In this issue:

  Eat Your Yogurt!  
Obesity and Dementia
           
  Dark Chocolate   Morbid Obesity and Cost
           
  The Joslin Diabetes Center New Nutritional Guidelines  
The Atkins Diet
           
  Alternate Glucose Test Site   Dr. Litvin's Blogs
 

 

Welcome! You may find this topical newsletter of great value in managing your diabetes. This issue contains a “hodge-podge” of topics gleaned from the varied sources which happen to cross my desk. Please use this information to your benefit, feel free to share with others, and let me know what you think!

Sincerely,
Yair Litvin, MD

 

Eat Your Yogurt!

Substituting plain yogurt for other foods has been shown to augment fat loss and particularly reduce “central adiposity”. 34 obese individuals placed on a balanced diet and receiving yogurt containing 1100 milligrams of calcium daily were compared to a control group receiving only 400-500 milligram of calcium but same calories, showed a significant fat loss from the trunk. It is unclear if the dietary calcium is to be given credit, or something else in the yogurt, but no doubt that this is a bonanza for obese post-menopausal women who could both gain calcium for their bones and lose fat from their stomachs with plain-old yogurt. Give it a try.

 

 

Dark Chocolate

Dark as opposed to white chocolate seems to have a beneficial effect on blood vessels of healthy individuals. Volunteers were given either white or dark chocolate for 15 days and oral glucose tolerance tests along with blood pressure measurements were performed after each period. The chocolates were switched so as to test each group with the two types of chocolates, and in both groups the dark chocolate showed an improvement in both insulin sensitivity (glucose levels were lower), and in systolic blood pressure. I don’t know what it is, but dark seems to be better for you!

 


The Joslin Diabetes Center New Nutritional Guidelines

This renowned center has recently formulated the following guidelines for diabetics with type 2.

• 40% of daily calories should come from carbohydrates, but not more than 130 grams.

• 30%-35% of calories should come from fat – most should be from mono- and polyunsaturated fats such as olive oil, canola oil, nuts, seeds and fish.

• 20%-30% of total daily calories should come from protein.

• Weight loss of one pound every 1-2 weeks is advised. Total daily calories should not be less than 1,000-1,200 for women and 1,200-1,600 for men.

• A minimum of 150-175 minutes of weekly exercise is recommended, with a target of 60-90 minutes daily encouraged.

 

 

Alternate Glucose Test Site

The FDA has approved the Advance Micro-Draw, Hypoguard system for obtaining blood samples from the palm in addition to the fingers. More information can be found at their site: www.hypoguard.com.

 

Obesity and Dementia

According to a study from the Kaiser Permanente in California, middle-aged obese or overweight people are at much higher risk for dementia later in life than normal weight people. Percentage-wise this is quite dramatic, and should be heeded as another incentive to maintain normal body weight at all times!


Morbid Obesity and Cost

Morbid obesity –body mass index greater that 40- accounts for double the health care costs compared with normal weight individuals. Morbidly obese individuals make up less than 3% of the US adult population, but account for more than 10% of all of health care spending in this country, according to a lead investigator from the university of Cincinnati.

 

 

The Atkins Diet

A recent article in The Annals of Internal Medicine by the investigator Guenther Boden from Temple University in Philadelphia claims that people on the Atkins diet lose weight simply because they eat less calories, and not because they abstain from carbohydrates. “Once carbs are taken away, people spontaneously cut down their food intake”. Contrary to common belief, this investigator did not find an elevation in lipids in individuals on the Atkins diet. Bottom line, carbs probably play an important role in fueling our appetite, possibly by stimulating insulin production.

 

 

Dr. Litvin's Blogs

If you haven't had the pleasure of browsing through Dr. Litvin's blogs, you're in for a real treat. Dr. Litvin provides us with his commentary on diabetes and diabetes in the news. The following are some of the Blogs Dr. Litvin has recently written:

 

 

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