Publication: Diabetes Update
What to Watch Out For | |
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Diabetic Digest - Wednesday, Jan. 2, 2008
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News, updates and help from and for the diabetic community.
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Readers:
Happy New Year! Let's start off with a great video
entitled: Diabetes: What to Watch Out For.
Click the link to view: Diabetes: What to Watch Out For
After viewing the video clip check out two informative
articles on the topics of Eating Disorders and Diabetic
Offspring's risk awareness. And then we can wrap things
up with a delicious recipe for Snowy-Day Beef Stew.
Enjoy today's issue and have a great new year.
Regards,
Steve
Diabetic Update Newsletter
Send Your Comments
Visit the Diabetic Update Forum and post your comments at:
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Eating Disorders Common in Diabetic Girls
NEW YORK (Reuters Health) - There is a high prevalence of
disturbed eating behavior and eating disorders among girls
with type 1 diabetes, according to Canadian researchers.
They also found that eating disturbances in these patients
start young and are likely to persist over time.
In the current issue of Diabetes Care, Dr. Patricia A.
Colton, of University Health Network, Toronto, Ontario,
and colleagues report the findings of a 5-year study of
eating disturbances in girls with type 1 diabetes.
At the beginning of the study, higher rates of disturbed
eating behavior were observed in 126 girls with type 1
diabetes who were between the ages of 9 and 13 years than
in their counterparts without diabetes (8 percent versus
1 percent).
At 5-year follow-up, 98 diabetic girls remained in the
study. The average age was 11.8 years at the beginning
and 16.5 years at the end of the study.
Colton's group found that 48 of the 98 girls (49.0 percent)
still had disturbed eating behavior. Specifically, 43 of
the 98 girls reported that they restricted their eating,
6 reported binge-eating episodes, 3 reported self-induced
vomiting, and 25 reported intense, excessive exercise for
weight control. Another 3 girls reported that they skipped
their insulin doses.
A total of 13 girls met the criteria for eating disorders.
The authors note that blood glucose levels were not higher
in the subjects with disturbed eating behavior (8.7 percent
versus 8.4 percent). However, a trend for higher blood
glucose levels was observed among the girls with eating
disorders compared with those without (9.1 percent versus
8.5 percent).
The subjects with disturbed eating behavior had a signif-
icantly higher average body mass index, at 26.1 versus
23.5 in the other girls. A body mass index (BMI) is the
ratio of height to weight used to determine if someone is
overweight or underweight. An average weight is between
18.5 and 24.9, and a BMI between 25.0 and 29.9 is over-
weight. Individuals with a BMI of 30.0 or higher are obese
and those with a BMI lower than 18.5 are underweight.
"Eating disturbances early in the study, in the pre-teen
years, were very likely to persist over time; 92 percent
of girls with eating disturbances detected early in the
study continued to report eating disturbances later in
their teen years," Colton said in an interview with
Reuters Health.
"This study contributes to the growing understanding of
the close relationship between physical health and mental
health in individuals with diabetes," Colton continued.
"In particular, eating disturbances are very common and
persistent in girls and women with type 1 diabetes, and
can arise in even pre-teen girls," she noted.
These results suggest that screening for eating disturb-
ances in individuals with type 1 diabetes should start
in the pre-teen years. "Individuals with diabetes who
are struggling with eating disturbances should receive
early support and treatment to prevent the development
of full-syndrome eating disorders and the medical risks
associated with them," Colton advised.
"It is often hard for individuals to tell someone that
they have an eating disorder, and so sensitivity to body
image issues, body dissatisfaction and eating disturbances,
both at home and in the clinic setting, is crucial to
helping these individuals seek appropriate help and
support in optimizing their health and reaching their
full potential," she concluded.
SOURCE: Diabetes Care, November 2007.
Copyright 2006 Reuters Limited. All rights reserved.
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Offspring of Diabetic Parents More Aware of Risk
NEW YORK (Reuters Health) - Adult offspring of people with
type 2 diabetes are more aware than their parents that they
face an increased risk of developing the disease, according
to a new study from Japan.
A person whose parent has type 2 diabetes is more likely
to develop the condition due to both genetics and life-
style, Dr. Keiko Kazuma of the University of Tokyo and
colleagues note.
To understand how people with diabetes and their relatives
perceive this risk, the researchers surveyed 164 patients
with type 2 diabetes and their offspring, none of whom had
type 2 diabetes or prediabetes. All were asked whether the
offspring were at increased risk of type 2 diabetes due to
lifestyle, family history or overall risk.
Among parents, 40 percent said their sons or daughters were
at increased risk of developing diabetes due to their life-
style habits, while roughly half said that they were at
increased risk due to family history or from an overall
perspective.
About half of offspring said they were at higher risk of
diabetes due to lifestyle factors, while nearly three-
quarters said family history increased their diabetes
risk and about 63 percent said they had an increased risk
of diabetes from an overall perspective.
These findings may reflect "self-serving" thinking among
type 2 diabetic parents and their offspring, the researchers
suggest. That is, parents may minimize the role of family
history in the disease in an attempt to downplay their role
in passing the disease along to their children, while off-
spring may want to avoid personal responsibility, so they
in turn will say heredity is more important than lifestyle.
"If patients are to inform their offspring about disease
risks more effectively, their own potential feelings of
guilt need to be tackled first," Kazuma and colleagues say.
"If offspring are to take a more active stance toward
prevention, realization of the importance of their own
actions is particularly important in terms of risk."
SOURCE: Diabetes Care, December 2007.
Copyright 2006 Reuters Limited. All rights reserved.
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Diabetic Recipe
Snowy-Day Beef Stew
(makes 8 servings)
1 tablespoon (15 ml) olive oil
1 medium onion, chopped
3 large cloves garlic, minced
6 scallions, white part and 1 inch (2.5 cm) green, thinly
sliced
12 ounces fresh mushrooms, sliced
2 pounds (960 g) lean beef top round, trimmed of all fat
and cut into 1-inch cubes
2 tablespoons (18 g) unbleached all-purpose flour
1 1/2 teaspoons (7.5 ml) crushed dried thyme
1/2 teaspoon (2.5 ml) crushed dried oregano
1/4 teaspoon (1.25 ml) crushed dried rosemary
1 28-ounce (720 g) no-salt-added stewed tomatoes
3 to 4 canned chipotle chiles in adobo, or to taste, minced
2 cups (480 ml) reduced-sodium canned beef broth
1/2 cup (120 ml) dry red wine
1 10-ounce (300 g) bag frozen peas
2 tablespoons (8 g) chopped parsley for garnish (optional)
1. Heat oil in a large nonstick skillet over medium-low
heat. Add onion, garlic, scallions, and mushrooms.
Saute, stirring often, until vegetables are wilted
and most of the liquid is absorbed. Using a slotted
spoon transfer vegetables to a bowl and set aside.
2. Dredge the steak cubes with flour, thyme, oregano, and
rosemary. Lightly coat the skillet with cooking spray
and place over medium-high heat. Add steak pieces and
brown on all sides, about 6 minutes total cooking time.
3. Transfer steak and reserved vegetables to a large soup
pot or Dutch oven. Top with stewed tomatoes, chipotle
chiles, beef broth, and wine. Stir to combine. Partially
cover and simmer for about 1 hour, until steak is tender.
4. Stir in peas and cook, covered, until peas are just
tender, about 5 minutes.
5. If using, sprinkle with parsley and serve hot.
Per serving: 259 calories (22% calories from fat),
32 g protein, 6 g total fat (1.7 g saturated
fat), 16 g carbohydrates, 5 g dietary fiber,
71 g cholesterol, 135 mg sodium
Diabetic exchanges: 3 lean protein (1/2 bread/starch,
2 vegetable)
Copyright 1997-2001 Diabetic-Lifestyle.
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