Category Archives: Uncategorized

Monthly Hormone Changes May Affect Insulin Dosing in T1 Diabetes

I’ll confess I haven’t put much thought into this, but Kelly Schmidt has. She has type 1 diabetes and has to deal with it. Kelly writes:

“Some woman will use a higher basal [insulin dose] the week before and during a period, where others need less insulin as blood sugars plummet upon a period. Take notes each month, even if you just insert a few sentences in your calendar. We all say we will remember next month, but trust me, these notes will be handy. A quick example of how I use 2 basals: my normal, non-period basal is just shy of 10 units, and then my PMS basal is 11.5 units of Humalog. As you can see, I just need a pinch more of insulin, but it’s so helpful.

Know that with every month, the fluctuations and impact a period has on someone not only varies with the person, but can vary from month to month.”

Source: Diabetes and Womanhood » Kelly Schmidt Wellness

Five Essential Diabetes Tests 

Paleobetic Diet-FrontCover_300dpi_RGB_5.5x8.5Click the link below for details. I mention these also in my Paleobetic Diet book.

“Diabetes does not just affect a person’s blood glucose levels, but it also impacts other parts of the body, such as kidneys, eyes, and even feet. To lower your risk for diabetes-related complications, it’s important to maintain good control — and have these routine tests during your visit with your healthcare team to check on how you’re doing.”

Source: 5 Essential Diabetes Tests | Speaking of Diabetes | The Joslin Blog

 

Is Your Doctor Involved With a Lab Scam?

For a variety of reasons, physicians in the U.S. typically can’t charge for their services what they think the market will bear.

Take Medicare in the U.S., for instance. Do you know the difference in payment for the same service by the worst and best doctor in town? There is no difference; they get paid the exact same amount by Medicare. In a free market, the best doctor would command a higher fee than Medicare pays, and the worst earns less. If you don’t want to pay the higher fee, go to the cheaper doctor.

So Medicare limits what the better physician could earn. And it rewards lazy, bad doctors. To compensate for the limits on revenue imposed by Medicare and other major health insurers, physicians look for other ways to increase their take-home pay. One of many ways is medical lab testing scams.

Larry Husten has been doing great work covering the recent medical lab testing scams. Click the link below for details. A sample:

“I have received multiple reports from industry observers, doctors, and patients about the new and troubling schemes. These new scams are all based on avoiding, or at least appearing to avoid, the key mistake made by HDL: paying doctors directly for using their services. That is a kickback. The new schemes use a variety of intermediaries– phlebotomy services, physician owned labs, and MSOs (management services organizations)– instead of direct payments. But in the cases I’ve heard about it is completely clear to everyone involved that the doctors are being compensated for purchasing these lab tests.”

Source: The Wild West Of New Laboratory Scams

Steve Parker, M.D.

PS: If you think the entire U.S. medical healthcare system is chaotic and riddled with corruption, I won’t disagree with you. Do your best to stay healthy and stay out of the system.

Upset Stomach: Viral Infection or Food Poisoning?

Both manifest as nausea, vomiting, and perhaps abdominal cramps.

Treatments for the two are similar. Food poisoning usually is over wishing 24 hours; viral infections last longer. Click the link below for many helpful details.

“While symptoms of a stomach virus can take days to develop, food poisoning symptoms can occur within 6 hours of eating. People may experience diarrhea, nausea, vomiting, stomach pain and cramps, or a fever. Sickness from food poisoning can last from a few hours to several days, but most cases clear up within a day.People can usually suspect food poisoning if others who consumed the same food are also ill, or they ate unrefrigerated food. Salads, raw or undercooked poultry, eggs, seafood, and other dairy-based products are high-risk foods for food poisoning.”

Source: Stomach Virus or Food Poisoning? Learn the Signs and Symptoms – Medical News Today

Sleep duration and health outcomes in children and adolescents

Paleobetic diet

Probably needs 8 hours a night, if not more. And why is the light on?!

One of my children just finished high school and the other graduated two years ago. I thought both of them were terribly sleep-deprived by their school obligations.

A quote from Obesity Panacea blog:

“Sleep is an essential component of healthy development and is needed for mental and physical health. However, sleep deprivation has become common in modern societies with 24/7 availabilities of commodities and technologies. School-aged children and adolescents generally sleep less now compared with decades ago, with the greatest rate of decline in sleep occurring for adolescents and on school days. Factors responsible for this decline in sleep duration are numerous and include late-night screen time, caffeine use, extracurricular activities, artificial light, and no bedtime rules in the household. It is increasingly accepted that sleep should be taken more seriously by the public health community, i.e. given as much attention and resources as nutrition and physical activity.”

Source: Sleep duration and health outcomes in children and adolescents | Obesity Panacea

Are Beets Good for Diabetes?

From Medical News Today:

A number of studies suggest that beets may be beneficial for people with diabetes. This article takes a closer look at their nutritional properties.

Source: Are Beets Good for Diabetes?

Are Cities Driving Us Crazy?

Evolutionistx thinks so. She started pondering this in view of the fact that 25% of women in the U.S. are on medications for depression or anxiety. Why so many drug users? A quote:

People seem to do best, emotionally, when they have the support of their kin, some degree of ethnic or national pride, economic and physical security, attend religious services, and avoid crowded cities. (Here I am, an atheist, recommending church for people.) The knowledge you are at peace with your tribe and your tribe has your back seems almost entirely absent from most people’s modern lives; instead, people are increasingly pushed into environments where they have no tribe and most people they encounter in daily life have no connection to them. Indeed, tribalism and city living don’t seem to get along very well.

RTWT.

Over the course of the last 200,000 years, tribes were probably no more than 150 people.

Steve Parker, M.D.

Paleobetic Diet-FrontCover_300dpi_RGB_5.5x8.5

The First Noel

Credit: Zvonimir Atletic / Shutterstock.com

Credit: Zvonimir Atletic / Shutterstock.com

Merry Christmas to all my readers!

-Steve

Antibiotics May Cause Type 2 Diabetes

Denmark researchers found an association between antibiotic usage and later development of type 2 diabetes. Just because there’s a linkage between antibiotics and type 2 diabetes doesn’t mean there is a direct causal relationship.

One possible way that antibiotics could cause diabetes, however, would be through alteration of gut germs (aka microbiome). An antibiotic may do a great job curing your urinary tract infection, while at the same time eliminating millions of certain gut bacteria and allowing other species to have a population explosion. One of the most fascinating fields of medicine now is trying to figure out if and how the billions of bacteria in our intestines might influence health and disease. F’rinstance, gut bacteria may influence whether we are fat or slim.

I bet if you graphed antibiotic use and incidence of type 2 diabetes over the last 50 years, they would trend together pretty well. Any volunteers to do that?

Steve Parker, M.D.

Easy and Not-So-Easy Weight-Loss Tips

 

Left, right, or straight ahead (the road less travelled)?

Left, right, or straight ahead (the road less travelled)?

Record-keeping is often the key to success. Depending on the weight loss program you choose, you might need to track: carbohydrate grams, calories, daily weight, all food consumption, blood sugars, etc. For example, I provide daily logs for all of my diets: Paleobetic Diet, Low-Carb Mediterranean Diet, Ketogenic Mediterranean Diet, and Advanced Mediterranean Diet.

Accountability is another key to success. Consider documenting your program and progress on a free website such as FitDay, SparkPeople, 3FatChicks, Calorie Count (http://caloriecount.about.com), or others. Consider blogging about your adventure on a free platform such as WordPress or Blogger. Such a public commitment may be just what you need to keep you motivated. Do you have a friend or spouse who wants to lose weight? Start the same program at the same time and support each other. That’s built-in accountability.

If you tend to over-eat, floss and brush your teeth after you’re full. You’ll be less likely to go back for more anytime soon.

Eat at least two or three meals daily. Skipping meals may lead to uncontrollable overeating later on. On the other hand, ignore the diet gurus who say you must eat every two or three hours. That’s BS.

Eat meals at a leisurely pace, chewing and enjoying each bite thoroughly before swallowing.

Savor every bite

Savor every bite

Plan to give yourself a specific reward for every 10 pounds (4.5 kg) of weight lost. You know what you like. Consider a weekend get-away, a trip to the beauty salon, jewelry, an evening at the theater, a professional massage, home entertainment equipment, new clothes, etc.

Carefully consider when would be a good time to start your new lifestyle. It should be a period of low or usual stress. Bad times would be Thanksgiving day, Christmas/New Years’ holiday, the first day of a Caribbean cruise, and during a divorce.

If you know you’ve eaten enough at a meal to satisfy your nutritional requirements yet you still feel hungry, drink a large glass of water and wait a while.

Limit television to a maximum of a few hours a day.

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Maintain a consistent eating pattern throughout the week and year.

Eat breakfast routinely.

Control emotional eating.

Weigh frequently: daily during active weight-loss efforts and during the first two months of your maintenance-of-weight-loss phase. After that, cut back to weekly weights if you want. Daily weights will remind you how hard you worked to achieve your goal.

Be aware that you might regain five or 10 pounds (2–4 kg) of fat now and then. You probably will. Don’t freak out. It’s human nature. You’re not a failure; you’re human. But draw the line and get back on the old weight-loss program for one or two months. Analyze and learn from the episode. Why did it happen? Slipping back into your old ways? Slacking off on exercise? Too many special occasion feasts or cheat days? Allowing junk food back into the house?

Learn which food item is your nemesis—the food that consistently torpedoes your resolve to eat right. For example, mine is anything sweet. Remember an old ad campaign for a potato chip: “Betcha can’t eat just one!”? Well, I can’t eat just one cookie. So I don’t get started. I might eat one if it’s the last one available. Or I satisfy my sweet craving with a diet soda, small piece of dark chocolate, or sugar-free gelatin. Just as a recovering alcoholic can’t drink any alcohol, perhaps you should totally abstain from…? You know your own personal gastronomic Achilles heel. Or heels. Experiment with various strategies for vanquishing your nemesis.

If you’re not losing excess weight as expected (about a pound or half a kilogram per week), you may benefit from eating just two meals a day. This will often turn on your cellular weight-loss machinery even when total calorie consumption doesn’t seem much less than usual. The two meals to eat would be breakfast and a mid-afternoon meal (call it what you wish). The key is to not eat within six hours of bedtime. Of course, this trick could cause dangerous hypoglycemia if you’re taking drugs with potential to cause low blood sugars, like insulin and sulfonylureas; talk to your dietitian or physician before instituting a semi-radical diet change like this.

One of the bloggers I follow is James Fell. He says, “If you want to lose weight you need to cook. Period.” James blogs at http://www.sixpackabs.com, with a focus on exercise and fitness.

Regular exercise is much more important for prevention of weight regain rather than for actually losing weight.

Steve Parker, M.D.