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Publication: Diabetes Update
Delicious Diabetic Diets

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Diabetic Digest - Wednesday, Feb. 13, 2008
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News, updates and help from and for the diabetic community.
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Readers:

Before you invest yourself in the Diabetic Digest's two 
interesting articles and delicious recipe (For Strawberry 
Short Cake) you need to watch this great health video clip 
from EVTV1.com 

The clip is entitled: Delicious Diabetic Diets. 

Twenty million Americans have diabetes, and diet plays an 
important role in controlling the disease. Feeling over-
whelmed with all the options? 

Check out this video! You'll thank me later. 

Regards,
Steve

Diabetic Update Newsletter
Send Your Comments

Visit the Diabetic Update Forum and post your comments at: 
Diabetic Update Forum

Concerned about your health? Evtv1.com has videos for you!
Health Videos

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   Docs Can Help Diabetics Make Lifestyle Changes

NEW YORK (Reuters Health) - Brief one-on-one lifestyle
counseling by doctors during routine office visits
appears to help some people with diabetes boost their
physical activity levels and lose weight, according to
a new study.

Knowing that time constrains make it difficult for
physicians to adequately address lifestyle modifications
with their patients, James G. Christian, from the Pueblo
Community Health Center, and his associates tested the
effect of brief lifestyle counseling by physicians when
patients with type 2 diabetes were seen during routine
visits.

The team developed a program in which "self-management
goals for nutrition and physical activity were set using
a tailored computer program." A separate report generated
for the physician provided a bulleted summary and patient-
specific counseling recommendations.

"The intervention was simple and the burden on physicians
was low," the researchers say.

To test the program, Christian's group randomly assigned
141 diabetic patients to the counseling intervention and
132 to a usual-care control group.

At the end of the program, the rate of successful weight
loss was 50 percent higher in the counseling group than
in the control group, they report. Although average changes
in weight did not differ markedly between groups, far more
counseled diabetics were able to sustain weight loss of at
least 6 pounds after 1 year (32 percent versus 19 percent).

The counseled patients were also more likely than the
control patients to engage in at least 150 minutes of
moderate physical activity or exercise per week.

"It is noteworthy that participants in this study report-
ed that the support from their physician was the most
important part of the intervention," write Drs. David D.
McManus and Ira S. Ockene at the University of
Massachusetts Medical School in Worcester, in an
accompanying editorial. "Physicians often under-estimate
the value of even brief counseling efforts."

SOURCE: Archives of Internal Medicine, January 28, 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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SHAPE WALK THREE: Moderate to Fast Pace 4.2 to 4.5 mph
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          Costs for Elderly People with Diabetes 
                 on the Rise in the U.S. 

NEW YORK (Reuters Health) - The costs of caring for elderly 
people with diabetes, a growing population, are threatening 
to overwhelm the system designed to pay for their medical 
care, according to a new analysis of Medicare claims. 

More and more people over 65 years old are being diagnosed 
with diabetes, and the rate of serious complications of the 
disease such as kidney failure, blindness and amputation 
are not declining and in some cases, these complications 
are actually increasing, Dr. Frank A. Sloan and colleagues 
from Duke University Medical Center in Durham, North 
Carolina found. 

Meanwhile, people with diabetes are living longer, further 
increasing the "burden of care," they write in the Archives 
of Internal Medicine. 

Sloan and his team determined whether the outcomes of elder-
ly diabetics have improved at all over the past decade. 
They looked at data for more than 33,000 people diagnosed 
with diabetes in 1994, nearly 32,000 diagnosed in 1999, and 
more than 40,000 diagnosed in 2003, comparing them with two 
"control" groups of people without diabetes. 

Between 1994-1995 and 2003-2004, the incidence - the number 
of people diagnosed with diabetes for the first time -- 
rose by 23 percent, while the prevalence - the total number 
of people in the population with the condition -- rose 62 
percent. 

While mortality rates fell by about 8 percent among people 
with diabetes, the rate of serious diabetes complications 
held steady or increased. Overall, nearly 90 percent of 
elderly people with diabetes had some type of adverse 
outcome. 

In a commentary accompanying the study, Dr. Frank Vinicor 
of the Centers for Disease Control and Prevention in 
Atlanta calls for the implementation of programs to prevent 
type 2 diabetes. "We know they can work in controlled 
settings, so the evidence is already there. The real 
challenge is to translate the study results successfully 
throughout the world." 

SOURCE: Archives of Internal Medicine, January 28, 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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3-PC WALKING SET

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                     Diabetic Recipe

                  Strawberry Short Cake

                   (makes 4 biscuits)

1 cup (150 g) low fat biscuit and baking mix (70% less
fat than regular mix)
1/2 cup (120 ml) low fat buttermilk or skim milk
2 tablespoons (30 g) Spoon One Sugar Replacement
1/2 teaspoon (2.5 ml) vanilla extract
butter-flavored cooking spray
12 strawberries, cleaned and sliced thin
fat free whipped topping
fresh mint

1. Preheat oven to 400° F (200°C), gas mark 6.

2. Place the biscuit mix, milk, sugar substitute and
   vanilla extract in a bowl. Mix until just combined.

3. Roll out the dough on a flowered board and cut with a
   2 3/4-inch (6.7 cm) biscuit cutter into 4 biscuits.

4. Place onto a nonstick cookie sheet which you have coated
   with cooking spray. Bake about 12 minutes, until nicely
   browned.

5. To serve, cut each warm biscuit in half and top lower
   half with three sliced strawberries, saving one slice
   for garnish. Cover with the top of the biscuit. Place
   a dollop of whipped topping on top and garnish with
   reserved strawberry. Garnish with fresh mint.

Per serving: 146 calories (13% calories from fat),
             4 g protein, 2 g total fat (0.6 g saturated
             fat), 29 g carbohydrates, 1 g dietary fiber,
             1 mg cholesterol, 381 mg sodium

Diabetic exchanges: 2 carbohydrate (1 1/2 bread/starch,
                    1/2 fruit)

Copyright 1997-2001 Diabetic-Lifestyle.

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Archives: DIABETIC DIGEST Archives

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End of DIABETIC DIGEST
Copyright 2008 by NextEra Media. All rights reserved.

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