Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Friday, March 2, 2012

sitting around and diabetes

I have had stuff up here before about the dangers of being too sedentary.  Here is a new one about its link to diabetes

Diabetes Risk from Sitting Around

 "This study provides important new evidence that higher levels of sitting time have a deleterious impact on insulin resistance and chronic low-grade inflammation in women but not men and that this effect is seen regardless of how much exercise is undertaken. This suggests that women who meet the national recommendations of 30 minutes of exercise a day may still be compromising their health if they are seated for the rest of the day.

Thursday, December 30, 2010

Dairy again - milk fat and diabetes

The controversy around milk still continues in my mind.  I can see the standard paleo arguments against, but the chemistry is a bit more complex.  Studies keep popping up about the health benefits of milk fat (I long  ago gave up any idea that saturated fat was unhealthy).

Here is another:

 a fatty acid in milk fat is associated with a substantially lower risk of type 2 insulin resistant diabetes.

The excellent Future Pundit blog has a good write up.

Tuesday, October 13, 2009

Low Carb diets and diabetes

Research is catching up with what people like Bernstein have been saying for years....

Therapeutic role of low-carbohydrate ketogenic diet in diabetes.

INTRODUCTION: Changes in dietary habits influence the glycemic level. Preliminary studies using the low-carbohydrate ketogenic diet (LCKD) were found to be quite promising in controlling diabetes mellitus. Therefore, the objectives of this study are to investigate the therapeutic effects of LCKD in experimental diabetic rats following the administration of streptozotocin (STZ).
MATERIALS AND METHODS: Adult rats were divided into three groups: normal diet, LCKD, and high-carbohydrate diet. Each group was subdivided into normal, sham, and diabetic groups. Diabetes was induced by a single intraperitoneal injection of STZ (55mg/kg). Specific diets were given to each group of animals for a period of 8 wk and then the animals were sacrificed. The rats were monitored daily for food and water intake, whereas body weight, urine output, and blood glucose levels were monitored weekly. The histology of the islets of Langerhans was studied by histochemical methods.
RESULTS: The results showed that LCKD was effective in bringing blood glucose level close to normal (P<0.01). Food and water intake and urine output were increased in all groups except the LCKD group (P<0.01). The body weight was significantly reduced in all diabetic animals except in the LCKD group (P<0.01). Histologic studies showed significant decrease in the islet size and number of beta cells in all the diabetic groups.
CONCLUSION: This study indicates that LCKD has a significant beneficial effect in ameliorating the diabetic state and helping to stabilize hyperglycemia.

Sunday, August 30, 2009

Paleo Diet Cures Diabetes....


I just came across this fascinating blog

It is from Michelle:

On May 16, 2008 I was diagnosed with type 1 diabetes at age 20. I had all the classic symptoms of thirst and weight loss, tested positive for all the autoantibodies and had an AlC of 14%.

On January 8, 2009 I eliminated grain, dairy, and legumes from my diet and the results have been remarkable. Only after a few weeks my insulin needs dropped dramatically and after six months on the diet I quit taking insulin altogether.

Fascinating stuff - effectively she claims to have cured her Type 1 diabetes by eliminating grains, dairy and beans.....

Monday, March 30, 2009

schizophrenia and diabetes

An interesting story. ?Association or causation?

AUGUSTA, Ga. – People with schizophrenia are at increased risk for type 2 diabetes, Medical College of Georgia researchers have found.

In a study of 50 people newly-diagnosed with schizophrenia or a related psychotic disorder with no other known risk factors, 16 percent had either diabetes or an abnormal rate of glucose metabolism, says Dr. Brian Kirkpatrick, vice chair of the MCG Department of Psychiatry and Health Behavior. In a similar size control group of people without schizophrenia, none had signs of or had developed the disease.

People with diabetes cannot produce or properly use insulin, a hormone that converts glucose, starches and other food into energy.

Wednesday, January 28, 2009

Intervals don't take long...and can prevent diabetes?

Interval training. Periods of harder exercise separated by periods of rest or easy movement. I've written about it a lot on this blog. Over the last 10 years or so it has been touted at the panacea to all training problems. If you google "tabata" you find over 2 million pages. Admittedly lots of these are about Japanese people called Mr Tabata, but most are about the exercise protocol.

In some corners of the internet there has been a bit of a backlash recently, with people like Mark Twight and Rob Shaul noting that while intervals can do a lot to benefit aerobic capacity, if you want to go long, sometimes you will need to train long too. ( I point to some of the discussion here). There was even a study recently that I saw some people jump on to say that intervals were nothing special or at least that they had been over hyped.

Effect of High Intensity Interval Exercise on Lipid Oxidation during post exercise recovery

The scientists compared intervals with a steady state session with respect to the effect on the amount of fat burned after the exercise was concluded. There was no difference.



Be that as it may this new research caught my eye.


Short bursts of intense exercise every few days could dramatically cut the risk of Type 2 diabetes and heart disease, according to an expert.
Rather than slaving away for hours in the gym, people should focus their attention on quick "sprints" with each workout lasting just a few minutes.
James Timmons, Heriot-Watt University professor of exercise biology has studied the effects of quick exercise.
He recommends 4 x 30 second sprints on an exercise bike three times a week.
He said people could reduce their risk of diabetes and heart disease substantially with short, intense workouts - with such "time-efficient" exercising appealing to busy workers.

The research that is referred to is here and the full paper is avaiable too.

Extremely short duration high intensity training substantially improves insulin action in young sedentary males

Background
Classic, long duration aerobic exercise reduces cardiovascular and metabolic disease risk but this involves a substantial time commitment. Extremely low volume high-intensity interval training (HIT) has recently been shown to cause similar improvements to aerobic performance, but it has not been established whether HIT has the capacity to improve glycemic control.

Methods
Sixteen young men (age: 21+/-2 y; BMI: 23.7+/-3.1 kg * m-2; VO2peak: 48+/-9 ml * kg-1 * min-1) performed 2 weeks of supervised HIT comprising of a total of 15 min of exercise (6 sessions; 4-6 x 30-s cycle sprints per session). Aerobic performance (250-kJ self-paced cycling time trial), and glucose, insulin and NEFA responses to a 75-g oral glucose load (oral glucose tolerance test; OGTT) were determined before and after training.

Results
Following 2 weeks of HIT, the area under the plasma glucose, insulin and NEFA concentration-time curves were all reduced (12%, 37%, 26% respectively, all P<0.001). p="0.058)." style="font-weight: bold;">Conclusions
The efficacy of a high intensity exercise protocol, involving only ~250 kcal work each week, to substantially improve insulin action in young sedentary subjects is remarkable. We feel this novel time-efficient training paradigm can be used as a strategy to reduce metabolic risk factors in young and middle aged sedentary populations who otherwise would not adhere to a classic high volume, time consuming exercise regimes.


I think the conclusion there is a really important thing. Intervals have a profound effect metabolically, they can have a major effect on health but they do not take long: 4 x 30 secs with some rests between sees the session over in 7 minutes a week. It is hard to claim that you do not have the time to do this. Some people are put off exercise because of the perceived time commitment but they need to know that they can exercise in such a way that they can benefit their health without needing much time.

Maybe other training protocols can have a similar impact....but none are as time efficient. I'd also argue that intervals are more natural and playful, but that is a different discussion.

The researcher here explained how intense intervals can help:


"Think about diabetes as being glucose circulating in the blood rather than stored in the muscles where it should be.

"If we take out the glycogen from the muscles through exercise, then the muscles draw in that excess glucose from the blood."

"If you go for a jog or a run you oxidise glycogen but you are not depleting the glycogen in your muscles.

"The only way to get to this glycogen is through very intense contractions of the muscles.

"If we can get people in their 20s, 30s and 40s doing these exercises twice a week then it could have a very dramatic effect on the future prevalence of diabetes."



Maybe the tide is turning and rational exercise (and diet) will oen day be mainstream? The video is worth watching.

As usual the NHS is sceptical!


More here

.

Tuesday, April 29, 2008

I don't like fruit juice


Back in January I pointed out that the Guardian had a thought-provoking piece on fruit, saying that the current focus on fruit in the diet is not necessarily healthy: The myths of fruit

I was thinking of this reading Dr Briffa's latest post:
Study links fruit juice consumption with increased risk of diabetes

Thursday, April 10, 2008

Avoid fructose to avoid diabetes?

For a while now Barry Groves has had an article on his site about the dangers of fructose

There are many good reasons to avoid the fruit sugar, fructose, but all you need is one: type 2 diabetes. And even worse that fruit itself that ubiquitous additive to many processed foods — high fructose corn syrup.

A recent study highlighted diabetes and all the other key reasons why it's a healthy idea to avoid this truly awful component of processed foods and soft drinks.

I thought of his article when I saw this abstract that noted that:

Long-term exposure of normal rats to a fructose-enriched diet or drinking water is currently used as an animal model for experimental insulin resistance.

When scientists want to induce insulin resistance - a precursor to diabetes - they give rats lots of fructose. Scary. Barry Groves states: "Eat 5 portions of fruti and veg? Not if you want to avoid diabetes"

Tuesday, April 8, 2008

The positive effects of carbohydrate restriction

Regina Wilshire points to this new review article by a number of doctors who see a benefit to a low carbohydrate diet:

Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a critical appraisal

Full Text (pdf)

Abstract

Current nutritional approaches to metabolism syndrome and type 2 diabetes generally rely on reductions in dietary fat. The success of such approaches has been limited and therapy more generally relies on pharmacology. The argument is made that a re-evaluation of the role of carbohydrate restriction, the historical and intuitive approach to the problem, may provide an alternative and possibly superior dietary strategy. The rationale is based on the accepted idea that carbohydrate restriction improves glycemic control and reduces insulin fluctuations which are primary targets. Experiments are summarized showing that carbohydrate-restricted diets are at least as effective for weight loss as low-fat diets and that substitution of fat for carbohydrate is generally beneficial for risk of cardiovascular disease. These positive effects of carbohydrate restriction do not require weight loss. Finally, the point is re-iterated that carbohydrate restriction improves all of the features of metabolic syndrome.



As explained by Regina, these doctors are


all members of the Nutrition & Metabolism Society, an organization committed to "providing research, information and education in the application of fundamental science to nutrition. The Society is particularly dedicated to the incorporation of biochemical metabolism to problems of obesity, diabetes and cardiovascular disease.



Looking around the website for the N & M Society there is quite a lot of interesting information, including a section on Diet and Strength Training, that readers of this blog might find useful.

For example, there is a review article (pdf) indicating that a very low carbohydrate diet may be


protective against muscle protein catabolism during energy restriction, provided that it contains adequate amounts of protein.

Monday, March 17, 2008

Lazy post - Diabetes and Hunger.....(and carbs)

This is a lazy post, but Peter at Hyperlipid has put up an excellent piece:

Diabetes and Hunger


or....carbs make you hungry.


Carbs also make you sleepy as Brad Pillon pointed out recently: Why am I so tired?

I can't recall the last time bacon and eggs made me sleepy. But I know that anytime I have a big "sugar bomb" type of meal, I'm out like a light about 30 minutes after I'm done eating. At thanksgiving, its not the turkey that gets me, its the stuffing

Wednesday, March 12, 2008

My Big Fat Diet
















One of the readers of this blog - thanks Bob - pointed this out to me:

CBC Newsworld TV tomorrow night, (Tuesday 11 March) 10 pm ET and 10 pm PT "My Big Fat Diet"

This from the webpage:




Supersize Me meets Northern Exposure in My Big Fat Diet when a First Nations community off Vancouver Island gives up sugar and junk food, returning to a traditional style of eating for a year to fight obesity and diabetes. Together they'll lose over 1200 lbs and are now calling on other First Nations to take the weight loss challenge.

My Big Fat Diet chronicles how the Namgis First Nation follows a diet study led by Dr. Jay Wortman and sponsored by Health Canada and the University of British Columbia. Through the stories of six people, it documents a medical and cultural experiment that may be the first of its kind in North America.

Now I am in Scotland not Canada, so this being a show on CBS I put it on the back of the pile of things to think about. However, in a quiet moment today I had a look at the website of the programme and it is fascinating stuff!

The programme is a documentary about the application of a "paleo" diet to the natives of an island off Vancouver in Canada.


Like most aboriginal communities across North America, the rates of obesity, metabolic syndrome, and diabetes here are up to five times the national average.
No one's life is untouched by this problem, everyone is related to someone who is either at risk, or coping with one of these health issues. Mainstream medical professionals cite sedentary lifestyles and a diet rich in fat as the underlying reason for the growing epidemic.

But after two decades of service in public health and a distinguished career, Métis physician, Dr. Jay Wortman, believes that the western diet which replaced the traditional diet is the primary cause of the epidemic. "Obesity, diabetes and heart disease were unknown in these populations until very recently. No aboriginal language has a word for diabetes."

Wortman's conviction comes from personal experience. Four years ago, he discovered that he had type 2 diabetes. "My immediate instinctive response was to stop eating any food that caused my blood sugar to rise. So I eliminated carbohydrates from my diet. Within four weeks, my blood sugar and blood pressure had normalized and I began to feel much better."


The diet is the sort of low carb, "paleo" diet that I get accused of promoting through this site:



The study diet is based on the traditional diet (wild salmon, oolichan grease) but also includes modern market foods, (bacon, eggs). i.e. foods that have protein and fat but no starch or sugar.

Permitted foods include; beef, pork, chicken, fish or seafood, cauliflower, broccoli, all the salad greens, eggs, cream, but not milk. Milk contains lactose, which is sugar.

Not permitted are starches like pasta, rice, potatoes, bread and sugar. Dr. Jay Wortman believes that it was the introduction of these by Europeans over a hundred and fifty years ago that caused the rise of diabetes and obesity. And so the key to this diet is the avoidance of starch and sugar because those were not common components of a traditional diet.

Now, that is the story, but the interesting thing is the results. In a scientific poster the doctors involved present an interim analysis of results from study at Alert Bay. (A final analysis will be done soon, once collecting data on everyone has been finished)

So far, there were significant improvements from baseline in weight, type 2 diabetes and parameters of the metabolic syndrome over a 7.6 month period. Download the poster and have a look through the stats for yourself.

None of this is new but it is interesting to see it tried out and tested on people.

If you are interested, Dr Bernstein has been successfully treating Diabetes with a low carb diet for decades. Bernstein's testimony is a great read and the articles and links on his site are worth following through too.

Thursday, February 7, 2008

Quick Research Update

I just wanted to point to a few bits and pieces of research I'd spotted in the last couple of days. I don't have any real big insightful commentaries, only wanted to present them for you to take a peek at:

Low-carbohydrate-diet score and risk of type 2 diabetes in women

Objective: The objective was to examine the association between low-carbohydrate-diet score and risk of type 2 diabetes

This was over 20 years and they found that diets lower in carbohydrate and higher in fat and protein do not increase the risk of type 2 diabetes in women. In fact - the higher the carb intake, the higher the risk of diabetes.

So chalk one up for the low carb diet being healthy over the long term

How we’ve come to believe that overeating causes obesity

Decades of sound studies have continued to show that healthy obese people eat and behave no differently than anyone else to explain why their bodies are bigger. It’s not “overeating,” or eating “unhealthy” foods or not enough “healthy” foods, or too little activity, that explains why some of us are fat and others lean.


An interesting article ( I don't agree with all of it) from Junkfood Science in which Sandy examines the Keys experiment that was also commented on recently by Dr Eades, when he used it to illustrate that there is more to gaining or losing weight than simple equations about calories. It isn't only how much you are eating, rather it is also important to think on what you are eating.

Is there a new component of the Mediterranean diet that reduces inflammation?


A report that higher dietary intakes of choline and betaine in the Greek population reduce inflammation as assessed by several biomarkers in blood........Diets high in choline are also high in eggs and meat; diets high in betaine are likely to be high in plant foods.......


Sounds a bit like a paleo diet


Oh and berries might be good for you....

Monday, January 28, 2008

Quick Update

Just a quick note of a number of things I've been reading in the last day or so:

Cholesterol - I'm still a sceptic

What’s Cholesterol Got to Do With It? - Gary Taubes looks at the recent news that the drug Vytorin had fared no better in clinical trials than the statin therapy it was meant to supplant.

Trial results forced out of drug company support the concept that cholesterol may not ’cause’ cardiovascular disease - Dr John Briffa comments on the same topic

Do Cholesterol Drugs Do Any Good? - Research suggests that, except among high-risk heart patients, the benefits of statins such as Lipitor are overstated - similar article from Business Week

and on a different subject:

Cutting caffeine may help control diabetes - “We’re not sure what it is about caffeine that drives glucose levels up, but we have a couple of theories,” says Lane, who is the lead author of the study. “It could be that caffeine interferes with the process that moves glucose from the blood and into muscle and other cells in the body where it is used for fuel. It may also be that caffeine triggers the release of adrenaline – the ‘fight or flight” hormone that we know can also boost sugar levels.” I've mentioned coffee and blood sugar before

Gulp - Controversy!

Finally, prompted by Randy's comments on this post, I've been reading a little about the alleged so-called metabolic advantage of low carb diets. This is the idea that weight loss is not just about creating a calorie deficit, but that the composition of your diet can have an effect independent of the calories. Bluntly put it holds that not all calories are equal in their effect. I didn't realise quite how controversial this idea was.

In the post in question I didn't actually mention metabolic advantage, I merely pointed to an interesting article by Gary Taubes, who believes in this idea. Randy took me to task over this (!) and directed me to Anthony Colpo's book They are all MAD. Colpo's assertion is that in all the metabolic ward studies where they lock people up for a couple of months and feed them diets of known composition and quantity and control their activity, the only thing that mattered ultimately is the calorie - if you take in more than you burn you put on weight....He holds that low carb diets are still healthier than the alternatives, but they only help you lose weight because you end up eating fewer calories.

There is another side to this of course (there always is!) I'm not an expert and wouldn't want to be dogmatic about all this (so don't be too hard on me Randy!) but in addition to Colpo's book I've looked at Barry Groves comments (do calories really count), Michael Eades posts (here and here) and a couple of scientific papers (e.g. this and this)

Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: a meta-regression - Conclusion: Low-carbohydrate, high-protein diets favorably affect body mass and composition independent of energy intake, which in part supports the proposed metabolic advantage of these diets.

Low-carbohydrate nutrition and metabolism - This review article also discusses the proposed metabolic advantage


Anyway - this is a controversial topic that seems to get people really agitated. I just find all this stuff fascinating. This blog is just me gathering together bits and pieces that I find interesting. Feel free to disagree with me.

Tuesday, January 8, 2008

Low carbohydrate diet is more effective

This one is fairly straightforward. The abstract is below but if you can get hold of it the full article is definitely worth reading:

In conclusion, there is evidence to support the hypothesis that low-carbohydrate diets may confer greater benefit in terms of weight loss compared with healthy-eating advice, and are not dangerous in the short term for people with and without Type 2 diabetes. Little is know about the long-term effects of these diets, and this present study is subject to post-study monitoring for 2 years with intention to report annual data.

A low-carbohydrate diet is more effective in reducing body weight than healthy eating in both diabetic and non-diabetic subjects

Abstract

Background Low-carbohydrate diets are effective for weight reduction in people without diabetes, but there is limited evidence for people with Type 2 diabetes.

Aims
To assess the impact of a low-carbohydrate diet on body weight, glycated haemoglobin (HbA1c), ketone and lipid levels in diabetic and non-diabetic subjects.

Methods
Thirteen Type 2 diabetic subjects (on diet or metformin) and 13 non-diabetic subjects were randomly allocated to either a low-carbohydrate diet (≤ 40 g carbohydrate/day) or a healthy-eating diet following Diabetes UK nutritional recommendations and were seen monthly for 3 months. Subjects (25% male) were (mean ± sd) age 52 ± 9 years, weight 96.3 ± 16.6 kg, body mass index 35.1 kg/m2, HbA1c 6.6 ± 1.1%, total cholesterol 5.1 ± 1.1 mmol/l, high-density lipoprotein cholesterol 1.3 ± 0.4 mmol/l, low-density lipoprotein cholesterol 3.1 ± 0.9 mmol/l, triglycerides (geometric mean) 1.55 (1.10, 2.35) mmol/l and ketones range 0.0–0.2 mmol/l.

Results
Analysis was by intention to treat with last observation carried forward. Twenty-two of the participants (85%) completed the study. Weight loss was greater (6.9 vs. 2.1 kg, P = 0.003) in the low-carbohydrate group, with no difference in changes in HbA1c, ketone or lipid levels.

Conclusions
The diet was equally effective in those with and without diabetes.

Monday, January 7, 2008

A ketogenic (low carb) diet limits hunger

Low Carb

I've talked before about low carb diets. To be honest up front, I believe in low carb diets - I think they are healthier, tastier and more effective for getting you to burn fat.

ketogenic diets

Emma has a really good explanation of what a ketogenic diet is

Ketosis is a kind of soft metabolic switch, when the body burns fat primarily for fuel instead of glucose. Imagine if your car could run on both petrol and electric at the flip of a switch, and the two could be mixed to different proportions to produce different effects. Ketones are the substances produced when the body breaks down fat (dietary or body stores) for fuel in the liver. It's a dimmer switch, we all produce ketones all of the time, though those of us on a high carbohydrate Western diet don't produce very many. Our ancestors who lived during the ice ages and ate mammoth fat probably produced a lot of ketones. We usually have a higher ketone level in the morning, after an overnight fast.

The more fat we eat in relation to carbohydrate and protein, the more ketones we produce for energy, though even low-fat calorie restricted diets produce small amounts of ketones – it would be a biological impossibility to lose weight without producing them, as they are simply the by-products of all fat burning. Ketones only appear in significant amounts when insulin is lowered to a critical point. The body seems to prefer to operate either in the presence of insulin, or the presence of ketones, which bypass insulin. It does not operate more efficiently in the presence of both, as insulin suppresses ketone production. The body actually runs more efficiently on ketones than it does on insulin, as demonstrated by numerous studies available in PubMed, including the body's heart function and brain function. If you hear that ketones are "dangerous" in the media or from your doctor or nutritionist, their information is out of date and based on a misunderstanding of what diabetes is and what it does to the body.

A ketogenic diet restricts protein to the RDA amount, restricts carbohydrates to less than twenty grams, and makes the rest of the diet up with fat. This comes to 80-83% of calories from fat, about 10-13% from protein, and barely 3-5% from carbohydrate. This diet is similar to the diet recommended by the longest living type I diabetic, Dr. Richard K. Bernstein MD.


Here is a new study which says that a ketogenic diet reduced hunger in obese men:

Effects of a high-protein ketogenic diet on hunger, appetite, and weight loss in obese men feeding ad libitum 1

Background: Altering the macronutrient composition of the diet influences hunger and satiety. Studies have compared high- and low-protein diets, but there are few data on carbohydrate content and ketosis on motivation to eat and ad libitum intake.

Objective: We aimed to compare the hunger, appetite, and weight-loss responses to a high-protein, low-carbohydrate [(LC) ketogenic] and those to a high-protein, medium-carbohydrate [(MC) nonketogenic] diet in obese men feeding ad libitum.

Design: Seventeen obese men were studied in a residential trial; food was provided daily. Subjects were offered 2 high-protein (30% of energy) ad libitum diets, each for a 4-wk period—an LC (4% carbohydrate) ketogenic diet and an MC (35% carbohydrate) diet—randomized in a crossover design. Body weight was measured daily, and ketosis was monitored by analysis of plasma and urine samples. Hunger was assessed by using a computerized visual analogue system.

Results: Ad libitum energy intakes were lower with the LC diet than with the MC diet [P = 0.02; SE of the difference (SED): 0.27] at 7.25 and 7.95 MJ/d, respectively. Over the 4-wk period, hunger was significantly lower (P = 0.014; SED: 1.76) and weight loss was significantly greater (P = 0.006; SED: 0.62) with the LC diet (6.34 kg) than with the MC diet (4.35 kg). The LC diet induced ketosis with mean 3-hydroxybutyrate concentrations of 1.52 mmol/L in plasma (P = 0.036 from baseline; SED: 0.62) and 2.99 mmol/L in urine (P < 0.001 from baseline; SED: 0.36).

Conclusion: In the short term, high-protein, low-carbohydrate ketogenic diets reduce hunger and lower food intake significantly more than do high-protein, medium-carbohydrate nonketogenic diets.



If you are worried about the health effects of such a diet, there was also another new study I saw that had the following conclusion:

Conclusions: A reported higher protein intake appears to confer some weight-loss benefit. Cardiovascular disease risk factors, biomarkers of disease, and serum vitamins and minerals improved with no differences between groups.

These studies back up the argument of Gary Taubes.

Friday, October 5, 2007

Sugar is bad in many ways!


Just skimming through these recent articles from the American Journal of Clinical Nutrition, you would think that refined carbohydrates are associated with:

cancer;

loss of sight (updated 8/10/07...the Modern Forager blog has a good posting about this story); and


increases in the so-called "bad" LDL cholesterol.

Indeed, fructose is presented as a pretty dodgy thing to eat.

It is amazing that we are told to eat so many carbohydrates!

Tuesday, September 11, 2007

Intervals for Diabetics

We have previously discussed here the advantages of intervals for fat loss and for increasing EPOC. This study says that interval style training is also better for diabetics in terms of glucose management.

A possible explanation is that the energy expenditure associated with multiple short daily sessions may be greater than that in a single daily session.


This is back to what we have discussed before with respect to EPOC



Comparison of the effect of multiple short-duration with single long-duration exercise sessions on glucose homeostasis in type 2 diabetes mellitus.



AIMS/HYPOTHESIS: We evaluated and compared the effects on glycaemic control of two different exercise protocols in elderly men with type 2 diabetes mellitus.
METHODS: Eighteen patients with type 2 diabetes mellitus carried out home-based bicycle training for 5 weeks. Patients were randomly assigned to one of two training programmes at 60% of maximal oxygen uptake: three 10 min sessions per day (3 x 10) or one 30 min session per day (1 x 30). Plasma insulin, C-peptide and glucose concentrations were measured during a 3 h oral glucose tolerance test (OGTT). Insulin sensitivity index (ISI(composite)), pre-hepatic insulin secretion rates (ISR) and change in insulin secretion per unit change in glucose concentrations (B(total)) were calculated.
RESULTS: Cardiorespiratory fitness increased in response to training in both groups. In group 3 x 10 (n = 9) fasting plasma glucose (p = 0.01), 120 min glucose OGTT (p = 0.04) and plasma glucose concentration areas under the curve at 120 min (p < 0.04) and 180 min (p = 0.07) decreased. These parameters remained unchanged in group 1 x 30 (n = 9). No significant changes were found in ISI(composite), ISR and B(total) in either of the exercise groups. In a matched time-control group (n = 10), glycaemic control did not change.
CONCLUSIONS/INTERPRETATION: Moderate to high-intensity training performed at 3 x 10 min/day is preferable to 1 x 30 min/day with regard to effects on glycaemic control. This is in spite of the fact that cardiorespiratory fitness increased similarly in both exercise groups. A possible explanation is that the energy expenditure associated with multiple short daily sessions may be greater than that in a single daily session.