Posted on 01/14/2006 5:07:09 PM PST by neverdem
May Chen is slender and healthy, a lively little girl whose parents left their rural...
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Asians, especially those from Far Eastern nations like China, Korea and Japan, are acutely susceptible to Type 2 diabetes, the most common form of the disease and the subject of this series. They develop it at far lower weights than people of other races, studies show; at any weight, they are 60 percent more likely to get the disease than whites.
And that peril is compounded by recent immigrants' sudden collision with American culture. Many of them left places where factory and field work was strenuous, televisions were rare and advertising was limited. They may speak little English and have poor access to medical care.
Many have never even heard of diabetes, much less the recent scientific studies showing that a Western diet, high in fat and sugar, puts them in danger of getting Type 2 diabetes, which has been linked to obesity and inactivity, as well as to heredity. (Type 1, which comprises only 5 percent to 10 percent of cases, is not associated with behavior, and is believed to stem almost entirely from genetic factors.)
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But any extra weight is dangerous for Asians, research shows, because of their susceptibility to Type 2 diabetes. For example, a 5-foot-9 Japanese man who weighs 156 pounds - and who may never develop the sort of belly that is a warning sign for the disease - is twice as likely as a white man that size to become diabetic.
Because of that, Dr. Tsang said he believed that the number of Asian diabetics is underestimated; he has recently diagnosed at least a dozen new cases among his longtime patients. "It's astounding," he said. "And it puts a lot of pressure on us to educate them."
(Excerpt) Read more at nytimes.com ...

What EVER would we do without the Great White Bwana to look out for us?
Bad Blood - Diabetes and Its Awful Toll Quietly Emerge as a Crisis [amazing & scary statistics] With such dreary titles, I took my time before looking at them.
Scandal of infected US blood revealed in film exposé (Clinton Linked to UK Bad Blood)
I can't believe the bent one walk's away from everything. FReepmail me if you want on or off my health and science ping list.
Somehow I get the feeling the writer stuffed that in there himself because he didn't quite understand the point that it's CARBOHYDRATES, sugars and starches, that are the problem.
In fact, you get your carbs down to a safe level in your diet (10 to 30 grams per day) you will need to increase your consumption of fats.
New York City Starts To Monitor Diabetics
It's not just Massa Pinch. It's the Health Department and the Mayor too. Mayor Attacks NYC's Unhealthy Habits
Did you ever read about Metabolic Syndrome or Syndrome X?
Although it's feasible to totally eliminate carbohydrates from your diet, you run up against the protein problem ~ that's where you can only acquire 40% of your calories from protein. That means you've got to get the other 60% from either fats or carbohydrates.
Best bet on carbs is to consume them in small quantities and spread them out as much as possible, and, at the same time, limit them.
Fats, on the other hand, come in different versions. Olive oil and olive oil products are good, and so are nuts. If you elect to use fats to provide the other 60% of your energy needs (relying all the while on your liver to produce all the glucose your brain might need), you will have your hands full.
For one thing, it doesn't matter how complex or simple the carbohydrates, they are all INSTANTLY converted to glucose by our digestive systems.
What reference do you have that complex carbohydrates are INSTANTLY converted to glucose? I wonder why every medical reference that I've seen recommends complex carbohydrates for diabetic diets because there's less likelihood of hyperglycemia.
The more modern approach is to take a look at the glycemic index. Skilled researchers have evaluated how fast the human body actually digests various foods containing carbohydrates. Those with a high glycemic index number are rapidly digested and raise the blood sugar to very high levels. Those with a low glycemic index number are digested slower, or simply have less carbohydrate, and do not raise the blood sugar.
By looking at the glycemic index, you will probably NOT eat potatoes NOR drink orange juice.
I am able to keep my triglycerides and cholesterol down to a below-normal level while my A1C stays in the 5.8 range simply by eating a sensible diet in tune with LOW glycemic index numbers. My only control is diet and exercise, and that diet includes a fair portion of aged cheddar cheese.
I do have to put in 3 to 4 hours of exercise per day, but that means I don't have to use any medications.
And no, I don't read anything that advises me to eat wheat or wheat products.
I get the Journal of the American Medical Association, American Family Physician, etc. on a regular basis. Maybe you should give them a call.
You keep on eating all that hi-carb stuff and you'll never get your blood sugar below 170 ~
I wouldn't trust the AMA as far as I could throw them.....sorry.....on the other hand, I think there is a HAPPY medium for SOME people.....people are different and some people can eat carbs, and some people cannot.....I think that might explain skinny people with high cholesterol and diabetes....
You keep on eating all that hi-carb stuff and you'll never get your blood sugar below 170 ~
Where did I recommend that? My first comment about syndrome X was just to make you aware that dislipidemia is a fellow travelor, or frequent complication, of Type II Diabetes Mellitus.
Postprandial glycemia, glycemic index, and the prevention of type 2 diabetes
Diabetes and Nutrition Good luck and keep exercising.
You need to make a distinction between the AMA, which is an organization, and its journal, JAMA, which is one of the premier general medical journals in the Anglosphere at least.
Yes, you are right.....I just am NOT a fan of MD's (except the ones willing to buck the "system") these days....
Some of us, though, seem to have a definite pattern of HEREDITARY propensity, just like our natural diet does not include modern agricultural products.
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