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Vitamin D Helps Winter Depression? And Blood Sugar Control ?

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pamela - 10 Mar 2010 15:45 GMT
Researchers are forming such a study now. Evidently, they had enough
circumstantial evidence to get funding. Personally, this last winter, I
have been really upping my D dosage to get more into the upper range of
the 25(OH) vitamin D range and as miserable as the Midwest winter was,
snow and ice on the ground for nearly 2 months straight, and for most of
the last 3 months, with not much sunshine, I felt really good. May mean
nothing, of course, as a sample of 1. My blood test hasn't come back yet
to see how effective the 5,000 mg/day has been over the prior 2,000
mg/day which raised the levels from 24 to 38 ng/mL.

Science News

Vitamin D Lifts Mood During Cold Weather Months, Researchers Say

ScienceDaily (Mar. 8, 2010) — A daily dose of vitamin D may just be what
people in northern climates need to get through the long winter,
according to researchers at Loyola University Chicago Marcella Niehoff
School of Nursing (MNSON). This nutrient lifts mood during cold weather
months when days are short and more time is spent indoors.

"Vitamin D deficiency continues to be a problem despite the nutrient's
widely reported health benefits," said Sue Penckofer, PhD, RN,
professor, MNSON. "Chicago winters compound this issue when more people
spend time away from sunlight, which is a natural source of vitamin D."

Diet alone may not be sufficient to manage vitamin D levels. A
combination of adequate dietary intake of vitamin D, exposure to
sunlight, and treatment with vitamin D2 or D3 supplements can decrease
the risk of certain health concerns. The preferred range in the body is
30 -- 60 ng/mL of 25(OH) vitamin D.

Loyola faculty members plan to take vitamin D research a step further by
evaluating whether weekly vitamin D supplements improve blood sugar
control and mood in women with diabetes. Depression is associated with
increased insulin resistance, so people with diabetes have a greater
risk for the disease than those without depression. Women also tend to
have greater rates of depression and poorer blood sugar control than men
with diabetes.

"There is evidence to suggest that vitamin D supplementation may
decrease insulin resistance," said Dr. Penckofer. "If we can stabilize
insulin levels, we may be able to simply and cost effectively improve
blood sugar control and reduce symptoms of depression for these women."

Loyola is currently enrolling women in this clinical trial. In order to
enter the study, they must be 18 to 70 years of age, have stable type 2
diabetes, signs of depression and no other major medical illness. Eighty
women with type 2 diabetes and signs of depression will be given a
weekly dose of vitamin D (50,000 IU) for a period of six months. Study
participants will be evaluated at three points during this time.

"Vitamin D has widespread benefits for our health and certain chronic
diseases in particular," Dr. Penckofer said. "Our research may shed
greater light on the role this nutrient plays in managing two conditions
that impact millions of Americans. If proven to be successful, vitamin D
may an important addition to care for diabetes and depression."
Susan - 10 Mar 2010 18:13 GMT
> Researchers are forming such a study now. Evidently, they had enough
> circumstantial evidence to get funding. Personally, this last winter, I
[quoted text clipped - 5 lines]
> to see how effective the 5,000 mg/day has been over the prior 2,000
> mg/day which raised the levels from 24 to 38 ng/mL.

I think you probably mean 500iu, not mg!

Most folks find that muscle and joint aches disappear, if they have
them, once they take enough vit D3, which is the form one should take,
in gel caps, not tablets.

If one is clinically deficient, as you were, the usual dose is 50,000 iu
D3 once weekly for 8 weeks, then re-test.  Most folks see levels fall if
they don't resume some degree of supplementation, though.

Under 32 is considered deficient.

Susan
pamela - 10 Mar 2010 22:58 GMT
> x-no-archive: yes
>
[quoted text clipped - 21 lines]
>
> Susan

My doctor never was involved in the Vitamin D3 decisions. I got the
first test through a women's calcium and vitamin D screening and then
did some reading. I initially didn't know about the 50,000 IU weekly
method, and at first I would have probably shied away from it because it
is such a high dose compared to the RDA of just 400IU. Now, I would be
perfectly happy with trying that....

5,000 IU and 1,000 IU  was what I should have said in my posting.

I joined this informal group called "Grassroots Health" which are
advocates of Vitamin D, and they offer the blood tests as well as
maintain a website that promotes research on Vitamin D.

They and others suggest a formula for dosage for getting you D levels up
into the high range, which some research associates with a variety of
benefits - particularly cancer.

After 1,000 IU and a modest gain over several months, the next step is
5,000 IU and test again. This is the "creep up on it" type approach to
see where one's long term supplementation should be.

Surely someone will talk about the danger of high doses, especially so
much in excess of the RDA, but the RDA was based on prevention of
rickets which isn't actually a statement about general health, or
prevention of other diseases not as dramatically linked to disease as
was rickets.

It is commonly accepted that 20 minutes exposure to the sun (lots of
skin exposed) will readily generate 10,000 IU of D3.

There really is some interest in the research community on Vitamin D and
some claim it also serves as a hormone. It is claimed that the RDA of
the vitamin is currently under re-evaluation based on recent finding.

I'm happy with what is going on. No hint of side effects. I backpacked
200 miles of the Appalachian Trail last summer. Felt tired, but then I
had to leave my CPAP at home because they haven't wired the Appalachian
Trail shelters for electricity, and the long cord would have been awkward.

I'm far closer to 70 than to 60 years of age.

In some ways my health is better than it has been for a long time.

I do low carbohydrate WOE, and have for the last 6 years.
Susan - 11 Mar 2010 00:39 GMT
> My doctor never was involved in the Vitamin D3 decisions. I got the
> first test through a women's calcium and vitamin D screening and then
[quoted text clipped - 12 lines]
> into the high range, which some research associates with a variety of
> benefits - particularly cancer.

Well, actually, the vitamin D research suggests both benefits and harm.
 Once you figure that it's a powerful steroid, you realize it actually
both suppresses and upregulates immunity.

As a steroid, it can have suppressive effects on other hormones.  In my
case, trying to push my vit D above the lower third of normal results in
severe symptoms of adrenal suppression, so I don't.

> After 1,000 IU and a modest gain over several months, the next step is
> 5,000 IU and test again. This is the "creep up on it" type approach to
> see where one's long term supplementation should be.

I guess that's one way to go about it...

> Surely someone will talk about the danger of high doses, especially so
> much in excess of the RDA, but the RDA was based on prevention of
> rickets which isn't actually a statement about general health, or
> prevention of other diseases not as dramatically linked to disease as
> was rickets.

That someone won't be moi.  RDAs have nothing to do with health.

> It is commonly accepted that 20 minutes exposure to the sun (lots of
> skin exposed) will readily generate 10,000 IU of D3.

Not really; a lot of folks aren't making the conversion to active D3.
Here's my pitch; I think it's really stupid to treat vit D deficiency
before one has had a competent (HARD to find) endocrine evaluation of
the pituitary and adrenals.  It's never just one hormone, and it's
happening to folks who get plenty of sun.

> There really is some interest in the research community on Vitamin D and
> some claim it also serves as a hormone. It is claimed that the RDA of
> the vitamin is currently under re-evaluation based on recent finding.

Thats' not a claim, it IS a steroid hormone!

> I'm happy with what is going on. No hint of side effects. I backpacked
> 200 miles of the Appalachian Trail last summer. Felt tired, but then I
[quoted text clipped - 6 lines]
>
> I do low carbohydrate WOE, and have for the last 6 years.

Sounds like a great trip; so glad to hear you're doing so well on it.
Taking it daily rather than occasionally could make you feel weaker,
too.  Not saying it is, but that's one thing it does to me.

Susan
pamela - 11 Mar 2010 03:22 GMT
> x-no-archive: yes
>
[quoted text clipped - 22 lines]
> case, trying to push my vit D above the lower third of normal results in
> severe symptoms of adrenal suppression, so I don't.

Any quick suggestions as to where to look for more info on this?

>> After 1,000 IU and a modest gain over several months, the next step is
>> 5,000 IU and test again. This is the "creep up on it" type approach to
[quoted text clipped - 10 lines]
> the pituitary and adrenals.  It's never just one hormone, and it's
> happening to folks who get plenty of sun.

I might have to skip this, but I'll ask around about people who do
endocrine evaluation as you suggested.

>> I'm happy with what is going on. No hint of side effects. I backpacked
>> 200 miles of the Appalachian Trail last summer. Felt tired, but then I
[quoted text clipped - 13 lines]
>
> Susan

My fatigue was lack of oxygenation from sleep apnea, uncontrolled by my
missing nighttime breathing "assist" , Continuous Positive Air Pressure
or CPAP. Before the machine came into my life, I was complaining about
lack of energy, inability to get my bike up hills that I had been easily
able to do two years prior, falling asleep reading in the bookstore (and
I do snore) and falling asleep during NOVA TV programs ... I had been
through several doctors to no avail - all they do is treat your blood
panels and assume that you are just crazy aged and falling apart
naturally...

I got referred to a cardiologist for questions following an
EchoCardiogram(ultrasound) and he gave me the standard quiz for sleep
problems and had me set up for a sleep study in a week. The finding was
Sleep Apnea, mixed Obstructive and Central. Treatment is a CPAP that
gently prevents many of the apnea events from fully happening.

In a few weeks my blood oxygenation went up from 89% to 93% and in six
months it was up to 99%. I stopped snoring/sleeping in bookstores and
had lots more energy and could ride up the hills again. I just don't
care to watch NOVA on TV anymore.

I have partial Apnea improvement if I sleep on my side, and that is how
I managed to backpack that distance. But, gradually, the lack of really
good sleep began to show, and I finally packed it up and came home when
doing 8 miles in a day was pretty hard. Too many shelters were more than
8 miles apart. (My eyes REALLY looked baggy and old as well)

After all that being said, I don't have reason to suspect that a
difference in taking Vitamin D3 daily was responsible - the poor
sleeping was pretty likely responsible because of the common weakness
and fatigue from the Apnea. My Pulmonary Doc was amazed that I did so
well. I offered to give him lessons at $120 each, and he laughed.
Susan - 11 Mar 2010 16:03 GMT
> Any quick suggestions as to where to look for more info on this?

On the adrenal suppression I experienced?  No, haven't looked it up.
But I did find information on how vit D has differing effects on
adaptive vs. innate immunity. Upregulates one, down regulates the other.

> I might have to skip this, but I'll ask around about people who do
> endocrine evaluation as you suggested.

It's hard to find an endo who's knowledgable and takes careful time.
Most just want to get certain test results and give you pills for
diabetes or thyroid.

> My fatigue was lack of oxygenation from sleep apnea, uncontrolled by my
> missing nighttime breathing "assist" , Continuous Positive Air Pressure
[quoted text clipped - 28 lines]
> and fatigue from the Apnea. My Pulmonary Doc was amazed that I did so
> well. I offered to give him lessons at $120 each, and he laughed.

I'm sure you're healthier than most of your docs!  I know well what CPAP
is, and how helpful it can be.  I know a lot of pituitary/adrenal
disorder patients who need it, especially Cushing's patients, who are
often very obese, no matter how little they eat.

I'd be thrilled if I could hike 8 miles in a day, and I'm a lot younger
than you are.

Susan
Walter Bushell - 11 Mar 2010 21:54 GMT
> That someone won't be moi.  RDAs have nothing to do with health.

If you're not getting the RDA, you are probably not going to be healthy.
It is usually set abysmally low.

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Billy - 10 Mar 2010 18:13 GMT
> Researchers are forming such a study now. Evidently, they had enough
> circumstantial evidence to get funding. Personally, this last winter, I
[quoted text clipped - 52 lines]
> that impact millions of Americans. If proven to be successful, vitamin D
> may an important addition to care for diabetes and depression."

http://www.sciencedaily.com/releases/2010/03/100303162854.htm
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