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Published on Leave a comment on Combining Diet and Exercise Can Result in Type 2 Diabetes Remission

Over the years a number of studies have shown that intense dieting with weight loss can reverse type 2 diabetes. Another recent study came up with similar results. This time a study found that slightly more than half of persons following a low-calorie diet and an exercise program (aerobic and resistance exercise) reversed their type 2 diabetes within 12 weeks.

All the participants were between 8 to 45 years, and had an early onset type 2 diabetes diagnosis within the past 6 years. Such early onset type 2 diabetes typically means a high lifetime risk of complications. The participants were randomly assigned to either a control group that received general standard care, or the exercise and diet group.

The diet-exercise group followed a low-calorie diet (800 to 900 calories per day) for 12 weeks. During that time they also had a supervised hour of exercise (both aerobic, resistance) 2 times per week and once per week independent exercise. Between 13 to 24 weeks they followed a weight-maintenance diet and exercised independently.

Total weight loss was about 18.5 pounds in the diet-exercise group, but only 2.6 pounds in the control group. At the end of 24 weeks 54% of the diet-exercise were in type 2 diabetes remission, but only 4% of the control group.

The researchers demonstrated that having the participants follow the exercise program meant that they maintained muscle mass during the weight loss period. This showed that mass and muscle preservation is achievable with rapid weight loss -  a problem that typically occurs during rapid weight loss.

Bottom line: Following a low calorie diet and exercising, with resultant weight loss, can reverse type 2 diabetes. Not always, but for most it can.

From Medical Xpress: Low-calorie diet and exercise put early-onset type 2 diabetes in remission for 54% of participants

New research presented at the Annual Meeting of The European Association for the Study of Diabetes (EASD) in Milan, Italy (Sept 28 – Oct 2) and appearing in The Lancet Regional Health Americas journal shows that in people who have developed early-onset type 2 diabetes (EOT2D) (aged under 45 years), around half these T2D cases can be reversed with a low-energy diet combined with a structured exercise program. ...continue reading "Combining Diet and Exercise Can Result in Type 2 Diabetes Remission"

Published on Leave a comment on Eat More Whole Grain Foods For Heart Health
Whole grain breads Credit: Wikipedia

Over the years, study after study has found a link between high whole-grain intake and a reduced risk of a number of chronic diseases, such as diabetes and heart disease. A recent review of studies also found that ....(drum roll)... eating a diet rich in whole grain foods is good for heart health and lowering chronic inflammation.

The review of 87 studies found that eating 4 to 6 servings of whole grain foods per day benefits heart health in a number of ways. The studies found that daily consumption of this amount of whole grain foods resulted in improvements in body weight, waist size, blood pressure, cholesterol, blood sugar, triglycerides, fasting glucose, insulin resistance, and some markers of inflammation.

There was a dose response effect - the more whole grains eaten, the better the health effects. Best health effects were from 4 to 6 servings daily (60 to 100 grams per day).

Bottom line: Whole grains have a number of health effects and can easily be added into the diet. Examples of whole grain foods: Oatmeal, barley, quinoa, wild rice, bulgur (cracked wheat), farro, millet, buckwheat, rye, spelt, brown rice, popcorn, whole wheat flour, whole grain breakfast cereals, and whole wheat bread and crackers.

By the way, 4 to 6 servings of whole grain foods per day is more than current US guidelines of 2 to 4 servings per day. But both agree that for health benefits need to eat "real whole foods" (not ultra-processed foods).

From Science Daily: Scientists find the whole grain “sweet spot” for better heart health

Eating four to six servings of whole grains each day may improve several major risk factors for cardiovascular disease, according to new research published September 15 in the European Heart Journal. ...continue reading "Eat More Whole Grain Foods For Heart Health"

Published on Leave a comment on Elderberries Have Health Benefits
Elderberries Credit: Wikipedia

People are always looking for foods that seem especially beneficial for health. Colorful vegetables and fruits fall into this category, especially berries, because of the polyphenols they contain. Recent research found that elderberries may help with insulin control, reduce fat production, and improve metabolic health - at least in this study using mice.

Interestingly, the researchers found that the microbes in the gut break down the polyphenols in foods. The researchers pointed out that other fruits and berries have similar effects to elderberries. But be careful - don't eat large amounts of raw elderberries by the fistful, because unripe elderberries also contain cyanide, which can cause nausea and vomiting.

Excerpts from Food and Wine: This Antioxidant-Rich Berry Could Be a Big Deal for Blood Sugar Control, Researchers Say

    • Researchers at the Cleveland Clinic found that a compound in elderberries, cinnamic acid, may help improve insulin control and reduce fat production in mice with a healthy gut microbiome.
    • The study shows that gut bacteria can transform elderberry compounds into metabolites that support improved metabolic health, potentially informing treatments for insulin resistance and fatty liver disease.
    • While promising, scientists caution that more research is needed before recommending elderberry supplements — and remind readers that raw elderberries can be toxic if eaten unripe.

...continue reading "Elderberries Have Health Benefits"

Published on Leave a comment on Food Preservatives Linked to Higher Risk of Type 2 Diabetes
Processed meat Credit: Wikipedia

Many studies are finding that eating ultra-processed foods (UPFs) can lead to all sorts of health problems. A recent large study conducted in France found that people eating higher amounts of food preservatives had a higher risk of type 2 diabetes. Overall, people consuming foods with higher amounts of preservatives had a 47% higher risk of developing type 2 diabetes (when compared to people eating low amounts of preservatives).

Over 100,000 French adults were followed for more than a decade. The researchers found that 58 preservatives were in the foods they ate. The researchers examined 17 preservatives in depth (the most common ones eaten) and found that 12 preservatives are linked to type 2 diabetes: potassium sorbate, potassium metabisulphite, sodium nitrite, acetic acid, sodium acetates, calcium propionate, sodium ascorbate, alpha-tocopherol, sodium erythorbate, citric acid, phosphoric acid, and rosemary extracts.

Bottom line: Read ingredient lists on food labels. Avoid foods that contain ingredients with chemical sounding names that are not normally found in a home kitchen. Those ingredients are in ultra-processed foods. Additionally, "natural flavors" are laboratory concoctions (found in ultra-processed foods).

From Science Daily: Common food preservatives linked to higher risk of type 2 diabetes

People who consume higher amounts of food preservatives may face a greater risk of developing type 2 diabetes, according to a large new study. Preservatives are commonly added to processed foods and beverages to extend shelf life. ...continue reading "Food Preservatives Linked to Higher Risk of Type 2 Diabetes"

Published on Leave a comment on The Foods You Eat and Their Link to Constipation

For years it has been known that increasing the amount of fiber (and drinking enough fluids) in a person's  diet helps to prevent constipation. A recent large multi-year study of 96,000 adults confirmed this: Mediterranean and plant-based diets prevented constipation, and Western and inflammatory diets (low fiber, high ultra-processed foods) raised constipation risk.

Vegetables, cruciferous vegetables (e.g., broccoli), legumes (beans, lentils, chickpeas), and fruits were all associated with reduced risks for constipation. High vegetable and nut consumption was especially good for preventing constipation. Additionally, a low carbohydrate diet showed a slight increased risk for constipation. Eating a diet rich in cereal fibers (e.g., white bread, low fiber breakfast cereals) and ultra-processed foods was linked to constipation.

Besides reducing constipation, many studies show that eating a diet rich in fruits, vegetables, whole grains, seeds, nuts, legumes, such as the Mediterranean diet, is protective for cardiometabolic diseases (e.g., heart disease, heart attack, strokes, kidney disease, and type 2 diabetes), cancer, and even early death. This type of diet is high in fiber, has positive effects on the gut microbiome, and reduces chronic inflammation.

From Science Daily: What 96,000 adults taught scientists about preventing constipation

Chronic constipation becomes more common with age. Researchers from Mass General Brigham conducted a new study examining whether five widely followed diets could help prevent chronic constipation in middle- and older-age adults. The team monitored more than 96,000 participants for several years to see how long-term eating habits influenced the likelihood of developing this persistent gastrointestinal issue. Their analysis showed that people who routinely ate a Mediterranean or plant-based diet experienced a lower incidence of constipation. The findings appear in Gastroenterology. ...continue reading "The Foods You Eat and Their Link to Constipation"

Published on Leave a comment on Ultra-Processed Foods Harm Human Health All Sorts Of Ways
Credit: Wikipedia

The list of health harms from ultra-processed foods just keep growing. Unfortunately, most Americans get the majority of their calories from ultra-processed foods. A recent series of studies found that ultra-processed foods harm every one of our major organs. They increase the risk of many chronic diseases (e.g., heart disease, type 2 diabetes, obesity ) and early death.

How do you know a food is ultra-processed? Look at the ingredient list and if there is something that normally is not found in a person's kitchen, then it is ultra-processed. Examples of such ingredients are: emulsifiers, carrageenan, mono- and diglycerides, soy lecithin, polysorbate, cellulose, colors, titanium dioxide, high fructose corn syrup, hydrogenated oils, dextrose, whey protein, nitrates, flavors (artificial and natural), colors, etc. (Yes, natural flavors are laboratory concoctions.)

Ultra-processed foods are food products manufactured with all sorts of ingredients (additives) that have been added to extend shelf-life or manipulate the taste, flavor, or appearance. Ultra-processed foods are "formulations of ingredients" that result from a series of industrial processes (thus "ultra-processed").

Bottom line: Read labels! Try to avoid foods with ingredients not normally found in your kitchen. Try to eat as many whole foods and minimally processed foods as possible.

Excerpts from The Guardian: Ultra-processed food linked to harm in every major human organ, study finds

Ultra-processed food (UPF) is linked to harm in every major organ system of the human body and poses a seismic threat to global health, according to the world’s largest review.UPF is also rapidly displacing fresh food in the diets of children and adults on every continent, and is associated with an increased risk of a dozen health conditions, including obesity, type 2 diabetes, heart disease and depression.

...continue reading "Ultra-Processed Foods Harm Human Health All Sorts Of Ways"

Published on Leave a comment on Preventing Diabetes With A Mediterranean Diet and Increased Physical Activity

There has been lots of research in the past decade over the benefits of eating a diet rich in fruits, vegetables, whole grains, nuts, and legumes, especially a Mediterranean style diet. Health benefits include lowering chronic inflammation and a lower incidence of a number of chronic diseases, including type 2 diabetes.

A recent study conducted in Spain added a twist to this. The researchers found that eating a lower calorie Mediterranean diet and increased levels of physical activity, resulted in a 31% reduction in the development of type 2 diabetes, as well as a greater weight loss and reduction of their waist size. The comparison group were persons who ate a Mediterranean diet, but without lowering their calorie intake or increasing physical activity over the 6 years of the study.

The subjects in this study were 4756 overweight or obese adults with metabolic syndrome, but without prior cardiovascular disease or diabetes - thus a group that was at high risk for developing type 2 diabetes. The calorie reduction goal was to eat about 600 fewer calories per day.

Excerpts from Science Daily: Scientists found a smarter Mediterranean diet that cuts diabetes risk by 31%

Eating a Mediterranean-style diet with fewer calories, adding moderate physical activity, and receiving professional guidance for weight management can lower the risk of developing type 2 diabetes by 31%. That is the key finding of PREDIMED-Plus, a large clinical trial led in Spain by the University of Navarra together with more than 200 researchers from 22 universities, hospitals, and research institutes. The project was carried out in over 100 primary care centers within Spain's National Health System. ...continue reading "Preventing Diabetes With A Mediterranean Diet and Increased Physical Activity"

Published on Leave a comment on French Fries and Diabetes
French fries Credit: Wikipedia

French fries are a favorite food of Americans. However, a recent large study found that eating 3 or more servings of French fries a week is associated with a 20% increased risk for developing type 2 diabetes. The same risk is not found with eating other forms of potatoes, such as mashed, baked, or boiled.

There was a dose response effect with French fry consumption - the more servings a person ate per week, the greater the risk of developing type 2 diabetes. For 3 servings per week, there was a 20% increase in type 2 diabetes, but consuming 5 or more servings of French fries weekly was associated with a 27% higher rate of type 2 diabetes (when compared to people who rarely ate French fries, that is, less than 1 serving per week).

Also, replacing 3 servings per week of any form of potatoes with whole grains lowers the risk of developing type 2 diabetes, but not replacing potatoes with white rice. White rice is linked to an increased risk for type 2 diabetes.

Why is that? There is lots of fiber in whole grains and in whole potatoes (especially the skin), which is not present in French fries and white rice. Whole potatoes are also a good source for a number of nutrients, such as vitamin C, potassium, polyphenols, and magnesium. Many studies find that eating a diet rich in fruits, vegetables, whole grains, legumes, and nuts is linked to a lower incidence of type 2 diabetes.

From Science Daily: What scientists discovered about french fries and diabetes

Eating three servings of French fries a week is associated with a 20% increased risk of developing type 2 diabetes, but eating similar amounts of potatoes cooked in other ways -- boiled, baked or mashed -- does not substantially increase the risk, finds a study published by The BMJ on August 6. ...continue reading "French Fries and Diabetes"

Published on Leave a comment on Diabetes and Artificial Sweeteners

For years I heard health care providers recommend to persons worried about or with type 2 diabetes to only consume water, unsweetened coffee or tea, or zero calorie artificially sweetened beverages, including soda. Well, it turns out that artificial sweeteners have all sorts of harmful health effects, with different sweeteners (e.g., erythritol) having different effects.

Another recent study found that the consumption of diet drinks and saccharin, a very popular sugar substitute, are associated with an increased risk of type 2 diabetes. In other words, the sweeteners are linked to the very problem people are trying to avoid.

A little confusingly, the researchers did not find a link to type 2 diabetes when looking specifically at overall artificial sweetener, sucralose, and aspartame intake. But they did with saccharin (the oldest artificial sweetener in use) and overall diet drink consumption.

This study questioned people 3 times over 20 years, with a final follow up at 30 years, so perhaps these results are due to different artificial sweeteners used in drinks over time, and even what they themselves purchased. For example, some people buy saccharin to add to coffee and tea at home.

From Medscape: Diet Drinks, Saccharin Tied to Increased Diabetes Risk

Consuming higher amounts of diet drinks and/or saccharin was associated with an elevated risk of developing diabetes, while total artificial sweetener intake, sucralose, and aspartame showed no significant association, according to an analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study. ...continue reading "Diabetes and Artificial Sweeteners"

Published on Leave a comment on Study Found Losing Weight Reversed Type 2 Diabetes

scale, weightType 2 diabetes is a huge problem in the US. Studies have long suggested that losing weight can help a person reduce or even stop having to use diabetes medication, and even reverse the diabetes. A recent study also found that type 2 diabetes in overweight individuals can be reversed by losing weight.

The good news is that the weight loss doesn't have to be huge - it can be as little as 8% of body weight (e.g., 16 lbs in a 200 pound person). Losing 8% of their body weight improved glycemic control because there was an improvement in their insulin responsiveness. By the way, all the participants in the study had a "sedentary lifestyle" and none exercised.

From Medical Xpress: Can type 2 diabetes be reversed? Experts say 'yes'

More than 36 million Americans have type 2 diabetes, a condition primarily attributed to the body's cells not responding to insulin properly, leading to high blood sugar levels. Due to the concomitant increase in the prevalence of obesity, type 2 diabetes is rising across the U.S. and around the world.

Insulin resistance drives type 2 diabetes, Shulman explains. "If you reverse insulin resistance, you reverse type 2 diabetes," he said. In a landmark study, Shulman and Kitt Petersen, MD, professor of medicine (endocrinology), showed that modest weight reduction—even as little as 10%—does just that. The study is published in the journal Diabetes. ...continue reading "Study Found Losing Weight Reversed Type 2 Diabetes"