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Publication: Diabetes Update
Don't Get Wrapped Up

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Diabetic Digest - Wednesday, December 19, 2007
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News, updates and help from and for the diabetic community.
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Readers:

Christmas is less than a week away. I'm sure you are 
getting everything ready for next week, but remember 
not to neglect your health. 

Over the weekend, I was shoveling snow and I had not 
yet had any lunch. I knew that should have eaten prior 
to the rather strenuous activity, but it didn't. 

Afterwards, I wasn't feeling all that well so I made 
myself a sandwich, actuallt two, and ate like there 
was no tomorrow. 

The point is not to get too wrapped up in all that 
happens between now and the holidays. Your health is 
your number one priority. Just be safe and health this 
holiday season. It will make it all that much more 
enjoyable. 

Regards,
Steve

Diabetic Update Newsletter 
Send Your Comments

Visit the Diabetic Update Forum and post your comments at: 
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Weight Loss May Slow Atherosclerosis in Diabetics

NEW YORK (Reuters Health) - In addition to reducing
cholesterol and other known cardiac risk factors, new
study findings suggest that controlling one's weight
will help slow the build up of calcium on the walls of
the coronary arteries and retard the progression of
atherosclerosis.

Atherosclerosis, also referred to as "hardening of the
arteries, is when the arteries narrow as a result of
calcium deposits, which restricts blood flow and increases
the risk of clot formation.

Dr. Trevor J. Orchard and colleagues from the University
of Pittsburgh, Pennsylvania, identified risk factors for
coronary artery disease progression in 222 adults with
type 1 diabetes and examined if changes in these factors
influenced progression to coronary artery disease. The
subjects were participants in the Pittsburgh Epidemiology
of Diabetes Complications Study, a prospective investi-
gation of childhood-onset type 1 diabetes.

The patients underwent two electron beam tomographic
screenings 4 years apart and progression as defined as
an increase greater than 2.5 in the square root-transformed
coronary arteries score, according to findings published
in the American Journal of Cardiology

When the team assessed changes in risk factors, an increase
in weight was the most influential modifiable risk factor
associated with coronary artery disease progression,
increasing the risk by 38 percent.

"Our ultimate goal is to identify the rate of progression
that best predicts subsequent cardiovascular events,"
Orchard's team explains.

Although there is not yet enough follow-up time and data
to fully address this issue, a preliminary look suggests
that an increase coronary artery score "is the best single
predictor of coronary artery disease events," they note.
About 9 percent of the study patients had this risk factor
after 4 years.

Furthermore, the investigators conclude, that for type 1
diabetes to slow the progression of coronary artery
disease, as well as for other health reasons, weight
control is important.

SOURCE: American Journal of Cardiology, November 15, 2007.

Copyright 2006 Reuters Limited. All rights reserved.

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Study finds fitness level, not body fat, may be stronger 
predictor of longevity for older adults 

Adults over age 60 who had higher levels of cardio-
respiratory fitness lived longer than unfit adults, 
independent of their levels of body fat, according to 
a study in the December 5 issue of JAMA. 

Previous studies have provided evidence that obesity and 
physical inactivity each can produce a higher risk of death 
in middle-aged adults. Whether this is also true for older 
adults is uncertain, according to background information 
in the article. 

Xuemei Sui, M.D., of the University of South Carolina, 
Columbia, and colleagues examined the associations between 
cardiorespiratory fitness, various clinical measures of 
adiposity (body fat) and death in older women and men. The 
study included 2,603 adults age 60 years or older (average 
age, 64.4 years; 19.8 percent women) enrolled in the 
Aerobics Center Longitudinal Study who completed a baseline 
health examination during 1979-2001. Fitness was assessed 
by a treadmill exercise test and adiposity was assessed by 
body mass index (BMI), waist circumference, and percent 
body fat. Low fitness was defined as the lowest fifth of 
the sex-specific distribution of treadmill exercise test 
duration. There were 450 deaths during an average follow-up 
of 12 years. 

The researchers found that those who died were older, had 
lower fitness levels, and had more cardiovascular risk 
factors than survivors. However, there were no significant 
differences in adiposity measures. Participants in the 
higher fitness groups were for the most part less likely 
to have risk factors for cardiovascular disease, such as 
hypertension, diabetes, or high cholesterol levels. Fit 
participants had lower death rates than unfit participants 
within each stratum of adiposity, except for two of the 
obesity groups. In most instances, death rates for those 
with higher fitness were less than half of rates for those 
who were unfit. 

Higher levels of fitness were inversely related to all-
cause death in both normal-weight and overweight BMI 
subgroups, in those with a normal waist circumference 
and in those with abdominal obesity, and in those who 
have normal percent body fat and those who have excessive 
percent body fat. 

"We observed that fit individuals who were obese (such as 
those with BMI of 30.0-34.9, abdominal obesity, or excessive
percent body fat) had a lower risk of all-cause mortality 
than did unfit, normal-weight, or lean individuals. Our 
data therefore suggest that fitness levels in older 
individuals influence the association of obesity to 
mortality," the authors write. 

"Our data provide further evidence regarding the complex 
long-term relationship among fitness, body size, and 
survival. It may be possible to reduce all-cause death 
rates among older adults, including those who are obese, 
by promoting regular physical activity, such as brisk 
walking for 30 minutes or more on most days of the 
week (about 8 kcal/kg per week), which will keep most 
individuals out of the low-fitness category. Enhancing 
functional capacity also should allow older adults to 
achieve a healthy lifestyle and to enjoy longer life in 
better health." 

This article was prepared by Cardiovascular Week editors 
from staff and other reports. Copyright 2007, 
Cardiovascular Week via NewsRx.com. 

2007 NewsRx.com. All Rights Reserved.
Copyright 2007, Cardiovascular Week via NewsRx.com 

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                     Diabetic Recipe

                 Christmas Fruit Squares
                       (makes 25)

butter-flavored cooking spray
3/4 cup (72 g) sifted cake flour
1/2 teaspoon (2.5 ml) baking powder
1/8 teaspoon (0.6 ml) salt
1 teaspoon (5 ml) ground cinnamon
2/3 cup (19 g) spoonable brown sugar substitute
1/4 cup (32 g) chopped walnuts
1/2 cup (55 g) chopped peeled apple
1/2 cup (66 g) dried no-sugar-added dried cherries
1/3 cup (53 g) chopped dried apricots
1/4 cup (36 g) golden raisins
1 large egg + 1 large egg white
2 tablespoons (30 ml) fresh orange juice
1 tablespoon (15 ml) canola oil

1. Position the rack in the middle of the oven. Preheat 
   oven to 350°F (180°C), Gas Mark. Line a 9-inch (22.5 cm) 
   square baking pan with parchment paper. Lightly coat 
   the paper with cooking spray. 

2. In a bowl, mix together the flour, baking powder, salt, 
   cinnamon, brown sugar substitute, and walnuts. 

3. In a small bowl, combine apple, dried cherries, 
   apricots, and raisins. Add to flour mixture and using 
   your hands, toss the fruits with the flour, separating 
   the fruits and coating them evenly with flour mixture. 

4. In a large measuring cup, beat together egg, egg white, 
   orange juice, and oil. Mix well. Add to flour-fruit 
   mixture and stir with a wooden spoon until mixture is 
   thoroughly mixed and evenly moistened. 

5. Spoon into prepared pan and press down evenly. Bake for 
   25 minutes, until top is golden and a tester inserted 
   in the center comes out clean. Cool in the pan on a rack 
   for 10 minutes. Using a sharp knife, cut into 25 squares.
   Cool completely. Store in an airtight container.  

Per 2-square serving: 94 calories (29% calories from fat), 
                      2 g protein, 4 g total fat (0.4 g 
                      saturated fat), 16 g carbohydrates, 
                      2 g dietary fiber, 18 mg cholesterol, 
                      54 mg sodium 

Diabetic exchanges: 1 carbohydrate (fruit), 1 fat 

Copyright 1997-2001 Diabetic-Lifestyle. 

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Archives: DIABETIC DIGEST Archives

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End of DIABETIC DIGEST
Copyright 2007 by NextEra Media. All rights reserved.

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