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Publication: Diabetes Update
Monitoring Glucose Like a Pro

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Diabetic Digest - Wednesday, September 26, 2007
News, updates and help from and for the diabetic community.


I have a great edition of the Diabetic Digest for you 
today. Interesting articles and a delicious recipe await 
you, but first I have a information video clip entitled: 
Monitoring Glucose Like a Pro. 
Just click the below link to view the clip. 

Monitoring Glucose Like a Pro 


Diabetic Update Newsletter
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Visit the Diabetic Update Forum and post your comments at:
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  Insulin Pen a Cost-saving Alternative to Syringes

NEW YORK (Reuters Health) - For patients with type 2
diabetes who have reached the point where they need to
start insulin injections, using a pre-loaded insulin pen
could save money overall, according to results of a new

People who use the insulin pen rather than traditional
vials and syringes make fewer visits to the doctor or
hospital, and the reduced use of health care resources
translates directly into cost savings, the study's authors

A pen device is easier to use, provides greater dose
accuracy, and is more satisfactory to patients, compared
with a syringe, Dr. Rajesh Balkrishnan and associates note
in their paper in the journal Clinical Therapeutics.

To compare costs related to initiating use of insulin pens
(NovoPen or FlexPen) or syringes, Balkrishnan, at Ohio
State University in Columbus, and his colleagues studied
information in the North Carolina Medicaid program patient-
claims database on patients with type 2 diabetes enrolled
between 2001 and 2006.

Their comparison included 1162 patients who began insulin
therapy with a syringe, and 168 who began therapy with an
insulin pen. The team found that the total annual health
care costs, excluding prescriptions, averaged roughly
$14,900 per patient in the pen group and $32,000 for the
syringe users.

Even though the initial cost of an insulin pen is greater
than that for syringes, the overall cost benefits of using
pens outweigh those for syringe use, Balkrishnan's team

SOURCE: Clinical Therapeutics 2007.

Copyright 2006 Reuters Limited. All rights reserved.


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      Exercise Combo Improves Diabetes Control

NEW YORK (Reuters Health) - A combination of aerobic 
exercise and strength training may help control type 2 
diabetes better than either form of exercise alone, 
researchers reported Monday. 

In a study of adults with type 2 diabetes, researchers 
found that the exercise combination improved blood-sugar 
control to twice the degree that either type of exercise 
alone did. 

Meanwhile, study participants who remained inactive 
showed no change in their average blood sugar levels. 

Exercise has long been a cornerstone of managing type 2 
diabetes -- a disorder that is closely associated with 
obesity. But it has not been clear what types of exercise 
are best for reining in high blood sugar levels -- and, 
in particular, whether strength conditioning is helpful. 

To find out, Dr. Ronald Sigal from the University of 
Calgary in Canada and colleagues randomly assigned 251 
adults with type 2 diabetes who were not regular exercisers 
to one of four groups: one that started an aerobic exercise 
regimen; one that took up resistance training to strengthen 
their muscles; a third that combined both forms of 
exercise; and a "control" group that remained inactive. 

All of the exercisers were given a six-month gym member-
ship. The aerobic regimen consisted of walking on a tread-
mill and pedaling on an exercise bike, while people in the 
strength-training groups used weight machines. All of the 
exercise groups worked out three times a week. 

After roughly five months, all three exercise groups showed 
an overall improvement in their hemoglobin A1c, a blood 
test that measures blood-sugar control. However, the group 
that combined aerobic and strength conditioning had the 
greatest improvement. 

On average, their A1c levels dropped by almost a full 
percentage point -- a change that can make a substantial 
difference in the risk of diabetes complications like 
heart attack and stroke. 

If there were a pill that showed such an effect, it would 
be readily prescribed, write the authors of an editorial 
published with the study in the Archives of Internal 

SOURCE: Archives of Internal Medicine, September 18, 2007. 

Copyright 2006 Reuters Limited. All rights reserved. 


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                     Diabetic Recipe

                  Peach-Banana Smoothie

                   (makes 2 servings)

1/2 cup (56 g) peeled, chopped fresh peaches
1 ripe banana, peeled and cut into chunks
1/2 cup (120 ml) unsweetened pineapple juice
1/4 cup (35 g) fat-free, no sugar added vanilla ice cream 

1. In a food processor or blender, combine all ingredients. 
   Blend until smooth. 

2. Pour into 2 tall glasses and serve. 

Per Serving: 128 calories (2% calories from fat), 
             2 g protein, trace total fat (0.1 g saturated 
             fat), 32 g carbohydrate, 2 g dietary fiber, 
             0 cholesterol, 18 mg sodium 

Diabetic Exchanges: 2 carbohydrate (2 fruit)


Archives: DIABETIC DIGEST Archives

Copyright 2007 by NextEra Media. All rights reserved.

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