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The GP Show


Join GP and Medical Educator Dr Sam Manger MBBS BSc FRACGP FASLM covering a variety of topics with case studies, guideline reviews, guest interviews and more for medical doctors and allied health including general practitioners, family physicians, specialists, allied health, nurses, registrars/residents, medical students and anybody interested in health, science and medicine.

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Oct 7, 2019

This episode is to supplement my interview with Dr David Unwin and is just with me reviewing and discussing some areas in more detail that David and I ran out of time to cover, including:

  • Pathophysiology of DMT2 and different dietary considerations
  • Environmental and farming practices
  • Ending the Diet Wars

Some further reading for those that want it:

Environmental considerations: https://www.lifestylemedicine.org.au/content/is-the-path-to-health-the-same-path-to-environmental-sustainability/

Allan Savory TED talk https://www.ted.com/talks/allan_savory_how_to_green_the_world_s_deserts_and_reverse_climate_change.html

Joel Salatin TED talk (there are multiple) https://www.tedmed.com/talks/show?id=7342

2019 Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report from the American Diabetes Association https://care.diabetesjournals.org/content/diacare/early/2019/04/10/dci19-0014.full.pdf

Diabetes Australia position statement on low carb approaches https://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/dbd70857-a834-45b0-b6f1-ea2582bbe5c7.pdf

Metabolic ward studies/randomised controlled feeding studies on various dietary composition:

https://www.ncbi.nlm.nih.gov/pubmed/29844096

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951141/

Other paper on dietary composition: https://jim.bmj.com/content/65/8/1102

Five Stages of Evolving Beta-Cell Dysfunction During Progression to Diabetes https://diabetes.diabetesjournals.org/content/53/suppl_3/S16

Combination of saturated fats with high GI carbs causing further disease that saturated fats alone in "Saturated fat, carbohydrates and cardiovascular disease", 2011 https://www.ncbi.nlm.nih.gov/pubmed/21978979

Insulinogenic response of foods https://www.ncbi.nlm.nih.gov/pubmed/9356547

Personalized Nutrition by Prediction of Glycemic Responses https://www.ncbi.nlm.nih.gov/pubmed/26590418

Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis (observational) https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30135-X/fulltext

High/low animal protein diets and CVD:

https://www.ncbi.nlm.nih.gov/pubmed/11108325

Dr Ornish Lifestyle Heart Disease Reversal study https://www.ncbi.nlm.nih.gov/pubmed/9863851

Other potentials for low carb approaches:

The Therapeutic Potential of Ketogenic Diet Throughout Life: Focus on Metabolic, Neurodevelopmental and Neurodegenerative Disorders, 2019, Professor Sarnyai et al  https://www.ncbi.nlm.nih.gov/pubmed/31493223

 

Enjoy friends