Pass (on) the Chips
Eating Ultraprocessed Foods Tied to Diabetes Risk
Higher intake of ultraprocessed foods (for example, packaged snack foods) is associated with increased risk for type 2 diabetes, according to a prospective study in JAMA Internal Medicine.
Over 100,000 French adults completed a series of 24-hour dietary recall questionnaires over a 2-year period. During a median follow-up of 6 years, roughly 820 participants were diagnosed with type 2 diabetes.
After adjustment for body-mass index, physical activity, and other confounders, participants who ate more ultraprocessed foods were at higher risk for diabetes. In particular, the risk increased by 13% with each 10% increase in the proportion of diet comprising ultraprocessed foods.
The authors note that in previous studies, ultraprocessed foods have been linked to increased risks for cancer, cardiovascular disease, and mortality.
JAMA Internal Medicine article (Free abstract)
Background: Physician’s First Watch coverage of ultraprocessed foods & mortality (Free)
NEJM Journal Watch is produced by NEJM Group, a division of the Massachusetts Medical Society. Copyright © 2019 Massachusetts Medical Society. All rights reserved.
Junk food = bad.
Got DM1? Don’t do Pot
Abstract
OBJECTIVE We examined the frequency of diabetic ketoacidosis (DKA) in cannabis users compared with nonusers in the T1D Exchange clinic registry (T1DX).
RESEARCH DESIGN AND METHODS The association between cannabis use by total substance score for cannabis (TSC) and DKA in the past 12 months was examined using a logistic regression model adjusted for potential confounders among adults in the T1DX.
RESULTS Of 932 adults with type 1 diabetes, 61 had a TSC >4, which classified them as moderate cannabis users. Adjusting for sex, age at study visit, and HbA1c, cannabis use was associated with a twofold increase in risk for DKA among adults with type 1 diabetes (odds ratio 2.5 [95% CI 1.0–5.9]).
CONCLUSIONS Cannabis use was associated with an increased risk for DKA among adults in the T1DX. Providers should inform their patients of the potential risk of DKA with cannabis use.
© 2019 by the American Diabetes Association.
E-bikes Show Distinct Pattern of Severe Injuries
E-bikes Show Distinct Pattern of Severe Injuries
Of more than 245 million injuries reported in the study period, 130,797 involved powered-scooter accidents, accounting for 5.3 per 10,000 U.S. emergency department injuries. There were 3,075 e-bike injuries, or 0.13 per 10,000. In addition, about 9.4 million pedal bicycle injuries accounted for 385.4 per 10,000 of all emergency department injuries.
I live a short distance from one of the three major universities in Oklahoma. I’ve learned to drive defensively especially when classes are over and the streets are teeming with students. The other day in a residential 25 MPH area adjacent to campus the car in front of me suddenly hit her brakes.
Student on an e-bike ran a stop sign. She was not wearing a helmet nor did she look in either direction prior to placing herself directly in the path of a moving car.
Seriously?
Merry Christmas – 2019
When you get to a fork in the road, take it. — RadaJonesMD
Like many other mornings, yesterday I walked the back roads to the Tha-nin market. It’s a good two miles through Thai-only neighborhoods. I always get to see exciting things. Monks collecting alms, well-dressed cats, ninja street cleaners, spirit houses with refreshments and gifts. I love markets almost as much as I love museums, especially…
via When you get to a fork in the road, take it. — RadaJonesMD
This is a wonderful blog post. Please read, enjoy, and share.
Working Past 70: Chileans Struggle to Get By on Meager Pensions
Working Past 70: Chileans Struggle to Get By on Meager Pensions
And I thought it was bad in the United States.
HT – Naked Capitalism
Hot New Model
Participants’ mean age was 81.5 years, 44.4% were women, and 10.5% were nonwhite. There were 266 deaths (8.8%) within 6 months. The final risk model included 15 variables, 4 of which were not included in prior risk models: hearing impairment, mobility impairment, weight loss, and lower patient-reported health status
Thought for Today 12.16.19
“We’re not born with unlimited choices. We can’t be anything we want to be. We come into this world with a specific, individual destiny. We have a job to do, a calling to enact, a self to become. We are who we are from the cradle, and we’re stuck with it. Our job in this lifetime is not to shape ourselves into some ideal we imagine we ought to be, but to find out who we already are and become it.”
Steven Pressfield
The toxic rhetoric of climate change — Climate Etc.
Message to children and young adults: Don’t believe the hype that you are hearing from Extinction Rebellion and the like. Rather than going on strike or just worrying, take the time to learn something about the science of climate change. The IPCC reports are a good place to start; for a critical perspective on the IPCC, Climate Etc. is a good resource.
Climate change — man made and/or natural — along with extreme weather events, provide reasons for concern. However, the rhetoric and politics of climate change have become absolutely toxic and nonsensical.
In the mean time, live your best life. Trying where you can to lessen your impact on the planet is a worthwhile thing to do. Societal prosperity is the best insurance policy that we have for reducing our vulnerability to the vagaries of weather and climate.
lifeunderwriter.net 
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