Publication: Diabetes Update
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Diabetic Digest - Wednesday, August 16, 2006
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News, updates and help from and for the diabetic community.
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Readers:
I'm headed out to see my doctor. I'm due for an A1C blood
test just to make sure that my blood-sugar is staying
where it should and making sure that I'm not headed for
any problems. I get this taken care of every three months.
I better get going. I'll let you know how it went in the
next issue.
Be safe and healthy.
Regards,
Steve
Diabetic Update Newsletter
Send Your Comments
p.s. Visit the Diabetic Update Forum and post your comments.
Just click: Diabetic Update Forum
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Poor Diabetes Control Tied To Cognitive Difficulty
NEW YORK (Reuters Health) - Elderly diabetics with poor
blood sugar control have a high prevalence of undiagnosed
cognitive dysfunction, depression and functional
disabilities, according to a study by researchers in
Boston.
Dr. Medha Munshi, of the Joslin Diabetes Center, and
colleagues examined the association between cognitive
dysfunction and blood sugar control in 60 diabetics older
than age 70. These individuals had diabetes for an average
of about 14 years and elevated hemoglobin A1C levels -- an
indicator of poor blood sugar control.
The mean HbA1C level was 7.9 percent. The American Diabetes
Association recommends a target A1C level of 7.0 or lower.
Several common tests were used to screen for cognitive
dysfunction such as the Mini Mental State Examination and
standard drawing tests. The subjects were also screened
for depression and functional disability.
Overall, the Mini Mental State Examination scores
correlated with drawing test scores.
More than a third had low scores on the drawing tests and
these scores were inversely correlated with cognitive
function. This suggests an association between cognitive
dysfunction and poor blood sugar control, the researchers
report in Diabetes Care.
The 33 percent of subjects with depressive symptoms also
had greater difficulty completing tasks of daily living.
This population of older diabetics had a high incidence of
functional disabilities. Overall, 48 percent had hearing
impairments, 53 percent had vision impairments, 33 percent
had recently fallen, and 44 percent were afraid of falling.
No association was observed between depression scores and
blood sugar control.
In an interview with Reuters Health, Munshi said: "Elderly
patients with diabetes require special and specific treat-
ment plans. Elderly patients with diabetes should be
screened for the presence of co-existing medical conditions
like cognitive dysfunction, depression, and physical
disabilities as these conditions may act as barriers to
their ability to self-manage."
Elderly diabetics, she added, may benefit from
"modification of treatment modalities, focused education,
nutrition counseling, and care coordination with the help
of a multidisciplinary team."
SOURCE: Diabetes Care August 2006.
Copyright 2005 Reuters.
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Diabetic Recipe
Animal Crackers
(makes about 59 crackers)
3/4 cup (94 g) whole wheat flour
1/4 cup (35 g) cornmeal
1/4 cup (30 g) grated Parmesan cheese
2 tablespoons (30 ml) dehydrated vegetable flakes
1 teaspoon (5 ml) baking powder
1/4 teaspoon (1.25 ml) salt (optional)
4 tablespoons (60 ml) cold reduced-fat margarine
1/4 cup (59 ml) skim milk
dash cayenne pepper (optional)
1. In a bowl, combine flour, cornmeal, Parmesan cheese,
dehydrated vegetable flakes, baking powder, and salt
(if using).
2. Using a pastry blender or two knives, cut margarine
into flour mixture until it resembles fine crumbs.
Make a well in the center and stir in the milk to
form a stiff dough. Gather the dough into a ball and
chill, wrapped in plastic wrap, for 15 minutes.
3. Preheat oven to 375°F (190° C). Roll out dough on a
lightly floured work surface to 1/8-inch (1/2 cm)
thickness. Cut out with small cookie cutters into
animal shapes. Transfer cut out crackers to a nonstick
cookie sheet. Prick surface with tines of a fork.
4. Bake 4 to 5 minutes, until crackers are lightly browned
on the bottom. Using a wide spatula, turn cracker over
and bake for another 3 to 5 minutes, until browned on
the bottom. Cool on a wire rack.
5. Store in an airtight container.
Per 7-cracker serving: 122 calories (40% calories from
fat), 6 g total fat (1.4 g saturated fat), 15 g
carbohydrate, 2 g dietary fiber, 3 mg cholesterol,
182 g sodium
Exchanges: 1 carbohydrate (1 bread/starch), 1 fat
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Copyright 2006 by NextEra Media. All rights reserved.
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