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Medical Forum / Diseases and Disorders / Diabetes / January 2006

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High Dietary Antioxidant Intake May Reduce Risk for Age-Related Macular Degeneration

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Quentin Grady - 05 Jan 2006 22:32 GMT
G'day G'day Folks,

I don't know whether to cheer or groan.  

If only the eight years of research had also included zeaxanthin and
lutein.

Betacarotene is NOT found in the retina of the eye. Its efficacy, if
any, in this trial could be solely from its functioning in the
antioxidant network. As the results still held even when it excluded
supplementation it is reasonable to assume betacarotene might well
only have been a marker for eating fruit and vegetables.  Fruit and
vegetables bring along many helpful substance eg polyphenols, lutein
and zeaxanthin which all seem relevant.

http://www.medscape.com/viewarticle/520823_print

"This population-based cohort included all inhabitants aged 55 years
or older in a middle-class suburb of Rotterdam, including 5,836
persons at risk for AMD at baseline, of whom 4,765 had reliable
dietary data and 4,170 participated in follow-up. The primary endpoint
was incident AMD, defined as soft distinct drusen with pigment
alterations, indistinct or reticular drusen, geographic atrophy, or
choroidal neovascularization.

After a mean follow-up of 8.0 years (range, 0.3 - 13.9 years), 560
participants developed incident AMD. Dietary intake of both vitamin E
and zinc was inversely associated with incident AMD (hazard ratio [HR]
per SD increase of
vitamin E intake, 0.92; 95% confidence interval [CI], 0.84 - 1.00; and
for zinc intake, 0.91; 95% CI, 0.83 - 0.98).

Participants with an above-median intake of all 4 nutrients studied
(beta carotene, vitamin C, vitamin E, and zinc) had a 35% reduction in
risk for AMD (HR, 0.65; 95% CI, 0.46 - 0.92). This association
persisted after exclusion of supplement users"

Best wishes,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Annette - 07 Jan 2006 16:27 GMT
> G'day G'day Folks,
>
> I don't know whether to cheer or groan.

Nevermind, Quentin,

This group is probably one of the biggest population of experimental studies
into the prevention of these and other diabetic complications, in the world.
Especially into all the dietary information that helps, and that many of us
try, draw our own conclusions, and then continue to pass on to new members.

You should be cheering that all the times and effort that you put into
passing on and educating us all has been a fruitful work.
You are a success!
So what if your name will never be listed with those who have published an
esteemed research paper?  The long term benefits you have delivered to so
many sufferers, in clear and understandable prose, will always be remembered
and deeply appreciated.

With the coming of the internet, and all it's participents, word of mouth
has become even more important than the influence of those research papers
read by the favoured few.  So many of us (like me), can't even follow
*them*, let alone access them all.
And like this one, they can be less than helpful, or found lacking.

But your clear advice, and skills in seeking and following the research,
have made life a little better for un-numbered peoples all over the world.
Just ordinary people who just incidentally happen to have diabetes.

We have our own Hall of Fame, and you are included in there. (Pity there are
no monetary rewards <g>).

Experts come and go, but the real benefactors of the human race often don't
make it into the history books.

But, as they say, "Their works follow after them".

No, don't groan. Cheer!!!

Annette
Quentin Grady - 07 Jan 2006 20:08 GMT
This post not CC'd by email
On Sat, 07 Jan 2006 16:27:29 GMT, "Annette" <acianthus@bigpond.com>
wrote:

>> G'day G'day Folks,
>>
>> I don't know whether to cheer or groan.

G'day G'day Annette,

 Delightfully taken out of context.  The comment obviously referred
to my frustration at what is and isn't researched in the large
studies.  Whatever.  One of the strengths of asd is that there is a
core of people who care about one another.  Put simply the support is
emotional, spiritual, intellectual ... whatever is needed to keep us
going.  Diabetes is a disease from which there is no escape except
death.  We learn to live with it and thanks to virtual friendships
between people who have often never met, some of us have thrived.
Our lives have gotten better.

>Nevermind, Quentin,
>
>This group is probably one of the biggest population of experimental studies
>into the prevention of these and other diabetic complications, in the world.
>Especially into all the dietary information that helps, and that many of us
>try, draw our own conclusions, and then continue to pass on to new members.

It could be.  There seems to be few foci for putting together all the
LITTLE details that make the incremental improvements in achieving a
life without further complications.  This has become one of them.  

>You should be cheering that all the times and effort that you put into
>passing on and educating us all has been a fruitful work.

There are times when I do.  There most certainly were when in my first
year when other followed my example and lost in the order of 20 kg.
Their doctors reported to them that in blah, blah, blah years of being
a doctor they had not witnessed such an improvement.  The doctors were
actively interested in how they had achieved what they had.  Those
were heady days.  So what has changed.  I weighed myself a few minutes
ago. Yes. I am 20 kg lighter than I was at diagnosis about 6 years
ago.  20 kg +/- 0.5 kg which is the limit of accuracy of the scales.

IMHO what really captured the imagination of people back then was that
I was a newbie.  There was fire in my belly.  Even fresher newbies
sensed and figured if I had done, so could they.

Now, perhaps I'm something of a room ornament. Still there, sometimes
admired, but not doing anything very much that is new.  Most people
know about things like; lutein, zeaxanthin to protect against macular
degeneration and scarring of the aorta, the arginine-NO vasodilation
pathway to reduce coronary risks, the importance of fish oils in
reducing endothelial excitability and in lower triglycerides,
triglyceride:HDL ratios as a measure of insulin resistance.  

Whether they choose to do anything about these things is less
important than the waning of excitement about them.  It is too much to
expect that the regulars are going to cheer every time they are
mentioned.  It is easy to see how newbies might confuse lack of
excitement with lack of importance.

>You are a success!

I like to think so whether I'm here or not.  asd does play an
important part in my life.  Doing something for the benefit of others
is fundamental to my own sense of self purpose, a stewardship aspect
of my life.  That you needed to say it suggests in your infinite
womanly wisdom you sense I am struggling with sense of purpose.
I'm not sure what to do next.

>So what if your name will never be listed with those who have published an
>esteemed research paper?  The long term benefits you have delivered to so
>many sufferers, in clear and understandable prose, will always be remembered
>and deeply appreciated.

Thank you.  

>With the coming of the internet, and all it's participents, word of mouth
>has become even more important than the influence of those research papers
>read by the favoured few.  So many of us (like me), can't even follow
>*them*, let alone access them all.
>And like this one, they can be less than helpful, or found lacking.

Recently I have taken to "looking up" myself when I need some
information.  Things I have said here now appear on some of the
weirdest forums.  What ever one puts out there keeps spreading if
others find it of value.

>But your clear advice, and skills in seeking and following the research,
>have made life a little better for un-numbered peoples all over the world.
>Just ordinary people who just incidentally happen to have diabetes.

People find their measure of success in different aspects of their
lives.  Mine has been in explaining things.  It doesn't seem
monumental. It certainly won't make television news.  It has given me
a sense of purpose.  That, it the bottom line for us all.

>We have our own Hall of Fame, and you are included in there. (Pity there are
>no monetary rewards <g>).
[quoted text clipped - 5 lines]
>
>No, don't groan. Cheer!!!

I know when I'm been told something.  Thanks.

Some days the pedal posterior percussive technique works just fine.
<grin>

>Annette

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

TigerLily - 07 Jan 2006 21:07 GMT
great post snipped

> Some days the pedal posterior percussive technique works just fine.
> Quentin Grady       ^  ^  /

what a grand way to say "kick in the a**"

now if i can remember it!

kate
Quentin Grady - 08 Jan 2006 00:58 GMT
This post not CC'd by email
On Sat, 7 Jan 2006 14:07:22 -0700, "TigerLily" <me@privacy.net>
wrote:

>great post snipped
>
>> Some days the pedal posterior percussive technique works just fine.

>> Quentin Grady      

>what a grand way to say "kick in the a**"
>
>now if i can remember it!
>
>kate

It helps to notice the alliteration p ... p ... p ...

Best wishes,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

TigerLily - 08 Jan 2006 03:16 GMT
> This post not CC'd by email
>  On Sat, 7 Jan 2006 14:07:22 -0700, "TigerLily" <me@privacy.net>
[quoted text clipped - 15 lines]
>
> Best wishes,

i'll have to remember that
pedal posterier percussive
lol
i love it! :-)

kate
 
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