In Hot Water? Decrease Your Risk of Heart Attack

A number of genes, one of which was given the name chromosome 9p21, have been associated with an increased risk of heart attacks, strokes, and hardening of the arteries.  Researchers are now interested in studying whether people with chromosome 9p21 can lower their risk of cardiovascular disease (CVD) with changes to their diets.  They can.

A terrific new study was published last week on this topic.  The results, from McGill University, were published in Public Library of Science (PLoS)-Medicine and funded by the Heart and Stroke Foundation of Ontario.  The study compared the number of heart attacks in two groups of people with 9p21.  One group ate lots of fresh produce, while the other group ate the standard industrialized diet.  

Here is what the researchers found:  In a study of more than 8000 individuals of different ethnicities who carry the 9p21 gene, a diet high in raw fruits and vegetables decreased the risk of CVD by one-half.  They concluded that “These findings suggest that the deleterious [negative] effect of 9p21…might be mitigated by consuming a diet rich in fresh fruits and vegetables.”

Let’s take a closer look at this conclusion.  We know that the standard American diet causes obesity in approximately 65 percent of people who eat it, and diabetes in approximately 20-30 percent.  How do we know this?  Because these are the numbers that we are working with in the current American population.  We expect one-third of current ten-year-olds to become diabetic if present trends continue.

Remember that people who carry chromosome 9p21 have a higher risk of heart disease than average, and that they can halve their risk of heart attack by substantially increasing their intake of fresh fruits and vegetables.  Why is that?

Eating a diet rich in produce has two benefits:  The first benefit is that you eat more fruits and vegetables, but the second (equally important) is that by replacing manufactured items with produce, you end up eating fewer manufactured calories.  Depending on their genetic makeup, stripped carbohydrates and trans fats probably affect some people more quickly and severely than others.  

I would say that the standard industrial diet causes heart disease, but some people are more susceptible than others.  Humans are meant to survive on a diet containing large amounts of produce.  This is the diet we evolved to eat.

This, therefore, is my conclusion:  “These findings suggest that while the industrial diet is deleterious, its effect is worse in individuals who carry the 9p21 chromosome.  Consuming a diet rich in fresh fruits and vegetables will likely decrease the risk of heart attack in all individuals, but the benefit may be more dramatic in individuals who carry the 9p21 chromosome and/or other chromosomes associated with heart disease.”

Let me explain by sharing an imaginary experiment using frogs.  Frogs are meant to survive in cooler waters.  High temperatures cause death, and some frogs are clearly more susceptible than others.  Now put aside the gruesomeness factor, and remember that the frogs are just pretend.  Here is an example that gets the point across.

Let’s begin by filling a large pot with cool water, and then adding lots of frogs of all different sizes, shapes and colors, collected from all over the world.  Now put that pot over a blazi
ng fire so that the temperature of the water begins to rise.


As you can imagine, some of the frogs, just 2 or 3, are going to get into trouble pretty quickly. Maybe they come from near the South Pole.  Whatever the reason, these select few cannot tolerate even mildly elevated temperatures.  The temperature in the pot continues to rise, and by now almost half the frogs have died.  As the temperature gets hotter and hotter, more and more frogs die until, finally, the last few succumb.  Once all the frogs have died, the pot is removed from the fire.

You run the experiment a few more times and discover that you can actually predict how many frogs will die at each temperature.  Once the first frog dies, you observe that one-third of the frogs die by the time the temperature rises just five more degrees.  Ten degrees higher, and two-thirds of the frogs are gone.  Five degrees beyond that, and all the frogs are dead.  

Now you do a chromosomal analysis of the frogs’ DNA and discover that all the frogs who died at the lower temperatures contained a chromosome that we’re going to call F9HW.  All frogs with F9HW were in one of the first two groups to die, and none of the frogs in the last two groups had F9HW.  For some as-yet-unknown reason, frogs with the F9HW chromosome had a much harder time tolerating hot water than did the other frogs.  

You might draw this conclusion: “These findings suggest that the deleterious effect of F9HW might be mitigated by avoiding high heat.”  But then again you might see that such high temperatures constitute an unusual and extremely abnormal environmental stress, and that while some of the frogs appear to tolerate it better than others, it is, ultimately, lethal to them all. 

If I were to give this phenomenon a diagnosis, I’d call it “dyscalorimetry.”  But dyscalorimetry doesn’t mean that heat intolerance is genetic.  It means that hot water is deadly.  
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YOUR HEALTHY PLATE: Talia’s Crispy Apple Cereal

You know how some of the best inventions happen by accident?  So this past Sunday I decided to slice up about a dozen of the abundance of apples in my refrigerator and dehydrate them.  I don’t have a real dehydrator, so I used the next best thing — the oven.  Around noon, I sliced each apple into 5 or 6 circles, spread them on cookie sheets, sprinkled them with cinnamon, and turned the oven to 200 F.  Then I left on an assortment of errands.  I planned to return around 4 pm, at which time I would begin to check on the apples periodically.  

But it didn’t turn out that way, exactly.  I’ll spare you the details, only to say that the apples were quite crisp at 8 pm.  I thought I was going to have to feed them to the chickens, but was surprised to discover that they were really good!  I began scooping them off the cookie sheets and putting them into a jar on the counter.  
Right then, my daughter walked through the kitchen and helped herself to a few.  Hey, these would be great in milk, she said.  So she crumbled a few into a cup and poured some milk over them.  Almond milk, in her case, but any milk would work.  They kept their crisp and made a great (grainless) “cereal.”  And we still have bunches more.  

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The Term “Healthy Fats” Gets Under My Skin

Frankly, it rankles me when people use the term “healthy fats.”  We don’t make a distinction like that when we’re talking about carbohydrates, although there are certainly carbs that are nutritious and carbs that are not.   



Consider the Atkins diet.  I like to believe that Dr. Atkins was on the right track, but that he had some of the details wrong.  Clearly, he realized that there was something about carbohydrate in the American diet that was causing a problem.  But he did not understand that there is a big difference between muffins and mangoes, white flour and lentils, table sugar and peaches.  So people who tried the Atkins diet lost lots of weight when they removed virtually ALL the carb from their diets, even green beans, and then regained it when they got tired of the restriction and began to eat breakfast cereal again.  Along with doughnuts, pasta, bread, cookies, cake, and potato chips.  



Dr Atkins also did not understand that there is a big difference between a slice of salmon and a scoop of Crisco.  To him, all fats were the same and they all were good.  We know now that that is not true.



We are still sorting out the differences among the three main families of fats: saturated, monounsaturated, and polyunsaturated.  We know for sure that omega-3 polyunsaturated fatty acids are very good for us, and that the standard American diet is extremely deficient in them.  We know that we can increase our consumption of omega-3s by eating more fish, walnuts, flax seed, and green, leafy vegetables.  



We have seen the benefits of the Mediterranean diet, in which olive oil (a monounsaturated fat) is the main fat used for cooking, and from this we understand that olive oil, too, is good for us.  Conversely, we know that trans fats (partially hydrogenated polyunsaturated fats) damage blood vessels, causing heart attacks and strokes.  We know they also increase the risk of diabetes, high blood pressure, and high cholesterol.  So trans fats are definitely NOT good.



But there is still a great deal to figure out.  We know, for example, that cocoa butter is one of the most highly saturated fats on the planet.  But….isn’t dark chocolate supposed to be good?  And aren’t saturated fats supposed to be bad?  So what does this tell me?  That we still have a lot to learn.  



Want another curious example?  Most animal fats are actually a mixture of a variety of monounsaturated, polyunsaturated and saturated fats.  Which animal fat contains the most monounsaturated fat, similar to olive oil?  Lard.  Yes, believe it or not, that is true.  So what is most clear to me at this point is that we still, indeed, have a lot to learn.



At the same time, there are some things that I do understand.  The fact is that there are good examples of nutritious foods from each of the three main nutrient groups (fats, carbohydrates, and protein).  If I’m going to make a recommendation that you try one, or if I use one in a recipe or an explanation, I don’t think I need to qualify it with the word “healthy.”   Fat IS healthy.  Protein IS healthy.  Carbohydrates are healthy, too, as long as you get most of them the way our ancestors did, from the garden, with the fiber still intact.  Think fruits, vegetables, legumes, whole grains.  These are carbohydrates, through and through.  When I include one in a recipe, I don’t need to say “healthy” apples.  You can assume that I am referring to apples without worms or pesticides. 



When I talk about fats and oils, you can assume the same.




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YOUR HEALTHY PLATE: HOT GREEN TOMATO PICKLES

If you saw the photo of my haul of green tomatoes and the rest of “the best harvest of my life” last week, then you know what I’ve been doing.  I made my way through a whole bunch of recipes I’d never made before, including green tomato chutney, hot sauce, sauerkraut, pickled watermelon rind, and the aforementioned hot (as in hot pepper) green tomato pickles.  The house smells a little vinegar-y, but the pickles came out great!  They’re nothing like my Grandma Rosie’s green tomatoes, which were deliciously sour, garlicky, and completely different.  I’ve also given away a few jars, which has been an extra bonus.  



I did not actually put up the tomato pickles for long-term storage.  I just filled up glass jars and stuck them in the refrigerator.  Learning proper methods for canning is on the list of things I intend to get to in the next year or two.  I’m not really concerned about their shelf life in the refrigerator.  First, there’s so much vinegar in them that nothing could live.  Secondly, they’ll be gone long before there could even be a problem.  They go with everything, and were particularly good with scrambled eggs and applesauce for lunch the other day.  



Here’s the recipe:

8 cups quartered green tomatoes

2 cups chopped onion

3/4 cup chopped hot peppers

1 cup brown sugar

3 tablespoons salt

2 cups white vinegar

1 teaspoon celery seed



Place all the ingredients in a large pot.  Cook on high heat until mixture begins to boil, and remove from heat immediately.  Pour into clean jars and refrigerate.



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Diabetes Is an Epidemic and It Is Getting Worse

Sometimes I get the feeling that people think I may be overstating the urgency of the diabetes epidemic.  So I gathered together a few statistics for you.

A couple of weeks ago the Associated Press said that, “An estimated 366 million people worldwide suffer from diabetes, and the global epidemic is getting worse….”  According to the Washington Post, “The International Diabetes Federation (IDF) has found that…one person is now dying from the disease every seven seconds.”  At the September meeting of the European Association for the Study of Diabetes (EASD) in Portugal, the International Diabetes Foundation (IDF) announced that  “The worldwide diabetes epidemic continues to worsen, with…4.6 million deaths each year, and annual health-care spending at $465 billion.”  IDF president Jean Claude Mbanya, MD, said that “the numbers are likely underestimated, since not all countries have good data….”  Dr. Mbanya estimates that the diabetes epidemic will affect nearly 600 million people within 20 years.

Here’s the thing, though: Diabetes is preventable.  That’s the part that I can’t get around.  We don’t have to live with this; we can do something about it.  Here are a few ideas:

1) Go for a walk around your block.  Inviting a friend helps even more than just the walk.

2) Eat a breakfast that is not made from white flour.  I had scrambled eggs, and they were quite tasty.

3) Slice up a pineapple.  I just learned how to do it this week from Wolfgang Puck, and it was a lot easier than I thought.  First, turn the pineapple on its side and slice off the top and bottom.  Then stand it up on its bottom, and slice away the skin in long vertical strips.  It takes approximately 8-10 cuts to get all the way around the pineapple.  Don’t worry about wasting, just get rid of ALL the skin.  Finally, turn the now completely naked pineapple back on its side and slice into 1/2-inch rounds.  Slice these into half-moons or quarters if you’d like, or just pile the large slices on a plate.   Way delicious dessert.

4) Go back outside and sit in the sun for a little while.

5) Garden.  If you don’t have one, make one.  If you can’t have one, get some potting soil and some seeds, and grow some herbs in your kitchen window.

6) Roast some beets.  Scrub, slice into quarters, stir with olive oil and salt, and spread out on cookie sheet.  Cook at 450 until you can push a fork through.

7) Make homemade soup.

8) Start a compost heap in your backyard behind a big tree.  This takes no preparation whatsoever.  Just start putting all the bits of cooking leftovers into a plastic container until it is full, and then take it outside and dump it behind the tree.  Compost your tea bags, egg shells, coffee grounds, pineapple skin, grapefruit peels, moldy humus, rotten grapes, spent lettuce leaves, melon rinds, strawberry tops, and so on.  Remember not to include any dairy products, eggs (except the shell), fish, poultry or meat, because these will attract rodents.  That’s all there is to it.

9) Eat a handful of nuts in the middle of the afternoon.

10) Eat lunch with a couple of people whose company you enjoy.

You don’t have to do all of these every day.  Pick just a couple and see if you can get to them this week.  Apply the underlying themes to other things you’d like to do.  Eat food that you made yourself.  Get some exercise, and get outside.  Preferably both, if the weather allows.  Do things outdoors.  Make as much of your own food as you can manage.  Eat fresh food that has not been processed in any way.  Keep working the program.


Angela’s Recipes


To celebrate the end of this spectacular growing season, I spent the afternoon pulling tomatoes off the vine, as well as cherry peppers, jalapeño peppers, cayenne peppers, eggplants, cabbages, cauliflowers (gorgeous orange-colored ones), parsley, basil, and sweet peppers. I left the squash and watermelons on the vine for now.  My mom helped a lot.

To use up some of these beautiful vegetables, I’m inspired by a few of Angela’s recipes, given to me just this week by her son.  Angela was my friend’s mom and one of the great things she did (besides cook) was to teach Joby how to find his way around the kitchen, too.

Tomato sauce:
1 onion, medium
4 cloves garlic
1/4 cup olive oil
6-8 medium-large tomatoes (or 28 oz. can crushed tomatoes) 
1 tsp salt
1 tsp pepper
1 tsp sugar
1 tablespoon fresh basil leaves
Blend onion and garlic in blender or food processor, then sauté in olive oil until golden.  Pour in tomatoes and stir.  Bring to a boil, turn down the heat and simmer.  Add salt, sugar, and pepper.  Add crushed fresh basil if desired.

Eggplant:
Peel eggplant and slice into one-half-inch slices.  Salt eggplant slices and allow to sit 15 min.  Rinse in drainer and place in glass baking dish.  Cover with large dish towel and microwave 6 min.  Pour the tomato sauce (recipe above) all over the bottom of a second glass baking dish.  Layer the eggplant, sprinkle with freshly grated romano cheese, then add slices of mozzarella, and more tomato sauce.  
Keep repeating the layers to the top of the pan.  Cover with sauce and bake for 45 min at 350 degrees.

Pasta fagioli soup
Rinse a package of lentils and sift through through a strainer to remove any stones.  Add 8 cups of water or broth, 1 medium-large onion (chopped), 2
finely chopped carrots, and 1 thinly sliced celery stalk.  Bring to a boil, and cook on medium heat for 30 min.  Then add 1/2 box didalini pasta (tube shapes cut into small “slices”) and cook for an additional 30 minutes.  Add 1 tablespoon salt.  Then chop 3 cloves fresh garlic, fry in 2 tablespoons olive oil until light brown and crunchy, and stir garlic into soup.  Serve immediately.

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit the post called Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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YOUR HEALTHY PLATE: TWO SOUPS FOR THE SEASON

A friend of mine does her own thing by spending Monday mornings at 4 a.m. down at the city’s commercial organic vegetable market.  She elbows her way in between buyers from some of the best restaurants and grocers in town to bring home boxes of the most beautiful produce she can find.  Then she divides it into a dozen or so bags, which she leaves out on the front step for those of us lucky friends who all join in for this weekly bounty.  Did I mention that she’s a very talented cook, besides?
Last week she sent out a recipe for “Butternut Vegetable Soup.”
1 medium onion, chopped
4 large garlic cloves, minced
2 T. olive oil
1 medium butternut squash, cubed
3 sweet potatoes, cubed
2 carrots, sliced
3-4 potatoes, cubed
1 T. fresh basil 
1 T. fresh thyme 
1 quart vegetable stock
salt and pepper to taste
Sauté onions and garlic for 10 min.  Add carrots and squash, sauté for 10 min more.  Add all remaining vegetables, vegetable stock, and 4 cups of water.  Add basil and thyme.  Bring to boil and simmer covered 30-45 minutes until vegetables are soft.  Puree soup with an immersion blender if you have one, or a potato masher if you do not.  Add water to thin soup if you like. Salt and pepper to taste.
And then she explained how to make “Simple Cauliflower Soup.”
Break up cauliflower into florets.  Cover cauliflower with water in a saucepan.  Bring to boil, and simmer uncovered for 15 min or until cauliflower is tender.  Puree cauliflower and season with nutmeg, salt and pepper.  She says that her children love this simple soup.  
I’ll bet it also tastes great with a 1/4 cup cashews tossed in before the puree step, and I’ll bet I can make it in my new Vitamix!

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Omega-3s and More

If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit the post called Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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This week I’ve been doing some reading about omega-3‘s, and I thought I’d pass along some of the things I’ve learned.

Omega-3 fatty acids have lots of double bonds, which act as pivot joints.  That’s why they are so important for movement and flexibility.  They are also essential in photosynthesis, wherein green leaves convert sunlight to food.  So you find lots of omega-3s in greens, especially leafy ones.  Omega-3s owe their flexibility to all those double bonds, the last of which is located just 3 carbons from the tail (omega) end of the molecule.  That’s why it’s called an omega-3 fatty acid.  “Omega” means end.

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Omega-3 fatty acids are found in all green plants, so eat your vegetables!  Interestingly, the largest mass of greens on Earth is phytoplankton, tiny sea plants that are eaten by little fish, which are then eaten by bigger fish, and so on.  Sea creatures eat tons of phytoplankton; in order to survive in their cold water environments, fish need at least 1% of their calories to come from omega-3s.  Warm-blooded animals need only half that.  This is why fish, fish oil, and algae are such good sources of omega-3s. 

Two important omega-3 fatty acids are DHA and EPA.  EPA is a blood thinner and has anti-inflammatory properties.  DHA is a component of cell membranes, keeping them flexible and functional.  With hundreds of possible configurations, DHA is like a “quick change artist.”  According to Susan Allport (author of The Queen of Fats: Why Omega-3s were Removed from the Western Diet and What We Can Do to Replace Them), “DHA creates membranes with…behavior that is almost liquid-like.”  Cell membranes aren’t inert, like dry wall.  They live and breathe, and they work hard to keep the internal environment of a cell completely separate from the outside environment.  Like needing a special pass to get backstage after a Lady Gaga concert.  

DHA makes up 25% of brain tissue.  It prevents abnormal heart rhythms, or “arrhythmias.”  It helps the eye to see better by increasing the amount of rhodopsin, a light-responsive protein found in rod cells in the retina.  DHA also appears to improve insulin sensitivity, which would mean that it lowers the risk of developing obesity and diabetes.  

 

Omega-3s have one important limitation:  Double bonds react easily with oxygen, which makes them unstable, chemically speaking.  In fact, fat oxidation is the major cause of food rancidity.  This reactivity makes omega-3s an unreliable way to store fat in nature.  That’s where omega-6s come into play.

Omega-6s, less reactive because they have fewer double bonds, are a much better choice for a different job: storage.  That’s why omega-6s are the main fat in grains and seeds, where long-term storage is all-important.  The stability of omega-6s makes them the preferred form of stored fat in plants.  Plants can convert omega-6s into omega-3s whenever they need some.  They store fat as omega-6s until seeds germinate and initiate photosynthesis.  Then they release an enzyme that converts omega-6s to omega-3s.  

Animals and humans do not have this enzyme, so once an omega-6, always an omega-6.  All the omega-6s we eat end up in our cell membranes as stiff as always.  

The stable chemical configuration of omega-6s increases shelf life considerably, which is why they’re the leading polyunsaturated fat of choice for processed food products, including vegetable oils.  It’s also why it’s not a coincidence that the ratio of omega-6s to omega-3s in our diet has climbed from about 1:1 throughout history to upwards of 75:1 today. 

Omega-6 fatty acids in plants serve as a stable, reliable system for storing fat until the plant needs omega-3s.  Omega-3s are flexible, and omega-6s are stiff.  Omega-3s are reactive, whereas omega-6s are stable.  Omega-6s, with fewer double bonds, are more stable and, therefore, less prone to oxidation and breakdown.  That is why omega-6s are found in highest concentration in grains and seeds.  Dry beans can remain viable for centuries under certain circumstances.  That’s clearly not true of lettuce, under any circumstances.  

 

Stiff membranes are good for seeds and grains, but not for green leaves or for  human brains, blood vessels, eyes, or joints.  High blood pressure, inflammation, insulin resistance, and platelet aggregation are predictable consequences of stiff cell membranes and suboptimal function.

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YOUR HEALTHY PLATE: JAPANESE EGGPLANT STIRFRY


Not sure where I found this recipe, but I have at least 10 gorgeous Japanese eggplants hanging out in the garden and begging to be eaten in exactly this way.  This recipe has more ingredients than I usually choose, but I thought it was worth it.  Since almost all the ingredients are in the sauce, just skip it if you don’t have one of them.  It’ll still be delicious, just different.



1 medium-large eggplant or 3-4 Japanese eggplants (small, long, thin, dark)

2 long English cucumbers

2 tablespoons rice vinegar

1 tablespoon soy sauce

1/2 teaspoon honey

1/2 teaspoon salt

2 teaspoons dark sesame oil

2 tablespoons coconut oil (or canola oil if you prefer)

1 tablespoon minced ginger

1/2 teaspoon red pepper flakes

2 tablespoons minced chives



1. Trim the eggplants. Cut in half lengthwise, slice 1/4 inch slices.

Toss lightly with approx 1 tsp. salt, and place in colander. Allow to rest 15 minutes, and prepare other ingredients. Then squeeze excess water from eggplant slices and dry with cloth or paper towel.

2. Meanwhile, trim cucumber ends, cut in half lengthwise, and slice again into 1/4 inch slices.

3. Combine rice vinegar, soy sauce, honey, salt and sesame oil in a bowl and set aside.

4. Heat wok or skillet over high heat until very hot.  Add oil and tilt the pan to distribute. Add eggplant and stir-fry 3-4 minutes until cooked through. Add ginger and red pepper flakes, stir-fry 30 sec. Add cucumbers and chives, stir-fry 30 sec more. Add soy sauce mix, and stir-fry 60 sec until cucumber begins to soften.  Serves 2-4.

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Eating Nuts at the University of Toronto

I am very pleased to report that a recently published study at the University of Toronto confirmed what we’ve been saying all along: nuts (2 ounces in this case) improved blood sugars better than whole grain snacks, and did not increase weight either.

The study, conducted by Dr. David Jenkins at St. Michael’s Hospital, U. of T.’s teaching hospital, evaluated the effect of two food items in Type 2 diabetics.  The first group ate muffins, which were made with “whole wheat flour, applesauce, and vegetable oil.”  Not sure what kind — all vegetable oils are not created equal, as you probably know.  The second group ate a mix of raw almonds, pistachios, walnuts, pecans, hazelnuts, peanuts (technically a bean, not a nut), cashews, and macadamias. The third group ate a mix of both.

The patients who ate only nuts showed the most improvement in blood sugars, and lowered their low-density lipoprotein (LDL) cholesterol, and kept their weights steady.  Patients who ate [muffins] or [muffins + nuts] showed no significant improvement in blood sugars, although those who ate [muffins + nuts] did lower their LDL.  So nuts had a favorable effect on LDL cholesterol, whether or not they were eaten with muffins.

Dr. Jenkins concluded that “…nuts appear to be well suited as part of weight-reducing diets.  Mixed, unsalted, raw, or dry-roasted nuts have benefits for both blood glucose control and blood lipids and may be used as part of a strategy to improve diabetes control without weight gain.”

I have one observation to add:  If eating nuts improves your blood sugar control and cholesterol without increasing your weight, why wait until you’re diabetic to eat them?  

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