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ACCU-CHEK® Multiclix Lancet Device - Diabetes Testing
Now you can reduce the pain and inconvenience of testing. Unlike conventional lancing systems, the ACCU-CHEK Multiclix lancet device is the only 1 with a six-lancet drum. That means you can have the least amount of painful testing with less hassle...
Obesity can Ruin a Man's Sexual Desire
Obesity can hamper male sexuality. It can
ruin an individual's sense of well being as well their sexual
performance. When people lose their energy to remain active
through out the day, their life undergoes a drastic change.
Obese men get lazy,...
pH Balance and Digestive Disorders: Breaking the Vicious Circle
If you suffer from acid indigestion or acid reflux, chances
are your body is unable to rid itself of toxic substances. A
high acid level in your upper digestive tract is an
indication that acid levels are high elsewhere in your body
too. In a...
Preventing Childhood Obesity: What Parents Can Do
(ARA) - Obesity is now an epidemic in the United States. Over the last two decades, obesity rates in adults have doubled, and in school-age children and adolescents they have tripled according to the American Dietetic Association. One child in...
Regaining Manhood through Cialis
“He to command and she to obey, he for the sword and for the needle she”
Man can sustain anything except for a blot on his manliness, its one thing where he can not compromise. A question raised on manliness shatters his self esteem and leaves...
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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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| children with DIABETES Online Community |
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| www.childrenwithdiabetes.com |
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