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Publication: Diabetes Update
The Diabetic's Daily Shots

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Diabetic Digest - Wednesday, July 2, 2008
News, updates and help from and for the diabetic community.


Today's edition of the Diabetic Digest is here to help 
you get ready for the 4th of July. Well, today's recipe 
is Independence Day related. 

Also, today's articles cover diabetic health issues 
dealing with Gastric bypass surgery and the growing 
number of those in the US diagnosed with diabetes. 

Let's start the day off with a great video clip that deals 
with the topic: The Diabetic's Daily Shots 
Your first thought about diabetes may be of an insulin 
shot, followed by a slight cringe. Because insulin therapy 
is necessary for some diabetics to survive, the only thing 
cringe-worthy would be NOT getting the basics.

Click To View: The Diabetic's Daily Shots

Enjoy today's issue and have a safe and healthy holiday. 


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   Weight Loss After Gastric Bypass Controls Diabetes

NEW YORK (Reuters Health) - Obesity surgery can cause type
2 diabetes to go into remission, but much depends on how
much weight the patient loses within the first few months,
a new study suggests.

Gastric bypass surgery for severe obesity has been shown
to control type 2 diabetes, a disorder that commonly goes
hand-in-hand with obesity. The procedure involves section-
ing off a small portion of the stomach, creating a pouch
that limits the amount of food a person can eat in one

The surgeon also adds a bypass that reroutes food past the
rest of the stomach and part of the small intestine to
limit calorie and nutrient absorption.

It's thought that the surgery creates hormonal changes 
that, in turn, improve diabetes control. 

However, the new study, by surgeons at Duke University 
Medical Center in Durham, North Carolina, shows that 
hormones are not the whole story. The amount of weight 
patients shed in the first six months after surgery 
appears key to diabetes remission. 

"Gastric bypass surgery appears to cause important 
metabolic effects that rapidly improve type 2 diabetes, 
but weight loss itself is also extremely important," 
Dr. Eric DeMaria said in an interview with Reuters Health.

DeMaria presented his group's research this week at the 
annual meeting of the American Society for Metabolic and 
Bariatric Surgery in Washington, DC. 

He and his team followed 71 morbidly obese patients with 
severe diabetes requiring high doses of insulin and oral 
medications to control their blood sugar levels. The 
researchers' goal was to identify factors that 
differentiate patients who go into remission from those 
who do not. 

"We found that the most important factor was the amount 
of weight loss by the patient," DeMaria said. 

Diabetes control was improved in all patients as evidenced 
by better long-term blood sugar levels and reductions 
in the amount of medication they needed. Still, only 
48 percent went into complete remission. 

The researchers found that weight loss in the first three 
weeks to six months after surgery was a critical factor in 
diabetes remission. 

The hormonal effects of gastric bypass surgery are still 

"Morbidly obese patients usually lose about 10 percent of 
their body weight within three weeks of surgery," DeMaria 
said, "but that does not explain why they can cut back on 
their medications within the first day or two." 

That benefit, he explained, "appears to be an effect on 
gut hormones, with dramatic improvement in insulin 

"But," DeMaria added, "it is interesting to recognize that 
faster weight loss and greater amount lost improves the 
chance that patients will remain in remission." 

The findings, he said, suggest that "if we can enhance the 
weight-loss effect of surgery -- by adding medications or 
rigorous behavior modification -- we may do better than a 
50 percent remission rate." 

Copyright 2006 Reuters Limited. All rights reserved. 

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New US Estimates Show Diabetes Affects 24 Million

WASHINGTON (Reuters) - New government estimates show 
that nearly 24 million people in the United States have 
diabetes, an increase of more than 3 million in two years. 

This means that nearly 8 percent of the U.S. population has 
diabetes, mostly the type-2 diabetes linked with obesity, 
poor diet and a lack of exercise, the U.S. Centers for 
Disease Control and Prevention said on Tuesday. 

The estimates, based on 2007 data, also show that 
57 million people have pre-diabetes, a condition that 
puts people at increased risk for diabetes. And up to 
25 percent of people with diabetes do not know they 
have it, the CDC said -- down from 30 percent two years 

Almost 25 percent of the population 60 years and older 
had diabetes in 2007, the CDC found. 

The highest rates are among Native Americans and Alaska 
Natives, with 16.5 percent affected. 

Close to 12 percent of blacks and 10 percent of Hispanics 
have diabetes, but just 7.5 percent of Asian Americans 
and 6.6 percent of whites. 

Diabetes causes the body to produce less insulin, or to 
use it less effectively, which in turn causes blood sugar 
levels to rise. This in turn damages blood vessels and 
organs, leading to blindness, kidney disease, limb loss 
and heart disease. 

It is the seventh-leading cause of death in the United 

"It is concerning to know that we have more people 
developing diabetes, and these data are a reminder of 
the importance of increasing awareness of this condition, 
especially among people who are at high risk," said 
Dr. Ann Albright, director of the CDC's Division of 
Diabetes Translation. 

"On the other hand, it is good to see that more people 
are aware that they have diabetes. That is an indication 
that our efforts to increase awareness are working, and 
more importantly, that more people are better prepared 
to manage this disease and its complications." 

Copyright 2006 Reuters Limited. All rights reserved.

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                     Diabetic Recipe

              Red, White, and Blue Trifle

                   (makes 8 servings)

2 packages 1 ounce each (30 g) sugar-free instant vanilla 
pudding mix

4 cups( 960 ml) skim milk

1 pint (290 g) blueberries

2 cups (480 g) sugar free, fat free whipped topping

12 "butter" or vanilla cookies, nonfat, no sugar added

1/4 cup (60 ml) Marsala wine

8 tablespoons (120 g) no sugar raspberry jelly

1 pint (288 g) strawberries

fresh mint

1. Prepare the pudding mix with the milk as per package 

2. Place 2 tablespoons (30 ml) blueberries on the bottom 
   of each of 8 crystal wine glasses. Cover with some of 
   the prepared pudding and 2 tablespoons (9 g) whipped 
   topping. Crumble 1 cookie on top and sprinkle with 
   1 teaspoon (5 ml) Marsala wine. Top with 1 tablespoon 
   (15 g) jelly. 

3. Cover with thinly sliced strawberries, more of the of 
   the pudding, and 2 tablespoons (9 g) whipped topping. 
   Top with crumbled 1/2 of a cookie and 1/2 teaspoon 
   (2.5 ml) wine. Refrigerate until ready to serve. When 
   ready to serve, garnish with mint. 

Per serving: 163 calories (3% calories from fat), 
             5 g protein, 1 g total fat (0.2 g saturated 
             fat), 33 g carbohydrates, 2 g dietary fiber, 
             2 mg cholesterol, 394 mg sodium

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


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