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Practical Diabetes Care, 3rd Ed., Excerpt #7: Type 2 Diabetes: General Introduction Part 2 of 2

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David Levy, MD, FRCP General Recommendations on Macronutrients Carbohydrate Recommended daily allowance is about 130 g. Low glycemic index foods (e.g. barley, oats, beans, lentils, rye bread) can reduce HbA1c by about 0.4% (4 mmol/mol) compared with high glycemic index foods. More importantly, high whole-grain, cereal fiber, bran and germ intake …

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Abdominal Obesity Can Be Treated with Exercise

For patients who are obese and sedentary, any exercise can help trim abdominal fat, but it may take a bit more effort to get other health benefits… Robert Ross, PhD, an exercise physiologist at Queen’s University in Kingston, Canada, and colleagues recruited 300 people in their 40s and 50s who …

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Will Congress Pass Improved Diabetes Care?

AACE leads charge for legislative changes focused on treating diabetes, prediabetes and associated illnesses… An estimated 29.1 million Americans (almost 10% of the total population) have diabetes, another 86 million citizens aged 20 or older suffer from prediabetes, and spending on diagnosed diabetes has increased 41% over five years. Further, …

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Effects of Lifestyle Intervention and Metformin on the Development of Type 2 in Women With or Without GDM

Women with a history of GDM had 48% increased risk of developing diabetes… From previous studies it is known that women with gestational diabetes are at a higher risk for the development of type 2 diabetes. Previous results from the Diabetes Prevention Program (DPP) showed that Intensive Lifestyle Intervention (ILS) …

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Are Lower Urinary Tract Symptoms Linked to Incidence of Type 2 Diabetes and Heart Disease?

Occurrence of lower urinary tract symptoms might be a useful predictor… There has been increasing evidence suggesting an association of cardiovascular and metabolic risk factors with Lower Urinary Tract Symptoms (LUTS). An increased likelihood of LUTS with decreased physical activity and increased obesity has been reported in studies. An association …

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Practical Diabetes Care, 3rd Ed., Excerpt #6: Type 2 Diabetes: General Introduction

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David Levy, MD, FRCP Introduction: Type 2 Diabetes as a Progressive Condition Glycemia in type 2 diabetes progressively deteriorates with time, usually thought to be related to progressive beta-cell failure. This was demonstrated dramatically in the United Kingdom Prospective Diabetes Study (UKPDS 1998), but the glycemic trends have been less marked …

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