Medical Forum / Diseases and Disorders / Diabetes / September 2006
Re: Exercise Cuts Diabetes Risk in People with Big Waists
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bookworm@amesnet.com - 07 Sep 2006 16:14 GMT Andrew chung Adding his opinion to others:
" It is wiser to simply lose the visceral adiposity (VAT) that makes the "big waists."
Losing the VAT cures metabolic syndrome (MetS).
Curing MetS is the key to preventing type-2 diabetes and even possibly curing it."
No, in various studies exercise has been shown to reduce the abdominal fat alone or in combination with dieting and is more effective then dieting alone. This study now adds to that research showing that it can also reduce risk of diabetes alone regardless of weight status. Exercise should be the primary treatment with dieting added.
Diabetes has at present no cure, with proper diet and exercise and drugs where needed to near normal glucose levels, the symptoms of diabetes can be reversed.
If one wants to reduce abdominal fat most effectively and as fast as possible exercise can not be disregarded. Anyone who minimizes its vital role in the treatment of mets and diabetes does a great disservice and displays a lack of knowledge with current literature on the subject.
Andrew B. Chung, MD/PhD - 07 Sep 2006 17:55 GMT > Andrew wrote: > [quoted text clipped - 9 lines] > fat alone or in combination with dieting and is more effective then > dieting alone. http://groups.google.com/group/sci.med.cardiology/msg/c58e3043afcdd6b4?
Only be eating less can VAT be completely lost in order to cure MetS.
May GOD continue to keep your heart beating, dear neighbor whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed?
Marshall Price - 23 Sep 2006 07:14 GMT >>Andrew wrote: >> [quoted text clipped - 30 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? Dear Andrew,
You seem to think you're the only one with a religion.
I think just the opposite: that there's no such thing as an irreligious person. Religion is utterly inescapable.
Your treatment of religion as a "boilerplate" message to all the world is (to my way of thinking) a violation of the first commandment: don't take God's name in vain.
And your abuse of these newsgroups, which people consult for help with health problems, to "buttonhole" them with off-topic messages, is (in my opinion) cruel and extortionate: they want to hear what you have to say on the topic, not OFF the topic.
If you wanted to spread your religious messages appropriately (in recognition of usenet guidelines) you'd cross-post them not to cardiology, diabetes, and nutrition groups, but to religious groups.
Quite sincerely, Marshall
 Signature Marshall Price of Miami Known to Yahoo as d021317c
Gene Goldman - 23 Sep 2006 22:05 GMT >If you wanted to spread your religious messages appropriately (in >recognition of usenet guidelines) you'd cross-post them not to >cardiology, diabetes, and nutrition groups, but to religious groups. Marshall, I agree that IF Mr. Chung wanted to present a favorable representation of Christianity, he would post very differently, if at all. He seems intelligent enough to know, and has been informed on many occasions, that he offends, distorts and actually hurts others by making their access to *information* that they need about their Diabetes care more difficult for his unwelcome trolling and spamming of these newsgroups.
On the all-too-rare occasion when he has actually posted something helpful to others, he has demonstrated that he knows, and is capable of, better behavior. And on some of those occasions, he has been applauded and encouraged to continue.
His response to such appreciation is telling. It is, he states, his "choice" to post the way he does in the newsgroups he does.
Sad, because he IS capable of being an asset. But alas, because of his beliefs (whatever they REALLY are), he "chooses" to inflame, insult, distort and try to sell his "wares".
 Signature The 10mg Lizard-Spit Approach is not a diet.
It does help people manage their Diabetes Mellitus (DM) possibly preventing long-term complications resulting from poor control. Bottomline: I remain peanut-free. May your BG and A1c get better, dear neighbor whom I communicate with unconditionally. Gratefully, in Lizard-Spit's amazing love,
Be well, travel with a light heart and a low A1c [Gene, 3:16]
Gene Goldman T2 Metformin and Lizard Spit Consuming copious amounts of Aspertame-laden soft drinks with reckless abandon!
Give me NutraSweet over peanuts any day!
Andrew B. Chung, MD/PhD - 23 Sep 2006 23:23 GMT > >If you wanted to spread your religious messages appropriately (in > >recognition of usenet guidelines) you'd cross-post them not to [quoted text clipped - 19 lines] > his beliefs (whatever they REALLY are), he "chooses" to inflame, > insult, distort and try to sell his "wares". My LORD's purpose for me here remains to inform and not to either convince or sell.
May GOD continue to heal your heart by curing your diabetes, dear neighbor Gene whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97?
bookworm@amesnet.com - 07 Sep 2006 18:35 GMT Andrew chung Adding his opinion to others suggests dieting alone for diabetes risk reduction:
" It is wiser to simply lose the visceral adiposity (VAT) that makes the "big waists."
Losing the VAT cures metabolic syndrome (MetS).
Curing MetS is the key to preventing type-2 diabetes and even possibly curing it."
No, this reduction in risk of diabetes is also supported by other studies showing exercise should be a primary choice of treatment with dieting added. Anyone who minimizes exercise or makes unwarrented claims about a diabetes "cure" does a disservice and is not keeping up with literature on the subject. Consider:
Here are segments from three different studies showing that exercise alone, or when it is added to dieting, more abdominal fat is lost then with dieting alone.
This relates to risk for heart disease and diabetes because the inner fat (visceral adipose tissue) and outer fat in the belly area contribute to these disorders from the hormones produced in it.
A very short outline of the value of measuring total abdominal size as it relates to risk for the disorders is at the end.
Study one:
"...visceral adipose tissue decreased with the Diet+Exersize and EXercise intervention, but not the Diet intervention.
Exercise alone resulted in a reduction in total abdominal fat, despite the lack of weight loss."
Study two:
"But scientists from the National Public Health Institute in Helsinki found that people with large waistlines who exercise were less likely to suffer from type 2 diabetes than their less active counterparts.
"People who were obese were more likely to be diagnosed with glucose intolerance and type 2 diabetes but if they were physically active their risk was significantly lower," said Katja Borodulin, who headed the study."
snip
"Simon O'Neill, of the charity Diabetes UK, said the research showed that exercise reduces the risk of developing diabetes regardless of a person's waist size."
Study three:
"Among a group of obese women who were placed on a regimen of calorie cutting alone or diet plus exercise, those who exercised showed a
reduction in the size of fat cells around the abdomen. Women who only dieted showed no such change.
In contrast, both groups trimmed about the same amount from fat cells in the hip area.
The findings suggest that exercise may "preferentially increase" the body's breakdown of fat cells in the abdomen, said lead study author Dr. Tongjian You."
From a tutorial for docters:
"Question: I've read a lot about the importance of "metabolic syndrome", and I've also read that I can accurately assess almost all of my patients' risk simply by measuring their waist circumference. So, should I be measuring waist circumference in my patients?
Response:
Yes; careful statistical analysis has demonstrated that waist circumference is not only an important and easily measured marker for the metabolic syndrome, but it also captures new information. Why is this? There are 2 reasons.
First, waist circumference is a good measure of visceral adiposity -- the body fat that is very metabolically active and that can contribute
to cardiovascular risk."
bookworm@amesnet.com - 07 Sep 2006 20:29 GMT Andrew chung presses again his opinion minimizing exercise by changing the subject:
"None of what you have written address methods of getting rid of **all** the VAT.
Again, getting rid of **all** the VAT to cure metabolic syndrome (MetS) is the key to possibly curing type-2 diabetes in many folks."
There is at present no cure for diabetes, your unsupported opinion notwithstanding and research asked of you in support multiple times not yet forthcoming.
You obviously did not read the information provided you. It said that exercise alone reduces vat and when dieting is added even more is lost. Any one minimizing exercise in the treatment of mets and diabetes and risk thereof does a disservice and is not current with the latest literature.
The research provided you can now be added to the research that started this thread. Exercise should be considered as primary in the treatment of seds and risk of other disorders and diet added as a complete package. Exercise makes metabolic changes at the cell level to treat seds and risk of other disorders that dieting alone does not.
Why unwisely press the opinion that diet alone is the key when the research shows clearly otherwise? Is it a last gasp in the face of the dismantling of the two pound diet for lack of scientific support? If so then much is to be gained by consulting Ecclesiastes.
bookworm@amesnet.com - 08 Sep 2006 01:06 GMT Andrew chung attempts to rescue his diabetes "cure" opinion by not so clever word play:
"It is common knowledge that type 2 diabetes diappears with clinically significant weight loss:
http://tinyurl.com/kt3u9
"There was significant improvement in all measures of glucose metabolism. Remission of diabetes occurred in 32 patients (64%), and major improvement of glucose control occurred in 13 patients (26%); glucose metabolism was unchanged in 5 patients (10%). HbA(1c) was 7.8 +/- 3.2% preoperatively and 6.2 +/- 2.7% at 1 year (P < 0.001). Remission of diabetes was predicted by greater weight loss and a shorter history of diabetes (pseudo r(2) = 0.44, P < 0.001)."
When the weight loss is permanent as it is for folks using the 2PD-OMER Approach:
Remission = Cure"
Good try, no cigar based on not so clever word play, this is unworthy of you. I apply the last of the definitions of "remission" below for this attempt. A good consult of Ecclesiastes is advised.
I have said several times that symptoms can be reversed with diet and exercise and drugs as needed to weight loss and near normal glucose levels but there is no cure. There is "remission". This will be confirmed instantly by a standard glucose test, including a clamp variation for the gastric surgery examples above. The metabolism of why your example works to reverse symptoms can be discussed if you wish, just ask.
NOUN: ... 3a. Medicine Abatement or subsiding of the symptoms of a disease. b. The period during which the symptoms of a disease abate or subside. ... b. Forgiveness; pardon.
bookworm@amesnet.com - 08 Sep 2006 02:54 GMT Andrew chung stumbles again, word play does not serve and lack of research clinches it when it comes to a claimed diabetes "cure":
"> But the study was done on subjects who had had bariatric surgery.
Laparoscopic gastric banding serves only to reduce the amount that subjects can eat."
True but irrelevant, bypass surgery causes almost from the start a reverse in the symptoms of diabetes,ie. a "remission", without weight loss to any degree. This is due to the incretin effect which some banding people also display. There is however no "cure" but a reverse of symptoms just like those who use diet and exercise and drugs to achieve same but are not "cured". as a glucose test would show.
"> >When the weight loss is permanent as it is for folks using the 2PD-OMER
> Why don't you do an equivalent study for your diet? Already done with 5 years outcomes."
Peer reviewed research reference please, otherwise meaningless assertion.
"> >Remission = Cure
> You wouldn't use that equivalence for cancer, would you? A cure is defined by lasting remission. For most study purposes, remission for greater than 5 years is the endpoint for cure.
> A one-year follow up result is hardly *permanent* weight loss or > *permanent* remission of diabetes (and only 2/3 went into remission). The study was conducted 4 years ago so that there have been documented cases of patients from the study whose diabetes have remained in remission for more than 5 years. This is enough to counter the false claim "There is at present no cure for (type-2) diabetes.""
Then it should be easy to cite the reference for the 5 year results. In the one year context "remission" means nothing. It should include a glucose clamp test to confirm absence of diabetes. Those who use diet and exercise and drugs to achieve the same for 5 or more years are not "cured" either and a glucose test would also instantly show it.
"Persistent weight loss has occurred for everyone using the 2PD-OMER Approach."
Reference as above please. I recall reading at least one report here that the diet failed and was dropped.
Marshall Price - 23 Sep 2006 06:58 GMT > Andrew chung Adding his opinion to others: > [quoted text clipped - 20 lines] > vital role in the treatment of mets and diabetes does a great disservice > and displays a lack of knowledge with current literature on the subject. Aren't you overlooking something: fasting?
 Signature Marshall Price of Miami Known to Yahoo as d021317c
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