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Publication: Diabetes Update
Happy Thanksgiving!

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Diabetic Digest - Wednesday, November 22, 2006
News, updates and help from and for the diabetic community.


Thanksgiving is here again and that means three things: 
food, food and more food. I'm getting hungry just thinking 
about it. 

Just make sure you know what you're eating, how much you're 
eating and be aware of your blood-sugar and adjust your 
insulin accordingly. And stay away from the desserts unless 
there sugar-free, but then enjoy in moderation. 

It will be in your best interest to check your blood-sugar 
several times throughout your Thanksgiving celebration. 

So be safe, be healthy and enjoy your Thanksgiving. 


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Antioxidant Eases Diabetic Nerve Pain

NEW YORK (Reuters Health) - The antioxidant alpha-lipoic 
acid (ALA) in pill form improves diffuse nerve pain or 
"polyneuropathy" in patients with diabetes, researchers 
report in the journal Diabetes Care. 

A recent pooled analysis showed that daily intravenous 
treatment with ALA could reduce pain and numbness in 
diabetic patients, the authors explain, but little work 
has been done to investigate the use of oral ALA. 

Dr. Dan Ziegler from Heinrich Heine University, 
Duesseldorf, Germany and colleagues compared three doses 
of oral ALA to placebo in 166 patients with symptomatic 
diabetic polyneuropathy. 

Mean total symptom scores and stabbing/lancinating and 
burning pain subscores were significantly reduced after 
5 weeks in all active treatment arms compared with the 
placebo arm, the authors report. 

ALA treatment had no measurable effect on numbness, the 
results indicate. 

Symptoms improved significantly as early as 1 week with the 
highest ALA dose (1800 mg daily) and within 2 weeks with 
the other doses (600 mg and 1200 mg daily), the researchers 
note, and there were no significant differences among the 
three ALA groups for changes in mean total symptom score at 
any time point. 

Nausea, vomiting, and dizziness were more common with ALA 
treatment than with placebo treatment. 

Whether the observed favorable short-term effect of ALA on 
nerve pain and deficits can be translated into slowing the 
progression of diabetic polyneuropathy in the long term is 
unknown, the authors write. 

"However, our finding that neuropathic deficits such as 
impaired sensory function were improved is encouraging, 
because these are major risk factors in the development of 
neuropathic foot ulcers." 

"In the absence of a dose response and because the higher 
doses resulted in increased rates of gastrointestinal side 
effects, 600 mg once daily seems to be the most appropriate 
oral dose," the researchers add. 

SOURCE: Diabetes Care November 2006.

Copyright © 2006 Reuters Limited.

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                       Diabetic Recipe

           After-Thanksgiving Turkey and Pasta Bake

                     (makes 6 servings)

refrigerated butter-flavored cooking spray
12 ounces (360 g) penne pasta
2 cups (360 g) cooked turkey meat, cut into 1 inch (2.5 cm) 
2 cups (412 g) drained no-salt-added canned Italian plum 
  tomatoes, coarsely chopped 
1 8-ounce (240 g) container nonfat cottage cheese 
1/2 cup (56 g) shredded reduced-fat sharp cheddar cheese 
4 scallions, including some green tops, chopped
1 teaspoon (5 ml) crushed dried basil (Italian) or 1 
  teaspoon (5 ml) crushed dried oregano (Mexican) 
1/2 teaspoon (2.5 ml) crushed dried oregano (Italian) or 
    1/2 teaspoon (2.5 ml) ground cumin (Mexican) 
1/3 cup (36 g) unseasoned dried bread crumbs
2 tablespoons (9 g) chopped flat-leaf parsley (Italian) 
  or 2 tablespoons (9 g) chopped fresh cilantro (Mexican)

1. Preheat oven to 350°F (180°C), Gas Mark 4. Lightly coat 
   a 9 X 13-inch (22.5 X 32.5 cm) casserole with cooking 

2. Cook pasta according to package directions to al dente, 
   about 10 minutes. Drain well and return to cooking pan. 
   Stir in turkey and tomatoes. Spread mixture in bottom 
   of prepared casserole.

3. In a small bowl, combine cottage cheese, cheddar cheese, 
   scallions, basil (or oregano), and oregano (or ground 
   cumin). Mix well. Spread mixture over the turkey 
   mixture, smoothing with the back of a spoon. Toss bread 
   crumbs with parsley (or cilantro) and sprinkle over the 

4. Bake until casserole is hot and bubbly, about 30 
   minutes. Serve at once. 

Per serving: 387 calories (13% calories from fat), 
             31 g protein, 5 g total fat (2.1 g saturated 
             fat), 53 g carbohydrate, 3 g dietary fiber, 
             44 mg cholesterol, 248 mg sodium 

Diabetic exchanges: 3 very lean protein, 3 1/2 carbohydrate 
                    (3 bread/starch, 1 vegetable)

Copyright 1997-2001 Diabetic-Lifestyle.


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