A recent study attempted to quantify the association of ten dietary factors with deaths from cardiovascular disease and diabetes. Headlines about the study were misleading. How likely is bacon to kill you? I’ve been seeing differing headlines about a recent study: MDLinx said, “Bacon, soda and too few nuts tied… read more "Dietary Associations with Cardiovascular and Diabetic Mortality: “Bacon, soda, and too few nuts”?"
Natural Remedies for Diabetes: Plavinol, Glucopure
There is not enough evidence to support using dietary supplements in the treatment of diabetes. There is preliminary evidence that some herbs lower blood sugar by a modest amount, but it would be foolish to think they could replace conventional treatment of diabetes. There is good news for diabetics; unfortunately,… read more "Natural Remedies for Diabetes: Plavinol, Glucopure"
Plavinol and Other Natural Remedies for Diabetes: “Condimentary Medicine”?
We don’t yet have a cure for diabetes, but we have insulin; it controls the disease and allows Type 1 diabetics to lead a relatively normal life instead of suffering and quickly dying as they all did in the pre-insulin era. We know to counsel Type 2 diabetics about weight loss,… read more "Plavinol and Other Natural Remedies for Diabetes: “Condimentary Medicine”?"
Doves, Diplomats, and Diabetes
In the past I have criticized evolutionary medicine for its tendency to rely on unverifiable “Just-So Stories,” but a new book has helped me appreciate what the best kind of evolutionary thinking can contribute to our understanding of medicine. Doves, Diplomats, and Diabetes: A Darwinian Interpretation of Type 2 Diabetes and Related… read more "Doves, Diplomats, and Diabetes"
Lessons from the History of Insulin
On my recent trip to Nashville for CSICon, I took advantage of the long hours on the plane to read Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle, by Thea Cooper and Arthur Ainsberg. One of our commenters recommended it. I’m not sure who (was… read more "Lessons from the History of Insulin"
The Obesity Paradox
Being fat is bad except when it’s good. It’s called “the obesity paradox.” (No, that isn’t a mis-spelling for “two physicians who treat fat people.”) The adverse health effects of obesity are well established, but there are exceptions. Obesity appears to confer an advantage in certain subgroups with conditions… read more "The Obesity Paradox"
Inflammation: Both Friend and Foe
A number of buzz-words appear repeatedly in health claims, such as natural, antioxidants, organic, and inflammation. Inflammation has been implicated in a number of chronic diseases, including diabetes, Parkinson’s, rheumatoid arthritis, allergies, atherosclerosis, and even cancer. Inflammation has been demonized, and is usually thought of as a bad thing. But… read more "Inflammation: Both Friend and Foe"
Overdiagnosis
Dr. H. Gilbert Welch has written a new book Over-diagnosed: Making People Sick in the Pursuit of Health, with co-authors Lisa Schwartz and Steven Woloshin. It identifies a serious problem, debunks medical misconceptions and contains words of wisdom. We are healthier, but we are increasingly being told we are sick. We… read more "Overdiagnosis"
Metabolic Syndrome: A Useless Construct?
Birds of a feather flock together. As they investigated the risk factors for cardiovascular disease and diabetes, medical detectives observed that the usual suspects liked to hang out together. Obesity, high blood pressure, abnormal blood lipids, and elevated blood sugars regularly appeared together in the same patient. It looked like… read more "Metabolic Syndrome: A Useless Construct?"
Red Meat: Is It Hazardous to Health?
Red meat consumption has been linked to diabetes, cardiovascular disease, and several types of cancer (breast, colorectal, stomach, bladder, prostate, and lymphoma). There are plausible mechanisms: meat is a source of carcinogens, iron that may increase oxidative damage, and saturated fat. But correlation and plausibility are not enough to establish… read more "Red Meat: Is It Hazardous to Health?"