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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
21st July 2016
Eat more of healthy unsaturated fats to reduce risk of type 2 diabetes
Results of a systematic review and meta-analysis of randomized controlled feeding trials published July 19, 2016 in PLoS Medicine indicate that substituting dietary carbohydrates with saturated fat does not have a favorable effect on blood glucose. While, substituting carbohydrate and saturated fat with a diet rich in unsaturated fats (monounsaturated and polyunsaturated fats) led to better control of blood sugar. And, compared to carbohydrates, saturated fats or MUFA, the most consistent favorable effects were observed with PUFA as evident by the improved glycemia, insulin resistance and insulin secretion capacity.

The trial summarized findings of 102 randomized controlled trials, which included 4,660 participants.
  • Replacing 5% energy from carbohydrate with saturated fats had no significant effect on fasting, but lowered fasting insulin. 
  • Replacing carbohydrate with MUFA lowered HbA1c, 2 h post-challenge insulin and homeostasis model assessment for insulin resistance (HOMA-IR).
  • Replacing carbohydrate with PUFA significantly lowered A1c and fasting insulin. 
  • Replacing saturated fats with PUFA significantly lowered glucose, A1c, C-peptide, and HOMA.
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Practice Updates
Lybrate Question of the Day
A 22-year-old male from Durg asked:
Hello doctor, My Name Is Gaurav Sharma I want to loose My weight and Tummy so What can I do to Sort out this I have try everything but not satisfied with so kindly suggest me for this. Thanks.
Dr. Kuldeep Singh, Dermatologist, replied:
Work out. Diet burning more calories than consuming results into weight loss. But it is not as simple as it sounds. You need to make your own diet plan, with 25% less calories than normal... read more
Lybrate SMS of the Day
IMA-Lybrate Initiative: Build long-lasting relationship with your patients with an online clinic. Learn more http://lybr.at/open-online-clinic 
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorothiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.
Lifestyle Updates
Inspirational Story 1Do not be jealous
Inspirational Story 2Blue Hummingbird
Press Release
IMA & HCFI congratulate leading policy expert Mr Rajendra Pratap Gupta
on his appointment as an advisor to the Union Health Minister
New Delhi, 20th July 2016: Leading public policy expert and global healthcare leader, Mr. Rajendra Pratap Gupta, has been appointed as an advisor to the Union Minister for Health & Family Welfare. He is currently a member of the Central Council of Health & Family Welfare, the apex advisory body of the Ministry for Health and Family Welfare. 

Congratulating his achievement, Padma Shri Awardee Dr KK Aggarwal - President Heart Care Foundation of India (HCFI) & Honorary Secretary General Indian Medical Association (IMA) said, "Mr. Rajendra Gupta has made innumerable contributions to public policy, innovation and healthcare over the past decade.
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IMA Updates
Digital IMA
Webcast Topic - HIV-AIDS Update
Webcast Date  - 21st July 2016
Webcast Faculty - Dr Parveen Kumar, Additional Project Director, Delhi State AIDS Control Society