Sugar, Sugar, Sugar, Which is the sweetest dessert of them all!

We all love desserts! They give us a feeling of satiety and satisfaction which few things in this world provide. However, too much of indulgence can be harmful. Its better to be informed and make a choice about the dessert depending on its sugar content.

 

Here is a chart from Shari’s Berries showing the sugar content of different desserts.

 

As Julissa from Shari’s Berries mentions “Although most say “There is ALWAYS room for dessert”, there is no reason to go overboard on your sugar taste buds especially if you are watching your weight or want something lighter.

That’s why Shari’s Berries has created a visual chart with the most popular desserts you find at restaurants and parties. The desserts range from lowest to highest in sugar content, hopefully making your choice a little bit easier. Sweets are definitely fun but moderation is key!”

 

sweetest-desserts

http://www.berries.com/blog/sweetest-desserts

 

Check for sleep apnea in individuals with diabetes and hypertension.

All patients with type 2 diabetes or hypertension should be evaluated for sleep apnea by a board-certified sleep medicine physician, the American Academy of Sleep Medicine (AASM) advised this week in a position statement.

“Type 2 diabetics and people with hypertension are much more likely to have obstructive sleep apnea [OSA] than other people, and as a result, should immediately discuss their risk for sleep apnea with a sleep specialist,” AASM president Dr M Safwan Badr said in statement.

 

Obstructive sleep apnea (OSA) is a sleep disorder seen in overweight and obese individuals where patients have obstruction of their upper airways during sleep leading to disruption of sleep. This disturbed sleep at night causes excessive daytime somnolence and fatigue. This disorder also causes hypertension, increase in blood sugars and increased incidence of a heart beat disorder called atrial fibrillation.

 

New research has consistently proved that sleep apnea may drive uncontrolled BP. Prompt recognition and treatment of sleep apnea improves BP control and also reduces average 24-hour blood sugar by 11 mg/dl. This also improves diabetes control and reduces the number of drugs required for BP control.

Prompt recognition of sleep apnea and its treatment will improve control of BP and diabetes!

 

via AASM says check for sleep apnea in diabetes, hypertension | theheart.org.

A soda a day ups diabetes risk by 20%!

Think before you grab your can of soda today!

Drinking one 12-ounce sugar-sweetened soft drink a day can increase the risk of type 2 diabetes by 22%, a new study from Europe suggests. The results corroborate research conducted in North American populations.

Mounting evidence that one can a day ups diabetes risk by a fifth.

The findings, from a study by Dr Dora Romaguera Imperial College London, UK and colleagues, are published online in Diabetologia April 24, 2013 .  They used the longitudinal European Prospective Investigation into Cancer and Nutrition EPIC study to evaluate ties between intake of sweet beverages juices and nectars, sugar-sweetened soft drinks, and artificially sweetened soft drinks and type 2 diabetes. They established a case-cohort design comprising 12 403 incident type 2 diabetes cases and a random subcohort of 16 154 individuals.

 

One 12-oz daily increment in sugar-sweetened or artificially sweetened soft-drink consumption was associated with the development of type 2 diabetes hazard ratios [HRs] 1.22 and 1.52, respectively.  Juice and nectar consumption was not associated with type 2 diabetes incidence.

A recent study from France found a link between drinking diet soda and regular soda and increased risk for type 2 diabetes in women.

 

Dr Rachel K Johnson University of Vermont, Burlington said the findings of this paper are “important because they come from a well-designed, prospective research trial conducted in a large sample of Europeans who were healthy at the beginning of the study. [This] enabled the researchers to determine the association between . . . different types of sweet beverages and the incidence of diabetes in a European population with a wide range of consumption.”This study is yet another nail in the coffin for sugar-sweetened beverages.

 

The American Heart Association recommends that you consume no more than 450 calories 36 ounces of sugar-sweetened beverages a week,”

 

via Newest study confirms a soda a day ups diabetes risk by 20% | theheart.org.

Awareness of prediabetes in the US is low!

 

According to the latest statistics, about one in three US adults 20 years and older have prediabetes, but only 11% are aware of their status.

The finding is reported in the March 22, 2013 issue of Morbidity and Mortality Weekly Report.

Awareness of prediabetes was low, “regardless of education level, income level, coverage by health insurance or other kind of healthcare plan, or healthcare use,”

During 2005-2006, only 7% of US adults were aware that they had prediabetes. In this report, Li and colleagues sought to determine whether this awareness had increased in 2009-2010.

 

The researchers identified 2603 participants with prediabetes, as defined as fasting plasma glucose (FPG) 100 to 125 mg/dL or glycated hemoglobin (HbA1c) of 5.7% to 6.4%.

They compared the prevalence of prediabetes awareness across a variety of factors, including age, race or ethnicity, sex, education level, poverty-to-income ratio, access to healthcare, having health insurance or other healthcare coverage at the time of interview, number of doctor visits in the past year, and having a usual source of healthcare such as a doctor’s office or health clinic.

 

The analysis showed that the percentage of persons with prediabetes who were aware of their status was  slightly higher (11%) in 2009-2010 than it was in 2005-2006 (p=0.04), although the awareness remained low.

 

The prevalence of type 2 diabetes is increasing in the US and that the disease can be prevented or delayed among those at high risk “by modest weight loss, good nutritional practices, and increased physical activity.”

The note concludes by calling for improved identification and awareness of prediabetes. These are “critical first steps to encourage those with prediabetes to make healthy lifestyle changes or to enroll in evidence-based, lifestyle-change programs aimed at preventing type 2 diabetes.”

via Awareness of prediabetes in the US is low | theheart.org.

Bypass surgery (CABG) beats Angioplasty (PCI) in diabetic patients

 

Patients with diabetes and multivessel coronary artery disease treated with Bypass surgery (CABG surgery) had significantly lower rates of death from any cause, nonfatal MI, or nonfatal stroke when compared with diabetic patients treated with PCI (Angioplasty and stenting), according to the long-awaited main results of the FREEDOM trial. The study was presented in the AHA meeting in 2012 and published subsequently in the NEJM. It studied 1900 diabetic patients, majority with triple vessel disease and found that surgery was a superior option compared to angioplasty.

 

The study concluded that in diabetic patients with complex disease, “CABG was of significant benefit as compared with PCI.”  CABG was also associated with a significant reduction in the risk of heart attacks and all-cause mortality, while PCI was associated with a lower risk of stroke. For the FREEDOM investigators, CABG surgery should be the preferred method of revascularization for patients with diabetes and multivessel coronary artery disease.

There have been trends showing similar results recently (in Feb 2013) too in a smaller study, called VA-CARDS following up 198 patients. The study was published in the JACC journal and again proved that Diabetic patients with multivessel disease would be better off with surgery. 

Considering the evidence the debate over PCI vs CABG in diabetic patients should end now, given the clear results from FREEDOM. These new data highlight the importance of collaboration and cooperation between the Cardiologists and Surgeons to provide the best patient care. The data also clearly show that for patients with diabetes and multivessel disease, “surgery is the best option for patients,” a finding that has important implications given the obesity epidemic and rising rates of diabetes in the developed world.

via CABG beats PCI in diabetic patients | theheart.org.