Publication: Diabetes Update
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Diabetic Digest - Wednesday, November 22, 2006
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News, updates and help from and for the diabetic community.
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Readers:
Thanksgiving is here again and that means three things:
food, food and more food. I'm getting hungry just thinking
about it.
Just make sure you know what you're eating, how much you're
eating and be aware of your blood-sugar and adjust your
insulin accordingly. And stay away from the desserts unless
there sugar-free, but then enjoy in moderation.
It will be in your best interest to check your blood-sugar
several times throughout your Thanksgiving celebration.
So be safe, be healthy and enjoy your Thanksgiving.
Regards,
Steve
Diabetic Update Newsletter
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Antioxidant Eases Diabetic Nerve Pain
NEW YORK (Reuters Health) - The antioxidant alpha-lipoic
acid (ALA) in pill form improves diffuse nerve pain or
"polyneuropathy" in patients with diabetes, researchers
report in the journal Diabetes Care.
A recent pooled analysis showed that daily intravenous
treatment with ALA could reduce pain and numbness in
diabetic patients, the authors explain, but little work
has been done to investigate the use of oral ALA.
Dr. Dan Ziegler from Heinrich Heine University,
Duesseldorf, Germany and colleagues compared three doses
of oral ALA to placebo in 166 patients with symptomatic
diabetic polyneuropathy.
Mean total symptom scores and stabbing/lancinating and
burning pain subscores were significantly reduced after
5 weeks in all active treatment arms compared with the
placebo arm, the authors report.
ALA treatment had no measurable effect on numbness, the
results indicate.
Symptoms improved significantly as early as 1 week with the
highest ALA dose (1800 mg daily) and within 2 weeks with
the other doses (600 mg and 1200 mg daily), the researchers
note, and there were no significant differences among the
three ALA groups for changes in mean total symptom score at
any time point.
Nausea, vomiting, and dizziness were more common with ALA
treatment than with placebo treatment.
Whether the observed favorable short-term effect of ALA on
nerve pain and deficits can be translated into slowing the
progression of diabetic polyneuropathy in the long term is
unknown, the authors write.
"However, our finding that neuropathic deficits such as
impaired sensory function were improved is encouraging,
because these are major risk factors in the development of
neuropathic foot ulcers."
"In the absence of a dose response and because the higher
doses resulted in increased rates of gastrointestinal side
effects, 600 mg once daily seems to be the most appropriate
oral dose," the researchers add.
SOURCE: Diabetes Care November 2006.
Copyright © 2006 Reuters Limited.
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Diabetic Recipe
After-Thanksgiving Turkey and Pasta Bake
(makes 6 servings)
refrigerated butter-flavored cooking spray
12 ounces (360 g) penne pasta
2 cups (360 g) cooked turkey meat, cut into 1 inch (2.5 cm)
cubes
2 cups (412 g) drained no-salt-added canned Italian plum
tomatoes, coarsely chopped
1 8-ounce (240 g) container nonfat cottage cheese
1/2 cup (56 g) shredded reduced-fat sharp cheddar cheese
4 scallions, including some green tops, chopped
1 teaspoon (5 ml) crushed dried basil (Italian) or 1
teaspoon (5 ml) crushed dried oregano (Mexican)
1/2 teaspoon (2.5 ml) crushed dried oregano (Italian) or
1/2 teaspoon (2.5 ml) ground cumin (Mexican)
1/3 cup (36 g) unseasoned dried bread crumbs
2 tablespoons (9 g) chopped flat-leaf parsley (Italian)
or 2 tablespoons (9 g) chopped fresh cilantro (Mexican)
1. Preheat oven to 350°F (180°C), Gas Mark 4. Lightly coat
a 9 X 13-inch (22.5 X 32.5 cm) casserole with cooking
spray.
2. Cook pasta according to package directions to al dente,
about 10 minutes. Drain well and return to cooking pan.
Stir in turkey and tomatoes. Spread mixture in bottom
of prepared casserole.
3. In a small bowl, combine cottage cheese, cheddar cheese,
scallions, basil (or oregano), and oregano (or ground
cumin). Mix well. Spread mixture over the turkey
mixture, smoothing with the back of a spoon. Toss bread
crumbs with parsley (or cilantro) and sprinkle over the
top.
4. Bake until casserole is hot and bubbly, about 30
minutes. Serve at once.
Per serving: 387 calories (13% calories from fat),
31 g protein, 5 g total fat (2.1 g saturated
fat), 53 g carbohydrate, 3 g dietary fiber,
44 mg cholesterol, 248 mg sodium
Diabetic exchanges: 3 very lean protein, 3 1/2 carbohydrate
(3 bread/starch, 1 vegetable)
Copyright 1997-2001 Diabetic-Lifestyle.
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