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June 16, 2013 By Valerie Springfield In an effort to lose weight and get healthy, many aging Americans are looking for alternatives to the Food Pyramid that so many Baby-Boomers grew up with.
Long-term research is proving that the Mediterranean diet may be the best possible solution to reducing weight and increasing health. In fact, eating a diet rich in olive oil, nuts, fresh fruits and vegetables, along with red wine, helped those at high risk for cardiovascular problems avoid heart trouble better than those eating a low-fat diet, a new Spanish study has found. During a follow-up period of about five years, study participants on a Mediterranean diet that emphasized either olive oil or nuts had a 30 percent greater reduction in relative risk of a heart attack, stroke or death from cardiovascular disease, said study lead author Dr.
While the Mediterranean diet discourages eating red meats, it does allow for some white meat. There is nothing difficult about following this program which means it can work for you whether at home or at a restaurant. New HIIT Study — Less Time, Same ResultsHigh intensity interval training (HIIT) is also sometimes referred to as sprint or intermittent training. The National College of Natural Medicine in Portland, Oregon is teaming up with a local hospital to study the effects of the low-carb high-fat ketogenic diet on Parkinson’s patients. The ketogenic diet was originally developed at John Hopkins Hospital in the 1930s as a diet-based cure for epilepsy and seizures in children, where pharmaceutical drugs did not work. The Portland Business Journal is reporting that Legacy Health and the National College of Natural Medicine are recruiting 12 participants with Parkinson’s with a goal of starting the 12-week trial in early January. Diet Pills Cartoons and ComicsDiet Pills cartoon 1 of 74Dislike this cartoon?'I tell ya, that was sheer genius getting those flimsy chairs for the waiting area!
While many diet pills suppress the appetite, a couple of choices can, in effect, attack fat in your food and stop it from being digested, according to the National Institute of Diabetes and Digestive and Kidney Diseases. When you eat meals containing fat and take a dose of orlistat, the drug releases a lipase inhibitor that blocks fat from being digested. If you want a stronger boost to your weight loss efforts and do not have serious health problems, ask your doctor for the Xenical prescription version of orlistat.
You risk suffering from embarrassing bowel accidents if you do not use orlistat properly, warns the National Institute of Diabetes and Digestive and Kidney Diseases. Circulating fatty acids in the body have a negative feedback effect through IRS-1 on the muscle. Is the increase in Type 1 Childhood Diabetes related to a maternal or infant exposure to high levels of Fructose and Polyunsaturated Oils? Theoretically if the chronic inflammatory state can be reduced before complete insulin resistance and the requirement for an injectable insulin, there may be a potential to reduce the incidence of diabetes with a combination of removal of fructose and polyunsaturated oils out of the diet and with a reduction of weight. The consumption of Sugar and Polyunsaturated Seed Oils combine in our diet to create inflammation in every blood vessel wall and in every tissue in every organ of the body. We have previously studied the economic cost of managing the well diabetic patient in 2011. A complete change of our dietary intake away from fructose and polyunsaturated loads seems to be a reasonable option to consider.  However, are we ready to make the big shift as a society? It may be worth considering a Low and Complex Carbohydrate diet in the control of Type 1 and 2 Diabetes and in the avoidance of Type 2 Diabetes.
Most people think that Diabetes is a condition where the body has trouble controlling sugar and how it affects the blood sugar level. Most people do not realise that sugar is just one form of carbohydrate and that all of the carbohydrate will affect blood glucose levels fairly rapidly.
These rapid responses and insulin spikes are probably accounting for the insulin resistance that is on the increase across the community. Most dietary advice for Diabetic patients is to maintain a regular amount of food coming in during the day and they encourage carbs in the form of breads, grains and fruit – all off that damn ‘food pyramid’.
The problem of medical control in Diabetes is  setting the level of medication to control the carbohydrate load. I have been encouraging patients down this path and seen some remarkable turn arounds in their overall Diabetic control. I had one patient in hospital recently with poorly controlled Diabetes and we halved her Insulin requirement just by me taking her fruit bowl away. This week’s Health Report on the ABC highlights one doctor’s personal journey and revelation of adopting a Low and Complex Carbohydrate diet in his Type 1 Diabetic management. It is not a matter of just switching over to this, particularly if you have fragile control. At a tissue level our cells require glucose for their energy metabolism – not sugar or sucrose or carbohydrate or fat or protein. So if you want some carbohydrate go with the grains, brown rice, vegetables and particularly the green leafy ones.
Pennie presented the latest results of the CSIRO’s 2 year study of very low carb versus ‘traditional guideline’ high carb dietary management. The study results build upon exactly what I have been advocating for the last few years, based on international literature. The CSIRO work is solid and is now being expanded out into the next phase as a community trial. I keep coming back to this topic as I think it is the future of Diabetes management – both type 1 and type 2. Our bodies will metabolise a baseline amount of glucose from all foods including protein and fat and from our fat stores. When we take in sugar (glucose and fructose) and carbohydrate (essentially glucose), then that pushes up the blood glucose level and it is then that we produce insulin to start storing the excess. The Type 2 Diabetics are resistant to the effects of insulin so need bigger doses of insulin or other drugs to move it out of the bloodstream.
This is the first Diabetes Group that I have found that openly discuss the LOW CARB option and recommend it.

It has more than a 100000 members and guess what – it is not run by government agencies or the food industry. The diet recommended by the American Diabetes Association (and our Australian Dietitians Association) of a medium carbohydrate, low fat, calorie-restricted, carbohydrate counting diet failed in comparison to a diet of nutritional ketosis with educational support. The simplest way to manage that is to restrict the glucose load and that simply comes down to restricting sugar and carbohydrates (which are predominantly just glucose). The very low carbohydrate, high fat and NON CALORIE RESTRICTED group lost more weight with better blood glucose control and a reduced need for medication – all in 3 months.
EVERY diabetic patient I know that reduces their carbohydrate content in a controlled manner has an improvement. The massive glucose load of sugar and carbohydrate combined with low grade inflammation over a long term puts the pancreas in a state of exhaustion.
Type II Diabetes Mellitus is an insulin resistance at a tissue level.  There are a variety of tissue effects as a result of chronic Fructose load. This can happen because of high levels of free fatty acid affecting circulating triglycerides. A chronic ATP depletion as a result of phosphorylation of Fructose creates a uric acid load. The hyperuricemia also results in an inhibition of endothelial nitric oxide which has a vasoconstrictive effect on tissue.
The increase in the amount of circulating fatty acids in the body and the negative feedback effect through IRS-1 on the muscle itself inhibits the effect of insulin upon muscle and its absorption of glucose. Insulin receptor substrate 1 plays a key role in transmitting signals from the insulin and insulin-like growth factor-1 (IGF-1) receptors to intracellular pathways. Uric acid has been implicated in having a direct effect on the adipocyte (fat cell).  It creates a combination of oxidative stress and inflammation within the tissue itself.
There is an increased amount of polyunsaturated oils within subcutaneous fat over the last 50 years. Three hundred and sixty-three overweight and obese participants were recruited from the Al-Shaab Clinic for a 24-wk diet intervention trial; 102 of them had type 2 diabetes. This study shows the beneficial effects of a ketogenic diet over the conventional LCD in obese diabetic subjects.
Beneficial effect of low carbohydrate in low calorie diets on visceral fat reduction in type 2 diabetic patients with obesity.
Center of Diabetes, Endocrine and Metabolism, Sakura Hospital, School of Medicine, Toho University, 564-1 Shimoshizu, Sakura-City, Chiba 285-0841, Japan.
The adequate composition of carbohydrate and fat in low calorie diets for type 2 diabetes mellitus patients with obesity is not fully established.
Accumulating evidence suggests that low–carbohydrate, high-fat diets are safe and effective to reduce glycemia in diabetic patients without producing significant cardiovascular risks.
1 Division of Diabetes and Endocrinology, Department of Internal Medicine, Jikei University School of Medicine , Tokyo, Japan . Or perhaps the Baby-Boomers are just reverting back to what worked for them back in their hippie days. This is less about a ‘diet’ and more of simply a healthy way of eating — that just happens to help in the battle of the bulge! It is a type of exercise that combines intense anaerobic activity with less intense recovery. In recent years the strict diet has been studied for many other neurological diseases, as well as cancer. If you are tired of even low-fat foods adding unwanted weight to your body, you might consider trying the over-the-counter or prescription lipase inhibitor orlistat.
Alli consists of 60 mg of orlistat; the drug is not suitable for pregnant women, nursing women, people with serious medical problems or anyone under the age of 18. If you eat high-fat meals while taking orlistat, you are much more likely to experience uncontrollable bowel movements, gas that leaves oily spotting on your underwear, rectal pain and stomach pain. We will effectively be spending the entire Australian health budget within 20 years just managing the well diabetic without complicating features.  This is clearly unsustainable and a significant shift in society’s approach to health is going to be required. That is why the refined flours, breads, pasta, white rice, potatoes and other starches can cause a rapid rise in blood glucose and a spike in Insulin response. Our sugar intake is a huge part of this and the Fructose compounds the problem along a different pathway to the carbohydrate.
You are then encouraged to take medication and in particular Insulin to match your carbohydrate and sugar load. All Diabetic patients know to avoid high amounts of sugar unless they are having a hypoglycaemic event.
The simpler the carbohydrate the more rapid is the absorption across the gut wall and into the bloodstream. Low carb gave significantly better results in blood glucose control and cardiovascular risk factors. Our Dietitians and Diabetes Nurse Educator at the Nutrition for Life Centre had the opportunity to liaise on the mutual ground and we hope to do some collaborative work with her. These people will help inform more and more people that there is an option in diet and lifestyle. Our hospital services have to reflect the current research and cannot continue to ignore it, let alone call it a fad diet. I know that within seconds critics of this concept will tell me we need to have sugar and carbohydrate in our diet.
When it becomes ineffective then the long term complicaions of raised blood glucose catch up. During the epidemics of obesity and type 2 diabetes, caloric increases have been due almost entirely to increased carbohydrate.

Although weight loss is not required for benefit, no dietary intervention is better than carbohydrate restriction for weight loss. Adherence to low-carbohydrate diets in people with type 2 diabetes is at least as good as adherence to any other dietary interventions and is frequently significantly better. Plasma saturated fatty acids are controlled by dietary carbohydrate more than by dietary lipids.
The best predictor of microvascular and, to a lesser extent, macro-vascular complications in patients with type 2 diabetes, is glycemic control (HbA1c).
Dietary carbohydrate restriction is the most effective method (other than starvation) of reducing serum triglycerides and increasing high-density lipoprotein (HDL).
Patients with type 2 diabetes on carbohydrate-restricted diets reduce and frequently eliminate medication. Intensive glucose lowering by dietary carbohydrate restriction has no side effects comparable to the effects of intensive pharmacologic. This has a nitric oxide vasoconstriction on tissue as well as increasing oxidative stress within tissue.  The overall effect over time is that of insulin resistance. Previous studies from our laboratory have shown the beneficial effects of a low–carbohydrate ketogenic diet (LCKD) in patients with type 2 diabetes after its long term administration. Interestingly, these changes were more significant in subjects who were on the LCKD as compared with those on the LCD. The aim of this study was to investigate the effects of low carbohydrate diet on glucose and lipid metabolism, especially on visceral fat accumulation, and comparing that of a high carbohydrate diet. Most of these studies have been carried out specifically restricting carbohydrates, which tends to lead to increased protein intake, thus reducing the ketosis. Patients and Methods: The study included 10 type 2 diabetes patients requiring insulin therapy who were being tube-fed with a high-carbohydrate liquid diet (HCD). Typically HIIT alternates the two activities for 4 or more times and also includes a warm-up and cool-down. The material provided on this site is for informational purposes only and is not intended as a substitute for advice from your physician or other health care professional. But orlistat does not give you a license to eat fatty foods all of the time; the risk of unpleasant side effects rises if you eat meals with more than 15 g of fat.
If you take Alli, exercise and eat low-fat meals, you will probably lose 3 to 5 lbs more each year than you would have with just dietary changes and increased exercise. Also, some orlistat users alleged that the drug caused serious liver injuries; if you become jaundiced or pass light-colored stools or dark-colored urine, you should seek immediate medical attention. Grains and brown rice have more fibre within them and have a slower absorption profile across the gut. Dietary carbohydrate restriction has the greatest effect on decreasing blood glucose levels.
Furthermore, it favorably alters the cardiac risk factors even in hyperlipidemic obese subjects. Body weight, body mass index, changes in waist circumference, blood glucose level, changes in hemoglobin and glycosylated hemoglobin, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, uric acid, urea and creatinine were determined before and at 4, 8, 12, 16, 20, and 24 wk after the administration of the LCD or LCKD. However, diets that limit protein as well as carbohydrates, entailing a composition very high in fat, appear even more effective to reduce glucose and whole-body glucose metabolism in humans.
With stable glucose control maintained, these patients were monitored for glucose levels for 4 consecutive days by using continuous glucose monitoring (CGM). While some of these diets work for a select group of people, it can seem to have the opposite effect for others. Problem is, there are some folks who simply cannot give up meat in order to convert to a vegetarian diet.
You can safely use orlistat for up to two years, according to the National Institute of Diabetes and Digestive and Kidney Diseases. These studies have indicated that, in addition to decreasing body weight and improving glycemia, LCKD can be effective in decreasing antidiabetic medication dosage.
The initial dose of some antidiabetic medications was decreased to half and some were discontinued at the beginning of the dietary program in the LCKD group.
In animal models, low–carbohydrate, high-protein diets do not produce ketosis or reduce glycemia but rather cause obesity. Similar to the LCKD, the conventional low-calorie, high nutritional value diet is also used for weight loss. However, limiting both protein and carbohydrates as in a classic ketogenic diet remarkably reduces blood glucose in animal models of type 1 and type 2 diabetes and reverses diabetic nephropathy. The purpose of this study was to understand the beneficial effects of LCKD compared with the low-calorie diet (LCD) in improving glycemia. Total serum cholesterol and triglyceride levels decreased in both groups, but were not significantly different from each other.
Future studies should assess if ketogenic diets would be effective to reverse diabetic complications in humans. Insulin regimens used included basal-bolus insulin in five of these seven patients and intermediate-acting insulin in two patients. Additionally, despite the significant decrease in required insulin dose, the hemoglobin A1c (HbA1c) values were significantly decreased 3 months after switching.

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