Dr. Seibel's Blog

Type 2 Diabetes More Common in Fast Eaters

Are you a person who wolfs down your food? If so, it’s time to slow down. A new study presented at the International Congress of Endocrinology and European Congress of Endocrinology shows that people who eat fast are 2.5-times more likely to develop Type 2 diabetes, compared with slower eaters.

There are clearly more factors involved than the spead of eating, such as your genetic risk and the enviroment you live in, but here is something that contributes that you can easily do something about. Type 2 diabetes is fast becoming a global problem affecting the whole world. If you’re a person who is susceptible to diabetes because of your genetic background, it’s time to slow your eating down.

This study examined the eating habits of 234 people who had just been diagnosed with Type 2 diabetes and compared them with 468 people without diabetes. All the people in the study answered a questionnaire about how fast they ate: slower, faster, or the same as others. The researchers also recorded their waist and hip circumference, height and weight.

After they adjusted for other factors that could cause their findings, Type 2 diabetes risk seemed to be linked with eating faster. Another earlier study in the Journal of the American Dietetic Association also found that fast eaters were more likely to be obese than slow-eaters. And the faster people ate, the more their Body Mass Index (BMI) rose – 2.8% for each “step” increase on the five-step eating-speed scale (equivalent to an extra 4.3 pounds), researchers found.

Bottom line, slow down and enjoy the taste and the company and lower your risk for type 2 diabetes. Watch the video below for other ways to prevent diabetes.

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    Age of Menopause Can Affect Health

    • If you’ve already finished having your family, does the age of menopause matter? A new study suggestes it does. Women who go through menopause before age 47 increases a woman’s chances for increased loss of calcium in the bones, osteoporosis, bone fractures and even death. Click here for free ebook on menopause and how to take estrogen.

    The study showed going through menopause before age 47 nearly doubles a woman’s risk of osteoporosis (thinning of the bones) by the time the woman turns 77. It also increases her risk of death by close to 60%.

    This study was done on 390 white northern European women and was published online April 25 in the British Journal of Obstetrics and Gynaecology.

    The authors of the study believe the increases risks of early menopause are primarily due to more rapid bone loss, but poorer muscle strength or other factors might contribute also.  They could not reach a definite conclusion as to why the women  with early menopause live shorter lives, the increases risk of breaking a hip but also other illness, medications, nutrition,  smoking and alcohol habits and physical activity likely play a role.

    If you go through menopause before age 47, talk with your doctor about getting a bone density, eating healthy, exercising, and whether or not estrogen is right for you. Click here for a FREE eBook on how to take estrogen.

     

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      Radiation Causes Fatigue That Gets Better With Time

      There is good news for women who have early stage breast cancer and require treatment with radiation. Although fatigue is a common experience, only about 6% of women treated suffer from fatigue 1 year later.

      A new study of 218 Australian women with early stage breast cancer treated with either adjuvant radiation, chemotherapy, or both, can be found here Journal of Clinical Oncology. It was published April 16th.

      Cancer-related fatigue (CRF) affected 24% of the women who were treated, but by 6 months, that number had been reduced to 11%, and that number reduced to 6% at the end of 1 year.

      The study was completed by interviewing the women every 3 months for 1 year after treatment ended and once again 5-years after treatment ended. To be sure the fatigue wasn’t due to other causes, women who still felt fatigued at 6 months were examined to be sure other reasons such as depression and thyroid problems weren’t the cause.

      Larger tumors that required more radiation caused a greater likelihood of CRF. As you might expect, the worse the radiation fatigue, the more it affected the women and the more likely they were to seek medical help.

      To see videos on vaginal pain, sexual problems and other issues related to cancer and menopause in general, click here.

       

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        Infertility: The Child Who Might Have Been

        National Infertility Awareness Week begins today. It’s been 30 years since I performed the first in-vitro fertilization in Massachusetts, one of the first in the country. I wrote this poem then as a tribute to infertility patients and the invisible loss they experience.

         

        Infertility: The Child Who Might Have Been

         

        The simple union of man and wife

        In love creates a brand new life

        A child to cherish, play with and be

        Their link with immortality


        What bliss and joy they anticipate

        Unless infertility becomes their fate

        And buries dreams which die within

        As they mourn their child who might have been

        © Mache Seibel, MD

        Have you had infertility or know someone who has? Share this poem and post a comment below. Are you planning a pregnancy? You will enjoy this interactive planner and journal called Journal Babies. It provides tips on how to improve your chances for getting pregnant, what to expect during your pregnancy, questions to ask your doctor and afterwards, a keepsake of your experience.

         

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          Colonoscopy Song on Huff Post

          Please see my new blog on the Huffington Post. It’s about how a song can save your life.

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            Posted in Cancer, Composer, Health Song, Menopause, Music and Medicine, Music Composer | Tagged | Leave a comment

            Sodas Increase Heart Attack, Diabetes

            Sodas were again in the news and this time for increasing the risk of heart attack and diabetes. You can see my blog post about this on FeedingAmerica.org. As you’ll see, cutting back on sodas or cutting them out altogether might be the most important health decision you make.

            Here is my video on sodas and health issues. It’s called Liquid Candy. Enjoy! If you like it, leave a comment.

             

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              Jane Fonda TED Talk on Aging

              This is a great video on the topic of aging, or as Jane Fonda calls it, the third act. She discusses aging not as a period of decline, but of a period of possibilities. I think it is a great perspective.

               

               

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                Having A Baby After 40

                I’m often asked by women over the age of 40 my opinion on having a baby. Clearly it’s a personal decision by a woman and her partner. But I have gained a lot of wisdom and experience in this area, so here is my personal position statement on later motherhood that I would like to share with you.

                The decision to have a baby at any age is a life affecting one, but deciding to have a baby after the age of 40 carries additional considerations. First there is the health of the mother. That’s why the first thing a woman choosing to have a baby after age 40 should do is to obtain accurate information about her chances to conceive (< 10%), how long it will take her to conceive (up to a year or more) and how long she should attempt conception (see below).

                If she chooses to proceed, she should obtain a complete medical exam, begin taking folic acid, clear her house of potentially toxic substances such as lead paint, and establish a realistic time frame for conception to occur. She should also seek fertility guidance within three months if conception does not occur. I recommend mental health support as well. For those who attempt conception with assisted reproductive techniques such as in-vitro fertilization or donor egg, the vast majority of successes occur within three attempts (Seibel MM et al. In Vitro Fertilization: How Much is Enough? N Engl J Med 1989;321:15). If a surrogate mother is a consideration, begin with a good attorney who specializes in reproductive law.

                The next consideration is the health of the baby. After the age of 40 there is a high rate of both miscarriage and of babies affected by genetic disease. Prenatal testing of the baby by methods such as amniocentesis is highly recommended. In order to increase the likelihood of the child having parents until at least the age of 18, I recommend that combined ages of the parents not exceed 100 at the time of conception (Seibel MM, Zilberstein M, Seibel SG. Becoming Parents after 100? Lancet 1994;43:603).

                If adoption is a consideration, look into it early. This allows many of the waiting periods to pass so that in the event biologic parenting does not occur, months of waiting will have passed and not have to be endured at the end of fertility treatment.

                There are many ways to successfully build a family. Being informed, getting the best help along the way and obtaining open dialogue with your partner and mental health professional helps ensure a gratifying outcome. Finally, living a child-free life is for some, one of the gratifying outcomes.

                Click here for my video on why it’s important to see a fertility doctor early if you’re 40 or more.

                 

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                  Chinese Herbs Lower Hot Flashes

                  Hot flashes are never pleasant and HRT is not always an acceptable choice. So what other options are there when those sudden feelings of heat with sweating and rapid heartbeat happen to women in perimenopause and menopause.

                  A group of researchers in China randomly assigned 72 women between the ages of 45 and 55 who had recently stopped menstruating to an eight week trial of taking either a traditional mix called Jiawei Qing’e Fang everyday or  a placebo mix with no medicinal effect.

                  The study mixture has been used in tradition Chinese medicine for a thousand years for gynecologic diseases.

                  After eight weeks, both groups showed a notable decrease in the frequency and severity of hot flashes but the reduction was greater among women who used the herbal treatment.

                  The study was reported in the journal Menopause, and found the hot flash reduction “score” was 70 percent for women on the traditional medicine and 56 percent for women taking the placebo. Most studies find some improvement in women receiving a placebo, at least for 12 weeks.

                  While the study was too short and too small to make an absolute judgement on the benefit of the traditional Chinese treatment, it is another possible consideration among women in perimenopause and menopause who either cannot or will not take HRT.

                  Click here for other information on HRT and Hot flashes.

                   

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                    Menopause Brains Require Eating Healthy

                    If you really want a healthy brain in menopause and beyond, a recent study in the Neurology shows that you must eat healthy. It’s not just a single vitamin that causes brain power to dip to cognitive decline. Both good and bad brain health is caused in part by what you eat.

                    The people in this study didn’t just try to remember what they ate (sometimes people forget); they had blood test for special markers in their blood to measure vitamin levels, they had their memory tested and they had MRI scans of their brains to measure their brain volume. A total of 104 patients were in the study but only 42 had the MRI scans.

                    People with the highest levels of B family vitamins, and vitamins D, C and E had higher scores on cognitive tests than people with lower levels. The same was true for omega-3 fatty acids, which I’ve written about before as linked to better brain health.

                    People with higher levels of trans fats (the kind in most junk food, fried foods and many pasty options in grocery stores) in their blood did worse on thinking and memory tests. Their MRI scans also showed more brain shrinkage than people who had lower trans fats levels.

                    Overall, poor nutrition caused about 17% of the poor outcomes on cognitive test scores for thinking and memory function. But other things, like age, education, and having high blood pressure contributed 46% to worse scores. But when it comes to brain size, 37% of the cause of smaller brain volume was due to poor nutrition.

                    So if you think that stopping your brain from shrinking and keeping sharp is in your game plan, eat fruits, vegetables and fish and avoid junk food.

                    It seems when it comes to your brain, you really are what you eat. The study was carried out at the Oregon Health & Science University in Portland.

                     

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