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Diabetes Awareness: There's No Substitue for Good Friends
Was there a time when you relished the idea of giving dinner parties? What a great opportunity to bond with old friends, try out a few new recipes, and find a reason to clean up the house! Has diabetes robbed you of the enjoyable events...
Press Release
Prestigious Doctor Joins Comprehensive Alternative Medicine Center
LifeWorks Wellness Center announces the addition of Dr. Dean Silver, a board certified specialist in internal medicine and cardiology who will be a new doctor on the LifeWorks medical team. Adding Dr. Silver’s...
Stigma: Building Awareness And Understanding About Mental Illness
Mental illness can strike anyone! It knows no age limits,
economic status, race, creed or color. During the course of a
year, more than 54 million Americans are affected by one or more
mental disorders.
Medical science has made incredible...
The Wonderful Benefits of the Mediterranean Diet
The Mediterranean Diet is now recognized as one of the healthiest in the world consisting as it does of large amounts of fresh fruit and vegetables, salads,nuts,seeds, omega-3 rich oily fish, olives and olive oil and being comparitively low in dairy...
Why You Need To Detoxify Your Body
Open the Doors to Healing & Rejuvination
Why You Need To Detoxify Your Body
Our society foolishly prizes itself upon eating a high protein,
meat-based diet; excessive consumption of dairy products;
refined grains (rich in gluten that...
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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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| American Diabetes Association Home Page |
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| Canadian Diabetes Association |
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| Diabetes News - The New York Times |
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