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Publication: Diabetes Update
Wish me luck

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Diabetic Digest - Wednesday, Sept. 13, 2006
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News, updates and help from and for the diabetic community.
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Readers:

I finally have my doctor's appointment tonight. I shouldn't 
have waited this long to go, but I'm going tonight. I'm 
really kicking myself that I let so much time pass in 
between visits. I should know better. I've learned my 
lesson and I'm going to keep to my three month visit 
schedule. Wish me luck. 

Regards,
Steve

Diabetic Update Newsletter
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Taking Preventive Medications Curbs Diabetes Risk

NEW YORK (Reuters Health) - Individuals at risk for develop-
ing type 2 diabetes who are prescribed the drug metformin 
should stick with it, doctors say. In a large study, 
individuals who adhered to a metformin-based diabetes 
preventive strategy had a reduced risk of developing 
diabetes, they report. 

The Diabetes Prevention Program (DPP) investigated the 
value of intensive lifestyle intervention (diet and 
exercise) or metformin in delaying or preventing type 2 
diabetes in high-risk individuals with impaired glucose 
tolerance, a precursor to full-blown diabetes. 

Dr. Elizabeth A. Walker, of George Washington University, 
Rockville, Maryland, and colleagues examined medication 
adherence and health outcomes in the metformin and placebo 
arms of the DPP. 

A total of 2155 subjects who were randomly assigned to 
either the metformin or placebo treatment arms were 
included in the analysis. 

The overall adherence rates -- that is, the proportion of 
patients taking at least 80 percent of the prescribed dose 
-- were 71 percent in the metformin group and 77 percent 
in the placebo group. 

Compared to patients who were adherent to placebo, those 
adherent to metformin had a 38.2 percent reduced risk of 
developing diabetes, the investigators report. In this 
study, "the level of medication adherence predicted the 
primary outcome of diabetes," they write in the journal 
Diabetes Care. 

Among patients taking metformin, older subjects were more 
adherent than younger subjects. 

Walker's team reports that the most commonly reported 
barriers to taking the medication as prescribed were 
forgetting to take doses (22 percent), adverse effects 
(8 percent), and disruption of routines (8 percent). 
Overall, 15 percent of women and 10 percent of men 
reported adverse effects in the metformin group. 

These results, the team concludes, "lend support for 
future development and evaluation of brief, practical 
medication adherence interventions for primary care 
settings." 

SOURCE: Diabetes Care, September 2006. 

Copyright 2005 Reuters. 

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                       Diabetic Recipe

                       Root Beer Float

                      (makes 1 serving)

1/3 cup scoop (78 ml) fat-free no sugar added vanilla 
frozen yogurt
6 ounces (180 ml) sugar-free root beer
2 straws

1. Place yogurt in a tall glass.

2. Pour in the diet root beer. Stir lightly to mix. 
Add the straws and serve. 

Per Serving: 57 calories (0% calories from fat), 
             2 g protein, 0 total fat (0 saturated fat), 
             13 g carbohydrate, 0 dietary fiber, 
             0 cholesterol, 55 mg sodium

Exchanges: 1 carbohydrate (1 bread/starch) 

Copyright 1997-2003 Diabetic-Lifestyle.

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Archives: DIABETIC DIGEST Archives
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End of DIABETIC DIGEST
Copyright 2006 by NextEra Media. All rights reserved.

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