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Facts about glucose meters and their errors
Glucose meters and other diabetes supplies are now helping
people all around the world. If you don't know, diabetes is
nowadays the sixth cause of death in the U.S. Over 18 million
people in the U.S. have diabetes. This is 6% of the...
Gum Disease Prevention With Raisins
For those of us with a sweet tooth, there is good news on the dental front. Despite the fact that raisins are sweet and sticky, scientists at the University of Illinois in Chicago have found them to contain compounds that prevent tooth decay and...
Millions Of People Are Dying With Tension – Medicine Free Solution
Tension is crushing millions of people to death every year. Most of the people are dying in developed countries. Various researches all over the world have proved that severe tension generates scores of serious diseases like heart-trouble,...
Monitoring BMI In Children Today Could Lead To Better Health
In a new study published by the American Heart Association, it is suggested that infants who gain weight rapidly during their first week may be more likely to have weight problems later in life. This study has led to a recommendation to monitor Body...
New, Easy Diabetes Safety Lancets
Stat Medical Hardware, Inc (SMD) was founded in 1988 and is a leader in developing and distributing innovative medical devices. Their emphasis is on lancets, lancing devices and clinical, capillary blood sampling devices.
The Stat-Let Auto Lancets...
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The risk of ischemic heart disease with low-fat, high-carbohydrate diets
There is convincing scientific evidence that type of fat have a more important role in determining the risk of coronary heart disease(CHD) than total amount of fat in the diet.(1) However, because of misleading presentation of epidemiological data by some authors(1), the readers might be left with the impression that low-fat, high- carbohydrate diet is the best option for patients with CHD risk.
In fact, high- carbohydrate diets, in the absence of weight loss, can lead to both elevated triglyceride and reduced HDL cholesterol, effects that may be associated with increased risk for CHD.(2) Although these effects may be lessened with dietary fiber and moderate physical activity, they appear to be worse among individuals with insulin resistance.(3)
As reviewed by Kris-Etherton(4) adverse metabolic effects of low fat diet do not occur with substitution of monounsaturated (MUFA) or polyunsaturated (PUFA) fatty acids for saturated and trans-fatty acids. This is also the case for individuals with diabetes, with the added benefit of better glycaemic control.(5)
As predicted by metabolic studies, replacement of saturated fat, and even more so trans fatty acids with either PUFA or MUFA was associated with a larger reduction in risk of CHD than simple reduction of total fat consumption.(6) With respect to weight control, a moderate-fat diet can
be as, or even more, effective that lower-fat diet. (6)
References
1. Hu FB, Manson JE, Willet WC. Types of dietary fat and risk of coronary heart disease: a critical review. J Am Coll Nutr 2001;20:5-19.
2. Fung MA, Frohlich JJ. Common problems in the management of hypertriglyceridemia. CMAJ 2002;167:1261-6.
3. Jeppesen J, Schaaf P, Jones G, Zhou MY, Chen YD, Reaven GM. Effects of low-fat, high-carbohydrate diets on risk factors for ischemic heart disease in postmenopausal women. Am J Clin Nutr 1997;65:1027-33.
4. Kris-Etherton PM, Kris-Etherton PM, Binkoski AE, Zhao G, Coval SM, Clemmer KF, et al. Dietary fat: assessing the evidence in support of a moderate-fat diet; the benchmark based on lipoprotein metabolism. Proc Nutr Soc 2002;61:287-98.
5. Rivellese AA, De Natale C, Lilli S. Type of dietary fat and insulin resistance. Ann N Y Acad Sci 2002;967:329-35.
6. Krauss RM, Eckel RH, Howard B, Appel LJ, Daniels SR, Deckelbaum RJ et al. AHA Dietary Guidelines: revision 2000: A statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation. 2000;102:2284-99.
About the author:
Dr. Michal R. Pijak is a consultant in rheumatology, allergy and clinical immunology at the University Hospital in Bratislava, Slovakia
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