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Publication: Diabetes Update
Glucose Monitoring

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Diabetic Digest - Wednesday, April 23, 2008
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News, updates and help from and for the diabetic community.
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Readers:

Let's start off this issue with a great video clip on 
Glucose Monitoring. 

            Health Tip: Glucose Monitoring

Diabetics have to monitor their glucose, but these tips 
make it easy! 

Click to View: Health Tip: Glucose Monitoring

After viewing the clip there are two great articles and a 
delicious recipe waiting for you below. 

I hope you enjoy. 

Regards,
Steve 

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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Older Diabetics Struggle with Blood Sugar Control

NEW YORK (Reuters Health) - The prevalence of type 2 
diabetes is rising in the US elderly population, and 
nearly half of affected individuals fail to adequately 
control their blood sugar, new research shows. 

"The current study's findings, in context of the projected 
increase in the elderly population, have critical public 
health and healthcare cost implications," Dr. Dong-Churl 
Suh, of Rutgers University in Piscataway, New Jersey, and 
colleagues warn in the Journal of the American Geriatrics 
Society. 

Suh's team assessed changes over time in treatment and 
control of diabetes using National Health and Nutrition 
Examination Survey (NHANES) data from 1999 to 2004, and 
compared findings with those obtained in NHANES III 
conducted between 1988 and 1994. 

They found that the prevalence of type 2 diabetes increased 
significantly, from 12.0 percent to 14.1 percent. Diabetic 
subjects were more likely to be classified as obese during 
the latter survey period (37 percent vs 51 percent). 

They also found that the proportion of elderly patients 
being treated for their diabetes increased, diabetes 
control improved, and the proportion of patients with 
high blood pressure and high cholesterol declined. 

Still, only 55 percent of diabetic patients achieved 
adequate blood sugar control between 1999 and 2004. 

The researchers' analyses showed that blood sugar control 
was better in patients without other co-morbid illnesses, 
like high blood pressure and high cholesterol. 

Suh and colleagues caution that as duration of diabetes 
increases in older patients, and multiple therapies become 
necessary to maintain good blood sugar control, drug
contraindications... may limit options in elderly people, 
"putting them at greater risk of functional and cognitive 
impairment." 

SOURCE: Journal of the American Geriatrics Society, 
        March 2008. 

Copyright 2006 Reuters Limited. All rights reserved. 

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Bone Biopsy Can Help Treat Diabetic Foot Infection

NEW YORK (Reuters Health) - A biopsy of the bone can help 
doctors determine what antibiotic is the best to use in 
treating diabetic patients with serious foot infections, 
according to findings published in the journal Diabetes 
Care. This approach may help patients avoid surgery. 

Due to circulation problems and decreased nerve sensation, 
diabetics are at increased risk for foot injuries that can 
go unnoticed. What may start as a simple blister can soon 
spiral into a serious skin infection, including one that 
extends down to the bone, referred to as osteomyelitis. 

"The question of surgical versus nonsurgical treatment 
for diabetic patients with osteomyelitis of the foot 
remains subject to debate," Dr. Eric Senneville, of Dron 
Hospital, Tourcoing, France, and colleagues write. It has 
usually been though that these infections could not be 
successfully treated without removing a portion of the 
infected bone. 

In the present study, the authors reviewed the medical 
records of 50 diabetic patients who were treated without 
surgery for osteomyelitis of various foot bones at 9 
French diabetic foot centers. Among the various research 
questions addressed was whether a bone biopsy was better 
than a simple skin swab to determine the best antibiotic 
to combat the infection. 

On average, the study subjects were 62 years old and had 
been diabetic for about 16 years. The average wound 
duration was 20 weeks, and the average duration of 
antibiotic treatment was 11.5 weeks. Overall, 22 patients 
(44 percent) underwent bone biopsy-based therapy, and 28 
(56 percent) had swab-based therapy. 

Success was defined as the absence of any sign of 
infection at the initial or a contiguous site at least 
1 year after the end of treatment. 

After an average follow-up of 12.8 months, success was 
achieved in 18 (81.8 percent) patients treated on the 
basis of bone culture results and in 14 (50 percent) of 
patients with swab-based therapy, the researchers report. 

"Our results provide arguments for recommending the use of 
bone biopsy in diabetic patients treated nonsurgically for 
osteomyelitis of the foot," the team concludes. 

SOURCE: Diabetes Care, April 2008. 

Copyright 2006 Reuters Limited. All rights reserved.

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                     Diabetic Recipe

                  Grilled Chicken Pizza

                    (makes 8 servings)

1 10-ounce (300 g) tube refrigerated pizza dough
cornmeal
1 teaspoon (5 ml) crushed dried oregano
1/2 teaspoon (2.5 ml) crushed dried basil
8 ounces (240 g) cooked chicken breast, chopped
1/2 cup (124 g) reduced-fat, low-sodium jarred marinara 
sauce
2 tablespoons (30 ml) finely chopped onion
2 to 3 fresh mushrooms, thinly sliced (optional)
1 tablespoon (15 ml) freshly grated Parmesan cheese
1/4 cup (30 g) shredded part-skim mozzarella cheese

1. Open the dough package and on a lightly floured surface, 
   roll out to roughly form a 10-inch (25 cm) circle. 
   Place the crust on a cookie sheet which has been 
   lightly sprinkled with cornmeal. Using your fingers, 
   pat dough to desired shape and thickness. 

2. Transfer pizza to the prepared grill (see above). Grill 
   for about 3 minutes, until the top of the dough puffs 
   and the underside is crisp and lightly browned. Using 
   a large metal spatula, turn the crust over. Brush the 
   cooked top with olive oil and sprinkle with oregano and 
   basil. 

3. In a medium bowl, combine the cooked chicken, marinara 
   sauce, and onion. Spread mixture over the top side of 
   the crust. Arrange mushrooms on top (if using). Top 
   with Parmesan cheese and sprinkle on the mozzarella, 
   covering the top evenly. 

4. Continue to grill for another 4 to 5 minutes, until the 
   pizza is cooked through, the dough lightly browned, and 
   the cheese melted. To insure even cooking, use tongs to 
   rotate the pizza two or three times during the cooking 
   period, taking care not to knock off the topping. 

Per serving: 142 calories (21% calories from fat), 
             11 g protein, 3 g total fat (1.1 g saturated 
             fat), 17 g carbohydrate, 1 g dietary fiber, 
             21 mg cholesterol, 286 mg sodium 

Diabetic exchanges: 1 lean protein (meat), 1 carbohydrate 
                    (bread/starch)

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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