Thursday, May 29, 2008 at the time that the type 2 diabetes rate continuesfor bad eating habits and lack of physical activity.Until now the recipe has been somewhat simple: lose weight if it suffers overweight and exercise more.Easy?Of course not.
According to a note published by The New York Times, experts have not yet found an infallible approach that helps people lose weight, and dietary recommendations to prevent or reduce the effects of diabetes have often been contradictory and confusing.
Almost 30 years after the American Association for Diabetes (ADA) recommended a low fat diet and carbohydrates to control diabetes- contradicting the focus of a high diet in fat and low in carbohydrates of carbohydrates ofPrevious decades- there is still controversy over the quantity and type of carbohydrates that must be consumed.
Much of the debate is focused on the glycemic index (IG), classification that serves to determine how carbohydrate foods affect the blood sugar level and if these effects have an important role in the progress of type diabetes2. It is known that foods with a high glycemic index- such as soft drinks, cake and white rice- raise blood sugar after consumption.On the other hand, foods with a low glycemic index- such as broccoli, lettuce, wild rice and grains- are digested more slowly and, therefore, maintain the most stable sugar level.
However, the ADA decided that patients should not determine the consumption of their food according to the glycemic index."Although it is clear that carbohydrates have different glycemic responses," says their statement, "the information we have does not reveal a clear trend in benefits."
That is a mistake, said Dr. David Ludwig, endocrinologist at Children's Boston Hospital and deputy professor at Harvard Medical School."Foods with a high glycemic index, such as refined grains, increase the level of blood sugar two or three times more than unprocessed foods with a low glycemic index," he said.
"If food is being consumed with a high glycemic index food after food, Botana after Botana, days after day, the system will be affected and will produce insulin," said Dr. Ludwig."If your system already has a genetic predisposition, these blood sugar changes could make a difference between being healthy or developing type 2 diabetes."
Dr. Ludwig cited a study in which he fed rats with food whose glycemic index was high.Rats lost muscle mass, accumulated fat and began to lose the ability to control blood sugar.The doctor suspects that the same happens with people.
However, so far the evidence of studies conducted with humans have been unintentionally.
In a recent study carried out in Canada, no differences in blood sugar control were registered among 162 volunteers who submitted for three different diets for a year: a carbohydrate decline, a carbohydrate high and with food whose indexGlucémica was low, and another with food with a high glycemic index.Fasting glucose- tests widely used to monitor the risk of diabetes- increased in the group of those who consumed food with a low glycemic index.
"The idea that the glycemic index matters makes sense intuitive," said Dr. John M. Miles, an expert in diabetes of the Mayo Clinic."A lotPeople have the impression that it is, but we have no evidence. "
Dr. Xavier Pi-Sunyer, endocrinologist and diabetes expert at St Luke's-Rosevelt hospital in New York, agrees.If we take into account recent findings "It seems to be reckless to advise patients with type 2 diabetes who try to adjust their diet according to the glycemic indexes of food," he wrote in a recent analysis.
However, Dr. Thomas Wolever, a researcher at the University of Toronto who directed the Canadian study, said that those who consumed food with a low glycemic index showed improvement in blood sugar control after their meals, which could be a measureof glucose more important than the fasting glucose test.
They also registered a decrease in the levels of the C -reactive protein, an indication of inflammation that is also related to the risk of diabetes.(Translation: Gabriela Cornejo)
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Hi Owash: Analyze the message posted a few days ago of The New York Times to see the mistakes made by the famous Ada (American Diabetes Association) that for many is the maximum authority in the management of diabetes and for what you tell me toofor you.30 years of error in feeding with adverse effects to patients by inadequate therapeutic guides.If not then because diabetes 2 has not decreased?
Prado wrote to me that she follows a system of surveillance of her carbohydrates by adapting the dose of insulin and also comments that her college and T.A.It has it in normal limits.That is why I mention it and that she does have a nutritional regime.
But we go in parts the ATKINS diet is not useless but is contraindicated for problems such as diabetes because it remembers that it causes metabolical ketosis with the effects I suppose you know;I have never talked about proposing this because you and I know that it is useless as you mention although then you tell me that caborates increase blood glucose;A diet without carbohydrates increase molecular weight for elimination due to protein overload at renal level or not?
If you check on carbohydrate pathophysiology in the face of the decrease or absence of insulin you will see the effect it causes on intravascular cholesterol deposits and as a consequence modifications in T.A.and problem associated with diabetes especially type 2. Or then how does the patient not controlled properly controlled or peripheral vascular insufficiency that lead to gangrene and limb amputations?It is important to avoid vascular damage to the diabetic patient because unfortunately they are irreversible injuries.
From the comment of type 2 you are confused, I tell you that adults can acquire type 1 diabetes that become 2 to 1 but that while without diabetes they can suffer any of those sufferings and without being diabetics 2 as a consequence it acquires type 1 diabetes, notthat pass from 2 to 1.
Indeed, as you tell me the type 2 with diet restrictions (you mention it) you require tares, but explain why.Because having a "diet" are not going to balance its operation and or will present hyperglycemia with the presence of metabolical ketoacidosis.but death by severe hypoglycemia or coma for also severe hyperglycemia.
Indeed in the other paragraph the 2 with a diet and not for what will require insulin but do you know why?Well, by the vascular dam where you mention that cholesterol and T.A.Well, simply the lack of vascularization leads to injuries as you can tell you irreversible and will require insulin;It is not easier to prevent that vascular damage when attending lipid levels with aadequate nutritional regime?
Probably as you told me that I wanted to sell a product of a company that was supposedly associated, it makes me think that you are part of a company that markets insulin because you tell me that laboratories have realized that decades pass with higher hemoglobinsto 7.
And you also comment that a type 2 can arrive 5-10 years with the disease in full development and the endocrine want to "inzulilnzar" to control the enfe himself and that in Spain the newly diagnosed have some type of complication secondary to DM.
This is the only thing that demonstrates - you say it - is the deficiency in the management of the diabetic patient not only in Spain but throughout the world as noted by the report that I did not write it.Ada has failed to handle.So should we continue with errors just because another says?And continue injuring the body of these patients.
It seeks that country or place in the world has decreased the appearance of cases of type 2 despite both studies and your serious flames of Advance or UKPDS, or the one you like and if they work because they have not used them for the benefit of these patients and inPrevent of those who have risk (type2) to reduce the appearance of new cases?
Non -theory results that only keep the patient in the error should be sought by the lack of knowledge or prevension of the condition (type2).
I consider that you see something related not only to the glycemic index but also to the facin for the nutritional management of the diabetic patient and foregoing in those with risk of type 2.
My interest already told them is not commercial but on the contrary help people with this condition, look you can be the leader and help diabetics
If you complain that the Spanish doctors have no idea of the forecast and treatment of diabetes, then because they do not go with the Ministry of Health or with their Fderaction of Diabetes to request medical attention with demonstrable results but do something not only you complain andFollow in the same position waiting for complications or with theories that do not work and if much blah blah blah.
I wrote to them because if I personally worked and my patients also want to share it with those who have this condition without any other interest to demonstrate that a nutritional regime with facin (conversion factor "in vivo: of nutrients) can prevent theType 2 and maintain figures within physiological limits in 1 and 2.
Life is of the results not of complaints or theories.
Greetings
JESUS SOLIS
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