General Wellness

American College of Physicians Issues New Diabetes Guidelines We Can Support

Andrew Chuma No Comments

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Begin forwarded message:

From: Physicians Committee Breaking Medical News <info>

Subject: American College of Physicians Issues New Diabetes Guidelines We Can Support

Date: May 12, 2018 at 1:02:01 PM EDT

To: Andrew Chuma <achuma>

Reply-To: Physicians Committee Breaking Medical News <info>

The American College of Physicians (ACP) published a new target hemoglobin A1c for people with type 2 diabetes, raising the recommended level for most patients to a range of between 7 percent and 8 percent.

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American College of Physicians Issues New Diabetes Guidelines We Can Support

The American College of Physicians (ACP) published a new target hemoglobin A1c for people with type 2 diabetes, raising the recommended level for most patients to a range of between 7 percent and 8 percent. Hemoglobin A1c levels below 7 percent do not reduce rates of heart disease, stroke, or premature death and are associated with substantial harms to patients related to treatment burdens and risk of severe hypoglycemia. ACP also recommends that clinicians prescribe pharmacologic therapy only for symptom control for patients with a life expectancy of less than 10 years and β€œde-intensify” medications for patients of any age who achieve an A1c below 6.5 percent.

Some clinicians may conclude that tight diabetes control is not as important as previously understood. However, the harmful effects and lack of benefits of tight control only occur when lower A1c is achieved with medication.

Research shows that plant-based dietary patterns prevent diabetes, reduce insulin resistance, improve beta cell function, and improve blood glucose levels. Plant-based foods provide important nutrients that lower blood pressure, improve cholesterol levels, and protect against heart disease, stroke, and certain cancers more effectively than medications.

diabetes-diet-guidelines.jpg

Qaseem A, Wilt TJ, Kansagara D, et al. Hemoglobin A1c Targets for Glycemic Control With Pharmacologic Therapy for Nonpregnant Adults With Type 2 Diabetes Mellitus: A Guidance Statement Update From the American College of Physicians. Ann Intern Med. 2018;168:569-576.

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Walnuts Seem Like a Good Choice for Weight Control. Here’s Why. | humanOS.me

Andrew Chuma No Comments

Walnuts are a dietary paradox – or at least they appear that way. As you probably know, walnuts are very calorically dense, mainly because of their fat content. Just one ounce of walnuts – that is about 12-14 halves – contains 185 calories. If you’ve ever tracked your food intake, you know that sort of thing can add up very quickly, especially if you’re just grabbing handfuls and not measuring. But if we take a look at the literature, we plainly see that people who eat nuts are actually less likely to gain weight, and long term consumption of nuts is associated with reduced risk of obesity. So why are nuts such an outlier? Some have pointed to inefficient energy absorption. But other studies of nuts suggest another mechanism may be at play. Research suggests that when people eat nuts, they wind up compensating for most of the calories by eating less of other foods – without even trying. Researchers affiliated with Beth Israel Deaconess Medical Center decided to look inside the brain to figure out what exactly was going on here. They compared people who ate a walnut-based smoothie to counterparts consuming a placebo smoothie, and the results are revealing. Check out the blog to find out what they discovered!
β€” Read on blog.humanos.me/walnuts-seem-like-a-good-choice-for-weight-control-heres-why/

The key to consuming healthy nuts and seeds (there is no question of the health benefits) is being able to control how much of them we eat. Snacking on unsalted nuts is certainly better than chips or other junk food, but the fat does add up.

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