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Publication: Diabetes Update
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Diabetic Digest - Wednesday, March 12, 2008
News, updates and help from and for the diabetic community.


Today's issue is full of articles and I have a delicious 
recipe for you. On a serious note, I wanted to get this 
article to you ASAP because of its subject matter. It 
concerns women that are living with type 1 diabetes. Take 
some time to read this as well as the other articles. Be 
safe and be health. 

Not Enough Insulin May Be Deadly in Diabetic Women

NEW YORK (Reuters Health) - Taking less insulin than
required to control type 1 diabetes can cut a woman's
lifespan by more than a decade, according to research
conducted at the Joslin Diabetes Center in Boston.

Fear of hypoglycemia (low blood sugar) and concern about 
gaining weight may lead patients with type 1 diabetes to 
restrict necessary insulin doses, Dr. Katie Weinger and 
colleagues note in a report in the journal Diabetes Care. 

In their 11-year follow-up study of 234 type 1 diabetic 
women, those who restricted their insulin intake had an 
increased risk of death as well as higher rates of kidney 
and foot problems relative to women who did not restrict 
their insulin dose. 

In addition, the average age of death was younger for 
those involved in insulin restriction: 45 years of age 
as compared to 58 years for those who did not restrict. 

At the start of the study, 71 women (30 percent) had been 
classified as insulin restrictors, based on a positive 
response to the screening item "I take less insulin than 
I should." 

Twenty-six women died during follow-up, including 10 
insulin restrictors. Insulin restriction increased the 
relative risk of death more than threefold after adjusting 
for other factors. 

Insulin-restricting women who died reported more frequent 
insulin restriction and reported more eating disorder 
symptoms at the study's outset than those insulin-
restrictors who were still living at study's end. Studies 
have shown that women with diabetes are nearly 2.5 times 
more likely than women without diabetes to develop an 
eating disorder. 

Weinger and colleagues think doctors should ask their 
patients with type 1 diabetes if they take less insulin 
than they are supposed to, and refer high-risk patients 
to mental health professionals. 

SOURCE: Diabetes Care, March 2008.

Copyright 2006 Reuters Limited. All rights reserved.

Take care of yourself and those that suffer from any type 
of illness. 


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    Workouts Boost Function of Insulin-making Cells

NEW YORK (Reuters Health) - Sedentary older people at risk
of developing diabetes showed significant improvement in
the function of their insulin-making beta cells after just
one week of exercise, University of Michigan researchers

Beta cell function is known to decline with age, although
it is not clear why, Drs. Cathie J. Bloem and Annette M.
Chang explain in the Journal of Clinical Endocrinology
and Metabolism.

As people age, they may also become less sensitive to the
blood sugar-regulating effects of insulin and develop
impaired insulin secretion, the researchers add. And while
short-term exercise boosts insulin sensitivity, it has not
been clear how it might affect beta cell function.

To investigate, Bloem and Chang had 12 sedentary
individuals aged 60 and older perform an hour-long
workout every day for a week. The exercise sessions,
consisting of stints on a treadmill, exercise bike and
cross-training machine, required study participants to
work out at 60 percent to 70 percent of their maximum
heart rate capacity.

After the exercise period, study participants' sensitivity
to insulin had increased by 53 percent, on average, while
a measure of beta cell function called the disposition
index had risen by 28 percent. However there were no
changes in their fat mass, levels of fat in the blood,
or other factors that might explain the effect of exercise
on beta cells.

"Longer-term exercise training studies are required and
are currently in progress to evaluate further exercise
training effects on beta cell function in age-related
glucose intolerance," the researchers note.

SOURCE: Journal of Clinical Endocrinology and Metabolism,
February 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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Parents Often Miss Low Blood Sugar in Diabetic Kids

NEW YORK (Reuters Health) - Children with type 1 diabetes
have a difficult time recognizing warning signs that their
blood sugar has fallen to dangerously low levels, and
their parents do even worse, a new study demonstrates.

In a 7-month study, researchers found that parents missed
54 percent of instances when a child had moderate "hypo-
glycemia," or low blood sugar, while kids missed 41 percent
of these episodes.

Hypoglycemia is an "inevitable" consequence of insulin
treatment, Dr. Linda Gonder-Frederick of the University
of Virginia in Charlottesville, told Reuters Health.
Severe hypoglycemia can have harmful consequences, she
pointed out, including disorientation, unconsciousness
and even seizures.

Gonder-Frederick and her team had 61 children, 6 to 11
years old, and their parents rate hypoglycemia symptoms,
estimate the child's blood sugar level, and measure it
using a survey programmed on a personal digital assistant.
The study participants completed 70 trials of the survey
over a month, and then reported episodes of severe hypo-
glycemia for the next six months.

Blood sugar estimates by both parents and children were
accurate less than one-third of the time, the team found.
Parents made mistakes that could have harmful consequences
in 23 percent of cases -- for example, thinking that a
child had high blood sugar when it was actually low,
while 27 percent of children's estimates represented
potentially harmful mistakes.

"Parents and children in general are not provided with
enough patient education about hypoglycemia and its impact
on the body, especially the central nervous system," Gonder-
Frederick noted. When their brains aren't getting enough
glucose (sugar), she explained, children can lose control
over their behavior, which may look like misbehavior to
their parents.

According to the researcher, parents and their diabetic
children can find good information on low blood sugar and
how to cope with it from Childrenwithdiabetes.com, the
American Diabetes Association, and the Juvenile Diabetes
Research Foundation.

SOURCE: Pediatrics, March 2008.

Copyright 2006 Reuters Limited. All rights reserved.


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                     Diabetic Recipe

               Mediterranean Stuffed Bread

                   (makes 6 servings)

1 large French baguette, about 1 pound (480 g)

4 medium tomatoes, about 1 1/4 pounds (600 g) total, 
peeled, and chopped

4 scallions, white part and 8 inch (2.5 cm) green, finely 

1 medium green bell pepper, seeded and chopped

1 6-ounce (195 g) can water-packed tuna, drained and 

1 tablespoon (15 ml) capers, drained (optional)


3 tablespoons (15 ml) red wine vinegar

2 tablespoons (30 ml) olive oil

1 teaspoon (5 ml) Dijon mustard

1 clove garlic, minced

2 tablespoons (30 ml) chopped flat-leaf parsley

1 tablespoon (15 ml) chopped fresh mint or 1 teaspoon 
(5 ml) crushed dried

1 teaspoon (5 ml) fresh thyme leaves or 1/4 teaspoon 
(1.25 ml) crushed dried 

1. Cut the baguette in half lengthwise and scoop out some 
   of the bread to create a shell. Set crumbs aside. 

2. In a large bowl, combine tomatoes, scallions, bell 
   pepper, tuna, capers (if using), and reserved bread 

3. In a small bowl, whisk together dressing ingredients. 
   Drizzle over tuna mixture and toss to mix thoroughly. 
   Mound the mixture into the bottom half of the bread, 
   packing down firmly. Top with other half of the bread. 
   Press bread halves together and tightly wrap in plastic 
   wrap or aluminum foil. Refrigerate for at least several 
   hours or overnight. 

4. Transport the bread, still wrapped, to the picnic site. 
   Transfer to a slicing board and cut into 6 portions. 

Per serving: 307 calories (21% calories from fat), 
             15 g protein, 7 g fat (1.2 g saturated fat), 
             46 g carbohydrates, 4 g dietary fiber, 
             89 mg cholesterol,584 mg sodium 

Diabetic exchanges: 1 low lean protein, 3 carbohydrate 
                    (2 1/2 bread/starch, 1 vegetable), 
                    1 fat 

Copyright 1997-2001 Diabetic-Lifestyle. 


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