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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: 
Diabetic Update Forum

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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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