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My personal hypothesis - T2 - Low insulin Diet
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<blockquote data-quote="CherryAA" data-source="post: 1593153" data-attributes="member: 327005"><p><a href="http://bjsm.bmj.com/content/51/15/1111" target="_blank">http://bjsm.bmj.com/content/51/15/1111</a></p><p>I am impressed to see that here, finally a doctor is putting the issue in terms that a layman can actually understand. </p><p>the term "insulin resistance " has been used millions of times and still leads to major confusion from many of us as to whether we do or do not make insulin. Here he is stating it succinctly</p><p></p><p>"Coronary artery disease pathogenesis and treatment urgently requires a paradigm shift. Despite popular belief among doctors and the public, the conceptual model of <strong>dietary saturated fat clogging a pipe is just plain wrong.</strong> A landmark systematic review and meta-analysis of observational studies showed <strong>no association between saturated fat consumption</strong> and (1) all-cause mortality, (2) coronary heart disease (CHD), (3) CHD mortality, (4) ischaemic stroke or (5) type 2 diabetes in healthy adults.<a href="http://bjsm.bmj.com/content/51/15/1111#ref-1" target="_blank">1</a> Similarly in the secondary prevention of CHD <strong>there is no benefit from reduced fat, including saturated fat, on myocardial infarction, cardiovascular or all-cause mortality</strong>.<a href="http://bjsm.bmj.com/content/51/15/1111#ref-2" target="_blank">2</a> It is instructive to note that in an angiographic study of postmenopausal women with CHD, g<strong>reater intake of saturated fat was associated with less progression of atherosclerosis whereas carbohydrate and polyunsaturated fat intake were associated with greater progression</strong>.<a href="http://bjsm.bmj.com/content/51/15/1111#ref-3" target="_blank">3</a></p><p></p><p><em>A high TC to HDL ratio is also a surrogate marker for insulin resistance (ie<strong>, chronically elevated serum insulin at the root of heart disease, type 2 diabetes and obesity)</strong>. And in those over 60 years, a recent systematic review concluded that LDL cholesterol is not associated with cardiovascular disease and is inversely associated with all-cause mortality.<a href="http://bjsm.bmj.com/content/51/15/1111#ref-8" target="_blank">8</a> A<strong> high TC to HDL ratio drops rapidly with dietary changes such as replacing refined carbohydrates with healthy high fat foods.</strong></em></p><p></p><p><span style="font-size: 15px"><em><strong>"</strong>A simple way to combat insulin resistance (chronically high levels of serum insulin) and inflammation</em> c<em>oronary artery disease is a chronic inflammatory disease and it can be reduced effectively by <strong>walking 22 min a day an</strong>d <strong>eating real food.</strong> There is no business model or market to help spread this simple yet powerful intervention."</em></span></p><p></p><p><span style="font-size: 15px"><em>"In comparison with advice to follow a ‘low fat’ diet (37% fat), an energy-unrestricted Mediterranean diet (41% fat) supplemented with at least four tablespoons of extra virgin olive oil or a handful of nuts (PREDIMED) achieved a significant 30% (number needed to treat (NNT)=61) reduction in cardiovascular events in over 7500 high-risk patients"</em></span></p><p><span style="font-size: 15px"></span></p><p><span style="font-size: 15px">4 tablespoons of olive oil is 444 calories of oil and will turn a 41% fat diet into a 60% fat diet - aka LCHF </span></p><p><span style="font-size: 15px"></span></p><p><span style="font-size: 15px"><em>"It is the alpha linoleic acid, polyphenols and omega-3 fatty acids present in nuts, extra virgin olive oil, vegetables and oily fish that rapidly attenuate inflammation and coronary thrombosis."</em></span></p><p><span style="font-size: 15px"></span></p><p><span style="font-size: 15px">Dr Malhotra is very keen on the "Pioppi diet ( his book) - but I do not believe there is any real need to distinguish that from a plain old LCHF diet made of good quality real food ingredients of whatever kind floats your boat ! </span></p><p><span style="font-size: 15px"></span></p><p> <span style="font-size: 15px">The alpha linoleic acid is also available in grass fed beef. </span></p><p><span style="font-size: 15px"></span></p><p><span style="font-size: 15px">I HATE the fact that people have come to think that a Mediterranean diet has to be one that stops us enjoying red meat. </span></p><p><span style="font-size: 15px">Pioppi is in Tuscany -delicacies of Tuscany include </span></p><p><span style="font-size: 15px">wild boar, Florence Porterhouse steak, antipasto toscano - a cutting board full of meats and cheeses of the region </span></p><p><span style="font-size: 15px">classic ingredients "<span style="color: #000000">porcini mushrooms, meat sauces, artichokes, sausages.<span style="color: #000000">"</span></span></span></p><p><span style="font-size: 15px"></span></p><p><span style="font-size: 18px"><span style="font-size: 15px">I currently eat olive oil and cod liver oil, the cod liver oil has a much bigger content of Om 3, it also has huge quantities of Vit D ( which most people with diabetes will be deficient of) and Vit K (Vit D is only absorbed in the presence of K) - just that people can't sell books based on it ! ( though beware taking too much codliver oil it has so much Vit A that you really don't need to have much of it!- so neither do you get so many calories from it. </span></span></p><p><span style="font-size: 18px"></span></p><p><span style="font-size: 18px"></span></p><p><span style="font-size: 18px"><strong><img src="http://bjsm.bmj.com/content/bjsports/51/15/1111/F1.medium.gif" alt="" class="fr-fic fr-dii fr-draggable " style="" /></strong></span></p></blockquote><p></p>
[QUOTE="CherryAA, post: 1593153, member: 327005"] [URL]http://bjsm.bmj.com/content/51/15/1111[/URL] I am impressed to see that here, finally a doctor is putting the issue in terms that a layman can actually understand. the term "insulin resistance " has been used millions of times and still leads to major confusion from many of us as to whether we do or do not make insulin. Here he is stating it succinctly "Coronary artery disease pathogenesis and treatment urgently requires a paradigm shift. Despite popular belief among doctors and the public, the conceptual model of [B]dietary saturated fat clogging a pipe is just plain wrong.[/B] A landmark systematic review and meta-analysis of observational studies showed [B]no association between saturated fat consumption[/B] and (1) all-cause mortality, (2) coronary heart disease (CHD), (3) CHD mortality, (4) ischaemic stroke or (5) type 2 diabetes in healthy adults.[URL='http://bjsm.bmj.com/content/51/15/1111#ref-1']1[/URL] Similarly in the secondary prevention of CHD [B]there is no benefit from reduced fat, including saturated fat, on myocardial infarction, cardiovascular or all-cause mortality[/B].[URL='http://bjsm.bmj.com/content/51/15/1111#ref-2']2[/URL] It is instructive to note that in an angiographic study of postmenopausal women with CHD, g[B]reater intake of saturated fat was associated with less progression of atherosclerosis whereas carbohydrate and polyunsaturated fat intake were associated with greater progression[/B].[URL='http://bjsm.bmj.com/content/51/15/1111#ref-3']3[/URL] [I]A high TC to HDL ratio is also a surrogate marker for insulin resistance (ie[B], chronically elevated serum insulin at the root of heart disease, type 2 diabetes and obesity)[/B]. And in those over 60 years, a recent systematic review concluded that LDL cholesterol is not associated with cardiovascular disease and is inversely associated with all-cause mortality.[URL='http://bjsm.bmj.com/content/51/15/1111#ref-8']8[/URL] A[B] high TC to HDL ratio drops rapidly with dietary changes such as replacing refined carbohydrates with healthy high fat foods.[/B][/I] [SIZE=4][I][B]"[/B]A simple way to combat insulin resistance (chronically high levels of serum insulin) and inflammation[/I] c[I]oronary artery disease is a chronic inflammatory disease and it can be reduced effectively by [B]walking 22 min a day an[/B]d [B]eating real food.[/B] There is no business model or market to help spread this simple yet powerful intervention."[/I][/SIZE] [SIZE=4][I]"In comparison with advice to follow a ‘low fat’ diet (37% fat), an energy-unrestricted Mediterranean diet (41% fat) supplemented with at least four tablespoons of extra virgin olive oil or a handful of nuts (PREDIMED) achieved a significant 30% (number needed to treat (NNT)=61) reduction in cardiovascular events in over 7500 high-risk patients"[/I] 4 tablespoons of olive oil is 444 calories of oil and will turn a 41% fat diet into a 60% fat diet - aka LCHF [I]"It is the alpha linoleic acid, polyphenols and omega-3 fatty acids present in nuts, extra virgin olive oil, vegetables and oily fish that rapidly attenuate inflammation and coronary thrombosis."[/I] Dr Malhotra is very keen on the "Pioppi diet ( his book) - but I do not believe there is any real need to distinguish that from a plain old LCHF diet made of good quality real food ingredients of whatever kind floats your boat ! The alpha linoleic acid is also available in grass fed beef. I HATE the fact that people have come to think that a Mediterranean diet has to be one that stops us enjoying red meat. Pioppi is in Tuscany -delicacies of Tuscany include wild boar, Florence Porterhouse steak, antipasto toscano - a cutting board full of meats and cheeses of the region classic ingredients "[COLOR=#000000]porcini mushrooms, meat sauces, artichokes, sausages.[COLOR=#000000]"[/COLOR][/COLOR] [/SIZE] [SIZE=5][SIZE=4]I currently eat olive oil and cod liver oil, the cod liver oil has a much bigger content of Om 3, it also has huge quantities of Vit D ( which most people with diabetes will be deficient of) and Vit K (Vit D is only absorbed in the presence of K) - just that people can't sell books based on it ! ( though beware taking too much codliver oil it has so much Vit A that you really don't need to have much of it!- so neither do you get so many calories from it. [/SIZE][/SIZE] [SIZE=5] [B][IMG]http://bjsm.bmj.com/content/bjsports/51/15/1111/F1.medium.gif[/IMG][/B][/SIZE] [/QUOTE]
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