This meta-analysis of randomized trials shows that increasing fiber intake has rather clear effect on fasting plasma glucose whereas the effect on HbA1c seems to be less profound
This document provides information about diabetes mellitus including its causes, risk factors, dietary management principles, and guidelines. It is a chronic metabolic disorder associated with high blood sugar and sugar in the urine. Risk factors include hereditary factors, high blood pressure, obesity, and physical inactivity. The document outlines dietary principles like low calorie, low fat intake and recommends foods to consume and avoid for managing diabetes.
Diabetes mellitus is a metabolic disorder characterized by high blood glucose levels due to either lack of insulin production or resistance to insulin. It ranges from asymptomatic to causing severe health issues like cardiovascular disease if uncontrolled. Risk factors include genetics, obesity, physical inactivity, and diet. Prevention strategies involve education, screening high risk groups, early treatment, and ongoing management of the condition and related health factors.
World Diabetes Day is observed every year on November 14th to mark the discovery of insulin by Frederick Banting and Charles Best in 1991. It was established by the International Diabetes Federation and World Health Organization to raise awareness of the growing issue of diabetes worldwide. The blue circle symbol represents the global diabetes community working together to address the diabetes pandemic.
This document discusses antidiabetic drugs used to treat diabetes mellitus. It covers types of insulin preparations including rapid, short, intermediate, and long acting insulins. It also discusses classes of oral antidiabetic drugs including sulfonylureas, meglitinide analogues, biguanides, thiazolidinediones, and alpha-glucosidase inhibitors. Side effects are provided for each drug class. Therapeutic uses include treatment of type 2 diabetes alone or in combination with insulin, but not for type 1 diabetes.
This document discusses diabetes, including its types and treatments. There are three main types of diabetes: type 1, type 2, and gestational diabetes. Type 1 is usually diagnosed in childhood and requires daily insulin injections. Type 2 is the most common type and usually occurs in adulthood, though cases are increasing in younger people. It occurs when the body cannot properly respond to insulin. Gestational diabetes involves high blood sugar during pregnancy. Prediabetes refers to blood sugar levels that are higher than normal but not high enough to be classified as diabetes. Alternative treatments discussed include chromium, magnesium, and various plant foods like broccoli and the herb Gymnema Sylvestre.
This document discusses dietary fiber, including its types, sources, and health benefits. It defines fiber as non-digestible carbohydrates found in plants. Dietary fiber is classified into soluble and insoluble types. Sources of fiber include beans, corn, prunes, and high-fiber cereals. Fiber promotes heart health, regulates blood sugar, and aids in weight control. The document recommends gradually increasing fiber intake with extra water to reduce gas and bloating.
All what you have to know about Diabetes MellitusYapa
All what you have to know about Diabetes Mellitus is here.Introduction of Diabetes,Regulation of blood glucose,Predisposing factors of DM,Clinical presentation,DM and pregnancy ,Diabetes ketoacidosis ,Complications of DM ,Diagnosis ,Dietary management of DM & Prevention of DM.
Student seminar on Diabetes Mellitus presented by 2007/2008 Batch students of Faculty of Medicine,University of Peradeniya,Sri Lanka.
This document provides information about diabetes mellitus including its causes, risk factors, dietary management principles, and guidelines. It is a chronic metabolic disorder associated with high blood sugar and sugar in the urine. Risk factors include hereditary factors, high blood pressure, obesity, and physical inactivity. The document outlines dietary principles like low calorie, low fat intake and recommends foods to consume and avoid for managing diabetes.
Diabetes mellitus is a metabolic disorder characterized by high blood glucose levels due to either lack of insulin production or resistance to insulin. It ranges from asymptomatic to causing severe health issues like cardiovascular disease if uncontrolled. Risk factors include genetics, obesity, physical inactivity, and diet. Prevention strategies involve education, screening high risk groups, early treatment, and ongoing management of the condition and related health factors.
World Diabetes Day is observed every year on November 14th to mark the discovery of insulin by Frederick Banting and Charles Best in 1991. It was established by the International Diabetes Federation and World Health Organization to raise awareness of the growing issue of diabetes worldwide. The blue circle symbol represents the global diabetes community working together to address the diabetes pandemic.
This document discusses antidiabetic drugs used to treat diabetes mellitus. It covers types of insulin preparations including rapid, short, intermediate, and long acting insulins. It also discusses classes of oral antidiabetic drugs including sulfonylureas, meglitinide analogues, biguanides, thiazolidinediones, and alpha-glucosidase inhibitors. Side effects are provided for each drug class. Therapeutic uses include treatment of type 2 diabetes alone or in combination with insulin, but not for type 1 diabetes.
This document discusses diabetes, including its types and treatments. There are three main types of diabetes: type 1, type 2, and gestational diabetes. Type 1 is usually diagnosed in childhood and requires daily insulin injections. Type 2 is the most common type and usually occurs in adulthood, though cases are increasing in younger people. It occurs when the body cannot properly respond to insulin. Gestational diabetes involves high blood sugar during pregnancy. Prediabetes refers to blood sugar levels that are higher than normal but not high enough to be classified as diabetes. Alternative treatments discussed include chromium, magnesium, and various plant foods like broccoli and the herb Gymnema Sylvestre.
This document discusses dietary fiber, including its types, sources, and health benefits. It defines fiber as non-digestible carbohydrates found in plants. Dietary fiber is classified into soluble and insoluble types. Sources of fiber include beans, corn, prunes, and high-fiber cereals. Fiber promotes heart health, regulates blood sugar, and aids in weight control. The document recommends gradually increasing fiber intake with extra water to reduce gas and bloating.
All what you have to know about Diabetes MellitusYapa
All what you have to know about Diabetes Mellitus is here.Introduction of Diabetes,Regulation of blood glucose,Predisposing factors of DM,Clinical presentation,DM and pregnancy ,Diabetes ketoacidosis ,Complications of DM ,Diagnosis ,Dietary management of DM & Prevention of DM.
Student seminar on Diabetes Mellitus presented by 2007/2008 Batch students of Faculty of Medicine,University of Peradeniya,Sri Lanka.
Ultra-processing of food. Definition, consequences for health and emerging cr...Reijo Laatikainen
This document discusses ultra-processed foods and their health impacts according to the NOVA food classification system. It defines ultra-processed foods as industrial formulations containing ingredients like hydrogenated oils, high-fructose corn syrup, protein isolates, and artificial flavors. Studies show higher consumption of ultra-processed foods is associated with increased risks of obesity, heart disease, diabetes and early death. However, more clinical research is still needed to fully understand the health effects of ultra-processed foods. The NOVA system is useful for highlighting issues with modern food systems but may inaccurately classify some foods and confuse consumers.
Kaurajuomien, -jogurttien-, kermojen vertailua ravitsemuksellisen arvon suhteen. Fokus rasvan laadussa, proteiinissa, kuidussa ja suojaravintoaineissa, kuten D-vitamiinisssa, kalsiumissa, B12-vitamiinissa ja jodissa.
Teen tässä diasrajassa vertailua, miten suomalaisten syöminen muuttuisi ravintoaineiden saannin ja toisaalta ruuan käytön näkökulmasta, jos siirtyisimme planetaariseen ruokavalioon.
Miten ruoka, laihdutus ja ravintolisät, kuten kurkuma, inkivääri ja omega-3 rasvahapot (kalaöljy) vaikuttavat tavallisten nivelsairauksien riskiin ja miten ne toimivat vaivojen hoidossa? Tutkimustietoon perustuvat diasarja.
Hullua menoa ravintotutkimuksessa ja -keskustelussaReijo Laatikainen
Tässä diasarjassa kerron näkemyksiäni siitä miksi ravintotutkimukset tuntuvat välillä niin hulluilta ja miksi keskustelu on välillä niin vaikeaa ja miksi solvaaminen on yleistä.
This presentation compares the effects of different animal proteins on cancer, diabetes, heart disease and stroke. Presentation covers fish, dairy, poultry, red meat, processed meat and eggs.
Fat intake US has remained rather stable during the past decades despite many claims. I present here the case based on USDA and NHANES data.
Claiming that fat intake has decreased in US is as silly as advising a dieter: “If you want to follow a low-fat diet just keep your fat intake at the current level and simply increase the consumption of carbs. Then you are on low-fat diet and you will reap all the benefits of the diet”
Suomalaisten energiaravintoaineiden ja ruokien kulutusReijo Laatikainen
Tämä diasarjaa kertoo miten suomalaisten ruuan käyttö on muuttunut. Luvut perustuvat FAO:n tilastoihin, jotka puolestaan perustuvat suomalaisiin Ravintotaseisiin.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ultra-processing of food. Definition, consequences for health and emerging cr...Reijo Laatikainen
This document discusses ultra-processed foods and their health impacts according to the NOVA food classification system. It defines ultra-processed foods as industrial formulations containing ingredients like hydrogenated oils, high-fructose corn syrup, protein isolates, and artificial flavors. Studies show higher consumption of ultra-processed foods is associated with increased risks of obesity, heart disease, diabetes and early death. However, more clinical research is still needed to fully understand the health effects of ultra-processed foods. The NOVA system is useful for highlighting issues with modern food systems but may inaccurately classify some foods and confuse consumers.
Kaurajuomien, -jogurttien-, kermojen vertailua ravitsemuksellisen arvon suhteen. Fokus rasvan laadussa, proteiinissa, kuidussa ja suojaravintoaineissa, kuten D-vitamiinisssa, kalsiumissa, B12-vitamiinissa ja jodissa.
Teen tässä diasrajassa vertailua, miten suomalaisten syöminen muuttuisi ravintoaineiden saannin ja toisaalta ruuan käytön näkökulmasta, jos siirtyisimme planetaariseen ruokavalioon.
Miten ruoka, laihdutus ja ravintolisät, kuten kurkuma, inkivääri ja omega-3 rasvahapot (kalaöljy) vaikuttavat tavallisten nivelsairauksien riskiin ja miten ne toimivat vaivojen hoidossa? Tutkimustietoon perustuvat diasarja.
Hullua menoa ravintotutkimuksessa ja -keskustelussaReijo Laatikainen
Tässä diasarjassa kerron näkemyksiäni siitä miksi ravintotutkimukset tuntuvat välillä niin hulluilta ja miksi keskustelu on välillä niin vaikeaa ja miksi solvaaminen on yleistä.
This presentation compares the effects of different animal proteins on cancer, diabetes, heart disease and stroke. Presentation covers fish, dairy, poultry, red meat, processed meat and eggs.
Fat intake US has remained rather stable during the past decades despite many claims. I present here the case based on USDA and NHANES data.
Claiming that fat intake has decreased in US is as silly as advising a dieter: “If you want to follow a low-fat diet just keep your fat intake at the current level and simply increase the consumption of carbs. Then you are on low-fat diet and you will reap all the benefits of the diet”
Suomalaisten energiaravintoaineiden ja ruokien kulutusReijo Laatikainen
Tämä diasarjaa kertoo miten suomalaisten ruuan käyttö on muuttunut. Luvut perustuvat FAO:n tilastoihin, jotka puolestaan perustuvat suomalaisiin Ravintotaseisiin.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
1. Post R et al. Dietary Fiber for the
Treatment of Type 2 Diabetes Mellitus:
A Meta-Analysis
J Am Board Fam Med 2011; 25:16-23
http://twitter.com/pronutritionistPage 1
2. Page 2
Pronutritionist’s background
• High intake of fiber is linked to improved cardiovascular outcomes in
prospective cohort trials (Mente et al. 2009)
• Current dietary guidelines emphasize the role of dietary fiber in the
treatment of type diabetes (American diabetes association, 2008)
• Exact magnitude of the effect of increased fiber intake, in the context of
stable carbohydrate, fat and protein intake, is not known
http://twitter.com/pronutritionistPage 2 Post R et al. J Nutr. 2011 Dec;141(12):2180-5
3. Methods (patients)
• A metal-analysis of controlled randomized trials
• Primary outcomes:
– Fasting glucose
– HbA1c
• Participants: Type 2 diabetics
• 15 trials included
• On average, observed difference in fiber intake was 18,3 grams/day
(40 grams per day)
• Follow up: 3-12 weeks
• Some trials used fiber supplements, some changed quality of bread or
cereals
• Both trials using soluble and in-soluble fiber were used
http://twitter.com/pronutritionistPage 3 Post R et al. J Nutr. 2011 Dec;141(12):2180-5
5. Pronutritionist’s discussion
• This is the first meta-analysis to show the effect of increased fiber intake
in the control of type 2 diabetes in randomized setting
• The trials included were short. None of trials lasted more than 3 months.
More long term data is needed
• The meta-analysis supports the benefits of proposed high fiber intake in
the current diabetes guidelines
• If a diabetic patient is not able to increase use of vegetables, fruit and
whole grain, supplementation of fiber is justified according to this meta-
analysis
• It will be interesting to see if novel approaches to control blood glucose
will deliver similar effects, such as meal-time or bed-time vinegar intake
(Liatis et al. 2010)
http://twitter.com/pronutritionistPage 5 Post R et al. J Nutr. 2011 Dec;141(12):2180-5
6. Please read the whole paper at
J Am Board Fam Med 2011;
25:16-23
http://twitter.com/pronutritionistPage 6