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Publication: Diabetes Update
Happy Thanksgiving!

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Diabetic Digest - Wednesday, November 21, 2007
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News, updates and help from and for the diabetic community.
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Readers:

I've said it before and I'll say it again.

Thanksgiving is here again and that means three things: 
food, food and more food. I'm getting hungry just think-
ing about it. 

Just make sure you know what you're eating, how much 
you're eating and be aware of your blood-sugar and your 
taking your appropriate medication. And stay away from 
the desserts unless they're 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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      Vitamin D May Curb Type 2 Diabetes Risk

NEW YORK (Reuters Health) - During a 17-year follow-up
of roughly 4,000 men and women, researchers found that
individuals with higher blood levels of vitamin D had a
40 percent lower risk of developing type 2 diabetes than
those with lower levels of this vitamin.

"It has been suggested that vitamin D might be involved in
processes leading to type 2 diabetes," Dr. Paul Knekt from
the National Public Health Institute, Helsinki, told
Reuters Health. "Human evidence from population studies is,
however, missing."

During follow-up, 187 people developed type 2 diabetes.
After adjusting for age, sex, and month when blood samples
were obtained, a statistically significant inverse
association was observed between the blood vitamin D level
and the development of type 2 diabetes.

People with the highest vitamin D levels had a 40 percent
lower risk of developing type 2 diabetes as those with the
lowest vitamin D levels. Knekt and colleagues report in the
journal Diabetes Care.

This association was attenuated somewhat after further
adjustments were made for potential risk factors for type 2
diabetes, including body weight, physical activity level,
and smoking.

"Vitamin D comes from the diet (mainly from fish), supple-
ments and sun exposure," Knekt noted. "Previous human
studies have suggested that high intake of fish fat is
related to a reduced risk of coronary heart disease. Our
diabetes finding is thus in line with the suggestion of
beneficial health effects of fish," Knekt said.

SOURCE: Diabetes Care, October 2007

Copyright 2007 Reuters Limited. All rights reserved.

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People with Diabetes Risk Foot Ulcers from Ill-fitting Shoes

NEW YORK (Reuters Health) - New research from the UK 
suggests that most people with diabetes are wearing 
shoes that don't fit correctly, putting them at risk 
of foot ulcers, which can ultimately lead to amputation. 

"We do know from other studies that about 80 percent of 
all amputations start with a foot ulcer, and that's why 
it's important to try to prevent these foot ulcers in the 
first place," Dr. Graham P. Leese of the University of 
Dundee in Scotland, the study's lead author, told Reuters 
Health. 

Leese and his colleagues measured the foot length and width 
of 100 people attending a diabetes clinic. Only one-third 
of them had at least one correctly fitting shoe. Only 24 
percent had shoes that were wide and long enough for both 
feet, measured while they were sitting, while 20 percent 
had shoes that fitted properly while they were standing. 

Both too-tight and too-loose shoes can rub against the 
foot, which is a problem for the 15 percent to 20 percent 
of diabetic individuals who have lost sensation in their 
feet, Leese noted. 

"For the majority of people it probably isn't hugely 
significant, because if their sensation is normal they 
will feel shoes rubbing and do something about it," he 
said. "Its relevance is for patients with numb feet." 

These patients should check their feet daily, and seek 
help as quickly as they can if they see any signs of 
rubbing or ulceration, he added. They should also check 
to make sure their shoes are fitting them right in both 
length and width; patients in the study were particularly 
likely to be wearing shoes that were too narrow. 

People's feet often change shape and get broader as they 
age, Leese noted, but many may still buy shoes in their 
old size and width. 

SOURCE: International Journal of Clinical Practice, 
        November 2007.

Copyright 2007 Reuters Limited. All rights reserved.

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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)

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Copyright 2007 by NextEra Media. All rights reserved.

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