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Publication: Diabetes Update
Foot Care for Diabetes

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Diabetic Digest - Wednesday, December 5, 2007
News, updates and help from and for the diabetic community.


Today's issue has two great articles: (1) Family Ties 
Raise Risk of Diabetes Complications and (2) Experts Urge 
More Cautious Use of Diabetes Drugs. Also, I have a great 
recipe for those with a sweet tooth. 

Another great aspect of today's edition of the Diabetic 
Digest is a video clip from EVTV1.com which talks about 
Foot Care for Diabetes. Information is the greatest way 
to keep yourself in the best health. Click the link below 
to view the clip. 


Foot Care for Diabetes

Most people know that diabetes affects the blood sugar. 
But few are aware of the disease's effects on the feet! 
If you're diabetic, here's why you'll want to keep tabs 
on your toes. 

View: Foot Care for Diabetes 

Now, enjoy today's edition of the Diabetic Digest. 


Diabetic Update Newsletter 
Send Your Comments

Visit the Diabetic Update Forum and post your comments at: 
Diabetic Update Forum

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    Family Ties Raise Risk of Diabetes Complications

NEW YORK (Reuters Health) - The risk that a person with
diabetes will develop "microvascular" complications of the
disease such as eye, nerve, and kidney damage -- as many
diabetics do -- appears to be higher in certain families
and in women in general, new research suggests.

"To the extent that glucose control is important, it may
be even more critical in those patients potentially at
higher risk for complications, those being type 1 diabetic-
affected siblings of type 1 diabetes patients with
complications, and also women, who appear to be at higher
risk for complications," Dr. David A. Greenberg from
Columbia University, New York told Reuters Health.

Greenberg, along with Dr. Maria C. Monti and colleagues,
analyzed long-term data on a large group of diabetic
patients and their families.

They found that having a parent with type 2 diabetes, but
not type 1 diabetes, was significantly associated with the
development of diabetic eye disease, as well as diabetic
kidney disease and nerve damage.

They also found that diabetic patients whose siblings had
type 1 diabetes complications faced substantially higher
risks of developing these complications themselves.

Diabetes-related eye and nerve damage were more common
in female type 1 diabetes patients than in male type 1
diabetes patients, the researchers say, and the risk of
second complications was higher in female patients than
in male patients.

The risk of complications increased with increasing
duration of type 1 diabetes, and diagnosis at a very
young age (under 5 years) or past puberty (over 14 years)
was associated with a lower likelihood of developing

"These new findings tell us that the explanation for
what causes complications must involve shared pathogenic
mechanisms in the family (mechanisms that may be
independent of the susceptibility to type 1 diabetes),"
the investigators conclude.

SOURCE: Journal of Clinical Endocrinology and Metabolism,
December 2007.

Copyright 2006 Reuters Limited. All rights reserved.

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Experts Urge More Cautious Use of Diabetes Drugs

LONDON (Reuters) - European and U.S. diabetologists called
on Tuesday for greater caution in prescribing oral diabetes
pills like GlaxoSmithKline Plc's Avandia, which has been
linked to increased heart attack risk.

Glaxo's Avandia has lost ground to Takeda Pharmaceutical
Co Ltd's Actos in recent months, following publication of
a U.S. study in May criticizing its safety record. Both
drugs belong to a class of medicines known as

In the light of the latest findings, the European 
Association for the Study of Diabetes and the American 
Diabetes Association said they had updated their 
"consensus statement" on use of oral anti-diabetics in 
patients with type 2 diabetes. 

"New information suggests additional hazards associated 
with the use of either thiazolidinedione, and rosiglitazone 
(Avandia) in particular may result in an increased 
frequency of myocardial infarctions," the revised statement 

"We therefore recommend greater caution in using 
thiazolidinediones, especially in patients at risk of, 
or with, congestive heart failure." 

The updated statement, detailing when to use the drugs, was 
published online in Diabetologia and Diabetes Care. 

The move comes two weeks after the U.S. Food and Drug 
Administration said Avandia should carry a new "black box" 
warning that it may cause chest pain or heart attacks. 

Glaxo will also start a trial comparing Avandia head to 
head with Actos to see if the risk is unique to Avandia. 

Avandia and Actos both already carry strong warnings 
advising of the risk of heart failure, a chronic condition 
that affects the heart's ability to pump blood. 

Avandia was Glaxo's second-biggest drug in 2006, with 
sales of 1.6 billion pounds ($3.3 billion), but sales have 
plunged since May, with revenues in the United States down 
48 percent in the three months to September 30 from the 
year-ago period.

(Reporting by Ben Hirschler) 

Copyright 2006 Reuters Limited. All rights reserved.


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                     Diabetic Recipe

       Low-Sugar-Chocolate Chocolate Chip Cookies

     (Recipe courtesy of Hershey's ~ 3 dozen)

1/2 cup (1 stick) butter or margarine, softened
1/4 cup sugar
granulated sugar substitute to equal 1/2 cup sugar
1 large egg
1 teaspoon vanilla extract
1 cup all-purpose flour
3 tablespoons Hershey's Cocoa 
1/2 teaspoon baking soda
1/8 teaspoon salt
2 tablespoons skim milk
1/3 cup Hershey's mini chips Semi-Sweet Chocolate

1. Heat oven to 375°. In medium bowl, beat butter, sugar 
   and sugar substitute until well blended. Add egg and 
   vanilla; beat well. Stir together flour, cocoa, baking 
   soda and salt; add alternately with milk to butter 
   mixture, beating until well blended. Stir in small 
   chocolate chips. Drop by teaspoonfuls onto ungreased 
   cookie sheet. Bake 7 to 9 minutes or just until set. 
   Remove from cookie sheet to wire rack. Cool completely. 

Per 1 cookie: 50 calories, 1 g protein, 3 g fat, 
              5 g carbohydrate, 5 mg cholesterol, 
              50 mg sodium 

Exchanges: 1 vegetable, 1/2 fat 

Copyright 1997-2001 Diabetic-Lifestyle. 


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Copyright 2007 by NextEra Media. All rights reserved.

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