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Publication: Diabetes Update
It's The Little Things

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Diabetic Digest - Wednesday, August 29, 2007
News, updates and help from and for the diabetic community.


I have a very important doctor visit coming up. My doctor 
wants me to go through a thorough physical. It's been more 
than five years since my last complete physical. He suggest-
ed that it would be a good idea and I agreed. 

I've been doing little things here and there to get ready. 
I've been watching my food comsumption quantity (say that 
three times fast), throwing in random exercise activities 
and making sure I've been getting plenty of sleep. It's 
amazing how much your health can be affected by a lack of 

It's the little things that have the strongest impact on 
your health. I just keep doing my best and try to stay on 
top of things. It just takes a little dedication and focus. 


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Diabetes May Impair Tuberculosis Treatment Response

NEW YORK (Reuters Health) - Patients with tuberculosis and
diabetes do not respond as well to tuberculosis therapy as
those who are non-diabetic, Dutch researchers report.

The reason for this is unclear, but screening for and
aggressively treating diabetes may improve the outcomes of
patients receiving tuberculosis therapy, Dr. Reinout van
Crevel, from Radboud University Medical Center in Nijmegen,
note in the current issue Clinical Infectious Diseases.

The findings stem from a study of 737 Indonesian patients
with tuberculosis who were screened for type 2 diabetes,
also referred to as adult-onset diabetes, and then followed
while receiving tuberculosis therapy.

Overall, 14.8 percent of the subjects had diabetes. Despite
initially having more symptoms, the patients with diabetes
had tuberculosis that was comparable in severity to that
in non-diabetics.

However, after 2 months of treatment, sputum test results
were more likely to be positive in diabetic patients --18.1
percent vs. 10.0 percent in non-diabetics. At 6 months, the
diabetes were still significantly more likely to have
positive sputum test results than the non-diabetic
patients, at 22.2 percent vs. 9.5 percent, respectively.

In a related editorial, Dr. Blanca I. Restrepo, from the
University of Texas Health Science Center in Houston,
comments that the findings "highlight the need for further
research aimed at understanding how the current global
epidemic of type 2 diabetes mellitus is affecting
tuberculosis control and prevention."

SOURCE: Clinical Infectious Diseases, August 15, 2007.

Copyright 2007 Reuters Limited. All rights reserved.

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Diabetes Control A Must Before Heart Surgery

BUENOS AIRES (Reuters Health) - Diabetic patients under-
going heart bypass surgery can markedly reduce their risk
of serious complications by keeping their blood sugar
levels in check before the operation, Argentine researchers
reported here at the XXXII Argentine Congress of Cardiology.

The study focused on how well patients controlled their
hemoglobin A1c (HbA1c) levels, a measure of long-term blood
sugar control.

"Every patient should have the HbA1c tested before the 
intervention," lead author Dr. Diego Lowenstein, of the 
Favaloro Foundation, in Buenos Aires, told Reuters Health. 

"It might even be advisable to delay the surgery until the 
HbA1c is at least below 7 percent," he added. 

An HbA1c level of 4 percent to 6 percent is typically 
considered normal, although the range can vary depending 
on the laboratory doing the testing. 

Lowenstein, Dr. Maximo Santos and colleagues studied 
56 diabetic patients undergoing heart bypass surgery. 
Thirty-five patients (62.5 percent) had a preoperative 
HbA1c level higher than 7 percent. 

The researchers found that the higher the value of HbA1c, 
the higher the risk of complications. The researchers 
calculated that each percentage point increase in HbA1c 
level was linked to a 1.7-fold increased risk of major 
complications, such as overwhelming infection, stroke, 
and in-hospital death. 

Despite the relatively small number of patients, the 
study suggests that heart surgeons should take HbA1c 
into account, the investigators believe. 

"It is a cheap test, and if your patient has a high HbA1c 
level you can reduce his surgical risk in less than 2 
months. It is well worth the delay," Lowenstein concluded. 

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                     Diabetic Recipe

                   Tex-Mex Pasta Bake

           (makes 2 entrees, 4 servings each)

1 tablespoon (15 ml) olive oil
1 pound (480 g) ground white turkey breast
1 cup (160 g) chopped onion
2 large cloves garlic, minced
2 fresh jalapeño chile peppers, seeded and chopped
1 quart (960 ml) Home-Style Tomato Sauce (recipe above)
2 teaspoons (10 ml) crushed dried oregano
2 to 3 teaspoons (10 to 15 ml) good-quality chili powder
1 cup (240 ml) dry red wine or water
1/4 cup (15 g) chopped flat-leaf parsley
1 pound (480 g) penne pasta
4 ounces (120 g) shredded low fat cheddar cheese

1. Heat 1/2 tablespoon olive oil in a large nonstick 
   skillet. Crumble the ground turkey into the skillet 
   and brown, stirring occasionally, for 10 minutes. 
   Using a slotted spoon to drain away all fat, transfer 
   browned turkey meat to a dish and set aside. 

2. Wipe out skillet and add remaining 1/2 tablespoon olive 
   oil. Place over low heat and add onion, garlic, and 
   chile pepper. Sauté, stirring occasionally, until onion 
   is limp, about 5 minutes. 

3. Stir in reserved tomato sauce, oregano, chili powder, 
   wine, parsley, and browned turkey meat. Cook, stirring 
   occasionally, until sauce flavors blend, about 20 

4. Meanwhile, cook pasta according to package directions to 
   al dente. Drain pasta and divide equally between two 
   8-inch square foil baking pans. 

5. Spoon sauce equally over the pasta and top each with 
   half of the shredded cheese. Cover and seal with 
   aluminum foil. Label and date. Freeze until firm. 

6. When ready to bake, preheat oven to 350°F (180°C), 
   Gas Mark 4. Bake the dish, covered, until cheese is 
   melted and sauce is bubbling, about 35 to 45 minutes.  

Per serving: 376 calories (11% calories from fat), 
             27 g protein, 4 g total fat (1.2 g saturated 
             fat), 54 g carbohydrates, 4 g dietary fiber, 
             42 mg cholesterol, 242 mg sodium 

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

Copyright 1997-2001 Diabetic-Lifestyle. 


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Copyright 2007 by NextEra Media. All rights reserved.

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