The clinical results of a randomized controlled research study that showed a diabetes-specific nutrition formula for glucose control in combination with a structured dietary plan resulted in significant reduction in HbA1c levels and body weight in overweight and obese patients with type 2 diabetes (T2D) compared to an individualized dietary plan alone. The study, conducted by the Joslin Diabetes Center, was presented at the American Diabetes Association’s 76th Scientific Sessions in New Orleans, Louisiana. "Effective management of A1c levels, while challenging, is…

Type 2 diabetes is an increasing global health issue, which benefits from ongoing research in medical nutrition therapy. All attempts to introduce a modified diet, reduced caloric intake and physical activity have been shown to assistance patients experiencing glucose toxicity. Impaired glucose tolerance causes many health issues, including cardiovascular disease. This review covers the criteria for diagnosis of diabetes and prediabetes research completed by Osama Hamdy, MD, PhD, Medical Director of the Obesity Clinical Program, at the Joslin Diabetes Center.…

by Bianca Garilli, ND Diabetic peripheral neuropathy (DPN), a common complication of diabetes, leads to pain and loss of feeling in the hands, arms, feet and legs. The incidence of neuropathy is approximately 45% for patients with type 2 diabetes mellitus (T2D) and is responsible for more hospital admissions than all other diabetic complications combined; as well as accounting for 50-75% of non-traumatic amputations.1-2 The most common pharmaceutical treatments utilized in DPN cases include analgesics and anti-depressants along with physical therapy,…

A meta-analysis including 12 studies that included > 280,000 participants found that both obesity and underweight are associated with an increased risk for migraines.1 Prior research had indicated an association between higher weight and migraines and while exact mechanisms are not known, it has been postulated that overweight individuals may have increased adipose tissue secretion of pro-inflammatory cytokines, increased adipocytokines, and increased circulating sex hormones all of which may play a role in migraine development and severity. Studies have also shown patients…

Over the past several years, we have been instructed on the value of exercise and activity for our heart health. Statistics on the state of heart health in the US are sobering1: In the US, over 2000 people die from heart related illnesses every day (about one every 40 seconds) Every year over 735,000 Americans have a heart attack or myocardial infarct (MI) and of these, over 500,000 are ‘first’ heart attacks Coronary artery disease, the prime cause of MIs…

Patients with diabetes often have numerous comorbid conditions such as obesity, heart disease, kidney disease and hypertension to name a few. Hypertension or high blood pressure (BP), in particular, can lead to increased risks for atherosclerotic cardiovascular disease (ASCVD), heart failure (HF) and attendant microvascular complications. The last time the American Diabetes Association (ADA) provided a position statement on hypertension was more than 15 years ago. Given the increasing rise in the numbers of people afflicted by diabetes, increased BMI…

A recent article  published in a recent edition of Preventing Chronic Disease: Public Health Research, Practice and Policy proposes a shift from discussing BMI and weight loss with patients in the provider’s office, to focusing on the topics of awareness and education surrounding healthy life habits, physical activity in particular.  Authors Emily Dollar and team encourage an emphasis on cardiorespiratory fitness over body size to minimize the risk of stigma associated with overweight and obesity and increase collaboration between patient and provider.…

A 2009 publication, obesity-induced insulin resistance and hepatic steatosis are alleviated by omega-3 fatty acids: a role for resolvins and protectins can be downloaded here. In this paper, the authors discuss omega-3-polyunsaturated fatty acids (omega-3-PUFAs), which have well-documented protective effects that are attributed not only to eicosanoid inhibition but also to the formation of novel biologically active lipid mediators (i.e., resolvins and protectins). In this study, we examined their effects on ob/ob mice, an obesity model of insulin resistance and…

   In this video from ASPEN Clinical Nutrition Week 2016, we present part 1 of a roundtable discussion featuring several experts from the field of clinical nutrition. The topic of this discussion is Inflammation: A Novel Clinical Nutritional Approach for Resolution. Stephen A. McClave, MD, moderates the roundtable discussion. Dr. McClave is Professor and Director of Clinical Nutrition and Director of Nutrition Curriculum at the University of Louisville School of Medicine in Louisville, KY. The discussion begins with the…

In Part 2 of this 2-part series, ketogenic diet expert Jeff Volek, PhD, RD, reviews the critical need for nutritionally based management options in obesity treatment. Dr. Volek discusses the ketogenic diet and its safety, efficacy, and outcomes in patients with obesity. In this presentation you will learn how to personalize and implement a safe and effective ketogenic diet in a real-world clinical practice. Dr. Volek is a Professor in the Department of Human Sciences at The Ohio State University. For…