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Publication: Diabetes Update
Surviving The Summer Heat

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Diabetic Digest - Wednesday, July 16, 2008
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News, updates and help from and for the diabetic community.
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Readers:

The humidity is really getting to me. My house doesn't 
have air conditioning so I have to brave the heat and 
humidity every day and night. 

I've noticed that my water intake has increased quite a 
bit, but my urinary output is less frequent. 

In conditions such as this make sure that you are drinking 
plenty of water. I know I've said this before, but it's 
important to remember. You don't often feel dehydrated 
until it's too late. Make sure you keep cool, drink fluids 
frequently and keep a close eye on your blood sugar. 

Just a reminder. You can enjoy the summer weather, but you 
have to make sure that you are healthy and safe. 

Regards,
Steve

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Fruit Juice Tied to Modest Rise in Diabetes Risk

NEW YORK (Reuters Health) - Women wanting to ward off
type 2 diabetes should load their plates with green
leafy vegetables and whole fruits, but perhaps stay
away from fruit juice, new research suggests.

Eating an additional three servings of whole fruit daily,
or one more serving of spinach, kale or similar leafy
green vegetable was tied to a lower risk of developing
diabetes over an 18-year period among 71,346 women enrolled
in the Nurses' Health Study.

"It was a modest decrease," Dr. Lydia A. Bazzano of Tulane
University School of Public Health and Tropical Medicine,
New Orleans, told Reuters Health. "This is not going to...
prevent it if you have many, many risk factors and you're
overweight...it's a tool in the prevention strategy."

Bazzano and colleagues analyzed data on the diets of
Nurses' Health Study participants -- 4,529 of whom
developed type 2 diabetes while they were being followed.
They divided women into five groups based on fruit and
vegetable intake, and also grouped them based on fruit
juice consumption.

They found that an increase of three servings a day of
whole fruit was associated with an 18 percent lower risk
of type 2 diabetes, while a single additional serving of
leafy green vegetables cut the risk by 9 percent. However,
an additional daily serving of fruit juice increased the
likelihood of developing diabetes by 18 percent.

While the findings must be replicated, Bazzano said,
there are plausible mechanisms by which fruit juice could
increase risk. "It's a big sugar load and it comes in a
liquid form which is absorbed rapidly," she noted.

The findings, the study team concludes, suggest that
"caution should be observed in replacing some beverages
with fruit juices in an effort to provide healthier
options. The same caution applies to the recommendation
that 100 percent fruit juice be considered a serving of
fruit as it is in the present national dietary guidelines."

SOURCE: Diabetes Care, July 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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Early Cholesterol Screening Urged for Some Kids

NEW YORK (Reuters Health) - The American Academy of 
Pediatrics (AAP) on Monday released new guidelines on 
cholesterol screening for children -- and treatment of 
high cholesterol if needed. 

According to the recommendations, which appear in the 
medical journal Pediatrics, children and adolescents 
should be screened if members their family have high 
cholesterol or heart disease. Screening is also advised 
for children with an unknown family history or who have 
a personal history of obesity, high blood pressure, or 
diabetes. 

Lead author Dr. Stephen R. Daniels, of The Children's 
Hospital in Denver, and colleagues from the AAP's 
Committee on Nutrition recommend that screening take 
place after 2 years of age but no later than 10 years.

If screening results are normal, repeat testing should 
be performed in 3 to 5 years, according to the guidelines.

Cholesterol-lowering agents are recommended for children 
over 8 years of age with high LDL ("bad") cholesterol 
levels. For younger kids, the focus should be on non-drug 
interventions, such as weight reduction, increased physical 
activity, and improved nutrition. 

Reduced-fat dairy products should be considered for 
children as young as one year of age if weight issues 
are a concern, the report indicates. 

SOURCE: Pediatrics, July 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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                     Diabetic Recipe

                Meat and Mushroom Pub Pies

                    (makes 4 servings)

1/2 frozen puff pastry sheet (one-fourth of a 17 1/4-ounce, 
525 g, package), defrosted

1 pound (480 g) ground beef sirloin

6 ounces (180 g) mushrooms, sliced

1 1/2 cups frozen chopped onion

2 teaspoons (10 ml) crushed dried thyme

2 tablespoons (18 g) all-purpose flour

1 1/2 cups (360 ml) fat-free low-sodium canned beef broth

1 tablespoon (15 ml) bottled steak sauce

1/2 cup (72 g) frozen peas, rinsed with cold water and 
drained


1. Preheat oven to 450°F (230°C), Gas Mark 8. On a lightly 
floured surface, roll out pastry to 6-inch (15 cm) square. 
Using a sharp knife, cut into twelve 1/2-inch strips. 

2. In a heavy skillet over medium-high heat, brown beef, 
mushrooms, and onion until beef is no longer pink, about 
5 minutes. Sprinkle mixture with thyme and flour. Add beef 
broth and steak sauce; cook, stirring, for 5 minutes. Stir 
in peas. Spoon mixture into individual casserole dishes 
about 5 inches (12.5 cm) in diameter.

3. Arrange two pastry strips in a wide X over each 
casserole. Place a third strip across the center. Press 
overhangs firmly to sides of casseroles to seal.

4. Bake until pastry is puffed and golden brown, about 
12 minutes. 

Per serving: 430 calories (47% calories from fat), 
             29 g protein, 22 g total fat (5.8 g saturated 
             fat), 28 g carbohydrate, 3 g dietary fiber, 
             41 mg cholesterol, 219 mg sodium 

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

Copyright 1997-2001 Diabetic-Lifestyle.

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Copyright 2008 by NextEra Media. All rights reserved.

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