Added Sugar – Why and How to Avoid It

When it comes to the science of nutrition, everyone seems to have an opinion. Consequently, there is huge disagreement, even among the experts. If we ask for advice, there are likely to be dozen different answers. So, in the era of information overflow, the general population, has become severely confused. Apart from having to choose … Read more

HbA1c and Diabetes – Glycated Hemoglobin (A1c) Explained

Diabetes and its complications remain a major cause of early disease and death worldwide. The diagnosis of diabetes is to a large extent based on detecting elevated levels of sugar (glucose) in the blood. Blood sugar levels can easily be measured at home with a glucometer. Hemoglobin A1c (HbA1c) is another laboratory measure frequently used for this … Read more

Nonalcoholic Fatty Liver Disease (NAFLD) – Fatty Liver Explained

Recently, non-alcoholic fatty liver disease (NAFLD) has become the leading cause of chronic liver disease in the United States and other Western countries. The prevalence of the disorder is estimated to be as high as 30% in the general population (1). With obesity being a major risk factor and due to the aging of the population, the … Read more

Statins and Diabetes – Time to Let the Cat out of the Bag

Recently, concerns have been raised about the increased risk of diabetes associated with statin therapy. However, it has been pointed out that the risk of diabetes is low in absolute terms and when compared with the reduction in cardiovascular events achieved by treatment. In other words, the potential benefits to health are believed to outweigh potential … Read more

Metabolic Syndrome and Insulin Resistance

The metabolic syndrome is a constellation of risk factors, most usually associated with increased body weight, fat accumulation around the abdominal organs often termed central, or visceral obesity (1), and increased resistance to the effects of insulin. Other names that have been used to describe the metabolic syndrome are syndrome X, the insulin resistance syndrome, the deadly quartet (2) and … Read more

Adiponectin

It is well documented that obesity is associated with an increased risk of cardiovascular disease and higher overall mortality. Obesity also correlates with increased risk of Alzheimer’s disease and many types of cancer. It has been estimated that severe obesity may shorten lifespan by up to ten years (1). This is comparable to the effect of … Read more

HDL Cholesterol – The “Good” Cholesterol Explained

High-density lipoprotein cholesterol (HDL cholesterol) is commonly measured to assess the risk of heart disease. If you’ve had a blood sample drawn for assessment of lipid panel you probably already know if your cholesterol level is acceptable or not. You might also recall something about good and bad cholesterol and the ratio between these two. Of course, … Read more

Dietary Fat, Carbohydrates and Metabolic Syndrome

Time makes us fat. It’s not a myth, it’s a biologic fact. When we get old we get fat. In December 1863, William Banting, an English undertaker who went to great lengths to treat his own obesity, wrote in his now famous Letter on Corpulence: … For I have been generally informed that corpulence is one of the natural results of … Read more

The Triglyceride/HDL Cholesterol Ratio

For years, measurements of blood cholesterol have been used to assess the risk of heart disease. We have been intensively educated about the role of LDL-cholesterol (LDL-C), commonly nicknamed the bad cholesterol and HDL-cholesterol (HDL-C), often called the good cholesterol. For many different reasons, lowering LDL-C has become a primary goal in cardiovascular prevention. There is substantial … Read more