2019年12月19日 星期四

超級加工食品(Ultra-processed Food)增加糖尿病機會

什麼是超級加工食品(Ultra-processed Food)?

https://www.bbc.co.uk/food/articles/what_is_ultra-processed_food
Ultra-processed foods就是內含你平日在家煮時,不會加入的添加物。例如: colourings, sweeteners and preservatives. 在英國,最常見的ultra-processed食物是:

Industrialised bread (11 %)
Pre-packaged meals (7.7 %)
Breakfast cereals (4.4 %)
Sausages and other reconstituted meat products (3.8 %)

以下的例子說明,同樣的食材,多一點添加物(包括糖)就成了ultra-processed foods:
1. Bread made from wheat flour, water, salt and yeast is processed, but add emulsifiers or colourings and it becomes ultra-processed.

2. Plain oats, corn flakes and shredded wheat are minimally processed, but when the manufacturer adds sugar, flavourings or colourings, they become ultra-processed breakfast cereals.

3. Plain yoghurt is minimally processed, but add sweeteners, preservatives, stabilisers or colourings and it becomes ultra-processed.


Original Investigation
Ultraprocessed Food Consumption and Risk of Type 2 Diabetes Among Participants of the NutriNet-Santé Prospective Cohort

JAMA Intern Med. Published online December 16, 2019. doi:https://doi.org/10.1001/jamainternmed.2019.5942

- Over 100,000 French adults
- 24-hour dietary recall questionnaires
- median follow-up of 6 years
- 820 participants were diagnosed with T2DM
- The risk of T2DM 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.

結論:減少食物中添加劑,包括糖、色素、香料或是保存劑,才能不變成ultra-processed food,才不會落入T2DM。

2019年12月9日 星期一

PTA 洗腎 通血管

前臂gortex shunt,突然血流停止。發現occlusive thrombus,做POBA,併發rupture,所以放了viabahn stent。(輝pt陳)






PTA 洗腎 通血管

一位洗腎患者,gortex shunt曾放了viabahn stent,突然血流又停掉了,先做POBA。之後若再發生,可以再放viabahn stent。(珠pt文)