Publication: Diabetes Update
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Diabetic Digest - Wednesday, Sept. 13, 2006
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News, updates and help from and for the diabetic community.
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Readers:
I finally have my doctor's appointment tonight. I shouldn't
have waited this long to go, but I'm going tonight. I'm
really kicking myself that I let so much time pass in
between visits. I should know better. I've learned my
lesson and I'm going to keep to my three month visit
schedule. Wish me luck.
Regards,
Steve
Diabetic Update Newsletter
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Taking Preventive Medications Curbs Diabetes Risk
NEW YORK (Reuters Health) - Individuals at risk for develop-
ing type 2 diabetes who are prescribed the drug metformin
should stick with it, doctors say. In a large study,
individuals who adhered to a metformin-based diabetes
preventive strategy had a reduced risk of developing
diabetes, they report.
The Diabetes Prevention Program (DPP) investigated the
value of intensive lifestyle intervention (diet and
exercise) or metformin in delaying or preventing type 2
diabetes in high-risk individuals with impaired glucose
tolerance, a precursor to full-blown diabetes.
Dr. Elizabeth A. Walker, of George Washington University,
Rockville, Maryland, and colleagues examined medication
adherence and health outcomes in the metformin and placebo
arms of the DPP.
A total of 2155 subjects who were randomly assigned to
either the metformin or placebo treatment arms were
included in the analysis.
The overall adherence rates -- that is, the proportion of
patients taking at least 80 percent of the prescribed dose
-- were 71 percent in the metformin group and 77 percent
in the placebo group.
Compared to patients who were adherent to placebo, those
adherent to metformin had a 38.2 percent reduced risk of
developing diabetes, the investigators report. In this
study, "the level of medication adherence predicted the
primary outcome of diabetes," they write in the journal
Diabetes Care.
Among patients taking metformin, older subjects were more
adherent than younger subjects.
Walker's team reports that the most commonly reported
barriers to taking the medication as prescribed were
forgetting to take doses (22 percent), adverse effects
(8 percent), and disruption of routines (8 percent).
Overall, 15 percent of women and 10 percent of men
reported adverse effects in the metformin group.
These results, the team concludes, "lend support for
future development and evaluation of brief, practical
medication adherence interventions for primary care
settings."
SOURCE: Diabetes Care, September 2006.
Copyright 2005 Reuters.
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Diabetic Recipe
Root Beer Float
(makes 1 serving)
1/3 cup scoop (78 ml) fat-free no sugar added vanilla
frozen yogurt
6 ounces (180 ml) sugar-free root beer
2 straws
1. Place yogurt in a tall glass.
2. Pour in the diet root beer. Stir lightly to mix.
Add the straws and serve.
Per Serving: 57 calories (0% calories from fat),
2 g protein, 0 total fat (0 saturated fat),
13 g carbohydrate, 0 dietary fiber,
0 cholesterol, 55 mg sodium
Exchanges: 1 carbohydrate (1 bread/starch)
Copyright 1997-2003 Diabetic-Lifestyle.
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Archives: DIABETIC DIGEST Archives
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Copyright 2006 by NextEra Media. All rights reserved.
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