Aetna PPO and HMO
Anthem Blue Cross
Tricare
Medicare
Universal
CDS
St Mary’s Preferred Health and HealthFirst
Hometown Health PPO and HMO
Senior Care Plus
Health Plan of Nevada PPO
Sierra Health and Life HMO
Sierra Spectrum HMO
Senior Dimensions HMO
State of Nevada Health Choice
For new patients please keep in mind that my panel may be full and therefor I’m not accepting new patients under that plan.
Thursday, December 22, 2011
Wednesday, December 21, 2011
Continuous Glucose Sensor talk
Learn about continuous glucose monitoring for diabetes to improve your blood sugar control. The Diabetes Center at Renown welcomes Chris Davis of Dexcom will be presenting information and answering your questions. This is scheduled for January 11 at 6 pm. The location is 1500 E Second St, room 402.
Friday, December 16, 2011
If you prefer Facebook...
I have a page by the name Dan Caruso MD to keep people updated on office hours, holiday and vacation closure, insurance plan coverage, etc. It's easier for me and my staff to update on Facebook than the blog. For your privacy I recommend NOT adding yourself to the page unless you want everybody on Facebook to know that you are my patient. Please do not request medical information, prescription refills or scheduling on the Facebook page. It is best to text or email me for these needs.
Wednesday, December 14, 2011
Fewer carbs=less breast cancer?
It sounds very exciting, but the study doesn't actually show a reduction in breast cancer. It shows an improvement in risk factors associated with breast cancer. The main risk factors analysed were weight loss and body fat reduction, the same factors associated with type 2 diabetes mellitus. This sounds like a simple diet that may easily be followed long term.
Medpage Today
Kristina Fiore, Staff Writer, MedPage TodayPublished: December 11, 2011Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco andDorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
SAN ANTONIO -- Limiting carbohydrate intake just two days a week can mitigate some risk factors for breast cancer by burning body fat and improving insulin sensitivity, researchers said here.
Over three months, eating fewer carbohydrates alone or combining that reduction with severe caloric restriction two days per week was associated with significant changes in body fat and insulin resistance, Michelle Harvie, PhD, of Genesis Prevention Center at University Hospital in South Manchester, U.K., reported during a poster session at the San Antonio Breast Cancer Symposium.
"Both diets showed improvement in insulin sensitivity, compared with a regular calorie-restriction diet alone," Harvie told MedPage Today. "It's an interesting finding, but we need more research. This isn't ready to be recommended to patients yet."
In an earlier study, Harvie and colleagues demonstrated that two days per week of calorie restriction was comparable to daily calorie restriction in terms of weight loss, but it wasn't any easier for patients to follow because the choice of food was limited to fruit and vegetables on restricted days.
The present study allowed for more food choices during calorie restriction, Harvie explained.
They randomized 115 overweight or obese patients who, based on their weight were at risk of breast cancer, to one of three diets over a three-month period:
1. A calorie-restricted (600 kcal), low-carbohydrate (less than 40 g) diet for two days a week
2. A low-carbohydrate diet for two days per week, plus an ad-lib Mediterranean (healthy fats, fruits, and vegetables) diet the other five days
3. A daily calorie-restriction Mediterranean diet (1,500 kcal) all week
Harvie told MedPage Today that enforcing the diet two days per week, rather than three days, or one week on and one week off, was "just pragmatic; two days is achievable."
The women met monthly with a dietitian and had bi-weekly motivational phone calls. Eighty-eight of them completed the three-month trial, plus an additional month of follow up to assess whether restricting carbohydrates one day a week could help maintain weight and metabolic changes.
Harvie and colleagues found that after three months, patients on either of the low-carbohydrate diets had significantly greater declines in insulin resistance as measured by HOMA-IR (P=0.023) and in body fat (P=0.004) compared with those who just restricted their calories every day.
Those declines were maintained over an additional month of limiting carbohydrate intake to just one day per week, Harvie said.
Three months of the low-carbohydrate diets also led to better weight loss and lower levels of insulin, both risk factors for breast cancer, compared with standard caloric restriction. Those changes were maintained after an additional month, Harvie added.
"Weight loss and reduced insulin levels are required for breast cancer prevention, but are difficult to achieve and maintain with conventional dietary approaches," Harvie said.
None of the diets, however, had any effects on several other metabolic parameters, including adiponectin, insulin-like growth factor-1, interleukin-6, or TNF-alpha.
Harvie said the diets did reduce the levels of leptin, which is the hormone that tells the brain that the body is satiated, but not significantly so.
Overall, she called the intermittent low-carbohydrate diets a possible alternative to full-blown calorie restriction "for potentially reducing the risk of breast cancer and other diseases."
The researchers reported no conflicts of interest.
Primary source: San Antonio Breast Cancer SymposiumSource reference:Harvie M, et al "Intermittent dietary carbohydrate restriction enables weight loss and reduces breast cancer biomarkers" SABCS 2011; Abstract P3-09-02.
Medpage Today
Kristina Fiore, Staff Writer, MedPage TodayPublished: December 11, 2011Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco andDorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
SAN ANTONIO -- Limiting carbohydrate intake just two days a week can mitigate some risk factors for breast cancer by burning body fat and improving insulin sensitivity, researchers said here.
Over three months, eating fewer carbohydrates alone or combining that reduction with severe caloric restriction two days per week was associated with significant changes in body fat and insulin resistance, Michelle Harvie, PhD, of Genesis Prevention Center at University Hospital in South Manchester, U.K., reported during a poster session at the San Antonio Breast Cancer Symposium.
"Both diets showed improvement in insulin sensitivity, compared with a regular calorie-restriction diet alone," Harvie told MedPage Today. "It's an interesting finding, but we need more research. This isn't ready to be recommended to patients yet."
In an earlier study, Harvie and colleagues demonstrated that two days per week of calorie restriction was comparable to daily calorie restriction in terms of weight loss, but it wasn't any easier for patients to follow because the choice of food was limited to fruit and vegetables on restricted days.
The present study allowed for more food choices during calorie restriction, Harvie explained.
They randomized 115 overweight or obese patients who, based on their weight were at risk of breast cancer, to one of three diets over a three-month period:
1. A calorie-restricted (600 kcal), low-carbohydrate (less than 40 g) diet for two days a week
2. A low-carbohydrate diet for two days per week, plus an ad-lib Mediterranean (healthy fats, fruits, and vegetables) diet the other five days
3. A daily calorie-restriction Mediterranean diet (1,500 kcal) all week
Harvie told MedPage Today that enforcing the diet two days per week, rather than three days, or one week on and one week off, was "just pragmatic; two days is achievable."
The women met monthly with a dietitian and had bi-weekly motivational phone calls. Eighty-eight of them completed the three-month trial, plus an additional month of follow up to assess whether restricting carbohydrates one day a week could help maintain weight and metabolic changes.
Harvie and colleagues found that after three months, patients on either of the low-carbohydrate diets had significantly greater declines in insulin resistance as measured by HOMA-IR (P=0.023) and in body fat (P=0.004) compared with those who just restricted their calories every day.
Those declines were maintained over an additional month of limiting carbohydrate intake to just one day per week, Harvie said.
Three months of the low-carbohydrate diets also led to better weight loss and lower levels of insulin, both risk factors for breast cancer, compared with standard caloric restriction. Those changes were maintained after an additional month, Harvie added.
"Weight loss and reduced insulin levels are required for breast cancer prevention, but are difficult to achieve and maintain with conventional dietary approaches," Harvie said.
None of the diets, however, had any effects on several other metabolic parameters, including adiponectin, insulin-like growth factor-1, interleukin-6, or TNF-alpha.
Harvie said the diets did reduce the levels of leptin, which is the hormone that tells the brain that the body is satiated, but not significantly so.
Overall, she called the intermittent low-carbohydrate diets a possible alternative to full-blown calorie restriction "for potentially reducing the risk of breast cancer and other diseases."
The researchers reported no conflicts of interest.
Primary source: San Antonio Breast Cancer SymposiumSource reference:Harvie M, et al "Intermittent dietary carbohydrate restriction enables weight loss and reduces breast cancer biomarkers" SABCS 2011; Abstract P3-09-02.
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