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Publication: Diabetes Update
Nacho Popcorn Anyone?

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Diabetic Digest - Wednesday, January 30, 2008
News, updates and help from and for the diabetic community.


If you're a fan of caffeine then today's first article 
was made for you. 

Also, an article concerning the topic of Obesity Surgery 
and Type 2 Diabetes may interest you. 

Lastly, today's diabetic recipe is for Nacho Popcorn. 
That's right, Nacho Popcorn. It sounds good doesn't it? 

Great articles and delicious recipes, what more could 
you ask for? 


Diabetic Update Newsletter
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    Caffeine Raises Blood Sugar Level in Diabetics

WASHINGTON (Reuters) - Cutting down on caffeine could help
people with the most common form of diabetes better control
their blood sugar levels, researchers said on Monday.

Giving caffeine to a small group of people with type 2
diabetes caused their levels of the blood sugar (glucose)
to rise throughout the day, especially after meals,
researchers at Duke University Medical Center in Durham,
North Carolina, found.

"Caffeine appears to disrupt glucose metabolism in a way
that could be harmful to people with type 2 diabetes,"
James Lane, a Duke medical psychologist who led the study,
said in a telephone interview.

Caffeine is found in coffee, tea and many soft drinks.

Diabetes is a condition in which one's blood glucose levels
are too high. Having too much glucose in the blood can
damage the eyes, kidneys and nerves, and diabetes can also
lead to heart disease, stroke and limb amputations.

Type 2 diabetes is the form closely linked to obesity.

The new findings seem to run counter to previous research
regarding diabetes and caffeine. Earlier studies indicated
that people who drank coffee had a reduced risk of type 2
diabetes, and those who drank the most coffee had the
lowest risk.

The researchers used new technology -- a tiny glucose
monitor embedded under the abdominal skin -- to monitor
the glucose levels continuously in 10 people, average
age 63.

On days when the participants were given four tablets
containing caffeine equivalent to four cups of coffee,
their average daily sugar levels rose 8 percent compared
to days when the same people were given four placebo
tablets, the researchers reported in the journal Diabetes

"What we are really showing here is that when people with
type 2 diabetes who are regular coffee drinkers drink
coffee, it produces an elevation in their glucose through-
out the day above what it is if they don't have caffeine,"
Lane said.

"This suggests that people with diabetes might want to
avoid coffee and other caffeinated beverages so that
this exaggeration doesn't occur. They may find that it's
easier for them to keep their glucose down if they avoid

Lane cited two possible explanations.

Caffeine may interfere with the process that transports
glucose from the blood into muscle and other cells in the
body to be burned as fuel, he said. Caffeine also triggers
the release of the hormone adrenaline, which can elevate
blood sugar levels, he said.

A number of studies have provided various results about
the health effects of caffeine.

For example, U.S. researchers reported last Monday that
pregnant women who drink two or more cups of coffee a day
have twice the risk of a miscarriage as those who avoid
caffeine. Other U.S. researchers reported the next day
that caffeine may lower a woman's chances of developing
ovarian cancer.

Copyright 2008 Reuters Limited. All rights reserved.


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   Obesity Surgery May Offer Type 2 Diabetes Cure

NEW YORK (Reuters Health) - Weight-loss surgery using
gastric banding can reverse type 2 diabetes in obese
people, Australian researchers report.

Obese individuals who underwent the procedure were more
than five times more likely to see their diabetes resolve
than people who relied on lifestyle changes alone, Dr.
John B. Dixon of Monash University in Melbourne and
colleagues report in this week's Journal of the American
Medical Association.

"This study presents strong evidence to support the early
consideration of surgically induced loss of weight in the
treatment of obese patients with type 2 diabetes," Dixon
and his team conclude.

They randomly assigned 60 obese people with type 2 diabetes
to undergo adjustable gastric banding surgery and a life-
style modification program, or the lifestyle modification
program alone.

Seventy-three percent of the patients who underwent surgery
had a complete remission of their diabetes within two
years, compared to 13 percent of the lifestyle-only group.

Two years after the procedure, the surgery patients had
lost an average of about 21 percent of their body weight,
compared to less than 2 percent for the lifestyle group.
People typically need to lose 10 percent of their body
weight in order to reverse type 2 diabetes, the researchers

The results are "clear and striking," Drs. David E.
Cummings and David R. Flum of the University of Washington
in Seattle write in an accompanying editorial. However,
they point out, even though the National Institutes of
Health recommends so-called bariatric surgery as an option
for obese patients, fewer than 10 percent will undergo
the procedure.

"It may be time to view bariatric operations not as
treatments for patients with BMI greater than a certain
level, but rather as interventions about which all obese
patients with diabetes should be informed and given
access," Cummings and Flum conclude.

SOURCE: Journal of the American Medical Association,
January 23, 2008.

Copyright 2008 Reuters Limited. All rights reserved.

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                     Diabetic Recipe

                      Nacho Popcorn

                   (makes 12 servings)

4 quarts (4 l) air-popped corn
refrigerated butter-flavored cooking spray
2 teaspoons ground cumin
2 teaspoons garlic powder
2 teaspoons onion powder
2 teaspoons Worcestershire sauce
1/4 teaspoon Tabasco (optional)

1. Preheat oven to 300°F. Spread popped corn in a large 
   baking pan. Lightly coat with cooking spray. Toss and 
   coat again. 

2. Combine cumin, garlic powder, and onion powder. Sprinkle 
   over popcorn. Toss to coat evenly. Drizzle with 
   Worcestershire sauce and Tabasco (if using). Toss again. 

3. Bake for 10 minutes, tossing once. Wrap tightly in a 
   pouch made from a double sheet of heavy-duty aluminum 

Per serving: 45 calories (10% calories from fat), 
             2 g protein, 1 g total fat (0 saturated fat), 
             9 g carbohydrate, 2 g dietary fiber, 
             0 cholesterol, 11 mg sodium 

Diabetic exchanges: 1/2 carbohydrate (bread/starch) 

Copyright 1997-2001 Diabetic-Lifestyle. 


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