Posts from — December 2011

The method LOGI: fewer carbohydrates

The LOGI method was by nutritionists Nicolai Worm developed. LOGI stands for ” low glycemic and insulinemic “(” low blood sugar and insulin levels “) and serves the long-term change in diet. Carbohydrates are not banished completely from the diet, but certain foods that have a high glycemic load have, should be consumed rarely. According to a study in particular benefit type 2 diabetics from the LOGI Diet: The blood sugar level drops and the blood lipid levels improve.

LOGI-pyramid

The so-called pyramid-LOGI Nicolai Worm reflects the composition of the recommended daily dietary resist.

Fresh fruit and vegetables © by CC

Basis of the diet after LOGI are low-carb fruits and vegetables, salads and oils that are rich in omega-3 fatty acids . Recommended are linseed oil, walnut oil and canola oil. Green vegetables generally contains less carbohydrates and should therefore mixed vegetables such as peppers and corn are preferred. Too sweet and starchy fruits such as bananas should not be eaten too often. According to the “Five-a-day rule” should be three daily servings of vegetables and two servings of fruit should be consumed.

Often one should consume protein-rich foods such as dairy products, eggs, lean meats and legumes. Protein-containing diet provides, according to Worm, a saturation effect – no one should go hungry after all. In addition, the higher energy expenditure supports the digestion of fibrous dietary weight loss.

Occasionally, whole grains and sweets only occasionally

Are seldom allowed to LOGI carbohydrate-containing whole grains, pasta, potatoes and rice. Prefer the use of potatoes instead of boiling determine the floury varieties. They contain less starch.

The tip of the pyramid are all foods with a high glycemic load, eg white flour products and sweets. Here one should hold back and eat these foods only occasionally.

LOGI-food alternative?

The LOGI method is a permanent, healthy alternative to our usual diet thought. It allows more carbohydrates such as the Atkins diet and is eaten as many vegetables and fruits should, vitamin or mineral deficiency will not be made. Another potential problem for acne patients, the dairy products are. Too much of it can result to recent studies, symptoms of acne favor: This is the conclusion one comes from the study in 2005 and a further study by the same research team .

Acne Patients rate LOGI mixed

Some acne patients eat after LOGI method and report improvements in symptoms of acne: So, in some forums acne positive experience reports such as here or here . But the LOGI method is due to high protein intake – by including dairy products – at the forum users too controversial.

Prevent disease: Wolfgang Lutz

In Wolfgang Lutz is not the weight reduction is important, but to prevent disease through proper nutrition . Lutz believes that most chronic diseases are a problem of the hormonal balance: In the body, a balance should exist between the hormones and the construction of the hormones that control the degradation of metabolic products.

Insulin is one of the anabolic hormones. An excessively high insulin levels can, according to Lutz, lead to a weaker-depleting hormone secretion or an increased formation anabolic hormones. Since carbohydrates have a direct impact on insulin levels in the blood, it makes sense to limit their amount. An elevated insulin levels may also promote acne.

Lutz does not use terms such as glycemic load and glycemic index. The amount of carbohydrate should be based on six bread units – the equivalent of 72 grams of carbohydrates – are limited. Similar to Atkins, carbohydrates are largely replaced by fat and protein-rich foods.

The various low-carb diets are not generally correspond to the current dietary recommendations . The fat and protein content was too high and the food to one side, critics complain. In addition, there is a risk of nutrient and vitamin deficiency.

Shall recommend the German Society for Nutrition from eating foods that are rich in complex carbohydrates and fiber, like whole-grain products. Especially animal fats should be eaten, however much less than is provided in some low-carb diets. First and foremost is the Atkins diet because of the criticism , since only very few carbohydrates, but the more fat and protein – especially meat – to be eaten. Critics of low-carb is therefore not suitable as a permanent alternative nutrition.

For acne patients might still be a further point of importance: On low-carb are carbohydrates by fat and protein-rich foods replaced, otherwise lacks the saturation effect. Protein-rich milk products are therefore part of the low-carb diet. They can just acne symptoms but also worse .

So far there are no scientific studies demonstrating the effect of certain low-carb diets have been studied on the skin. Contrast, focus on positive experiences from acne patients, such as with LOGI or the Atkins diet .

When taking isotretinoin preparations can cause severe skin reactions. Davor warned in November last year, the Federal Institute for Drugs and Medical Devices ( BfArM ). At the same time urged the BfArM, the manufacturers of drugs containing the active ingredient isotretinoin on in the package inserts should be pointed out that the three skin diseases, erythema multiforme (EEM), Stevens-Johnson syndrome (SJS) and toxic epidermal necrosis (TEN) can occur. If you suspect a skin reaction such therapy should be discontinued immediately.

According to current information, all manufacturers who currently have oral Isotretinoinpräparate in Germany distribute timely response. Some of the leaflets have been modified accordingly, so that drugs are coming soon with the updated technical and user information in the trade. The remaining producers will adopt the changes shortly.

Symptoms of the three skin disorders EEM, SJS and TEN

Erythrema exudativum multiforme (EEM) is an inflammatory disease of the skin or mucous membranes. It is reddish skin patches develop, with annular dark and light areas around the center. Develops there is usually a bump or a blister. Abrasions that may occur at this point can be painful. A typical example of EEM are herpes sores.

Stevens-Johnson syndrome (SJS) : For inflammation of the skin and mucous membranes are still a poor general condition, high temperature and runny nose. Not infrequently, the eyes in the form of conjunctivitis are affected.

The most significant of the three skin disorders is the Toxic epidermal necrolysis (TEN) . It begins with the enlarging skin redness, eventually covering the entire body. It can cause blistering, peeling of the skin and other serious complications that are potentially life-threatening.

Low case numbers – the higher risk of disease

As far as known, since the market introduction of isotretinoin for 25 years a total of 66 patients suffering from one of three skin reactions , the BfArM. An association with isotretinoin may not yet be clearly documented – but it is also not excluded: four patients with EEM, the skin reaction occurred after re-taking isotretinoin namely again.

Reason enough warnings about EEM, SJS and TEN include in the package insert for TEN and SJS can be fatal. A favorable course depends on how quickly the causative drug is discontinued. Despite all, the risk of having such a side effect, rather low : around 16 million copies were prescribed isotretinoin in the last 25 years, but there are only 44 cases of EEM, 15 cases of SJS and TEN 5 cases become known.

Systemic therapy with isotretinoin

The drug isotretinoin may be contained in creams (topical treatment) or taken in capsule form (systemic therapy). Systemic therapy is used only in serious cases or those that strike is not where other treatments.

The decision for treatment with isotretinoin should be made ​​only if chance and risk / benefits were carefully weighed. This is due to the sometimes serious side effects, including a potentially increased risk of suicide . Serious skin reactions have been observed only in the systemic therapy.

Pregnancy prevention program

In addition, the BfArM, the manufacturer pointed again to the importance of pregnancy prevention program out. Pregnancy includes treatment with isotretinoin because of the strong adverse effect on the fetus out. brochures with information on pregnancy prevention to patients, physicians and pharmacists are available. The producers had to agree that pregnancies were reported during and up to one month after isotretinoin therapy in the past and this happens in the future within 14 days.

Manufacturers of isotretinoin preparations in Germany

Actavis GmbH Germany (isotretinoin Isis ®)

Almirall Hermal GmbH (Aknenormin ®)

Dermapharm AG medicines (Isoderm ®)

Dr. August Wolff GmbH & Co KG medicines (aknefug ® ISO)

Galen Pharma GmbH (IsoGalen ®)

Hexal AG (Hexal ®-Isotret)

Ratiopharm GmbH (isotretinoin ratiopharm ®)

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