Sample Sidebar Module

This is a sample module published to the sidebar_top position, using the -sidebar module class suffix. There is also a sidebar_bottom position below the menu.

Sample Sidebar Module

This is a sample module published to the sidebar_bottom position, using the -sidebar module class suffix. There is also a sidebar_top position below the search.
Diabetes

Insulin resistance is, in my opinion, the most common reason people have cardiovascular disease. According to the the CDC, 64% of adult patients > 20 years of age are insulin resistant. Through work done at my office on my patients, I have learned that insulin resistant patients cannot eat > 25 grams of carbohydrates within a 4 hour period without causing a 4 day inflammatory response from the liver, pancreas, and intraabdominal fat cells. Exceeding the 25 gram carbohydrate limit also causes the insulin resistant patient's liver to synthesize sd-LDL-C for 4 days. The excess circulating sd-LDL-C and excess circulating inflammatory factors that occur over a 4 day period as a result of overeating carbohydrates contributes to significant impact on each patients cardiovascular system.  Every patient has a carbohydrate capacity that can be exceeded, including a non-insulin resistant patient, albeit the difference between carbohydrate capacities are vastly different for a non-insulin resistant patient vs an insulin resistant patient. The 25 gram carbohydrate limit for insulin resistant patients is quite low while the non-insulin resistant patient is believed to be able to take in approximately 90 grams of carbohydrates before they "flip the switch" in the liver to cause the same 4 day lipid and inflammatory responses. In today's culture, where dietary habits often include > 90 grams of carbohydrate meal choices, this 4 day lipid synthesis and inflammatory response is rather common throughout the general public. It was only several years ago that the ADA changed their dietary recommendations from a diet that contained 60-70% carbohydrates to the ADA's present position statement that states that diabetics should eat a diet with reduced carbohydrates (albeit the specific amount of carbohydrate reduction remains unclear on the ADA's recommendations). Thus, insulin resistance and excess carbohydrate intake issues are at the front of the list as an etiology of cardiovascular disease! Use of advance cardiovascular biomarkers to evaluate patient for both insulin resistance and carbohydrate intake patterns should provide significant improvement in prevention of cardiovascular disease.

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Get In Touch

  • Straight To The Heart
  • Sam Fillingane, D.O.
  • 1021 North Flowood Dr.
    Flowood MS, 39323
  • (601)-664-2424
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