Re: Could there be a low carb diet that fiits the ADA guidelines?
- From: "Thomas Muffaletto" <mrgantlet911@xxxxxxxxx>
- Date: Fri, 14 Oct 2005 15:31:54 GMT
Updated Guidelines for Treating Diabetes: ADA Issues New Advice to Doctors
on Lowering Diabetes-Heart Disease Risks
(Alexandria, VA, June 3, 2004) - Every year, the American Diabetes
Association (ADA) issues Clinical Practice Recommendations, a series of
updated recommendations, to help health care providers treat people with
diabetes using the most current research available. This year's revisions
reflect a better understanding of how to prevent or delay diabetes-related
complications, such as heart disease, the leading cause of death for people
with diabetes.
More than 18 million Americans are currently living with diabetes - a
chronic condition that can lead to life-threatening illness. People with
diabetes are two-to-four times more likely than others to develop heart
disease, for example, and are more likely to die from heart attacks than
people who don't have diabetes.
"These Guidelines, which are updated annually, can serve as an incredible
resource for health care professionals by giving them the most up-to-date
medical information available," said Nathaniel Clark, MD, MS, RD, National
Vice President, Clinical Affairs, American Diabetes Association. "New
research is published almost daily. What we do is constantly review all of
that research so that we can provide these increasingly busy practitioners
with information about the most effective treatment options for people with
diabetes."
The updated Guidelines, which can be downloaded to a Palm OS Device, include
new recommendations for several key areas of care, including lowering blood
pressure and blood glucose levels, treating high cholesterol, use of aspirin
and more aggressive physician interventions to help people who smoke find
methods to help them quit. Smoking greatly increases the risk for heart
disease in all people, but for people who have diabetes, who are already at
increased risk for cardiovascular problems, smoking cessation is even more
critical.
The updated Guidelines reflect the results of several scientific studies,
including the Heart Protection Study, the largest-ever cholesterol and
diabetes study using a statin, a type of cholesterol-modifying medication.
This study found that people with diabetes could reduce their risk of having
a heart attack or stroke with treatment of a statin, even if their
cholesterol levels are normal. As a result, the ADA Guidelines now
recommend that statins be considered for people with diabetes over the age
of 40 who have a total cholesterol level that is greater than or equal to
135.
"This is promising news because 99 percent of people over the age of 40 with
diabetes have a total cholesterol equal to or greater than 135," said Dr.
Clark. "And many are not taking a statin to lower their cholesterol."
The guidelines also recommend a blood pressure goal of less than 130/80 mmHg
for people with diabetes and make suggestions regarding which drug classes
might be used. They call for lowering blood glucose levels, as measured by
the A1C test, to less than 7 percent for most people with diabetes and less
than 6 percent for individual patients as appropriate. Aspirin is
recommended for those with diabetes unless contraindicated.
The updated Guidelines include extensive revisions on smoking and diabetes.
The recommendations state that smoking as a risk factor for cardiovascular
disease among people with diabetes is not being adequately addressed by
health care providers. They call upon doctors, nurses and other providers
to intervene more assertively by asking patients whether they smoke,
assessing whether they are willing to try a cessation program and then
helping them to get started with an effective smoking cessation treatment
plan.
For more information about the ADA's new Clinical Practice Guidelines
published in the January issue of Diabetes Care, please visit
www.diabetes.org. Diabetes Care, published by the American Diabetes
Association, is the leading peer-reviewed journal of clinical research into
the nation's fifth leading cause of death by disease. Diabetes also is a
leading cause of heart disease and stroke, as well as the leading cause of
adult blindness, kidney failure and non-traumatic amputations. For more
information about diabetes, visit the American Diabetes Association Web site
www.diabetes.org or call 1-800-DIABETES (1-800-342-2383).
--
Tom
Exercise Today = Life Tomorrow
Information you can trust from the diabetes experts...
Your American Diabetes Association
http://www.diabetes.org/home.jsp
the American Diabetes Association's Message Boards
http://community.diabetes.org/n/pfx/forum.aspx?webtag=amdiabetesz&nav=index
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