

In the United States, surgeons perform more than 100,000 obesity surgeries each year.

The American Diabetes Association is interested in the findings. The group revises its recommendations each fall, taking new research into account.

"There is a growing body of evidence that bariatric surgery is an effective tool for managing diabetes," said Dr. John Buse of the University of North Carolina School of Medicine in Chapel Hill, the association's president for medicine and science.

"It's just a question of how effective is it, for what spectrum of patients, over what period of time and at what cost? Not all those questions have been answered yet."

Medical devices used in the study were provided by the manufacturers, but the companies had no say over the study's design or its findings, Dixon said.

---

On the Net:

JAMA: http://jama.ama-assn.org

Jul. 19th, 2007

herbmcsidhe

Cinnamon and diabetes

Cinnamon Puts the Brakes on Post-Pudding Blood Sugar Swings

Vitamins and Supplements: Taken For Health Or Taken For A Ride? (Cinnamon discussed about half-way down)

Cinnamon

However, also note: Cinnamon Sunk in Latest Type 1 Diabetes Study

Jun. 22nd, 2007

hearth

hestiax

(no subject)

Does anyone here follow or know anything about the Eat Right 4 Your Type, blood type, diet here? I've been doing it for awhile (some times not so well) and he has a book out on Diabetes for Pre, Type 1 and Type 2. Has any one read it or have any thoughts on it?

May. 24th, 2007

hearth

hestiax

Hello

While I'm not a diabetic, I do have issues with wheat and corn screwing up my blood sugar, developed gestational diabetes while pregnant with my daughter, and she got the gene for type 1 diabetes from her sperm donor (who is a type 1 diabetic). Miranda has her first appointment with TEDDY (The Environmental Determinants of Diabetes in the Young) http://teddy.epi.usf.edu/ tomorrow afternoon. She also has her 4 month checkup in the morning so she's going to be very po'd at me when the day is through.

May. 21st, 2007

Stuffed Rainbear 4

rainbear

Any Avandia users out there?

If so.. might want to call your doctor:

http://cbs3.com/health/local_story_141183243.html

"Avandia increases the risk of heart attacks by 43 percent and cardiac deaths by 64 percent according to a review of 42 previous studies conducted by the Cleveland Clinic."

May. 7th, 2007

curiosity

sheherazahde

Byetta

Anyone else on Byetta?
I seem to have volluntered to stick myself with a needle twice a day 8-o

Edit: I just looked down the page and saw that the Lizard Spit post is about Byetta. So the answer to my question is "yes".

How are people doing on it?

My Dr. said two injections (one in the morning, one at night) but nothing about "before meals". What are other people doing?
Tags:

May. 4th, 2007

goddess and god

sheherazahde

Just joined

Hi, I just joined. I found this group from a comment in yezida's journal.
I'm Wiccan and I have type 2 diabeties.

herbmcsidhe

Links to a couple of articles

on High Fructose Corn syrup may be found over here at yezida's journal. I'm linking to her post rather than just the articles because it looks as though some good discussion may develop.

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