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Penderita diabetes yang melewatkan sarapan memprovokasi lonjakan gula darah yang berbahaya
Penderita diabetes Tipe - 2 yang ' cepat ' sampai risiko konsekuensi panjang siang hari
Date:
July 28, 2015
Source:
American Friends of Tel Aviv University
Summary:
Sebuah studi baru mengungkapkan bagaimana melewatkan sarapan mempengaruhi orang-orang dengan diabetes tipe - 2 . Menurut para peneliti , sel beta pankreas yang memproduksi insulin kehilangan " memori " mereka karena periode berkepanjangan antara makan malam dan hari berikutnya makan siang . Dengan kata lain, mereka " lupa " peran vital mereka .
............... Sangat sedikit yang diketahui mengenai efek melewatkan sarapan pada kesehatan penderita diabetes - sampai sekarang . Sebuah studi Universitas Tel Aviv baru mengungkapkan dampak besar melewatkan sarapan pada penderita diabetes jenis-2. " Puasa " sampai siang memicu lonjakan gula darah besar ( hiperglikemia postprandial ) dan merusak respon insulin penderita diabetes tipe-2 sepanjang sisa hari itu, peneliti mengatakan ....more
Diabetics who
skip breakfast provoke hazardous blood sugar spikes
Type-2 diabetics who 'fast' until noon risk day-long consequences
Date:
July 28, 2015
Source:
American Friends of Tel Aviv University
Summary:
A new study reveals how skipping breakfast affects people with type-2
diabetes. According to the researchers, pancreatic beta cells which produce
insulin lose their "memory" due to the prolonged period between one
evening's dinner and the next day's lunch. In other words, they "forget"
their vital role.
..................
More and more Americans on-the-go are skipping the "most important
meal of the day," not eating until lunch. This tendency to miss breakfast
has already been linked to the growing epidemic of obesity and cardiovascular
problems in the US -- and it may put the health of diabetics at risk as well.
Very little was known regarding the effect of skipping breakfast on the
health of diabetics -- until now. A new Tel Aviv University study reveals the
substantial impact of skipping breakfast on type-2 diabetics.
"Fasting" until noon triggers major blood sugar spikes (postprandial
hyperglycemia) and impairs the insulin responses of type-2 diabetics throughout
the rest of the day, researchers say.
The study was conducted by TAU's Prof. Daniela Jakubowicz and Prof. Julio
Wainstein of the Wolfson Medical Center's Diabetes Unit, Prof. Oren Froy of the
Hebrew University of Jerusalem, and Prof. Bo Ahrén of Lund University in
Sweden. It was recently published in Diabetes Care and
presented at the American Diabetes Association meeting in Boston in June 2015.
The most important meal for diabetics?
"Despite the fact that many studies have previously demonstrated the
benefits of a high-caloric breakfast for weight loss and to regulate the
glucose metabolism, very little was known regarding the effect of skipping
breakfast on glycemic spikes after meals throughout the entire day," said
Prof. Jakubowicz. "It is quite remarkable that, for type-2 diabetic
individuals, the omission of breakfast is associated with a significant
increase in all-day blood sugar spikes and of HbA1C, which represents average
blood glucose levels over the preceding three months."
The clinical study was conducted on 22 type-2 diabetics who averaged 56.9
years old, with a mean Body Mass Index of 28.2 kg/m2. Over the course of two
days, the participants consumed precisely the same number of calories and the
same balanced meal -- milk, tuna, bread, and a chocolate breakfast bar -- for
lunch and dinner. The only difference was that one day they ate breakfast and
the second day they fasted until lunch.
"We theorized that the omission of breakfast would not be healthy, but
it was surprising to see such a high degree of deterioration of glucose
metabolism only because the participants did not eat breakfast," said
Prof. Jakubowicz. The researchers found that participants experienced
extraordinary glucose peaks of 268 mg/dl after lunch and 298 mg/dl after dinner
on days they skipped breakfast, versus only 192 mg/dl, and 215 mg/dl after
eating an identical lunch and dinner on days they ate breakfast.
"This means that reducing the amount of starch and sugars in lunch and
dinner will have no effect on reducing elevated glucose levels if diabetic
individuals also skip breakfast," said Prof. Jakubowicz.
Improving the "memory" of beta cells
According to the researchers, pancreatic beta cells which produce insulin
lose their "memory" due to the prolonged period between one evening's
dinner and the next day's lunch. In other words, they "forget" their
vital role. Therefore it takes additional time after lunch for the beta cells
to recover, causing small and delayed insulin responses and resulting in an
exaggerated elevation of blood glucose levels throughout the day. Another
factor is that fasting until lunch increases the fatty acids in our blood,
which renders insulin ineffective in reducing blood glucose levels.
"In light of our study, we highly recommend that type-2 diabetics not
skip breakfast, because it causes major damage to the beta cell function and leads
to high sugar levels, even if they don't overeat at lunch and dinner,"
said Prof. Jakubowicz. The researchers are planning to conduct a similar study
on type-1 diabetics, who require daily insulin treatment.
Story Source:
The above post is reprinted from materials provided byAmerican
Friends of Tel Aviv University. Note: Materials may be edited
for content and length.