Open Future Health – Coaching https://wpblog.openfuture.biz Too many of us are chronically sick, the disabilities of poor diet and poor lifestyle choices add up over 50 years. That problem is not a personal failure, it needs to be corrected at the community health level. Thu, 16 Jan 2025 22:14:54 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://wpblog.openfuture.biz/wp-content/uploads/2022/05/atomsm.jpg Open Future Health – Coaching https://wpblog.openfuture.biz 32 32 شركة تنظيف شقق بالرياض Promotion one zero one https://wpblog.openfuture.biz/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d8%b4%d9%82%d9%82-%d8%a8%d8%a7%d9%84%d8%b1%d9%8a%d8%a7%d8%b6-promotion-one-zero-one/ Thu, 16 Jan 2025 22:14:54 +0000 https://wpblog.openfuture.biz/?p=2172 “Transformative Advancements in Home Cleaning: The Unprecedented Growth of a Low-Cost House Cleaning Company in Riyadh”

An impressive bound in the cleanup manufacture has been late witnessed in Capital of Saudi Arabia with the growth of a cost-friendly household cleanup keep company known as شركة مؤسسة تنظيف منازل بالرياض منازل بالرياض رخيصه. This enterprisingness has revolutionized the topical anaesthetic grocery store by delivering master lineament cleansing services at incredibly blue prices.

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Hurray for Fitify App https://wpblog.openfuture.biz/hurray-for-fitify-app/ Mon, 26 Aug 2024 13:04:54 +0000 https://wpblog.openfuture.biz/?p=1508 I was using the Fitify Phone App as a home exercise program for three years. 18 months ago, I stopped doing that in favour of going to a very well-equipped gym. That has worked well for me, particularly in developing an ability to shift heavier weights in safety. The gym also has social benefits, you don’t get at home.

However, you get what you train for. Last week I laid some new flooring and did some painting in my home. I was surprised how difficult it was to get up and down off the floor, something that was easy to do, two years ago when I was using the Fitify App. Hence my decision to start using Fitify again.

You don’t need any equipment, but over three years I accumulated some. A carpeted floor and a chair is a good start. Then some light weights, dumbbells 1kg, 2kg, 3kg, 5kg. Kettlebells, 5kg and 8kg. Those will take you a long way.

If you want something else, resistance bands are excellent. There are several types, sheets, loops, tubes, and some very strong ones. Handles are available, but mostly they are a nuisance. Depending on your exercise area you may be able to install three strong hooks very low, waist height, and head height or a bit higher. Working with resistance bands feels entirely different to shifting a weight like a dumbbell.

Fitify lets you choose a program and specify how long your daily exercise program should last. You also tell the App what equipment you have, (there are many options).

For instance, I’ve taken on a 5 week beginners “Muscle and Strength Starter”. I’ve chosen to do 6 days a week, 5 minutes warm-up, 25 minutes workout, 15 minutes stretching. I intend to use the program 3 times a week, the days I don’t go to the gym. So, it will take me 10 weeks to complete this program.

When you start a new program, the first week is used to test your present fitness level. As each exercise is suggested you choose to use some weight or not, and how much, so from the beginning you control how “hard” you choose to make it. After each session you tell the Fitify App how hard you found the suggested set of exercises. According to your responses the Fitify App will adjust to next session for you. Once the Fitify App becomes aware of your capability, you will find the exercises get “harder” very slowly, and you will probably increase the difficulty yourself, by choosing a heavier weight, or a stronger resistance band.

You can find Fitify App on Facebook or at gofitify.com

Or just go to the Play Store and download the App.

Fitify App Week One

You can see that in day one “Reps” each of seven exercises were measured by counting the number of times the movement was done. I this case the whole set was repeated 3 times.

On day two “Intervals” the exercises are timed, usually 30 seconds.

On day five, “Tabata” the exercises are repeated for a time, 20 seconds in this case, a short rest and repeat, rest repeat, rest repeat. The idea is to exhaust the muscle group required for that exercise. (Giving the muscle a nasty shock, so that it will get stronger.)

In the final week of the program the Fitify App will test for improvement, and recommend a program to continue your training.

The Fitify App is free to download. It allows you to register and pay by credit card. It costs NZ$ 152.00 a year. (Twice what I paid 5 years ago, but I do get the impression that the product is improving too.) The first week is free if you choose to cancel your membership, within 7 days. The Homepage at Fitify.com says, “No matter your fitness level, Fitify will always adapt to your skills and expectations to get you the best results.” I think you can rely on that claim, the Fitify App is well designed by people in the USA and Europe, and they have a lot of experience,

I have tried several other phone Apps for training purposes. Most of them are very crude compared to the Fitify App.

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Five Kilometers Under Sixty Minutes. https://wpblog.openfuture.biz/five-kilometers-under-sixty-minutes/ Tue, 19 Mar 2024 01:33:10 +0000 https://wpblog.openfuture.biz/?p=1479 Biological Age

To walk five kilometres in sixty minutes is a worthwhile and achievable goal for almost everyone. But if that seems a long way off today, the important thing is to START, working towards that objective. The graph above from the Dunedin Study shows that at age 38, people tended to be older than their biological age. It’s also true that with a focus on regular exercise almost everyone, probably everyone, can move their own ability to do things, so that you are stronger, faster, and more flexible. You can be healthier and more confident.

Brian in the picture below started to get serious about exercise in his 70’s. It’s never too late, but if you don’t START, you will never discover what you are capable of doing. But that’s a choice only you can make.

Park Run

If we are going to get serious about getting fitter, as well as using the Tabata Timer, and getting your weight under control (In the kitchen, NOT by exercise.). You need to be able to measure the distance you are walking or running, so you can record your progress. That might begin by marking 100 metres on the footpath close to your home. I started by marking 300 metres, so I could measure the 6 minute walk, three minutes each way. I now have 800 metres marked and I’m tempted to make it one kilometer. Experienced, and fit people don’t need this tool, because for them running 5km or 10km or a half marathon is relatively easy. But if you are a beginner running 100 metres is an achievement.

These are the tools you need to mark a footpath. Missing are a screwdriver or peg to hold the end of the tape in place, and some chalk to mark where you intend to paint.

Pictured are a 50 metre tape measure. (I began with a 20 metre tape, which is fine if you only want to mark 100 metres.) A paint brush, and a test pot of paint. The red plastic lid has been cut as a template for painting a zero on the ground. The other numbers can be done freehand.

Trying to run 80 metres quickly.
Trying to run 80 metres as quickly as possible.

So now you have three tools to control your progress. The health diary, the Tabata Timer, and the measured pathway. Even if you have had a heart attack like me, or if you’ve never exercised for years, you can begin with whatever capability you have, record what you can do, and over time develop the ability to do more and more.

To begin the first target is to walk 600 metres in six minutes. You should begin by walking fast and walking easy, using Tabata to control your effort. Ignore speed in the beginning. Adjust Tabata to what you can do, and slowly increase the total time walking, until you can walk for 30 minutes.

Then you might like to test your speed. Can you walk 50 metres in 30 seconds, and 100 metres in a minute? If so, you are well on the way to walking five kilometres in less than 60 minutes. Ideally you should try to walk every day, but mostly only walk for 20 to 30 minutes. Sometimes walk even less than that but try to do walking sprints. ONCE a week, do a long slow walk, perhaps including a hill, and extending the time to an hour or more, but you don’t need to do more than an hour and a half.

By now you will know that you can walk fairly fast, and you can walk for a long time if you take your time. At home, you might like to see if you can walk, five kilometers in close to one hour. If you can, where is the nearest parkrun?

Search for your nearest parkrun event on your browser and register yourself. You will get a personal barcode that you can print and carry with you as you walk your first parkrun. Parkruns a FREE, and you need not be afraid that you will be the last to finish, there are always tail end officials who walk with the newbies who are not yet Park Run fit.

Park Run Hagley - Before the start.
The crowd assembling for the parkrun at Hagley Park, Christchurch, New Zealand. All shapes and sizes, including many children.

YOU, can WALK a parkrun in less than 60 minutes. If you’ve not been very fit in the past, that is a real achievement, and you will feel much more confident about yourself. Once over that first hurdle, I’m sure you can already imagine how you might begin to run part of the way. Once again, use Tabata to control when to run and when to walk. Extend your ability slowly.

I’m currently trying to run/walk 5 kilometers is less than 40 minutes, being sure to keep my effort controlled, because I do have problems with the arteries that take blood to my heart. My Tabata is set to 90 seconds jogging, and 30 seconds walking, during the parkrun. But once a week in training I only run about 2 kilometers, jogging for 2 minutes, and walking 30 seconds. On the other days, I go to the gym, or cycle, and/or go dancing. I do something every day.

I’ve only run TEN Park Runs, so I’m not yet parkrun fit. I think I’m on a plateau where the improvement is in a reduced heart rate for the same effort, and where I recover quicker from effort. What’s happening in the background, slowly, is that my ability to pump air through my lungs, and to pump blood through my legs and arms is improving. Once I get through this plateau stage, I’ll quickly develop the ability to run all 5km without stopping. That might take another couple of months. There’s no hurry.

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This is your Life; Your Choice https://wpblog.openfuture.biz/this-is-your-life-your-choice/ Mon, 18 Mar 2024 23:06:50 +0000 https://wpblog.openfuture.biz/?p=1466 In a long life many things can happen, but seldom is it the case that events, or plain bad luck make a substantial difference to how one’s life turns out. In Open Future Health, we argue that too many people lose 10 or 15 years of healthy life because they make poor lifestyle choices.

Good health is created in your home, at work and in community activity. Good health is the result hundreds of small daily decisions, and for yourself, almost all of those decisions are ones that you yourself make. So be responsible for your own health. Improve your decision making.

What do you need for a good life? Work to do, something hard or challenging, self-chosen, productive and rewarding for preference. Someone to love, a family to be part of. A quality diet, and if your work doesn’t provide lots of physical activity then you also need to exercise. And finally, membership of clubs or social groups that keep you engaged socially with a wide range of people.

This Blog is concerned mostly with improving your diet, and with the value of exercise. Because I’m now old (82) my advice applies particularly to older people, but the advice in the video below is very good. START to exercise strenuously. It would be good if you started years ago, but if not START now.

The video below is of a fit man in his 60’s, But he lost well over 100 pounds a few years ago. He wasn’t always fit. If you want to be an athlete like him, this is the first of a series of videos, that he’s making to help you. If you are not that ambitious, stick around here, and I’ll try to help.

Today we’re going to suggest the beginnings of a fitness program that you choose to do for yourself. We will start with walking, but as time goes on you can begin a body weight training program at home, or you might attend a gym. If body weight has been a problem, AFTER you have got within 10kgs of your ideal weight you might like to give running a go. That might seem impossible now, only time will tell. The important thing is to START a program.

Learn to Measure Effort

The bathroom scales are an unreliable guide to your progress. Don’t worry if your weight bounces about 1kg up or down, it’s not a reliable measure.

What can you DO? And how do you measure improvement?

Install an App called Tabata Timer, the version by Eugene Sharafan, on your phone. For a start we are going to set it to 30 seconds work, and 6 seconds rest. Repeat, repeat, repeat and repeat.

Simple Activity Timer

This is how a simple timer will look. This one I used to begin jogging. Jog for 30 seconds, then walk, and on the next signal start jogging again. Now I use exactly the same timer in a different way. Sprint for 30 seconds, rest or walk to the next line, sprint again, repeat.

You might like to use it to walk fast for 30 seconds, and walk casually for 30 seconds. If that’s easy, reduce the casual walk time, or increase the fast walk time.

After my heart attack I used it like this, jog 30 seconds, walk for 2 minutes, repeat, repeat, repeat. Quite soon I could do that, in a measured safe way, for 2km.

You can use the timer set to 30 seconds work, and 6 seconds rest for simple stretches or for weight bearing exercise. Thinking about pulling on a rope, pushing against a wall, stretching your hamstring, or calf muscle, doing a squat, hanging from a bar, maintaining a plank. 30 seconds is not a bad starting point, and the six seconds is enough time to switch between activities.

Long Stretch

This timer had a quite different purpose. It was for long stretches, of big muscles like a hip flexor stretch. It’s a 2-minute stretch, with controlled breathing.

Prepare is breathing in, and Work is breathing out. Focus on control, and as you breathe out try to intensify the stretch.

One of the basic tests of walking fitness is the 6 minute walk test. Six minutes is a good mix of walking speed and stamina and is used in hospital settings. Your score is how many meters you can walk in six minutes.

There is a standard. 600 metres in six minutes.

You can see that Tababta is set for 1 minute, repeated.

I have a marked footpath close to my house, and it measures 800 metres marked every 50 metres. I’ll explain how to do that in the next blog post. As you walk you can tell if you are ahead or behind the clock.

In the beginning you might start with the 30 second fast walk as suggested above. Then if you mark out 50 Metres, can you walk the 50 metres in 30 seconds? The first goal achieved, speed. Now, how long can you maintain that for? Using Tabata you can increase the speed walk time and adjust the casual walk time to suit your current fitness.

Tabata is a simple tool can be used in many ways. The method follows that training principles of the famous New Zealand Coach Arthur Lydiard. The secret of training was to do LOTS of easy slow exercise in the beginning, and slowly build the ability to exercise for longer, and to get faster, or move more weight. This is a good time to start a simple health diary, because you won’t remember the details of your progress. You need to keep a written record.

My objective here is to help people who are not fit and have never or have seldom exercised, to walk 5km, and to participate in a parkrun in a town close to where you live. That’s the discussion in the next post.

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Horray for Parkrun https://wpblog.openfuture.biz/horray-for-park-run/ Wed, 06 Mar 2024 03:32:32 +0000 https://wpblog.openfuture.biz/?p=1455 Parkrun is now available in 22 countries worldwide. Started in the UK 20 years ago, it’s become a wonderful opportunity for families, for the socially isolated, for the fit and the unfit, for many volunteers and supporters to share an hour on Saturday morning.

A global charity, parkrun’s mission is to improve health and wellbeing, with a particular focus on those who might be marginalised from opportunities to be active and socially connected.

Currently, parkrun delivers over 2,200 parkrun and junior parkrun events in areas of open space across 22 countries around the world, with around 300,000 people taking part at these community-base events every single weekend.

Parkruns are held for free around the world, with 350,000 people taking to the start line every week!

In Christchurch, the Hagley parkrun over summer has had 600 or 700 runners at 8am each Saturday morning. I’ve personally run only nine times. I’m still not parkrun fit, and I need to walk about 30% of the distance. The famous NZ running coach Arthur Lydiard, had the formula for success. Do lots of slow continuous jogging, walking when you need to, but jogging again once you’ve recovered your breath control. 40 years ago, I used this method. Jog to the next pole, walk to the next, and repeat. Soon you can jog two poles and walk one. Later run a whole block and walk across the road.

Today I use a programable timer called TABATA on my phone. At the Play Store search for Tabata Timer, the version by Eugene Sharafan. Or use these links now.

Android: https://play.google.com/store/apps/details?id=com.evgeniysharafan.tabatatimer

iOS: https://itunes.apple.com/app/id1255964203

To begin I suggest you make a very simple program like this: Jog 30sec, Walk 1min, Jog 30sec, Walk 1min, Jog 30sec, Walk 1min, Jog 30sec, Walk 1min, Jog 30sec, Walk 1min, Jog 30sec, Walk 1min. That’s 9 minutes.

Depending on your starting fitness level, you need over time to extend the jog time, and the total time, until you get to about 30 minutes, total time. I’ll discuss this more in the next post.

Park Run Hagley
Before the Hagley parkrun, in Christchurch, New Zealand.

At Hagley Park, in the 5km parkrun, there are roughly equal numbers of male and female runners in the junior grades (Under 18), and the senior grades (18 to 34). The “veterans” are over 35, but if you look at the fastest times from 35 to age 60 the time difference over 5km is only 3 minutes slower. And even if you take the median runners time, the difference is only 5 minutes slower. So ordinary people can retain quite significant fitness until the age of 60, without much problem.

For those over 60 the number of runners participating drops off. Dropping 50% from 60 to 69, and dropping another 50% from 70 to 79. The number of women running declining slightly faster. At ages 60-69 the number of runners was 31 men and 21 women. And, at 70-79 there were 8 men and 7 women. Over 80 there are only 3 men running.

For those over 60 the time to run 5k also starts to increase, a median participant, female running 32 minutes at age 60, might do 48 minutes at 70 and more like 55 minutes at 79.

There are just three in my age group, 80-84, two club runners, much more experienced than myself, and me, yet the time between first and third is only about 5 minutes.

The people finishing last on the 5km run, walk all the way, they can finish in a time somewhere between 40 minutes and just over an hour. There are people in their 30’s and 40’s who are not yet very fit, who are taking close to an hour to complete 5km and that’s fine. We all need to begin somewhere.

Speaking for myself, I gave away running long distances in my late 50’s, because I was having knee problems. Over 20 years later, with six months in the gym to strengthen the knees, I’m running again. That’s a win. It’s certainly given my self-confidence a boost, after having two heart attack scares, and three stents placed in an artery, knowing that I can run 5km. That’s something more people should be enjoying, and could enjoy, with a little bit of help.

My idea for helping is a program I’ll call “5km in less than 60” meaning 5km in less than 60 minutes (5km an hour). That’s walking speed, for an adult who is still not fit. A fit adult will walk the distance in 50 minutes (6km an hour). A more experienced walker will walk it in 40 minutes. (7km an hour) The old guys, 80+ are jogging 5km in about 40 minutes. More about this soon.

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Reversing Type II Diabetes https://wpblog.openfuture.biz/reversing-type-ii-diabetes/ Mon, 04 Mar 2024 10:42:01 +0000 https://wpblog.openfuture.biz/?p=1447 There are three ways to reverse Type II Diabetes, bariatric surgery, a very low calory diet or a very low carbohydrate diet. Open Future Health has always considered the late Dr Sarah Hallberg the expert on this topic and her page in the expertise section of this website is here.

There are three ways to reverse Type II Diabetes, bariatric surgery, a very low calory diet or a very low carbohydrate diet. Open Future Health has always considered the late Dr Sarah Hallberg the expert on this topic and her page in the expertise section of this website is here.

However, Prof. Roy Taylor was very helpful to Dr David Unwin of the UK, and he along with Prof. Michael Lean, are the experts on the DiRECT Diet study, where people lost weight and reversed their diabetes by using meal replacement shakes. to limit the calories in the diet.

However, Prof. Roy Taylor was very helpful to Dr David Unwin of the UK, and he along with Prof. Michael Lean, are the experts on the DiRECT Diet study, where people lost weight and reversed their diabetes by using meal replacement shakes. to limit the calories in the diet.

Professor Roy Taylor (10 minutes)

If you want to know MUCH MORE about his research, there is now a page for Prof Roy Taylor in the expertise section of the website.

If you want to know MUCH MORE about his research, there is now a page for Prof Roy Taylor in the expertise section of the website.

Dr David Unwin was the first to tell me, several years ago that fat in the liver was causing the liver disease, and that the markers of liver disease in the standard blood tests became warning signs of future health problems. Prof Taylor gives this idea detail. He claims that the development of a fatty liver is the first clinical sign of future metabolic disease. Once you know that you have a tool to make sure that you never become obese or a Type II Diabetic.

The good news is that on a very-low carbohydrate diet, or on a very-low calorie diet, you can reverse non-alcoholic fatty liver in a few weeks. Prof Taylor suggests that eight weeks is often long enough.

BUT, if fatty liver persists the problem extends to all your internal organs, particularly the kidneys and the pancreas. A fatty pancreas doesn’t function well, and this is probably the direct cause of Type II Diabetes that “suddenly” seems to be a problem. In fact, that problem has been developing for 20+ years in most cases. Now that we understand that process, we should in future be able to drastically reduce the number of cases.

There is more good news. If you have a fatty pancreas and Type II Diabetes, and you get serious about weight loss, over time the fatty pancreas will heal itself. Prof. Taylor says that this might take two years, but that he’s seen a pancreas that was highly diseased come back to function. This is apparently what happens when Type II Diabetes is reversed.

Note that we use the term reversed, or in remission if you like, because the problem is caused by your diet, and if one returns to eating a poor-quality diet again, the diabetes will return.

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Time to Catch Up https://wpblog.openfuture.biz/time-to-catch-up/ Tue, 27 Feb 2024 07:01:59 +0000 https://wpblog.openfuture.biz/?p=1300 “In view of the rapid growth of evidence around carbohydrate restriction and Type II Diabetes, and the global guideline adoption, we simply ask why NZ is not at least including a carbohydrate restriction approach in its guidelines, alongside other dietary approaches, to manage Type II Diabetes.”

We now call upon NZ to catch up and follow suit.

Giving the Patient Options

Informed patients can do much to improve their health.

A study from the University of Alabama at Birmingham is looking into a drug-free approach to treat type 2 diabetes. The research focuses on using diet changes to target the fat around organs like the pancreas and liver.

Ketogenic Diet for Diabetes (Part 1)

In this grand rounds lecture Sarah Hallberg, DO, outlines recent research that suggests patients with metabolic diseases like type 1 and type 2 diabetes can achieve exceptional glycemic control using a low-carb ketogenic diet. She summarizes the current dietary recommendation for patients with metabolic disease and why this approach may not be effective and discusses ways to help support patients in the long-term while maintaining this type of diet.

If want to see Part Two follow this link.

Five tips to reversing T2 Diabetes 

Steve Bennett talks with Dr David Unwin.

Reverse Type 2 Diabetes Naturally

With Dr Jason Fung

Type 2 diabetes can be reversed naturally, but only if you understand the basics of how type 2 diabetes became an epidemic and what were the causal factors. Dr. Jason Fung explains why the diet is the most important factor in type 2 diabetes and how we can use dietary methods to reverse type 2 diabetes.

An evidence-based approach to developing low carb diets for type 2 diabetes

Jessica Turton (APD)

Jessica’s Masters Research Project was to conduct a systematic review of all low-carbohydrate diets in the management of Type 1 Diabetes Mellitus. This paper was published in the scientific journal, PLOS ONE, in March 2018.

Can we really put Type II Diabetes into remission?

Prof. Peter Brukner.

Type 2 Diabetes and How To Reverse It

Over 12 million people are at risk of Type 2 diabetes and it’s also estimated a million don’t know they have it already. But even with a diagnosis, you can do something… you can even put Type 2 diabetes into remission. And today we meet the proof in mum of two Debra Scott who after being diagnosed with Type 2 diabetes took it upon herself to reverse the condition without the help of any medication.

Type 2 diabetes remission: the first Australian evidence

Veronique Murphy RN

As the former Clinical Services Manager at Diversa Health, Veronique specialised in implementing services to enable Australians with or at risk of Type 2 diabetes to achieve remission. This involved developing the patient journey, creating patient-focused resources and facilitating interventions to promote health literacy.
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Dr David Unwin https://wpblog.openfuture.biz/dr-david-unwin/ Tue, 27 Feb 2024 07:01:31 +0000 https://wpblog.openfuture.biz/?p=1298 “British general practitioner, Dr David Unwin used carbohydrate reduction to reverse/remit T2DM; of 199 patients with T2DM, 46% achieved drug-free remission, with enormous cost savings from reduced diabetes medication.”

What predicts drug-free type 2 diabetes remission?

Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss. BMJ Nutr Prev Health 2023; 6: 46-55.
             | Crossref | Google Scholar | PubMed |

Authors: Unwin D, Delon C, Unwin J, Taylor R, et al.

What predicts drug-free type 2 diabetes remission?

At Norwood surgery 20% of the entire practice T2D population achieved remission.

Dr David Unwin at the Public Health Collaboration Conference, 2023.

What predicts drug-free type 2 diabetes remission?

Professor Roy Taylor Explains the science.

How type 2 diabetes remission can transform healthcare.

Public Health Collaboration Annual Conference, May 2023.

Dr Ben Bikman: Insulin resistance is important.

Dr David Unwin: Type II Diabetes was once a rare disease.

Prof Roy Taylor: Reduce your weight. Too many children are obese.

Helen Gowers RD: We need to fund more research.

Chair: Dr David Cavan
Panellists: Helen Gowers RD, Prof Roy Taylor, Dr David Unwin, Dr Ben Bikman
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Clinical trials https://wpblog.openfuture.biz/clinical-trials/ Tue, 27 Feb 2024 07:01:08 +0000 https://wpblog.openfuture.biz/?p=1296 “This is surprising, as clinical trials and primary care practice data report beneficial and sustained results from carbohydrate reduction. (7,8) Virta Health, a US-based research entity has shown carbohydrate reduction to be safe in prediabetes/T2DM. Their 5-year data concluded their model of care showed excellent retention, sustained clinically significant weight loss, stable glycaemic control and less dependency on diabetes medication.(9) “

(7) Hallberg SJ, McKenzie AL, Williams PT, et al.

Effectiveness and safety of a novel care model for the management of type 2 diabetes at 1 year: an open-label, non-randomized, controlled study. Diabetes Ther 2018; 9(2): 583-612.
         | Crossref | Google Scholar | PubMed |

This is a report from Virta Health about success over five plus years.

The Future of Diabetes Care in the Workplace

The diabetes epidemic continues to grow at a staggering rate, despite the billions of dollars invested in drug development. Ironically, the “silver bullet” won’t be the next new pill. Rather, it’s moving patients off their medications by addressing the root cause of type 2 diabetes. This concept is baked into the core of Virta’s care model. In 2019 Virta rolled out its diabetes reversal treatment to 7+ employers. On this webinar, we’ll showcase this cohort’s results for the first time.

(8) Unwin D, Khalid AA, Unwin J, et al.

Insights from a general practice service evaluation supporting a lower carbohydrate diet in patients with type 2 diabetes mellitus and prediabetes: a secondary analysis of routine clinic data including HbA1c, weight and prescribing over 6 years. BMJ Nutr Prev Heal 2020; 3(2): 285-94.
         | Crossref | Google Scholar | PubMed |

Successful case studies of diabetes and metabolic health programs

Several doctors and health experts from the UK, US and The Netherlands present their successful case studies of type 2 diabetes remission and metabolic health programmes. David Unwin, general practitioner at Norwood NHS Surgery in Southport near Liverpool, UK, says his practice has reversed type 2 diabetes without using drugs 133 times. “Just eat nutrient-dense foods that don’t put your blood sugar up. I believe it’s nearly as simple as that,” he says. Over time, his practice has learned that those achieving type 2 diabetes remission consume 77 grams of carbohydrates on average a day.

Nine years of low carb T2D: Making a long-term difference

Dr. David Unwin is a practicing GP based in Southport in the United Kingdom and is a recognised international expert on the topic of carbohydrates and Type 2 diabetes. After 25 years of attempting to treat diabetes by conventional methods, Dr. Unwin stumbled upon the website www.diabetes.co.uk and from this revelation now ignores official advice and treats his patients with a low-carbohydrate diet.

(9) Athinarayanan SJ, Vantieghem M, Mckenzie AI, et al. 832-P:

Five-Year weight and glycemic outcomes following a very-low-carbohydrate intervention including nutritional ketosis in patients with type 2 diabetes. Diabetes 2022; 71(Supplement_1): 832.
     | Crossref | Google Scholar |

3 years later, Virta is the best thing that’s ever happened to me

Andy has been on Virta for 3 years. Before he started, his brother and uncle passed away from type 2 diabetes, and Andy didn’t want that to happen to him. He weighed 310 pounds, had knee and back pain, was on several diabetes medications, and was starting to experience diabetic neuropathy.

3 Years on Virta, off insulin, and down 75 pounds

Kim has been on Virta three years, and she’s been able to get off of her medications, including insulin. She’s saving about $500 a month on these medications. After a lifetime of dieting and even getting weight loss surgery, she’s found that Virta is the only thing that has really worked for her. Now she has the energy to do things she’s always wanted to do—including ziplining, going for hikes, and playing with her grandchildren.

Reversing diabetes in rural America with Virta Health

April 2021.
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NZ Ministry of Health https://wpblog.openfuture.biz/nz-ministry-of-health/ Tue, 27 Feb 2024 07:00:37 +0000 https://wpblog.openfuture.biz/?p=1294 “New Zealand (NZ) does not endorse carbohydrate reduction as a viable option for individuals, but rather cautions against it. The NZ Society for the Study of Diabetes states in their guidelines ‘meta-analyses show that the benefits of ketogenic diets are unlikely to be sustained’ (5,6) and the Ministry of Health states ‘Very low carbohydrate diets: Not recommended’.(5)”

(5) Popular diets review. 2022.
        Available at https://www.health.govt.nz/your-health/healthy-living/food-activity-and-sleep/popular-diets-review [accessed January 2024].

Health New Zealand’s recommendations on popular diets is here. Note that a very-low carbohydrate diet is NOT recommended. There is no advice about vegetarian or vegan diets. There is a recommendation in favour of a Mediterranean Diet and a specification of that diet which is helpful. But they are still lipo-phobic and recommend that butter is less healthy and should be replaced with margarine.

This eight-page research review is very strong on new medication and new technologies. The section on lifestyle modification and dietary modification is less than half a page.

The Health New Zealand Standard for dietary advice is “Eating and Activity Guidelines”.

(6) Paul R.

Type 2 diabetes management guidance Updated 2023 Recommendations. 2023.
        Available at https://t2dm.nzssd.org.nz/File-2.html [accessed January 2024].

Transforming Lives: Dr Ryan Paul

Dec 2022
Ryan Paul (Ngāti Maru, Hauraki) is an endocrinologist at Te Whatu Ora Waikato and the University of Waikato. His research and presentation has a particular focus on inequities in access to diabetes therapeutics and technologies in both type 1 and type 2 diabetes. Ryan’s talk is introduced by Wellington and Tairāwhiti-based endocrinologist, Rosemary Hall.

Quality Standards for Diabetes Care 2020

Health New Zealand has published Quality Standards for Diabetes Care here.

The document is strong on recommending medical tests and treatment by trained staff. Log on promises and I expect short on delivery. For instance, I was in a specialist heart ward in the Christchurch Public Hospital. I was unable to get a ketogenic diet by request. The staff did try to cater for my needs, but it’s not possible to meet them in the current system. Given that about half the patients in the ward were diabetic, this is a problem. Serving canned fruit, Milo as a drink, sugar in the tea and coffee, porridge, toast with margarine and jam. Lots of things that could be done to improve the diet and educate patients.

Epidemic as diabetes rates soar in the Pacific

2018

The Economic and Social Cost of Type 2 Diabetes in Aotearoa New Zealand

In March 2021 a report was launched about The Economic and Social Cost of Type 2 Diabetes in Aotearoa New Zealand by Associate Minister of Health Hon Peeni Henare.

– Currently 4.7% of New Zealanders have type 2 diabetes and this will almost double over the next 20 years. – The current annual cost of type 2 diabetes is $2.1 billion and this is predicted to increase to $3.5 billion by 2040. – Pacific, Asian and Māori people have much higher rates of type 2 diabetes. – By 2040, one in four Pacific people could have type 2 diabetes. – Urgent action is needed to change this trajectory. We are calling for a National Diabetes Strategy to ensure equitable provision of prevention and treatment programmes across Aotearoa.

PreKure GP Peer Support Group

We have started a peer group for GPs that are interested in discussing or learning more about how nutrition, in particular, low-carbohydrate nutrition, can help the treatment of chronic diseases.

Have we ridden the low-carb wave? 

Have we ridden the low-carb wave? In the last 10 years, we have seen the low-carb movement take hold and seen amazing clinical results in chronic conditions. Dr Caryn Zinn discusses the science, practice and system changes in low-carb diets, where we have come from, where we are at, and where we are headed at the Future of Medicine Conference 2023.

GP Toolkit: #1 Introduction – more heart and diabetes checks and better help for smokers to quit

Oct 2014

GP Toolkit: #2 More heart and diabetes checks

Oct 2014
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