This presentation by Dr. Osama Hamdy of the Joslin Diabetes Center in Boston, MA discusses the myth and the facts of protein intake. In general, for diabetic patients with normal renal function, protein should make up 15-20% of total energy intake and high protein diets are generally not recommended for diabetes patients. Dr. Hamdy also discusses the relationship between protein intake and kidney function in diabetic patients. Watching this presentation will shed light on the origin of protein recommendations and…

This webinar is by Osama Hamdy, MD, PhD and is entitled “Medical Nutrition Therapy for Prevention and Management of Diabetes.” Dr. Hamdy is the Medical director of the Obesity Clinical Program and Director of Inpatient Diabetes Management at the Joslin Diabetes Center and an Assistant Professor of Medicine at Harvard Medical School. This is the fourth webinar in a series of five on Take Control – a series focused on blood glucose. Medical Nutrition Therapy is the use of nutrition…

This webinar is entitled “Optimal Lifestyle Intervention for Patients with Diabetes: The Joslin Why WAIT Model.” It is delivered by Osama Hamdy, the Medical Director of the Obesity Clinical Program at the Joslin Diabetes Center in Boston, and also the creator of the Why WAIT program, clinically proven to support weight loss and glucose control among diabetic patients. The “WAIT” in Why Wait stands for Weight Achievement and Intensive Treatment. It is a 12-week multidisciplinary program for weight control and…

This webinar Dr. Osama Hamdy, the medical director of the obesity program at the Joslin Diabetes Center. This presentation is entitled, “Nutrition Revolution in the Prevention and Management of Obesity and Diabetes” and discusses the pathology of diabetes, specifically why it is the result of carbohydrate intolerance and glucose toxicity. Furthermore, he discusses the role of micronutrients and demonstrates the evidence for medical nutrition therapy. A major risk factor for diabetes is obesity, but independent of obesity and BMI, elevated…

by Lewis Chang, PhD A yearlong lifestyle intervention that utilized a ketogenic diet significantly improved HbA1c, body weight, and multiple cardiovascular disease (CVD) risk factors in patients with type 2 diabetes (T2D), according to data from a clinical study published in two journals.1,2 CVD is the leading cause of death among patients with T2D.3 As the prevalence of T2D continues to increase rapidly worldwide, effective interventions to address T2D and CVD risk are critical. A low-carbohydrate diet is one of…

by Vincent Pedre, MD Small intestinal bacterial overgrowth (SIBO) is a controversial diagnosis that can masquerade behind a variety of symptoms, not all of which involve the characteristic bloating, gas and abdominal pain. SIBO also manifests as rosacea,1 diarrhea, constipation, anxiety,2 depression, fatigue, and iron deficiency. The astute clinician needs to hold a high degree of suspicion because a patient with SIBO may not present with the classic symptoms. For example, a recent severe case I saw presented only with diarrhea. Definitions First…

by Bianca Garilli, ND  Traumatic brain injury (TBI) research has grown rapidly in the past decade as awareness of the high prevalence and its potential devastating consequences have become clearer.1 TBI may result in varying degrees of paralysis, loss of consciousness, amnesia and even death. Death was the most common outcome for those diagnosed with moderate and severe TBI where severity of TBI was classified according to the Glasgow Coma Scale (GCS). The two most common causes of TBI globally…

by Lewis Chang, PhD Clostridium difficile, or "C. diff", is a bacterium that can cause infection in at-risk individuals, triggering symptoms ranging from mild diarrhea to severe pseudomembranous colitis. Major risk factors for C. diff infection include depletion of protective gut microorganisms due to antibiotics use (e.g. fluoroquinolones), compromised immune system, age, healthcare environment, and certain medications. Hospitalized older individuals with recent antibiotic exposure and those admitted to long-term care facilities are particularly susceptible for C. diff infection.1 Two fluoroquinolone-resistant…