Las Vegas Review-Journal

Avoid nitrites, avoid Type 2 diabetes

- DR. ROIZEN Email questions for Mike Roizen to youdocsdai­ly@ sharecare.com.

Q: Both my parents have Type 2 diabetes. I’m 17 and want to avoid it. Any new tips on what might help? — Franco T., Birmingham, Alabama

A: There are some new insights that may help you dodge Type 2 diabetes

— but the long-standing advice about getting at least 300 minutes of physical activity a week, avoiding highly processed foods, added sugars and syrups, and red and processed meats, plus getting seven servings a day of fruits and vegetables is very effective.

Researcher­s looked at data on 104,168 adults in the Nutrinet-sante cohort study and found an associatio­n between greater exposure to nitrites and the risk for Type 2 diabetes. People with the most exposure to nitrite originatin­g from food additives (mostly sodium nitrite) had a 54 percent greater risk of developing Type 2 diabetes as those eating the least amount. That’s one reason why I say it’s smart to avoid all processed meats.

Another good way to prevent Type 2 diabetes is to maintain a healthy

LDL cholestero­l level. A meta-study in Nutrition, Metabolism and Cardiovasc­ular Diseases included data from a total of 355,230 people with Type 2 diabetes. It reports that for every 100 milligram increase in daily harmful cholestero­l consumptio­n, the risk for diabetes jumps 106 percent — and folks eating the most cholestero­l daily have a 119 percent increased risk of diabetes when compared to those eating the least.

Q: I’m bewildered by the B vitamins. I have Type 2 diabetes and elevated LDL cholestero­l, so what ones should pay special attention to? — Fred T., Stuart, Florida

A: There are eight B vitamins, and they help keep your metabolism healthy, create blood cells, maintain your nervous system and brain and protect your DNA and RNA. Recently, three Bs — folate (B9), B12 and B6 — have been shown to protect you from heart woes and help with managing diabetes.

A study in JAMA Network Open tracked around 4,400 folks for 30 years, starting around age 25. The researcher­s found that if you have low levels of those B vitamins, you are at risk for metabolic syndrome (that includes high blood pressure, elevated LDL cholestero­l, insulin resistance, diabetes and obesity).

In contrast, folks getting the highest intake of folate cut their risk for metabolic syndrome by 61 percent; those getting the most B6 reduce the risk 39 percent and it is 26 percent lower for those getting the most B12.

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