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Publication: Diabetes Update
Untreated Diabetes: The Facts

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Diabetic Digest - Wednesday, September 12, 2007
News, updates and help from and for the diabetic community.


The major problem with people that have diabetes is getting 
it diagnosed and treated early. Today I have a clip that 
features facts that many will be faced with if their 
illness is not properly treated. Information is the one of 
the most important factors in dealing with diabetes. 

View: Untreated Diabetes: The Facts 


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   Sleep Apnea Linked to Metabolic Syndrome in Teens

NEW YORK (Reuters Health) - A new study suggests that
teenagers with the breathing disorder sleep apnea may be
at increased risk of developing metabolic syndrome -- a
collection of risk factors for diabetes and heart disease.

Researchers found that among 270 teenagers they assessed,
those with sleep apnea were 6.5 times more likely to have
metabolic syndrome than their peers without the breathing

In sleep apnea, soft tissues in the throat temporarily
collapse during sleep, causing repeated stops and starts
in breathing throughout the night. Loud snoring and daytime
sleepiness are two prime symptoms.

Metabolic syndrome refers to a clustering of risk factors
for type 2 diabetes, heart disease and stroke -- including
abdominal obesity, high blood pressure, elevated blood
sugar, high triglycerides (a type of blood fat) and low
levels of "good" HDL cholesterol. The syndrome is generally
diagnosed when a person has any three of these problems.

Both sleep apnea and metabolic syndrome are related to
obesity, but studies in adults have suggested that the
breathing disorder is a risk factor for metabolic syndrome,
independent of body weight.

It hasn't been clear whether this is true of teenagers,

The new findings, published in the American Journal of
Respiratory & Critical Care Medicine, suggest that sleep
apnea may in fact contribute to metabolic syndrome in

Overall, researchers found, 59 percent of teens with sleep
apnea had metabolic syndrome, versus 16 percent of those
without sleep apnea. The large majority of teenagers with
sleep apnea were overweight, but the breathing disorder
appeared to be related to certain components of metabolic
syndrome independent of body weight.

It's difficult to separate the effects of obesity and sleep
apnea itself, according to the study's lead author, Dr.
Susan Redline of Case Western Reserve University in
Cleveland, Ohio.

However, she told Reuters Health, the findings do suggest
that the "overnight stresses" of the sleep apnea contribute
to metabolic syndrome.

Repeated sleep interruptions and dips in oxygen may raise
the body's levels of stress hormones like cortisol, Redline
explained. This, in turn, may lead to elevations in blood
sugar and blood pressure, as well as problems with
cholesterol metabolism.

According to Redline and her colleagues, it would be
a good idea to screen teenagers with sleep apnea for
metabolic syndrome. Similarly, teenagers who are over-
weight and have metabolic syndrome should be screened
for sleep apnea.

Given the role of excess weight in both conditions, Redline
noted, this study also underscores the importance of
children maintaining a healthy weight.

SOURCE: American Journal of Respiratory & Critical Care
Medicine, August 15, 2007.

Copyright 2006 Reuters Limited. All rights reserved.

Brubeck Returns To Moscow on DVD

Here is a DVD that will be cherished forever. 10 years
after his first trip to Moscow, celebrated jazz/classical
pianist Dave Brubeck returns, this time to join the Russian
National Orchestra.

Playing both with a small group of jazz musicians as well
as with the orchestra, Brubeck illustrates his mastery of
two separate styles of music and allows the virtuosity of
the Russian musicians to shine through.

More than just a concert video, the program features
rehearsals, Brubeck's musings on his long career, a jam
session with Russian jazz musicians, and a rare seminar
given by Brubeck. Grab a copy and own a piece a music
history. Just $14.99.
Visit: Brubeck Returns To Moscow on DVD

------- Another cause of type 2 diabetes found --------

BOSTON - U.S. scientists have discovered a third
abnormality that might play a role in the development
of obesity-induced type 2 diabetes. In cases of type 2
diabetes, the body's cells fail to appropriately regulate
blood glucose levels. Previous research suggested that
results from two simultaneous problems: the improper
functioning of pancreatic beta cells and the impairment
of insulin's actions on target tissues, including the
liver, fat and muscles. In the new study, scientists at
Beth Israel Deaconess Medical Center and the Oregon Health
& Science University identified a previously unrecognized
role for glucose-sensing neurons in the onset of the
disease. "For many years we've known subpopulations of
neurons in the brain become 'excited' by glucose," said
Dr. Bradford Lowell, a Harvard Medical School professor.
"But we haven't understood exactly how or why this is
significant. "With this study, we show these neurons sense
increases in glucose and then initiate responses aimed at
returning blood-glucose levels to normal. This is the
first demonstration that glucose-sensing by neurons plays
an important role in responding to rising blood glucose
levels." The study that included Michael Cowley of the
Oregon Health & Science University appears in the journal

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                     Diabetic Recipe

                 Lemon Rice with Peas

                  (Makes 6 servings)

olive oil cooking spray

2 tablespoons (30 g) slivered almonds

3 scallions, white part only, thinly sliced

1 1/2 cups (225 g) raw white rice

3 cups (750 ml) 98% fat-free, no-salt-added canned chicken 

grated zest and juice of 1 lemon

1/2 teaspoon (2.5ml) cinnamon

1 1/2 cups (225 g) frozen baby peas

1. Lightly coat a nonstick pot with cooking spray. Add the 
almond slices and sauté until brown. Remove almonds and set 

2. Again lightly coat the pot with cooking spray. Sauté the 
scallions for 2 minutes. Add the rice and stir to coat for 
2 minutes. Add the broth, zest, lemon juice and cinnamon. 
Bring to simmer, cover and cook until the rice is almost 
cooked, about 12 minutes. Stir in peas and continue to cook 
until all of the broth is absorbed. Add the almonds, fluff 
with a fork and serve. 

Per serving: 222 calories (8% calories from fat), 
             7 g protein, 2 g total fat (0.2 g saturated 
             fat), 43 g carbohydrates, 3 g dietary fiber, 
             0 mg cholesterol, 64 mg sodium 

Diabetic exchanges: 3 carbohydrate (bread/starch)

Copyright 1997-2001 Diabetic-Lifestyle. 


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