Can the risk of epidemic of prediabetes and diabetes in Poland be reduced?

Prediabetes, i.e. impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), are associated with an increased risk of developing type 2 diabetes, cardiovascular deaths, dementia, and cancer (1-4). According to the recommendations of the Polish Diabetes Association, both pre-diabetes and diabetes are indications for lifestyle modification (5). The joint efforts of many specialists in various fields may slow down this epidemic of the 21st century. The aim of the study is to answer the question "Is it possible to reduce the risk of an epidemic of prediabetes and diabetes in Poland?"

[Principles of nutrition in patients with newly appointed stoma]. / Zasady zywienia chorych z wyloniowa stomia.

The treatment of intestinal stoma is often a difficult experience for patients and results in numerous problems in the physical, psychological and social aspects. Therefore, post-operative care of the patient with the newly appointed stoma should be taken by therapeutic team consisting of doctors, nurses, physiotherapists, dieticians, psychologists and social workers. Appropriate nutritional education of patients aims to improve their quality of life and to prevent from unpleasant ailments formed after the operation. The specific type of stoma may decide about certain dietary recommendations. The presented work provides a practical dietary recommendations for patients with newly appointed stoma.

[CETP gene TaqIB polymorphism and plasma lipids in patients with overweight and obesity]. / Polimorfizm TaqIB genu cetpa stezenie lipidów u pacjentów z nadwaga i otyloscia.

BACKGROUND: Ongoing research shows an increase in mortality in patients with low levels of serum cholesterol, which is caused by decreasing the fraction of high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein (LDL-C). OBJECTIVE: The aim of our study was to assess the relationship between the CETP gene TaqI polymorphism and concentrations of selected parameters of lipid metabolism in patients with overweight and obesity. MATERIALS AND METHOD: The study involved 73 people aged 24-68 years. Android obesity was found in 90.4% of women, including 66.7% in the HDL-C levels above 50 mg/dL. RESULTS: Most of abdominal obesity was the B1B2 heterozygotes (38.1%). Abdominal obesity was present in 48.4% of men, including 25.8% in B1B2 heterozygotes and in 67.7% of HDL > 40 mg/dl. It was found statistically insignificant higher levels of TG, TC, LDL-C, the percentage of fat mass (% FM) in patients with genotype B2B2 compared to those with genotype B1B1 and B1B2. In women, higher levels of TC, LDL-C and HDL-C were found in the presence of B1B2 genotype, whereas a higher concentration of all lipid fractions studied showed the men with the B2B2 genotype, who also had the highest % FM. CONCLUSIONS: The results indicate that in obese men Tag1B polymorphism may be an independent factor influencing HDL-cholesterol.

[Comparative analysis of lifestyle obese women before menopause and perimenopause period]. / Analiza porównawcza stylu zycia otylych kobiet przed menopauza i w okresie perimenopauzy.

The fundamental principles of good style of life are: maintaining an adequate diet and increasing physical activity and smoking cessation. Failure to comply with these recommendations, leading to increased prevalence in subjects of noncommunicable diseases, including obesity. The aim of this study was a comparative analysis of life-style pre-menopausal women and during perimenopause, with emphasis on the role of the diet. In both examined groups an irregularity in the diet and low physical activity have been shown.