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

“we examine real-world data from a cohort based in a UK primary care clinic offering a low-carbohydrate approach to people with T2D [type 2 diabetes] from 2013 to 2021. The physiological mechanisms behind remission induced by dietary weight loss were first demonstrated in 2011. Since then the idea of drug-free T2D remission has gained international momentum. [..] Advice on lowering dietary carbohydrate was offered routinely by our team of nine specially trained GPs and three practice nurses to patients with T2D (defined as HbA1c >48 mmol/mol on two occasions) starting in March 2013. Our protocol includes important information around the deprescribing of … Read More

The Habit America’s Historians Just Can’t Give Up

“In its attempt to explode particular myths, however, Myth America engages in its own mythmaking. The book fundamentally misunderstands the crises facing the U.S. and the world. By implying that misinformation is the principal cause of the partisan rancor, violence, and general dysfunction that mark our current political moment, the collection obscures our much bigger problems. And by localizing the threat of misinformation and disinformation almost exclusively within certain far-right segments of the conservative movement and the Republican Party, Myth America absolves not only other stripes of conservatism, but also the milquetoast technocratic liberalism that helped set the stage for this moment. It’s not … Read More

Healthy Eating Patterns and Risk of Total and Cause-Specific Mortality

“[Introduction] According to the Global Burden of Disease Study 2017, unhealthy diet is estimated as one of the leading causes of death globally. [..] using 2 large prospective cohorts with data on repeated measures of dietary habits, we derived dietary scores for 4 healthy dietary patterns, including the Healthy Eating Index 2015 (HEI-2015), Alternate Mediterranean Diet (AMED) score, Healthful Plant-based Diet Index (HPDI), and Alternate Healthy Eating Index (AHEI). We then examined their associations with total and cause-specific mortality. We also specifically examined these associations stratified by race and ethnicity and other potential risk factors. [Methods] This cohort study used … Read More

Unhealthy histories: sports and addictive sponsorship

“Professional sport has been criticised for its role as a vehicle to market addictive products or services. Despite the harmful health effects on society, football audiences are inured to seeing sponsors of such products not only on pitch-side hoardings and shirts, but also embedded in television rights, competition names, prematch build-up, corporate hospitality, and social media. Tobacco’s successful movement into sports sponsorship established the template on which other addictive sponsors, notably the alcohol and gambling industries, built their strategies. The integration of sports and addictive commodities highlights strategies to influence consumption by those within the unhealthy commodities industry. [..] historically … Read More

Society of Family Planning interim clinical recommendations: Self-managed abortion

“While the medical risks of SMA [self-managed] may be few, the legal risks for people attempting SMA may be significant. Although only three states currently have laws explicitly criminalizing SMA, almost half of U.S. states have at least one law in place that could be used to prosecute people attempting or assisting with SMA. These policies include legislation explicitly banning SMA, criminalizing harm to the fetus, and criminalizing abortion. For those who have been targeted with criminalization for SMA, many came into contact with law enforcement following interactions with healthcare professionals. However, to date, legal experts are unaware of any … Read More

We’re Expecting the Wrong Things from the CDC: If you want the CDC to be apolitical, you’re missing the point of public health

Excerpt – No public health decision is purely scientific, so the agency cannot avoid the small-p politics of health policy. No matter what we may yearn for, there is no ethereal scientific plane the CDC can ascend to. “The ‘politicization’ accusation implies that we should just isolate the CDC and let it do its work by itself,” said Gil Eyal, a sociology professor at Columbia University. “But I think that’s wrong. I don’t think we know of an obvious way to organize the relationship between science and politics.” That is, they are always intertwined, especially when it comes to the … Read More

My Father, The Fool: I’d run out of sympathy for COVID skeptics. Then I remembered my father’s stiff neck.

“One of the problems with screaming “How could you be so stupid?” at people who behave stupidly is that we too often think of the question as rhetorical when it isn’t. Though vaccine hesitancy is often seen as purely political, that’s not necessarily the case. It also correlates to lack of health care, which means that when public-health officials urge the unvaccinated to consult their family doctors (on the assumption that they might be more persuasive than government agencies), they’re assuming facts not in evidence. If you can’t afford health insurance, you probably can’t afford a doctor either, and if … Read More

The Biden Administration Killed America’s Collective Pandemic Approach

“Coronavirus case numbers are in free fall; vaccines and, to a lesser degree, viral infections have built up a wall of immunity that can blunt the virus’s impact overall. Several experts stressed that certain aspects of the CDC’s new guidelines are genuinely improving on the framework the country was using before. “The timing feels right to make some kind of change,” Whitney Robinson, an epidemiologist at Duke University, told me. But protection against SARS-CoV-2 isn’t spread equally. Millions of kids under 5 are still ineligible for shots. Vaccine effectiveness declines faster in older individuals and is patchy to begin with … Read More

It’s only fake-believe: how to deal with a conspiracy theorist

“Since many conspiracy theories arise from feelings of uncertainty and fear, an angry debate will only cement the ideas, and open ridicule is even less constructive. Instead, the research shows that you should try to focus on the rhetorical devices and tricks of persuasion that have been used to spread the ideas in the first instance. “People seem receptive to you exposing the ways in which they may have been manipulated,” explains Dr Sander van der Linden at Cambridge University, who has pioneered research into the spread of misinformation and the ways to stop it. [..] five most common fallacies … Read More

Weight-Focused Public Health Interventions—No Benefit, Some Harm

“findings in these articles are consistent with literature on the adverse impact of weight stigma, which may be exacerbated by the increased focus on weight. Specifically, health promotion approaches that focus on obesity and target the individual perpetuate weight stigma and fail to address the profound inequities that drive disparities in health and weight. For example, BMI report cards, a widely used school-based childhood obesity intervention, inform parents of their child’s weight status and increase parents’ weight-related anxiety but provide little guidance about evidence-based health promotion strategies and offer no structural support for behavior change. Furthermore, weight-focused health promotion approaches … Read More