Just Completed: RCGP e-learning Course: Type 2 diabetes and the low GI diet, comparing to my ABFM educational experience

Just Completed: RCGP e-learning  Course: Type 2 diabetes and the low GI diet, comparing to my ABFM educational experience

As discussed in @DrAseemMalhotra’s testimony to the UK Parliament last week: In June, 2018, the Royal College of General Practitioners (@rcgp) published an e-learning course “Type 2 diabetes and the low GI diet” with lead author Dr. David Unwin (@lowcarbGP): Type 2 diabetes is an increasingly common and progressive disease, the progression of which can …

Just Read: DIETFITS new analysis showing benefits for low carbohydrate over low fat diets for blood lipids – changing the focus from weight to metabolic health

Just Read: DIETFITS new analysis showing benefits for low carbohydrate over low fat diets for blood lipids - changing the focus from weight to metabolic health

This heavily paywalled study is a more thorough analysis of something that caught my eye and was glossed over in the original publication of DIETFITS last year, which showed that weight loss was equivalent in groups of people who either ate a healthy low carbohydrate or a healthy low-fat diet. The conclusion for some was …

Just Read: Prevalence of Optimal Metabolic Health in American Adults: National Health and Nutrition Examination Survey 2009–2016 (Are you in the 12%? here’s how I am)

Just Read: Prevalence of Optimal Metabolic Health in American Adults: National Health and Nutrition Examination Survey 2009–2016 (Are you in the 12%? here's how I am)

This paper, written by lead author See: June Stevens, at the UNC Lineberger Comprehensive Cancer Center, is an analysis of 7 years of NHANES data (a United States’ commissioned annual survey of people’s health) and their likelihood of being in metabolic health. Early Days, We Still only Define Metabolic Disease As we learned a long …

Just Read: Continuous glucose monitoring: A review of the technology and clinical use (except no mention of diet, diabetes prevention, or diabetes reversal)

Just Read: Continuous glucose monitoring: A review of the technology and clinical use (except no mention of diet, diabetes prevention, or diabetes reversal)

This paper, published in 2017, provides an overview of studies and potential applications of continuous glucose monitoring (CGM) done to date. The paper is of interest to me as I’ve been wearing a CGM as a non-diabetic, normoglycemic, physician for some time now (see: Part 1: Why I decided to wear a continuous glucose monitor …

Just Read: Hospitals Lead by Poor Example: An Assessment of Snacks, Soda, and Junk Food Availability in Veterans Affairs Hospitals

Just Read: Hospitals Lead by Poor Example: An Assessment of Snacks, Soda, and Junk Food Availability in Veterans Affairs Hospitals

It’s not just us. More and more physicians are noting an unhealthy food environment where they work to save lives. In this study, physicians used the Freedom of Information Act process to get information about food available at VHA hospitals. Process verification for a Freedom of Information Act request was used to assess government-run inpatient …

Just Read: The Metabolic Advantages of a Lower Carbohydrate Diet

Just Read: The Metabolic Advantages of a Lower Carbohydrate Diet

In English: following weight loss, people on lower carbohydrate diets were able to eat more food to keep their weight stable than people on high carb low-fat diets, putting another nail in the coffin of low fat diets and “calories-in/calories-out” – weight may be more dependent on hormonal interaction with food (insulin/ghrelin/leptin) than on simple …

Just Read: Hypercholesterolemia and low carbohydrate diets – study of highly trained keto-adapted athletes

Just Read: Hypercholesterolemia and low carbohydrate diets - study of highly trained keto-adapted athletes

This is a very helpful study which establishes via a good protocol that people on low-carbohydrate diets can experience a significant rise in their cholesterol levels. Across a population, there may not be a significant rise of LDL cholesterol on average. However, at the individual level, there may be changes that significantly concern patients and …

Just Read: Estimating Insulin Sensitivity using common lab values (HDL, TG, BMI) – The Single Point Insulin Sensitivity Estimator (SPISE)

Just Read: Estimating Insulin Sensitivity using common lab values (HDL, TG, BMI) - The Single Point Insulin Sensitivity Estimator (SPISE)

This paper, written by european researchers, describes a newer way to estimate insulin sensitivity (or it’s unhealthy opposite, insulin resistance) using commonly obtained lab values. Here’s the equation they came up with: The novel formula for SPISE was computed as follows: SPISE = 600 X HDL-0.185/(TG0.2 x BMI1.338, with fasting HDL-C (mg/dL), fasting TG concentrations …

Just Read: Type 2 Diabetes: When Does It Start? (Estimate: 20 years prior to diagnosis)

Just Read: Type 2 Diabetes: When Does It Start? (Estimate: 20 years prior to diagnosis)

This is a retrospective look back at the health of 27,392 people in Japan to see when the earliest signs of diabetes of pre-diabetes were present among those who became diabetic or pre-diabetic. And, it turns out the signs were present more than 10 years before they were diagnosed, with a better estimate being 20 …