Editorial: Why didn’t my doctor tell me?
Plant-based diets and Type 2 Diabetes Mellitus
Printable (pdf) version: Editorial – Plant-based diets and T2DM
It’s the rare physician with an adult practice that doesn’t encounter a significant number of patients with type 2 diabetes mellitus (T2DM). Given the rapid rise of the disease, its prophylaxis and treatment should be of pressing concern for every physician. In spite of this crisis, the advantages of a plant-based diet for the prevention and treatment of T2DM have been overlooked.
A printable (pdf) version of this article is available: hypercholesterolemia-and-atherosclerosis
Hypercholesterolemia and atherosclerosis are the subject of intensive research the world over. Epidemiological studies investigating different diets, laboratory studies aimed at elucidating the different etiologic factors and their pathogenic mechanisms, as well as a number of clinical and interventional studies, are all active fields of investigation.
As is well known, hypercholesterolemia raises the risk and is a prime etiologic factor of atherosclerosis, which in turn is an etiologic factor in a number of diseases such as essential hypertension, coronary artery disease, and ischemic stroke, just to name a few.
Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, hands, and arms. Diabetic peripheral neuropathy affects as many as 50% of older type 2 diabetic patients. Some patients may have extremely painful symptoms, others with a more marked neuropathic deficit may be asymptomatic. Diagnosis requires careful examination of the lower limbs. Management involves establishing that the neuropathy is caused by diabetes, instead of more sinister causes, and aiming for optimal glycemic control. Medications, usually tricyclic drugs or anticonvulsant agents, are often used for symptomatic relief.[i]
There has been increasing interest in the role played by the gastrointestinal flora in the etiology of a variety disease processes. It had been known that long term changes in diet influenced the human gut microbiome. Recent research has focused on how the flora of those following a vegetarian diet differ from those on other diets, and what advantages that may convey.