Category: Diabetes

  • Twenty-Five Surprising Benefits of a Dietary

    By Dr. Myatt

    [The fully referenced version of this article can be found at: http://www.drmyattswellnessclub.com/Fiber25Benefits.htm]

    It’s not a “sexy supplement” or a “new breakthrough.” In fact, it’s not even officially classified as a nutrient. But Americans get only 10% of the amount we consumed 100 years ago, and our health may be seriously suffering as a result.

    That is this important “non nutrient” that we’re missing? Dietary fiber.

    “Fiber” refers to a number of indigestible carbohydrates found in the outer layers of plants. Humans lack enzymes to break down most types of fiber, so they pass through the digestive system relatively unchanged and do not provide nutrients or significant calories.

    In spite of this indigestibility, fiber has a surprising number of health benefits. In fact, consuming adequate daily fiber may be one of the most important health measures anyone can take.

    Twenty-Five Health Benefits of Fiber — Who Knew?

    There are numerous “sub-classes” of fiber, but the two main types are I.) soluble and II.) insoluble fiber. Both types are beneficial to health and both typically occur together in nature. They each offer independent health benefits. Here are twenty-five known health benefits that fiber provides.

    Bowel Benefits:

    1.) Relieves constipation. Insoluble fiber absorbs large amounts of water in the colon. This makes stools softer and easier to pass. Most people who increase fiber intake will notice improved bowel function in 31-39 hours.

    2.) Relieves diarrhea. It may seem paradoxical that a substance which helps constipation also helps diarrhea, but that’s just what fiber does. Insoluble fiber binds watery stool in the colon, helping turn “watery” into “formed.” Fiber is known to offer significant improvement to those with diarrhea.

    3.) Helps prevent hemorrhoids. Constipation is a leading cause of hemorrhoids. Because fiber-rich stools are easier to pass, less straining is necessary. Diets high in fiber have been shown to prevent and relieve hemorrhoids.

    4.) Reduces risk of diverticular disease. In cultures that consume high-fiber diets, diverticular disease is relatively unknown. That’s because high fiber intake “exercises” the colon, prevents excess bowel gas and absorbs toxins, all of which lead to the “bowel herniation” disease known as diverticulitis. Increased fiber intake is currently recommended in Western medicine as primary prevention for the disease.

    5.) Helps Irritable bowel syndrome (IBS). IBS is characterized by constipation, diarrhea, or alternating constipation/diarrhea. Regardless of type, increased fiber intake has been shown to improve IBS symptoms.

    6.) Improves bowel flora. “Flora” refers to the “good bugs” (healthy bacteria) that colonize the large intestine (colon). Antibiotics, drugs, food allergies, high sugar diets and junk food alter this “bowel garden” in favor of the “bad bugs.” Certain types of fiber are rich in substances the “feed” bowel flora and help keep the balance of good bacteria in the colon at a normal level.

    7.) Helps prevent colon cancer. Although research has been controversial, observational studies in the 1970s showed that African natives consuming high-fiber diets had a much lower incidence of colorectal carcinoma. Since the “risk” of increased fiber consumption is so small, the “US Pharmacist,” states…

    “…with no clearly negative data about fiber, it makes sense to increase fiber intake just in case the positive studies did reveal an actual link. The patient will also experience the ancillary benefits of fiber consumption, such as reduction in cholesterol (with psyllium), prevention of constipation, and reducing risk of hemorrhoids.”

    8.) Appendicitis: studies show a correlation between the development of appendicitis and low fiber intake. A diet high in fiber may help prevent appendicitis.

    Whew… that’s just the bowel benefits! Fiber also helps prevent heart disease in multiple ways.

    9.) Lowers Total cholesterol. According to the FDA, soluble fiber meets the standard for reduction of risk from coronary heart disease. Psyllium husk is also able to reduce the risk of coronary heart disease as it contains a soluble fiber similar to beta-glucan.

    10.) Lowers triglycerides. Higher dietary fiber is associated with lower triglyceride levels.

    11.) Raises HDL. Fiber may even raise HDL — the “good cholesterol” — levels.

    12.) Lowers LDL Cholesterol. In addition to total cholesterol, increased fiber lowers LDL — the “bad cholesterol” — levels.

    13.) Aids Weight loss. Fiber helps prevent weight gain and assists weight loss several ways. The “bulking action” of fiber leads to an earlier feeling of satiety, meaning that one feels satisfied with less high-calorie food when the meal contains a lot of fiber. Fiber helps bind and absorb dietary fat, making it less available for assimilation. This means that some fat may be “lost” through the digestive tract when the meal is high in insoluble fiber.

    14.) Lowers Overall risk of Coronary Artery Disease. Perhaps because of a combination of the above-listed lipid-normalizing factors, some studies have shown an overall protective effect of higher fiber intake against coronary heart disease.

    Fiber also benefits blood sugar levels and diabetes…

    15.) Helps Type I Diabetes. Eaten with meals, high-fiber supplements like guar gum reduced the rise in blood sugar following meals in people with type 1 diabetes. In one trial, a low-glycemic-index diet containing 50 grams of daily fiber improved blood sugar control and helped prevent hypoglycemic episodes in people with type 1 diabetes taking two or more insulin injections per day.

    16.) Improves Type II Diabetes. High-fiber diets have been shown to work better in controlling diabetes than the AmericanDiabeticAssociation (ADA)-recommended diet, and may control blood sugar levels as well as oral diabetic drugs.

    One study compared participants eating the the ADA diet (supplying 24 grams of daily fiber) or a high-fiber diet (containing 50 grams daily fiber) for six weeks. Those eating the high-fiber diet for six weeks had an average 10% lower glucose level than people eating the ADA diet. Insulin levels were 12% lower in the high-fiber group compared to those in the ADA diet group. The high fiber group also had decreased  glycosylated hemoglobin levels, a measure of long-term blood glucose regulation.

    High-fiber supplements such as psyllium, (38)guar gum (39) and pectin (40) have shown improved glucose tolerance.

    More systemic benefits of fiber:

    17.) Gallstone prevention. Rapid digestion of carbohydrates leads to fast release of glucose (sugar) into the bloodstream. In response, the body releases large amounts of insulin. High insulin levels contribute to gallstone formation. Because dietary fiber slows the release of carbohydrates (and corresponding insulin), fiber helps prevent gallstone formation.

    18.) Kidney stone prevention. Low intakes of dietary fiber have been found to correlate with increased kidney stone formation, and higher intakes of fiber appear to be protective against stone formation.

    19.) Varicose veins. “Straining at stool” caused by fiber-deficiency constipation, has been found in some studies to cause varicose veins. Populations with lower fiber intakes have higher rates of varicosities.

    Fiber may even be important in prevention of certain types of cancer…

    20.) Colon Cancer Prevention. Diets higher in fiber have been shown in some studies to reduce the risk of colon cancer.

    21.) Breast cancer prevention. Higher fiber diets are associated with lower breast cancer risk. Some studies have shown up to a 50% decreased risk with higher fiber intakes. After diagnosis, a high fiber diet may decrease the risk of  breast cancer reoccurrence.

    22.) Pancreatic cancer prevention. High fiber diets are associated with lower risk of pancreatic cancer.

    23.) Endometrial cancer prevention. Higher fiber has been shown in some studies to protect against endometrial cancer.

    24.) Prostate cancer prevention. Diets higher in fiber may be associated with lower risk of prostate cancer. After diagnosis, a high fiber diet may decrease the risk of  prostate cancer reoccurrence.

    25.) Cancer prevention in general. Some studies have found that high fiber diets help prevent cancer in general, regardless of type.

    Recommendations vs. Reality

    The average daily American fiber intake is estimated at 14 to 15 g, significantly less than the American Dietetic Association recommendation of 20 to 35 g for adults, 25 g daily for girls ages 9 through 18 years and 31 to 38 g for boys ages 9 through 18. The American Heart Association recommends 25 to 30 g daily.

    Based on dietary intakes of long-lived populations (who typically consume 40-60 grams or more of fiber per day), many holistic physicians recommend aiming for a minimum of 30 grams of daily fiber.

    In my clinical experience, I find that most people over-estimate their fiber intake because they are unaware of the fiber content of many of the foods they eat (see http://www.drmyattswellnessclub.com/rate_your_plate.htm).

    Since fiber has proven itself to be such an important “non nutrient” for good health, increased dietary consumption and/or supplementation can be considered a wise choice for optimal health and disease prevention.

  • A Dozen Proven Reasons to take a Good Multiple Vitamin

    A Dozen Proven Reasons to take a Good Multiple Vitamin

    By Dr. Dana Myatt

    While conventional medicine and newspaper headlines continue to tell us that nutritional supplementation isn’t important, the results of medical research shows just the opposite. Here are twelve recent medical findings that should convince you to keep taking a high-quality, optimal potency multiple vitamin/mineral supplement. If you’re not sure what an “optimal potency” formula consists of or what you should be taking for your age and sex, refer to The Wellness Club web site’s nutritional supplements page for an up-to-date ingredient list and optimal dose recommendations.

    1. Harvard researchers have found that sub-optimal levels of folic acid, vitamins B6 and B12 are a risk factor for heart disease and colon and breast cancers. (Journal of the American Medical Association (JAMA) June 19, 2002)
    2. A six-month study showing that folic acid, vitamin B12 and vitamin B6 helped prevent recurrence of blocked arteries in patients who have undergone coronary angioplasty. (Journal of the American Medical Association, August 28, 2002).
    3. Vitamin K is a critical nutrient for skeletal integrity, with evidence of vitamin K1 supplementation reducing bone loss in healthy postmenopausal women and a significant positive relationship between vitamin K status and indices of bone health in men. (24th Annual Meeting of the American Society of Bone and Mineral Research, September 20 – 24, 2002, San Antonio, Texas)
    4. Alzheimer’s disease: Association with zinc deficiency and cerebral vitamin B12 deficiency. (Journal of Orthol. Psychiatry (CANADA), 1984, 13/2 (97-104))
      Supplementation of the elderly with
      vitamin E has been shown to enhance immune response, delay onset of Alzheimer’s disease, and increase resistance to oxidative injury associated with exercise. (Proc Nutr Soc. 2002;61:165-171)
      Vitamin E intake
      , from foods or supplements, is associated with less cognitive decline with age. Arch Neurol. 2002;59:1125-1132
    5. Researchers at Cambridge University in England looked at serum vitamin C and how long people lived. People who had the lowest levels of vitamin C were twice as likely to die compared to those with the highest serum vitamin C levels. This study was based on the findings from over 19,000 people. (Lancet 2001; 357:657-63)
    6. 26.4% of esophageal and gastric cancers are attributable to low selenium levels. (Journal of the National Cancer Institute, Mark et al., 2000)
    7. Calcium supplementation is associated with a significant – though moderate – reduction in the risk of recurrent colorectal adenomas. The effect of calcium was independent of initial dietary fat and calcium intake. (N Engl J Med (United States) Jan 14 1999, 340 (2) p101-7.)
    8. Data from the Nurses’ Health Study conducted at the Harvard Medical School showed that long-term supplementation with folic acid reduces the risk of colon cancer by 75% in women! 90,000 women participated in the Nurses’ Health Study, making this and especially significant finding. The authors of this study explained that folic acid obtained from supplements had a stronger protective effect against colon cancer than folic acid consumed in the diet. (Annals of Internal Medicine (1998; 129:517-524)
    9. Regarding asthma, the lowest intakes of vitamin C and manganese (a trace mineral not to be confused with magnesium) were associated with more than five-fold increased risks of bronchial reactivity. Decreasing intakes of magnesium were also significantly associated with an increased risk of hyper-reactivity. (Thorax (United Kingdom), 1997, 52/2 (166-170)).
    10. Antioxidant supplements reduce the risk of cataract. One study in the evaluated 410 men for 3 years to ascertain the association between serum vitamin E and the development of cortical lens opacities (cataracts). The men with the lowest level of serum vitamin E had a 3.7 times greater risk of this form of cataract compared to men with the highest serum level of vitamin E. (American Journal of Epidemiology Sept. 1996)
    11. Encouraging moderate exercise and dietary supplementation with calcium and vitamin D… are the major nonpharmacological management measures used to prevent and treat osteoporosis. (Drugs and Aging (New Zealand), 1996, 9/6 (472-477)
    12. Nutrient intake of patients with rheumatoid arthritis is deficient in pyridoxine (vitamin B-6), zinc, copper, and magnesium. (Journal of Rheumatology (Canada), 1996, 23/6 (990-994))

    More Research Supporting Benefits of Antioxidants

    By Allen S. Josephs, M.D.
    President, Vitacost.com

    Recent studies further support the need for antioxidants and other nutrients to protect against cell damage, and in some cases even reduce risks of certain forms of cancer. One medical study had very promising results when participants were given a daily dose of vitamin C, vitamin E, beta carotene and selenium. Most multivitamins on the market do not qualify as good because they lack so many important antioxidants and/or use inadequate levels and forms.”

  • More Good News About Fish Oil – For Diabetes and Weight Loss

    Evidence supporting the benefit of Omega-3 fatty acids, especially those found in Fish Oil, continues to mount. We have written about this before in HealthBeat articles – and Fish Oil is becoming important enough that the Drug Companies are scrambling to find ways to market their versions of this fairly simple substance at obscene prices.

    The following article came across my desk the other day – it will be of great interest to diabetics and those needing to trim some abdominal inches.

    Key Points in this article include:

    • Omega-3 fish oil produced beneficial changes to diabetic women’s bodies.
    • Fish oil reduced fat mass, the size of abdominal fat cells, and expression of pro-inflammatory genes in abdominal fat.
    • Results add to prior findings of anti-diabetic effects from omega-3s.

    Fish Oil Trims Diabetics’ Belly and Blood Fat

    Omega-3s also improved genetic and blood-fat profiles in small clinical study
    by Craig Weatherby

    Evidence that omega-3s and vitamin D may play helpful roles in type 2 (adult onset) diabetes continues to mount.

    Evidence also continues to accumulate that the shortage of omega-3s – and excess of omega-6s – in Western diets exacerbates the growing epidemic of metabolic syndrome and its twin spawn: heart disease and diabetes.(Those excess omega-6s come from vegetable oils, the prepared and packaged foods made with those oils, and meats and poultry raised on grains instead of grass.)

    The results of a small clinical trial from France lend weight to the hypothesis that diets high in omega-3s may help deter or ameliorate diabetes and cardiovascular disease.

    Belly fat and diabetes risk: A case of apples versus pears

    Compared with pear-shaped people – whose fat is centered on the hips and thighs – apple-shaped people with body fat centered on the abdomen are at greater risk of metabolic syndrome, heart disease and diabetes.

    This appears to be a function of the fact that fat cells (adipocytes) in the abdomen possess properties different from adipocytes found in the lower body.

    For one thing, abdominal adipocytes generate pro-inflammatory chemicals associated with increased risk of metabolic syndrome, heart disease and diabetes.

    In addition to anti-inflammatory impacts, omega-3s exert some of the same effects�produced by the leading diabetes drugs, called PPAR agents.

    The results of a clinical trial from France add to the good news, and are most welcome, given the need for nutritional tactics to deter metabolic syndrome, diabetes, and heart disease.

    French trial shows belly fat loss from fish oil

    Last month, researchers from INSERM – France’s counterpart to the US National Institutes of Health – published the results of a small, controlled clinical trial designed to test the effects of fish oil (Kabir M et al. 2007).

    They recruited 27 women with diabetes and randomly assigned them to receive either fish oil (providing 1.8 grams of omega-3s per day) or a placebo (paraffin oil) for two months.

    At the end of the study, the women in the omega-3 showed significant reductions in their total fat mass and the diameter of the fat cells beneath the surface of their abdominal skin.

    No such benefits were detected in the placebo group.

    In addition, the omega-3 group showed reduced blood fat (triglyceride) levels and a lower ratio of triglycerides to HDL ("good") cholesterol: changes that reduce the risk that plaque will form in arteries.

    Finally, the omega-3 group enjoyed reductions in a subset of inflammation-related genes in their belly fat.

    The fish oil group showed no improvements in measures of insulin sensitivity, but omega-3s have never been associated with such changes, per se.

    Omega-3s appear able to stabilize blood sugar levels, but they do it by means other than insulin sensitization, which remain unclear.

    NOTE: Fish oil supplements can temporarily worsen blood sugar control in diabetics. Diabetics who take fish oil for the first time should consult their physician, and monitor their blood sugar more closely for a few weeks.

    Sources

    1. Delarue J, LeFoll C, Corporeau C, Lucas D. N-3 long chain polyunsaturated fatty acids: a nutritional tool to prevent insulin resistance associated to type 2 diabetes and obesity. Reprod Nutr Dev. 2004 May-Jun;44(3):289-99. Review.
    2. Kabir M, Skurnik G, Naour N, Pechtner V, Meugnier E, Rome S, Quignard-Boulange A, Vidal H, Slama G, Clement K, Guerre-Millo M, Rizkalla SW. Treatment for 2 mo with n 3 polyunsaturated fatty acids reduces adiposity and some atherogenic factors but does not improve insulin sensitivity in women with type 2 diabetes: a randomized controlled study. Am J Clin Nutr. 2007 Dec;86(6):1670-9.
    3. Luo J, Rizkalla SW, Vidal H, Oppert JM, Colas C, Boussairi A, Guerre-Millo M, Chapuis AS, Chevalier A, Durand G, Slama G. Moderate intake of n-3 fatty acids for 2 months has no detrimental effect on glucose metabolism and could ameliorate the lipid profile in type 2 diabetic men. Results of a controlled study. Diabetes Care. 1998 May;21(5):717-24.
      Mostad IL, Bjerve KS, Bjorgaas MR, Lydersen S, Grill V. Effects of n-3 fatty acids in subjects with type 2 diabetes: reduction of insulin sensitivity and time-dependent alteration from carbohydrate to fat oxidation. Am J Clin Nutr. 2006 Sep;84(3):540-50. Erratum in: Am J Clin Nutr. 2007 Jun;85(6):1668.
    4. Rivellese AA, Maffettone A, Iovine C, Di Marino L, Annuzzi G, Mancini M, Riccardi G. Long-term effects of fish oil on insulin resistance and plasma lipoproteins in NIDDM patients with hypertriglyceridemia. Diabetes Care. 1996 Nov;19(11):1207-13.
    5. Rodriguez-Cruz M, Tovar AR, del Prado M, Torres N. [Molecular mechanisms of action and health benefits of polyunsaturated fatty acids]. Rev Invest Clin. 2005 May-Jun;57(3):457-72. Review. Spanish.
    6. Yamamoto K, Itoh T, Abe D, Shimizu M, Kanda T, Koyama T, Nishikawa M, Tamai T, Ooizumi H, Yamada S. Identification of putative metabolites of docosahexaenoic acid as potent PPARgamma agonists and antidiabetic agents. Bioorg Med Chem Lett. 2005 Feb 1;15(3):517-22.