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Publication: Diabetes Update
Getting Exercise

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Diabetic Digest - Wednesday, August 1, 2007
News, updates and help from and for the diabetic community.


It may be extremely hot outdoors, but I still need to get 
some exercise. I usually take a long walk or play basket-
ball in my yard, but it has just been too hot. 

I've taken to running up and down the stairs with wrist 
and ankle weights on. I remember doing this when I was 
younger. Before I had the weights, I held large soup cans 
in my hands as I traveled up and down those stairs. It 
worked great. I never got dehydrated like I would if I had 
done this outside. It was a great way to get some exercise 
without having to spend a ton of money of face the 
unbelievable heat. 

Even if the weather isn't cooperating that doesn't mean 
you can stop getting a healthy dose of exercise. And if 
you would rather face the heat make sure that you put on 
plenty of sun-block and keep yourself hydrated. Dehydration 
occurs quicker than we realize. Just keep abreast on the 
quantity and frequency of hydrating yourself. You'll be 
glad you did. 


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Avandia Should Remain, Advisers Say

WASHINGTON - The widely used diabetes drug Avandia should 
remain on the market, government health advisers recommend-
ed Monday, saying evidence of an increased risk of heart 
attack doesn't merit removal. 

The nonbinding recommendation to the Food and Drug 
Administration came on a majority vote by the panel. The 
tally wasn't immediately available. 

"We're being asked today to take a very draconian action 
based on studies that have very significant weaknesses and 
are inadequate for us to make that kind of decision," said 
Rebecca Killion, a Bowie, Md., diabetic and the panel's 
patient representative. 

However, in an earlier 20-3 vote, the panelists said that 
available data show the drug does increase heart risks. 
Panelists said the drug's warning label should be updated 
and there should be additional study. 

Earlier, FDA scientist Dr. David Graham told the joint 
panel of experts that the drug's heart risks, combined with 
its lack of unique short-term benefits in helping diabetics 
control blood sugar, meant continued sales were not 

The manufacturer, GlaxoSmithKline PLC, argued that there 
is no increased risk, citing its own analyses of studies 
of Avandia, also called rosiglitazone. 

"The number of myocardial infarctions is small, the data 
are inconsistent and there is no overall evidence 
rosiglitazone is different from any other oral antidiabetes 
agents," said Dr. Ronald Krall, the company's senior vice 
president and chief medical officer. 

The FDA convened the experts to consider whether Avandia 
should be restricted to use in select patients and branded 
with prominent warnings or removed altogether from sale. 
Previously, the FDA had said information from dozens of 
studies pointed to an increased risk of heart attack. 

The FDA isn't required to follow the advice of its advisory 
committees but usually does. 

About 1 million Americans with Type 2 diabetes use Avandia 
to control blood sugar by increasing the body's sensitivity 
to insulin. That sort of treatment has long been presumed 
to lessen the heart risks already associated with the 
disease, which is linked to obesity. News that Avandia 
might actually increase those risks would represent a 
"serious limitation" of the drug's benefit, according to 
the FDA. 

Copyright 2007 The Associated Press. All rights reserved. 

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Dietary Carbs Linked to Vision Loss

NEW YORK (Reuters Health) - The carbohydrates present 
in a diet can influence the risk of age-related macular 
degeneration (AMD), the most common cause of vision loss 
in older adults, according to a report in the American 
Journal of Clinical Nutrition. 

"AMD appears to share several carbohydrate-related 
mechanisms and risk factors with diabetes-related diseases, 
including (eye) and cardiovascular disease," write Dr. 
Allen Taylor, of Tufts University, Boston, and colleagues. 
"However, to date, only one small study has addressed this 

To investigate further, the researchers conducted a study 
of 4,099 participants, aged 55 to 80 years, in the Age-
Related Eye Disease Study. 

The team classified a total of 8,125 eyes into one of five 
AMD groups based on the severity of the disease and other 

Regular consumption of a diet with a high-glycemic index 
- a diet containing carbs that quickly raise blood sugar 
levels -- significantly increased the risk of AMD relative 
to regular consumption of a diet with a low-glycemic index. 

The researchers calculate that 20 percent of AMD cases 
could have been prevented if subjects had consumed diets 
with a low-glycemic index. 

SOURCE: American Journal of Clinical Nutrition, July 2007. 

Copyright 2007 Reuters Limited. All rights reserved.


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                     Diabetic Recipe

      Linguine with Portobello Mushrooms and Broccoli

                    (makes 4 servings)

1/2 pound (225 g) dried linguine

1 tablespoon (15 ml) olive oil

3 garlic cloves, minced

3/4 pound (340 g) broccoli florets, cut into bite-sized 

2 portobello mushrooms, 3/4 pound (340 g), cut in half and 
sliced thin

3 tablespoons (45 ml) dry white or red wine (you may 
substitute water or low-sodium canned beef broth)

2 14 1/2-ounce (822 g) no salt added canned chopped tomatoes

1/4 teaspoon (1.25 ml) crushed red pepper flakes

1/2 teaspoon (2.5 ml) salt (optional)

1/2 cup (118 ml) packaged fresh basil leaves, roughly chopped

1/2 cup (118 ml) pasta water

1/4 cup (25 g) grated Parmesan cheese

1. Bring a large pot of lightly salted water to a boil 
   and cook the pasta to al dente, according to package 

2. Meanwhile, heat the oil in a large nonstick skillet. 
   Add the garlic, broccoli, and mushrooms. Cook over high 
   heat, stirring for 2 minutes, until mushrooms begin to 
   wilt. Reduce heat to low and add the wine, tomatoes, and 
   crushed red pepper flakes. Cook, simmering slowly for 
   2 minutes, stirring twice. Add the basil and stir. 

3. Drain the pasta, reserving 1/2 cup (118 ml) pasta water. 
   Add to the sauce, increase heat and boil for 1 minute to 
   reduce slightly. 

4. Divide the pasta between 4 plates. Top with sauce and 
   sprinkle with the cheese. Serve immediately. 

Per Serving: 365 calories (17% calories from fat), 
             16 g protein, 7 g total fat (2.0 g saturated 
             fat), 61 g carbohydrate, 7 g dietary fiber, 
             5 mg cholesterol, 169 mg sodium 

Exchanges: 3 carbohydrate (3 bread/starch), 3 vegetable, 
           1 fat

Copyright 1997-2001 Diabetic-Lifestyle. 


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Copyright 2007 by NextEra Media. All rights reserved.

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